Abcs For Children

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There was a sensory bottle in the Infant room containing items smaller than an inch inside with an unsecured lid, making the items accessible to children who are still placing objects in their mouths. There was a sensory bottle in the Walkers room with an unsecured lid that contained items smaller than an inch in size and were accessible to children who are still placing objects in their mouths.

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement on file for Child #1, #3, #4, #5, #7, and #9 does not include the child's date of admission.

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)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #1 does not include the phone number for the child's pediatrician/source for 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(f)/3270.181(c)

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

Noncompliance Area: The file for Child #1, #2, #3, #4, #5, #6, #7, #8, and #9 included 6-month review signatures for the emergency contact form and agreement dated in August 2024 and March 2025, more than 6 months apart.

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

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

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

Noncompliance Area: The two most recent health assessments on file for Child #9, who is a preschool age child, are dated 10.30.23 and 11.12.24, more than 12 months apart.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: he immunization record on file for Child #6, who is 2 years old, included 1 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age.

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). ·Child #6 must be dismissed from care by close of business on 9.22.25, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: There were 2 bottles of Tylenol in the infant room labeled for use by 2 children that did not have written parental permission to administer.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for staff person #8 does not include documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET); the health assessment and TB test on file for staff person #8 was dated 3.20.25. The 2 most recent health assessments on file for Staff person #9 are dated 11.2.21 & 8.13.24, 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: 3270.166(1)

Description: Written statement

Noncompliance Area: The facility did not have feeding plans submitted in writing by the parent for the infants receiving care in the infant room.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: In the Infant room infants were observed sleeping in cribs that had loose sheets, which pose a suffocation risk.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #2 completed their current mandated reporter training on 5.16.25, more than 60 months after the previous training dated 1.30.20.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #2 includes criminal history clearances dated 6.1.20 & 6.12.25; child abuse clearances dated 6.1.20 & 6.18.25; FBI clearances dated 6.1.20 & 6.14.25, and NSOR certificates dated 3.17.20 & 5.19.25, all more than 60 months apart. The file for Staff person #4 includes criminal history clearances dated 1.21.19 & 3.28.24, more than 60 months apart. The file for Staff person #5 includes NSOR certificates dated 6.10.20 & 6.16.25, more than 60 months apart. The file for Staff person #6 includes child abuse clearances dated 7.24.20 & 7.25.25, more than 60 months apart. The file for Staff person #7, who was rehired (See LIS Code Sheet), does not include a new disclosure statement signed upon rehire. The file for Staff person #10 includes criminal history clearances dated 1.16.19 & 4.2.24; child abuse clearances dated 1.16.19 & 4.4.24; FBI clearances dated 1.31.19 & 4.8.24, and NSOR certificates dated 1.10.20 & 1.23.25, all more than 60 months apart. The file for Staff person #11 includes an incomplete criminal history clearance indicating that it was pending, under review, (See LIS Code Sheet), making it invalid.

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 #7, #11, may not work in a childcare position at the facility.

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

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

Noncompliance Area: The file for Staff person #1, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children. The file for Staff person #3, #12, who is classified as an aide, does not include a high school diploma or a general educational development certificate; or a minimum of an 8th grade education and 2 years of experience with children.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff person #1, with a hire date more than 12 months ago (see LIS Code Sheet), does not include a 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: There were stained ceiling tiles from a previous leak in the School-age room, Toddler 1, and Toddler 2. There was an exposed bolt on the gate between the Toddler and & Preschool playgrounds and on the fence by the preschool playground side exit. There was splintered wood on the sandbox in the Preschool playground that was a potential hazard. There were several holes in the poured surface in the Toddler playground, causing a tripping hazard.

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