My First Steps Child Care Center Ii

Regulation: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: During a renewal inspection 2/11/26-3/10/26 it was noted that the facility was not providing parents information in writing regarding their night care policies. The facility reported via their provider survey that evening care is provided.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During a renewal inspection on 2/11/26-3/10/26 emergency contact information for Children 1-9 did not include parent's home address and phone number (Children 7 and 9), Parent's work address (Children 1-8), Parent's work phone number (Children 5 &7).

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During a renewal inspection on 2/11/26 Cert rep observed that the emergency medical transportation plan was not present in the vehicles for transportation, or the binders taken with staff during transportation. It was reported that the emergency medical transportation was not taken with staff during transportation of children to and from the facility.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: During a renewal inspection on 2/11/26 Cert rep observed a child's Diaper rash cream with expiration date 9/2024 in Room 6(The Rainbow room).

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: During a renewal inspection on 2/11/26 Cert rep observed Staff 5 using their hand to lift the lid of the trash can during a diaper change.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During a renewal inspection 2/11/26-3/10/26 the facility did not have a written policy which addressed the prevention and identification of child maltreatment.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Announcement C-22-03: Updates to Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment Requirements states To maintain compliance with 45 CFR 98.41(a)(1)(vi), in addition to the training requirements, child care providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; Strategies for coping with a crying, fussing, or distraught child; and Address the prevention and identification of child maltreatment.

Regulation: 3270.151(a)/3270.151(b)

Description: 12 months prior to service and every 24 months thereafter/Conducted by physician, PA or CRNP

Noncompliance Area: During a renewal inspection on 2/11/26-3/10/26, Cert Rep observed health assessments on file for Facility Persons 1-10 dated 9/18/24, 11/1/24, 6/14/25, 9/22/25, 6/13/25, 6/13/25, 9/18/24, 1/31/25, 1/5/26, and 6/7/24 respectively. The physician's signature and date appeared to be altered. Cert Rep spoke with the physician's office and the office confirmed that Facility Persons 1-9 are not patients, and Facility Person 10 has not been seen as a patient since 2018. The health assessments for Facility Persons 1-10 are fraudulent and not valid. Facility Persons 1-10 did not have another current valid health assessment on file.

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 health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title. TIERED LIS: 1. 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 shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title. Facility Persons 1-10 must obtain a valid and current Health Assessment. The operator shall provide a correction date for when this portion of the plan will be corrected. 2. The legal entity will submit initial Health Assessments of any newly hired facility persons and staff, and any newly updated Health Assessments for all existing facility person and staff who were hired before the date of this inspection for a period of 3 months to the NE Regional Office. During that time any initial and updated health assessment is not considered acceptable until their health assessment has been approved by the NE Regional Office. Submitted health assessments will be reviewed by the NE regional office within 1 week of submission. The operator shall provide a correction date that is a minimum of 3 months from the date an acceptable plan is received.

Regulation: 3270.176(f)

Description: Prohibition using an 11-15 passenger vans

Noncompliance Area: During a renewal inspection on 2/11/26 Cert rep observed that the GMC Savanna G3500 van with VIN ending in 6863 did not have the manufacturer's sticker showing the capacity. Compliance is unable to be verified, as the capacity sticker is missing.

Correction Required: In accordance with the requirements of 67 Pa. Code Chapter 171 (relating to school buses and school vehicles), the facility may not transport a child in an 11-15 passenger van. Effective 2/11/26 the GMC Savanna G3500 van with VIN ending in 6863 can not be used for transporting children, until such time as the van is verified to meet the requirements of 67 Pa. Code Chapter 171 and is verified through the manufacturer's sticker to not be an 11-15 passenger van.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: During a renewal inspection 2/11/26-3/10/26 the facility did not have a letter for the parents which explained 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection on 2/11/26 Staff Person 5 and Facility Person 6 did not have all required clearances on file before their first day working with or interacting with children. (See LIS code sheet for first day with children). Staff Person 5 and Facility Person 6 reported they had resided in Florida in the past 60 months, however Staff Person 5 and Facility Person 6 did not have Florida Criminal record check and Florida Child Abuse clearances on file. Staff Person 5 was observed providing care to children on 2/11/26 and Facility Person 6 was observed interacting with children. Additionally Facility Person 6 had a PSP clearance request dated 2/26/25, however they did not have a PSP clearance on file. Facility Person 6 is beyond their 45 day provisional hire time period.

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. Staff Person 5 and Facility Person 6 may not work in a child care position or have any interaction with children at the facility until such time as the required PA and out of state clearances are on file for Staff Person 5 and Facility Person 6.

Regulation: 3270.35(b)(2)/3270.192(2)(iv)

Description: Bachelor's, 30 credits + 1 yrs/Transcript, diploma and letters

Noncompliance Area: During a renewal inspection 2/11/26-3/10/26 Staff Person 11 had a foreign degree that was evaluated to be equivalent to a bachelor's degree from an accredited college or university in the United States. Staff Person 11 did not have transcripts or other acceptable forms of documentation available to review to determine if they had at least 30 credit hours in early childhood education, child development, special education, elementary education or the human services field. Staff Person 11 did not have an experience working with children verified in the file.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During a renewal inspection on 2/11/26 Cert rep observed Lysol in an unlocked and accessible staff locker in the Light Green Room(Room 1). The Lysol was labeled "keep out of reach of children."

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: 3270.71

Description: Heat Source

Noncompliance Area: During a renewal inspection on 2/11/26 Cert rep observed the door between Room 5(Orange) and the kitchen which had a working stove was open and unlocked. The stove did not have any protective mechanism to prevent direct contact with the stove, or the knobs to turn the stove on.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: During a renewal inspection on 2/11/26 Cert rep observed the first aid kits in the following rooms were on shelves that would be accessible to the school age children who use these rooms: Room 1 (Light Green), Room 2(Blue), Room 3(Purple), and Room 5(Orange).

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.76/3270.102(a)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: During a renewal inspection on 2/11/26 Cert rep observed tears in the beige chair in Room 3(Purple Room), tears in the foam play pit in Room 6 (Rainbow Room), a rough edge from a broken piece of trim on the back wall of the right side of Room 6 (Rainbow Room), Frayed carpet on right side of Room 6 (Rainbow Room), tears in the changing mat in the men's bathroom used by room 8(Sky Blue Room) and room 9(Green Room), and holes which exposed the internal foam in the door frame cushion for the door to Room 9(Green Room). On 2/27/26 Cert rep observed splintering wood which created a rough edge on the wood trim around the raise section of the Side playground, a crack which caused a rough edge on the plastic bench in the front playground, and a crack which caused a rough edge on the yellow plastic bridge equipment on the front playground.

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.