3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must submit documentation in a format approved by DHS demonstrating that the facility procedure for supervising children is followed at all times e.g., a checklist. The checklist should include who is completing the supervision check, the time of the supervision check, whether the staff were able to identify the names and whereabouts of their group of children, and whether they had their name to face cards on their person. Supervision checks should be conducted at least four times spread out throughout the day. 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 one month after DHS approves the documentation format. The correction date for this portion of the plan shall be a minimum of 1 month from the date the Regional Office receives an acceptable plan.

Continued Non-Compliance: A complaint investigation was conducted on 1/28/25. At that time, it was found that Child #1 was injured at the facility on 1/17/25. Staff Person #1, Staff Person #2, and Staff Person #3 were all present in the classroom when the injury occurred. All three staff stated that they did not see what happened when Child #1 was injured and cannot say for certain what happened. During the inspection on 1/28/25, Staff Person #4 and Staff Person #5 were observed working together with a group of 9 young toddlers. Staff Person #4 named three children in their primary care group. Staff Person #5 named four children in their primary care group. Both staff said that there were 8 children total in the group. The facility's acceptable plan of correction indicated the correction would be implemented by 3/5/25. On 3/31/25, an unannounced inspection was conducted. At that time, Staff Person #6 named three children in their primary care group. Staff Person #6 was asked for their primary care group two more times and again named three children. Staff Person #6 did not have a name to face card for Child #2, who was in their group, and did not name the child in their supervisory group.

Corrected Corrected by May 2, 2025

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. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

A complaint investigation was conducted on 1/28/25. At that time, it was found that Child #1 was injured at the facility on 1/17/25. Staff Person #1, Staff Person #2, and Staff Person #3 were all present in the classroom when the injury occurred. All three staff stated that they did not see what happened when Child #1 was injured and cannot say for certain what happened. During the inspection on 1/28/25, Staff Person #4 and Staff Person #5 were observed working together with a group of 9 young toddlers. Staff Person #4 named three children in their primary care group. Staff Person #5 named four children in their primary care group. Both staff said that there were 8 children total in the group.

Corrected Corrected by Jan 17, 2025

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. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must arrange for all staff to receive a minimum of three hours of training regarding Supervision. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training.

A complaint investigation was conducted on 1/28/25. At that time, it was found that Child #1 was injured at the facility on 1/17/25. Staff Person #1, Staff Person #2, and Staff Person #3 were all present in the classroom when the injury occurred. All three staff stated that they did not see what happened when Child #1 was injured and cannot say for certain what happened. During the inspection on 1/28/25, Staff Person #4 and Staff Person #5 were observed working together with a group of 9 young toddlers. Staff Person #4 named three children in their primary care group. Staff Person #5 named four children in their primary care group. Both staff said that there were 8 children total in the group.

Corrected Corrected by Mar 5, 2025

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. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. 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 during transition times, such as visiting the bathroom and supervision on the playground. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy.

A complaint investigation was conducted on 1/28/25. At that time, it was found that Child #1 was injured at the facility on 1/17/25. Staff Person #1, Staff Person #2, and Staff Person #3 were all present in the classroom when the injury occurred. All three staff stated that they did not see what happened when Child #1 was injured and cannot say for certain what happened. During the inspection on 1/28/25, Staff Person #4 and Staff Person #5 were observed working together with a group of 9 young toddlers. Staff Person #4 named three children in their primary care group. Staff Person #5 named four children in their primary care group. Both staff said that there were 8 children total in the group.

Corrected Corrected by Feb 17, 2025

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.

A complaint investigation was conducted on 1/28/25. At that time, the accident report on file for Child #1 had been signed by the parent on 1/21/25. The injury occurred on 1/17/25. The facility places a copy of the accident reports in the child's file but does not keep a copy of accident reports in a master file.

Corrected Corrected by Jan 28, 2025

Category: health medication. 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.

During renewal inspection conducted 10/9/2024, fire safety trainings on file for staff person #7 are dated 7/25/2023 and 9/26/2024, which is past one year.

