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. TIERED LIS: 1. The required staff: child ratios must be maintained at all times. The correction date for this must be immediate. 2. The director must arrange for staff #1 to receive a minimum of two hours of training regarding ratios. The director must receive approval from the DHS Northeast Regional Office regarding the training content prior to scheduling the training. The operator shall provide a date for when this training will be completed.

The inspector observed staff #1 in the preschool room with eleven preschool aged children present. Staff #1 named all eleven children and appeared surprised that she did not realize that there were eleven children present versus ten.

Corrected Corrected by Feb 18, 2026

Category: ratio. Marked corrected in the state record.

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.

During the unannounced inspection on 1/29/26 the inspector observed the fire drill/detection log and found that the facility did not conduct a manual test of the fire alarms every 30 calendar days. The inspector observed a manual test dated for 11/13/25 and the next having been dated for 12/17/25.

Corrected Corrected by Feb 18, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training is completed, staff person #1 must be supervised when interacting with children by an Assistant Group Supervisor who has completed the required training related to the citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a childcare position at the facility.

During the unannounced renewal inspection, on 3/20/25 the inspector reviewed the staff files and noted that staff #1did not complete the following required pre-service training within 90 days of their date of hire (see LIS Code Sheet) Pediatric First Aid and CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by May 7, 2025

Category: supervision. Marked corrected in the state record.

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

During the unannounced renewal inspection, on 3/20/25 the inspector reviewed the child files and noted that child files #1 and #2 were missing the required work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Apr 8, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

Durning the unannounced renewal inspection on 3/20/25 the inspector found that the toddler room was not using a plastic-lined, hands-free covered can.

Corrected Corrected by Apr 22, 2025

Category: health medication. Marked corrected in the state record.

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.

On 9/25/24 the director of the facility (staff #2) made a self-report of noncompliance indicating that staff #1 was observed pinching child #1 and as a result staff #1 was immediately terminated from employment.

Corrected Corrected by Jan 14, 2025

Marked corrected in the state record.

3270.69(c)/3270.69(d) · Safe drinking water shall be made available to children of all ages throughout the day. Drinking water shall be provided to children who are out-of-doors for a period exceeding 1 hour.

During the course of the investigation on 7/30/24 the inspector learned that the children are not being provided with water throughout the day or when outside over an hour, during play. Children have to ask for water when outside and then are taken into the building as ratio allows for water. Further children are only provided with water after breakfast and following outdoor play, not throughout the day.

Corrected Corrected by Aug 21, 2024

Category: ratio. Marked corrected in the state record.

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. 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. 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. Children must be supervised at all times. The director must submit documentation in a format approved by DHS proving that the facility procedure for the supervision of children in the outdoor play space is followed at all times e.g., a checklist. The director will conduct outdoor play space supervision checks for each age group each time they are in the outdoor play space daily for a period of not less than 30 days. The legal entity will confirm continuing compliance by sending weekly copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis via email. The supervision checklist should be completed by the director and in their absence their direct administrator shall complete said outdoor play space supervision checks.

During the course of the investigation on 7/30/24 the inspector and staff #5 observed staff #1, #2, #3, and #4 outside in the fenced play space with twenty preschool aged children present. The four staff were talking in groups of two while two preschool aged children played in a sandbox and eighteen preschool aged children were unsupervised and congregated near the entry door to the outdoor play space. There was a Lil Tykes plastic playhouse near this door and several children were observed inside of the playhouse making this group of children unable to be seen. The staff assigned to the eighteen children did not have a clear line of sight to see, hear, access, and direct the children congregated near the entry door.

Corrected Corrected by Oct 7, 2024

Category: supervision. Marked corrected in the state record.

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. 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. Children must be supervised at all times. The legal entity must arrange for staff #1, #2, #3, #4, to receive a minimum of two hours of training regarding supervision of children. The training should consist of 1 hour of Supervision: Playground Supervision and 1 hour of Supervision: Positioning, Where Do I Stand, found on Better Kid Care or similar trainings. The legal entity must receive DHS approval of the trainings content prior to scheduling the trainings.

During the course of the investigation on 7/30/24 the inspector and staff #5 observed staff #1, #2, #3, and #4 outside in the fenced play space with twenty preschool aged children present. The four staff were talking in groups of two while two preschool aged children played in a sandbox and eighteen preschool aged children were unsupervised and congregated near the entry door to the outdoor play space. There was a Lil Tykes plastic playhouse near this door and several children were observed inside of the playhouse making this group of children unable to be seen. The staff assigned to the eighteen children did not have a clear line of sight to see, hear, access, and direct the children congregated near the entry door.

Corrected Corrected by Oct 7, 2024

Category: supervision. Marked corrected in the state record.

3270.14/3270.21 · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10).

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. Staff #1 completed this training on 7/17/24.

Corrected Corrected by Jul 19, 2024

Category: health medication. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to review the emergency plan on an annual basis. Staff #1 did not review the emergency plan on an annual basis. Staff #1 previously reviewed the plan on 6/30/23 and again on 7/8/24.

