Autumns Wonderland LLC

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The facility was observed to have their highchairs folded and placed together in a row and the seat cushions especially the creases were observed to be soiled with food ruminants on 3 of the highchairs.

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: 3270.107

Description: Refrigerator

Noncompliance Area: The thermometer inside the refrigerator in Room #1 was checked twice and was observed to read 50° F both times.

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: 3270.123(a)

Description: Signed

Noncompliance Area: The file for child #2 was observed to lack an agreement signed by the operator and the parent

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #4 was observed to contain an emergency contact form that lacked the work addresses and telephone numbers of the enrolling parent.

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

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child #4 was observed to contain a health report that lacked a review of the child's immunized status according to recommendations of the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The file for child #1 was observed to contain a health report that 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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: The facility was observed to have a bottle in the infant space that was identified as belonging to child #4 but was not labeled with child #4's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility was observed to lack documentation on file of an emergency drill conducted annually. As evidenced by documentation of a drill occurring on 7/19/2024 and no documentation of a drill in 2025.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for staff person #2 was observed to lack documentation of obtaining 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for staff person #1 was observed to contain a PA State Police Clearance disseminated on 06/08/2025, 115 days after the documented date of hire.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for staff person #3 was observed to lack a minimum of one written evaluation every 12 months. This was evidenced by the most recent written evaluation in the file was dated 01/02/2024.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: The facility's outdoor fenced in play yard was observed to have large fist sized holes, a pile of Rabbit feces, and two paper wasp nests in the garage window.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file of child #2 lacked an emergency contact form with 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)(4)/3270.182(3)

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

Noncompliance Area: The file of child #1 lacked an emergency contact form with the written consent signed by a parent 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: 3270.14

Description: Pertinent Laws & Regulations

Noncompliance Area: On 9-10-24, at the time of inspecting a vehicle (Kia) used to transport school-age children daily to and from school, the vehicle had an expired registration dated 8-31-24.

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.

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 of staff #1 lacked a health assessment. The file of staff #2 had a late health assessment due to the fact they were dated: 3-10-22 and 7-31-24; 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. 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)/3270.182(6)

Description: Consent for administration of minor first-aid required prior to admission/Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: The file of child #1 lacked an emergency contact form with the signed parental consent for administration of minor first-aid procedures by facility staff and signed parental consent for transportation, walking excursions, swimming and wading; or NA if not applicable.

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. A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file of staff #1 lacked two 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #1, and AGS had PA State Police clearance for the purpose of volunteer rather than employment.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #1 may not work in a child care position at the facility.

Regulation: 3270.82(h)/3270.82(j)

Description: Handwashing signs/Running water - diapering

Noncompliance Area: Observed staff #2 not wash their hands after diapering an infant. In addition, there was not a source of running water in the space in which staff #2 diapered the infant due to the fact they were on the floor of the preschool room rather than at the diaper changing table in the infant space.

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 source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: 2nd citation. Previously cited on 6/13/24. At approximately 11 AM on 8/21/24, Staff #1 left the Preschool Room to answer the door located in another room leaving Staff #2 with 3 older toddlers and 4 preschoolers. After opening the door Staff #1 took Child #1 who had entered the entrance area alone from outside back to the outside play space where Staff #3 was present. Before returning to the Room with Staff #2, Staff #1 also used the restroom. While Staff #1 was using the restroom, Child #1 again entered the entrance alone, so Staff #2 told the child to return to the play space with Staff #3. Staff #3 then was observed to be caring for 6 preschoolers including Child #1 and 4 young school-age children.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: 2nd citation. Previously cited on 6/13/24. At approximately 11 AM on 8/21/24, Staff #1 left the Preschool Room to answer the door located in another room leaving Staff #2 with 3 older toddlers and 4 preschoolers. After opening the door Staff #1 took Child #1 who had entered the entrance area alone from outside back to the outside play space where Staff #3 was present. Before returning to the Room with Staff #2, Staff #1 also used the restroom. While Staff #1 was using the restroom, Child #1 again entered the entrance alone, so Staff #2 told the child to return to the play space with Staff #3. Staff #3 then was observed to be caring for 6 preschoolers including Child #1 and 4 young school-age children.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: Child #1 who was an infant received an injury from a Step 2 Kitchen set which is not recommended for children under the age of 2

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum

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 #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 person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility

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: On 6/13/24 when certification representative asked to see the facility's accident file, Staff #2 indicated parents are given the original report and a copy is placed in a child's file, but a copy is not retained at the facility in an accident file. Staff #2 indicated the facility does not have an accident file.

