Kids Life Day Care

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: In Classroom #1, a 3 x 5 wooden, gray shelf was deteriorating exposing splintering wood that posed a cutting or splintering hazard.

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 facility lacked a written plan of daily activities in the Gross Motor Room.

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

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) #1 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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact Form for child #2 lacked the "Release Person's Name," "Release Person's Address" and "Release Person's Phone Number." (SEE LIS CODE SHEET)

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(e)

Description: Written emergency plan posted

Noncompliance Area: The facility lacked a posted Transportation Plan in the Gross Motor Room.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for child(ren) #1 contained an Emergency Contact form that was not updated within 6 months of the previous update. (SEE LIS CODE SHEET)

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)/3270.181(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 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 #9 (Dated: 05.16.2024 and 06.10.2026) were dated more than 24 months apart.

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

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

Description: Physical examination/Health assessment, TB test

Noncompliance Area: The Initial Health Assessment for Staff #2 was dated (07.07.2026) 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 for Staff #2 was dated (05.22.2026) which is past their Date of Hire. (SEE LIS CODE SHEET)

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

Regulation: 3270.182(5)

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

Noncompliance Area: The Emergency Contact Form(s) for Child(ren) #1 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The two most recent Emergency Plan Trainings for Staff #5 (11.2024 and 03.2026), #6 (11.2024 and 03.2026) and #11 (11.2024 and 03.2026) 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: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file for Staff person(s) #8 lacked documentation of updated Emergency Plan Training. The most recent Emergency Plan Training on file was completed 11/2024. (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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Staff Person #5 (0 Hours), #8 (0 Hours) and #10 (0 Hours) lacked a minimum of 12 hours of childcare training. (SEE LIS CODE SHEET)

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

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 Person(s) #6 (12.27.2023 and 01.19.2026), #9 (12.27.2023 and 01.19.2026) were dated more than 24 months apart. (SEE LIS CODE SHEET) Staff Person #11 has not completed Pediatric First Aid and Pediatric CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric First Aid and Pediatric CPR training file expiring 01.15.2024. Documentation of updated Pediatric First Aid and Pediatric CPR training is not on file.

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(s) for Staff Person(s) #10 file did not include completed fire safety training dated within the first year of employment. (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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file(s) for staff Person(s) #1, #7 and #12 completed Pediatric First Aid/Pediatric CPR training on 01.19.2026; however, it was more than 90 days past their Date of Hire. (SEE LIS CODE SHEET) Staff persons #1 and #2--- have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): HEALTH and SAFETY TRAINING (PARTS 1 and 2).

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 and #2-- will have until 07.31.2026 to complete the required training. Until such time as the required training has been completed, staff person #1 and #2--- must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 and #2 -- staff person #1 and #2-- may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The last two Mandated Reporter Trainings for and #4 (04.01.2019 and 04.02.2024) were dated more than 60 months apart. (SEE LIS CODE SHEET) Staff Person(s) #1 and #2 -- have not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person(s) #1 and #2 --- will have until 07.31.2026 to complete the mandated reporter training. Until such time as the required training has been completed, Staff person(s) #1 and #2 -- must be supervised when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff person(s) available to supervise Staff person(s) #1 and #2 --, Staff person(s) #1 and #2 -- may not work in a child-care position at the facility.

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 Person(s) #1 and #2 lacked documentation of 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 child care experience, education and training prior to service at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file(s) for Staff Person(s) #5, #8 and #9 lacked an annual written evaluation that was conducted within the past 12 months. The most recent Staff Evaluations on file were completed 09.2024, 10.2024 and 05.2025, respectively. (SEE LIS CODE SHEET) The file for Staff person(s) #10 and #11 lacked a written evaluation within a minimum of 12 months of employment. (SEE LIS CODE SHEET) The two most recent staff evaluations for Staff #6 (11.2024 and 01.2026) were completed more than one year apart. (SEE LIS CODE SHEET)

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

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: The facility lacked emergency telephone numbers posted by each telephone in the Gross Motor Room.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There were 3 ceiling tiles throughout the facility (2 tiles in room #6 (School Age) to the right of the entrance between two lights and 1 tile in room #1 (Older Toddler) in the middle of the room) that appeared to have sustained damage from a previous water leak.

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: 3270.151(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 #3 contained a health assessment dated 07.15.2025, which was completed after their hire date. (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 #3 had not completed the following required pre-service training within 90 days of their date of hire (SEE LIS CODE SHEET): Pediatric First aid/Pediatric CPR training (Dated: 06.30.2025) and Health and Safety, Part 1 and Part 2, (Dated: 07.09.2025 and 07.16.2025, respectively.)