Corrected Corrected by Jul 19, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in annual fire safety training. The following staff did not participate in annual fire safety training: Staff #1 (previous7/21/22, current 6/30/24) and Staff #2 (previous 8/30/22, current 3/25/24).

Corrected Corrected by Jul 19, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.102(a)/3270.104(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. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

A renewal inspection occurred at the facility. A physical site review was conducted. A table and bench set was found in the outdoor play area and the cushions on two of the benches had broken zippers exposing the inside foam.

Corrected Corrected by Jul 19, 2024

Category: physical safety. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires that staff to review the emergency plan on an annual basis. The following staff did not review the emergency plan on an annual basis: Staff #1 and #6. Staff #1 reviewed the emergency plan on 6/27/22 and did not review the emergency plan again until 7/11/23. Staff #6 reviewed the emergency plan on 6/25/22 and did not review the emergency plan until 7/5/23.

Corrected Corrected by Mar 8, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

An inspection occurred at the facility. A review of staff files was conducted. Regulation requires fire safety training to be completed by staff at least annually. The following staff did not participate in fire safety training on an annual basis: Staff #3, #4 and #8. Staff #3 participated in fire safety training on 3/3/22 and did not participate in fire safety training again until 6/17/23. Staff #4 participated in fire safety training on 2/25/22 and did not participate in fire safety training again until 6/1/23. Staff #8 participated in fire safety training on 7/1/22 and did not participate in fire safety training again until 10/26/23.

Corrected Corrected by Mar 8, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

An inspection occurred at the facility. A review of staff files was conducted. Regulation requires written evaluations of staff be completed on an annual basis. The following staff did not have an evaluation completed on an annual basis: Staff #1, #2, #4, #5, #6 #7 and #8. Staff #1 had an evaluation completed on 8/22/22 and did not have another evaluation completed until 9/19/23. Staff # 2 had an evaluation completed on 2/10/22 and did not have another evaluation completed until 4/6/23. Staff #4 had an evaluation completed on 8/29/22 and did not have another evaluation completed until 9/12/23. Staff #5 had an evaluation completed on 1/12/23 and did not have another evaluation completed until 2/7/24. Staff #6 had an evaluation completed on 8/17/22 and did not have an annual evaluation completed at the time of this inspection. Staff #7 had an evaluation completed on 12/27/22 and did not have another evaluation completed until 1/15/24. Staff #8 had an evaluation completed on 1/12/23 and did not have another evaluation completed until 2/7/24.

Corrected Corrected by Mar 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.51/3270.52 · 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. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

An inspection occurred at the facility. Through staff interviews during this inspection, it was determined that the facility was not in compliance with staff: child ratios. On 2/19/24, a classroom contained 13 preschool aged children with Staff #9 for approximately 15-minutes in the morning. The ratio requirement for 13 preschool aged children would require 2 staff. On 2/20/24, a classroom contained 8 mixed-aged toddlers with Staff #10 for a period of time between 7-8a.m. The ratio requirement for 8 mixed-aged toddlers would require 2 staff.

Corrected Corrected by Mar 8, 2024

Category: ratio. Marked corrected in the state record.

3270.51/3270.52 · 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. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The legal entity must arrange for all facility staff to receive a minimum of three hours of PQAS-approved training, regarding supervision and appropriate ratios of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

An inspection occurred at the facility. Through staff interviews during this inspection, it was determined that the facility was not in compliance with staff: child ratios. On 2/19/24, a classroom contained 13 preschool aged children with Staff #9 for approximately 15-minutes in the morning. The ratio requirement for 13 preschool aged children would require 2 staff. On 2/20/24, a classroom contained 8 mixed-aged toddlers with Staff #10 for a period of time between 7-8a.m. The ratio requirement for 8 mixed-aged toddlers would require 2 staff.

Corrected Corrected by Mar 29, 2024

Category: supervision. Marked corrected in the state record.

3270.51/3270.52 · 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. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). 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 Northeast Regional Office on a weekly basis for a period of three months after DHS approves the documentation format.

An inspection occurred at the facility. Through staff interviews during this inspection, it was determined that the facility was not in compliance with staff: child ratios. On 2/19/24, a classroom contained 13 preschool aged children with Staff #9 for approximately 15-minutes in the morning. The ratio requirement for 13 preschool aged children would require 2 staff. On 2/20/24, a classroom contained 8 mixed-aged toddlers with Staff #10 for a period of time between 7-8a.m. The ratio requirement for 8 mixed-aged toddlers would require 2 staff.

Corrected Corrected by Jun 11, 2024

Category: ratio. Marked corrected in the state record.

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

An inspection occurred at the facility. A physical site review was conducted. Several window screens were observed damaged. These damaged screens were identified and discussed with the director at the time of the inspection.

Corrected Corrected by Mar 8, 2024

Marked corrected in the state record.

