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.

During the inspection on 5/1/2025, file of staff person #1 did not include staff health assessment.

Corrected Corrected by Jun 13, 2025

Category: ratio. Marked corrected in the state record.

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

During the inspection on 5/6/25 video footage from 5/1/25 was reviewed. On the video footage from 5/1/25 from 6 AM to 7:40 AM, staff person #1, whose file did not include health and safety training as well as Pediatric First aid and CPR training, was observed caring for children without being supervised by an assistant group supervisor, who has completed the required trainings.

Corrected Corrected by Jun 1, 2025

Category: supervision. Marked corrected in the state record.

3270.31(f)/3270.31(h) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. All staff persons shall complete the professional development under subsection (f). Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children by an assistant group supervisor, who has completed the required training related to this citation. If there are no staff person's available to supervise, staff person #1 may not work in a child-care position at the facility.

During the inspection conducted on 5/6/2025, file of staff person #1 did not include health and safety training as well as Pediatric First Aid and CPR training.

Corrected Corrected by Jun 13, 2025

Category: supervision. Marked corrected in the state record.

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.

During the inspection on 5/1/2025, video footage from 4/25/2025 was reviewed. It was observed that Staff Person #4, who holds the qualification of an aide, was caring for children alone during nap time in the Toddler Room and was not supervised by a staff person qualified at minimum as an assistant group supervisor.

Corrected Corrected by Jun 1, 2025

Category: supervision. Marked corrected in the state record.

3270.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

During the inspection on 5/1/2025, individual records for Child #1 and Child #2 had not been established and provided for review.

Corrected Corrected by Jun 6, 2025

Category: recordkeeping. Marked corrected in the state record.

20.71(a)(7) · The Department may deny, refuse to renew or revoke a certificate of compliance for fraud or deceit in obtaining or attempting to obtain a certificate of compliance.

During the inspection conducted on 5/1/2025, the director submitted DHS-approved documentation used for tracking child supervision. Upon review of the documentation, the following discrepancies were identified: - Staff Person #2 was recorded as present and supervising children on 4/25/2025 from 12 PM to 5:30 PM in Preschool room. However, records and staff confirmation indicate that Staff Person #2 left the facility at 2:00 PM and was not supervising children for the remainder of the day. - Staff Person #3 was listed as supervising children in the Toddler Room from 1:30 PM to 2:30 PM. However, it was determined that during nap time, Staff Person #3 was not present in the Toddler Room and was not actively supervising the children.

Corrected Corrected by Jun 1, 2025

Category: supervision. Marked corrected in the state record.

3270.55(a)/3270.113(a)(2) · The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

During the inspection on 5/1/2025, video footage from 4/25/2025 was reviewed. The footage of a nap time in Toddler room showed at least 14 children, ranging in age from young toddlers to preschoolers, with staff person #1. One child, identifiable by a red shirt, was seen leaving the room without supervision. Older school age child #4 was walking in the facility without being supervised. Additional footage from the office area on 4/25/2025 showed Child #1 and Child #2 leaving the office area without staff supervision. The staff present in the office could not see, hear, or assess the children's movements. Furthermore, during the complaint investigation, it was reported that Child #3 did exited the building unsupervised and went to the facility's outdoor gated play space without being seen by Staff Person #1 or Staff Person #2. Both staff were unaware of Child #3's whereabouts until they observed the child outside attempting to squeeze between the poles of the playground gate.

Corrected Corrected by May 30, 2025

Category: supervision. Marked corrected in the state record.

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

At the time of unannounced inspection on 4/25/25, the door to Mechanical room with HVAC and water heater was not locked and accessible to children. Mechanical room is located in the main hallway children use to enter their classrooms. Non complaint since 2/27/25.

Corrected Corrected by Apr 25, 2025

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

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

At the time of unannounced inspection on 4/25/25 observed old carpet and buggy stroller obstructing exit door located near the bathroom and Preschool room.

Corrected Corrected by Apr 29, 2025

Marked corrected in the state record.

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

At the time of unannounced inspection on 4/25/25, files of children #1 and #2 did not include child service report on the Department's approved form that provides information to the family about the child's growth and development. Non complaint since 2/27/25.

Corrected Corrected by May 23, 2025

Category: recordkeeping. 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.

At the time of unannounced inspection on 4/25/25, health report of staff person #1 did not include the results of initial tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Corrected Corrected by Apr 25, 2025

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

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

At the time of unannounced inspection on 4/25/25, health report of staff person #1 did not include an examination for communicable diseases and the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Apr 25, 2025

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

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

At the time of unannounced inspection on 4/25/25, files of children #1 and #3 did not include an initial health report within 60 days of enrollment. Non complaint since 2/27/25.

