Noahs Ark Child Center

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

There was a broken toilet in the 1st floor bathroom.

Corrected by Apr 30, 2026

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3270.14/3270.21 · 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.

Staff person #1 was observed to be caring for children unsupervised. Staff person #-1does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first- aid/CPR training expiration date of (9/18/23).

Corrected by Apr 13, 2026

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3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

There were 2 exposed screws coming off the floor mats in the playground.

Corrected by Apr 13, 2026

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3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff person#3 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 (3/25/21). Staff person#4 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 (12/30/20).

Corrected by Apr 8, 2026

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There was peeling paint on the bottom of the wall by the black board in room# 8. There was peeling paint on the yellow by the refrigerator in room # 6. There was damaged plaster on the wall between the supplies closet and the bathroom on the first floor. There was peeling paint on the stairway going down to the SA room.

Corrected by Apr 13, 2026

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3270.32(a)/3270.192(4) · 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. Facility Person #-2may not work in a child care position at the facility.

The file for staff #2 lacked Child Abuse clearance and contained a disclosure statement that was not dated.

Corrected by Apr 13, 2026

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3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

On 4/8/26 at 8:52 am, Staff #1 was working alone in room #7 with 11 preschool age children.

Corrected by Apr 8, 2026

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3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

There was a multiplug with an uncovered electrical outlet on top of a table accessible to children 5 years of age or younger in room #3.

Corrected by Apr 8, 2026

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3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

There was a babyganics moisturizing lotion and a Cashmere whipped oil butter label " keep out of reach of children". accessible to children in room #3.

Corrected by Apr 8, 2026

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3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

There was trash in a garbage can without plastic - lined in room #6.

Corrected by Apr 8, 2026

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3270.76 · 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.

There was a ripped window blind in room #8. The interlocking mats in the playgrounds were not securely connected creating gaps between sections creating a potential tripping hazard. Also, debris and leaves were observed on the playground surface.

Corrected by May 8, 2026

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3270.113(a) · 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.

On 4/8/26 at 8:53 am, in room #7, staff #1 was supervising 11 preschool age children. Staff #1 left the room to take 1 child to another room. During that time, the other 10 preschool aged children in room #7 were unsupervised.

Corrected by Apr 8, 2026

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3270.113(a)(1) · 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.

On 4/8/26 at 8:53 am, in room #7, staff #1 was supervising 11 preschool age children. Staff #1 left the room to take 1 child to another room. During that time, the other 10 preschool aged children in room #7 were unsupervised.

Corrected by Apr 8, 2026

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3270.135(a)(3) · 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.

In room #3, a soiled diaper was disposed of in a trash can that was not hands-free.

Corrected by Apr 8, 2026

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3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff #2 lacked proof of education.

Corrected by Apr 8, 2026

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3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility emergency plan lacked accommodations for, toddlers.

Corrected by Apr 13, 2026

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3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility emergency drill was not conducted annually. According to the emergency drill log the last emergency drill was conducted on 9/17/24.

Corrected by Apr 13, 2026

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3270.95(a)/3270.95(b) · 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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 1/26/26 to 4/8/26.

Corrected by May 13, 2026

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3270.75(a) · A first-aid kit shall be in a child care space.

The S/A room and room #6 lacked a first-aid kit.

Corrected by Sep 3, 2025

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff person # 3 has not completed the following required pre-service training within 90 days of the date of hire (see LIS code sheet): Pediatric First Aid and CPR training.

Corrected by Oct 1, 2025

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3270.32(a)/3270.192(4) · 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.

