Safani Academy

Regulation: 3270.123(a)(1)/3270.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: The agreement for child #2 did not include the amount of the fee to be charged with the specific date the fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The agreement for child #3 and #4 did not include the services to be provided to the family and the child. The file for child #4 and #5 did not include a child service report with information to the family about the child's growth and development at least once every 6 months since enrollment (see LIS code sheet). The file for child #4 included a child service report dated 07/19/2024 with no previous or subsequent reports on file. The file for child #5 included a child service report dated 03/05/2025 & 10/15/2024 with no previous reports on file.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information for child #2 did not include the address and telephone number of the child's physician or source of medical care.

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 for child #1 and #5 did not include the enrolling parent's work address. The emergency contact information for child #2 did not include the enrolling parent's work address and telephone number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for child #1, #2 and #5 did not include the address of the individuals designated by the parent to whom the child may be released. The emergency contact information for child #1 did not include the last name of one of the individuals designated by the parent to whom the child may be released. The emergency contact information for child #3 did not include the telephone number of one of the individuals designated by the parent to whom the child may be released.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The emergency contact and financial agreement for child #3 was not updated at least once every 6 months; the most recent update was dated 03/14/2024 with no subsequent reviews documented.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for child #2 did not include an initial health report within 60 days of enrollment (see LIS code sheet); the file included a Clinical Visit Summary dated 07/08/2025.

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(c)/3270.131(d)(7)

Description: Completed or signed by physician, PA, or CRNP/Free from contagious/communicable disease

Noncompliance Area: The file for child #2 included a Clinical Visit Summary dated 07/08/2025 which was not signed by a physician, physician's assistant or a CRNP. The Clinical Visit Summary did not include a statement that the child is able to participate in child care and appears to be free from contagious of communicable disease.

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. 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(e)

Description: ACIP recommended immunization record

Noncompliance Area: The file for child #2 (see LIS code sheet) included a record of the child's immunization status which lacked a 4th dose of DTap, a 3rd & 4th dose of PCV13.

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: 3270.182(1)

Description: Initial and subsequent health reports

Noncompliance Area: The file for child #1 and #5 did not contain initial (see LIS code sheets) & subsequent health reports (see LIS code sheets). The files did not include their initial health assessments. Subsequent health reports on file for child #1 were dated 07/01/2025, with no previous health assessments on file. Subsequent health reports on file for child #5 were dated 07/08/2024 & 07/01/2025 with no previous health assessments on file.

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

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: The file for staff person #1 did not include copies of their current criminal history record and child abuse registry clearance. The state police clearance dated 02/04/2020 was updated on 06/26/2024, but a copy of the 06/26/2024 clearance was not on file. The child abuse clearance dated 02/22/2020 was updated on 12/27/2024, but a copy of the 12/27/2024 clearance was not on file. *Corrected at the time of the inspection.

Correction Required: 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: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for staff person #2 did not include documentation of a minimum of 12 clock hours of child care training; 6 1/2 hours were documented between 12/2023 - 12/2024

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 04/06/2020.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed fluorescent lights in the preschool classroom with bulbs not working or flickering on and off.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #3 did not include 2 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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: 3270.24(a)

Description: Immediate access

Noncompliance Area: Immediate access to the facility was not provided to the agents of the department. Upon arrival to the facility at approximately 11:20 am. Certification Representative rang the doorbell twice. Cert Rep then called the facility phone at 11:24 am, the call went to voicemail and then called the owner's cell phone at 11:26 am, the call went to voicemail. After ringing the doorbell a third time, Cert Rep walked around the building to the exit door of the older toddler/preschool classroom to see if there was anyone in the building. While walking up the sidewalk, Cert Rep could hear the children in the building. Prior to knocking on the door, the door was opened by staff person #2 and the Cert Rep entered the facility at 11:30 am.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

Regulation: 3270.241(a)

Description: Requirements specific to school-age programs

Noncompliance Area: On 11/25/2024 at 11:30 am observed child #1 at the facility receiving child care services during school hours. *Corrected at the time of the inspection.

