Wee Care Best Inc

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a child care position at the facility.

Staff person #1 (DOH see LIS code sheet) does not have the NSOR (Nation Sex Offender Registry) certificate on file.

Corrected by Mar 11, 2026

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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.

Staff person #1 (who is aide qualified) and staff person #2 (who is Assistant Group Supervisor qualified) admitted to Certification Representative that staff person #1 has been left alone with children, on occasion for 1-2 minutes at a time. Staff person #1 was left alone so staff members could run down to the kitchen for milk, or leave the room to place items, such as bottles, in infant diaper bags that hang on the wall, outside the door to the room.

Corrected by Jun 30, 2026

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3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children must be supervised at all times. The portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of in-person training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. Documentation of completed training must be submitted to DHS and be kept on file at the facility. The operator shall provide a date of when this training will be completed.

On 3/20/26 between 11:15 am and 11:30 am Certification Representative witnessed, staff #2 on the flooring changing a child's diaper, with their back toward a group of young toddlers. Staff person #3 was in the closet. Another staff person, who was in the hall, near the kitchen, could see in the room, witnessed a child climbing up the back of a chair. The staff person from the hall quickly entered the room and removed the child from the back of the chair. Staff #2 and staff #3 were not adequately supervising the children in their group.

Corrected by Jun 30, 2026

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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.

Between 2/6/26 and 3/10/26, staff person #1 would observe other staff persons' changing a child's diaper. Per staff person #1, this is so they could understand the procedure of diaper changing and how to change a diaper. At diaper changing times, staff #1 had their back to the children and was not supervising the other young toddlers or infants in the room. Staff #2 and Staff #3 have had to remind staff #1 to supervise the other children in the room.

Corrected by Mar 11, 2026

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3270.105 · High chairs shall have a wide base and a T-shaped safety strap.

It was observed in the infant classroom, an infant sitting in a high chair for lunch time and not buckled using the T-shaped safety strap.

Corrected by Dec 23, 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.

Operability of the fire detection devices were not tested every 30 days. Testing was documented to have occurred 11/6/25. No testing date was documented to have occurred after 11/6/25.

Corrected by Dec 23, 2025

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a child care position at the facility.

File for staff #1 did not include an updated NSOR Certificate. Current NSOR Certificate on file expired 11/3/2025.

Corrected by Jan 7, 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.

It was observed in the infant classroom, a buildup of dirt, food crumbs, and debris around the playmat, baseboard and corners of the floor. It was observed in the front toddler classroom a buildup of dirt, food crumbs and debris around the baseboard and corners of the floor.

Corrected by Dec 22, 2024

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

It was observed throughout the pre-k classroom, damaged and exposed plaster on the walls.

Corrected by Sep 16, 2025

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3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

It was observed in the preschool, older toddler, and school-age classrooms, no handwashing signs posted at toilet and sink areas.

Corrected by Aug 22, 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.

It was observed in the front and back infant classrooms that toys and play equipment being used by children were not kept clean and were dirty with unwashed grime.

Corrected by Aug 22, 2025

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3270.31(e)(4)(i) · 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.

The file for staff person #2 included a pediatric first aid and CPR training certificate which was not updated before the expiration of the previous certificate. The current first-aid and CPR training certificate is dated 8/21/2025 and the previous first-aid and CPR training certificate was dated 7/20/2023.

Corrected by Sep 16, 2025

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The file for staff person #10 included a NSOR certificate which was not updated within 60 months of the previous clearance. The current NSOR certificate is dated 5/8/2025 and the previous was dated 2/27/2020. The file for staff person #16 included a NSOR certificate which was not updated within 60 months of the previous clearance. The current NSOR certificate is dated 5/8/2025 and the previous was dated 1/14/2020.

Corrected by Aug 22, 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.

Written evaluations for staff persons #1 - #15 have not been completed on a regular basis or a minimum of once every 12 months.

Corrected by Aug 26, 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.

It was observed in the Pre-K class, a 6-plug outlet extender was being used and did not contain protective receptacle covers for the unused outlets.

Corrected by Aug 22, 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.

It was observed that the first-aid kit in the older toddler classroom was missing scissors, tweezers, gauze, and tape.

Corrected by Aug 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.

It was observed in the front infant classroom a power cord was hanging from an infant seat and accessible to children causing a potential strangulation hazard.

Corrected by Aug 22, 2025

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3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

It was observed in the Pre-K classroom a written plan of daily activities and routines, including a time for free play had not been established for the group.

Corrected by Aug 22, 2025

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3270.111(b) · The written plan of daily activities shall be posted in the group space.

It was observed in the Pre-K classroom a written plan of daily activities and routines, including a time for free play was not posted in the classroom.

