Cassies Cradle

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

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

Noncompliance Area: The Emergency Contact Form(s) for Child(ren) #2 lacked written parental "Consent for Emergency Medical Care." (SEE LIS CODE SHEET)

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

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

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

Noncompliance Area: The Updated Child Health Assessment for Children #1 (OT) lacked in the child file. (SEE LIS CODE SHEET)

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

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

Noncompliance Area: The two most recent health assessments for Staff #2 and #4 were dated more than 24 months apart. (SEE LIS CODE SHEET)

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

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

Description: Physical examination/Health assessment, TB test

Noncompliance Area: The Initial Health Assessment for Staff #1 was dated (01.16.2025) which is past their Date of Hire. (SEE LIS CODE SHEET)

Correction Required: An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The initial health assessment on file for Staff Person #1 includes tuberculosis screening. Additionally, the TB test on record is not from another childcare setting and is not dated within 12 months prior to employment. (SEE LIS CODE SHEET) The initial health assessment on file for Staff Person #5 includes tuberculosis screening; however, the TB Test is not from another childcare setting. Therefore, the TB Test on record is not valid for this facility.

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

Regulation: 3270.182(5)

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

Noncompliance Area: The Emergency Contact Form(s) for Child(ren) #2 lacked a signature for "Consent for Minor First Aid." (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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The two most recent Pediatric First Aid and Pediatric CPR Trainings for staff #1 and #3 were dated more than 24 months apart. (SEE LIS CODE SHEET)

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 last two fire safety trainings in the file for Staff #2 and #3 were dated more than one year apart. (SEE LIS CODE SHEET)

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(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file(s) for Staff Person(s) #2, #3 and #4 contained NSOR Certificates that were dated more than 60 months apart. (SEE LIS CODE SHEET) The file(s) for Staff Person(s) #4 contained PA State Police and Child Abuse Clearances and an NSOR Certificate that were dated more than 60 months apart. (SEE LIS CODE SHEET)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.103/3270.104(a)

Description: Small Toys and Objects/Clean, good repair, proper size

Noncompliance Area: In the Young Toddler/Infant Room, under the back window a red, foam cushion was observed to be fraying and 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. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: In the Pre-School classroom on the second floor, a bookcase located under the front window was observed to be separating at the top right corner and along the right-side panel, creating a potential pinch point hazard.

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

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(s) for Staff Person(s) #1 lacked an Initial Health Assessment. (SEE LIS CODE SHEET)

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff Person(s) #1 and #2 lacked documentation of acceptable Pediatric First Aid and Pediatric CPR training completed through a PQAS Certified Instructor or PQAS approved curriculum. (SEE LIS CODE SHEET)

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for Staff Persons #1 and #2 lacked a signed, dated and witnessed Disclosure Statement. (SEE LIS CODE SHEET) The file(s) for Staff #1 lacked the FBI Clearance; therefore, Staff #1 was incorrectly provisionally hired. (SEE LIS CODE SHEET) The file(s) for Staff #2 lacked the PA State Police clearance; therefore, Staff #1 was incorrectly provisionally hired. (SEE LIS CODE SHEET)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. 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. This portion of the plan will have an immediate correction date. 2. 10/27/2025 The legal entity is required to create a staff file checklist for all documents required to be in a staff file including clearances. The checklist will include the time frame for when each document is required to initially be present in the staff file and the date when the document needs to be updated. The Legal Entity will submit the checklist to the Department for review. Once the checklist is reviewed by the Department, the legal entity will use the checklist for all current staff files and newly hired staff in the coming 4 months. The operator will provide a date when this will be completed. 3. 12/23/2025 The legal entity will collaborate with the ELRC to develop improved organizational practices for staff files. The operator will provide a date when this will be completed. 4. 01/21/2026 The Provider will attend an Existing Provider Training Session. Proof of attendance will be submitted to the Department within 5 days of attendance. The operator will provide a date when this will be completed.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for Staff Persons #1 and #2 lacked a signed, dated and witnessed Disclosure Statement. (SEE LIS CODE SHEET) The file(s) for Staff #1 lacked the FBI Clearance; therefore, Staff #1 was incorrectly provisionally hired. (SEE LIS CODE SHEET) The file(s) for Staff #2 lacked the PA State Police clearance; therefore, Staff #1 was incorrectly provisionally hired. (SEE LIS CODE SHEET)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file(s) for Staff #1 and #2 lacked documentation of education and previous childcare experience, making it unable to be determined if the individual qualified as a staff person. (SEE LIS CODE SHEET)

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of childcare experience, education and training prior to service at the facility.