Corrected Corrected by May 17, 2025

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

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

At the time of renewal inspection observed fire extinguisher on the kids table in Toddler room. Fire extinguisher was accessible to children. The door to Mechanical room with HVAC and water heater was not locked and accessible to children. Mechanical room is located in the main hallway children use to enter their classrooms.

Corrected Corrected by Mar 21, 2025

Category: health medication. 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.

At the time of renewal inspection observed that a first aid kit in Preschool room didn't contain medical tape.

Corrected Corrected by Feb 27, 2025

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

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.

At the time of renewal inspection observed that the vent on the ceiling located near Toddler room is dusted and in need of cleaning.

Corrected Corrected by Mar 16, 2025

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

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

At the time of renewal inspection observed spots of peeling paint in the Toddler room near the door, orange chairs and a black stroller.

Corrected Corrected by Mar 16, 2025

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

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

At the time of renewal inspection observed that light in the hallway near Toddler room is not working.

Corrected Corrected by Mar 21, 2025

Marked corrected in the state record.

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

At the time of renewal inspection observed ripped changing table mat with foam exposed in Infant/toddler room.

Corrected Corrected by Mar 16, 2025

Marked corrected in the state record.

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

At the time of renewal inspection, files of children #3, #4, and #6 did not include child service report on the Department's approved form that provides information to the family about the child's growth and development.

Corrected Corrected by Mar 18, 2025

Category: recordkeeping. 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.

At the time of renewal inspection, agreements of children #3 and #4 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Mar 21, 2025

Category: recordkeeping. Marked corrected in the state record.

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

At the time of renewal inspection, emergency contact information of child #4 did not include the address and telephone number of the child's physician or source of medical care. Emergency contact form of child #5 did not include the address of the child's physician or source of medical care.

Corrected Corrected by Mar 21, 2025

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

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

At the time of renewal inspection, emergency contact form of child #3 did not include the work address and phone number of the enrolling parent.

Corrected Corrected by Mar 21, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

At the time of renewal inspection, emergency contact information did not include information on the child #3, #4, and #5 special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

Corrected Corrected by Mar 21, 2025

Category: health medication. 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.

At the time of renewal inspection, emergency contact information of child #3 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Mar 21, 2025

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

3270.124(c)/3270.181(e) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

At the time of renewal inspection, emergency contact information was present only for child #1 in Preschool room. Emergency contact forms were not present for other 13 children. Emergency contact form of child #1 was last updated on 12/22/23.

Corrected Corrected by Mar 21, 2025

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.

At the time of renewal inspection, agreements and emergency contact information of children #2, #3, #4, and #6 were not updated every 6 months as required. Emergency contact form and agreement for child #2 were reviewed and signed by parent on 7/9/24, for child #3 on 6/17/24, for child #4 on 5/3024, for child #6 on 5/17/24.

Corrected Corrected by Mar 21, 2025

Category: recordkeeping. Marked corrected in the state record.

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

At the time of renewal inspection, file of child #2 did not include an updated health report required at least every 12 months. Child health report on file was from 9/20/23.

Corrected Corrected by Mar 21, 2025

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

3270.131(d)(5)/3270.131(e)(2)(i) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

At the time of renewal inspection, immunization record of child #6 did not include MMR, Varicella, and Hepatitis A immunization recommended by ACIP. Two doses of Hepatitis B, one dose of DTAP, and one dose of Pneumococcal were missing. A letter of exemption was not observed in the file of child #6.

Corrected Corrected by Mar 21, 2025

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.

Continued Non-Compliance since 12/13/25. At the time of renewal inspection, file of staff person #1 did not include an initial health assessment conducted within 12 months prior to providing initial service in a child care setting.

Corrected Corrected by Mar 16, 2025

Category: ratio. Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

At the time of renewal inspection, a record of child #4 didn't contain signed parental consent for emergency medical care for the child and consent for administration of minor first-aid procedures by facility staff. Both consents are required prior to admission.

Corrected Corrected by Mar 21, 2025

Category: ratio. Marked corrected in the state record.

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

At the time of renewal inspection observed that emergency drill was not conducted annually. Last written documentation of emergency drill is from 1/31/24.

Corrected Corrected by Mar 14, 2025

Category: recordkeeping. Marked corrected in the state record.

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

At the time of renewal inspection, verification that fire drill is conducted at least every 60 days was not observed. The last fire drill logged on file was dated 12/3/2024.