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: 3270.20(a)(1)

Description: Inpatient hospitalization or ER treatment of child

Noncompliance Area: Child #1 received an injury on 4/12/24. The injury received resulted in the child being seen in the emergency room. The operator was notified on 4/12/24 of the emergency room visit. As of the time of investigation, the operator had not yet reported to the department either verbally or in writing.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

Regulation: 3270.20(b)

Description: Mail or deliver written report to regional office within 72 hours

Noncompliance Area: Child #1 received an injury on 4/12/24. The injury received resulted in the child being seen in the emergency room. The operator was notified on 4/12/24 of the emergency room visit. As of the time of investigation, the operator had not yet reported to the department either verbally or in writing.

Correction Required: The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 11/7/23, 12/4/23, 1/2/24, 1/29/23, 2/19/24, 3/1/24, 4/2/24, 5/2/24, 5/31/24, and 6/5/24.

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 9:15 AM on 6/13/24, Staff #1 left the Preschool Room to answer the door located in another room leaving Staff #2 with 5 Preschoolers and 4 Older Toddlers. At approximately 9:25 AM Staff #1 left the Preschool Room again to relieve Staff #3 who working in the Infant Room leaving Staff #2 with 5 Preschoolers and 4 Older Toddlers. At approximately 9:20 on 6/13/24 Staff #1 and #2 were caring for a group of 9 mixed-age children which included 4 older toddlers and 5 preschoolers. When asked to name the children in their assigned groups, Staff #1 named all 5 preschoolers, but Staff #2 named only 2 of the 4 older toddlers. At approximately 9:25 AM Staff #3 was caring for 2 infants and 2 young toddlers but could not name 1 of the young toddlers.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: On 4/25/24 Certification Staff observed a Child Service Report for Child #1 which referenced the child as a she when the child is a male. On 6/13/24 Certification Staff observed Child Service Reports dated 1/19/24 with identical information for Children #2 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: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 9:15 AM on 6/13/24, Staff #1 left the Preschool Room to answer the door located in another room leaving Staff #2 with 5 Preschoolers and 4 Older Toddlers. At approximately 9:25 AM Staff #1 left the Preschool Room again to relieve Staff #3 who working in the Infant Room leaving Staff #2 with 5 Preschoolers and 4 Older Toddlers.

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: 3270.70(a)

Description: 65º F minimum

Noncompliance Area: On 4/25/24 Certification Staff observed the indoor temperature to be 62 degrees F.

Correction Required: The indoor temperature shall be at least 65° F.

Regulation: 3270.172(a)

Description: Written parental consent

Noncompliance Area: 2nd citation. Previously cited on 9/18/23. The facility did not have written parental consent to transport Child #1.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: 2nd citation. Previously cited on 9/18/23. Observed 1 exposed nail on the left side of the porch railing upon entering the outdoor play space.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: 2nd citation. Previously cited on 9/18/23. The facility was unable to provide a written record that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 11/17/22, 12/5/22, 1/3/23, 1/29/23, 2/1/23, 2/17/23, 3/2/23, 3/18/23, 4/4/23, 5/15/23, 6/12/23, 7/10/23, 8/9/23, and 9/5/23, and 10/2/23.

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: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement for Child #4 did not specify the amount of the fee to be charged per day or per week.

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

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The agreements for Children #3 and #4 did not specify the date on which the fee is to be paid.

Correction Required: 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 did not include the services provided to the family and child.

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)(5)

Description: Designated release persons

Noncompliance Area: The agreements for Children #1 and #3 did not specify the persons designated by a parent to whom the child may be released.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Emergency contact information for Child #2 lacked the complete 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: Emergency contact information for Children #2 and #3 lacked the complete work address of the enrolling parent.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file of Child #3 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #3 contained health reports dated 8/31/22, 11/30/22, and 7/18/23.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The files of Staff #2 and #3 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022. The file of Staff #2 contained documentation of completing the health and safety update on 2/13/23. The file of Staff #3 contained documentation of completing the health and safety update on 8/11/23.

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: 3270.151(a)

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

Noncompliance Area: Staff #3 lacked a health assessment conducted every 24 months. Staff #3 had a current health assessment dated 5/19/23 with a previous one dated 2/9/21.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The operator did not notify local traffic authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. The operator provided documentation of notifying local traffic authorities in February 2022.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.172(a)

Description: Written parental consent

Noncompliance Area: The facility did not have written parental consent to transport Children #5, #6, #7, and #8.

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: 3270.175(c)

Description: Manufacturer's instructions used

Noncompliance Area: All manufacturer's instructions for use of safety restraints were not kept in the Kia Sorento.

Correction Required: Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times.

Regulation: 3270.176(a)

Description: Insured

Noncompliance Area: The Kia Sorento and Honda Odyssey did not contain documentation of being insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

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).