Corrected Corrected by Sep 26, 2024

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 Child Protective Services). Staff person #4 will have until 10/25/2024 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #4 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 person(s) available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #5 and staff person #6 may not work in a child care position at the facility until acceptable clearances are on file, including out-of-state clearances.

During renewal inspection conducted 10/9/2024, staff person #1 had NSOR clearance on file dated 5/14/2024, which was past their start date/ 45-day provisional hire date. There was no documentation of receipt on file (see LIS code sheet for start date). Staff person #4 has FBI clearances on file dated 8/25/2019 and 9/9/2024, which is past 60 months. Staff person #4 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 9/26/2019. There is a volunteer child abuse clearance on file for staff person #5, which is not acceptable. Additionally, documentation on file indicates that staff person #5 has resided in Texas within the past 60 months and there are no out-of-state clearances or clearance requests on file (see LIS code sheet for start date). Staff person #6 does not have NSOR or FBI clearances on file and is past their 45-day provisional hiring period (see LIS code sheet for start date). Additionally, documentation on file indicates that staff person #6 has resided in New York within the past 60 months and there are no out-of-state clearances or clearance requests on file (see LIS code sheet for start date).

Corrected Corrected by Oct 9, 2024

Category: supervision. Marked corrected in the state record.

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.

During renewal inspection conducted 10/9/2024, tape was missing from the first-aid kit in the school-age room.

Corrected Corrected by Oct 9, 2024

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.

During renewal inspection conducted 10/9/2024, there were 16 total preschool-aged children present in the Preschool 2 room. Staff person #1 first identified 6 children as being in their care and staff person #2 identified 8 children as being in their care. A headcount was conducted and it was discovered that two children were not assigned to a staff person. Staff person #1 understood that they had 8 children assigned to them prior to certification representative departing the room and was able to identify them by name. During a walkthrough conducted during naptime, staff person #3 and staff person #4 could not identify all children present.

Corrected Corrected by Oct 9, 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. The legal entity must arrange for staff person #1, staff person #2, staff person #3, and staff person #4 to complete four trainings entitled "Supervision: Moving Children", "Supervision: Counting Children", "Supervision: What's Required?", and "Supervision: Teamwork" through Better Kid Care or similar training that has been approved by the Northeast Regional Office if staff has previously taken any of the aforementioned courses.

During renewal inspection conducted 10/9/2024, there were 16 total preschool-aged children present in the Preschool 2 room. Staff person #1 first identified 6 children as being in their care and staff person #2 identified 8 children as being in their care. A headcount was conducted and it was discovered that two children were not assigned to a staff person. Staff person #1 understood that they had 8 children assigned to them prior to certification representative departing the room and was able to identify them by name. During a walkthrough conducted during naptime, staff person #3 and staff person #4 could not identify all children present.

Corrected Corrected by Nov 1, 2024

Category: supervision. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

During renewal inspection conducted on 10/9/2024, Child Service Reports (CSRs) completed within the past 6 months were not on file for child #2 or child #4. Children have been attending for over 6 months (see LIS code sheet for date of enrollment).

Corrected Corrected by Oct 9, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

During renewal inspection conducted 10/9/2024, the following information was missing from children's emergency contact forms: Child #1: Release person(s) address(es). Child #3: Release person(s) address(es). Child #4: Release person(s) address(es).

Corrected Corrected by Oct 9, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

During renewal inspection conducted on 10/9/2024, emergency contact information was missing for some children present in the following rooms: Infants, Waddlers, Toddler B, Preschool 1, and Preschool 2.

Corrected Corrected by Oct 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

During renewal inspection conducted 10/9/2024, emergency transportation plan was not posted in Infant or Toddler A rooms, which are measured child care spaces.

Corrected Corrected by Oct 9, 2024

Category: transportation. Marked corrected in the state record.

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

During renewal inspection conducted 10/10/2024, certification representative observed two staff members in the Preschool 1 room change a child's diaper and not ensure that the child washed their hands after.