Corrected Corrected by Mar 16, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Continued Non-Compliance from 1/30/25 unannounced monitoring inspection. During renewal inspection, observed from written log that hypothetical locations of the fire still are not rotated around the facility for each drill. The hypothetical location continuous to be noted as "Houseman Rec".

Corrected Corrected by Mar 16, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

At the time of renewal inspection, file of child #3 and #5 did not include an initial health report within 60 days of enrollment.

Corrected Corrected by Mar 21, 2025

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

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Continued Non-compliance since 01/30/25. At the time of the inspection on 2/25/25 observed staff person #1 being alone with 12 children ranging in age from preschool to young toddlers at around 7:30 AM in the Office area.

Corrected Corrected by Mar 14, 2025

Category: ratio. Marked corrected in the state record.

3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Continued Non-compliance since 1/28/25. At the time of unannounced monitoring inspection on 2/25/25 observed staff person #1 with 12 children ranging in age from preschool to young school age. No other staff was present at the facility.

Corrected Corrected by Mar 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.113(a) · Children must be supervised at all times.

At the time of the inspection on 2/25/25 observed staff person #1 leaving children unattended in the office area to open the side door. Staff person #1 is not able to see, hear or assess children during the trips to open the door. On 2/27/25 observed child #1 being alone on the cot in Infant/Toddler Room. No staff present. Facility was cited for supervision on 12/17/24 and 1/30/25.

Corrected Corrected by Mar 14, 2025

Category: supervision. Marked corrected in the state record.

3270.113(a) · 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.

At the time of the inspection on 2/25/25 observed staff person #1 leaving children unattended in the office area to open the side door. Staff person #1 is not able to see, hear or assess children during the trips to open the door. On 2/27/25 observed child #1 being alone on the cot in Infant/Toddler Room. No staff present. Facility was cited for supervision on 12/17/24 and 1/30/25.

Corrected Corrected by Jun 14, 2025

Category: supervision. Marked corrected in the state record.

3270.113(a) · The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

At the time of the inspection on 2/25/25 observed staff person #1 leaving children unattended in the office area to open the side door. Staff person #1 is not able to see, hear or assess children during the trips to open the door. On 2/27/25 observed child #1 being alone on the cot in Infant/Toddler Room. No staff present. Facility was cited for supervision on 12/17/24 and 1/30/25.

Corrected Corrected by May 14, 2025

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.

Continued Non-compliance from 12/17/24 and 1/30/25. On 2/27/25 observed child #1 being alone on the cot in the Infant/Toddler Room. No staff present.

Corrected Corrected by Mar 14, 2025

Category: supervision. Marked corrected in the state record.

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

At the time of unannounced inspection on 1/30/25, files of staff person #1 did not include verification of education and experience required for a position of an assistant group supervisor and is required prior to service at the facility. Non-complaint since 12/13/24.

Corrected Corrected by Feb 11, 2025

Category: supervision. Marked corrected in the state record.

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

At the time of unannounced inspection on 1/30/25 observed unlidded waste receptacle in the bathroom near the sinks. Non-complaint since 12/13/24.

Corrected Corrected by Feb 3, 2025

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.

At the time of unannounced inspection on 1/30/25, file of staff persons #4 did not include an initial health assessment with TB results. Health assessment on file was from 2/25/21 and TB test was from 8/4/21. Non-complaint since 12/13/24.

Corrected Corrected by Feb 3, 2025

Category: ratio. Marked corrected in the state record.

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

At the time of unannounced inspection on 1/30/25, files of staff persons #1, #2 and #3 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Files of staff person #1 and #2 included only 1 non-family reference. File of facility person #1, who was transporting children to school on 1/30/25 did not include references at all. Non-complaint since 12/13/24.

Corrected Corrected by Feb 11, 2025

Category: transportation. Marked corrected in the state record.

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

At the time of unannounced inspection on 1/30/25, the hypothetical locations of the fire are not rotated around the facility for each drill such that the hypothetical location was the same for consecutive drills.

Corrected Corrected by Feb 11, 2025

Category: recordkeeping. Marked corrected in the state record.

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 the inspection on 1/30/25 observed staff person #2 being alone with 11 preschool children in Preschool room. Non-complaint since 12/17/24.

Corrected Corrected by Feb 11, 2025

Category: ratio. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

At the time of the inspection on 1/30/25 observed staff person #3 being alone with 9 children ranging in age from young toddlers to older school age.

Corrected Corrected by Feb 11, 2025

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.

At the time of the inspection on 1/30/25 observed multiple times school age-children walking in the facility unsupervised from preschool room to the office. Staff #1 and #2 were not physically present with school age children when they were coming to the office. Non-complaint since 12/17/24.