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Observed 2 pair of adult scissors located in a pink plastic bin on top of the microwave in Room #1 which were accessible to children.

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

Regulation: 3270.34(b)(3)/3270.192(2)(iii)

Description: Associate's + 3 yrs/Exp, educ., training at facility

Noncompliance Area: The file of Staff #1, who was designated as the director, lacked documentation of 3 years of experience with children.

Correction Required: A director shall have attained an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

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

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

Noncompliance Area: The file of Staff #3, who was designated as an assistant group supervisor, lacked documentation of 2 years experience with children.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed 2 exposed nails on the left side of the porch railing upon entering the outdoor play space. Observed approximately a 1-inch piece missing from the heat vent which was also rusty in the infant section of Room #2.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed peeling paint to the right of the door upon entering the outdoor play space. Observed approximately two 1/2-inch holes in the drywall by the toilet paper holder in the 2nd bathroom.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The toilet in each bathroom lacked a handwashing sign.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility was unable to provide a written record that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 11/17/22, 12/5/22, 1/3/23, 1/29/23, 2/1/23, 2/17/23, 3/2/23, 3/18/23, 4/4/23, 5/15/23, 6/12/23, 7/10/23, 8/9/23, and 9/5/23.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed foam puzzle pieces with bite marks in the Left Front Room where young toddlers were located.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Observed rest equipment not labeled for the use of a specific child in the following classrooms: Multipurpose Room, Right Front Room, and Left Front 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)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The files of Children #2 and #4 lacked the date of the child's admission on the agreement.

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

Regulation: 3270.123(b)/3270.182(8)

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

Noncompliance Area: The files of Children #1, #2, #3, #4, and #5 contained the original copies of the agreement. The facility did not make a copy for the files and give the original to the parent.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file of Child #5 lacked the complete address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file of Child #2 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #2 contained a current health report dated 6/1/22 with a previous one dated 8/24/21.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The files of Children #3 and #4 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #3 contained a current health report dated 8/11/22 with a previous one dated 5/17/21. The file of Child #4 contained a current health report dated 9/29/22 with a previous one dated 3/10/21.

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

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The file of Child #1 contained a health 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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Staff #2 in the Left Front Room did not ensure that a child's hands were washed after being diapered.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility did not have a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, and distraught child, and the prevention and identification of child maltreatment.

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: 3270.152

Description: Adult Hygiene

Noncompliance Area: Staff #2 in the Left Front Room did not wash his/her hands after diapering a child. Staff #2 used hand sanitizer.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact and agreement for Child #3 were not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #3's emergency contact was reviewed on 8/21, 3/15/22, and 8/15/22. Child #3's agreement was reviewed on 8/21, 3/15/22, 5/26/22, and 8/15/22.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file of Staff #4 lacked two 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files of Staff #1 and #3 lacked documentation of training regarding the emergency plan on an annual basis. The files of Staff #1 and #3 contained documentation of emergency plan training on 10/6/22 with previous training on 1/12/21. The file of Staff #4 lacked documentation of receiving training regarding the emergency plan at the time of initial employment (SEE LIS Code Sheet). The file of Staff #4 contained documentation of emergency plan training on 10/6/22.

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: 3270.27(d)

Description: Plan posted

Noncompliance Area: The operator did not post the emergency plan in the facility at a conspicuous location.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

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

Description: Age and Training

Noncompliance Area: The file of Staff #3 lacked documentation of renewing their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. The file of Staff #3 contained documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed on 6/1/22 with a previous one completed on 5/6/20.

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: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: The file of Staff #4, who was designated as an assistant group supervisor, lacked documentation of 2 years' experience with children.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed Parents Choice Diaper Rash Ointment which indicated "keep out of the reach of children" in a pink bin on the table in the Right Front Room which was 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: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed 2 boards with splintering wood at the top of the stairs on the porch in the Outdoor Play Space.

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: 3270.178

Description: Transportation First Aid Kit

Noncompliance Area: 2nd citation. Previously cited on 4/21/22. A first-aid kit was not present in the vehicle used to transport children.

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

Regulation: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: The emergency contact forms for Children #1 and #2 lacked signed parental consent for transportation. Staff indicated the facility transports Children #1 and #2 to school.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.106(b)

Description: No bed linens alone

Noncompliance Area: At approximately 12:30 PM Certification Staff observed children resting on only blankets.

Correction Required: Bed linens may not be used alone as age-appropriate rest equipment.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: 2nd citation. Previously cited on 4/21/22. The file of Child #1 lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: 2nd citation. Previously cited on 4/21/22. The facility was unable to provide a written record that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 6/2/21, 7/2/21, 8/2/21, 9/2/21, 10/4/21, 11/2/21, 12/2/21, 1/20/22, 2/28/22, 3/17/22, 4/19/22, 5/18/22, 6/10/22, and 7/5/22.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 4/21/22 observed a broken handle on toy pliers in the multi-purpose room.