3270.131(a)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

An inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the dates of enrollment. Regulation requires health reports on children to be on file no later than 60 days following the first day of attendance at the facility. The health report provided for Child #6 was dated 11/14/23, which was after the 60-day requirement.

Corrected Corrected by Mar 8, 2024

Category: health medication. Marked corrected in the state record.

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. 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.

See SIN 00230322 9/6/23 and SIN 00232355 9/27/23.

Corrected Corrected by Oct 6, 2023

Category: supervision. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

See SIN 00230322 9/6/23 and SIN 00232355 9/27/23.

Corrected Corrected by Oct 6, 2023

Category: health medication. Marked corrected in the state record.

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. 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. The legal entity must arrange for all facility staff to receive a minimum of three hours of PQAS-approved training, including technical assistance, regarding supervision and ratio of children. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training.

During an unannounced inspection, video footage was provided by the facility for review. On 9/5/23 at approximately 2:15 p.m., children were viewed being unsupervised on several occasions. Staff # 1 was observed to go into the hallway, leaving the children unsupervised in the classroom, and blocked by the cubbies. Several children were also viewed unlocking the half door, leaving the classroom, and walking down the hall to another classroom without supervision. At this time, Staff # 2 was observed in that classroom, unaware that the children were coming and going on their own. On the same day at 2:39p.m., an unexpected fire drill occurred. Staff # 1 was seen immediately standing at the exit door with children that were lining up. Staff # 1 exited the building with 6 preschool-aged children. Child # 2 was seen on video footage left in the room by Staff # 1, still sleeping on their cot. Shortly after, Staff #1 left, Child # 1 comes into view of the camera, also left in the building unsupervised. At 2:43p.m., Staff # 2 was viewed entering the classroom of Staff # 1 and finding Child # 1 and Child # 2. Staff # 2 realized after they got outside that they were missing Child #1. Staff # 1, never realized Child # 2 was unaccounted for until Staff # 2 found Child # 2 in the classroom.

Corrected Corrected by Nov 18, 2023

Category: supervision. Marked corrected in the state record.

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. 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. The Legal Entity / Director will revise their existing supervision policy. The policy will include how the facility will demonstrate their knowledge and ability to adequately supervise children while maintaining appropriate ratio at all times. The policy must focus on ensuring that each child is seen, heard, assessed and able to be directed at all times. The policy must include how the facility will ensure appropriate supervision and ratios during transition times and during times of emergency or fire drills. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in their assigned group and be physically present with the children in their group on the facility premises and on facility excursions off the facility premises. This supervision and ratio policy must be submitted to the Department prior to implementation for approval. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on this policy. Documentation of this training will be submitted to the Regional Office and maintained on file at the facility.

During an unannounced inspection, video footage was provided by the facility for review. On 9/5/23 at approximately 2:15 p.m., children were viewed being unsupervised on several occasions. Staff # 1 was observed to go into the hallway, leaving the children unsupervised in the classroom, and blocked by the cubbies. Several children were also viewed unlocking the half door, leaving the classroom, and walking down the hall to another classroom without supervision. At this time, Staff # 2 was observed in that classroom, unaware that the children were coming and going on their own. On the same day at 2:39p.m., an unexpected fire drill occurred. Staff # 1 was seen immediately standing at the exit door with children that were lining up. Staff # 1 exited the building with 6 preschool-aged children. Child # 2 was seen on video footage left in the room by Staff # 1, still sleeping on their cot. Shortly after, Staff #1 left, Child # 1 comes into view of the camera, also left in the building unsupervised. At 2:43p.m., Staff # 2 was viewed entering the classroom of Staff # 1 and finding Child # 1 and Child # 2. Staff # 2 realized after they got outside that they were missing Child #1. Staff # 1, never realized Child # 2 was unaccounted for until Staff # 2 found Child # 2 in the classroom.

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. 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. Children must be supervised at all times.

During an unannounced inspection, video footage was provided by the facility for review. On 9/5/23 at approximately 2:15 p.m., children were viewed being unsupervised on several occasions. Staff # 1 was observed to go into the hallway, leaving the children unsupervised in the classroom, and blocked by the cubbies. Several children were also viewed unlocking the half door, leaving the classroom, and walking down the hall to another classroom without supervision. At this time, Staff # 2 was observed in that classroom, unaware that the children were coming and going on their own. On the same day at 2:39p.m., an unexpected fire drill occurred. Staff # 1 was seen immediately standing at the exit door with children that were lining up. Staff # 1 exited the building with 6 preschool-aged children. Child # 2 was seen on video footage left in the room by Staff # 1, still sleeping on their cot. Shortly after, Staff #1 left, Child # 1 comes into view of the camera, also left in the building unsupervised. At 2:43p.m., Staff # 2 was viewed entering the classroom of Staff # 1 and finding Child # 1 and Child # 2. Staff # 2 realized after they got outside that they were missing Child #1. Staff # 1, never realized Child # 2 was unaccounted for until Staff # 2 found Child # 2 in the classroom.