Corrected Corrected by Feb 11, 2025

Category: supervision. Marked corrected in the state record.

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

At the time of the inspection on 1/28/25 observed staff person #1 caring for 4 children unsupervised at around 7 am. Staff person #1 had not completed the following pre-service training required prior to caring for children unsupervised: Health and safety training and Pediatric First aid and CPR. The facility's acceptable plan of correction indicated the correction would be implemented on 1/13/25. On 1/28/25 an unannounced inspection was conducted. Staff person #1 still has not completed the following preservice training required prior to caring for children unsupervised: Health and safety training and Pediatric First aid and CPR. On 1/30/25 staff persons #3, #4, and #5 were working unsupervised. Staff person #3 did not completed Pediatric First aid and CPR training, file of staff person #4 did not include health and safety training, file of staff person #5 did not include Pediatric First aid and CPR as well as one hour health and safety training required by OCDEL within the prescribed timeframe which is by December 30, 2022. Non-complaint since 12/13/24.

Corrected Corrected by Feb 11, 2025

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. Staff Person #1 may not work in a childcare position at the facility.

At the time of the inspection on 1/28/25, file of staff person #1, whose provisional hire period ended on 12/19/24, did not include DHS required FBI clearance, child abuse clearance from Florida, where staff resided within the last 5 years. Staff person #1 was observed working alone with 4 children. File of staff person #2, who was driving children to school on 1/28/25, did not have current PA State police clearance, PA child abuse clearance and DHS required FBI clearance. Staff was observed being alone with 10 school age children in the van, license plate MST 2474 at around 7 am. Non-complaint since 12/13/24.

Corrected Corrected by Feb 11, 2025

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

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.

At the time of the inspection on 1/28/25 observed staff person #1, who is an aide, was working alone with children in the office area and not being supervised by a staff person qualified at minimum as an assistant group supervisor. Non-complaint since 12/13/24.

Corrected Corrected by Feb 11, 2025

Category: supervision. Marked corrected in the state record.

3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

At the time of the inspection on 1/28/25 observed staff person #1 caring for 4 children unsupervised at around 7 am in the office area. No other staff was present at the facility.

Corrected Corrected by Feb 11, 2025

Category: supervision. Marked corrected in the state record.

3270.176(a) · A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

At the time of the inspection on 1/28/25, provider did not provide insurance card for 2016 Ford Transit, license plate MST2474. Non-complaint since 12/13/24.

Corrected Corrected by Feb 11, 2025

Category: transportation. Marked corrected in the state record.

3270.176(f) · In accordance with the requirements of 67 Pa. Code Chapter 171 (relating to school buses and school vehicles), the facility may not transport a child in an 11-15 passenger van.

At the time of the inspection on 1/28/25 observed that children were transported to school in a 15 seats Ford T-350 Transit van with license plate MST2474. Fifteen seats van and cannot be used to transport children. Non-complaint since 12/13/24.

Corrected Corrected by Jan 31, 2025

Category: transportation. Marked corrected in the state record.

3270.52/3270.113(a)(2) · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

At the time of the inspection on 12/17/24 observed staff person #2 leaving staff person #3 out of ratio with 13 preschoolers and person #1 who is considered an older school age child in Preschool room. Staff person #3 was not able to supervise children, who were in the area around the corner of Preschool room.

Corrected Corrected by Dec 18, 2024

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 inspection on 12/17/24 observed person #1, who is considered a child, being with child #1 alone in the office area. Another staff member was in the kitchen located near the office but was not physically present and was not able to see them.

Corrected Corrected by Dec 18, 2024

Category: supervision. Marked corrected in the state record.

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

At the time of the inspection on 12/17/24 observed video footage of staff person #4, being rough with child #2 on 11/14/24. Administration provided a written record of conversation with staff person #4, who "appeared to be too rough while handling the children".

Corrected Corrected by Dec 13, 2024

Category: ratio. Marked corrected in the state record.

3270.31(a) · A volunteer shall be 16 years of age or older and shall be directly supervised at all times by a staff person.

At the time of the inspection on 12/17/24, upon entering the facility, observed person #1 helping in the facility as a volunteer. Person #1 is not 16 years of age and cannot be a volunteer.

Corrected Corrected by Dec 18, 2024

Category: supervision. Marked corrected in the state record.

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

At the time of allocated unannounced inspection on 12/13/24, file of staff persons #3 and #5 did not include verification of age.

Corrected Corrected by Jan 8, 2025

Category: recordkeeping. Marked corrected in the state record.

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

At the time of allocated unannounced inspection on 12/13/24, files of staff person #1, #3, #5 did not include verification of education or experience required for a position of an assistant group supervisor and is required prior to service at the facility.

