Perfeck Decision Academy

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: At the time of the inspection the following staff persons did not have current valid health assessments in their staff records: Staff person #4 and #5

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(8)

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

Noncompliance Area: At the time of the inspection the record of child #1 had no financial agreement.

Correction Required: 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: 3270.31(e)/3270.192(2)(iii)

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

Noncompliance Area: At the time of the inspection the records of the following staff did not have proof of the current annual minimum of 12 clock hours of child care training. Staff Persons #4, #5, #6

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection the following CPSL violations were observed: Staff person #1 and Staff Person #4 were both lacking a current valid FBI clearance, Staff person #2 was lacking a current valid copy of the Child Abuse Clearance, Staff Person #3, #6 and #4 were both lacking a current valid Pennsylvania State Police Clearance The record of staff person #7 was lacking the certification of the completed current Mandated Reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include 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, #2, #3, #4, #6 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: At the time of the inspection the record of staff person # 6 did not have a current staff evaluation.

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: 3270.124(c)

Description: Each child care space

Noncompliance Area: At the time of the inspection on the first floor there was emergency contact information present for 4 of the six children in care and on the lower level there was emergency contact information present for 3 of the 5 children in care.

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: 3270.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: At the time of the inspection the record of child #1 did not contain signed parental consent for emergency medical care for the child.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: At the time of the inspection the legal entity was not able to produce the fire drill log.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.182(7)

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

Noncompliance Area: On August 1st Child #1 did receive minor first aid from a burn, due to hot water spilling on them. No documentation or any written report of this accident, injuries and consequent first aide were on file or given to the parent on the day of the incident.

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

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

Noncompliance Area: At the time of the inspection the record of child #1 was lacking a current health assessment.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: At the time of the inspection the record of staff person #2 was lacking the proof of the current 12 hours of childcare training.

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

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

Description: Age and Training

Noncompliance Area: On the date of the inspection the record of staff person #1 did not contain a current pediatric first aid training certificate.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: At the time of the inspection the record of staff person #2 was lacking a current fire safety training certificate.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection the records of staff persons #3 and #4 were both lacking current Child Abuse Clearance documents.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 3, and #4 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.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: At the time of the inspection the record of staff person #1 was lacking a current staff evaluation.

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: At the time of the inspection the vent for the cooling and heating system in the basement was covered in at least 1/2 inch of dust.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: At the time of the inspection there were 15 children in care including at least 7 two-year-old children. There were only two staff people providing care at that time.

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

Regulation: 3270.61

Description: Measurement and use of indoor child care space

Noncompliance Area: Facility is measured for a maximum of 37 children and no more than 30 toilet trained children at any one time; facility was caring for 47 children and knowingly operating over capacity and out of compliance on the day of the inspection.

Correction Required: Measurement and use of inodoor child care space.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: At the time of the inspection the records of staff persons #1, #2 and #3 were lacking in current valid health assessments.

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

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: At the time of the inspection the records of the following children, #1, #3 and #2 (all observed in care) were lacking the consents required prior to admission.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: At the time of the inspection the facility did not have proof of the at least annual review of the emergency plan, there was no document in writing of any review or update of the emergency plan and kept on file at the facility.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: At the time of the inspection the following: Staff person #3 , #4 and #5, all having served the facility over one year, did not have the proof of the annual minimum of 12 clock hours of child care training in their staff record.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: At the time of the inspection the records of the following staff (staff persons #6 and #7), all having served the facility over 90 days, was lacking the proof of the completion of the required health and safety professional development listed in subsections (f)1-10.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection the record of staff person #1 was lacking a completed disclosure statement.

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

Regulation: 3270.33(b)

Description: No more than 50% aides

Noncompliance Area: At the time of the inspection the records of the staff at the facility indicated that 7 of the 8 staff on site were indicated by their records as aide level employees.

Correction Required: At least 50% of the staff persons in a facility shall be individuals qualified and functioning as directors, group supervisors and assistant group supervisors. No more than 50% of the staff persons may be of aide qualification level.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: Upon Entering the facility only one staff person was caring for a group of 19 children including a two year old.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 7/12/23, at time of renewal, Child #1, #3, and #4 files did not contain the addresses of release persons designated by the parent to whom a 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(a)

Description: Health information

Noncompliance Area: On 7/12/23, at time of renewal, Child #3 file did not contain an initial health report (only immunization record was observed on file).

