Lightbridge Academy

3270.61(h)(2)(i)/3270.61(h)(2)(ii) · The capacity established for an indoor space may be exceeded for no more than two separate 1/2 hour time periods daily when older toddler, preschool or school-age children are participating in a program activity. When the number of older toddler, preschool or school-age children participating in a program activity exceeds the capacity of the child care space each time period shall be designated on the facility's schedule of daily activities. TIERED LIS 1. The capacity established for an indoor space may be exceeded for no more than two separate 1/2 hour time periods daily when older toddler, preschool or school-age children are participating in a program activity. When the number of older toddler, preschool or school-age children participating in a program activity exceeds the capacity of the child care space each time period shall be designated on the facility's schedule of daily activities. This portion of the plan shall have an immediate correction date. 2. The legal entity must post the classroom capacities in a conspicuous location in all child care spaces and staff must be made aware of the room capacities. The operator shall provide a correction date for when the room capacities will be posted in each child care space.

An unannounced inspection was conducted 3/26/26. At that time, the measured room capacity in Room 8 was exceeded by 2 children. Room 8 has a measured capacity of 16 children. At 1:00pm, staff stated that they had 18 children in care since about 10:00am, which exceeds 2 half hour periods. Staff stated that there were 18 children in Room 9 from 9:10am-10:00am when a child was moved to another classroom. The measured room capacity for Room 9 is 17 children. The daily schedule does not indicate a time when the capacity of the indoor child care space will be exceeded in either room.

Corrected by Apr 6, 2026

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3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/22/25, the staff files were reviewed. Staff Person #4 did not update their pediatric first aid and cpr training prior to the expiration date of 4/2025. This was evidenced by the pediatric first aid and cpr trainings on file being dated 4/28/23 and 6/14/25.

Corrected by Jul 22, 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. Staff Person #3 may not work in a child care position at the facility until a complete PA State Police Clearance is on file.

A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/22/25, the staff files were reviewed. The current PA State Police Clearance on file for Staff Person #3 dated 8/3/21 was in review status. The completed clearance was not on file.

Corrected by Jul 22, 2025

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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.

A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/22/25, the staff files were reviewed. The following staff did not have staff evaluations completed within their past year of employment: Staff Person #5 and Staff Person #6.

Corrected by Jul 25, 2025

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3270.72(c) · Screens shall be in good repair.

A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/18/25, a hole was observed in the screen of the middle window in the Khaki Kangaroos. The staff stated that this window is open for ventilation on nice days.

Corrected by Jul 22, 2025

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3270.35(b)(1) · A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/22/25, the staff files were reviewed. The file for Staff Person #1, a group supervisor, had a Bachelor's Degree on file, but it was unknown what field of study the degree was in and whether or not it would qualify the staff as a group supervisor. The file for Staff Person #2, a group supervisor, had a Bachelor's Degree on file, but it was unknown what field of study the degree was in and whether or not it would qualify the staff as a group supervisor. The file for Staff Person #6, a group supervisor, had a high school diploma on file, but no verification of high education or experience to qualify the staff as a group supervisor.

Corrected by Jul 25, 2025

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3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/22/25, the staff files were reviewed. The file for Staff Person #7, an assistant group supervisor, had a high school diploma on file, but no verification of experience to qualify the staff as an assistant group supervisor.

Corrected by Jul 22, 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.

A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/18/25, an uncovered electrical outlet approximately twelve inches high was observed in the Yellow Ducks Room, where it was accessible to the preschool children in care.

Corrected by Jul 18, 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.

A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/18/25, Banana Boat Sunscreen was observed in a cubby approximately 30 inches high in the Blue Horses Room where it was accessible to the children in the room. ThinkBaby Sunscreen and Coppertone Sunscreen were observed in a cubby approximately 30 inches high in the Brown Bears Room where they were accessible to the children in the room. Hello flouride toothpaste was observed in a cubby approximately 30 inches high in the Teal Turtles Room where it was accessible to the four five-year-old children in the room. Neutrogena sunscreen was observed in a cubby approximately 30 inches high in the Orange Giraffes Room where it was accessible to the children in the room. All sunscreen was labeled "keep out of reach of children." The toothpaste was labeled "keep out of reach of children under age six."