Corrected by Aug 22, 2025

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

The emergency contacts for children #2 and #3 do not include the work telephone numbers of the enrolling parent.

Corrected by Sep 15, 2025

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

The emergency contacts for children #1, #3 and #4 do not include the address and telephone numbers of the individuals designated by the parent to whom the child may be released.

Corrected by Sep 8, 2025

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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.

The individual file for staff person #2 does not include a completed health assessment at least 24 months after the previous health assessment dated 5/4/23. The individual file for staff person #4 does not include a completed health assessment at least 24 months after the previous health assessment dated 6/2/23. The individual file for staff person #8 does not include a completed health assessment at least 24 months after the previous health assessment dated 7/12/23. The individual file for staff person #11 does not include a completed health assessment at least 24 months after the previous health assessment dated 8/14/23. The individual file for staff person #13 does not include a completed health assessment at least 24 months after the previous health assessment dated 3/14/23. The individual file for staff person #14 does not include a completed health assessment at least 24 months after the previous health assessment dated 5/12/23.

Corrected by Nov 4, 2025

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3270.181(c) · 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 financial agreements for children #2, #3, and #4 have not been updated at least once in a 6-month period or as soon as there was a change in information.

Corrected by Sep 15, 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 could not provide proof that an emergency drill was conducted annually.

Corrected by Sep 16, 2025

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3270.75(b) · A first-aid kit must be inaccessible to children.

It was observed in the school-age classroom, the first-aid kit was placed inside a backpack on the floor where it was accessible to children.

Corrected by Aug 19, 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 facility director could not provide documented proof of annual emergency plan training for staff persons #6, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, and #19.

Corrected by Sep 3, 2024

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3270.31(e)(4)(i) · 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 person #6 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 #6, staff person #6 may not work in a child-care position at the facility.

The file for staff person #6 includes a pediatric first aid and CPR training certificate which was not updated before the expiration of the previous certificate. This is evidenced by the previously documented pediatric first aid and CPR training certificate on file being dated 8/2/22.

Corrected by Oct 2, 2024

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons #1, #4, and #5 will have until 9/20/24 to complete the required trainings. Until such time as the required training has been completed, staff persons #1, #4, and #5 must be supervised, when interacting with children, by an AGS or primary staff person who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1, #4, and #5, staff persons #1, #4, and #5 may not work in a child-care position at the facility.

Staff persons #1, #4, and #5 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. 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 (CCDBG) Training.

Corrected by Oct 2, 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.

It was observed in the Pre-K classroom, Lysol spray and Windex were stored on the top of the child's cubbies accessible to children.

Corrected by Aug 19, 2024

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3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

It was observed in the back toddler classroom, Lysol spray was stored in a plastic bin with food.

Corrected by Aug 19, 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.

It was observed in the front infant, back infant, and back toddler classrooms that floors, shelving surfaces, tables, chairs, and toys accessible to children were not kept clean and dirty with unwashed grime.

Corrected by Aug 19, 2024

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

Plastic grocery bags were observed laying on the floor of the toddler bathroom accessible to young toddlers.

Corrected by Aug 19, 2024

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

Files for children #1, #2, and #3 do not include the Department's approved form to provide information to the family about the child's growth and development within the last 6 months.

Corrected by Aug 19, 2024

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3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

The operator could not provide proof that local traffic safety authorities have been notified of the facility's pedestrian and vehicular routes.

Corrected by Sep 20, 2024

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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.

Individual files for staff persons #7 and #8 do not include verification of child care experience, education and training prior to service at the facility.

Corrected by Sep 20, 2024

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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.

Individual files for staff persons #3, #5, #7, and #8 do not 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.

Corrected by Sep 20, 2024

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3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility's emergency plan does not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected by Sep 16, 2024

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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.

An emergency drill has not been conducted at least once annually. Emergency drill was not documented to have occurred.

Corrected by Sep 20, 2024

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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.

Operability of the fire detection devices were not tested every 30 days. Testing was documented to have lapsed 1/9/24-2/29/24.

Corrected by Aug 19, 2024

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

Facility does not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Corrected by Sep 10, 2024

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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 3/21/24 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, primary staff person 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 mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 9/13/18.

Corrected by Mar 6, 2024

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

It was observed in the toddler classroom that posted notices and clipboards were hung on the wall using thumbtacks causing a potential choking hazard to children who are still placing objects in their mouths.

Corrected by Feb 27, 2024

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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.

It was observed in the toddler #1 classroom, staff person #2, working alone in the room, was unable to adequately supervise the other children in care while changing the diaper of a child due to the positioning of the changing table which caused the staff person to have their back to the other children in the classroom. Staff person #2 was unable to see all of the children in care during this time.