Corrected Corrected by Jan 13, 2025

Category: supervision. 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.

At the time of the allocated unannounced inspection on 12/13/24, toxic laundry detergent and disinfecting spray were observed in under the sink cabinet in the bathroom and were accessible to children posing a potential hazard. The label on laundry detergent and disinfecting spray stated, " Keep out of reach of children".

Corrected Corrected by Dec 13, 2024

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

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

At the time of allocated unannounced inspection on 12/13/24 observed peeling paint near the shelves in Preschool room.

Corrected Corrected by Jan 8, 2025

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

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

At the time of allocated unannounced inspection on 12/13/24 observed unlidded waste receptacle in the bathroom near the sinks.

Corrected Corrected by Jan 20, 2025

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

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

At the time of allocated unannounced inspection on 12/13/24 observed that exit was obstructed with bins and stroller.

Corrected Corrected by Jan 8, 2025

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.

At the time of allocated unannounced inspection on 12/13/24, files of staff persons #1, #2, #3 did not include an initial health assessment with TB results.

Corrected Corrected by Jan 13, 2025

Category: ratio. Marked corrected in the state record.

3270.191 · An individual record is required for each facility person.

At the time of allocated unannounced inspection on 12/13/24, facility person #4 did not have an individual record.

Corrected Corrected by Dec 13, 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.

At the time of allocated unannounced inspection on 12/13/24, files of staff persons #1, #2, #3 and #5 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jan 13, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

At the time of allocated unannounced inspection on 12/13/24, fire drill log was not provided for review.

Corrected Corrected by Jan 10, 2025

Category: recordkeeping. Marked corrected in the state record.

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

At the time of the inspection on 12/13/24 observed that staff person #2, who is a provisional hire, and staff person #1, who is not a provisional hire, were observed to be caring for children unsupervised. Staff person #1 and #2 were the only persons in the facility at 7:20 AM. Staff person #4, who is a provisional hire, was observed to be caring for children in Infant/Toddler room at around 10AM without being supervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Health and safety training and mandated reporter trainings. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Health and safety training and Pediatric First aid and CPR. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training.

Corrected Corrected by Jan 13, 2025

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). LACKING REQUIRED HIRING DOCUMENTS: Staff 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. Staff Person #1 may not work in a child care position at the facility.

At the time of the inspection on 12/13/24, file of staff person #1, whose provisional hire period ended on 11/26/24, did not include PA state police, PA child abuse, FBI clearance, NSOR certificate, Disclosure Statement, child abuse from Florida, where staff resided within the last 5 years. Staff person #2, who is a provisional hire, was working unsupervised. File of staff person #2 did not include receipt that staff person #2 applied for FBI fingerprints and child abuse from Florida where staff resided within the next 5 years.

Corrected Corrected by Jan 13, 2025

Category: supervision. Marked corrected in the state record.

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.

At the time of the inspection on 12/13/24 observed staff person #2 was working alone with children in Infant/Toddler room and not being supervised by a staff person qualified at minimum as an assistant group supervisor.

Corrected Corrected by Dec 13, 2024

Category: supervision. Marked corrected in the state record.

3270.52/3270.113(a)(2) · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

At the time of the inspection on 12/13/24 at around 7:20 observed 19 young and older school-age children being alone in school age-area watching TV and not being supervised. Staff #1 and #2 was not able to see, hear, direct and assess the activity of the children since both staff were in the office.

Corrected Corrected by Dec 16, 2024

Category: supervision. Marked corrected in the state record.

3270.124(d) · When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

At the time of the inspection on 12/13/24, emergency contact forms were not observed in the vans for children who were transported to school.

Corrected Corrected by Jan 8, 2025

Category: transportation. Marked corrected in the state record.

3270.173(c) · When school-age children are transported, the driver may be considered part of the staff-child ratio required in §3270.51. Additional staff has to be present in the van if 14 children ranging in age from young to older school age are present in the van

At the time of the inspection on 12/13/24 observed staff person #3 being in the van with 14 children ranging in age from young to older school age.

Corrected Corrected by Dec 16, 2024

Category: ratio. Marked corrected in the state record.

3270.175(a) · A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. §4581 (relating to restraint systems).

At the time of the inspection on 12/13/24, a child who is attending Kindergarten, was being transported in the van with staff person #3 and was not buckled up.

Corrected Corrected by Dec 16, 2024

Category: transportation. Marked corrected in the state record.

3270.176(a) · A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

At the time of the inspection on 12/13/24 observed that insurance cards located in 2016 Ford T-350 Transit W and 2017 Ford T-350 Transit V expired on 7/1/24.