Corrected by Jul 18, 2025

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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.

A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/18/25, an unlidded trash can was observed in the Yellow Ducks Room. The trash can contained discarded tissues and food items.

Corrected by Jul 21, 2025

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3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/18/25, Ziplock bags were observed in a cubby approximately 30 inches high in the Orange Giraffes Room and Purple Cats Room where they were accessible to the toddler children in the room who staff said are still placing objects in their mouths.

Corrected by Jul 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).

A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/18/25, the child files were reviewed. The most recent child service report on file for Child #2 was dated 12/6/24.

Corrected by Jul 22, 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.

A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/18/25, the child files were reviewed. The emergency contact forms for Child #1, Child #3, Child #4, Child #5, Child #6, Child #7, and Child #10 did not include the business phone number of the parents. The emergency contact forms for Child #2 and Child #8 did not include the business phone number and business address of the parents.

Corrected by Jul 22, 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.

A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/18/25, the child files were reviewed. The emergency contact forms for Child #8 and Child #9 did not include the address of the release person.

Corrected by Jul 22, 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.

A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/18/25, the child files were reviewed. The emergency contact form and fee agreement of Child #6 had not been updated within six months. This was evidenced by the dates of the updates on the forms: 6/9/24 and 3/1/25.

Corrected by Jul 22, 2025

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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.

A renewal inspection was conducted on 7/18/25 and 7/22/25. On 7/22/25, the staff files were reviewed. The file for Staff Person #5 only contained one letter of reference.

Corrected by Jul 25, 2025

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3270.113(b)/3270.113(d) · A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use harsh, demeaning or abusive language in the presence of children. TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use harsh, demeaning or abusive language in the presence of children. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for Staff Person #1 to complete two hours of training on managing your emotions and/or positive guidance/appropriate discipline for children. The legal entity must receive approval of the training from the Regional Office prior to the staff completing the training. The operator shall provide a correction date for when the training will be completed.

On 3/21/25, a parent viewed a live action video showing two children playing under a table. Staff Person #1 shoved the table away from the children. When Child #1 stood up and leaned against the table, Staff Person #1 roughly grabbed Child #1 by the arm and pulled the child to another area of the room. During the investigation of this incident at the facility, it was found that Staff Person #1 has on other occasions, roughly grabbed the children by the wrist or bicep and pulled them to another area of the room while the child stumbled to keep up and has yelled harshly enough for the older toddlers to cry or seek out another staff for comfort.

Corrected by Apr 16, 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. Staff Person #3 may not work in a child care position at the facility until an updated FBI Clearance is on file at the facility. Staff Person #5 may not work in a child care position at the facility until an updated NSOR certificate is on file at the facility.

A renewal inspection was conducted 7/15/24 and 7/29/24. At that time, the staff files were reviewed. The mandated reporter training for Staff Person #1 had not been updated within 60 months. The mandated reporter training on file for Staff Person #1 is 9/22/18. The PA state police clearance, PA child abuse clearance, and the DHS FBI Clearance for Staff Person #2 had not been updated within 60 months. The dates of the PA state police clearance for Staff Person #2 were 8/31/18 and 3/12/24. The dates of the PA child abuse clearance for Staff Person #2 were 9/10/18 and 3/12/24. The dates of the FBI Clearance for Staff Person #2 were 9/13/18 and 3/14/24. The PA state police clearance for Staff Person #3 had not been updated within 60 months. The dates of the PA state police clearance were 2/22/19 and 6/17/24. The FBI Clearance on file for Staff Person #3 was dated 2/27/19, which is more than 60 months old. There was no NSOR on file for Staff Person #5, who has been employed longer than 45 days. The NSOR certificate on file was not dated within 45 days of hire of Staff Person #8. The NSOR was dated 6/21/24. The requests for the NSOR were 3/25/24 and 4/22/24.

Corrected by Jul 29, 2024

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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 #5 will have until 8/15/24 to complete the required training. Until such time as the required training has been completed, staff person #5 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 #5, then staff person #-- may not work in a child-care position at the facility.