Corrected by Feb 27, 2024

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3270.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Operability of the fire detection devices were not tested every 30 days. Testing was documented to have lapsed 11/15/23, 12/19/23 & 1/9/23, no February testing.

Corrected by Mar 6, 2024

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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.

Staff person #1 and #2 stated that children's hands are not cleaned with soap and running water before meals and snack and after diapering. Staff stated children's hands are cleaned with baby wipes.

Corrected by Aug 21, 2023

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3270.135(c) · The diapering area may not be used for food preparation or food service.

Staff persons #1, #2, and #3 indicated that bowls of food are placed at the diaper changing area prior to being served to the children for meal preparation.

Corrected by Aug 21, 2023

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

Staff persons #1 and #2 have not completed the required one-hour Pennsylvania health and safety training update 2022 by December 30, 2022. Staff person #1 completed the required training 8/3/23. Staff person #2 completed the required training 8/14/23.

Corrected by Aug 21, 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.

It was observed in the two-year-old classroom cubby area body spray, lotions, and hand sanitizer kept in bags brought from children's homes hanging on hooks accessible to children.

Corrected by Aug 22, 2023

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3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

It was observed in the front toddler and pre-k classrooms Magic Erasers were not stored in an original labeled container or in a container that specifies the content. (corrected on site).

Corrected by Aug 21, 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.

It was observed in the front toddler classroom that surfaces, tables, chairs, and toys accessible to children were not kept clean and dirty with unwashed grime. It was also observed in the front toddler classroom that children's drinking cups being used by toddlers throughout the day were dirty with grime and dried food on them.

Corrected by Aug 21, 2023

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

It was observed in the two-year-old classroom, plastic grocery bags were accessible to toddlers. (corrected on site)

Corrected by Aug 21, 2023

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

Emergency contact for child #5 does not include completed work address and work telephone number of the enrolling parents.

Corrected by Aug 22, 2023

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3270.124(b)(4) · Emergency contact information must include the written consent signed by a parent for emergency medical care.

Emergency contact forms for children #2 and #3 do not include written consent signed by a parent for emergency medical care.

Corrected by Aug 22, 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.

Emergency contact form for child #4 does not include health insurance coverage and policy number for the child under a family policy or Medical Assistance benefits, if applicable.

Corrected by Aug 22, 2023

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

Emergency contact for child #5 does not include completed address of individual designated by the parent to whom the child may be released.

Corrected by Aug 22, 2023

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3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Medication log for child #1 has not been established by the operator. (corrected on site as parent was picking up child)

Corrected by Aug 21, 2023

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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.

The file for staff #2 does not include a completed health assessment within 24 months after the previous health assessment dated 6/11/21.

Corrected by Oct 26, 2023

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3270.182(4) · A child's record shall contain signed parental consent for administration of medications or special dietary needs.

Emergency contact forms for children #2 and #3 do not include written consent signed by a parent for administration of medications or special dietary needs.

Corrected by Aug 22, 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.

Emergency contact forms for children #2 and #3 do not include written consent signed by a parent for administration of minor first-aid procedures by facility staff.

Corrected by Aug 22, 2023

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3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Emergency contact forms for children #2 and #3 do not include written consent signed by a parent for transportation, walking excursions, swimming and wading.

Corrected by Aug 22, 2023

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

Operability of the fire detection devices were not tested every 30 days. Testing was documented to have lapsed 3/1/23, 4/20/23.

Corrected by Aug 21, 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.

It was observed that the hallway ceiling light outside of the 2-year-old classroom and kitchen was inoperable due to the bulb being burnt out.

Corrected by Dec 6, 2022

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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.

In the front infant classroom, cribs did not have at least two feet of space on three sides while in use by children. (corrected on site: staff moved cribs, spacing them 2 feet apart.)

Corrected by Dec 6, 2022

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3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

It was observed that two infants in the front infant room were using pacifiers attached to pacifier ribbon clips while sleeping in cribs.

Corrected by Dec 6, 2022

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

On the morning of 9-1-22 child #1 was outside between 9:45 and 11:15 am without any sun protection. The child fell asleep and was sunburned on her face and forehead.

Corrected by Nov 3, 2022

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3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children. All legal entity administration and infant room staff employed by Wee Care Best must participate in a training regarding sun safety for infants and outdoor best practices. The certification representative will need to approve content of the training or can make the referral to the Regional Key for the mandatory training.

Child #1 was taken outdoors for a period of approximately 45 minutes, during which time he sustained a severe burn with blistering due to sunburn. Per staff person #1, the child was not placed in a shaded location or assessed for sun exposure until after burning occurred.

Corrected by Nov 3, 2022

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3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children. The facility will update policies regarding infants and outdoor safety. The policy must be submitted to the regional office for review and approval. After approval, staff should be trained on the updated policies and the policies should be distributed to parents.

