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.

Observed 2/26/2026 staff #10 file did not contain initial training regarding the emergency plan, nor it was documented.

Corrected Corrected by Mar 3, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f)(10) · 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 #1 will have until (3/18/2026- 15 days from POC requested date) to complete the required training. Until such time as the required training has been completed, staff person #1must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) 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

Observed 2/26/2026 Staff person #1 has not completed the following required pediatric first aid and pediatric cardiopulmonary resuscitation pre-service training within 90 days of their date of hire (see LIS code sheet)

Corrected Corrected by Mar 9, 2026

Category: supervision. Marked corrected in the state record.

3270.31(f)/3270.31(g) · 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 #1 and 6 will have until 3/18/2026 (actual date- 15 days from POC requested date) to complete the required training. Until such time as the required training has been completed, staff person #1 and 6 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #6 may not work in a child-care position at the facility.

Observed 2/26/2026 Staff person #1 and 6 has not completed the following required pre-service Health and Safety training within 90 days of their date of hire (see LIS code sheet)

Corrected Corrected by Mar 18, 2026

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1,2,3 and 8may not work in a child care position at the facility.

Observed 2/26/2026 Staff person #1 did not contain completed DHS required FBI and PA State Criminal Police clearance on file. The requirement to have the completed DHS required clearances on file were not met. The file for staff # 1 did not contain out of state clearances from North Carolina. The file for staff #2,3 and 8 did not contain out of state clearances from Florida.

Corrected Corrected by Mar 18, 2026

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

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

Observed 2/26/2026 in Purple Cats, Khaki Kangaroos and Orange Giraffes classroom there were baby wipes located in the childcare area that was not locked or made inaccessible to children.

Corrected Corrected by Feb 27, 2026

Marked corrected in the state record.

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 2/26/2026 in the Khaki Kangaroos Classroom Staff #5, 7, and 8 had a total of 16 children in the childcare space, staff # 5 identified 5 children, Staff #7 identified 4 children and staff #8 identified 5 children leaving 2 children unassigned.

Corrected Corrected by Feb 27, 2026

Category: supervision. Marked corrected in the state record.

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

Observed 2/26/2026 in the Orange Giraffes classroom child #1 EPI Pen was not in its original container. The EPI Pen was observed without manufacture's or health professional's instructions on the original label.

Corrected Corrected by Mar 13, 2026

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

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.

Observed 2/26/2026 staff #1 and 5 file was missing a health assessment. Staff # 7 medical assessment on file was dated for 1/23/2021, the medical assessment exceeded the 24-month of the signature date.

Corrected Corrected by Mar 6, 2026

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Observed 2/26/2026 Staff #4 TB test did not include the date the test was read.

Corrected Corrected by Mar 2, 2026

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

3270.192(2)(iii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. 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.

Observed 2/25/2026 staff #1,2,4 and 9 file did not contain verification of acceptable education or transcript and/or diploma or a letter signed by a representative of the experiential, educational or training entity on file during the inspection.

Corrected Corrected by Mar 2, 2026

Category: recordkeeping. Marked corrected in the state record.

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

Observed 2/26/2026 staff #1&4 file did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Mar 2, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.51/3270.113(a)(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. 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 7/2/2025 in Purple Cats Classroom 8 Staff # 9, 10, and 11 had 15 children in their childcare space, staff # 9 identified 5 children, staff #10 identified 4 children and staff # 11 identified 5 children leaving 1 child unassigned.

Corrected Corrected by Jul 11, 2025

Category: supervision. Marked corrected in the state record.

3270.133(1) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Observed 7/2/2025 in Khaki Kangaroo's classroom child #1albeterol inhaler was not in its original container it was placed in first aid emergency bag not locked or made inaccessible to children. Albuterol inhaler was observed without manufacture's or health professional's instructions on the original label.

