Grow N Learn Child Care Llc

Regulation: 3270.123(b)/3270.182(8)

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

Noncompliance Area: The file for Child #4 contained the original fee agreement form.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

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

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The upstairs back room lacked a copy of the Emergency Transportation plan required in a child care space.

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

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

Noncompliance Area: The files for Child #1 and Child #4 contained current health reports obtained more than 6 months from the previous health reports obtained when they were younger toddlers. The current health report on file for Child #1 dated 2/3/26 was obtained more than 6 months from the previous health report dated 1/31/25. The current health report on file for Child #4 dated 3/2/26 was obtained more than 6 months from the previous health report dated 11/18/24.

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

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

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

Noncompliance Area: The current health report for Child #2 dated 4/23/25 was obtained more than 12 months after the previous health report dated 3/22/24.

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Observed staff complete two diaper changes. While completing the diaper changes, the soiled diapers were not immediately discarded into a plastic-lined, hands-free covered can. The soiled diapers were placed on the changing area until the diaper change was concluded and then discarded.

Correction Required: 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for Staff #2 contained a current health assessment dated 7/4/25 which was obtained more than 24 months from the previous health assessment dated 6/23/23.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The facility's most recent written documentation notifying local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was dated 1/10/25 which was more than 12 months ago.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff #4 (See LIS Code Sheet) contained emergency plan training dated 1/21/26 which was more than 90 after their initial start date.

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

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file for Staff #2 contained current pediatric FA/CPR training dated 10/4/25 which was obtained after the previous pediatric FA/CPR training dated 8/21/23 expired.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for Staff #3 contained current fire safety training dated 12/30/25 which was obtained more than 12 months from the previous fire safety training dated 10/16/24.

Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

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

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

Noncompliance Area: The file for Staff #1 (See LIS Code Sheet) contained a current Mandated Reporter training dated 1/6/26 which was obtained more than 60 months from the previous Mandated Reporter training dated 10/20/20.

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

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

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

Noncompliance Area: The file for Staff #4, identified as an Assistant Group Supervisor, lacked documentation of a high school diploma or general educational development certificate.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: The was peeling paint on the outside door frame and railing located at the entrance/exit to the outdoor play area.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The diaper changing station in the infant room lacked a handwashing sign.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Based on staff statements, Staff #1 has placed an older toddler aged child in a high chair and then placed the highchair in the hallway outside of the Toddler classroom doorway. The child was placed in the highchair due to the child's challenging behaviors. Staff #1 remained in the Toddler room while the child remained in the hallway for approximately 5 minutes.

Correction Required: 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. Outdoor play space used by the facility is considered part of the facility premises. This portion of the plan shall have an immediate correction date. 2. The legal entity will require all staff persons at the facility to complete a training regarding managing challenging behaviors. The training must be offered by ELRC 3, in-person and a minimum of 2 hours. The training must be completed within 3 months of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Upon completion of the training, staff training documentation will be provided to the OCDEL-DHS representative by email. The training may count towards the mandatory 12 training hours required by the Department. The operator shall provide a date for when this training will be complete.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Based on staff statements, Staff #1 has placed an older toddler aged child in a high chair and then placed the highchair in the hallway outside of the Toddler classroom doorway. The child was placed in the highchair due to the child's challenging behaviors. Staff #1 remained in the Toddler room while the child remained in the hallway for approximately 5 minutes.

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

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: Based on staff statements, Staff #1 has placed an older toddler aged child in a high chair and then placed the highchair in the hallway outside of the Toddler classroom doorway. The child was placed in the highchair due to the child's challenging behaviors. Staff #1 remained in the Toddler room while the child remained in the hallway for approximately 5 minutes.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Based on staff statements, Staff #1 has placed an older toddler aged child in a high chair and then placed the highchair in the hallway outside of the Toddler classroom doorway. The child was placed in the highchair due to the child's challenging behaviors. Staff #1 remained in the Toddler room while the child remained in the hallway for approximately 5 minutes.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid and CPR

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 #3 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 #3, staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #3 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 #3 staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: On 8/21/25, at approximately 1:30pm, CR observed Staff #3 and Staff #4 (both aides) caring for 8 children in the infant room with no other staff present.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Based on staff statements, Staff #1 has placed an older toddler aged child in a high chair and then placed the highchair in the hallway outside of the Toddler classroom doorway. The child was placed in the highchair due to the child's challenging behaviors. Staff #1 remained in the Toddler room while the child remained in the hallway for approximately 5 minutes.

Correction Required: TIERED LIS: 1. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity will require all staff persons at the facility to attend a staff meeting within 3 months from the approval of this plan of correction. The meeting agenda must include a review of any supervision and ratio violations issued within the past 12 months and a review of the supervision and ratio regulations. The agenda must be approved by the Department prior to the staff meeting. Documentation of staff attendance will be provided to the OCDEL-DHS representative by email. The operator shall provide a date for when this training will be complete.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: Based on staff statements, Staff #1 has taken an older toddler aged child displaying challenging behaviors into the back hallway to talk to the child and help the child calm down. During this time, Staff #2 remained in the toddler room with 6 or more children including older toddlers and preschool age children.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.61(e)

Description: Halls, etc. not included

Noncompliance Area: Based on staff statements, Staff #1 has placed an older toddler aged child in a high chair and then placed the highchair in the hallway outside of the Toddler classroom doorway. The child was placed in the highchair due to the child's challenging behaviors. Staff #1 remained in the Toddler room while the child remained in the hallway for approximately 5 minutes. Based on staff statements, occasionally when a child is exhibiting challenging behaviors, the child is sent to the office. The child typically remains in the office for approximately 5 minutes. Children have remained in the office for snack time or lunch time. The office is not a measured child care space.