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(2)(ii)

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

Noncompliance Area: Staff Person #3 did not complete Mandated Reporter training within 90 days of their hire date. (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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The Child Abuse Clearance and NSOR Certificate in the file(s) for staff #3 were dated after their Date of Hire. (SEE LIS CODE SHEET) The Disclosure Statement in the file(s) for Staff Person(s) #2 was/were completed on the incorrect form. (SEE LIS CODE SHEET) The Disclosure Statement in the file(s) for Staff Person(s) #3 was/were completed after their Date of Hire. (SEE LIS CODE SHEET)

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

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

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

Noncompliance Area: The file(s) for Staff #3 did not include hours/years of experience in childcare. (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 child care experience, education and training prior to service at the facility.

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 older toddler room, plaster was observed to be damaged from the wall behind the door as a result of repeated contact from the door handle.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The Initial Child Health Report for Child #2, enrolled for more than 60 days, was lacking from the child file. (SEE LIS CODE SHEET)

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

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

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

Noncompliance Area: The file for Child #1 (OT) had an Updated Health Assessment more than 12 months past the initial health assessment. (SEE LIS CODE SHEET)

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: A tube of Nystatin labeled for Child #3 (03.2025), a bottle of liquid Acetaminophen for Children #5 (02.2025) and Child #7 (03.2025) was observed to be expired. was observed to lack written parental consent for administration. An unlabeled tube of Nystatin, reported to be intended for Child #3 was observed to lack written parental consent for administration. A bottle of liquid Ibuprofen labeled for Child #4 was observed to lack written parental consent for administration. An inhaler labeled for Child #6 was observed to lack written parental consent for administration and was expired (11.2024).

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

Regulation: 3270.133(7)(v)

Description: Date of administration

Noncompliance Area: The medication log for Child #5 was lacking the "Date of Administration."

Correction Required: A medication log shall include the date of administration.

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 #3 and #5 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The two most recent Emergency Plan Trainings for Staff #3, #4, #6, #7 and #8 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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1, #2 and #3 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR Training (Staff #1dated: 01.20.2025), (Staff #2 dated: 01.15.2024 and (Staff #3 dated: 04.12.2024). (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(2)(iii)

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

Noncompliance Area: Mandated Reporter Training for staff #3 was dated more than 60 months ago. The Disclosure Statement in the file for Staff #1 was dated after Staff #1's Date of Hire. (SEE LIS CODE SHEET)

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The two most recent staff evaluations for Staff #2 and #4 were completed more than one year apart. (SEE LIS CODE SHEET)

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

Regulation: 3270.95(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: 07.13.2024 - 08.14.2024 (32 Days); 10.11.2024 - 11.12.2024 (32 Days); 01.10.2025 - 02.14.2025 (35 Days). The tests conducted were 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: 3270.107

Description: Refrigerator

Noncompliance Area: The thermometer placed in the refrigerator in the kitchen area was not operable.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information for child #4 did not include their health insurance policy number.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: A parent did not review the emergency contact information for child #1 once in the last 6-months. A parent did not review the emergency contact information once in a 6-month period for child #2 between 7/17/2023-4/19/2024; child #3 between 6/1/2023-4/19/2024; and child #4 between 6/26/2023-5/29/2024.

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

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

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

Noncompliance Area: The record for child #1 lacked a current health report.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The record for staff #5 included a current health assessment dated following their first day caring for children.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: A parent did not review the financial agreement for child #1 once in the last 6-months. A parent did not review the financial agreement once in a 6-month period for child #2 between 7/17/2023-4/19/2024; child #3 between 2/24/2022-4/19/2024; and child #4 between 6/26/2023-5/29/2024.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: There were floor to ceiling panels of netting secured together with zip ties hanging in the gym that posed a potential strangulation hazard for children in care. There different sized cots stacked more than 3 feet high in room #3 that posed a potential tipping hazard. There were loose sheets observed in (4) pack n plays that posed a potential suffocation hazard for the children who were using the equipment.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The facility's parent letter did not explain their lockdown procedure and how they plan to provide accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff #1 did not participate in fire safety training at least once annually during the period between 11/14/2022-12/27/2023.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The record for staff #3 included a disclosure statement that was not dated. The record for staff #4 included a current FBI clearance dated 5/29/2024, which was more than 60 months following the date of their previous clearance on 11/6/2018. The record for staff #5 included a state police clearance dated 2/19/2024; a child abuse clearance dated 2/20/2024; an FBI clearance dated 2/22/2024; and an NSOR verification Certificate dated 4/17/2024, which was following their first day caring for children.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The director did not complete a minimum of one written evaluation for staff #2 during the period between 11/23/2022-12/15/2023.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: The following cleaning materials labeled keep out of the reach of children were observed in areas accessible to children in care: (2) containers of Clorox wipes were sitting on the ledge of the half wall between the storage area and the hallway; A container of Clorox wipes and (2) cans of Lysol disinfectant spray were in an unlocked cupboard by the entrance to room #5; A Swiffer Wet Jet containing cleaning fluid was observed propped against the wall in the hallway outside of the bathrooms; A can of Lysol disinfectant spray and bottle of all purpose cleaner was observed on ledge of the half wall between the hallway and room #3; and a container of Clorox wipes and can of Lysol disinfectant spray were observed on a shelf in room #6.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There were 20 ceiling tiles throughout the facility (6 tiles in room #1, 1 tile in room #3, 3 tiles in room #4, 9 tiles in the hallway and 1 tile in the PS room) that appeared to have sustained damage from a previous water leak.