Corrected Corrected by Jul 8, 2025

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

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

Observed 7/2/2025 staff# 4,7, and 8 was missing a health assessment in their file. Staff # 2 medical assessment on file was dated for 9/27/2022, the medical assessment exceeded the 24-month of the signature date.

Corrected Corrected by Jul 15, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Observed 7/2/2025 staff #1,5,6,7 and 8 were missing a tuberculosis screening by the Mantoux method at initial employment.

Corrected Corrected by Jul 15, 2025

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

3270.192(2)(ii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. 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.

Observed 7/2/2025 staff #3 file were missing acceptable verification of their education verification of a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Corrected Corrected by Jul 15, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f)(10) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. 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 #2,3 and 8 will have until _____ (actual date- 15 days from POC requested date) to complete the required training. Until such time as the required training has been completed, staff person #2,3 and 8 must be supervised, when interacting with children, by an (AGS, primary staff person, or family childcare home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #2,3 and 8 staff persons #2, 3 and 8 may not work in a child-care position at the facility.

Observed 6/17/2024 Staff person #-2,3 and 8 has not completed the following required pre-service Pediatric CPR and First Aid training within 90 days of their date of hire (see LIS code sheet):

Corrected Corrected by Jun 26, 2024

Category: supervision. Marked corrected in the state record.

3270.31(f)/3270.31(g) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement. 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 #-3,6 and 10 will have until _____ (actual date- 15 days from POC requested date) to complete the required training. Until such time as the required training has been completed, staff person #3,6 and 10 must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #3,6 and 10, staff person #3, 6 and 10 may not work in a child-care position at the facility.

Observed 6/17/2024 Staff person #3,6 and 10 has not completed the following required pre-service Health and Safety training within 90 days of their date of hire.

Corrected Corrected by Jun 26, 2024

Category: supervision. Marked corrected in the state record.

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

Observed 6/18/2024 child #1-6 agreement forms did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Jun 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2,4,5,6,9 and 10 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2,4,5,6,9 and 10 may not work in a child care position at the facility.

Observed 6/17/2024 The file for staff # 2 did not contain out of state clearances from New Jersey and Ohio. Staff # 4 file did not contain out of state clearances from Texas. Staff #6 file did not contain out of state clearances from Minnesota. Staff #5, 9 and 10 files did not contain completed DHS required FBI (Staff 5 and 9), State Police (Staff #5) and NSOR (Staff 10) clearance. The requirement to have the completed DHS required clearances on file was not met. Staff #4 has not completed the mandated reporter training within 90 days of their date of hire (See LIS Code Sheet).

Corrected Corrected by Jun 24, 2024

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

3270.75(c)/3270.75(d) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

Observed 6/17/2024 in Brown Bears, Green Frogs classroom & Khaki Kangaroos classrooms there were missing items from first aid kit. Green Frogs were missing water from their first aid kit. Khaki Kangaroos were missing tape and Brown Browns were missing tweezers.

Corrected Corrected by Jun 26, 2024

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

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 6/17/2024 in Brown Bears Classroom Staff # 11 and 12 had 12 children in their childcare space, staff # 11 identified 5 children and staff # 12 identified 5 children leaving 1 child unassigned. Observed in Yellow Ducks classroom staff # 13 and 14 had 19 children in the childcare space, staff # 13 identified 9 children and staff #14 identified 8 children leaving 2 children unassigned. Observed in the Khaki Kangaroos Classroom Staff # 7, 8, and 15 had a total of 15 children in the childcare space, staff # 7 identified 5 children, Staff #8 identified 6 children and staff #15 identified 3 children leaving 1 child unassigned.

Corrected Corrected by Jun 26, 2024

Category: supervision. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

Observed 6/17/2024 child #2 agreement form did not contain the amount of the fee to be charged per day or per week.

Corrected Corrected by Jun 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

Observed 6/17/2024 child #2 agreement form did not specify the date on which the fee is to be paid.

Corrected Corrected by Jun 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

Observed 6/17/2024 child #2 and 6 file did not contain the child's arrival and departure times on the agreement form.