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: 3270.105

Description: High Chairs

Noncompliance Area: On 4/21/22 observed a Cosco high chair and an Ingenuity high chair missing T-shaped safety straps in the preschool room.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: *On 5/4/22 observed a child sleeping in a play house with the doors and windows covered by a blanket in the Infant/Toddler Room. On 5/4/22 Certification Staff observed Staff #2 who was unable to provide critical oversight of 2 children in which the supervisor could see, hear, direct, and assess the activity of the supervisee because Staff #2 was sitting on one side of the 1/2 wall while the 2 children were on the other side of the 1/2 wall.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: **On 5/4/22 observed a child sleeping in a play house with the doors and windows covered by a blanket in the Infant/Toddler Room. On 5/4/22 Certification Staff observed Staff #2 who was unable to provide critical oversight of 2 children in which the supervisor could see, hear, direct, and assess the activity of the supervisee because Staff #2 was sitting on one side of the 1/2 wall while the 2 children were on the other side of the 1/2 wall.

Correction Required: **The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 12:00 PM on 5/4/22 when Staff #5 was asked who was in his/her assigned group, Staff #5 identified 4 preschoolers in the space where he/she was physically present and 6 preschoolers in the adjacent classroom.

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

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: ***On 4/21/22 and 5/4/22 observed preschool-aged children placed in highchairs to eat and pack and plays to nap. When Certification Staff asked why, Staff #5 indicated children are placed in highchairs because they will not sit at the table to eat, and children are placed in pack and plays because they will not stay on their mats to nap.

Correction Required: ***The operator will arrange with ELRC 6 for all staff to complete training on how to deal with challenging behaviors in children.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: *On 4/21/22 and 5/4/22 observed preschool-aged children placed in highchairs to eat and pack and plays to nap. When Certification Staff asked why, Staff #5 indicated children are placed in highchairs because they will not sit at the table to eat, and children are placed in pack and plays because they will not stay on their mats to nap.

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

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: **On 4/21/22 and 5/4/22 observed preschool-aged children placed in highchairs to eat and pack and plays to nap. When Certification Staff asked why, Staff #5 indicated children are placed in highchairs because they will not sit at the table to eat, and children are placed in pack and plays because they will not stay on their mats to nap.

Correction Required: **The operator will contact ELRC 6 to arrange for Start Up TA to come to the facility to conduct a minimum of 4 classroom observations over the period of 4 months and will follow recommendations of ELRC 6 staff.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The file of Child #2 lacked the arrival and departure times on the agreement.

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The file of Child #1 lacked the date of the child's admission on the agreement.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file of Child #3 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact information was not present for any child receiving care in either the multi-purpose room or infant/toddler 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(d)

Description: Excursions

Noncompliance Area: Emergency contact information for Children #5, #6, #7, and #8 were not present in the van used by staff to transport them.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The health report for Child #3 was not updated at least every 6 months for an infant or young toddler with the reinstating of this regulation on 1/6/22. The file of Child #3 contained a current health report dated 3/30/22 with a previous one dated 8/26/21.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The health report for Child #1 was not updated at least every 12 months for an older toddler or preschool child with the reinstating of this regulation on 1/6/22. The file of Child #1 contained a current health report dated 3/17/22 with a previous one dated 9/2/20.

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

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The files of Children #2 and #4 lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.

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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: On 4/21/22 Staff #4 did not ensure that a child's hands were washed after being diapered.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: On 4/21/22 observed Staff #4 did not discard a soiled diaper by immediately placing the diaper into a plastic-lined, hands-free covered can. Staff #4 placed the diaper in a plastic grocery bag and then used her hand to open the small hands-free covered can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.151(a)

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

Noncompliance Area: On 4/21/22 the file of Staff #2 lacked documentation of a health assessment conducted every 24 months. The file of Staff #2 contained health assessments dated 4/18/18 and 4/20/20. The file of Staff #4 lacked documentation of a health assessment conducted every 24 months. The file of Staff #4 contained a current health assessment dated 3/7/22 with a previous one dated 4/3/18.

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)(2)

Description: Mantoux TB

Noncompliance Area: The file of Staff #3 lacked a health assessment which included tuberculosis screening by the Mantoux method at initial employment (SEE LIS CODE SHEET). The file of Staff #3 had tuberculosis read date of 4/2/18.

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.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: On 4/21/22 observed bottles which were not labeled with the child's name in the infant/toddler room.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.