Kindercare Learning Center 1278

3270.151(b) · A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

The file for staff person #3, hire date (see IS code sheet), contains an initial health assessment that was signed by an RN and therefore not valid.

Corrected by Feb 24, 2026

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3270.102(a)/3270.103 · 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. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Observed in the infant room vinyl covered foam blocks with worn corners with bits of flaking vinyl that could be a choking hazard to children still placing objects in their mouth.

Corrected by Feb 23, 2026

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

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Mandated Reporter Training, PFA/CPR certification, Health and Safety training topics.

Corrected by Feb 23, 2026

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff persons #1 and #2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility

Staff person #1 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First aid / CPR and Health and Safety topics. Staff person #2 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Health and Safety topics.

Corrected by Feb 23, 2026

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff persons #1 and #2 must be supervised, when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility.

Staff persons #1 and #2 have not completed mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected by Feb 23, 2026

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3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Observed an uncovered outlet on the light sting on the Valentine tree in the Atrium.

Corrected by Feb 23, 2026

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3270.67(a) · Trash shall be removed from the facility at least once per day.

At ~10:00am observed the hands-free trash in the bathroom in the Toddler A classroom to be overflowing and evident that the trash had not been removed from the facility in the previous day.

Corrected by Feb 23, 2026

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3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Observed the window and window ledge in the downstairs preschool room was covered with dirt and cobwebs.

Corrected by Feb 20, 2026

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3270.151(c)(1) · An adult health assessment must include a physical examination.

The file for staff person #3, hire date (see IS code sheet), contains an initial health assessment with a statement that a physical exam was not conducted.

Corrected by Feb 24, 2026

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3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

On a low shelf in the unlocked Atrium bathroom, observed spray cleaners stating 'Keep out of reach of children' accessible to children. On an accessible shelf in an unlocked cabinet in the Multi--age classroom, observed disinfectant spray and glass cleaner labeled keep out of reach of children. Also observed disinfectant spray on an open classroom shelf. On the outdoor play spaces along the fence observed English Ivy and Virginia Creeper, both identified as toxic to humans. In an unlocked hallway closet by the front stairs observed bug spray and paint, both labeled keep out of reach of children.

Corrected by Jun 25, 2025

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3270.66(d) · Toxic plants are not permitted in a child care space.

Observed a corn plant on a high shelf in the DP1 classroom. Corn plants are identified as toxic to humans. On the outdoor play spaces along the fence observed English Ivy and Virginia Creeper, both identified as toxic to humans.

Corrected by Jun 25, 2025

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3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

The water temperature at the sink in the bathroom in the downstairs multi-age classroom measured 120 degrees.

Corrected by Jun 25, 2025

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3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff persons #1,2,4 and 5 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1,2,4,5, staff persons #1,2,4,5 may not work in a child-care position at the facility.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: health and safety training topics, Pediatric First Aid and CPR, and mandated reporter training. Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre- service training required prior to caring for children unsupervised: health and safety training topics and mandated reporter training. Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid and CPR. Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre- service training required prior to caring for children unsupervised: health and safety training topics and mandated reporter training.

Corrected by Jul 25, 2025

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3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

The wooden gate on the preschool playground which exits into the front parking lot bordering a busy street was not latched. The gate was able to open slightly allowing space for a small child to escape however an uneven ground surface prevented the gate from opening fully to allow an adult to exit.

Corrected by Jun 24, 2025

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3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

Observed in the DP 2 classroom a plastic trash container that had visible stuck-on food particles and mold on the interior of the container.

Corrected by Jun 25, 2025

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #9 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #9, staff person #9 may not work in a child-care position at the facility.

Staff person #9 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training topics.

Corrected by Jul 25, 2025

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2, #6 and #10 may not work in a child care position at the facility.

The file for staff person #2, hire date (see IS code sheet) contains a state police clearance that is missing the dissemination date and is therefore not valid and is lacking a completed NSOR verification. The file for staff person #6, hire date (see IS code sheet) contains a state police clearance that expired 5/28/25 and a child abuse clearance that expired 5/29/25 and is lacking current updated clearances. The file for staff person #10, hire date (see IS code sheet) is lacking an NSOR verification as required under CPSL for employment in a child care facility.

Corrected by Jul 25, 2025

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3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files for staff persons #1, #5 and #11, observed serving as assistant group supervisors working unsupervised, are lacking qualifications to serve as assistant group supervisors.

Corrected by Jul 25, 2025

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

The files for staff persons #6 and #7 are lacking an annual written evaluation completed during the previous 12 month period.

Corrected by Aug 8, 2025

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3270.35(d)/3270.35(e) · A director may not function as a group supervisor in a facility in which more than 45 children are enrolled. In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

On the day of inspection there are 51 children enrolled and 48 children in attendance. The only staff person with group supervisor qualifications is serving as director. The facility is lacking a group supervisor for the first group of 45 children and is lacking a group supervisor for the additional partial group of 45 children.

Corrected by Jul 25, 2025

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3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

The files for staff persons # 1,5 and 11 contain documentation to serve as an aide. Observed staff persons #1,5 and 11 working with children unsupervised by at minimum an AGS with all requirements to care for children unsupervised.

