Ann Kids Palmetto

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.

At the time of investigation facility did not have written policies on Strategies for coping with a crying fussing, or distraught child and a policy on the prevention and identification of child maltreatment on file. Also, facility's emergency plan did not address the continuity of operations.

Corrected by Aug 4, 2025

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

At the time of the inspection the operator did not review the emergency plan at least annually and update the plan as needed. The operator did not document in writing each review and update of the emergency plan and kept on file at the facility.

Corrected by Aug 4, 2025

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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.

At the time of the inspection facility persons #3, 4 and 10 did not have emergency plan training on file.

Corrected by Aug 4, 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.

At the time of inspection facility persons #2, #4, #9 and #10 did not have annual fire safety training on file.

Corrected by Aug 4, 2025

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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.

At the time of inspection facility person #2 did not have proof of qualifications on file.

Corrected by Aug 4, 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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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 #--- may not work in a child care position at the facility.

At the time of inspection facility person #3 did not have Mandated Reporter training and facility person #4 did not have FBI clearance on file.

Corrected by Aug 4, 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.

At the time of the inspection classroom #1 did not have band aids, classroom #2 did not have gauzes, room #12 did not have tweezers and room #7 did not have gauzes in their first aid kits.

Corrected by Aug 4, 2025

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

At the time of inspection classroom #2 had 1 light bulb out causing the classroom to be dimly lit.

Corrected by Aug 4, 2025

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3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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.

At the time of inspection facility persons #2 & 4 did not have Health Assessments on file.

Corrected by Aug 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.

At the time of inspection children files #1-12 did not have 6-month update for emergency contact forms and financial agreements on files.

Corrected by Aug 4, 2025

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3270.181(e) · If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

At the time of the inspection classroom #2 (child #10), classroom #6 (child #11) and classroom #7 (child #12) did not have updated emergency contact forms in the classrooms.

Corrected by Aug 4, 2025

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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.

At the time of inspection facility person #4 did not have their high school degree translated on file, #5 did not have transcript and evaluation on file. #6 did not have transcript of bachelor's degree on file, #7 did not have education evaluation on file, #12 did not have their bachelor's degree evaluated.

Corrected by Aug 4, 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.

At the time of inspection facility persons #4 & #7 only had 1 non-family reference and #6 did not have any nonfamily references.

Corrected by Aug 4, 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.

At the time of inspection facility did not have documentation of testing the fire safety system every 30 days.

Corrected by Aug 4, 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.

At the time of the inspection, the operator did not send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Corrected by Aug 4, 2025

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

At the time of inspection facility person #6 needed 1.5 hours, and facility persons #9 & 10 did not have any professional development training on file.

Corrected by Aug 4, 2025

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3270.33(d) · One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

At the time of inspection facility persons #9 & #10 did not have Pediatric First aid training on file.

Corrected by Aug 4, 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 childcare facility.

At the time of the inspection the operator did not 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 childcare facility.

Corrected by Aug 4, 2025

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3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

At the time of the allocated unannounced visit emergency plan was not posted.

Corrected by Jun 5, 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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

At the time of allotted unannounced visit, the young toddler class had a 1:7 ratio with the youngest being 1 year old.

Corrected by Jun 5, 2025

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3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

During investigation it was verified that staff #1 grabbed child.

Corrected by Aug 12, 2024

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3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

At the time of investigation facility person #1 was seen on camera grabbing a child and scratching them.

Corrected by Aug 5, 2024

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3270.20(b) · The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department.

At the time of investigation staff #1 did not have a complete file.

Corrected by Feb 28, 2024

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3270.19(b) · A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department.

At the time of the investigation staff #1 confirmed they did not report child abuse.

Corrected by Feb 28, 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. Outdoor play space used by the facility is considered part of the facility premises.

At the time of compliant it was verified that child #1 was not being supervised.

Corrected by Nov 28, 2023

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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.

At the time of investigation, it was stated that facility did not contact child's parent, give incident report or contact OCDEL's Regional office for child being taken for medical treatment.

Corrected by Sep 26, 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 the time of investigation staff persons # 1 and 2 reported they were not supervising child #1.

Corrected by Sep 26, 2023

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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 investigation original incident report for child #1 injuries were not in the child's file and was not given to the child's parent.

Corrected by Sep 26, 2023

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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.

While conducting the renewal inspection conducted on 7/20/23 it was observed the facility emergency plan did not include 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.

