Friendly Faces

Regulation: 3280.123(a)(3)/3280.123(a)(6)

Description: Services proceeded/Admission date

Noncompliance Area: Child #2 did not have any child service reports on file which provided information to the family about the child's growth and development in the context of the services being provided. Also, the agreements on file for Child #2 and Child #3 were observed to be missing each child's date of admission.

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). An agreement shall specify the date of the child's admission.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information on file for Child #1 was observed to be missing the address and telephone number of the individual 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)/3280.181(c)

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

Noncompliance Area: The most recent emergency contact and financial agreement information on file for Child #2 were dated 7/15/25. The most recent emergency contact information on file for Child #3 was dated 5/9/25 and 6/3/26. The most recent emergency contact information on file for Child #4 was dated 8/18/25. More than 6 months had lapsed since a parent last reviewed, updated, and signed the emergency contact and financial agreement forms.

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: 3280.131(a)

Description: Health Information

Noncompliance Area: The initial health assessment for Child #1 (see code sheet for admission date) was dated 7/10/26, and this child has been enrolled for more than 60 days.

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: 3280.131(b)(2)

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

Noncompliance Area: Child #2 (see code sheet for date of birth) had health assessments on file dated 7/29/24 and 6/9/26. However, this was required to be completed annually.

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: 3280.182(3)/3280.182(5)

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

Noncompliance Area: The record for Child #4 did not contain signed parental consent for emergency medical care for the child or signed parental consent for the administration of minor first-aid procedures by facility staff.

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

Regulation: 3280.182(8)

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

Noncompliance Area: The record for Child #4 did not contain a copy of any written agreements between the parent and the operator.

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

Regulation: 3280.26(e)

Description: Letter to parents

Noncompliance Area: Staff #1 acknowledged that the parents of each enrolled child are not provided with a letter explaining the emergency procedures.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: Staff persons #1 and #2 only had 6.5 hours of child care trainings on file. Both staff did not have the required 12 hours of annual child care trainings on file.

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

Regulation: 3280.52(c)/3280.113(a)(2)

Description: Mixed age levels/Supervision on and facility premises

Noncompliance Area: During the renewal inspection on 7/27/26, Staff #2 was observed to leave the facility at 11:52 a.m., which left Staff #1 alone at naptime with 8 children: 1 young toddler, 1 older toddler, 2 preschoolers, 3 young school-age children and 1 older school-age child. Staff #2 did not return until 12:21 p.m. This number of children requires at least 2 staff persons at all times.

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 at §3280.52(b). The requirement for supervision on and off the facility premises includes compliance with the staff: child ratio requirements in §§ 3280.51--3280.53. TIERED LIS: 1. The required staff: child ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2. The Legal Entity will establish/update their supervision and ratio policies. The policies should include the following information, at a minimum: 1. How the facility will demonstrate their knowledge and ability to adequately supervise children while maintaining appropriate ratio at all times. 2. How staff will maintain ratios when a staff suddenly calls off (i.e. for an emergency or illness, or when staff are late for their shift). 3. How ratios will be maintained when children are unexpectedly dropped off at the facility. 4. How ratios will be maintained when a staff needs to leave the childcare space for any reason (i.e. personal emergency). The Legal Entity will submit the updated policies/procedures to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies and procedures, and it must be documented in their files. The operator shall provide a date by when this will be completed.

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Blue Lizard sunscreen labeled, "keep out of reach of children", was observed in a bookbag that was hanging from a wooden cubby shelf in the Main Room. This was accessible to school aged children who were being supervised in the Main Room.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3280.76/3280.102(a)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: There was an approximately 6.25 inch deep drop off in the ground near the rain gutter in the Outdoor Play Area. This created a potential tripping hazard. A small plastic blue chair in the Outdoor Play Area had a cracked seat with jagged edges. The jungle gym with the red slide in the Outdoor Play Area had a plastic light blue step with jagged cracks in it.

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. 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: 3280.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: The back exit door was locked shut from the inside, creating an obstruction while children were observed in care.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The fire detection system was not tested at least once every 30 days as indicated by the following fire detection system testing logs that were on file: 2/5/26 and 3/24/26.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 11/21/2020. During the inspection on 1/28/26, Staff #1 was observed having routine interaction and direct contact with children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by a primary staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff persons #1 may not work in a childcare position at the facility.