Correction Required: If a child is required to be enrolled in public or private school under the Public School Code of 1949 (24 P.S. §§ 1-101-27-2702) and if the child is not enrolled and if the child is not exempted from enrollment under the Public School Code, a child care facility may not admit the child for care during the hours when the child is required by law to attend public or private school.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: On 11/25/2024, observed staff person #1, an aide, working in the upstairs older toddler/preschool classroom unsupervised by a staff person qualified at a minimum as an assistant group supervisor. Staff person #2 was working in the preschool classroom with staff person #3, also an aide. Staff person #2 was standing in the doorway between the 2 classrooms talking to staff person #1. During this time, Staff person #2 was unable to properly supervise staff person #3 in the preschool classroom. Staff person #1 was observed unsupervised with an older toddler in the hallway outside the office prior to naptime. Staff person #1 was taking the child back upstairs to the older toddler/preschool classroom from the young toddler classroom on the first floor.

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

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: On 11/25/2024, at 11:30 am, observed staff person #1 caring for a mixed age levels of 1 older toddler, 5 preschoolers and 1 older school age child in the upstairs older toddler/preschool classroom. The staff:child ratio for older toddlers is 1:6.

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. 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: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: The director or designated staff person did not ensure a manual test of the fire detection system was completed within 30 days of the previous test. The most recent test was documented on 10/21/2024.

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

Regulation: 3270.163(a)(1)/3270.163(a)(4)

Description: Dairy/Grain

Noncompliance Area: Lunch served in the younger toddler classroom included chicken bites, tater tots, peas, oranges and milk. The meal did not include a least one grain. Lunch served in the older toddler and preschool rooms included chicken bites, tater tots, corn or peas, oranges and water. The meal did not include a least one grain or a dairy product.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product. A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one grain.

Regulation: 3270.165

Description: Menus

Noncompliance Area: The menu for the week of 09/30/2024 - 10/04/2024 was not posted in a conspicuous location at the facility. The menu was not posted at least 1 week in advance or provided to each family. The operator was in the process of creating the menu at the time of the inspection.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care - Revised 2022 (10-hour)

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 10/18/2024 to complete the required training. Until such time as the required training has been completed, staff person #1 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, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Observed the rest equipment in each classroom were not labeled for the use of a specific child and used only by the specified child. The cribs in the young toddler classroom were labeled on the wall in lieu of on the crib.

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Observed a crib flat against the wall which did not have a minimum of 2 feet on 3 sides while in use. Two sides of the crib had equipment on the floor located directly next to the head and foot of the crib.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Observed a child napping under the wall mounted TV in the older toddler/preschool classroom, staff person #1 was unable to see the child from their location in the classroom.

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: 3270.134(c)

Description: Paper towels discarded

Noncompliance Area: The women's and men's bathroom located in the second-floor hallway did not have paper towels. The girl's bathroom located in the basement did not have paper towels.

Correction Required: Paper towels may be used as towels and washcloths. Paper towels shall be discarded after each use.

Regulation: 3270.134(d)

Description: Liquid or powdered soap

Noncompliance Area: Observed one of the sinks in the women's bathroom in the upstairs hallway did not have soap. Observed the sinks in the men's bathroom in the upstairs hallway did not have soap.

Correction Required: Liquid or powdered soap shall be used for handwashing.