Corrected Corrected by Jun 26, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Observed 6/17/2024 child #1 and 2 files health insurance coverage and policy number were missing from the emergency contact form.

Corrected Corrected by Jun 26, 2024

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

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

Observed 6/17/2024 child #4 were missing an updated 6-month health report on file, the current health report on file dated 8/22/2023.

Corrected Corrected by Jun 26, 2024

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

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.

Observed 6/17/2024 children files #1 did not contain an updated health report on file. Child # 1 last physical was 4/6/2022.

Corrected Corrected by Jun 26, 2024

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

3270.151(a)/3270.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Observed 6/17/2024 staff# 3,5,6,7,10 was missing a health assessment in their file along with a tuberculosis screening by the Mantoux method at initial employment.

Corrected Corrected by Jun 26, 2024

Category: ratio. Marked corrected in the state record.

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.

Observed 6/17/2024 Staff# 4 health assessment was not signed by a physician, physician's assistant or a CRNP. The signature did not include the individual's professional title.

Corrected Corrected by Jun 26, 2024

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

3270.192(2)(ii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. 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.

Observed 6/17/2024 staff #6 file did not contain verification of acceptable education or a transcript and/or diploma or a letter signed by a representative of the experiential, educational or training entity.

Corrected Corrected by Jun 26, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Observed 6/17/2024 staff #1 and 6 file did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Corrected Corrected by Jun 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Observed 6/17/2024 Staff #9 were missing 12 hours from their annual 12 hours of childcare training.

Corrected Corrected by Jun 26, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

Observed 6/17/2024 child #2 file did not contain an initial health report.

Corrected Corrected by Jun 24, 2024

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

3270.51/3270.113(a)(2) · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.The requirement for supervision on and off the facility premises includes compliance with the staff: child ratio requirements in §§ 3270.51--3270.55.

Observed 10/16/2023 in the Yellow Ducks classroom (3-4-year-olds) there was 19 children to staff member #1, when observed twice after another walkthrough there was 12 children to staff member #1. Also observed in the Green Frogs (3--4-year-olds) there was 11 children to staff member #2. Also observed in the Khaki Kangaroos (2--3-year-olds) there were 8 children with 1 staff member until an office staff member came in quickly to assist.

Corrected Corrected by Oct 20, 2023

Category: supervision. Marked corrected in the state record.

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. Children must be supervised at all times.

Observed 9/28/2023 in the hallway observing there was a child not in classroom running through the hallways and left unsupervised alone during drop off in the morning with all doors closed. Child stated they belong in the Brown Bears classroom.

Corrected Corrected by Oct 11, 2023

Category: supervision. Marked corrected in the state record.

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 on 7/27/2023 Continue non-compliance observed on 6/26/2023 classroom #4 thermometer had a temperature of 62° F reading above 45° F for food to be stored in the refrigerator.

Corrected Corrected by Aug 2, 2023

Category: nutrition. Marked corrected in the state record.

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 on 7/27/2023 Continue non-compliance observed on 6/26/2023 Classroom 4 Staff # 1, 2, and 3 had 18 children in their childcare space, staff # 1 identified 4 children, staff #2 identified 4 children and staff # 3 identified 5 children leaving 5 children unassigned.

Corrected Corrected by Aug 2, 2023

Category: supervision. Marked corrected in the state record.

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

Observed 6/26/2023 in classroom #2 classroom cups were not labeled to identify which cup belong to which child.

Corrected Corrected by Jul 17, 2023

Marked corrected in the state record.

3270.32(a)/3270.192(4) · 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, 2 and 3 may not work in a child care position at the facility.

Observed 6/26/2023 The file for staff # 1 &2 does not contain a completed DHS required FBI and NSOR clearance. Staff #3 FBI results were not included in their file. The requirement to have the completed DHS required clearances on file was not met.