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: 3270.94(a)(9)

Description: Written record

Noncompliance Area: The fire drill log did not include the hypothetical location of the fire.

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(a)/3270.95(b)

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

Noncompliance Area: The fire detection system was not tested at least once every 30 days during the following time periods: 7/17-8/17/2023; 9-15-10/30/2023-12/15/2023; and 1/12-2/15/2024.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Toddler Room, left of the entrance and next to the garbage can, the lid on an all-blue bin was missing a piece of plastic which poses a cutting hazard. In the Toddler Room, on the left wall, a white shelf with Pink, Purple and Green Bins was very loose posing a toppling hazard.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: There was an unlabeled pack n play in the toddler room.

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: There were no services listed on the agreement form in the file for child #1 and #3.

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)(4)/3270.182(3)

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

Noncompliance Area: The emergency contact form in the file for child #3 did not include consent for emergency medical care.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: The infant room lacked the required emergency contact information for child #1 who was 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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The last update in writing by the parent on the emergency contact and agreement form in the file for child #2 and #4 was dated more than 6 months ago.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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: 3270.133(7)

Description: Medication log

Noncompliance Area: In the infant room, a bottle of acetaminophen labeled for child #1 was lacking a medication log. A bottle of Hyland's Cold and Mucus medication for child #2 was lacking a medication log.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #7 was observed to be caring for children unsupervised. Staff person #7 has not completed the following pre-service training required prior to caring for children unsupervised: Acceptable first-aid/CPR training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #7 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #7, staff person #7 may not work in a child-care position at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for staff persons #1, #3 through #6, #9 through #12 and #14 included a 1 hour health and safety training dated after 12/30/22. All staff were hired before 10/4/22

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.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: The facility had general liability insurance, but there was not a current copy of the policy on file at the time of the inspection.

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

Regulation: 3270.182(5)

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

Noncompliance Area: The emergency contact form in the file for child #3 did not include consent for minor first-aid.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: One of the letters of reference in the file for staff person #9 was written by the individual's spouse.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: One loose crib sheet was observed in the Infant Room. In the Toddler Room, an unlabeled pack n play was observed to also have a loose crib sheet posing a risk of suffocation. In the Gross Motor Room, the DJ Booth had sharp, wooden corners which poses a cutting hazard.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The last two emergency plan trainings in the file for staff person #2 were dated 6/15/21 and 9/1/22. The last two emergency plan trainings in the file for staff person #3 and #10 were dated 6/14/21 and 8/26/22. The last two emergency plan trainings in the file for staff person #5 were dated 6/1/21 and 5/11/23.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The last two fire safety trainings in the file for staff person #10 were dated 11/11/21 and 11/14/22.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #7 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): First-aid/CPR training.

Correction Required: : Staff person(s) shall complete professional development in the topics of 3270.31(f) within 90 days of hire. Staff person #7 will have until to complete the required training. Until such time as the required training has been completed, staff person #7 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #7, staff person #7 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The health and safety training in the file for staff person #4, hired (SEE LIS CODE SHEET) was dated 7/21/22. The initial first-aid/CPR training in the file for staff person #9, hired (SEE LIS CODE SHEET) was dated 6/18/22. The initial first-aid/CPR training in the file for staff person #11, hired (SEE LIS CODE SHEET) was dated 12/30/23.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The mandated reporter training in the file for staff person #4, hired (SEE LIS CODE SHEET) was dated 7/1/22. The mandated reporter training in the file for staff person #4, hired (SEE LIS CODE SHEET) was dated 10/21/22. The last two mandated reporter trainings in the file for staff person #9 were dated 2/18/18 and 5/1/23.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #7, employed more than 45 days, did not include a state police clearance. Staff person #7 was observed alone briefly at nap time.The file for facility person #13 included a disclosure statement from a previous employment period.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #7 and #16 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. 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 #7 and #16 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The last two evaluations in the file for staff person #5 were dated 11/23/21 and 5/1/23. The last two evaluations in the file for staff person #12 were dated 11/5/21 and 11/23/22.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the Pre-School, on top of the filing cabinet, a bottle of "Babyganics" Hand Sanitizer was labeled, "Keep out of the reach of children" was accessible to children while in the room. In the childcare office, a bottle of Lysol (All Purpose Cleaner) and Vitaloxide (Commercial Disinfectant) were both labeled, "Keep out of the reach of children," was accessible to children while in the room.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the Gross Motor Room, the carpet between the two poles, in the middle of the room, was observed to be fraying and poses a tripping 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: 3270.82(h)/3270.134(a)