A renewal inspection was conducted 7/29/24. At that time, the staff files were reviewed. Staff Person #5, who was employed more than 90 days, has not yet completed the one hour health and safety training.

Corrected by Aug 15, 2024

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3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

A renewal inspection was conducted 7/29/24. At that time, the staff files were reviewed. Staff Person #6 had verification of high school education on file but did not have verification of any child care experience to qualify as an assistant group supervisor. Staff Person #7 had verification of high school education on file but did not have verification of any child care experience to qualify as an assistant group supervisor. Staff Person #9 had verification of high school education on file but only had verification of 1.25 years of child care experience. Staff Person #9 needs an additional .75 years of child care experience to qualify as an assistant group supervisor.

Corrected by Aug 12, 2024

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3270.37(b)(1) · An aide shall have a high school diploma or a general educational development certificate.

A renewal inspection was conducted 7/29/24. At that time, the staff files were reviewed. Staff Person #8 had education on file from El Salvador that had not been evaluated by a service that is a member of the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE).

Corrected by Aug 29, 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.

A renewal inspection was conducted 7/15/24. At that time, Hello Bello sunscreen, labeled "keep out of reach of children" was observed in an open backpack in a floor level cubby of the Purple Cats Room, where it was accessible to the toddler children in the room.

Corrected by Jul 15, 2024

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3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

A renewal inspection was conducted 7/15/24. At that time, plastic bags and plastic gloves were observed on the floor in the Khaki Kangaroos bathroom where they were accessible to the toddlers in care at that time. Plastic bags were observed in an open backpack in a floor level cubby in the Purple Cats room where they were accessible to the toddler children in the room.

Corrected by Jul 15, 2024

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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).

A renewal inspection was conducted 7/15/24. At that time, the child files were reviewed. The child service reports on file for Child #1, Child #3, Child #4, and Child #5 were not an OCDEL Approved Child Assessment.

Corrected by Jul 24, 2024

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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.

A renewal inspection was conducted 7/15/24. At that time, the child files were reviewed. The emergency contact form for Child #2, Child #4, and Child #5 did not include the address of the release persons.

Corrected by Jul 24, 2024

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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.

A renewal inspection was conducted 7/15/24. At that time, there was no emergency contact information for the children in the infant group on the playground during the inspection.

Corrected by Jul 19, 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.

A renewal inspection was conducted 7/15/24. At that time, an emergency transportation plan, including staffing provisions, was not displayed in each child care space or in the emergency backpacks.

Corrected by Jul 16, 2024

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3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

A renewal inspection was conducted 7/15/24. At that time, diaper cream, labeled "keep out of reach of children" was observed in an open cubby in the Orange Giraffes Room, where it was accessible to the preschool children in the room.

Corrected by Jul 15, 2024

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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.

A renewal inspection was conducted 7/15/24. At that time, the trash cans used for diapering were not hands-free in the infant room, the mobile infant room, the purple cats room, the orange giraffes room, the khaki kangaroos room, or the yellow ducks room.

Corrected by Jul 24, 2024

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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.

A renewal inspection was conducted 7/29/24. At that time, the staff files were reviewed. Staff Person #9 did not have a health assessment on file that included whether the staff was free from communicable diseases or suitable to provide child care.

Corrected by Aug 29, 2024

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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.

A renewal inspection was conducted 7/29/24. At that time, the staff files were reviewed. Staff Person #6 had only one letter of reference on file.

Corrected by Aug 29, 2024

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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.

A renewal inspection was conducted 7/15/24. At that time, information on how to access the regulations electronically had not been provided to parents.

Corrected by Jul 15, 2024

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3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Staff person # 1 did not renew their pediatric first aid and cpr before expiration on 1/30/23. Staff person # 1 received pediatric first aid and cpr on 2/25/23. Staff person # 2 did not renew their pediatric first aid and cpr before expiration on 6/19/23. Staff person # 2 received pediatric first aid and cpr on 7/7/23.

Corrected by Jul 24, 2023

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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).

Staff person # 3 did not completed mandated reporter training in 60 months from 5/4/18 to 5/27/23. Staff person # 4 did not completed mandated reporter training in 60 months from 2/22/16 to 7/15/22. Staff person #5 did not completed mandated reporter training in 60 months from 5/5/18 to 6/10/23.