Regulation: 3270.163(a)(2)

Description: Protein

Noncompliance Area: Lunch served in the young toddler classroom included waffles, corn, applesauce and milk. Lunch served in the preschool room included waffles or French toast sticks, corn, applesauce and milk. A protein was not served due to not having enough sausage to serve all of the children at the facility.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one protein.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: Continued noncompliance, previously cited on 07/15/2024 observed staff person #3, leave the classroom to take 2 children to the bathroom, during this time, staff person #9 was supervising a mixed group of 14 young and older school-age children in the school-age classroom. The ratio for young school age children is 1:12. The operator is failing to follow the plan to maintain compliance which stated, 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). Ratio will be maintained in all the classrooms in the center. On 09/05/2024, observed staff person #1 was supervising a mixed group of 3 preschool and 4 older toddlers. The staff:child ratio in a mixed age group that includes older toddlers is 1:6.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed the Janitor closet in the hallway on the first floor, containing a variety of cleaning products labeled keep out of reach of children, was left unlocked and accessible to children. Observed insect / spider traps behind the toilets in girl's and boy's bathroom located in the basement which were accessible to children.

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

Regulation: 3270.78

Description: Lighting

Noncompliance Area: Observed the light in the girl's bathroom located in the basement was not operating. The bathroom is completely dark without artificial light and has no windows for natural light to enter the room.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The sinks in the women's bathroom located in the upstairs hallway did not have handwashing signs.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: Observed a broom and dustpan and a child size table with 2 chairs in front of the door leading from the preschool classroom into the toddler classroom next door. Observed a child size chair in front of the door in the toddler classroom. The door provides access from the preschool classroom to the exit door of the facility in the event of an emergency. Observed a shopping cart and empty boxes in front of the exit door in the alcove next to the kitchen.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed plastic trash bags in an unlocked bottom drawer located in the bathroom in the toddler room which were accessible to young and older toddlers.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for child #3, #4, and #5 included a child service report, with information to the family about the child's growth and development, which was not dated to document the form was completed within 6 months of initial enrollment or within 6 months of the previous child service report.

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)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information for child #1 did not include the phone number of the child's physician or source of medical care.

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(c)

Description: Each child care space

Noncompliance Area: Emergency contact information was not present in the young toddler classroom for child #6 and #7 while 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 emergency contact and/or financial agreement for child #3, #4 and #5 was not updated by a parent at least once every 6 months. The most recent review of the emergency contact information for child #3 was completed on 06/06/2024 with the previous review on 07/21/2023. The most recent review of the financial agreement for child #3 was completed on 07/21/2023 with no subsequent review documented. The most recent review of the financial agreement for child #4 was completed on 05/21/2023 with no subsequent review documented. The most recent review of the emergency contact information and financial agreement for child #5 was completed on 11/14/2023 with no subsequent review documented.

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)

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

Noncompliance Area: The file for child #4 and #5 included an updated health report which was not updated within 12 months of the previous health report as required for an older toddler or preschool child (see LIS code sheet). The current health report on file for child #4 was dated 02/21/2024 with the previous health report dated 06/06/2022. The current health report on file for child #5 was dated 06/21/2024 with the previous health report dated 11/15/2022.

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

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The initial health report on file for child #2 and #3 was a copy of a Well Child Report which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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(e)

Description: ACIP recommended immunization record

Noncompliance Area: A copy of the immunization records for child #3 was not on file within 60 days of initial enrollment (see LIS code sheet). The immunization record on file was printed on 02/21/2024.

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)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #2 (see LIS code sheet) included a record of the child's immunization status which lacked a 4th dose of DTap, a 4th dose of PCV13, an MMR and Varicella immunization.

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

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: Observed a container of dietary supplement powder labeled "Keep out of reach of children" on the lower shelf of the diaper changing station located in the upstairs girl's restroom which was accessible by older toddlers, preschool and school age children. *Removed at the time of the inspection.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.14

Description: Pertinent Laws & Regulations

Noncompliance Area: Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated reporter training and Get Started with Center-Based Care - Revised 2022.

