Our Buddys Place

Regulation: 3270.123(b)/3270.182(8)

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

Noncompliance Area: The file for Child #1 contained the original financial agreement when the parent is to receive the original agreement.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact forms for Child #6 lacked the name of the child's physician or source of 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(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact forms for Child #6 lacked the child's health insurance/MA policy number for the child's health care benefits.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The two most recent parent review and signatures for the emergency contact forms on file for Child #2 (7/9/25 & 2/17/26), Child #5 (1/8/25 & 10/28/25), and Child #8 (7/9/25 & 2/8/26) are dated 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)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The most recent health assessment on file for Child #3 (Young Toddler) is dated 7/30/25, more than 6 months prior. The most recent health assessment on file for Child #5 (Young Toddler) is dated 8/18/25, more than 6 months prior.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

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 #6 (Older Toddler) are dated 1/15/25 & 4/1/26, more than 12 months apart. The two most recent health assessments on file for Child #7 (Preschool Age) are dated 9/24/24 & 11/13/25, 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: The immunization record for Child #3 (YT) lacked the following immunizations: 1 dose of DTAP, 1 dose of HiB, and 1 dose of Pneumococcal without a Letter of Exemption in the file. The immunization record for Child #4 (OT) lacked the following immunizations: 1 dose of Hepatitis A without a Letter of Exemption in the file. The immunization record for Child #6 (OT) lacked the following immunizations: 1 dose of DTAP, 1 dose of HiB, 1 dose of Pneumococcal, 1 dose of MMR, 1 dose of Varicella, and 2 doses of Hepatitis A without a Letter of Exemption in the file. Child #3, Child #4, and Child #6 must be dismissed from care by close of business on 4/13/26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

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).

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: In the Older Toddler Room, an Epi-Pen labeled for Child #9 was observed with an expiration date of 11/2025. In the Toddler Room, an Epi-Pen labeled for Child #10 was observed with an expiration date of 3/2026.

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

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 two most recent health assessments on file for Staff #5 (11/27/23 & 2/17/26) and Staff #8 (5/22/23 & 11/5/25) are dated 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: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The health assessment on file for Staff #1, dated 3/16/26, does not include the physician or health care professional's assessment of the staff person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The most recent annual traffic letter on file at the facility was dated 11/14/24, more than 12 months prior.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The two most recent parent review and signatures for the financial agreement forms on file for Child #2 (7/9/25 & 2/17/26), Child #5 (1/8/25 & 10/29/25), and Child #8 (7/9/25 & 2/8/26) are dated more than 6 months apart.

Correction Required: 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The most recent emergency plan training on file for Staff #6 is dated 11/6/23, more than 12 months prior.

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 and kept on file at the facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff Person #3 contained 0 of 12 annual childcare training hours within the training timeframe of 6/2024-6/2025.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff #2 did not complete the following required pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): PA Required Health and Safety for Centers-Group Child Care Part 2. The training was completed on 4/13/26.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.