Corrected by Jul 25, 2025

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3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit in the Muliti-age classroom contained a roll of gauze that was out of the package and therefore not sterile.

Corrected by Jul 25, 2025

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3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Observed in the Multi-age room a CD player / radio sitting in a high window with the cord hanging low and accessible to children causing a hazard if a child were to pull the cord. Observed the playground turf to be covered with twigs, leaves, acorns and weeds growing in the turf demonstrating that the playground surface is not being maintained for safety. Observed a protruding screw on a bulletin board by the circle time area in the Preschool room.

Corrected by Jul 25, 2025

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3270.78/3270.113(a) · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light. 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.

A lack of sufficient artificial or natural lighting in the multi-aged classroom during naptime prevented the staff from adequately being able to see the children in care to assure their well-being.

Corrected by Jul 25, 2025

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3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

The waste receptacle by the classroom sink in the Multi-age classroom is lacking a lid.

Corrected by Jul 25, 2025

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3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

The outside cellarway of the Preschool 2 emergency exit was used for storing unused or broken toys and equipment causing an obstruction to the exit. The exit ramp of the emergency exit from the Infant room was used to store unused equipment causing an obstruction to the exit. The large wooden gate to exit from the preschool side of the playground into the front parking lot was blocked by uneven ground. The gate would open far enough to allow a small child to escape but not allow a larger child or adult to exit.

Corrected by Jul 25, 2025

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3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Observed the playground climbing equipment on both the toddler and preschool playgrounds to be visibly dirty with debris and cobwebs. Observed a radio flyer trike on the toddler playground to have cracked plastic with a sharp edge. The hallway gate by the Todd B classroom was cracked with a sharp edge. The backside of the changing table in the Todd B room had cracked plastic and a protruding latch.

Corrected by Jul 25, 2025

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

The Multi-age classroom was lacking a current mat list to identify which rest mat belonged to which specific child. Two infants were observed sleeping on the floor in the infant room.

Corrected by Jul 25, 2025

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3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Observed an infant sleeping in a crib which was beside a chair, shelf and rest mat therefore not allowing the required 2 feet of space on 3 sides of the crib.

Corrected by Jun 25, 2025

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3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The refrigerator in the Multi-age classroom was lacking an operable thermometer. The thermometer in the white refrigerator in the infant room read 55 degrees.

Corrected by Jul 25, 2025

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3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. 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.

Observed 2 preschool aged children to be alone in the Preschool 2 classroom with a speech therapist and no staff were present in the child care space. Staff person #2 who claimed the children in their supervision group was in the adjacent Preschool 1 classroom.

Corrected by Jul 25, 2025

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3270.114 · Weather permitting, children shall be taken out doors daily.

According to staff interviews, the children are not taken outdoors daily.

Corrected by Jul 25, 2025

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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.

The files for child #3 and #5 are lacking signed parental consent for emergency medical care for the child.

Corrected by Jul 25, 2025

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3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Emergency contact information was not present in the Todd A room for a young toddler receiving care in the child care space. Emergency contact information was not present in the Todd B room for 4 young toddlers receiving care in the child care space.

Corrected by Jul 25, 2025

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

The files for child #1,4 and 5 are lacking timely initial or updated health reports. The files are now current.

Corrected by Jul 25, 2025

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

A written plan identifying the means of transporting a child to emergency care was not posted in the DP 1 classroom.

Corrected by Jul 25, 2025

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3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The files for children #1,2,4 and 5 contain current emergency contact forms and financial agreements that were updated greater than 6 months after the previous update. The files are now current.

Corrected by Jul 25, 2025

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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.

The file for child #1, young toddler, contains an updated health report that was obtained greater than 6 months after the previous health report. The file is now current.

Corrected by Jul 25, 2025

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3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The file for child #4, preschool aged, contains an updated health report that was obtained greater than 12 months after the previous health report. The file is now current.

Corrected by Jul 25, 2025

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3270.131(e)(1)/3270.131(e)(3) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The file for child #1 is lacking current HIB and Hep A immunizations as required by the ACIP. The file for child #2 is lacking current Hep A. Child #1 and #2 must be removed from care until current immunization status is received.

Corrected by Jul 25, 2025

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3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Alcohol antiseptic pads were present in first-aid bags in the Todd A, Todd B, Multi-age and Preschool rooms and lacked the name of the child for whom they were intended.

Corrected by Jul 25, 2025

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3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Observed staff persons #1, infant room, and #8, Todd A, did not immediately discard a soiled diaper during a diaper change.

Corrected by Jul 25, 2025

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3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Staff #1, infant room, did not clean the changing surface following a diaper change. According to staff in the Multi-age classroom and Preschool 1 classroom, children who wear pull-ups are changed standing up in the preschool bathrooms. The surface is not cleaned after each pull-up change.

Corrected by Jul 25, 2025

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

Diaper changes in the Todd B room exceeded 2 hours between diaper changes as evidenced by staff person #11 stating that diapers had been changed at 9:00 am and would be changed again after the children ate lunch which was observed to be occurring at 11:30am.