Corrected Corrected by Oct 14, 2024

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

3270.151(a)/3270.151(c)(5) · 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 the physician's or CRNP's assessment of the person's suitability to provide child care.

During renewal inspection conducted 10/9/2024, health assessment on file for staff person #1 is dated 10/6/2024, which was after initial employment (see LIS code sheet for start date). Additionally, health assessment on file does not contain the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Oct 9, 2024

Category: ratio. Marked corrected in the state record.

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

As of the renewal inspection on 10/30/23, the operator could not document that they had provided the parent of each enrolled child a letter explaining the emergency procedures or any subsequent updates.

Corrected Corrected by Nov 30, 2023

Category: physical safety. 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.

As of the renewal inspection on 10/30/23, staff #6 and #9 did not have fire safety training in the previous year.

Corrected Corrected by Nov 30, 2023

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.

As of the renewal inspection on 10/30/23, Staff #1, #3, #5. #6, #7, #8, #10, #12, and #14 did not complete the required update to the Health and Safety topics.

Corrected Corrected by Nov 30, 2023

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

3270.171(b)/3270.171(c) · Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

As of the renewal inspection on 10/30/23, safe routes and pick up and drop off points had not been posted at the facility.

Corrected Corrected by Nov 30, 2023

Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #9 will have until 11/15/23 to complete the required training. Until such time as the required training has been completed, staff person #9 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff available to supervise staff person #9, staff person #9 may not work in a child-care position at the facility.

As of the renewal inspection on 10/30/23, staff person #9 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and Pediatric CPR.

Corrected Corrected by Nov 11, 2023

Category: supervision. Marked corrected in the state record.

3270.35(b)(2) · A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

As of the renewal inspection on 10/30/23, staff #11 and #13 did not have the qualifications on file for the identified Group Supervisor position.

Corrected Corrected by Nov 30, 2023

Category: supervision. Marked corrected in the state record.

3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

As of the renewal inspection on 10/30/23, staff #2, #4, and #7 did not have the documentation to qualify for the identified Assistant Group Supervisor position.

Corrected Corrected by Nov 30, 2023

Category: supervision. Marked corrected in the state record.

3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

As of the renewal inspection on 10/30/23, child #1 had no documentation of influenza vaccine. The most recent influenza vaccine for child #2 was 10/14/21. Child #1 and #2 must be removed from care until proper documentation is on file.

Corrected Corrected by Nov 30, 2023

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

3270.151(c)(4)/3270.151(c)(5) · An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

As of the renewal inspection on 10/30/23, the health assessments of staff #2, #9 and #13 did not include the physician's assessment of the staff's suitability to provide child care or any medical problems that might threaten the children.

Corrected Corrected by Nov 30, 2023

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

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.

As of the renewal inspection on 10/30/23, the files of staff #2, #4, #9, and #11 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Nov 30, 2023

Category: recordkeeping. 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. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must arrange for Staff #1 to receive a minimum of three hours of training regarding supervision of children, including "Supervision: What's Required?" and "Infant Toddler Care: Quality Supervision" both available on Better Kid Care. The legal entity must receive DHS approval of the training content prior to scheduling any alternative training.

As reported by facility, on 1/18/23 Child #1 was found unsupervised in a storage closet attached to the classroom by Staff #1. The child was reported to be in the closet unsupervised for a period of approximately 3-5 minutes.

Corrected Corrected by Feb 17, 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. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

As reported by facility, on 1/18/23 Child #1 was found unsupervised in a storage closet attached to the classroom by Staff #1. The child was reported to be in the closet unsupervised for a period of approximately 3-5 minutes.

Corrected Corrected by Feb 17, 2023

Category: supervision. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 was reported to be caring for children unsupervised during an incident on 1/18/23. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Acceptable Pediatric First Aid and Pediatric CPR from a PQAS approved trainer.

Corrected Corrected by Feb 9, 2023

Category: supervision. Marked corrected in the state record.