Description: Handwashing signs/Child's hands washed

Noncompliance Area: After diapering a child in the infant room, a staff person did not wash the child's hands.

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. A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The following fire drills were conducted more than 60 days apart: 7/13/22 and 1/16/23; 1/16/23 and 4/28/23.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The following testing of the facility's fire detection system were more than 30 days apart: 3/24/22 and 5/2/22; 5/2022 and 7/14/22; 7/14/22 and 8/15/22; 9/20/22 and 10/25/22; 10/25/22 and 1/10/23; 1/10/23 and 3/8/23.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: 2nd citation: Facility person #16, who is occassionally on site, did not receive training in the facility's emergency plan. Based on conversation with the operator, facility person #16 has an office on the child care wing of the building and perform duties related to the child care facility. Previously cited on 5/20/22.

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)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: 2nd citation: Facility persons #16, who is occasionally on site, does not have a signed disclosure statement or any of the required clearances on file. Facility person #18, does not have a child abuse, FBI or NSOR clearance on file. Based on conversation with the operator, facility person #16 and #18 have offices on the child care wing of the building and perform duties related to the child care facility and are still using those offices. Previously cited on 5/20/22.

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. Facility Person #16 may not work in a child care position at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: 2nd citation: Based on review of the facility's 30-day testing log, the last 3 tests were conducted more than 30 days apart. Previously cited 5/20/22.

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: The agreement in the file for child #3 was not signed by the operator.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information in the file for child #3 did not include a complete address for the child's physician, as there was no city or zip.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information in the file for child #3 did not include a work address for the child's mother and father.

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: The emergency contact information in the file for child #1 did not include any health insurance information.

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: The emergency contact information in the file for child #2 and #3 did not include addresses for the three release persons.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The initial health report in the file for child #3 was dated beyond the child's first 90 days of attendance, as required by the COVID suspension of regulations.

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

Regulation: 3270.131(d)(1)

Description: Child's health history

Noncompliance Area: The health report in the file for child #3 did not include a review of the child's health history or health problems, a statement that the child is suitable to participate in childcare and free from communicable disease and that the child is up to date with the AAP's recommendations for developmental screenings.

Correction Required: A health report shall include a review of the child's health history.

Regulation: 3270.131(d)(4)

Description: Acute or chronic health problem

Noncompliance Area: The health report in the file for child #3 did not include a review of the child's health history or health problems, a statement that the child is suitable to participate in childcare and free from communicable disease and that the child is up to date with the AAP's recommendations for developmental screenings.

Correction Required: A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health report in the file for child #3 did not include a review of the child's health history or health problems, a statement that the child is suitable to participate in childcare and free from communicable disease and that the child is up to date with the AAP's recommendations for developmental screenings.

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

Regulation: 3270.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: The health report in the file for child #3 did not include a review of the child's health history or health problems, a statement that the child is suitable to participate in childcare and free from communicable disease and that the child is up to date with the AAP's recommendations for developmental screenings.

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The initial health report in the file for child #3 was dated beyond the child's first 90 days of attendance, as required by the COVID suspension of regulations.

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.

Regulation: 3270.131(e)(2)(i)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The last flu shot in the file for child #2 and #3 was dated in 2020 and neither file included a written statement of exemption by a parent.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: There was a bottle of expired ibuprofen for child #3 in the preschool room.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The last two health assessments in the file for staff person #6 were dated more than 24 months apart.

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

Regulation: 3270.151(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The health assessment in the file for staff person #5 did not include the professional title of the individual who signed the form. It was later determined that the individual was a chiropractor.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Facility persons #16, #17 and #18 did not have two letters of reference. Based on conversation with the operator, facility person #16 and #18 have offices on the child care wing of the building and perform duties related to the child care facility. Facility person #17 does not perform duties related to the childcare facility, but shares an office with the childcare director, which is in the childcare wing of the facility.

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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: Based on conversation with the operator, parents have not been provided information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

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.