Regulation: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: The landing at the top-of-the-stairs leading to the Pre-School Room, the slider window did not have an opening-restrictor; the operable section could open beyond 6 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: 3270.76

Description: Building Surfaces

Noncompliance Area: The following unsafe conditions were observed in the outdoor play space: The plastic playhouse had a crack on the blue floo leading to the slide which poses a cutting or pinch point hazard and the Saturn Ball or Pogo Ball had cracked edges around the hard plastic rim which encompasses the blue ball posed a cutting hazard. In the Preschool Room, to the left of the window air conditioner and across from the room's entrance, an electrical outlet was observed without a cover plate. The outlet was extremely loose, creating a gap between the outlet and the wall large enough for a child's finger to fit. Exposed wires were visible within the gap, posing an electrical shock hazard.

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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: Three (3) 2'×4' ceiling tiles were stacked on the sidewalk and waterlogged in front of the side exit door at the time of inspection, obstructing safe egress and posing a tripping hazard in an emergency.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The Fee Agreement Form for Child File #3 lacked the "Release Person's Name." (SEE LIS CODE SHEET)

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact Form for child #1 lacked the "Release Person's Name," "Release Person's Address" and "Release Person's Phone Number."

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

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

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

Noncompliance Area: The Updated Child Health Assessment for Child #3 (OT) lacked from the file. (SEE LIS CODE SHEET)

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The two most recent Emergency Plan Trainings for Staff #3 were dated more than 12-months apart. (SEE LIS CODE SHEET)

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The PA State Police, Child Abuse, FBI and NSOR Clearances in the files for staff #1 were dated more than 60 months apart. (SEE LIS CODE SHEET).

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

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

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

Noncompliance Area: Mandated Reporter Training for staff #3 was dated more than 60 months ago. (SEE LIS CODE SHEET)

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The First Aid kit in the Infant Room on the first floor lacked sterile gauze pads.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the basement (OT Room) the bottom of the steel door frame was rusted through which could pose a cutting or puncture hazard.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the Toddler room, on the window ledge, which looks out to the side yard has chipping paint and plaster.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: Two green, plastic chairs were obstructing the exit door from the Older Toddler Room to the outdoor play space.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: **At approximately 1:00 pm, upon entering the building, staff #2 was observed in the doorway of the infant room and the front L-shaped room, with their back toward the toddler room doorway. Shortly after, while standing in the doorway between the infant and toddler classrooms, staff #2, who was identified as the infant staff since staff #3 was on break, identified 3 children in the infant room and 1 child in the toddler room in their supervisory group. However, one staff is unable to be physically present in both the infant and toddler rooms and supervise children in 2 separate childcare spaces simultaneously.

Correction Required: The legal entity must conspicuously post the definition of supervision in all indoor childcare spaces.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 1:00 pm, upon entering the building, staff #2 was observed in the doorway of the infant room and the front L-shaped room, with their back toward the toddler room doorway. Shortly after, while standing in the doorway between the infant and toddler classrooms, staff #2, who was identified as the infant staff since staff #3 was on break, identified 3 children in the infant room and 1 child in the toddler room in their supervisory group. However, one staff is unable to be physically present in both the infant and toddler rooms and supervise children in 2 separate childcare spaces simultaneously.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: ***At approximately 1:00 pm, upon entering the building, staff #2 was observed in the doorway of the infant room and the front L-shaped room, with their back toward the toddler room doorway. Shortly after, while standing in the doorway between the infant and toddler classrooms, staff #2, who was identified as the infant staff since staff #3 was on break, identified 3 children in the infant room and 1 child in the toddler room in their supervisory group. However, one staff is unable to be physically present in both the infant and toddler rooms and supervise children in 2 separate childcare spaces simultaneously.

