Middletown Alc Llc

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 PA State Police Clearance is on file at the facility. TIERED LIS: 1. 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 PA State Police Clearance is on file at the facility. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for Staff Person #4 to register for and attend the existing provider orientation conducted by a Regional Office. The schedule of Existing Provider Orientations can be found https://www.pa.gov/agencies/dhs/resources/for-providers/training-schedule-child-care-group-homes The legal entity shall call the appropriate Regional Office to register for the training. This portion of the plan shall have a correction date when the training is complete.

An allocated inspection was conducted 5/11/26. At that time, the files of the newly hired staff were reviewed. Staff Person #3 was observed working unsupervised in the Cranes Room. The file for Staff Person #3 did not include a PA State Police Clearance or a request for the clearance.

Corrected by Aug 31, 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.

An allocated inspection was conducted 5/11/26. At that time, water stained ceiling tiles were observed in the Cranes Room and in the Monkeys Room. Cracked, broken pieces of plastic that appeared to be the lid to storage containers were observed on the preschool playground. Garbage, including candy wrappers, baby wipes, and crushed plastic bottles and cups, were observed on the ground of the preschool playground.

Corrected by May 12, 2026

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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.

An allocated inspection was conducted 5/11/26. At that time, a handwashing sign was not present at the sink in the Dragons Bathroom or at the sink in the Falcons Room.

Corrected by May 19, 2026

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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.

An allocated inspection was conducted 5/11/26. At that time, plastic bags were observed on top of a low shelf in the bathroom of the Cranes Room. Plastic bags were observed in the floor level and upper level (24 inches high) cubbies in the Cranes Room. Staff Person #3 stated that the children in the room still place toys and objects in their mouths. The plastic bags were accessible to the children in the room.

Corrected by May 12, 2026

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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 allocated inspection was conducted 5/11/26. At that time, the birthdate of Child #1 was requested. When staff attempted to look up the child's birthdate in the emergency contact binder, the emergency contact form for Child #1 could not be found.

Corrected by May 11, 2026

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3270.151(a)/3270.151(c)(2) · 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. 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.

An allocated inspection was conducted 5/11/26. At that time, the files of the newly hired staff were reviewed. The TB test results for Staff Person #2 and Staff Person #3 were not completed until after the staff had begun working with children at the facility. This is evidenced by the TB test results on file for Staff Person #2 being dated 3/16/26 and for Staff Person #3 being dated 4/13/26.

Corrected by May 11, 2026

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3270.166(5) · An infant 6 months of age or younger shall be held while being bottle fed.

An allocated inspection was conducted 5/11/26. At that time, Child #1 was observed seating in an inclined infant seat struggling to hold their bottle as they attempted to drink from it. Child #1 is not yet 6 months of age.

Corrected by May 12, 2026

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3270.31(f)(10) · Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Until such time as the required training (pediatric first aid and pediatric cardiopulmonary resuscitation) has been completed, Staff Person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise Staff Person #1, then Staff Person #1 may not work in a child-care position at the facility.

An allocated inspection was conducted 5/11/26. At that time, the files of the newly hired staff were reviewed. Staff Person #1 has completed Pediatric first aid and CPR training, however the trainer has not provided documentation that they are PQAS-certified in that training curriculum.

Corrected by May 19, 2026

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3270.21/3270.113(a) · Conditions at the facility may not pose a threat to the health or safety of the children. 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. TIERED LIS: 1.Conditions at the facility may not pose a threat to the health or safety of the children. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must create an addition to the supervision policy. The addition must include steps staff should take when they see a child who is attempting to harm themselves or others. The legal entity must receive approval of the addition to the supervision policy from the Regional Office. Once approved by the Regional Office, the legal entity must review the policy with all staff and have staff sign off that the understand and will follow the supervision policy. The supervision policy must be reviewed with all new staff within one week of their start date. The operator shall provide a correction date for when the policy will be reviewed with all staff.

A complaint inspection was conducted 2/20/26. On 2/16/26, staff at the center did not properly supervise the school age children. This was evidenced by the video provided by the center showing that on 2/16/26, from 3:37:47pm - 3:38:37pm, Staff Person #1 is in the Eagles Room, where they cannot see 4 of the children in their primary group. One of the children is seen walking between the Dragons and Eagles Room during this time. The Eagles, Dragons and Falcons rooms are adjoining rooms next to each other but are 3 separate spaces. Two children are seen laying on a large pillow just inside the Dragons Room, where they cannot be seen by Staff Person #1 who is in the Eagles room during this time period. Staff Person #1 stated that Child #1 was upset after an incident with two other children. Child #1 is seen alone in the Falcons Room retrieving a plastic bag from their cubby at 3:38:12pm and then walking into the Dragons Room. Staff Person #2 enters the room and follows behind Child #1 into the Dragons Room. Child #1 places the plastic bag over their head at 3:38:17pm for 6 seconds before removing the bag. Staff Person #2 appears to get down to speak with Child #1. Child #1 then places the bag over their head a second time from 3:38:34pm - 3:39:03pm. Staff Person #2 keeps the child in their line of sight during this time. The staff did not take the plastic bag from Child #1.