The file for staff #4 contained a current State Police clearances dated 4/9/25 that was not renewed within 60 months from the previous State Police clearances dated 2/12/20. The file for staff #4 contained a current Child Abuse clearances dated 4/16/25 that was not renewed within 60 months from the previous State Police clearances dated 2/28/20. The file for staff #4 contained a current FBI clearances dated 4/23/25 that was not renewed within 60 months from the previous FBI clearances dated 2/22/20. The file for staff #4 contained a current NSOR clearances dated 4/10/25 that was not renewed within 60 months from the previous NSOR clearances dated 11/6/19. The file for staff # 5 contained a current State Police clearances dated 4/9/25 that was not renewed within 60 months from the previous State Police clearances dated 2/12/20. The file for staff #4 contained a current Child Abuse clearances dated 4/16/25 that was not renewed within 60 months from the previous State Police clearances dated 2/28/20. The file for staff #4 contained a current FBI clearances dated 4/17/25 that was not renewed within 60 months from the previous FBI clearances dated 2/28/20.

Corrected by Oct 1, 2025

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3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff person # 2 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 (1/20/19).

Corrected by Oct 1, 2025

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3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

There was a Febreze Gain can on top of a changing table label " Keep out of reach of children" accessible to children in the 2nd-floor bathroom.

Corrected by Oct 1, 2025

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3270.76 · 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.

There was a hold with sharp edges on a yellow radiator cover in room #6. The carper trim edge was lifted creating a tripping hazard in the SA room. There were 2 sharp metals sticking out close to the door in the gym.

Corrected by Sep 5, 2025

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There was peeling paint and damaged plaster on the stairs window frame. There was peeling paint by the emergency door in the SA room. There was peeling plaster under the window in the first-floor bathroom.

Corrected by Sep 3, 2025

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3270.102(a) · 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.

There was a broken toy boat, a recorder with broken bottoms, a cracked bin and a broken tag with sharp edges in room # 8. There were two cracked bins in room # 6. There was a ripped toy baby carrier in room #5. There were two cracked bins and one cracked lid in the S/A room.

Corrected by Oct 1, 2025

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3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

There was a baby sleeping in a car seat that was placed in a crib in the infant room. There was a toy hanging in the crib while the baby was sleeping.

Corrected by Oct 1, 2025

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3270.123(a)(3) · 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 in § 3270.124(f) (relating to emergency contact information).

The file for child #1 lacked CRS. 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.

Corrected by Oct 6, 2025

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3270.123(b)/3270.182(8) · 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.

The file for child # 3 and 7 contained a n original agreement form.

Corrected by Oct 1, 2025

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3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The file for child #3 lacked information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Corrected by Oct 1, 2025

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3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The file for child # 3 lacked health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected by Oct 1, 2025

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3270.124(f)/3270.181(c) · 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.

The file for children, # 1,2,4,5 and 6 lacked an updated emergency contact form and agreement form at least once in a 6-month period.

Corrected by Oct 6, 2025

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3270.131(e)/3270.131(e)(3) · 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. 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). Child # 4 must be dismissed from care by close of business 9/3/25 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

The file for child# 4 lacked an immunization record.

Corrected by Oct 1, 2025

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3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

The Albuterol Sulfate Inhalation Aerosol for child #8 was expired . the expiration date was 10/24.

Corrected by Oct 1, 2025

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3270.151(a) · 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.

The file for staff # 1 contained a current health report dated 8/19/25 that was not obtained within 24 months of the previous report dated 7/11/23.

Corrected by Oct 1, 2025

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3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

There was a bag with wheels for a refrigerator and a cup with 2 screws on top of the desk in room # 6.

Corrected by Sep 13, 2024

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3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #1 will have until 9/28/24 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 , staff person #1 may not work in a child-care position at the facility.

Staff # 1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety, and Mandated Reporter Training.

Corrected by Sep 19, 2024

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3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

There was one uncovered electrical outlet in room #6 accessible to children 5 years of age or younger. There was one uncovered electrical outlet in room #3 accessible to children 5 years of age or younger.

Corrected by Sep 13, 2024

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3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

There was a bottle of Cleanstate Oxnard cleaner, and a bottle of Febreze Aerosol labeled, "keep out of reach of children" accessible to children in the K prep bathroom. There was a bottle of hand sanitizer labeled, "keep out of reach of children" accessible to children in room # 5. There were 2 bottles of hand sanitizer labeled, "keep out of reach of children" accessible to children in room # 6. There was a bottle of hand sanitizer labeled, "keep out of reach of children" accessible to children on top the table at the lobby.