Correction Required: The legal entity must arrange for all facility staff to receive a minimum of 3 hours of training regarding supervision and ratio of children through the Regional Keys. The training will be submitted to the regional office for approval PRIOR to attendance. Proof of training will be submitted upon completion.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 1:00 pm, upon entering the building, staff #2 was observed in the doorway of the infant room and the front L-shaped room, with their back toward the toddler room doorway. Shortly after, while standing in the doorway between the infant and toddler classrooms, staff #2, who was identified as the infant staff since staff #3 was on break, identified 3 children in the infant room and 1 child in the toddler room in their supervisory group. However, one staff is unable to be physically present in both the infant and toddler rooms and supervise children in 2 separate childcare spaces simultaneously.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 1:00 pm, upon entrance into the building, staff #2 was observed in the doorway of the infant room and the front L-shaped room. Shortly after, staff #2, who was identified as in the infant staff since staff #3 was on break, was later standing in the doorway of the infant and toddler classrooms. Staff #2 identified 3 children in the infant room and 1 child in the toddler room in their supervisory group. However, one staff is unable to supervise and be present in 2 separate childcare spaces simultaneously. The infant sleeping in the toddler room without a staff physically present in the childcare space created a 0:1 staff to child ratio.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: ** At approximately 1:00 pm, staff #1 was in the front L shape room with 7 children, the oldest being 2 years and the youngest being 1 year of age. While 6 children were on their mats resting, 1 child was sitting at the table eating crackers. With a child at the table and not resting on a mat, nap ratios no longer apply. With a young toddler in the classroom, the 1:5 staff to child ratio was exceeded by 2 since 1 child was sitting at the table.

Correction Required: Staff to child ratios must be conspicuously posted in all indoor childcare spaces.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 1:00 pm, staff #1 was in the front L shape room with 7 children, the oldest being 2 years and the youngest being 1 year of age. While 6 children were on their mats resting, 1 child, was sitting at the table eating crackers. With a child at the table and not resting on a mat, nap ratios no longer apply. With a young toddler in the classroom, the 1:5 staff to child ratio was exceeded by 2 since 1 child was sitting at the table.

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: 3270.55(b)

Description: Other staff on premises

Noncompliance Area: During naptime, 4 staff were on the facility premises with the napping children and one staff was on break running errands. Staff #5 identified the 6 older toddlers on their mats and 1 young toddler at the table in their primary group. Staff # 4 identified 3 infants and 1young toddler in their cribs in their primary supervisory group. Staff #3 identified 9 preschool children in their group and staff #2 identified 3 older toddlers and 3 preschool children in their supervisory groups. There were not enough staff on the premises to meet the ratio needs of the facility.

Correction Required: Staff persons who are on duty but are not providing child care during naptime shall remain in the child care portion of the facility premises.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The facility file lacked documentation of Emergency Plan Training for staff persons #1, #2, #3 and #4 being conducted within the last year and all staff were employed more 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.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff Person #1 (see LIS code sheet), a provisionally hired staff, lacked a request for the NSOR and a copy of the final NSOR. Additionally, Staff #1, who did not have all required clearances, was observed working alone unsupervised by a permanent employee.

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 childcare 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.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The Fee Agreement Forms for Child Files #1 and #4 lacked the "Fee Amount."

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact Form for Child #3 lacked the Name, Address and Phone Number of the Physician or Medical Care Provider.

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)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact form for Child File #2 lacked the address of the listed 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: 3270.124(c)

Description: Each child care space

Noncompliance Area: The Older Toddler Room, in the basement, lacked the required emergency contact information for four (4) children receiving care in the space. The infant room lacked the required emergency contact information for one (1) child receiving care in the space.

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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The Initial Child Health Report for Child #1, enrolled for more than 60 days, was lacking from the child file.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

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

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

Noncompliance Area: The Updated Child Health Assessment for Children #4 (OT) lacked from the child file.

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: During a diaper change, a staff member was observed placing a soiled diaper on the changing table for the remaining duration of the diaper change instead of immediately discarding it.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: On the 3rd Floor (PS) Room in an unlocked, child-height counter drawer, were two (2) pair of adult scissors and a red, packing tape dispenser with a metal, jagged cutting surface, which posed a cutting hazard which was accessible to children.