Child #1 was taken outdoors for a period of approximately 45 minutes, during which time he sustained a severe burn with blistering due to sunburn. Per staff person #1, the child was not placed in a shaded location or assessed for sun exposure until after burning occurred.

Corrected by Nov 3, 2022

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3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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.

It was observed that all facility staff have not participated in fire safety training conducted by a fire protection professional annually.

Corrected by Aug 24, 2022

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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.

It was observed in the two year old classroom bathroom that Hello Bello and 2 tubes of Desitin were accessible to children. It was observed in the Pre-K classroom that there was a basket of sunscreens accessible to children. It was observed in the Preschool classroom that there were diaper creams and rash spray accessible to children.

Corrected by Aug 24, 2022

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3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

It was observed in the Preschool classroom that there were 3 magic erasers not stored in the original packaging and or in a container that specifies the contents.

Corrected by Aug 24, 2022

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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.

It was observed in the School Age classroom that the first aid kit did not contain scissors, tweezers, band-aids or gauze.

Corrected by Aug 24, 2022

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3270.111(b) · The written plan of daily activities shall be posted in the group space.

It was observed in the Back Toddler classroom and in the School Age classroom that there was not a written plan of daily activities posted in the group space.

Corrected by Aug 29, 2022

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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.

It was observed in the Front and Back Toddler classrooms that there was not a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed conspicuously in every child care space.

Corrected by Aug 29, 2022

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3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

It was observed that the health assessment and file for child #1 did not include a review of the child's immunized status according to recommendations of the ACIP.

Corrected by Sep 29, 2022

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

It was observed in the Infant room that Child #2 has Tylenol medication at the facility and did not have written parental consent for the administration of the medications.

Corrected by Aug 29, 2022

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3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

It was observed that the health assessment on file for Facility Person #2 did not include an examination for communicable diseases and the results of that examination.

Corrected by Oct 20, 2022

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3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

It was observed that the health assessment on file for Facility Person #2 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected by Oct 20, 2022

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3270.31(f)(10) · 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) within 90 days of hire. Staff person #1 will have until 10/12 22 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, 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.

Staff person #1 has not completed Pediatric CPR and First Aid within 90 days of their date of hire (see LIS code sheet).

Corrected by Aug 24, 2022

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

It was observed that the facility director did not document testing of the interconnected fire alarm system every 30 days.

Corrected by Aug 24, 2022

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3270.27(a)(3) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

The facility emergency plan did not provide for a method for facility persons to contact parents when an emergency situation arises.

Corrected by Sep 2, 2021

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3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility emergency plan did not provide for a method for facility persons to contact parents when an emergency situation ends.

Corrected by Sep 2, 2021

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1-- may not work in a child care position at the facility.

Facility Person #1 did not have an update FBI clearance on file. The FBI clearance on file was dated 8/10/2016.

Corrected by Aug 30, 2021

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

It was observed in the 2 year old, preschool and pre-k classrooms that there were outlet receptacles uncovered and accessible to children 5 years of age and younger.

Corrected by Aug 30, 2021

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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.

It was observed in the Kitchen that there were knives in unlocked drawers accessible to children. It was observed in the infant classroom that there were stacked cases of water with loose plastic around them accessible to mobile children causing a potential hazard. It was observed in the older infant classroom that there were several plastic bags on the floor accessible to mobile children. It was observed in the 2 year old classroom and pre-k classroom that there were hanging cords accessible to children causing a potential hazard.

Corrected by Sep 17, 2021

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

It was observed in the Pre-K classroom that there was a toilet that was not in good repair and did not work, but was being used by the children.

Corrected by Nov 22, 2021

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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.

It was observed in the Infant classroom that the temperature read 49 degrees. It was also observed in the Older Infant classroom that the refrigerator temperature read 48 degrees.

Corrected by Oct 4, 2021

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3270.111(b) · The written plan of daily activities shall be posted in the group space.

It was observed that all classrooms did not have a written plan of daily of activities posted in the group spaces.

Corrected by Sep 15, 2021

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3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

It was observed in the school age classroom that Child #1 did not have a medication log completed for the albuterol medication administered at school.

Corrected by Aug 31, 2021

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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.

The file for Facility Person #2 did not include the results of an initial or subsequent tuberculin skin test to confirm freedom from communicable tuberculosis.

Corrected by Oct 19, 2021

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3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility emergency plan did not provide accommodations for infants, toddlers and children with chronic medical conditions.

Corrected by Aug 30, 2021

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3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

The facility fire drill log did not include the names of facility persons who participated in the drill.

Corrected by Sep 15, 2021

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3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The facility emergency plan did not provide accommodations for shelter in place or lock-down procedures during an emergency.

Corrected by Aug 30, 2021

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