Corrected by Sep 13, 2024

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3270.66(a)/3270.66(d) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toxic plants are not permitted in a child care space.

There were toxic plans accessible to children in room # 8. There were 2 Peace Lily plants, 1 Dieffenbachia, 3 Spathiphyllum Wallisii and 2 Kalanchoe and 1 Devil Vine/Golden Pthos.

Corrected by Sep 13, 2024

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3270.76 · 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.

There was a missing ceiling tile that expose damage on the roof structure and plaster in the green closet in the SA room. There was a wall with water damaged in the closet by the SA bathroom.

Corrected by Oct 25, 2024

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3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

There was a sink in the SA bathroom that lacked washing hands signs posted.

Corrected by Sep 13, 2024

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3270.102(a) · 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.

There were 12 foam blocks with teeth marks in room #4.

Corrected by Sep 13, 2024

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3270.123(b)/3270.182(8) · 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.

The file for child # 1 contained an original Agreement form.

Corrected by Sep 17, 2024

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3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The file for child # 2 a preschooler contained a current health report dated 12/23/23. The report was obtained after 12 months, the prior report was dated 10/15/21. The file for child # 3 a preschooler contained a current health report dated 3/6/23. The report was obtained after 12 months, the prior report was dated 2/15/22.

Corrected by Sep 13, 2024

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3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file for child #3 contained a current health report that lacked the statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected by Sep 13, 2024

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3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

The EPI Pen injection medication for child # 4 was expired. The medication expiration date was 4/24.

Corrected by Sep 13, 2024

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3270.151(a) · 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.

The file for staff # 2 contained a current health report dated 8/12/23. The previous report was dated 4/28/21. The file for staff # 3 contained a current health report dated 8/17/24. The previous report was dated 5/15/22.

Corrected by Sep 13, 2024

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3270.95(a)/3270.95(b) · 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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

According to the fire detection log, the system was not tested at least every 30 days between 1/4/24 to 2/27/24, 2/27/24 to 4/22/24, 4/22/24 to 6/19/24, and 6/19/24 to 8/14/24.

Corrected by Sep 13, 2024

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3270.14/3270.21 · 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. Until such time as the required pre-service trainings are completed, staff persons #4 and #23 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #4 and #23, staff persons #4 and #23 may not work in a child-care position at the facility. Staff Person #7 will complete the updated 1 hour health and safety training by October 14, 2023.

Staff person #4 and #23 were observed to be caring for children unsupervised. Staff person #4 and #23 have not completed the following pre-service training required prior to caring for children unsupervised: 3270.31(f)(1-9). The file for Staff Person #23 also lacked completion of their mandated reporter training. The files for Staff Persons #1, #3, #5, #7, #10, #11, #12, #13, #14, #15, #16, #17, #18, #19, #20, and #21 lacked completion of the updated 1 hour health and safety trainings required by 12.30.22. The updated health and safety trainings on file for #1, #3, #5, #10, #11, #12, #13, #14, #15, #16, #17, #18, #19, #20, and #21 were completed in March 2023.

Corrected by Oct 2, 2023

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3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

The fire safety trainings on file for Staff Person #5 exceeded 12 months between trainings on 7.20.22 and 9.15.23.

Corrected by Oct 9, 2023

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3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 - 10), within 90 days of hire. Staff persons #4 will have until October 14, 2023 to complete the required training. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire 3270.31(f)(1-9). The files for Staff person #9 lacked completion of their 10 hour health and safety training within 90 days of starting at the facility. The health and safety training on file for Staff Person #9 was completed 325 days after starting at the facility.

Corrected by Oct 9, 2023

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 and #2 may not work in a child care position at the facility.