Corrected by Mar 27, 2026

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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 their assigned group. The staff person shall be physically present with the children in their group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 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 their assigned group. The staff person shall be physically present with the children in their group on the facility premises and on facility excursions off the facility premises. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision of school age children when in the designated school age classrooms. This policy must address supervision during transition times, such as visiting the bathroom and supervision on the playground. The policy must address supervision when on field trips. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review the policy with all staff and have staff sign off that the understand and will follow the supervision policy. The supervision policy must be reviewed with all new staff within one week of their start date. The operator shall provide a correction date for when the policy will be reviewed with all staff.

A complaint inspection was conducted 2/20/26. On 2/16/26, staff at the center did not properly supervise the school age children. This was evidenced by the video provided by the center. On 2/16/26, from 3:37:47pm - 3:38:37pm, Staff Person #1 is in the Eagles Room, where they cannot see 4 of the children in their primary group, who are in the Dragons Room. The Eagles, Dragons and Falcons rooms are adjoining rooms next to each other but are 3 separate spaces. One of the children is seen walking between the Dragons and Eagles Room during this time. Two children are seen laying on a large pillow just inside the Dragons Room, where they cannot be seen by Staff Person #1 during this time period. Child #1 is seen alone in the Falcons Room retrieving a plastic bag from their cubby at 3:38:12pm and then walking into the Dragons Room. Child #1 places the plastic bag over their head at 3:38:17pm for 6 seconds before removing the bag. Child #1 then places the bag over their head a second time from 3:38:34pm - 3:39:03pm. Staff Person #1 did not go to the threshold between the Eagles and Dragons Rooms where they could see all children, including Child #1, until 3:38:37pm.

Corrected by Mar 27, 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. Staff Person #1 may not work in a child care position at the facility until a current NY SOR and NY CARI are on file at the facility.

A renewal inspection was conducted 10/14/25 and 10/17/25. The file for Staff Person #1 was reviewed on 10/14/25. At that time, it was reported that Staff Person #1 has lived in NY in the past five years. Neither a NY SOR nor NY CARI were on file for Staff Person #1. Staff Person #1 was hired and allowed to work without the NY Clearances.

Corrected by Oct 14, 2025

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3270.33(a)/3270.34(b) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4).

A renewal inspection was conducted 10/14/25 and 10/17/25. The file for Staff Person #1 was reviewed on 10/14/25. Staff Person #1, the director, has not attained a bachelor's or associate's degree to qualify them for the position.

Corrected by Oct 14, 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 10/14/25 and 10/17/25. On 10/14/25, Swiffer Wet Jet cleaner was observed in a Swiffer Wet Jet mop in the Cranes bathroom where it was accessible to the preschool children in the room. The cleaner was labeled "keep out of reach of children."

Corrected by Oct 14, 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.

A renewal inspection was conducted 10/14/25 and 10/17/25. On 10/14/25, the foam covering on three of the poles on the playground was ripped. Garbage was observed on the Toddler 2 playground.

Corrected by Oct 14, 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.

A renewal inspection was conducted 10/14/25 and 10/17/25. On 10/14/25, chipping paint was observed along the back wall of the Cranes Room.

Corrected by Oct 14, 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.

A renewal inspection was conducted 10/14/25 and 10/17/25. On 10/14/25, a cracked toy bin with a potential pinch point was observed on the preschool playground. Many uncovered bolts were observed along the fencing of the preschool playground, toddler 1 playground, and toddler 2 playground.

Corrected by Oct 17, 2025

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3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

A renewal inspection was conducted 10/14/25 and 10/17/25. The child files were reviewed on 10/14/25. The fee agreement for Child #2 did not include the designated release persons.

Corrected by Oct 14, 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 10/14/25 and 10/17/25. The child files were reviewed on 10/14/25. The emergency contact form for Child #1 did not include the business name, address, and phone number of the father.

Corrected by Oct 14, 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 10/14/25 and 10/17/25. The child files were reviewed on 10/14/25. The emergency contact form for Child #1 did not include the address of the release person. The emergency contact form for Child #2 did not include the address and phone number of the release person.

Corrected by Oct 17, 2025

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3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

A renewal inspection was conducted 10/14/25 and 10/17/25. On 10/14/25, cooked rice was observed in a lunch box in the Monkeys Room and was not refrigerated. A peeled mandarin was observed in a lunch box in the Cubs Room that was not refrigerated.

Corrected by Oct 17, 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 10/14/25 and 10/17/25. The file for Staff Person #2 was reviewed on 10/14/25. At that time, the file only contained one written, nonfamily letter of reference.

Corrected by Oct 17, 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 #1 may not work in a child care position at the facility until a DHS FBI Clearance is on file. Staff Person #2 may not work in a child care position at the facility until a PA Child Abuse Clearance for employment is on file.

A swimming inspection was conducted on 7/7/25. The lifeguard files were reviewed at the facility prior to the inspection at the swimming location. The file for Staff Person #1 included a Department of Education FBI Clearance, but did not include a DHS FBI Clearance. The file for Staff Person #2 included a volunteer PA Child Abuse Clearance and not a PA Child Abuse Clearance for employment.