Corrected Corrected by Oct 18, 2023

Category: supervision. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

An unannounced inspection occurred at the facility. A review of the facility's accident/injury reports was conducted. Staff # 5 indicated that Child # 1 had fallen while at the facility and chipped a tooth and indicated that an incident report was written, and the parent was notified. Staff # 3 was unable to provide this incident report at the time of this inspection. A copy was not maintained in either the child's file or the facility file.

Corrected Corrected by Nov 18, 2023

Category: health medication. Marked corrected in the state record.

3270.94(a)(6) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation plans provide for the removal of all persons from the facility in a single trip.

During an unannounced inspection, video footage was provided by the facility for review. On 9/5/23 at 2:39p.m., an unexpected fire drill occurred. Staff # 1 was seen immediately standing at the exit door with children that were lining up. Staff # 1 exited the building with 6 preschool-aged children. Child # 2 was seen on video footage left in the room by Staff # 1, still sleeping on their cot. Shortly after, Staff #1 left, Child # 1 comes into view of the camera, also left in the building unsupervised. At 2:43p.m., Staff # 2 was viewed entering the classroom of Staff # 1 and finding Child # 1 and Child # 2. Staff # 2 realized after they got outside that they were missing Child #1. Staff # 1, never realized Child # 2 was unaccounted for until Staff # 2 found Child # 2 in the classroom.

Corrected Corrected by Oct 18, 2023

Category: supervision. Marked corrected in the state record.

3270.94(a)(6) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation plans provide for the removal of all persons from the facility in a single trip. The Legal Entity or Director will develop or revise the facility's fire drill plan and procedures. The fire drill policy and procedures must address the ability of all staff to remove all persons from the facility in a single trip. This policy must be sent to the Northeast Regional Office for review. Once approved this policy and procedure will be discussed with staff. Staff signatures will indicate their understanding of the facility's fire drill policy and procedure and their need to remove all persons from the facility in one trip.

During an unannounced inspection, video footage was provided by the facility for review. On 9/5/23 at 2:39p.m., an unexpected fire drill occurred. Staff # 1 was seen immediately standing at the exit door with children that were lining up. Staff # 1 exited the building with 6 preschool-aged children. Child # 2 was seen on video footage left in the room by Staff # 1, still sleeping on their cot. Shortly after, Staff #1 left, Child # 1 comes into view of the camera, also left in the building unsupervised. At 2:43p.m., Staff # 2 was viewed entering the classroom of Staff # 1 and finding Child # 1 and Child # 2. Staff # 2 realized after they got outside that they were missing Child #1. Staff # 1, never realized Child # 2 was unaccounted for until Staff # 2 found Child # 2 in the classroom.

Corrected Corrected by Nov 18, 2023

Category: supervision. Marked corrected in the state record.

3270.94(a)(6) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation plans provide for the removal of all persons from the facility in a single trip. Over the course of all fire drills conducted through February 29, 2024, the operator shall demonstrate that all children will be removed in one trip. For fire drills conducted through this date, the operator shall document who was on site prior to the drill, including staff and children, and complete a checklist upon evacuation showing that all children were accounted for in one trip. This checklist and documentation must be forwarded to the regional office after each conducted drill within 3 business days of conducting each drill.

During an unannounced inspection, video footage was provided by the facility for review. On 9/5/23 at 2:39p.m., an unexpected fire drill occurred. Staff # 1 was seen immediately standing at the exit door with children that were lining up. Staff # 1 exited the building with 6 preschool-aged children. Child # 2 was seen on video footage left in the room by Staff # 1, still sleeping on their cot. Shortly after, Staff #1 left, Child # 1 comes into view of the camera, also left in the building unsupervised. At 2:43p.m., Staff # 2 was viewed entering the classroom of Staff # 1 and finding Child # 1 and Child # 2. Staff # 2 realized after they got outside that they were missing Child #1. Staff # 1, never realized Child # 2 was unaccounted for until Staff # 2 found Child # 2 in the classroom.

Corrected Corrected by Feb 29, 2024

Category: supervision. Marked corrected in the state record.

3270.51/3270.113(a)(2) · 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. The required staff:child ratios must be maintained at all times.

During an unannounced inspection, video footage was provided by the facility for review. On 9/5/23 at 2:39p.m., an unexpected fire drill occurred. Staff # 2 was viewed exiting the building with 11 preschool-aged children. This number of children required 2 staff.

Corrected Corrected by Oct 18, 2023

Category: supervision. Marked corrected in the state record.

3270.51/3270.113(a)(2) · 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. The legal entity must arrange for all facility staff to receive a minimum of three hours of PQAS-approved in-person training, including technical assistance, regarding supervision and ratio of children. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training.

During an unannounced inspection, video footage was provided by the facility for review. On 9/5/23 at 2:39p.m., an unexpected fire drill occurred. Staff # 2 was viewed exiting the building with 11 preschool-aged children. This number of children required 2 staff.

