Multicultural Education Station

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The records of facility children #1 and #2 did not have verification that the children were immunized according to the recommendations of the ACIP and there were not exemptions on file.

Correction Required: 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: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: At the time of inspection on 1/16/2026, the operator was unable to initiate the fire alarm system using two of the pull stations within the child care facility. One of the pull stations was at the entrance of the facility stairs on the lower floor and the other was at the top of the facility stairs near the entrance into the daycare.

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: 3270.18(a)

Description: On file at facility

Noncompliance Area: At the time of inspection on 1/2/2025, there was not documentation the facility had comprehensive general liability insurance.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: At the time of inspection on 1/2/2025, there was not documentation of a current annual fire system inspection by a professional or documentation of manual monthly fire system checks.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 9/12/2024, Certification Representative facility staff #1 was working with a volunteer Child Abuse clearance in the file. Facility staff #1 served first as a volunteer and then as a staff person as of 7/25/2024. This was corrected onsite.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: At the time of inspection on 4/23/2024, Certification Representative observed that the back exit door that leads directly into the Wawa parking lot was propped opened without anything to restrict access in or out of the facility.

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

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: At the time of inspection on 2/16/2024, Certification Representative observed that the kitchen door was unlocked and there was a bottle of Polyethylene Glycol 3350 stored in the unlocked refrigerator.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: At the time of inspection on 2/16/2024, Certification Representative observed that the kitchen door was unlocked and there was a bottle of lysol cleaning spray that was in an unlocked lower cabinet.

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: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: At the time of inspection on 1/4/2024, Certification Representative observed 5 toddlers who were sitting in high chairs placed in front of a television. When asked by Certification Representative, staff acknowledged the children were in the high chairs so they can watch a show.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.131(d)(5)/3270.131(e)(2)(i)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: At the time of inspection on 1/4/2024, the record for facility child #1 did not include a review of the child's immunized status according to recommendations of the ACIP or contain a written, signed and dated exemption from immunization from the parent. Certification Representative requested this information from the designee in charge and what was provided was a standard exemption form that was not filled out, signed and did not contain any information relating to the child.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.136(b)

Description: Parent info communicable diseases

Noncompliance Area: Based on investigation, on 12/22/2023 both facility staff #1 and facility child #1 tested positive for measles. The operator did not notify all parents of enrolled children of the suspected measles outbreak in the facility until 1/4/2024.

Correction Required: The operator shall inform parents of enrolled children when there is a suspected outbreak of a communicable disease or an outbreak of an unusual illness that represents a public health emergency in the opinion of the Department of Health.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: The operator failed to protect the health and safety of children when a facility staff and child were instructed to quarantine after being exposed to measles while unvaccinated. Facility staff was notified of the measles exposure on 12/11/2023 and instructed to quarantine until 12/29/2023. Facility staff #1 acknowledged being at the facility on 12/15/2023 and facility child #1 was present the facility on 12/20/2023 and 12/21/2023. Consequently, four children were exposed and later tested positive for the disease. The operator failed to notify all enrolled parents of the suspected outbreak in a timely fashion in order to prevent additional exposures.

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

Regulation: 3270.34(a)

Description: Director responsibilities

Noncompliance Area: The facility is without a qualified director to manage the facility and be onsite at least 30 hours per week.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6).