Corrected by Jul 7, 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 swimming inspection was conducted on 7/7/25. The lifeguard files were reviewed at the facility prior to the inspection at the swimming location. The files for Staff Person #1 and Staff Person #2 did not include two written letters of reference.

Corrected by Jul 8, 2025

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3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child. TIERED LIS: A facility person may not use any form of physical punishment, including spanking a child. This portion of the plan shall have an immediate correction date. This portion of the plan shall have an immediate correction date. The legal entity must create a discipline policy. This policy must specifically include positives strategies for guiding children's behavior. The discipline policy must include what to do if a staff person observes another staff person not following the discipline policy. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review the policy with all current staff and have staff sign off that they understand and will follow the discipline policy. All new staff hired must review the discipline policy with the director at their time of hire and must sign off that they understand and will follow the discipline policy. The operator shall provide a correction date for when this will be completed.

An inspection was conducted at the facility on 5/16/25. At that time, video footage from 5/14/25 was observed. On 5/14/25, Staff Person #1 was observed picking up Child #1 and smacking the child on the right leg with an open hand. Staff Person #1 was terminated from employment 5/15/25.

Corrected by Jun 30, 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 #1 may not work in a child care position at the facility until a PA Child Abuse Clearance is on file.

An unannounced inspection was conducted 1/31/25. At that time, the new staff files were reviewed. The file for Staff Person #1 did not include a PA Child Abuse Clearance.

Corrected by Jan 31, 2025

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3270.37(b)(3)/3270.192(2)(ii) · An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

An unannounced inspection was conducted 1/31/25. At that time, the new staff files were reviewed. The file for Staff Person #1, an aide, did not include verification of education or experience.

Corrected by Jan 31, 2025

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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.

An unannounced inspection was conducted 1/31/25. At that time, Aquaphor-fast diaper relief diaper cream was observed in a cubby approximate 24 inches high, where it was accessible to the young toddlers in the room.

Corrected by Jan 31, 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 10/7/24. At that time, hand sanitizer was observed in a cubby about 12 inches high in the infant room where it was accessible to the mobile infants in the room. The hand sanitizer was labeled "keep out of reach of children."

Corrected by Oct 7, 2024

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3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

A renewal inspection was conducted 10/7/24. At that time, a heat lamp was observed on top of a gecko tank in the Monkey Room, where it was accessible to the children in the room. The heat lamp reached a temperature of 150° F.

Corrected by Oct 7, 2024

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3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

A renewal inspection was conducted 10/7/24. At that time, the diaper changing area in the infant room was not equipped with a source of running water for handwashing. The diaper changing table was behind a baby gate in the napping area of the infant room. Staff have to walk through the gate and across the room to reach the sink for handwashing.

Corrected by Oct 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.

A renewal inspection was conducted 10/7/24. At that time, two water stained ceiling tiles were observed in the Eagles Room. Exposed bolts were observed along the chain link fence of the playground. A cracked and dirty step stool used for handwashing was observed in the Monkeys Room by the sink. Dirty step stools and dirty squatty potties were observed in both bathrooms in the Monkeys Room. A cracked and dirty step stool used for handwashing was observed in the Cubs Room by the sink. A fish tank, posing a crush hazard, was observed on a shelf in the Cubs Room where it was not secured to the shelf.

Corrected by Oct 7, 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 10/7/24. At that time, plastic bags were observed in cubbies where they were accessible to the children in the Cranes Room. A preschool child was observed putting toys in their mouth in the Cranes Room. Zip lock bags were observed in a cubby in the Cubs Room where the toddler children had access to them. Construction paper in plastic packaging was observed on a shelf in the Cubs Room where the toddler children had access to it. Plastic diaper bags and gloves were observed on low shelves in the bathroom of the Cubs Room where the toddler children had access to them.

Corrected by Oct 7, 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 10/7/24. At that time, A&D Ointment was observed on a low shelf in the Cubs Bathroom where it was accessible to the children.

Corrected by Oct 7, 2024

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3270.67(c) · Evidence of infestation of insects or rodents in the facility is not permitted.

A complaint investigation was conducted on 6/7/24. At that time, cockroaches were observed in the toddler room bathrooms.

Corrected by Jun 8, 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 #1 will have until 6/26/24 to complete the required pediatric first aid/cpr 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, then staff person #1 may not work in a child-care position at the facility.

An unannounced inspection was conducted 6/7/24. At that time, the preservice trainings for all staff present were reviewed. Staff Person #1 completed AHA Heartsaver CPR AED, which did not include the pediatric first aid component, and is therefore not an acceptable pediatric first aid/cpr training.

Corrected by Jun 13, 2024

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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 on the facility van has no gloves.

Corrected by Nov 29, 2023

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3270.95(a) · 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 facility interconnected fire alarm was not inspected in over 12 months from 8/3/22 to 10/18/23 by Protect Alarms.

Corrected by Oct 27, 2023

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3270.95(b)/3270.181(c) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. 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.

Emergency contact form for child # 1 was not updated in over 6 months from 1/13/23 to 10/5/23.

Corrected by Oct 27, 2023

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