Corrected Corrected by Jul 17, 2023

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

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

Observed 6/26/2023 classroom 2,4 and Infant room were missing items from their first aid kit. Room 2 &4 were missing water in their excursion first aid kit. Infant room were missing water from their first aid kit.

Corrected Corrected by Jul 17, 2023

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

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 6/26/2023 in the infant classroom and room 1 and 5 were missing thermometers in the refrigerator. In Classroom #3, 4 and 5 there was not an operating thermometer in the refrigerator.

Corrected Corrected by Jul 17, 2023

Category: nutrition. Marked corrected in the state record.

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. Children must be supervised at all times.

Observed 6/26/2023 in the classroom 3 staff # 5 counted child in ratio but a child was observed being unsupervised running in and out of the bathroom area. Staff # 5 located in the classroom area had their back turned from child.

Corrected Corrected by Jul 17, 2023

Category: supervision. Marked corrected in the state record.

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 in Classroom 9 Staff # 4,7 and 8 had 16 children in the childcare space, staff # 4 identified 5 children and staff # 7 identified 6 children, staff #8 identified 4 children leaving 1 child unassigned.

Corrected Corrected by Jul 17, 2023

Category: supervision. Marked corrected in the state record.

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.

Observed 6/26/2023 child #7 &8 file did not contain the dates of admissions on agreement form. Child #8 did not contain date of withdrawal on agreement form.

Corrected Corrected by Jul 17, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Observed 6/26/2023 child #1,3 and 4 health insurance coverage and policy numbers were missing from emergency contact from.

Corrected Corrected by Jul 17, 2023

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

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Observed 6/26/2023 child file # 1, 2, and 3 emergency contact form were missing the addresses of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jul 17, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Observed 6/26/2023 Child # 7 & 8 files were missing a review and update on the emergency contact information at least once in a 6-month period or as soon as there is a change in the information.

Corrected Corrected by Jul 17, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

Observed 6/26/2023 children #3, 5, and 8 were missing an updated health report on file, the current health report on file dated 12/10/2021 (child #3), 7/21/2021 (child #5) & 6/16/2020 (child#8). An updated health report is to be provided at least every 12 months for an older toddler or preschool child.

Corrected Corrected by Jul 17, 2023

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

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

Observed 6/26/2023 Child #6 &7 health assessment was not signed by a physician, physician's assistant or a CRNP. The signature did not include the individual's professional title.

Corrected Corrected by Jul 17, 2023

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

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

Observed 6/26/2023 staff # 2 file were missing a health assessment from their file. Staff # 6 medical assessment dated for 6/15/2021, the medical assessment exceeded the 24-month of the signature date.

Corrected Corrected by Jul 17, 2023

Category: ratio. Marked corrected in the state record.

3270.192(3) · 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.

Observed 6/26/2023 staff #1,3 and 10 was missing a tuberculosis screening by the Mantoux method results in their file.

Corrected Corrected by Jul 17, 2023

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

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Observed 6/26/2023 Staff # 6 &9 files and were missing their annual minimum of 12 clock hours of childcare training.

Corrected Corrected by Jul 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.131(a)(2) · 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 initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility.

Observed 6/26/2023 child file #4 did not contain an initial health report on file. Child #4 have been enrolled the facility over 60 days of their first day of attendance at the facility.

Corrected Corrected by Jul 17, 2023

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

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

Observed 10/24/2022 staff member #1 file health assessment was passed the 24 months following the date of signature from the original date it was signed.

Corrected Corrected by Oct 24, 2022

Category: ratio. Marked corrected in the state record.