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

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

Description: Immunization record/ACIP recommended immunization record

Noncompliance Area: On 7/12/23, at time of renewal inspection, Child #2 has been enrolled at the facility more than 60 days. Child #2 immunization record did not include annual influenza vaccine as recommended by 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 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: 3270.14

Description: Pertinent Laws & Regulations

Noncompliance Area: On 7/12/23, at time of renewal, Staff #4 and Staff #6 File did not contain the one-hour Health & Safety Update Training required by OCDEL.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: On 7/12/23, at time of renewal, an unlabeled bottle was observed in the refrigerator located in the infant room.

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

Regulation: 3270.181(c)/3270.181(e)

Description: Emergency info/agreement updated 6 mos/Emergency master file updated

Noncompliance Area: On 7/12/23, at time of renewal, emergency contact information located on the lower level of the facility where infants and toddlers were being cared for, were not updated at least once in a 6-month period.

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. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 7/12/23, during renewal inspection, Staff #1 file did not contain two letters of reference.

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(a)(6)

Description: Emergency plan

Noncompliance Area: On 7/12/23, at time of renewal, an annual emergency drill was not conducted and documented on file at the facility.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: On 7/12/23, at time of renewal, the facility's emergency plan was not updated at least annually. The last emergency drill was conducted on 7/8/22.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: On 7/12/23, at time of renewal, Staff #2, #3, #4, #5 and #6 files did not contain training in the facility's emergency plan.

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: On 7/12/23, at time of inspection, Staff person #1, #2, and #7, have not completed the following required pre-service training within 90 days of their date of hire: Health & Safety Training

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 7/12/23, at time of renewal, the vent above the sink located in the lower level was not secured firmly to the wall to prevent it from falling on a child.

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

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

Noncompliance Area: On 7/28/22, an updated health report was not observed in the file belonging to Child #1. The health report on file was dated 2/15/21.

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

Regulation: 3270.166(7)

Description: Meals for infants

Noncompliance Area: On 7/28/22, Staff #2 stated that infant bottles were heated for 15 seconds in the microwave located in the infant/young toddler child care space.

Correction Required: Neither bottled formula nor human milk may be heated in a microwave.

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

Description: Each staff person meets quals/Transcript, diploma and letters

Noncompliance Area: On 7/28/22, verification of education was not observed in the file belonging to Staff #1.

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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.52/3270.113(a)(1)

Description: Mixed Age Level/Staff assigned to specific children

Noncompliance Area: On 7/28/22, at approximately 10:45am, Staff #2, Staff #3 were observed out of ratio with 9 children. They youngest children were infants. Staff #4 and Staff #5 were observed out of ratio with 13 Older Toddlers. Additionally, Staff #3 was observed with 8 infants/young toddlers while Staff #2 left the group with an infant to the opposite side of the child care space where supervision of the children in her group was not possible.

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). The required staff:child ratios must be maintained at all times. 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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On 7/28/22, two uncovered electrical outlets accessible to children were observed in the children's bathroom near the sink.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 7/28/22, CLOROX wipes were observed accessible to children in the "handicapped" bathroom. Hand sanitizer was observed accessible to children on the diaper changing table in the Inf/YT childcare space.

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: 3270.91(c)

Description: Door opens in at landing

Noncompliance Area: On 7/28/22, at the time of inspection, an open door leading to the basement was observed accessible to children in the gross motor space and bathroom area. There is not a secure barrier in place to prevent access to the stairwell to ensure the safety of the children.

Correction Required: If a door or doorway opens or exits directly into a stairwell and if there is no landing beyond the door or doorway, the door shall be restricted from opening or shall be removed and a secure barrier to prevent access to the stairwell shall be erected.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 12/14/21, during unannounced inspection, a trampoline with netting around the area was observed in the indoor gross motor space. The trampoline contained a large gap area next to the spring that was not padded/secured to ensure a child's foot would not fall through the open gap.

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: 3270.123(a)

Description: Signed

Noncompliance Area: On 12/14/21, during an unannounced inspection, the agreement belonging to Child #1 was not signed by the parent.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: On 12/14/21, during unannounced inspection, two bottles observed in the classroom refrigerator were not labeled with the child's name.