Corrected by Jul 25, 2025

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3270.151(a)/3270.192(3) · 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. 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.

The file for staff person #4 is lacking a staff health assessment and TB test results and was observed working with children in the Multi-age classroom.

Corrected by Jul 25, 2025

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3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Observed staff person #1 in the infant room did not wash their hands after changing a child's diaper.

Corrected by Jul 25, 2025

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

Observed in the refrigerator in the Preschool 2 classroom open container of 1% milk that smelled spoiled.

Corrected by Jun 25, 2025

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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.

The files for children #3 and #5 contain emergency contact forms that are lacking signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected by Jul 25, 2025

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3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The files for staff persons #3 and #8 are lacking 2 non-family reference letters.

Corrected by Jul 25, 2025

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3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff person #6 contains only 9 of the required 12 annual training hours completed during the period 12/2023 to 12/2024.

Corrected by Jul 25, 2025

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3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The file for child #5 contains an initial health report that was received greater than 60 days after the first day of attendance at the facility. The file is now current.

Corrected by Jul 25, 2025

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3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

2ND CITATION: The file for child #3, preschool aged, is lacking an updated health report in the previous 12-month period. PREVIOUSLY CITED ON 1/15/25

Corrected by Mar 19, 2025

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3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

2ND CITATION: The files for staff persons #2,3,5 and 6 are lacking documentation of fire safety training completed during the previous 12-month period. PREVIOUSLY CITED ON 1/15/25

Corrected by Mar 19, 2025

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

2ND CITATION: Staff persons #2,3,5 and 6 have not received written evaluations during the previous 12-month period. PREVIOUSLY CITED ON 1/15/25

Corrected by Mar 19, 2025

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3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

2ND CITATION: The first-aid kits in the Discovery 1 and Pre-K classrooms were lacking tweezers. PREVIOUSLY CITED ON 1/15/25

Corrected by Mar 19, 2025

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3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

2ND CITATION: The toilet in the Discovery 2 bathroom had exposed protruding bolts at the base. PREVIOUSLY CITED ON 1/15/25

Corrected by Mar 19, 2025

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3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. TIERED LIS: 1. 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. 2.Legal Entity will participate in technical assistance provided by the ELRC regarding administration of policy and procedures that ensure regulatory compliance at all times with a focus on maintaining staff:child ratios. Upon completion the LE will submit to certification representative documentation of the completed TA 3.The Legal Entity will conduct staff meeting for 5 months commencing upon the approval of this plan of correction. Agenda items will include review and discussion of citations from inspections conducted during the previous 6-month period, review of facility policy on how to maintain ratio compliance, and importance of staff showing up for scheduled shifts. The meeting agenda, discussion notes and attendance sheet will be submitted to DHS representative within 10 days after each meeting.

2ND CITATION: On 3/7/2025 at 8:35am observed staff person #1 caring for 7 older toddler children in the Discovery Preschool 1 room. At 8:45am observed staff persons #2 and #3 caring for 25 preschool aged children in the downstairs Multi-age B classroom. PREVIOUSLY CITED 10/30/2024.

Corrected by Aug 31, 2025

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3270.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Based on staff interviews, there were 30 preschool children receiving care in the downstairs multi-aged classroom which has a capacity of 29.

Corrected by Mar 28, 2025

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3270.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Based on staff interviews, staff will take a baby into the kitchen or into the office with them when classrooms are over ratio. The office and kitchen are not licensed child care spaces.

Corrected by Mar 28, 2025

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

Based on staff interviews, staff will sometimes hold a baby while preparing meals in the kitchen which contains an oven and stove top, heat sources over 110° F.

Corrected by Mar 28, 2025

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

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Mandated reporter training.

Corrected by Apr 14, 2025

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

The file for staff person #1, hire date (see IS code sheet), contains a criminal history clearance dated 2/28/2024 obtained for the purpose of volunteer which is not valid for employment in child care under CPSL.

Corrected by Apr 7, 2025

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3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

It was self-reported and verified through staff's written statements that staff person #1 restrained a child when staff #1 lay her body across a child preventing the child from moving.

Corrected by Feb 28, 2025

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3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

The hot water in the downstairs pre-k bathroom measured 115 degrees.

Corrected by Jan 6, 2025

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3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Observed the outlet below the small refrigerator in the Pre-K room is lacking a protective cover. Children 5 and under receive care in the pre-K room.

Corrected by Jan 20, 2025

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3270.31(e)(4)(ii)/3270.192(2)(iv) · 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 facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The files for staff persons #2,3,5 and 6 are lacking documentation of fire safety training completed during the previous 12-month period.

Corrected by Feb 28, 2025

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 Persons #1 and 4 may not work in a child care position at the facility.

The files for staff persons #1, hire date (see IS code sheet) and #4, hire date (see IS code sheet) are lacking signed, dated and witnessed disclosure statements as required under CPSL.

Corrected by Jan 20, 2025

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

Staff persons #2,3,5 and 6 have not received written evaluations during the previous 12-month period.