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 in Classroom#4 multiple staff members named the same children as being assigned to them. Staff #1 could only identify 4 of the 5 children assigned to them. Observed in the Classroom 3 staff # 2 did not know the whereabouts of one the children assigned to their group. Staff counted child in ratio but could not locate child #1. Child #1 was observed being unsupervised running in and out of the bathroom area. Staff # 2 located in the classroom area had their back turned from child #1. Observed in Classroom 8 Staff # 3 and 4 had 18 children in their childcare space, staff # 3 identified 5 children and staff # 4 identified 4 children leaving 9 children unassigned. Observed in Classroom 9 Staff # 5 and 6 had 16 children in the childcare space, staff # 5 identified 5 children and staff # 6 identified 5 children leaving 6 children unassigned. Observed in the Classroom 5 Staff # 7, 8, and 9 had a total of 16 children in the childcare space, staff # 7 identified 2 children, Staff #8 identified 9 children and staff #9 identified 3 children leaving 2 children unassigned. Observed in classroom10 Staff # 10 and 11 had a total of 10 children in the childcare space, Staff # 10 identified 4 children and Staff # 11 identified 5 children leaving 1 child unassigned.

Corrected Corrected by Sep 26, 2022

Category: supervision. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Observed 9/15/2022 staff #3 file did not contain verification of child care experience prior to service at the facility.

Corrected Corrected by Oct 5, 2022

Category: recordkeeping. Marked corrected in the state record.

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 from video on 9/26/2022 sent by Abington Police detective. Staff person #1 while supervising child #1 during nap time placed a blanket above child #1 shoulders and head to comfort child to sleep. Staff #1 was unable to see, hear and access the activity of the child while napping.

Corrected Corrected by Nov 1, 2022

Category: supervision. Marked corrected in the state record.

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

AT THE TIME OF THE UNANNOUNCED INSPECTION ON 3/2/2022, STAFF#6 PERSON WAS OBSERVED NOT WASHING THE CHILD'S HANDS AFTER DIAPERING THE CHILD IN CLASSROOM 10.

Corrected Corrected by Mar 29, 2022

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

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 lost, hospitalized or receives emergency room treatment.

AT THE TIME OF THE UNANNOUNCED INSPECTION ON 3/2/2022 IT WAS FOUND THAT ON 11/19/2021 A CHILD WAS LEFT IN THE HALLWAY. THIS INCIDENT WAS NOT REPORTED TO THE REGIONAL OFFICE.

Corrected Corrected by Mar 29, 2022

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

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

AT THE TIME OF THE UNANNOUNCED INSPECTION ON 3/2/2022 IT WAS ACKNOWLEDGED BY STAFF PERSONS #5 AND #7 THAT ON 11/19/2021 A CHILD WAS LEFT IN THE HALLWAY AT THE FACIITY DURING A TRANSITION.

Corrected Corrected by Mar 29, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children.

AT THE TIME OF THE UNANNOUNCED INSPECTION ON 3/2/2022 IT WAS ACKNOWLEDGED BY STAFF PERSONS #5 AND #7 THAT ON 11/19/2021 A CHILD WAS LEFT IN THE HALLWAY AT THE FACIITY DURING A TRANSITION.

Corrected Corrected by May 23, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. 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 THE TIME OF THE UNANNOUNCED INSPECTION ON 3/2/2022 IT WAS ACKNOWLEDGED BY STAFF PERSONS #5 AND #7 THAT ON 11/19/2021 A CHILD WAS LEFT IN THE HALLWAY AT THE FACIITY DURING A TRANSITION.

Corrected Corrected by Jun 17, 2022

Category: supervision. Marked corrected in the state record.

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 THE TIME OF THE UNANNOUNCED INSPECTION ON 3/2/2022, STAFF #1, #2, #3 AND #4COULD NOT NAME CHILDREN IN THEIR PRIMARY CARE GROUPS IN CLASSROOMS 4, 6, AND 10.

Corrected Corrected by Mar 29, 2022

Category: supervision. Marked corrected in the state record.

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

AT THE TIME OF THE UNANNOUNCED INSPECTION ON 3/2/2022, IT WAS ACKNOWLEDGED BY STAFF #7 THAT THERE WAS NO INCIDENT REPORT WRITTEN FOR THE LOST CHILD ON 11/19/2021.

Corrected Corrected by Mar 29, 2022

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