Corrected by Jul 24, 2023

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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 is hand sanitizer spray on top of the paper towel dispenser accessible to the children in the teal turtle's classroom.

Corrected by Jul 24, 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.

There are steak knives in an unlocked cabinet above a handwashing sink in the blue horse classroom accessible to the children.

Corrected by Jul 24, 2023

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3270.121(a)/3270.121(b) · The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Child # 1 & # 2 enrolled and attending the facility did not have emergency contact forms completed at time of enrollment.

Corrected by Jul 24, 2023

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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 # 7 did not have a child service report completed in over 6 months from 10/24/22 o 5/1/23. The child service report on file does not have a parent or guardian signature.

Corrected by Jul 24, 2023

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3270.131(e)/3270.131(e)(1) · 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 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 # 2, 5 & 6 have influenza immunizations on file that are over 12 months old from 2020. Child # 2,5 & 6 do not have a note on file that they do not receive the influenza shot due to strong personal or religious reasons.

Corrected by Jul 24, 2023

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3270.133(3)/3270.133(5) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Child # 3 has albuterol at facility that is not labeled. Child # 4 has Children's Allertec that expired in May 2023. Child # 8 has an Epi Pen at facility that has no prescription or label on the medication for the child.

Corrected by Jul 24, 2023

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3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The emergency plan was not sent to the emergency management agency or a local municipality in over 12 months since 10/1/21.

Corrected by Jul 24, 2023

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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.

The facility has not notified the local traffic safety authority the facilities use of pedestrian and vehicular routes around the facility in over 12 months since 10/1/21.

Corrected by Jul 24, 2023

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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.

Facility does not have a policy developed and implemented for understanding staff role and responsibility in prevention of shaken baby syndrome, abusive head trauma and child maltreatment.

Corrected by Aug 10, 2022

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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.

Facility staff # 1 did not complete fire safety training in over 12 months from 7/23/19 to 9/22/21.

Corrected by Jul 28, 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.

Child # 1 does not have medical policy number on file. Child # 4 does not have medical policy number on file. Child # 5 does not have the medical insurance policy name or number on file.

Corrected by Aug 9, 2022

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3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development in the topics of PQAS approved pediatric first aid and cpr within 90 days of hire as listed in subsections (f)1-10.Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person # 2 & # 3 will have until August 13, 2022 to complete the required training. Until such time as the required training has been completed, staff person # 2 & # 3 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 # 2 & # 3 , staff person # 2 & # 3 will not work in a child care position at the facility.

Staff person # 2 & # 3 have not completed the following pre-service training within 90 days of their date of hire: pediatric first aid and cpr. Facility staff # 3 did not complete professional development in health and safety within 90 days from time of hire.

Corrected by Aug 13, 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). Staff person # 4 & 6 will have until 8/13/22 to complete the mandated reporter training . Until such time as the required training has been completed, staff person # 4 & # 6 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 persons available to supervise staff person # 3 & # 5 may not work in a child care position at facility. Facility staff # 3 & # 5 may not work in a child care position at facility. 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 #-3 & 5 may not work in a child care position at the facility.

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 2/17/16. Staff person # 6 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 2/22/16. Facility staff # 3 who has not lived in PA the past 5 years and is working in child care does not have out of state clearances on file. Facility staff # 5 who has not lived in PA the past 5 years and is working in child care does not have out of state clearances on file.

Corrected by Jul 28, 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 the toddler classroom does not have gloves.

Corrected by Jul 28, 2022

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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.

The toddler classroom does not have a hand washing sign posted at the classroom sink to wash hands.

Corrected by Jul 28, 2022

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3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

The toddler classroom and young toddler classroom do not have cot list for assigned cot numbers.

Corrected by Jul 28, 2022

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3270.123(a)(6) · An agreement shall specify the date of the child's admission.

Child # 3 does not have date of admission listed on file.

Corrected by Aug 9, 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.

Facility staff # 1 has a health assessment on file that is more than 24 months old from 7/23/20.

Corrected by Aug 4, 2022

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3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.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 # 1,2 & 5 do not have signed consent on file for emergency medical care or minor first aid treatment.