Corrected Corrected by Nov 18, 2023

Category: supervision. Marked corrected in the state record.

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 occurred at the facility. A review of children's files was conducted. Emergency contact and agreement forms per regulation are to be updated at least every 6-month period. The following children's forms were not updated every 6-month period: Child # 2 emergency contact dated 5/7/22 not updated until 1/4/23 and agreement dated 3/25/22 and not updated until 10/5/22. Child # 3 emergency contact dated 5/2/22 and not updated until 11/4/22 and agreement dated 2/23/22 and not updated until 11/8/22. Child # 4 emergency contact dated 4/4/22 and not updated until 12/20/22. Child # 5 emergency contact dated 12/22/21 and not updated until 8/29/22 and agreement dated 3/21/22 and not updated until 10/4/22. Child # 6 agreement dated 3/16/22 and not updated until 10/21/22.

Corrected Corrected by Jan 27, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

A renewal inspection occurred at the facility. A review of the facility's fire system testing log was conducted. Fire testing documented as occurring on the following dates lapsed occurring at least every 30 days as required by regulation: 4/11/22 5/17/22 7/8/22 8/12/22 9/19/22 11/10/22 12/21/22

Corrected Corrected by Jan 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. The CPSL indicates that a Department of Education FBI clearance could not be used for employment in a Department of Human Services program after 9/24/18.

A renewal inspection occurred at the facility. A review of staff files was conducted. The CPSL indicates that a Department of Education (DOE) FBI clearance could not be used for employment in a Department of Human Services (DHS) program after 9/24/18. Staff # 1 was hired and worked in a child care role using a DOE FBI clearance dated for 8/26/19.

Corrected Corrected by Apr 22, 2022

Category: background checks. Marked corrected in the state record.

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. The required staff:child ratios must be maintained at all times.

As reported by Staff # 12, the young school aged classroom was out of ratio on 9/29/21. Staff # 12 stated this was verified through interviews Staff # 12 had with staff and watching the facility's security camera. Staff # 12 stated in this school aged classroom, Staff # 4 was with 13 school aged children. The operator gave a plan of correction stating that "Staff to child ratios will be maintained at all times." Checklists showing compliance with ratios were required to be submitted to the regional office as part of a plan of correction. On 12/1/2021, the checklists show that the infant classroom contained 9 children with 2 staff from 12-1 p.m., which is a ratio that would require 3 staff. The operator admitted that the classroom was out of ratio, stating that she didn't realize the ratio was not different during naptime and one staff member was taking a break. There were other staff available in close proximity (by the kitchen area) but they were not in the classroom.

Corrected Corrected by Dec 22, 2021

Category: ratio. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following ratios of staff persons apply: Infants 1:4; Young toddlers 1:5; Older toddlers 1:6; Preschool children 1:10; Young school-age children 1:12; Older school-age children 1:15. The required staff:child ratios must be maintained at all times.

As reported by Staff # 12, the young school aged classroom was out of ratio on 9/29/21. Staff # 12 stated this was verified through interviews Staff # 12 had with staff and watching the facility's security camera. Staff # 12 stated in this school aged classroom, Staff # 4 was with 13 school aged children.

Corrected Corrected by Nov 15, 2021

Category: ratio. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following ratios of staff persons apply: Infants 1:4; Young toddlers 1:5; Older toddlers 1:6; Preschool children 1:10; Young school-age children 1:12; Older school-age children 1:15. The Legal Entity / Director will establish a supervision and ratio policy. The policy will include how the facility will demonstrate their knowledge and ability to adequately supervise children while maintaining appropriate ratio at all times. The policy must focus on ensuring that each child is seen, heard, assessed and able to be directed at all times. The policy must include the required staff:child ratios for each age group. The policy must include how the facility will ensure appropriate supervision and ratios during transition times and while in the outdoor play area. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in his assigned group and be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The policy must also address how these groups will be transitioned from one staff person to another during staffing changes. This supervision and ratio policy must be submitted to the Department prior to implementation for approval. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on this policy.

As reported by Staff # 12, the young school aged classroom was out of ratio on 9/29/21. Staff # 12 stated this was verified through interviews Staff # 12 had with staff and watching the facility's security camera. Staff # 12 stated in this school aged classroom, Staff # 4 was with 13 school aged children.

Corrected Corrected by Dec 17, 2021

Category: supervision. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following ratios of staff persons apply: Infants 1:4; Young toddlers 1:5; Older toddlers 1:6; Preschool children 1:10; Young school-age children 1:12; Older school-age children 1:15. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

As reported by Staff # 12, the young school aged classroom was out of ratio on 9/29/21. Staff # 12 stated this was verified through interviews Staff # 12 had with staff and watching the facility's security camera. Staff # 12 stated in this school aged classroom, Staff # 4 was with 13 school aged children.