Correction Required: Measured indoor space excludes space occupied by halls, bathrooms, offices, kitchens and locker rooms.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The board books in the toddler room were ripped and not in good condition.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There were cars in the toddler room with small wheels accessible to children who are still placing objects in their mouths.

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: 3270.105

Description: High Chairs

Noncompliance Area: Two highchairs observed in use in the toddler room lacked safety T-straps and 1 highchair in the infant room lacked safety straps.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

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

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

Noncompliance Area: At approximately 10:45am, CR observed children of Preschool 2 returning from the outdoor play area; The children were up the L-shaped stairway, around the corner, and into the classroom while Staff Person #1 was still on the lower stairs. There were 4 children Staff Person #1 could not see on the upper stairs and in the hallway. These children were in the Preschool 2 classroom with no staff present for approximately 1-2 minutes.

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

Regulation: 3270.123(b)/3270.182(8)

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

Noncompliance Area: The files for Child #1, Child #2, Child #3, Child #4, Child #5, and Child #6 contained the original fee agreement form signed by the parent.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's policy for Shaken Baby Syndrome/Abusive Head Trauma lacked strategies for coping with a crying, fussing, or distraught child as required by Announcement C-22-03.

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

Regulation: 3270.27(a)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: The facility's emergency plan lacked a method to contact parents when an emergency situation arises and a method to contact parents with information on how to safely reunite with their child(ren).

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility lacked documentation that the emergency plan was submitted to the county EMA.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff Person #1 lacked 2.5 of the 12 required annual training hours for the most recent review period, December 2023-December 2024. The file for Staff Person #2 lacked 2 of the 12 required annual training hours for the most recent review period, December 2023-December 2024.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 10:45am, CR observed children of Preschool 2 returning from the outdoor play area; The children were up the L-shaped stairway, around the corner, and into the classroom while Staff Person #1 was still on the lower stairs. There were 4 children Staff Person #1 could not see on the upper stairs and in the hallway. These children were in the Preschool 2 classroom with no staff present for approximately 1-2 minutes.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: Used cups, napkins, and tissues were discarded in open receptacles in the Preschool 2 classroom and next to the toddler classroom.

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: The toilet seat in the hall bathroom on the 2nd level was loose and unstable.

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

Regulation: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: The facility's fire drill log contained consecutive hypothetical locations of the fire during the months of September and October 2024.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility's fire alarm 30-day test log includes test dates 5/13/24-6/20/24, 7/18/24-8/23/24, 10/17/24-12/19/24, more than 30 days apart. The most recent fire alarm 30-day testing was on 12/19/24, more than 30 days prior.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The vanity in the bathroom off of the toddler room had peeling wallpaper like material.

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The Preschool 1 room was lacking a posted daily schedule.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The water in the facility measured at 113 degrees.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The files for Child #1 and 2 both contained immunization records that were lacking the annual influenza vaccine.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan was lacking continuity of operations.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff #1 contained only 1 reference letter.

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

Regulation: 3270.66(e)

Description: Arts and crafts non-toxic

Noncompliance Area: The Preschool 1 Room had Shaving Cream that was labeled keep out of reach of children stored in their craft closet..

Correction Required: Arts and crafts materials shall be nontoxic.

Regulation: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: The windows in the Preschool 1 Room, which is on the 2nd floor, did not have the latches open to limit the opening of the window to 6 or fewer inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The file for Child #2 contained an agreement form that was lacking the child's arrival and departure times.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The Older Toddler Room was lacking a posted Emergency Transportation Plan.

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: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for Child #1 who is a young toddler age child contained two health assessments that were more than 6 months apart.

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(b)(2)

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

Noncompliance Area: The file for Child #4, who is a preschool aged child contained two health assessments that were more than 12 months apart.

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

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The files for Child #1 and #3 both contained immunization records that were lacking the annual influenza immunization.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.151(a)

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

Noncompliance Area: The files for Staff #2 and #3 each contained two health assessments that were more than 24 months apart.

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

Regulation: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The file for Staff #5 contained a health assessment that was lacking an examination for communicable diseases and the results of that examination and did not address the staff's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.182(5)

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

Noncompliance Area: The file for Child #4 contained an Emergency Contact form that was lacking signed parental consent for minor first aid conducted by the facility staff.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility did not have instructions available to parents on how to access the regulations electronically.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility was lacking documentation of an emergency drill being conducted.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff #1 contained 6 training hours for the period of 12/19/20-12/19/21, therefor lacking 6 additional hours for that time period.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #4(see code sheet for hire date), was lacking out of state clearances due to the fact that the staff has not resided in Pennsylvania for the last five years.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The water in the front older toddler room restroom sink was measuring at 115 degrees. The water in the sink in the Infant/young toddler room also measured at 115 degrees.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the front room was lacking tape.

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

Regulation: 3270.117(a)

Description: Released only to parent or designee

Noncompliance Area: During staff interviews on 2/1/22 the staff verified that the child was not released to an individual designated in writing by the enrolling parent.

Correction Required: A child shall be released only to the child's parent or to an individual designated in writing by the enrolling parent. A child shall be released to either parent unless a court order on file at the facility states otherwise.

Regulation: 3270.17(b)

Description: Permit specialized services

Noncompliance Area: During a conversation with the director on 11/22/21 she stated that they were not permitting any outside sources including individuals who provide specialized services to a child with special needs into the child care due to COVID.

Correction Required: The operator shall permit an adult individual who provides specialized services to a child with special needs to provide those services on the facility premises as specified in the child's IEP, IFSP or written behavioral plan.