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

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: At approximately 0930 HRS, in the "Front 'L' Room," Staff person #1 (AIDE), was observed supervising seven (7) Older Toddlers without being supervised by a staff person qualified at minimum as an Assistant Group Supervisor.

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: 3270.64

Description: Outside Walkways

Noncompliance Area: The outdoor walkway, on the right side of the building, leading to the third-floor entrance door, a patch of concrete was missing which was approximately six (6) inches wide and three (3) feet long was observed posing a tripping hazard.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the basement, (OT Room), above the baseboard heater in the back right corner, is exposed corner beard (which is used for drywalling) had sharp protruding edges which poses a cutting hazard. In the outdoor play space in the back of the building, near the side entrance gate was a blue, broken, plastic funnel, which poses a cutting hazard.

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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: Two "Little Tikes Cozy Coupe" plastic cars were obstructing the gate at the bottom of the stairs leading to the outdoor play space.

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

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 test report documented testing of the fire alarm system between 05/01/2023 and 06/01/2023 (32 Days). The test conducted was more than 30 days apart.

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

Regulation: 3270.37(b)(3)

Description: 8th grade + 2 yrs

Noncompliance Area: The file for Staff Person #1 lacked documentation of education, making it unable to be determined if the individual qualified as a staff person.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: Staff person #1 was observed supervising and interacting with children without being supervised by an AGS or higher.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact form for child file #3 lacked the address of the listed 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: 3270.124(c)

Description: Each child care space

Noncompliance Area: The Infant and two-year-old rooms lacked the required emergency contact information for the children receiving care in the space.

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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health assessment for Child File #5 was not present in the child file.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: The Initial Health Assessment for Child File #5 was lacking a signature from the physician, physician's assistant or a CRNP.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: Child file #1 (OT) lacked updated written verification of ongoing administered vaccines: 2 doses of Rotavirus and lacked a yearly (2022) Influenza shot with no Letter of Exemption in the File. Child file #4 (OT) lacked a yearly (2022) Influenza shot with no Letter of Exemption in the File. Child file #5 (INFANT) lacked updated written verification of ongoing administered vaccines: 1 Dose of DTAP and 1 Dose of Rotavirus.

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 file for Staff #2 on the health assessment dated 09/06/2022 did not indicate Staff #2 is "suitable for child-care."

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(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 lacked a Health Assessment.

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

Regulation: 3270.31(f)/3270.31(f)(10)

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

Noncompliance Area: Staff person #4 who has worked at the facility for more than 90 days, had pediatric first aid and pediatric CPR training beyond 90 days.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. 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: The two most recent State Police and FBI Clearances for Staff #1 were dated more than 60 months apart.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: First aid kits in the facility lacked gauze pads.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the two-year-old room, in the upper right-hand corner, above the large glass block window was blue peeling paint.

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: During the inspection, the Hard wired, inter-connected fire detection system, (Model #9120 B) was tested and did not work properly. The facility file lacked proof of purchase for the hard-wired, inter-connected fire detection system. The fire extinguishers at the following areas had not been inspected since December 2020: Front Room by main door, backdoor, Pre-School Room and Kitchen.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for child #1 lacks an updated parental signature on the emergency contact form and agreement.

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: 3270.131(d)(5)/3270.182(1)

Description: Immunization record/Initial and subsequent health reports

Noncompliance Area: The file for child #2 lacks verification of a flu vaccination.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.A child's record shall contain initial and subsequent health reports.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Staff files #2 and #3 lack current health assessments.

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: 3270.18(a)

Description: On file at facility

Noncompliance Area: The facility did not have the liability insurance on file.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff #2 lacks 2 non family reference letters.

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

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

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

Noncompliance Area: Staff #1 lacks 6 of the 12 hours of annual child care training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)/3270.192(2)(iii)

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

Noncompliance Area: The file for staff #2 lacks general health and safety training that was due within 90 days of hire. Staff #2 does have current pediatric first and cpr.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

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

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

Noncompliance Area: Staff #1 through #4 lack mandated reporter training.

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 #2 lacks verification of a HS diploma to qualify her as an AGS.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility did not have proof of purchase for the fire detection system.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility did not log the testing of the fire detection system.

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.