Corrected Corrected by Feb 17, 2022

Category: ratio. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following ratios of staff persons apply: Infants 1:4; Young toddlers 1:5; Older toddlers 1:6; Preschool children 1:10; Young school-age children 1:12; Older school-age children 1:15. The legal entity must arrange for all facility staff to receive a minimum of three hours of PQAS-approved in-person training, including technical assistance, regarding supervision of children and proper staff:child ratios. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training.

As reported by Staff # 12, the young school aged classroom was out of ratio on 9/29/21. Staff # 12 stated this was verified through interviews Staff # 12 had with staff and watching the facility's security camera. Staff # 12 stated in this school aged classroom, Staff # 4 was with 13 school aged children.

Corrected Corrected by Jan 29, 2022

Category: supervision. Marked corrected in the state record.

3270.63/3270.76 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.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 complaint inspection occurred at the facility on 9/29/21. A review of the facility's camera system was conducted along with interviews with staff. A video recording from an incident on 9/24/21 from 3:28-3:32p.m. was viewed. Child # 1 and Child # 2, preschool children, were viewed in the outdoor play area, playing at the fence at the corner of E 5th St and Strawberry Ave. Child # 1 and Child # 2 were viewed climbing over the fence and leaving the outdoor play area at least 3 times during the time of the video. Child # 1 was viewed unable to climb back over the fence to get into the play area at roughly 3:32p.m. and a parent picking up their child at the facility was viewed lifting the child back over the fence. The fencing did not restrict the children from leaving the play area and entering a heavily traveled intersection. A follow up to the complaint inspection occurred at the facility on 10/22/21. Staff interviews were conducted regarding more information obtained on the original complaint. Through these interviews it was determined a lack of supervision occurred involving Child # 3. Staff # 11 had been doing rounds at the facility. Staff # 11 walked into the outdoor play area and was approached by several children. These children told Staff # 11 that Child # 3 was over the fence. A storage shed in the outdoor play area has a gap of about 5 feet between the shed and the fence near Strawberry Ave. where a small fence was added to both sides of the gap to prevent children from having access. Child # 3 was found in this section behind the shed, unable to be supervised by staff on the playground. Staff were not aware the child was in this area. Staff # 11 could not identify what staff were in the play area during this incident. The fencing in this area did not restrict the child from entering an area that was out of supervision of staff.

Corrected Corrected by Oct 29, 2021

Category: supervision. Marked corrected in the state record.

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. 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. The Legal Entity / Director will establish a supervision and ratio policy. The policy will include how the facility will demonstrate their knowledge and ability to adequately supervise children while maintaining appropriate ratio at all times. The policy must focus on ensuring that each child is seen, heard, assessed and able to be directed at all times. The policy must include the required staff:child ratios for each age group. The policy must include how the facility will ensure appropriate supervision and ratios during transition times and while in the outdoor play area. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in his assigned group and be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The policy must also address how these groups will be transitioned from one staff person to another during staffing changes. This supervision and ratio policy must be submitted to the Department prior to implementation for approval. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on this policy.

A complaint inspection occurred at the facility on 9/29/21. A review of the facility's camera system was conducted along with interviews with staff. A video recording from an incident on 9/24/21 from 3:28-3:32p.m. was viewed. Child # 1 and Child # 2, preschool children, were viewed in the outdoor play area, playing at the fence at the corner of E 5th St and Strawberry Ave. Child # 1 and Child # 2 were viewed climbing over the fence and leaving the outdoor play area at least 3 times during the time of the video. Child # 1 was viewed unable to climb back over the fence to get into the play area at roughly 3:32p.m. and a parent picking up their child at the facility was viewed lifting the child back over the fence. Child # 2 was unable to be identified due to the quality of the video. Staff # 1 and Staff # 2 were identified and confirmed that they were the staff responsible for this group of preschool children. During interviews, both staff stated they were a combined group and neither identified that Child #1 was in their group. Staff # 1 was seen in the video near the brick stairs tending to a child crying on the bench and later to a group fighting in the playhouse right next to the brick staircase. Staff # 2 indicated they were talking two children, putting 2 kids in timeout and going to the door to ask staff inside what needed to be done because it was time for Staff # 2 to leave for the day. Staff # 1 and Staff # 2 were unaware the children had been climbing over the fence and left the play area during this time. On 9/24/21, Staff # 3 began the day with Child # 1 in their supervision group. Staff # 4 then relieved Staff # 3 and stated it was assumed Child # 1 was in their group, but no appropriate discussion had taken place as to Child # 1 being in their group. Staff # 4 took Child # 1's group to the outdoor play area and this child's group was combined with Staff # 10 and Staff # 1's group. Again, no communication occurred indicating which staff was supervising which children. Staff # 10 was then relived for the day by Staff # 2. Again, no communication occurred indicating which staff was supervising which children. Appropriate supervision of Child # 1 and other children could not be established after staff transition times throughout the day. A follow up to the complaint inspection occurred at the facility on 10/22/21. Staff interviews were conducted regarding more information obtained on the original complaint. Through these interviews it was determined a lack of supervision occurred involving Child # 3. Staff # 11 had been doing rounds at the facility. Staff # 11 walked into the outdoor play area and was approached by several children. These children told Staff # 11 that Child # 3 was over the fence. A storage shed in the outdoor play area has a gap of about 5 feet between the shed and the fence near Strawberry Ave. where a small fence was added to both sides of the gap to prevent children from having access. Child # 3 was found in this section behind the shed, unable to be supervised by staff on the playground. Staff were not aware the child was in this area. Staff # 11 could not identify what staff were in the play area during this incident.