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. Until such time as the required pre-service trainings are completed, staff person #3 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 #3, staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.151(a)/3270.151(b)

Description: 12 months prior to service and every 24 months thereafter/Conducted by physician, PA or CRNP

Noncompliance Area: The file for staff person #8 did not include a complete health assessment within 24 months of the previous assessment. The most recent health assessment on file was dated 12/10/2021. The file included an after visit summary dated 12/13/2023, which was not signed by a physician, physician's assistant or CRNP.

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The file for staff person #8, included an after visit summary dated 12/13/2023, which did not include documentation of an examination for communicable diseases and the results of that examination or documentation of the physician's or CRNP's assessment of the person's suitability to provide child care.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #2 included one nonfamily reference attesting to the person's suitability to service as a facility person; a second written reference was not on file.

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)

Description: Age and Training

Noncompliance Area: The file for staff person #4 did not include an annual minimum of 12 clock hours of child care training.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The fire safety training for staff person #4, #5, #6, #7, #8 and #9 was not updated within 12 months of the previous training. The current training for staff person #4, #5, #6, #7, #8 and #9 was completed on 05/23/2024 with the previous training completed on 03/27/2023.

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

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

Noncompliance Area: The file for staff person #1 and #2 did not include proof of qualifications to perform the duties of an Aide; the files included documentation of a completing 11th grade without verification of 2 years of experience working with children.

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: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: Observed staff person #3, an aide, take 2 children to the bathroom where they were unable to be supervised by a staff person qualified 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: 3270.52

Description: Mixed Age Level

Noncompliance Area: Observed staff person #3, leave the classroom to take 2 children to the bathroom, during this time, staff person #9 was supervising a mixed group of 14 young and older school-age children in the school-age classroom. The ratio for young school age children is 1:12.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The second stall in the upstairs girl's restroom did not have a handwashing sign posted.

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

Regulation: 3270.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: Evacuation routes were not posted in a conspicuous location in the basement of the facility where the school age classroom and kitchen are located.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3270.101(a)/3270.101(c)

Description: Age appropriate/Include 6 categories of development

Noncompliance Area: Observed a mixed age group of 2 young toddlers, 3 older toddlers and 1 preschool age children in the toddler classroom on the first floor. The classroom had an insufficient amount and variety of toys which included: 2 stuffed animals, board books, push toys, baby toys and some plastic character toys for the children to play with. The classroom did not include toys and materials for dramatic role playing, cognitive, visual, auditory, or toys to handle and manipulate and art materials for tactile development available for the children to play with,

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include the items specified at §3270.101(c)(1) - (6).

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: Observed the changing table cabinet top located in the 2nd floor restroom was missing a piece of trim, creating rough edges. Observed a blue wooden table in the 2nd floor preschool room with a loose leg causing the table to wobble from side to side. Observed two blue chairs located at the kidney shaped table were missing "feet". *Chairs were removed at the time of the inspection. Observed a grey stuffed chair in the basement school-age classroom with a tear at the top where the handle was torn. Observed a mixed age group of 2 young toddlers, 3 older toddlers and 1 preschool age children in the 1st floor toddler classroom. The classroom had 1 small table with 2 chairs and 4 highchairs in the room for the children, which did not provide adequate age-appropriate seating for the children.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Observed the rest equipment in the 2nd floor toddler room did not have a least 2 feet of space on three sides while the equipment was in use.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: A written plan of daily activities was not posted in the 1st floor toddler classroom.

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

Regulation: 3270.123(a)(1)/3270.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: The agreement form for child #1 and #3 did not include the amount of fee to be charged per day with the date on which the fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The agreement form for child #1, #2, #3 and #4 did not include the services being provided to the family and the child. A child service report, providing information to the family about the child's growth and development was not completed at least once every 6 months for child #1, #2, #3, #4 and #5. A child service report was not on file for child #1, #3 and #4 and there was not one completed within 6 months of the child's initial enrollment (see LIS code sheet). One of the child service reports on file for child #2 was dated 09/20/2022 and a second report was not dated. The child service report on file for child #5 was not dated.