Corrected by Feb 28, 2025

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3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first-aid kits in the Discovery 1 and Pre-K classrooms were lacking tweezers.

Corrected by Jan 31, 2025

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3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

The toilet in the Discovery 2 bathroom had exposed protruding bolts at the base. The 2 toilets in the downstairs preschool rooms were not operational.

Corrected by Feb 7, 2025

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3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

The Pre-k bathroom with the sink was lacking a lidded waste receptacle.

Corrected by Jan 31, 2025

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

The rest cots used by the children in the preschool room were numbered however there was no list identifying which individual child was to use which rest cot.

Corrected by Jan 31, 2025

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3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Observed in the pre-k room a refrigerator that was unplugged and identified by staff as being non-operable.

Corrected by Jan 20, 2025

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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.

The file for child #1 included emergency contact information that was lacking written consent by a parent for emergency medical care.

Corrected by Jan 20, 2025

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3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Emergency contact information was not available in the Discovery 1 room for children #4. 5.6.7 and 8 who were observed being cared for in the Discovery 1 room.

Corrected by Jan 31, 2025

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3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The file for child #3, preschool aged, is lacking an updated health report in the previous 12-month period.

Corrected by Jan 31, 2025

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3270.131(d)(5)/3270.131(e) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The file for child #2, age 6 months, is lacking an immunization report and has been in attendance for greater than 60 days. Child #2 must be removed from care.

Corrected by Jan 31, 2025

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3270.151(a)/3270.192(3) · 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. 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.

The files for staff persons #2 and #3 contain current health assessments that were conducted greater than 24 months after the previous health assessment.

Corrected by Feb 7, 2025

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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.

The file for child #1 is lacking signed parental consent for administration of minor first-aid procedures.

Corrected by Jan 20, 2025

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3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The operator is lacking documentation to verify that an emergency drill has been conducted during the previous 12-month period.

Corrected by Feb 28, 2025

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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.

The fire drill log identifies that fire drills were conducted on 9/13/2024 and 11/20/2024, exceeding 60 days between fire drills.

Corrected by Feb 21, 2025

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3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The fire alarm test log identifies alarm tests were conducted on 9/13/24, 11/20/24 and 12/23/24 exceeding 30 days between alarm tests.

Corrected by Jan 23, 2025

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

The operator has not sent an updated emergency plan to the county emergency management agency and the local municipality.

Corrected by Jan 31, 2025

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3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff person #2 contains only 4 of the required 12 hours of child care training between 12/19/23 and 12/31/24. The file for staff person #3 contains only 3 of the required 12 hours of child care training between 12/19/23 and 12/31/24. The file for staff person #5 contains only 1 of the required 12 hours of child care training between 9/6/23 and 9/30/24. The file for staff person #6 contains only 1 hour of child care training between 3/27/23 and 3/31/24.

Corrected by Jan 20, 2025

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3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The file for child #2 is lacking an initial health report within 60 days of the first day of attendance.

Corrected by Jan 31, 2025

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

The facility is lacking any verification that the local traffic safety authorities had been notified in writing within the previous 12 months of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility

Corrected by Jan 31, 2025

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3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff persons #4 and #5 must be supervised, when interacting with children, by a director, GS or AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person 2, staff 2 may not work in a child-care position at the facility.

Staff persons #2 was observed to be caring for children unsupervised. Staff persons #2 has not completed the following pre-service training required prior to caring for children unsupervised: PFA/PCPR conducted by a PQAS certified instructor.

Corrected by Nov 20, 2024

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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.

Staff persons #1 and #2 are lacking documentation of emergency plan training within 90 days of start date. They do have current training regarding the emergency plan.

Corrected by Nov 28, 2024

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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 #2 will have until 12/3/2024 to complete the required training. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by a director, GS or AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatrics First Aid Pediatrics CPR with a PQAS certified trainer.

Corrected by Nov 28, 2024

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #4 may not work in a child care position at the facility.

The file for staff person #1, hire date (see IS code sheet) is lacking verification that the NSOR was requested prior to start date in a childcare position. The file does contain a completed NSOR verification. The file for staff person #2, hire date (see IS code sheet) is lacking a child abuse clearance and is lacking verification that the NSOR was requested prior to start date in a childcare position. The file does contain a current NSOR verification. Under CPSL Staff #2 may not work in a child care position until a child abuse clearance is obtained.

Corrected by Nov 28, 2024

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3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Observed electrical outlets lacking protective covers in the preschool room on the wall with windows, in the Atrium and in the hallway by the office. These areas are accessible to children age five and under.

Corrected by Nov 4, 2024

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3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Children were observed receiving care in the pre-k room. The kitchen door was left open allowing the preschool children access to the kitchen. Through the kitchen the mechanical door was left open allowing the preschool children access to the mechanical room. Observed a variety of cleaning supplies labeled keep out of reach of children in the mechanical room accessible to children since the kitchen and mechanical doors were left open.

Corrected by Nov 4, 2024

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

Children were observed receiving care in the pre-k room. The kitchen door was left open allowing the preschool children access to the kitchen where a stove is located and used for preparing meals. Observed in the hallway by the office a parent coffee station located on a low shelf accessible to children. The coffee pot and contents exceeded 110 degrees.