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. 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. Children must be supervised at all times.

A complaint inspection occurred at the facility on 9/29/21. A review of the facility's camera system was conducted along with interviews with staff. A video recording from an incident on 9/24/21 from 3:28-3:32p.m. was viewed. Child # 1 and Child # 2, preschool children, were viewed in the outdoor play area, playing at the fence at the corner of E 5th St and Strawberry Ave. Child # 1 and Child # 2 were viewed climbing over the fence and leaving the outdoor play area at least 3 times during the time of the video. Child # 1 was viewed unable to climb back over the fence to get into the play area at roughly 3:32p.m. and a parent picking up their child at the facility was viewed lifting the child back over the fence. Child # 2 was unable to be identified due to the quality of the video. Staff # 1 and Staff # 2 were identified and confirmed that they were the staff responsible for this group of preschool children. During interviews, both staff stated they were a combined group and neither identified that Child #1 was in their group. Staff # 1 was seen in the video near the brick stairs tending to a child crying on the bench and later to a group fighting in the playhouse right next to the brick staircase. Staff # 2 indicated they were talking two children, putting 2 kids in timeout and going to the door to ask staff inside what needed to be done because it was time for Staff # 2 to leave for the day. Staff # 1 and Staff # 2 were unaware the children had been climbing over the fence and left the play area during this time. On 9/24/21, Staff # 3 began the day with Child # 1 in their supervision group. Staff # 4 then relieved Staff # 3 and stated it was assumed Child # 1 was in their group, but no appropriate discussion had taken place as to Child # 1 being in their group. Staff # 4 took Child # 1's group to the outdoor play area and this child's group was combined with Staff # 10 and Staff # 1's group. Again, no communication occurred indicating which staff was supervising which children. Staff # 10 was then relived for the day by Staff # 2. Again, no communication occurred indicating which staff was supervising which children. Appropriate supervision of Child # 1 and other children could not be established after staff transition times throughout the day. A follow up to the complaint inspection occurred at the facility on 10/22/21. Staff interviews were conducted regarding more information obtained on the original complaint. Through these interviews it was determined a lack of supervision occurred involving Child # 3. Staff # 11 had been doing rounds at the facility. Staff # 11 walked into the outdoor play area and was approached by several children. These children told Staff # 11 that Child # 3 was over the fence. A storage shed in the outdoor play area has a gap of about 5 feet between the shed and the fence near Strawberry Ave. where a small fence was added to both sides of the gap to prevent children from having access. Child # 3 was found in this section behind the shed, unable to be supervised by staff on the playground. Staff were not aware the child was in this area. Staff # 11 could not identify what staff were in the play area during this incident.

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. 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. The legal entity must arrange for all facility staff to receive a minimum of three hours of PQAS-approved in-person training, including technical assistance, regarding supervision of children. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training.

A complaint inspection occurred at the facility on 9/29/21. A review of the facility's camera system was conducted along with interviews with staff. A video recording from an incident on 9/24/21 from 3:28-3:32p.m. was viewed. Child # 1 and Child # 2, preschool children, were viewed in the outdoor play area, playing at the fence at the corner of E 5th St and Strawberry Ave. Child # 1 and Child # 2 were viewed climbing over the fence and leaving the outdoor play area at least 3 times during the time of the video. Child # 1 was viewed unable to climb back over the fence to get into the play area at roughly 3:32p.m. and a parent picking up their child at the facility was viewed lifting the child back over the fence. Child # 2 was unable to be identified due to the quality of the video. Staff # 1 and Staff # 2 were identified and confirmed that they were the staff responsible for this group of preschool children. During interviews, both staff stated they were a combined group and neither identified that Child #1 was in their group. Staff # 1 was seen in the video near the brick stairs tending to a child crying on the bench and later to a group fighting in the playhouse right next to the brick staircase. Staff # 2 indicated they were talking two children, putting 2 kids in timeout and going to the door to ask staff inside what needed to be done because it was time for Staff # 2 to leave for the day. Staff # 1 and Staff # 2 were unaware the children had been climbing over the fence and left the play area during this time. On 9/24/21, Staff # 3 began the day with Child # 1 in their supervision group. Staff # 4 then relieved Staff # 3 and stated it was assumed Child # 1 was in their group, but no appropriate discussion had taken place as to Child # 1 being in their group. Staff # 4 took Child # 1's group to the outdoor play area and this child's group was combined with Staff # 10 and Staff # 1's group. Again, no communication occurred indicating which staff was supervising which children. Staff # 10 was then relived for the day by Staff # 2. Again, no communication occurred indicating which staff was supervising which children. Appropriate supervision of Child # 1 and other children could not be established after staff transition times throughout the day. A follow up to the complaint inspection occurred at the facility on 10/22/21. Staff interviews were conducted regarding more information obtained on the original complaint. Through these interviews it was determined a lack of supervision occurred involving Child # 3. Staff # 11 had been doing rounds at the facility. Staff # 11 walked into the outdoor play area and was approached by several children. These children told Staff # 11 that Child # 3 was over the fence. A storage shed in the outdoor play area has a gap of about 5 feet between the shed and the fence near Strawberry Ave. where a small fence was added to both sides of the gap to prevent children from having access. Child # 3 was found in this section behind the shed, unable to be supervised by staff on the playground. Staff were not aware the child was in this area. Staff # 11 could not identify what staff were in the play area during this incident.

