356 Day Care

Regulation: 3280.123(b)

Description: Parent receives original

Noncompliance Area: The original financial agreement was on file for Child #1.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for Child #4 did not include the addresses of the persons 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: 3280.124(f)

Description: Updated every 6 months

Noncompliance Area: Documentation of review and/or update to the emergency contact forms for Child #1, #2 and #5 were dated more than 6 months apart. The emergency contact form for Child #3 was dated 3/29/2025, with no documentation of a review and/or updated within the last 6 months.

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.

Regulation: 3280.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The most recent health assessment on file for Child #1, identified as a young toddler (see LIS code sheet), is dated 11/22/2024, more than 6 months ago. The file for Child #2 contained documentation of a health assessment dated 6/23/2025 but did not contain documentation of an updated health assessment within 6 months as a young toddler (see LIS code sheet).

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: 3280.131(b)(2)/3280.182(1)

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

Noncompliance Area: The file of Child #5, identified as a preschool age child (see LIS code sheet), contained documentation of a health assessment dated 12/30/2024 but did not contain documentation of a current health assessment within the last 12 months.

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 must contain initial and subsequent health reports.

Regulation: 3280.131(d)(5)/3280.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record of Child #1 did not contain documentation of the fourth DTaP and pneumococcal vaccinations and the first MMR and varicella vaccinations as recommended by the ACIP. The immunization record of Child #4 did not contain the third DTaP and pneumococcal vaccinations as recommended by the ACIP. The file of Child #1 and #4 did not contain documentation of an acceptable exemption.

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: 3280.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health assessment on file for Child #1, dated 11/22/2024, did not contain documentation the child appears to be free from communicable disease and able to participate in child care,

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: 3280.151(a)/3280.192(3)

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

Noncompliance Area: The initial health assessment on file for Staff #1 was dated 9/15/2025, after their start date at the facility (see LIS code sheet).

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

Regulation: 3280.151(c)(2)/3280.192(3)

Description: Mantoux TB /Health assessment, TB test

Noncompliance Area: The tuberculosis screening on file for Staff #1 was read on 9/15/2025, after their start date at the facility.

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

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: The file of Staff #1 contained documentation of completed health and safety professional development topics listed in subsections (f)1-9 dated 1/13/2026 (Part 1) and 1/18/2026 (Part 2), more than 90 days from their start date at the facility (see LIS code sheet).

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

Regulation: 3280.32(a)/3280.192(2)(iii)

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

Noncompliance Area: The file of Staff #1 contained mandated reporter training dated 1/21/2026, more than 90 days after their start date at the facility (see LIS code sheet).

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Staff #1 contained a completed FBI clearance dated 9/3/2025 with no documentation of submission and an NSOR verification certificate dated 9/10/2025, both completed after their start date with children (see LIS code sheet).

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

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: The first aid kit did not contain tweezers.

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: 3280.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: Documentation on the fire drill log indicated the closet as the hypothetical location of the fire for 2 consecutive drills (10/10/2025 and 12/9/2025).

Correction Required: The hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: In the outdoor play space, the shape sorter area of the Fisher-Price Learning Home was cracked between the circle and triangle creating a sharp area as well as a pinch point.

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.