A Plus Early Learning Center Inc

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 does not address the continuity of operations.

Corrected by Dec 19, 2025

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3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Child #'s 4 and 6's child health reports do not include a signature by the physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Corrected by Dec 23, 2025

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3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The emergency plan does not provide a method to inform parents when an emergency begins, when it ends and instructions for how to safely be reunited with their children.

Corrected by Dec 19, 2025

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3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

There is no documentation that the emergency plan was reviewed annually.

Corrected by Dec 22, 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.

It was observed in the school-age bathroom, there is peeling paint on the windowsill. It was observed in the school-age classroom, there is peeling paint on the second windowsill on the long wall. It was observed in the preschool classroom, there is peeling paint on the ductwork above the table.

Corrected by Oct 18, 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).

Child #2's financial agreement does not include information on services provided.

Corrected by Nov 14, 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.

Child #1's file contained the original agreement between the parent and operator.

Corrected by Oct 16, 2025

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3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Child #3 and 5's emergency contact forms do not include the address of the physician/medical care. Child #2's emergency contact forms do not include the phone number of the physician/medical care.

Corrected by Oct 20, 2025

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3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Child#1's emergency contact forms do not include the enrolling parents' home address. Children #1, 3, 5, and 6's emergency contact forms do not include the enrolling parents' work address. Children #1, 2, 3, 5, and 6's emergency contact forms do not include the enrolling parent's work phone number.

Corrected by Dec 1, 2025

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3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Child #3's emergency contact form does not include written consent signed by a parent for emergency medical care.

Corrected by Nov 26, 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.

Child #6's emergency contact form does not include information about special needs.

Corrected by Oct 20, 2025

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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.

Child #1's emergency contact form does not include the release person's address and phone number. Child #3's emergency contact form does not include the release person's phone number. Child # 5 and 6's emergency contact form does not include the release person's name, address or phone number.

Corrected by Nov 21, 2025

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3270.131(d)(1)/3270.131(d)(8) · A health report shall include a review of the child's health history. A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Children # 4 and 6's files do not include a health history report, or a report on age-appropriate screenings.

Corrected by Jan 30, 2026

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3270.131(d)(3)/3270.133(8) · A health report shall include a list of the child's current medication and the reason for the medication. If a special diet is prescribed for a child and if the diet is administered to the child, written instructions and the parent's written consent shall be retained in the child's file.

Children #4 and 6's files do not include a health report including a list of the child's current medication or information on if a special diet is prescribed.

Corrected by Dec 23, 2025

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3270.131(d)(4)/3270.131(d)(7) · A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning. 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.

Children #4 and 6's files do not include a health report on acute or chronic health problems, or special needs. Children #4 and 6's file do not include 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.

Corrected by Jan 30, 2026

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3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

Child #3's child health report does not include a review of the child's immunizations.

Corrected by Dec 23, 2025

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3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Child #3's emergency contact form does not include written consent for minor first aid.

Corrected by Nov 26, 2025

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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 emergency plan and parent letter do not address accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected by Dec 19, 2025

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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.

There was no documentation to support that the operator notified the local traffic safety authorities annually.

Corrected by Dec 22, 2025

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3270.24(a) · A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

Staff #1 did not have access to the staff files.

Corrected by Jul 9, 2025

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

It was observed that protective outlet covers were missing upstairs under the basketball game, to the right of the mini fridge, and the outlet where the phone is plugged in.

Corrected by Jul 9, 2025

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3270.66(b) · 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 stored away from food, food preparation areas and child care spaces.

It was observed that there was a spray bottle with clear liquid that was not labeled; on top of the cabinet in the corner behind the steps.

Corrected by Jul 9, 2025

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3270.151(a)/3270.151(b) · 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.

Staff person #1's file does not include a health assessment prior to working with children. On 7/8/25, staff person #1 was observed working with children.

Corrected by Jul 28, 2025

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3270.151(c)(1)/3270.151(c)(2) · An adult health assessment must include a physical examination. 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.

Staff person #1's file does not include a health assessment complete with a physical examination or tuberculosis screening.

Corrected by Jul 28, 2025

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3270.192(4) · 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 #1 may not work in a child care position at the facility.

Staff person #1 did not obtain the NSOR before working with children. Date of hire was 7/1/25, and the date of the NSOR was 7/18/25. On 7/8/25, staff person #1 was observed working with children.

Corrected by Jul 18, 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.

During the inspection of the physical site in the outside play area, protruding bolts were observed on the fencing surrounding the area.

Corrected by Nov 5, 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.

During the inspection of the physical site in the outside play area, splintering wood was observed on the fencing surrounding the area (approximately the 15th board of the wooden fencing).

Corrected by Nov 5, 2024

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3270.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Staff person #1 confirmed that staff person would 'soothe ' the child by placing staff person's fingers in and around the child ears to tickle the child. Staff person #1 also tapped the child's forehead as a technique to promote positive behavior.

Corrected by Nov 15, 2024

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

Upon inspection of the facility fire safety logs, the provider (staff #1) tested the smoke detectors on 1.4.24 and again on 2.6.24 (33 DAYS); also, on 3.5.24 and again on 4.15.24 (41 DAYS) which is greater than the allowable 30 days between testing dates.

Corrected by Nov 7, 2024

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3270.14 · 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.

Facility person #1, #2, #3, #4 has not completed the required one hour Pennsylvania health and safety update 2022 by December 30, 2022.

Corrected by Dec 8, 2023

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3270.27(e) · 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.

The letter provided to families regarding emergencies at the facility did not include procedures for emergency lock-down.

Corrected by Dec 18, 2023

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3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

It was observed in the 1st floor Room 1 and Room 2 that the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not posted by each telephone in the child care spaces.

Corrected by Dec 8, 2023

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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.

It was observed on the playground that there was a broken fence board with exposed rusty nails, a lawnmower accessible to children, a very broken, cracked and sharp recycling can, an open gate with steps to the 2nd floor and loose wires protruding from the wall posing potential hazards to the children.

Corrected by Dec 22, 2023

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

It was observed in the school age room that the small toilet in the bathroom did not flush.

Corrected by Jan 10, 2024

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3270.124(e) · 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.

It was observed that there was not 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 any of the classroom child care spaces.

Corrected by Dec 18, 2023

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3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

The health assessment on file for Child #1 did not include a signature from a physician, physician's assistant or a CRNP.

Corrected by Jan 8, 2024

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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.

It was observed that an emergency drill was not conducted and documented annually at the facility.

Corrected by Dec 19, 2023

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

It was observed that the facility director did not ensure that the facility fire alarm system was tested and documented every 30 days.

Corrected by Oct 23, 2023

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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.

It was observed on the Playground that there were rusty nails and screws exposed on broken, loose boards accessible to children.

Corrected by Nov 11, 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 #1 did not include an updated child health assessment conducted every 12 months. The health assessment on file was dated 9/3/2020.

Corrected by Dec 6, 2022

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

The facility director did not ensure that the fire alarm system testing was completed and documented every 30 days.

Corrected by Oct 27, 2022

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