3270.37(b)(1)/3270.192(2)(ii) · An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

On 1/25/23 during an unannounced inspection, staff #2 did not have any documentation on file to qualify for the stated Aide position.

Corrected Corrected by Feb 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(i) · A facility person's record shall include verification of age.

During an unannounced inspection on 1/25/23, there was no verification of age for staff #1 or staff #2.

Corrected Corrected by Feb 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

On 1/25/23 during an unannounced inspection, the most recent fire drill recorded was dated 10/17/22.

Corrected Corrected by Feb 17, 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.

During an unannounced inspection on 1/25/23, the most recent fire alarm testing was dated 10/17/22.

Corrected Corrected by Feb 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

As of the renewal inspection on 10/17/22, there was no policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment as required by 45 CFR 98.41(a)(1)(vi).

Corrected Corrected by Oct 25, 2022

Category: ratio. 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. Facility Person #1, #5, and #6 may not work in a child care position at the facility.

As of the renewal inspection on 10/17/22, Staff #1 (see code sheet for hire date) did not have FBI clearance. Staff #5 (see code sheet for hire date) did not have FBI or NSOR. Staff #6 (see code sheet for hire date) did not have NSOR. Staff #1, #5, and #6 must be removed from care until all clearances are on file.

Corrected Corrected by Oct 31, 2022

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

3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

As of the renewal inspection on 10/17/22, staff #1, #2, #4, #5, #6, #8 did not have sufficient documentation to qualify for the stated Assistant Group Supervisor position.

Corrected Corrected by Oct 25, 2022

Category: supervision. Marked corrected in the state record.

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

As of the renewal inspection on 10/17/22. staff #3 and #9 did not have sufficient documentation to qualify for the stated Aide position.

Corrected Corrected by Nov 17, 2022

Marked corrected in the state record.

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.

During the renewal inspection on 10/17/22, the closet in the Preschool room was not locked and contained a staff handbag and disinfectant on the floor accessible to children.

Corrected Corrected by Oct 25, 2022

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.

During the renewal inspection on 10/17/22, the red chair and blue sofa in the preschool room, and the mat under the climber in Toddler A were worn with foam exposed.

Corrected Corrected by Oct 25, 2022

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

3270.102(b) · Toys soiled by secretion or excretion shall be cleaned with soap and water, rinsed and sanitized before being used by a child.

During the renewal inspection on 10/17/22, mouthed toys were not cleaned and sanitized after being mouthed and before other children picked them up in the Toddler A room.

Corrected Corrected by Oct 25, 2022

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

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

During the renewal inspection on 10/17/22, the rest equipment in Toddler B had numbers on them but no corresponding chart to identify which children used which numbered mat.

Corrected Corrected by Oct 25, 2022

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

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

During the renewal inspection on 10/17/22, the emergency contact information of child #5 did not include the name, address and telephone number of the child's physician or source of medical care.

Corrected Corrected by Nov 15, 2022

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

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

During the renewal inspection on 10/17/22, the emergency contact information for child #1 did not include the written consent signed by a parent for emergency medical care.

Corrected Corrected by Oct 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

During the renewal inspection on 10/17/22, the emergency contact information for child #1 did not include health insurance coverage and policy number.

Corrected Corrected by Oct 25, 2022

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

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.

During the renewal inspection on 10/17/22, emergency contact information was not present in the Infant A, Discovery Preschool, and Preschool room for several of the children receiving care in those rooms.

Corrected Corrected by Nov 15, 2022

Category: recordkeeping. 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.

During the renewal inspection on 10/17/22, the emergency contact information for child #3 had last been updated on 9/19/21. The emergency contact information and the financial agreement had last been updated 3/16/22 for child #5. The emergency contact information had last been updated 12/3/21 and the financial agreement had last been updated 6/11/21 for child #6.

Corrected Corrected by Oct 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

During the renewal inspection on 10/17/22, the most recent health assessment for child #4, a one year old, was dated 11/15/21.

