Burnham United Methodist Church PS

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the inspection, the file for Child #1 and Child #2 were reviewed and did not contain the Department's approved form to provide information to the family about the child's growth and development. The provider indicated that this document was not being provided for any of the children.

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: During the inspection, the emergency contact information and the financial agreement had not been updated at least once in a 6-month period for Child #1 and Child #2.

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: 3280.151(a)

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

Noncompliance Area: During the inspection, the file for Staff #4 contained an updated health assessment dated 6/9/26 which was conducted more than 24 months after the previous health assessment dated 5/4/23.

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: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During the inspection, the posted certificate of compliance expired 9/1/25. An updated certificate had not been posted.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3280.26(b)

Description: Emergency plan

Noncompliance Area: During the inspection, 6/15/21 was the last documentation on file showing that the emergency plan had not been reviewed/updated by the operator.

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

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: During the inspection, the file did not contain documentation of annual emergency plan training for Staff #2, #3, #4, #5, #6 and #7.

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.

Regulation: 3280.26(f)

Description: Emergency plan

Noncompliance Area: During the inspection, the operator had not currently nor previously sent a copy of the emergency plan to the local municipality and to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: During the inspection, the file for Staff #1, #2 and #4 contained certification in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) that expired May 31, 2026, and had not been renewed.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and 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. Until the required training is completed, Staff #1, #2 and #4 must be supervised when interacting with children by a primary staff person who has completed the required training relating to the citation.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the inspection, the file for Staff #1 contained a NSOR certificate and Mandated Reporter training that had not been updated within 60 months as required under the CPSL.

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: 3280.76

Description: Building Surfaces

Noncompliance Area: During the inspection, the metal partition sectioning off the infant area was observed to be falling/leaning into the infant area.

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: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the inspection, peeling paint was observed over the radiator by the sink and a large area to the left of the sink.

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

Regulation: 3280.95(a)

Description: FIRE DETECTION

Noncompliance Area: During the inspection, there was no fire detection device in the kitchen/back of lunchroom area. The alarms in the front of the facility could not be heard with the doors closed.

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)).

Regulation: 3280.113(a)/3280.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: When asked to identify assigned groups of children, all staff were able to list a group of children. However, 20 children were observed in care and staff accounted for 17 children in their assigned groups. Leaving 3 children unassigned to a specific staff.

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. TIERED LIS: 1. Children must be supervised at all times. 2. 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. 3. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. 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: 3280.24(b)

Description: Post the inspection summary

Noncompliance Area: The Inspection Summary from the previous inspection was observed to be missing from the parent board. Inspection Summary was not posted.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Regulation: 3280.51

Description: Maximum Number of Children

Noncompliance Area: During a verification visit on 8/20/25, 20 children were observed in care. The director reported that 7 of the children in care were related to staff, resulting in the facility having 13 unrelated children in care at one time.

Correction Required: No more than 12 children unrelated to the operator may simultaneously receive care except in a facility serving older school-age children. In a facility serving only older school-age children, a certificate of compliance may be issued for up to 15 children unrelated to the operator.