Corrected Corrected by Jan 8, 2025

Category: transportation. Marked corrected in the state record.

3270.176(f) · In accordance with the requirements of 67 Pa. Code Chapter 171 (relating to school buses and school vehicles), the facility may not transport a child in an 11-15 passenger van.

At the time of the inspection on 12/13/24 observed that children were transported to school in 2016 Ford T-350 Transit W and 2017 Ford T-350 Transit V. Both vans are 15 seats van and cannot be used to transport children.

Corrected Corrected by Jan 17, 2025

Category: transportation. Marked corrected in the state record.

3270.177(b) · Children shall be supervised during boarding and exiting vehicles by an adult who remains outside the vehicle.

At the time of the inspection on 12/13/24 observed that staff person #3, were seating on the driver seat in the van and did not remain outside of the vehicle to supervise boarding.

Corrected Corrected by Dec 16, 2024

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. Staff Person # 1 must be removed from child care position by close of business. NJ child abuse clearance must be obtained before staff person #1 may resume a child care position.

During unannounced monitoring inspection on 5/7/24, non-compliance continues from renewal inspection dated 3/4/24 and 4/2/24. File of staff persons #1 does not include child abuse and neglect registry check from the state of New Jersey in which staff person #1 resides.

Corrected Corrected by May 10, 2024

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

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

At the time of unannounced monitoring inspection on 4/18/24, an adult health examination of staff person #1 did not include answer to question #2 regarding an examination for communicable diseases and the results of that examination.

Corrected Corrected by May 6, 2024

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

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

During unannounced monitoring inspection on 4/2/24, non-compliance continues from renewal inspection dated 3/4/24. A policy and procedure to identify the potential signs identification of child maltreatment were not observed. In addition, the emergency plan did not contain a statement regarding volunteers participating in emergency plan training and emergency drills, continuity of operations in the event of an emergency that includes backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Corrected Corrected by Apr 12, 2024

Category: ratio. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

During unannounced monitoring inspection on 4/2/24, non-compliance continues from renewal inspection dated 3/4/24. Written verification that staff person #2 received training regarding the emergency plan at the time of initial employment was not observed.

Corrected Corrected by Apr 12, 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). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #1, #2, and #5 must be removed from the child position at the facility by close of business. Clearance information must be obtained before staff persons #1, #2, and #3 may resume a child care position.

During unannounced monitoring inspection on 4/2/24, non-compliance continues from renewal inspection dated 3/4/24. File of staff persons #1 does not include DHS required FBI clearance, file of staff person #2 does not include PA child abuse clearance, file of staff person #3 does not include NSOR and state child abuse and neglect registry check from the state of New Jersey in which staff person #3 resides. Staff persons #1, #2, and #3 are not provisional hires.

Corrected Corrected by Apr 17, 2024

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

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

During unannounced monitoring inspection on 4/2/24, non-compliance continues from renewal inspection dated 3/4/24. Files of staff persons #1 and #2 didn't include verification of child care experience that qualifies for a position of an assistant group supervisor and is required prior to service at the facility.

Corrected Corrected by Apr 12, 2024

Category: supervision. Marked corrected in the state record.

3270.75(a) · A first-aid kit shall be in a child care space.

During unannounced monitoring inspection on 4/2/24, non-compliance continues from renewal inspection dated 3/4/24. A first-aid kit was not present in Bull Frogs (Preschool) room, Toddler room and Fireflies room (mixed age).

Corrected Corrected by Apr 12, 2024

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

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

During unannounced monitoring inspection on 4/2/24, non-compliance continues from renewal inspection dated 3/4/24. Damaged paint was observed on the wall near cots and on the wall near TV in Preschool room.

Corrected Corrected by Apr 12, 2024

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

3270.124(b)(2)/3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

During unannounced monitoring inspection on 4/2/24, non-compliance continues from renewal inspection dated 3/4/24. Emergency contact information of child #1 did not include the name, address and phone number of the child's physician or source of medical care. Emergency contact form of child #2 did not include release persons address.

Corrected Corrected by Apr 12, 2024

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

3270.124(b)(5)/3270.124(b)(6) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

During unannounced monitoring inspection on 4/2/24, non-compliance continues from renewal inspection dated 3/4/24. Emergency contact information did not include information on the child #1 special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation as well as health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Apr 12, 2024

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

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

During unannounced monitoring inspection on 4/2/24, non-compliance continues from renewal inspection dated 3/4/24. Emergency contact information were not present in a child care space were children were receiving care.

Corrected Corrected by Apr 12, 2024

Category: recordkeeping. Marked corrected in the state record.