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

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement form for child #3 did not include the child's arrival and departure times.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information for child #1 did not include the work address, home and work telephone numbers of the enrolling parent. The emergency contact information for child #3 did not include the work address and telephone number of the enrolling parent.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information for child #1 and #2 did not include the health insurance policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for child #2 did not include the address of the individuals designated by the parent to whom the child may be released.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: The emergency contact information was missing for 4 of the children receiving care in the 1st floor toddler room, 1 of the children receiving care in the 2nd floor toddler/preschool and 6 of the children in the preschool room and 6 of the children in the school age room.

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 emergency contact information and financial agreement for child #5 was not updated by a parent within 6 months of the child's enrollment date (see LIS code sheet). The emergency contact information for child #1 was not updated by a parent within 6 months of the child's enrollment date (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)

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

Noncompliance Area: The health report for child #2 was not updated at least once every 12 months for an older toddler or preschool child; the most recent health report on file was dated 02/21/2022.

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

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

Description: Immunization record/ACIP recommended immunization record

Noncompliance Area: The health report (dated 01/06/2023) for child #5 did not include an immunization record within 60 days following the first day of attendance at the facility (see LIS code sheet).

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

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #1 (see LIS code sheet) included a record of the child's immunization status which lacked a 3rd dose of Hep B, a 2nd, 3rd & 4th dose of DTap, a 2nd or 3rd dose of Hib, a 2nd, 3rd & 4th dose of PCV13, a 2nd & 3rd Polio, an influenza, MMR, Varicella and a 1st & 2nd Hep A immunization. The file for child #2 and #3 (see LIS code sheet) included a record of the child's immunization status which lacked an influenza immunization.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The hands-free covered can next to the diaper changing table located in the 2nd floor bathroom used for the disposal of diapers and pulls ups was not lined with a trash bag.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan does not include a Continuity of Operation plan. Staff person #3, who completed the 10-hour "Get Started with Center Based Care: Building Blocks for Quality" on 07/26/2022 prior to their employment at the facility, has not completed the 1-hour "Pennsylvania Health and Safety Update 2022" within 90 days of hire (see LIS code sheet).

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: 3270.24(f)

Description: Director ID

Noncompliance Area: On the date of the inspection, staff person #1 did not have a valid photo identification at the facility to provide to the agent of the Department at the time of inspection.

Correction Required: A valid photo identification of the director or designated staff person who is responsible for compliance with this chapter shall be provided to the agent of the Department at the time of inspection.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for staff person #2 did not include a written evaluation within 12 months of initial hire (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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed an electrical outlet which did not have a protective receptacle cover in the upstairs Toddler/Preschool classroom which was accessible to preschool age children in care. *Corrected at the time of the inspection.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed visible dirt on the walls under the light switches and the light switches next to the bathrooms located in the basement. Observed a tear in the accordion divider near the windows in the 2nd floor preschool classroom. Observed the railing inside the entrance to the 1st floor toddler room was loose. Observed rust on the bathroom stall walls in the 2nd floor men's and women's restrooms.

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)

Description: Handwashing signs

Noncompliance Area: The men's restroom on the 2nd floor did not have hand washing signs at each toilet and sink.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 02/24/2023, staff person #1 was in the hallway with 4 children playing a game. During this time, staff person #1 was leading the group in an "alphabet train". Staff person #1 was at the front of the line, and the children were following behind while singing the alphabet song and running back and forth in the hallway. From the front of the line, staff person #1 did not see child #1 trip and fall in the hallway scraping their nose on the carpet.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1, #2, #4, #5, #6, #7, #8 and #9 have not completed the following health and safety professional development training update prior to 12/30/2022: Pennsylvania Health and Safety Update 2022.