Corrected by Nov 4, 2024

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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.

The fire drill log identified that the most current fire drills were conducted on 7/5/2024 and 9/13/2024, exceeding 60 days between fire drills.

Corrected by Nov 20, 2024

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3270.51 · **The Legal Entity will conduct staff meeting for 5 months commencing upon the approval of this plan of correction. Agenda items will include review and discussion of citations from inspections conducted during the previous 6-month period, review of facility policy on how to maintain ratio compliance, and importance of staff showing up for scheduled shifts. The meeting agenda, discussion notes and attendance sheet will be submitted to DHS representative within 10 days after each meeting.

**On 10/30/24 between 8:15am and 9:30am the following noncompliance with staff: child ratios was observed; At 8:15am staff person #1 was observed supervising 5 infants alone in the infant room. At 8:35am staff person #2 was observed supervising 7 older toddlers alone in the Discovery Preschool 2 room. At 8:45am staff persons #3 and #4 were observed supervising 13 young toddlers in the Toddler A room. Based on staff interviews, staff persons #5 and #6 were supervising 21 preschool children in the Pre-K room for ~5 minutes until staff person #7 arrived at 8:45am. At 9:30am staff persons #3 and #8 were observed supervising 13 young toddlers in the Toddler A room.

Corrected by May 31, 2025

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3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

On 10/30/24 between 8:15am and 9:30am the following noncompliance with staff: child ratios was observed; At 8:15am staff person #1 was observed supervising 5 infants alone in the infant room. At 8:35am staff person #2 was observed supervising 7 older toddlers alone in the Discovery Preschool 2 room. At 8:45am staff persons #3 and #4 were observed supervising 13 young toddlers in the Toddler A room. Based on multiple staff interviews, staff persons #5 and #6 were supervising 21 preschool children in the Pre-K room for ~5 minutes until staff person #7 arrived at 8:45am. At 9:30am staff persons #3 and #8 were observed supervising 13 young toddlers in the Toddler A room.

Corrected by Dec 12, 2024

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3270.51 · *The Legal Entity will create and implement a system to collect accurate children's arrival and departure times two weeks in advance. This information will be used to create a staff schedule that will ensure sufficient staffing throughout the entire day to maintain correct child: staff ratio at the facility. This system will be documented with dates the requests are made along with the dates of attendance being collected for each request. This system will remain in effect for a period of 3 months and made available to DHS representative upon request.

*On 10/30/24 between 8:15am and 9:30am the following noncompliance with staff: child ratios was observed; At 8:15am staff person #1 was observed supervising 5 infants alone in the infant room. At 8:35am staff person #2 was observed supervising 7 older toddlers alone in the Discovery Preschool 2 room. At 8:45am staff persons #3 and #4 were observed supervising 13 young toddlers in the Toddler A room. Based on staff interviews, staff persons #5 and #6 were supervising 21 preschool children in the Pre-K room for ~5 minutes until staff person #7 arrived at 8:45am. At 9:30am staff persons #3 and #8 were observed supervising 13 young toddlers in the Toddler A room.

Corrected by Mar 25, 2025

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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 #1 will have until 11.27.24 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR.

Corrected by Nov 25, 2024

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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.

The file for Staff #2, who has been employed for several years, lacked any Emergency Plan training.

Corrected by Sep 20, 2024

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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 #1 will have until 9/1/24 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health and Safety Basics).

Corrected by Sep 1, 2024

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3270.20(a)(1) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

Based on conversations with staff, child #1 received emergency room treatment on 5/15/24 and the appropriate regional office was not notified.

Corrected by Aug 8, 2024

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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 #3 will have until 3/9/2024 to complete the required training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by a director, GS or AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid / Pediatric CPR approved curriculum with a PQAS certified trainer.

Corrected by Mar 8, 2024

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3 may not work in a child care position at the facility.

The file for staff person #3, hire date (see IS code sheet), is lacking an NSOR verification as required to work in a child care position under CPSL.

Corrected by Mar 8, 2024

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3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff person #1, serving as an assistant group supervisor, is lacking the required 2 years of child care experience to qualify as an AGS. Staff #1 may serve as an Aide until documentation of experience is obtained.

Corrected by Mar 8, 2024

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3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Observed in the preschool room on the back wall 2 electrical outlets lacking protective covers and accessible to children ages 5 and under. Also observed in the Pre-K room near the lunch tables 2 electrical outlets lacking protective covers and accessible to children ages 5 and under.

Corrected by Mar 8, 2024

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3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Observed cleaner labeled keep out of reach of children in an unlocked cabinet in the preschool room and accessible to children, Observed in the Pre-k room multi-purpose cleaning spray labeled keep out of reach of children sitting on a low shelf and accessible to children. Also observed hand sanitizer, labeled keep out of reach of children, on a shelf within reach of the children in care.

Corrected by Mar 8, 2024

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3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Observed a vent cover on the wall behind the trash in the Pre-K room to be rusted with peeling paint.