Corrected by Jul 31, 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.

While conducting the renewal inspection on 7/20/23 it was observed staff person #1 file did not include verification of completed fire safety training.

Corrected by Jul 31, 2023

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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 # 3 through 6 shall complete health and safety training within 90 days of hire. Staff persons#3 through 6 will have until 8/5/23 to complete the required health and safety training. Until such time as the required training has been completed, staff persons# 3 through 6 must be supervised by an AGS, 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 persons # 3 through 6, staff persons 3 through 6 may not work in a child care position at the facility.

While conducting the renewal inspection on 7/20/23 it was observed staff persons# 3 through 6 did not completed the following required pre-service health and safety training within 90 days of their date of hire.

Corrected by Aug 5, 2023

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person#2 will have until 8/5/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person # 2 must be supervised, when interacting with children by an AGS who has completed the required mandated reporter training . If there is no staff available to supervise staff person # 2; staff person #2 may not work in a child care position at the facility.

While conducting the renewal inspection on 7/20/23 it was observed staff person#2 has not completed mandated reporter training within the last 60 months. This evidenced by the previous documented mandated reporter training on file being dated 7/8/17.

Corrected by Aug 5, 2023

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

While conducting the renewal inspection on 7/20/23 it was observed classroom #1 electrical socket in the circle time area did not have protective covers for outlets accessible to children 5 years of age or younger.

Corrected by Jul 31, 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.

While conducting the renewal inspection on 7/20/23 it was observed classroom#1 had bottle of bleach solution, and an Ajax in an unlocked cabinet on the bottle shelf.

Corrected by Jul 20, 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.

While conducting the renewal inspection on 7/20/23 it was observed in classroom#1 a cleaning solution in an unlabeled bottled accessible to children.

Corrected by Jul 31, 2023

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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.

While conducting the renewal on 7/20/23 it was observed classroom#2 had chipped paint and exposed plaster in the play area. Classroom#7 had chipped yellow paint in the child care play space.

Corrected by Jul 31, 2023

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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.

While conducting the renewal inspection on 7/20/23 it was observed staff persons# 7 and 8 file did not include verification of child care experience, education and training prior to service at the facility.

Corrected by Jul 31, 2023

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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.

While conducting the renewal inspection on 7/20/23 it was observed facility emergency plan did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected by Jul 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.

While accessing supervision and ratio during a complaint investigation on 3/6/23 it was observed classroom# 3 had a total of 15 children present. Staff person #1 was asked for the names of the children responsible for. Staff person #1 did not identify the children specifically assigned to her childcare group. Classroom# 4/5(combined) had a total of 10 children. Only 7 children were identified by staff when staff person #2 was asked for the names of the children responsible for. Staff person# 2 could not identify children specifically assigned to childcare group.

Corrected by Mar 6, 2023

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

Child #4 had a health form dated 7/18/21 at the time of the renewal that started on 7/28/22.

Corrected by Sep 2, 2022

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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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1-- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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 #---1 may not work in a child care position at the facility.

Staff #1 had the following (Pa clearances; FBI; Child Abuse) dated for May 2017 at the time of the renewal that began in July 2022. Staff #2 did not have their NSOR results at the time of the renewal inspection.

Corrected by Aug 12, 2022

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3270.123(a) · An agreement shall be signed by the operator and the parent.

Child #1 thru #5 did not have their agreement signed by the Provider of the facility at the time of the renewal inspection.

Corrected by Aug 12, 2022

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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.

Child #1 and #3 did not have their Parent's work name; address and or phone number listed on their Emergency Contact form during the file review at renewal on 7/28/22.

Corrected by Aug 12, 2022

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3270.192(2)(iv) · 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.

Staff # 6 thru #10 either did not have their education verification on file on it was not translated and evaluated at the time of the renewal inspection.

Corrected by Aug 19, 2022

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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

Staff 2 thru #6 and #8 thru #10 did not have their reference letter on file at the time of the renewal inspection file review on 7/28/22.

Corrected by Aug 12, 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 # 7 thru #9 did not have their required Pediatric First Aid CPR training from an approved provider on file for review at the time of the renewal inspection.

Corrected by Sep 2, 2022

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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.

There was no way to determine that children were being changed every 2 hours as a the diaper changing log had not been completed in weeks at the time of the complaint investigation regarding the matter as a child received injuries due to lack of consistent diaper changing.

Corrected by Jan 7, 2022

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