The mandated reporter training on file for Staff Person #9 was not completed within 90 days of their date of hire (see LIS code sheet). The training was completed 321 days after starting at the facility. The updates to the mandated reporter training on file for Staff Person #1 exceeded 60 months between trainings dated 1.4.18 and 8.15.23. The file for Staff Person #1 lacked a current FBI Clearance. The FBI Clearance on file expired on 1.9.2023. The file for Staff Person #2 lacked verification that they had been fingerprinted for their FBI Clearance prior to starting at the facility. The file for Staff Person #2 also lacked verification that they requested their Child Abuse Clearance prior to starting at the facility. A completed Child Abuse was dated 7 days after starting at the facility. The file for Staff Person #9 lacked verification that they had completed a request for their Child Abuse Clearance prior to starting at the facility. The completed Child Abuse Clearance was dated 326 days after starting at the facility.

Corrected by Oct 9, 2023

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3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The file for Staff Person #7 lacked a written evaluation that had been completed by the Director.

Corrected by Oct 9, 2023

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3270.102(a) · 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.

In Classroom #5 one cracked bin with a potential pinch point was observed. In Classroom #7 one cracked Sterlite drawer containing items for the children was observed to have a crack which caused a sharp edge.

Corrected by Oct 9, 2023

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3270.124(b)(1) · Emergency contact information must include the name and birth date of the child.

The date of birth listed on the emergency contact form for Child #3 was incorrect. This was evidenced by the date of birth listed on the health reports and confirmed with the staff person in charge at the time of the inspection.

Corrected by Oct 9, 2023

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3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact form for Child #5 lacked the policy number for the child's health insurance.

Corrected by Oct 9, 2023

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3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

An emergency contact form was missing for a child receiving care in the Infant Classroom.

Corrected by Oct 9, 2023

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3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The file for Child #1, a preschooler, lacked an updated health report that had been completed within the last 12 months. The last health report on file for Child #1 was dated 8.25.22.

Corrected by Oct 9, 2023

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3270.131(d)(5)/3270.131(e)(3) · 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).

The files for Children #4, #5 and #6 lacked verification that the children had received a current influenza vaccination as recommended by the ACIP. Written exemptions were not on file at the time of the inspection.

Corrected by Oct 9, 2023

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3270.135(a)(3) · 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.

Three small bags containing soiled diapers were observed on a plastic mat outside of Classroom #4. Upon discussion soiled diapers are not being discarded by placing them into the plastic-lined, hands-free covered can in place at the changing table inside Classroom 4.

Corrected by Oct 9, 2023

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3270.151(a) · 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.

The updates to the health assessments on file for Staff Person #1 exceeded 24 months between examinations on 1.4.18 and 8.15.23. The updates to the health assessments on file for Staff Person #13 exceeded examinations on 7.26.21 and 9.13.23. The updates to the health assessments on file for Staff Person #14 exceeded examinations on 7.19.21 and 8.11.23.

Corrected by Oct 9, 2023

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3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The file for Facility Person #8 lacked a tuberculosis screening within 12 months prior to returning to the facility as a Substitute Facility Person.

Corrected by Oct 9, 2023

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3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment on file for Staff Person #5 lacked information that they had been examined for communicable diseases and the results of that examination and the physician's assessment of their suitability to provide child care.

Corrected by Oct 9, 2023

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3270.163(b) · Breakfast prepared at the facility for children of toddler age or older shall have at least one item from three of the following four food groups: dairy, protein, fruit and vegetable, grain.

The breakfast served at the facility on the day of the inspection (cereal, toast and milk) lacked one of the required three of the four food groups. A review of the breakfast menu indicated that the children are served two servings of grain with milk each day for breakfast. The children are not served a fruit / vegetable or a protein at breakfast.

Corrected by Oct 9, 2023

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3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Staff Person #22 lacked verification of education and experience to qualify them for the position they were reported to be performing.

Corrected by Oct 17, 2023

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3270.25(a) · 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.