Corrected Corrected by Nov 4, 2022

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

3270.131(d)(7)/3270.131(d)(8) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

During the renewal inspection on 10/17/22, the health assessment for child #6 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. The health assessment also did not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted

Corrected Corrected by Oct 25, 2022

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

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

During the renewal inspection on 10/17/22, the EpiPen of child #3 expired 1/22.

Corrected Corrected by Oct 25, 2022

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

As of the renewal inspection on 10/17/22, there was no written consent for administration of medication for the Albuterol for child #2 or the Ibuprofen for child #4.

Corrected Corrected by Oct 25, 2022

Category: ratio. Marked corrected in the state record.

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.

As of the renewal inspection on 10/17/22, there was no health assessment or TB screening documentation for staff #1, #3, #5, #6 or #9.

Corrected Corrected by Oct 25, 2022

Category: ratio. Marked corrected in the state record.

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

As of the renewal inspection on 10/17/22, the emergency contact information for child #1 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Oct 25, 2022

Category: ratio. Marked corrected in the state record.

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.

As of the renewal inspection on 10/17/22, there was only 1 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person for staff #7

Corrected Corrected by Oct 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

As of the renewal inspection on 10/17/22, the operator had not provided the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Corrected Corrected by Oct 25, 2022

Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

As of the renewal inspection on 10/17/22, the operator had not notified local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility in the previous year.

Corrected Corrected by Oct 25, 2022

Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1, #3, #4, #5, and #6 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, #3, #4, #5, and #6, staff person #1, #3, #4, #5, and #6 may not work in a child-care position at the facility.

On 8/18/22 during an unannounced inspection, Staff person #1 was observed to be caring for children unsupervised by an AGS or above who has completed the required training. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid and Pediatric CPR, and Mandated Reporter within the previous 5 years. Staff person #3 was observed to be caring for children unsupervised by an AGS or above who has completed the required training . Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety training after 9/30/16, and Mandated Reporter within the last 5 years. Staff person #4 was observed to be caring for children unsupervised by an AGS or above who has completed the required training . Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated Reporter. Staff person #5 was observed to be caring for children unsupervised by an AGS or above who has completed the required training . Staff person #5 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid and Pediatric CPR, and Mandated Reporter. Staff person #6 was observed to be caring for children unsupervised. Staff person #6 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid and Pediatric CPR, Health and Safety, and Mandated Reporter.

Corrected Corrected by Aug 24, 2022

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff persons #2, #3, and #4 will have until 9/6/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #2, #3 and #4 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2, #3, and #4, staff person #2, #3, and #4 may not work in a child-care position at the facility.

On 8/18/22 during an unannounced inspection, Staff person #2 and #3 have not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/7/17 and 6/14/17 respectively. Staff #4 has not completed the Mandated Reporter training within 90 days of their date of hire (see code sheet for hire date).

Corrected Corrected by Aug 24, 2022

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. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must develop or update their written supervision policies and procedures to be implemented in the facility. The written policies and procedures must address supervision during diaper changing. The legal entity will submit their policies and procedures to the Northeast Regional Office for approval. Once approved, all existing staff and any new hires must be trained on the approved policy and procedure and it must be documented in their files.

On 2/22/22 at approximately 10 a.m., while changing a diaper, Staff #1 was unaware that Child #1 and Child #2 had left the classroom unattended and went outside into the toddler play space.

Corrected Corrected by Apr 1, 2022

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.

On 2/22/22 at approximately 10 a.m., while changing a diaper, Staff #1 was unaware that Child #1 and Child #2 had left the classroom unattended and went outside into the toddler play space.

Corrected Corrected by Mar 21, 2022

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. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must arrange for all facility staff employed as of the date of the training to receive a minimum of 2 hours of PQAS-approved in-person or live training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

On 2/22/22 at approximately 10 a.m., while changing a diaper, Staff #1 was unaware that Child #1 and Child #2 had left the classroom unattended and went outside into the toddler play space.

Corrected Corrected by Apr 1, 2022

Category: supervision. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

On 3/1/22, Staff #1 gave Child #1 a bottle containing breast milk and whole milk provided for Child #2. Staff #2 stated that the bottle was not labeled.