Corrected by Mar 8, 2024

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3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Observed 3 infants sleeping in cribs that did not have 2 feet of space on three sides of the cribs.

Corrected by Mar 8, 2024

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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.

The file for child #2 was lacking signed parental consent for emergency medical care for the child.

Corrected by Mar 8, 2024

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3270.131(a)(3)/3270.182(1) · The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The files for child #1 and child #3, both preschool aged, are lacking health reports conducted during the previous 12-month period.

Corrected by Mar 8, 2024

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3270.151(a)/3270.192(3) · 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. 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.

The file for staff person #2 is lacking an initial health report. The file for staff person #4 contains an initial health report that was conducted more than 12 months prior to providing initial care and is therefore not valid.

Corrected by Mar 8, 2024

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3270.151(c)(2) · 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.

The file for staff person #4 contains documentation of TB screening conducted greater than 12 months prior to the start date caring for children and is therefore not valid.

Corrected by Mar 8, 2024

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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.

The file for child #2 is lacking signed parental consent for administration of minor first-aid procedures.

Corrected by Mar 8, 2024

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3270.51 · **LE will develop a policy and procedure to be added to the staff handbook regarding what staff should do when the potential to exceed staff:child ratio presents itself. The policy will be submitted to DHS representative for approval prior to presenting to staff.

**On 9/5/2023 at 8:14am staff persons #1 and #2 were observed to be caring for 11 young toddlers in the Toddler A room. At 8:15 a 12th young toddler also arrived. The staff child ratio was exceeded for approximately 5 additional minutes until staff person #3 arrived and took 4 of the young toddlers into her supervision group and left the room. Observed staff #3 escorting 4 young toddlers from the Toddler A room across the Atrium to the Toddler B room. Staff #3 entered the Toddler B room with 3 children and closed the door leaving 1 young toddler, who was lagging behind, alone in the Atrium. Cert rep waited approximately 10 seconds and then knocked on Toddler B door to inform Staff #3 of the child in the Atrium. Staff #3 was not aware that a child was left behind.

Corrected by Nov 10, 2023

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3270.51 · *When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

*On 9/5/2023 at 8:14am staff persons #1 and #2 were observed to be caring for 11 young toddlers in the Toddler A room. At 8:15 a 12th young toddler also arrived. The staff child ratio was exceeded for approximately 5 additional minutes until staff person #3 arrived and took 4 of the young toddlers into her supervision group and left the room. Observed staff #3 escorting 4 young toddlers from the Toddler A room across the Atrium to the Toddler B room. Staff #3 entered the Toddler B room with 3 children and closed the door leaving 1 young toddler, who was lagging behind, alone in the Atrium. Cert rep waited approximately 10 seconds and then knocked on Toddler B door to inform Staff #3 of the child in the Atrium. Staff #3 was not aware that a child was left behind.

Corrected by Nov 10, 2023

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3270.52 · 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).

According to documentation on the facility Child Supervision Report and staff interviews, on 9/5/2023 staff person #1 was over ratio with 5 young toddlers and 1 older toddler until staff #4 arrived at 7:15am. Also, Staff #1 and staff #4 were over ratio with 10 young toddlers and 3 older toddlers until staff #2 arrived at 7:45am.

Corrected by Nov 10, 2023

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3270.113(a) · *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.

*Observed staff #1 escorting 4 young toddlers from the Toddler A room across the Atrium to the Toddler B room. Staff #1 entered the Toddler B room with 3 children and closed the door leaving 1 young toddler, who was lagging behind, alone in the Atrium. Cert rep waited approximately 10 seconds and then knocked on Toddler B door to inform Staff #1 of the child in the Atrium. Staff #1 was not aware that a child was left behind.

Corrected by Nov 10, 2023

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3270.113(a) · **LE will conduct monthly staff meetings for a period of 4 months. The agenda must include the following 3 topics: Definition of supervision and ratio requirements, Review of inspection summary violations over the last 2 years, and Review of Policy / Procedure regarding what to do when the potential to exceed staff:child ratio presents itself. Agenda and staff attendance sheet will be provided to DHS representative upon request.

**Observed staff #1 escorting 4 young toddlers from the Toddler A room across the Atrium to the Toddler B room. Staff #1 entered the Toddler B room with 3 children and closed the door leaving 1 young toddler, who was lagging behind, alone in the Atrium. Cert rep waited approximately 10 seconds and then knocked on Toddler B door to inform Staff #1 of the child in the Atrium. Staff #1 was not aware that a child was left behind.

Corrected by Feb 19, 2024

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3270.113(a)(1) · 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.

Observed staff #1 escorting 4 young toddlers from the Toddler A room across the Atrium to the Toddler B room. Staff #1 entered the Toddler B room with 3 children and closed the door leaving 1 young toddler, who was lagging behind, alone in the Atrium. Cert rep waited approximately 10 seconds and then knocked on Toddler B door to inform Staff #1 of the child in the Atrium. Staff #1 was not aware that a child was left behind.

Corrected by Nov 10, 2023

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3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

Observed a section of the baseboard in the Transition Kindergarten room to be detached from the wall and observed the exposed area of wall to be crumbling and visible mold.