The current Certificate of Compliance was not posted in a conspicuous location. The Certificate of Compliance posted expired on 12.2.22.

Corrected by Oct 9, 2023

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3270.131(a) · 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.

The files for Children #5 and #7 lacked an initial health assessment within 60 days of starting at the facility. The initial health assessment on file for Child #5 was dated 271 days after starting at the facility.

Corrected by Oct 9, 2023

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3270.123(a) · An agreement shall be signed by the operator and the parent.

The file for Child #3 lacked an agreement that had been signed by the parent and the operator.

Corrected by Oct 5, 2022

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The updates to the mandated reporter training for Facility Person #4 exceeded 60 months. The trainings on file were dated 8.29.16 and 8.13.22.

Corrected by Sep 27, 2022

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3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit in classroom #9 was observed to be missing scissors.

Corrected by Sep 27, 2022

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3270.14/3270.21 · 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.

The emergency plan lacked information related to the continuity of operations in the event of a disaster.

Corrected by Oct 6, 2022

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3270.14/3270.21 · 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. Until such time as the required pre-service trainings are completed, staff person # 1, #2, #3, #4, #6, #7, #8, #9, #10 and #12 must be supervised, when interacting with children by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #1, #2, #3, #4, #6, #7, #8, #9, #10 and #12, staff persons # 1, #2, #3, #4, #6, #7, #8, #9, #10 and #12 may not work in a child-care position at the facility.

Staff persons #1, #2, #3, #4, #6, #7, #8, #9, #10 and #12 were observed to be caring for children without direct supervision of a Staff Person with the required Pediatric First Aid and CPR curriculum conducted by a PQAS instructor. Staff persons #1, #2, #3, #4, #6, #7, #8, #9, #10 and #12 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid and CPR in an approved curriculum conducted by a PQAS instructor.

Corrected by Oct 3, 2022

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3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #14 will have until October 15, 2022 to complete the required training. Until such time as the required training has been completed, staff person #14 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff available to supervise staff person #14, staff person #14 may not work in a child-care position at the facility.

Staff person #14 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 3270.31(f)(1-9). The health and safety training on file was the 6 hour training and it was not completed within the acceptable time frame which required them to complete the 10 hour training prior to 4/29/22.

Corrected by Oct 7, 2022

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3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact form for Child #1 lacked the policy number for the child's health insurance.

Corrected by Oct 5, 2022

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3270.124(b)(7) · 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.

The emergency contact form for Child #6 lacked the address and telephone number for 1 and the complete addresses for the other release persons listed.

Corrected by Oct 5, 2022

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3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The file for Child #7, a preschool age child, lacked a health assessment that had been completed within the last 12 months. The last dated health assessment was 5.25.21.

Corrected by Oct 5, 2022

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3270.131(e) · 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.

The file for Child #1 lacked a copy of the child's immunization record within 60 days of starting at the facility.

Corrected by Sep 30, 2022

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3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

An expired Children's Tylenol was observed in Classroom #8.

Corrected by Sep 27, 2022

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3270.181(c) · 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.

The updates to the emergency contact forms for Children #1, #2 and #4 have exceeded 6 months since last dated review and update. The last update for Child #1 was 8.24.20, Child #2 was 8.31.21 and Child #4 was 2.15.22.

Corrected by Oct 5, 2022

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file for Staff Person #4 lacked 12 hours of annual training during their required year of training. The file for Staff Person # 12 lacked 9 of their 12 hours of annual training during their required year of training.

Corrected by Oct 30, 2022

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3270.131(a) · 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.

The files for Children #1, #5 and #6 lacked an initial health assessment within 60 days of starting at the facility.

Corrected by Oct 7, 2022

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3270.171(a) · 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.

Verification that the facility had submitted an annual letter to their local traffic safety authority was not on file at the time of the inspection.

