A Plus Early Learning Center

3270.182(5) Consent for administration of minor first-aid required prior to admission

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

3270.171(a) Pick-up and drop-off points

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

3270.27(a)(5) Emergency plan

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

3270.124(b)(4)/3270.182(3) Written consent/Consent for emergency medical care required prior to admission

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

3270.124(b)(3) Parent home/work address, phone

“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.”

3270.77(a) No peeling paint or plaster

“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.”

3270.123(a)(3) Services proceeded

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

3270.131(d)(4)/3270.131(d)(7) Acute or chronic health problem/Free from contagious/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.”

3270.131(d)(3)/3270.133(8) Current medication and reason/Special diet - parent's instructions

“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.”

3270.131(d)(1)/3270.131(d)(8) Child's health history/Age appropriate screenings complete

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

3270.131(d)(5)/3270.131(e)(1) Immunization record/Exemption documentation from parent/guardian

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

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“The emergency plan does not address the continuity of operations.”

3270.27(a)(3)/3270.27(a)(4) Contact when arises/Contact when ended

“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.”

3270.27(b) Plan reviewed/updated annually

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

3270.131(c) Completed or signed by physician, PA, or CRNP

“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.”

3270.124(b)(7) Name/address/phone release person

“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.”

3270.124(b)(5) Information re: special needs

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

3270.124(b)(2) Physician name, address, phone

“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.”

3270.123(b)/3270.182(8) Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

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

3270.151(c)(1)/3270.151(c)(2) Physical examination/Mantoux TB

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

3270.65 Protective Outlet Covers 5 yrs. or less

“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.”

3270.24(a) Immediate access

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

3270.192(4) CPSL information

“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.”

3270.66(b) Original container

“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.”

3270.151(a)/3270.151(b) 12 months prior to service and every 24 months thereafter/Conducted by physician, PA or CRNP

“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.”

3270.76 Building Surfaces

“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).”

Correction date in the state record: Nov 5, 2024

3270.76 Building Surfaces

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

Correction date in the state record: Nov 5, 2024

3270.95(b) Director or designated staff person ensure compliance

“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.”

Correction date in the state record: Nov 7, 2024

3270.111(c) Promote development

“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.”

Correction date in the state record: Nov 15, 2024

3270.95(b) Director or designated staff person ensure compliance

“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.”

Correction date in the state record: Nov 7, 2024

3270.111(c) Promote development

“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.”

Correction date in the state record: Nov 15, 2024

3270.82(g) Clean and good repair

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

Correction date in the state record: Jan 10, 2024

3270.124(e) Written emergency plan posted

“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.”

Correction date in the state record: Dec 18, 2023

3270.131(c) Completed or signed by physician, PA, or CRNP

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

Correction date in the state record: Jan 8, 2024

3270.27(a)(6) Emergency plan

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

Correction date in the state record: Dec 19, 2023

3270.95(b) Director or designated staff person ensure compliance

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

Correction date in the state record: Oct 23, 2023

3270.14 Pertinent Laws & Regulations

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

Correction date in the state record: Dec 8, 2023

3270.27(e) Letter to parents

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

Correction date in the state record: Dec 18, 2023

3270.74 Emergency Numbers Posted

“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.”

Correction date in the state record: Dec 8, 2023

3270.76 Building Surfaces

“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.”

Correction date in the state record: Dec 22, 2023

3270.131(b)(2) Toddler/preschool: updated health report every 12 months

“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.”

Correction date in the state record: Dec 6, 2022

3270.76 Building Surfaces

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

Correction date in the state record: Nov 11, 2022

3270.95(b) Director or designated staff person ensure compliance

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

Correction date in the state record: Oct 27, 2022