Corrected Corrected by Mar 21, 2022

Marked corrected in the state record.

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

During the renewal inspection, the emergency plan had not been sent to the county or the local municipality.

Corrected Corrected by Nov 26, 2021

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

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

During the renewal inspection, there was no documentation that the emergency plan had been reviewed in the past year.

Corrected Corrected by Nov 26, 2021

Category: recordkeeping. 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.

During the renewal inspection, the most recent emergency plan training for Staff #2 was dated 10/6/20. Staff #11 (hire date 10/18/21) did not have emergency plan training at the time of initial employment.

Corrected Corrected by Nov 26, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire:

During the renewal inspection, Staff #7 (hire date 12/21/20) did not complete the required health and safety trainings.

Corrected Corrected by Nov 26, 2021

Category: health medication. 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. Facility Person #1, #4, #6, #8, #10, #11 may not work in a child care position at the facility.

During the renewal inspection, Staff #1 (hire date 9/14/20) did not have NSOR or FBI on file and must be removed from care. Staff #4 (hire date 7/27/21) did not have documentation of NSOR and must be removed from care. Staff #6, (hire date 3/30/21) did not have documentation of NSOR and must be removed from care. Staff #8 (hire date 9/7/21) did not have documentation of NSOR and must be removed from care. Staff #10 (hire date 4/3/21) did not have documentation of NSOR and must be removed from care. Staff #11, a provisional hire with a start date of 10/18/21, did not have documentation that the Child Abuse clearance request had been submitted as required, and must be removed from care.

Corrected Corrected by Oct 26, 2021

Category: background checks. 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.

During the renewal inspection, there was no written evaluation in the past year for Staff #1 (hire date 9/14/20), #2 (hire date 2/9/04), and Staff #3 9hire date 8/14/20).

Corrected Corrected by Nov 26, 2021

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection, there was no documentation of 2 years of experience to qualify staff #3, #4, #5, and #11 for the stated Assistant Group Supervisor position.

Corrected Corrected by Nov 26, 2021

Category: supervision. Marked corrected in the state record.

3270.37(b)(1)/3270.192(2)(ii) · An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During the renewal inspection, there was no documentation to qualify staff #7 and #9 for the stated Aide position.

Corrected Corrected by Nov 26, 2021

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection, there was no parental consent for emergency medical care for child #3.

Corrected Corrected by Nov 26, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

During the renewal inspection, the emergency contact information did not include health insurance information for child #1 and #2.

Corrected Corrected by Nov 26, 2021

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

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

During the renewal inspection, the health report on file for child #1 did not include a signature, date or professional's title.

Corrected Corrected by Nov 26, 2021

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

3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

During the renewal inspection, there was no immunization record on file for child #4 (start date 6/22/21).

Corrected Corrected by Nov 26, 2021

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

During the renewal inspection, the health assessment on file for staff #10 (start date 4/3/21) was dated 5/4/21.

Corrected Corrected by Nov 26, 2021

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · 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.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the renewal inspection, there was no TB screening or results on file for staff #10 (start date 4/3/21).

Corrected Corrected by Nov 26, 2021

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

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

During the renewal inspection, the health assessment for staff #10 did not include the physician's assessment of the staff's suitability to provide child care or indicate an examination for communicable diseases.

Corrected Corrected by Nov 26, 2021

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

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

During the renewal inspection, there was only 1 nonfamily reference on file for staff #4, and there were no references presented for staff #11.

Corrected Corrected by Nov 26, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

During the renewal inspection, the most recent documented fire drills were done on 2/9/21, 5/18/21, 7/2/21, and 10/1/21 not meeting the requirement of every 60 days.

Corrected Corrected by Nov 26, 2021

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.

During the renewal inspection, the fire alarm is pulled during fire drills, however, the fire alarm tests are not being performed every 30 days as required.

Corrected Corrected by Nov 26, 2021

Category: recordkeeping. Marked corrected in the state record.