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

During unannounced monitoring inspection on 4/2/24, non-compliance continues from renewal inspection dated 3/4/24. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in every child care space.

Corrected Corrected by Apr 12, 2024

Category: transportation. 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.

During unannounced monitoring inspection on 4/2/24, non-compliance continues from renewal inspection dated 3/4/24. File of staff persons #1 does not include initial staff health assessment with TB results.

Corrected Corrected by Apr 12, 2024

Category: ratio. Marked corrected in the state record.

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

During unannounced monitoring inspection on 4/2/24, non-compliance continues from renewal inspection dated 3/4/24. Information regarding the location of the facility and use of pedestrian and vehicular routes around the facility was not prepared and sent to the local traffic safety authorities.

Corrected Corrected by Apr 12, 2024

Marked corrected in the state record.

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

At the time of renewal inspection, a policy and procedure to identify the potential signs identification of child maltreatment were not observed. In addition, the emergency plan did not contain a statement regarding volunteers participating in emergency plan training and emergency drills, continuity of operations in the event of an emergency that includes backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster. At the time of renewal inspection, staff person #1, was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training and pediatric firs aid/CPR. At the time of renewal inspection, file of staff person #5 did not include Pennsylvania Health and Safety Update 2022 1-hour professional development training required by OCDEL within the prescribed timeframe which is by December 30, 2022.

Corrected Corrected by Mar 20, 2024

Category: supervision. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

At the time of renewal inspection, written verification that staff person #4 received training regarding the emergency plan at the time of initial employment was not observed.

Corrected Corrected by Mar 20, 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 #4 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. Staff Person # 2, #3, #4, and #5 must be removed from child care position by close of business. Clearances must be obtained before staff persons #2, #3, #4, and #5 may resume a child care position.

At the time of renewal inspection, file of staff persons #2 and #3 did not include DHS required FBI clearance, file of staff person #4did not include PA child abuse clearance, file of staff person #5 did not include current PA state police, PA child abuse, DHS required FBI clearance, NSOR and state child abuse and neglect registry check from the state of New Jersey in which staff person #5 resides. Staff person #2, #3, and #4 are not provisional hires. PA state police, child abuse and FBI clearance of staff person #5 were from 2018 and no longer valid. File of staff person #1 did not include verification that staff applied for child abuse clearance from NY were staff resided within the last 5 years. Staff person #1 was observed working unsupervised with children.

Corrected Corrected by Mar 20, 2024

Category: supervision. Marked corrected in the state record.

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

At the time of renewal inspection files of staff person #3 and #4 didn't include verification of child care experience that qualifies for a position of an assistant group supervisor and is required prior to service at the facility.

Corrected Corrected by Mar 20, 2024

Category: supervision. Marked corrected in the state record.

3270.75(a) · A first-aid kit shall be in a child care space.

At the time of renewal inspection, a first-aid kit was not present in Bull Frogs (Preschool) room, Toddler room and Fireflies room (mixed age).

Corrected Corrected by Mar 20, 2024

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

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

At the time of the inspection, damaged paint was observed on the wall near cots, on the teal wall near the shelves with animals and musical instruments, on the wall near TV in Preschool room.

Corrected Corrected by Mar 20, 2024

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

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

At the time of renewal inspection observed the side of the vanity cabinet in Fireflies room chipping easily. One sink and two toilets in kids' bathroom near Toddler room were not working.

Corrected Corrected by Mar 20, 2024

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

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.

At the time of renewal inspection, a sign on which requirements to wash hands after toileting, diapering and before eating is written was not posted at the sink in Fireflies room, and kids' bathroom near Toddler room.

Corrected Corrected by Mar 20, 2024

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

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

At the time of renewal inspection, trash can in kids' bathroom near Toddler room did not have a lid.

Corrected Corrected by Mar 20, 2024

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

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

At the time of inspection observed a big fan and strollers blocking the rear door in the facility.

Corrected Corrected by Mar 20, 2024

Marked corrected in the state record.

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

At the time of renewal inspection written plan of daily activities was not observed in Toddler room and Fireflies room.

Corrected Corrected by Mar 20, 2024

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

3270.124(b)(2)/3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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.

At the time of renewal inspection, emergency contact information of child #1 did not include the name, address and phone number of the child's physician or source of medical care. Emergency contact form of child #2 did not include release persons address.

Corrected Corrected by Mar 20, 2024

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

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

At the time of renewal inspection, information regarding the location of the facility and use of pedestrian and vehicular routes around the facility was not prepared and sent to the local traffic safety authorities.