Corrected by Oct 6, 2022

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3270.31(f)(1) · Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13 and #14 will have until 10/15/2022 to complete the required training. Until such time as the required training has been completed, staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13 and #14 must be supervised, when interacting with children, by a AGS, who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13 and #14, staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13 and #14 may not work in a child-care position at the facility.

Staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13 and #14 has not completed the following required pre-service training: Pediatric First Aid and CPR training in an approved curriculum with a PQAS trainer.

Corrected by Oct 3, 2022

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3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Observed a Pack n Play being used as a physical barrier across the exit doorway from the infant room to the facility lobby.

Corrected by Sep 21, 2021

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3270.95(a)/3270.95(b) · 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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

At the time of inspection, the facility was unable to produce a log of the monthly testing of the fire detection system.

Corrected by Oct 5, 2021

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3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

In the Upstairs Pre K 2 classroom two pairs of adult scissors were observed on the teacher desk and were accessible to children receiving care in the space.

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3270.27(c) · 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.

The emergency plan training on file for Facility Person's #9 and #10 lacked a date of training to allow verification that it was completed within the first week of starting at the facility.

Corrected by Apr 6, 2022

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3270.32(a)/3270.192(4) · 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 #2 may not work at the facility until a valid NSOR is on file at the facility.

The file for staff person #2 lacks an NSOR. The files for Facility Person's #9 and #10 lacked the current disclosure statement. The disclosure statement on file for Facility Person #9 lacked a date of signature. The file for Facility Person #10 lacked verification that they had requested their PA Child Abuse and NSOR Certificate prior to starting at the facility.

Corrected by May 6, 2022

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3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The two most recent verification of mandated reporter trainings on file for staff person #3 and staff person #8 are dated in an interval greater than 5 years or 60 months.

Corrected by Apr 27, 2022

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3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

The garbage can in place at the sink in the Downstairs School Age Classroom and in the Downstairs school age restroom lacked a lid on the garbage can.

Corrected by Apr 6, 2022

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3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

A bench was observed to be in place in front of the doors leading outside from the indoor gym which resulted in the egress being blocked.

Corrected by Apr 5, 2022

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3270.102(a) · 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.

In the 2's Classroom one cracked bin resulting in a sharp edge was observed.

Corrected by Apr 5, 2022

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3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The refrigerator in the Upstairs K Prep 2 classroom was missing an operable thermometer.

Corrected by Apr 5, 2022

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3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The file for child #1 lacks verification of a current Hepatitis A vaccine administered in accordance with the scheduled recommended by the ACIP. The file for child #2 lacks verification of a current Polio and a current Hepatitis A vaccine administered in accordance with the schedule recommended by the ACIP.

Corrected by May 6, 2022

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3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

An Epipen and a bottle of Cetirizine were observed in the medicine box in the K Prep 1 Classroom. The medication lacked written parental consent for administration.

Corrected by Apr 6, 2022

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3270.151(a) · 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.

The two most recent health assessments on file for staff persons #4, #5, and #8 are dated in an interval greater than 24 months.

Corrected by Apr 27, 2022

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3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The file for staff person #1 lacks the results of tuberculosis screening by the Mantoux method at initial employment.

Corrected by Apr 27, 2022

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3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

The file for Facility Person #9 lacked two written nonfamily references recommending them for a child care position at the facility.

Corrected by Apr 6, 2022

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3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Documentation that the facility had participated in an annual emergency drill prior to 12.19.21 was not on file.

Corrected by May 5, 2022

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3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The file for staff persons #1, #3, #4, #5, #6 #7, and #8 contains verification of pediatric first aid and CPR training completed after 06/17/21, the date training was required to be completed. The files for Facility Person's #9 and #10 lacked completion of the required Pediatric First Aid and CPR training within 90 days of starting at the facility.

Corrected by May 5, 2022

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3270.95(a)/3270.95(b) · 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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Documentation of testing shows testing of the system in January and February of 2022. Documentation of annual testing prior to January 2022 or in March 2022 was not on file.

Corrected by Apr 6, 2022

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