Corrected by Jul 15, 2023

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3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Observed a section of the baseboard in the Transition Kindergarten room to be detached from the wall and observed the exposed area of wall to be crumbling and visible mold.

Corrected by Jul 15, 2023

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3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The refrigerator in the Toddler B room is lacking a thermometer.

Corrected by Jul 15, 2023

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3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Observed a small wooden table in the Discover Preschool 2 room and Toddler A room to have exposed and protruding bolts under the table causing a hazard to children who may be crawling under the table.

Corrected by Jul 15, 2023

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

Staff person #2 has not completed the Pennsylvania Health & Safety Update 2022 which was required to be completed by 12/30/2022.

Corrected by Jul 15, 2023

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3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #9 must be supervised, when interacting with children, by an AGS, GS or director who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #9, staff person #9 may not work in a child-care position at the facility.

Staff person #9 was observed to be caring for children unsupervised. Staff person #9 has not completed the following pre-service training required prior to caring for children unsupervised: Health & Safety training topics #1-#9. (Staff person #9 completed Health & Safety Getting Started with Home Based Care which is not an acceptable training for employment in a child care center.)

Corrected by Jul 15, 2023

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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.

The file for staff person #1is lacking verification of emergency plan training within 90 days of hire. The file does contain current emergency plan training. The file for staff person #10 is lacking current emergency plan training.

Corrected by Jul 15, 2023

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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.

The letter provided to parents regarding the facility emergency plan is lacking procedures for a lockdown and accommodations for toddlers during an emergency.

Corrected by Jul 15, 2023

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3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

The files for staff persons #2,8,10, and 13 are lacking fire safety training completed during the previous 12 month period.

Corrected by Jul 15, 2023

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 Persons #3,5,9,11 and 14 may not work in a child care facility until the missing items are received.

The file for staff person #1, provisional hire date (see IS code sheet), is lacking a completed NSOR within 90 days of hire. The clearance is now current. The file for staff person #3, hire date (see IS code sheet), contains a signed disclosure statement that is lacking a date. The file for staff person #4, provisional hire date (see IS code sheet), is lacking verification of FBI fingerprinting prior to start date and is lacking a child abuse clearance prior to start date as required for provisional hire under CPSL. The clearances are now current. The file for staff person #5, hire date (see IS code sheet), who has resided in New York in the past 5 years, is lacking New York State clearances and contains a signed disclosure statement that is not dated. The file for staff person #7, provisional hire date (see IS code sheet), is lacking verification of fingerprinting and NSOR request prior to start date and is lacking a completed child abuse clearance prior to start date as required for provisional hire under CPSL. The file is now current. The file for staff person #9, provisional hire date (see IS code sheet), contains a signed disclosure statement that is not dated and contains an NSOR verification that was received greater than 45 days after hire and staff #9 was not suspended from a child care position until NSOR was received. The file for staff person #11, hire date (see IS code sheet), contains a signed disclosure statement that is not dated and is lacking an FBI fingerprint clearance. The file for staff person #14, hire date (see IS code sheet), contains a signed disclosure statement that is not dated, is lacking a criminal history clearance and is lacking verification of fingerprinting prior to hire date.

Corrected by Jul 15, 2023

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3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files for staff persons #4 and #12, both serving as AGS are lacking verification of 2500 hours of child care experience. The file for staff person #14, serving as an AGS, is lacking verification of a high school diploma.

Corrected by Jul 15, 2023

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

The files for staff persons #2, #8 and #10 contain current staff evaluations that were completed greater than 12 months after the previous evaluation.

Corrected by Jul 15, 2023

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3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Observed cleaning supplies labeled 'keep out of reach of children' stored on a low shelf in the unlocked Atrium bathroom to be accessible to children in care.

Corrected by Aug 15, 2023

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3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The files for children #1, #6 and #8 are lacking admission dates.

Corrected by Jul 15, 2023

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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.

The files for children #1, #3, #4 and #8 contain emergency contact information that is lacking signed parental consent for emergency medical care.

Corrected by Jul 15, 2023

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

The file for child #1 contains emergency contact information that is lacking the health insurance policy number.

Corrected by Jul 15, 2023

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3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Emergency contact information was not available for child #11 and child #12 who were observed receiving care on the toddler playground.

Corrected by Jul 15, 2023

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3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The files for children #1,2,4,5,6,7,8,9 and 10 contain current emergency contact information that was updated greater than 6 months after the previous update. The files for children #2,3,4,5,7,8,9 and 10 contain current financial agreement information that was updated greater than 6 months after the previous update. The files are now current.

Corrected by Jun 6, 2023

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3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The files for child #10, an infant, is lacking any health reports.

Corrected by Jul 15, 2023

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3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The files for children #2 and 3 contain current health reports that were conducted greater than 12 months following the previous health report. They are now current. The files for children #5 and #8 are lacking a health report.