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: 3270.182(7)

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

Noncompliance Area: The parent of child #1, who was injured on 02/24/2023, was not provided with the original report on the day the incident occurred.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #4 did not include verification of education prior to service at the facility.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: On 02/24/2023, child #1 received a carpet/brush burn on her nose after tripping and falling while playing a game which involved running in the hallway. Staff person #2 used an alcohol wipe to clean the wound on the child's nose.

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

Regulation: 3270.23

Description: Parent Access & Participation

Noncompliance Area: On 03/02/2023, it was observed that at approximately 3:10 pm, a parent picking up their child from the facility did not have immediate access. There was no extra staff available to open the door and the parent needed to wait outside until staff returned with the children being picked up from school.

Correction Required: A parent of a child in care shall be permitted free access, without prior notice, throughout the center whenever children are in care, unless a court of competent jurisdiction has limited the parental right of access to the child and a copy of the order is on file at the facility. Opportunity shall be provided for parents to participate in the facility's program. The operator shall maintain a yearly file which documents general announcements to promote parent participation. The file shall be updated annually.

Regulation: 3270.24(a)

Description: Immediate access

Noncompliance Area: On 03/02/2023, upon arrival to the facility at 2:28 pm, Certification Representative rang the doorbell, then called for entry (per instructions on the entrance door). Certification Representative was unable to gain access to the facility until 2:41 pm when a staff person came to the door to let them into the building.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff person #2, #5, #6, #8, #9 and #10 have not received training regarding the emergency plan annually. The most recent emergency plan training was documented on 01/17/2022.

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 #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid & CPR. The file included an email from Pacific Medical Training which did not identify the name of the course or date the training was completed.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #4 will have until 04/08/2023 to complete the required training. Until such time as the required training has been completed, staff person #4 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 #4, staff person #4 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for facility person #3 did not include the results of the NSOR clearance within 45 days of hire (see LIS code sheet). Documentation of a request for the NSOR clearance sent on 09/07/2022 was on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility. 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 #3 may not work in a child care position at the facility.

Regulation: 3270.61(e)/3270.62(c)

Description: Halls, etc. not included/Space safe for large muscle activity

Noncompliance Area: On 02/24/2023, staff person #1 had a group of 4 children using unmeasured space for a gross motor activity. The children were playing a game which involved running back and forth in the hallway.

Correction Required: Measured indoor space excludes space occupied by halls, bathrooms, offices, kitchens and locker rooms. Outdoor or indoor play space shall be safe for large muscle activity.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a TV on a stand in the upstairs preschool classroom which was not anchored, creating a tip 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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: Observed 3 chairs in the school-age room with missing "feet". Observed 2 stuffed chairs which were torn.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement for child #1 and #2 was not signed by the operator and the parent.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement for child #1 did not include the amount of the fee to be charged per week.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for child #2 did not include the complete addresses of the individuals designated by the parent to whom the child may be released.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for child #4, did not include an updated health report at least once every 6 months for a young toddler. The file included a current health report dated 04/01/2022 and the previous health report dated 04/06/2021.

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

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #1, a 3-year-old, included a record of the child's immunization status which lacked a 2nd Hep A immunization. The file for child #3, a 3-year-old, included a record of the child's immunization status which lacked an influenza immunization.

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

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

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

Noncompliance Area: The file for staff person #1 included a health assessment with tuberculosis screening results which were not completed prior to providing initial service (see LIS code sheet) in a child care setting; the health assessment on file was dated 08/25/2022.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.172(a)

Description: Written parental consent

Noncompliance Area: The emergency contact information for child #5 and #6 did not include written parental consent for transportation, child #5 and #6 were observed being transported by the facility.

Correction Required: Transportation by the facility requires written parental consent, except for transportation of school-age children who are transported to or from a child care facility in vehicles owned or operated by the school district.

Regulation: 3270.176(a)

Description: Insured

Noncompliance Area: The operator did not have a copy of the current insurance in the vehicle while providing transportation; the insurance information in the vehicle was valid from 02/02/2022 - 08/02/2022.

Correction Required: A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).