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

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: On 12/14/21, during unannounced inspection, the Emergency contact information for Child #1 did not contain signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 12/14/21, during unannounced inspection, lotion instructing to keep out of reach of children was observed accessible to children under the diaper changing table in the young toddler area. A plug in containing toxic liquid was observed in an outlet accessible to children in the infant/toddler area.

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: 3270.121(a)

Description: Review policies and procedures

Noncompliance Area: On 11/16/21, during complaint investigation, Child #1 file did not contain an Agreement.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: On 11/16/21, during unannounced inspection, Child #1 emergency contact information did not contain parental consent for emergency medical care or administration of first aid by the facility.

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

Regulation: 3270.182(6)

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

Noncompliance Area: On 11/16/21, during complaint investigation, Staff #1 acknowledged transporting Child #1 after school. The emergency contact information belonging to Child #1 did not contain signed parental consent for transportation by the facility.

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

Regulation: 3270.52/3270.113(a)(2)

Description: Mixed Age Level/Supervision on and facility premises

Noncompliance Area: On 11/16/21, at approximately 11:00am during an unannounced inspection, Staff #1 was observed out of ratio for about 2 minutes with 8 children (youngest child OT) while Staff #2 left the childcare space to go downstairs. Additionally, Staff #3 and Staff #4 were observed out of ratio with 12 children (8 YT, 4 Inf) in the lower level for approximately 2 minutes while Staff #5 left the child care space to answer the door on the first floor.

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). The required staff:child ratios must be maintained at all times. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Regulation: 3270.101(a)/3270.104(a)

Description: Age appropriate/Clean, good repair, proper size

Noncompliance Area: On 9/9/21, during renewal inspection, a trampoline was observed in the indoor play space. The manufacturer's instructions for the trampoline states equipment is intended for children ages 3-10. The indoor play space is utilized by infants and toddlers under the age of 3. (At the time of inspection, 1 infant, 6 toddlers and 1 preschool were receiving care)

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

Regulation: 3270.108(c)

Description: No styrofoam

Noncompliance Area: On 9/9/21, during renewal inspection, lunch was observed being served on Styrofoam plates.

Correction Required: Styrofoam cups and plates may not be used.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: On 9/9/21, during renewal inspection, the emergency contact information for Child #1 was not present in the child care space where Child #1 was receiving care.

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: 3270.166(1)

Description: Written statement

Noncompliance Area: On 9/9/21, during renewal inspection, a written statement giving formula and feeding schedule for Child #1 was not observed at the facility.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.61(a)/3270.61(b)

Description: Indoor space- small muscle/Care space not play space at same time

Noncompliance Area: On 9/9/21, during renewal inspection, cribs and a changing table were observed in the facility's measured indoor play space. The indoor play space is being used simultaneously as child care space.

Correction Required: A facility shall provide indoor child care space for individual and group small muscle activity. Indoor child care space may not be used simultaneously as play space.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 9/9/21, during renewal inspection, hand sanitizer located on a classroom shelf, diaper cream and Lysol wipes located under diaper changing table were observed 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: 3270.75(c)

Description: Has all items

Noncompliance Area: On 9/9/21, tweezers and scissors were not observed in the first aid kit located in the facility's childcare space.

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

Regulation: 3270.82(d)

Description: Training chair - sanitized

Noncompliance Area: On 9/9/21, during renewal inspection, traces of urine was observed left in a training chair located in the bathroom. The training chair was emptied, but was not sanitized after use.

Correction Required: A training chair is not a flushing toilet. A training chair shall be emptied and sanitized after each use. An acceptable sanitizing solution is 1/4 cup of bleach combined with 1 gallon of water. A sanitizing solution shall be treated as a toxic.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: On 9/9/21, a sign stating the requirement for handwashing was not observed at the facility's diaper changing table.

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(c)

Description: Door opens in at landing

Noncompliance Area: On 9/9/21, during renewal inspection, the door leading to basement steps located in the facility's play space was not locked or restricted from opening to prevent access to the stairwell.

Correction Required: If a door or doorway opens or exits directly into a stairwell and if there is no landing beyond the door or doorway, the door shall be restricted from opening or shall be removed and a secure barrier to prevent access to the stairwell shall be erected.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On 9/9/21, during renewal inspection, proof of purchase of facility's fire detection system was not on file as required by Act 62 of 2020. Additionally, a log showing the fire detection system is tested at least once within a 30 day period was not observed at the facility as required by Act 62 of 2020.

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.