Corrected by Jul 15, 2023

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3270.131(e)(1)/3270.131(e)(3) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The files for children #1,2,3,4,5,6 and 9 are lacking verification of a flu vaccine received during the year 2022. The file for child #9 is lacking verification of a Hep A vaccine. The file for child #8 is lacking an immunization report. Children #1,2,3,4,5,6,8 and 9 must be removed from care until documentation of up to date immunizations or an exemption letter is received.

Corrected by Jul 15, 2023

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3270.151(a)/3270.192(3) · 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. 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.

The files for staff persons #4 and #7 are lacking initial health assessments that were conducted prior to start date but do contain current health assessments. The file for staff person #2 contains a current health assessment that was conducted greater than 24 months after the previous health assessment but is now current. The files for staff persons #8 and #13 are lacking health assessments completed during the previous 24 month period. The file for staff person #9 contains a current health assessment with a physician's statement affirming a communicable disease but does not contain an explanation as to the effect of this on the person's employment in child care. The file for staff person #14 is lacking a health assessment.

Corrected by Jul 15, 2023

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3270.151(c)(2) · 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.

The files for staff persons #4 and #7 are lacking verification of a TB test prior to start date in a child care position but do contain a current TB test.. The file for staff person #14 is lacking verification of a TB test.

Corrected by Jul 15, 2023

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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.

The files for children #1.3.4.and 8 are lacking signed parental consent for administration of minor first aid procedures.

Corrected by Jul 15, 2023

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3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for staff person #5 is lacking 2 written references.

Corrected by Jul 15, 2023

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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.

The files for children #5,8,9 and 10 are lacking initial health reports conducted within 60 days form the first date of attendance. The file for child #9 does contain a current health report.

Corrected by Jul 15, 2023

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3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #4 will have 15 days from POC request date to complete the required training. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by an AGS, GS, or director who has completed the required training related to this citation. If there are no staff available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pennsylvania Health & Safety Update 2022.

Corrected by Mar 9, 2023

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3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

At approximately 11:00am on 2/22/2023 it was observed that staff person #1 was supervising 10 preschool aged children in the downstairs 'Transition Kindergarten' room when a preschool aged child from the 'Preschool' room next door entered the 'TK' room to wash his hands after using the rest room, putting staff person #1 over ratio with 11 preschoolers.

Corrected by Feb 22, 2023

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3270.82(c) · A sink shall be located in or near a toilet area.

Observed that in the downstairs preschool classroom there is not a sink in or near the toilet area.

Corrected by Mar 9, 2023

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3270.113(a) · *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.

*At approximately 11:00am on 2/22/2023 it was observed that a preschool aged child, after using the 'Preschool' room rest room, left the 'Preschool' room to wash his hands in the sink in the 'Transistional Kindergarten' room. While he was washing his hands, staff persons #2 and #3 who had previously claimed the child in their supervision group, remained in the 'Preschool' room, where they were not physically present with the child and could not see, hear, direct or assess the child.

Corrected by Feb 22, 2023

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3270.113(a) · *** All staff will sign-off on understanding of the definition of supervision to be physically present with the children and able to see, hear, direct and assess the children at all times.

***At approximately 11:00am on 2/22/2023 it was observed that a preschool aged child, after using the 'Preschool' room rest room, left the 'Preschool' room to wash his hands in the sink in the 'Transistional Kindergarten' room. While he was washing his hands, staff persons #2 and #3 who had previously claimed the child in their supervision group, remained in the 'Preschool' room, where they were not physically present with the child and could not see, hear, direct or assess the child.

Corrected by Mar 29, 2023

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3270.113(a) · **The legal entity will hold monthly staff meetings for the next 3 months including a review of supervision and ratio violations from the past 2 years. The meeting agenda and attendance sheet will be submitted to the department upon request.

**At approximately 11:00am on 2/22/2023 it was observed that a preschool aged child, after using the 'Preschool' room rest room, left the 'Preschool' room to wash his hands in the sink in the 'Transistional Kindergarten' room. While he was washing his hands, staff persons #2 and #3 who had previously claimed the child in their supervision group, remained in the 'Preschool' room, where they were not physically present with the child and could not see, hear, direct or assess the child.

Corrected by May 31, 2023

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3270.113(a)(1) · 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.

At approximately 11:00am on 2/22/2023 it was observed that a preschool aged child, after using the 'Preschool' room rest room, left the 'Preschool' room to wash his hands in the sink in the 'Transistional Kindergarten' room. While he was washing his hands, staff persons #2 and #3 who had previously claimed the child in their supervision group, remained in the 'Preschool' room, where they were not physically present with the child and could not see, hear, direct or assess the child.

Corrected by Feb 22, 2023

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3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The facility fire alarm test log identified that a fire alarm test had not been conducted during the previous 30 days.

Corrected by Mar 9, 2023

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

The file for staff person #1, hire date (see IS code sheet) is lacking the required Pennsylvania Health and Safety Update 2022 by the required compliance date of 12/30/2022.

Corrected by Jan 26, 2023

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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 #1 will have until 11/4/2022 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS, GS or director who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility..

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid / pediatric CPR

Corrected by Oct 22, 2022

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #1 will have until 11/4/2022 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS, GS or director 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 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected by Oct 24, 2022

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