Corrected by Sep 29, 2022

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3270.192(2)(iv)/3270.192(5) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.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

Facility staff # 7 hired and working in child care does not have proof of education on file nor do they have 2 references on file. Facility staff # 8 hired and working in childcare only has 1 reference on file.

Corrected by Aug 4, 2022

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3270.131(a)/3270.131(e)(4) · 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 facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

Child # 2 & # 3 enrolled and attending facility, did not have a health assessment on file for over 60 days from date of enrollment.

Corrected by Sep 29, 2022

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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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

A complaint investigation was conducted on 12/20/21. Upon arrival to the Pre K classroom (4 and 5 year old children), certification rep observed 1 staff with 16 children. Immediately following cert rep, facility person # 1 entered the classroom. When rep asked facility person # 1 where they came from, facility person # 1 stated the bathroom that is outside of the classroom.

Corrected by Dec 20, 2021

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3270.113(a)/3270.113(a)(1) · 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. Children must be supervised at all times.

A complaint investigation was conducted on 12/20/21. Certification rep spoke with facility staff regarding a concern that 7 school aged children were alone on the play ground outside sometime in Oct or Nov 2021 by another staff. Facility staff reported she did not witness it, however was told and was aware of it taking place. Cert rep then spoke with another facility staff member who reported they were made aware of the allegations but were told a staff member was watching the children on the playground from inside the facility peeking their head out to the playground.

Corrected by Feb 12, 2022

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3270.113(a)/3270.113(a)(1) · 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. Children must be supervised at all times. 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.

A complaint investigation was conducted on 12/20/21. Certification rep spoke with facility staff regarding a concern that 7 school aged children were alone on the play ground outside sometime in Oct or Nov 2021 by another staff. Facility staff reported she did not witness it, however was told and was aware of it taking place. Cert rep then spoke with another facility staff member who reported they were made aware of the allegations but were told a staff member was watching the children on the playground from inside the facility peeking their head out to the playground.

Corrected by Feb 12, 2022

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3270.113(a)/3270.113(a)(1) · 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. The legal entity must arrange for all facility staff to receive a minimum of two hours PQAS approved in person training regarding supervision of children. It does not matter if the PQAS approved training is through the ELRC's. The legal entity must receive DHS approval of the training content prior to scheduling the training.

A complaint investigation was conducted on 12/20/21. Certification rep spoke with facility staff regarding a concern that 7 school aged children were alone on the play ground outside sometime in Oct or Nov 2021 by another staff. Facility staff reported she did not witness it, however was told and was aware of it taking place. Cert rep then spoke with another facility staff member who reported they were made aware of the allegations but were told a staff member was watching the children on the playground from inside the facility peeking their head out to the playground.

Corrected by Feb 12, 2022

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3270.135(e) · A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

A complaint investigation was conducted 12/20/21. Upon entering the infant and mobile infant classrooms, certification rep asked to see the diaper logs of a child in each classroom that arrived first for the day. Cert rep observed child #1's log and observed they arrived at 7:01 am, were diapered at 8:26 am last. It was 11:07 am when rep observed the log. In the mobile infant classroom, child # 2 arrived at 7:16 am and was just being diapered at 11 am when rep asked to see log. Both infants diapers were not checked or changed in over 2 hours.

Corrected by Feb 12, 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.

On 12/20/21 a unannounced inspection was conducted on site. At the time of the inspection, fire alarm system testing and fire drill logs were reviewed. Facility has not tested the alarm system in over 30 days since 10/24/21 , which is the last documented alarm testing on file at facility.

Corrected by Dec 20, 2021

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3270.27(c)/3270.34(a)(6) · 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. A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Facility person # 1 has been employed at facility since 5/22/18 and does not have a staff evaluation on file and has not had emergency plan training in over a year since 5/29/18.

Corrected by Nov 15, 2021

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3270.161(a) · Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

There is milk that expired 11/13/21 for the children in the Kacky Kangaroos classroom refrigerator.

Corrected by Nov 15, 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.

Facility did not test alarm system in over 30 days from 2/7/21 to 4/2/21.

Corrected by Nov 15, 2021

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