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. 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. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

A complaint inspection occurred at the facility on 9/29/21. A review of the facility's camera system was conducted along with interviews with staff. A video recording from an incident on 9/24/21 from 3:28-3:32p.m. was viewed. Child # 1 and Child # 2, preschool children, were viewed in the outdoor play area, playing at the fence at the corner of E 5th St and Strawberry Ave. Child # 1 and Child # 2 were viewed climbing over the fence and leaving the outdoor play area at least 3 times during the time of the video. Child # 1 was viewed unable to climb back over the fence to get into the play area at roughly 3:32p.m. and a parent picking up their child at the facility was viewed lifting the child back over the fence. Child # 2 was unable to be identified due to the quality of the video. Staff # 1 and Staff # 2 were identified and confirmed that they were the staff responsible for this group of preschool children. During interviews, both staff stated they were a combined group and neither identified that Child #1 was in their group. Staff # 1 was seen in the video near the brick stairs tending to a child crying on the bench and later to a group fighting in the playhouse right next to the brick staircase. Staff # 2 indicated they were talking two children, putting 2 kids in timeout and going to the door to ask staff inside what needed to be done because it was time for Staff # 2 to leave for the day. Staff # 1 and Staff # 2 were unaware the children had been climbing over the fence and left the play area during this time. On 9/24/21, Staff # 3 began the day with Child # 1 in their supervision group. Staff # 4 then relieved Staff # 3 and stated it was assumed Child # 1 was in their group, but no appropriate discussion had taken place as to Child # 1 being in their group. Staff # 4 took Child # 1's group to the outdoor play area and this child's group was combined with Staff # 10 and Staff # 1's group. Again, no communication occurred indicating which staff was supervising which children. Staff # 10 was then relived for the day by Staff # 2. Again, no communication occurred indicating which staff was supervising which children. Appropriate supervision of Child # 1 and other children could not be established after staff transition times throughout the day. A follow up to the complaint inspection occurred at the facility on 10/22/21. Staff interviews were conducted regarding more information obtained on the original complaint. Through these interviews it was determined a lack of supervision occurred involving Child # 3. Staff # 11 had been doing rounds at the facility. Staff # 11 walked into the outdoor play area and was approached by several children. These children told Staff # 11 that Child # 3 was over the fence. A storage shed in the outdoor play area has a gap of about 5 feet between the shed and the fence near Strawberry Ave. where a small fence was added to both sides of the gap to prevent children from having access. Child # 3 was found in this section behind the shed, unable to be supervised by staff on the playground. Staff were not aware the child was in this area. Staff # 11 could not identify what staff were in the play area during this incident.

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 occurred at the facility. A physical site review was conducted. In the preschool room located to the right of the entrance and is the third room at the end of the hall had a closet door that was unlocked. On the floor of this closet, accessible to children, was paint, resolve, and disinfectant solution. All of these items indicated that they needed to be out of reach of children.

Corrected Corrected by Nov 15, 2021

Marked corrected in the state record.

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 occurred at the facility. A physical site review was conducted. In the outdoor play area, near the brick staircase was a playhouse. This play house was broken at the base of the door the children would use to get into the playhouse.

Corrected Corrected by Nov 15, 2021

Category: physical safety. Marked corrected in the state record.

3270.61(h) · The capacity established for an indoor space may not be exceeded.

A renewal inspection occurred at the facility and a physical site review was conducted on 10/6/21. The preschool room which is located to the right of the entrance and the third room at the end of the hall measures for 14 children. During this inspection, 17 children were observed in this classroom. Additionally, as reported by Staff # 12, the young school aged classroom was over capacity on 9/29/21. Staff #1 verified through interviews with staff and watching the facility's security footage that the school-aged classroom was over capacity by 3 children. One staff person was observed with 13 children, but this classroom only has a measured capacity for 10 children.

Corrected Corrected by Nov 15, 2021

Category: ratio. Marked corrected in the state record.