Corrected Corrected by Mar 20, 2024

Marked corrected in the state record.

3270.124(b)(5)/3270.124(b)(6) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

At the time of renewal inspection, emergency contact information did not include information on the child #1 special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation as well as health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Mar 20, 2024

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

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

At the time of renewal inspection, emergency contact information were not present in a child care space were children were receiving care.

Corrected Corrected by Mar 20, 2024

Category: recordkeeping. Marked corrected in the state record.

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

At the time of renewal inspection, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in every child care space.

Corrected Corrected by Mar 20, 2024

Category: transportation. 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.

At the time of renewal inspection, file of staff persons #2, #3, and #4 did not include initial staff health assessment with TB results. File of staff person #5 included a health assessment conducted on 712/22/17 and was not valid since it was conducted more than 24 months ago.

Corrected Corrected by Mar 20, 2024

Category: ratio. Marked corrected in the state record.

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

At the time of renewal inspection record of staff person #3, #4, #5 did not include two written nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Mar 20, 2024

Category: recordkeeping. Marked corrected in the state record.

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

At the time of the complaint investigation on 9/11/23, staff person #3 was observed to be caring for children in Toddler room unsupervised. Staff person #3 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first aid/CPR trainings expiration date of 6/2023.

Corrected Corrected by Oct 5, 2023

Category: supervision. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

At the time of the complaint investigation on 9/11/23, file of staff person #1, #2, and #3 did not include current emergency plan training. Emergency training on file of staff person #3 was from 1/28/21.

Corrected Corrected by Sep 30, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

At the time of the complaint investigation on 9/11/23, Pediatric first-aid/CPR of staff person #3 was from 6/30/21 and was not current. This is evidenced by the previously documented pediatric first aid/CPR trainings expiration date of 6/2023.

Corrected Corrected by Oct 5, 2023

Category: ratio. Marked corrected in the state record.

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

At the time of the complaint investigation on 9/11/23, file of staff person #1 and #3 did not include current fire safety training. Fire safety training on file of staff person #3 is from 12/29/21.

Corrected Corrected by Sep 30, 2023

Category: recordkeeping. Marked corrected in the state record.

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

At the time of the he unannounced monitoring inspection on 9/11/23, file of staff person #4 included staff evaluation from 2/14/22. An updated staff evaluation was not observed.

Corrected Corrected by Sep 30, 2023

Category: recordkeeping. 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.

At the time of unannounced monitoring inspection on 9/11/23, file of staff person #1 included a health assessment conducted on 10/6/20 that was not valid since it was conducted more than 24 month ago. File of staff person #3 included staff health assessment conducted on 9/16/20, health assessment of staff person #4 was conducted on 1/11/21.

Corrected Corrected by Sep 30, 2023

Category: ratio. Marked corrected in the state record.

3270.191 · An individual record is required for each facility person.

At the time of he unannounced monitoring inspection on 9/11/23, an individual record was not provided for staff person #5.

Corrected Corrected by Sep 30, 2023

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.

At the time of the unannounced monitoring inspection on 9/11/23 record of staff person #2 did not include two written nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Sep 30, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Children's 3 wheeled bicycles were blocking the exit door near the toddler's room.

Corrected Corrected by Feb 20, 2023

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.

Child #3's agreement form did not have the persons designated by the parent to whom the child may be released.

Corrected Corrected by Mar 16, 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.

During the inspection, it was observed that the policy number for the child's health insurance was missing for child 1 and child 4.

Corrected Corrected by Mar 16, 2023

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

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.

During the inspection, it was observed that staff 3 had an expired CPR training certificate and did not have proof of a current CPR training certificate.

Corrected Corrected by Mar 16, 2023

Category: ratio. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2-- may not work in a child care position at the facility.

During the inspection, it was observed that staff 2 had a Child Abuse Clearance (dated 6/17/17) and an FBI Clearance (dated 5/27/17) that were older than 60 months.

Corrected Corrected by Feb 16, 2023

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

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

During the inspection, it was observed that Child 3 did not have a Flu immunization nor a letter of exemption.

Corrected Corrected by Mar 16, 2023

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

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

During the inspection, it was observed that the safe routes were not posted by the operator.

Corrected Corrected by Mar 16, 2023

Marked corrected in the state record.

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

During the inspection, it was observed that the emergency contact forms were not updated in the van used to transport the children.

Corrected Corrected by Mar 16, 2023

Category: transportation. 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.

During the inspection it was observed that staff 1 and staff 2 only had proof of 4 hours of the required 12 hours of training needed, missing 8 hours of training.

Corrected Corrected by Mar 16, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The operator did not have proof of notifying the local traffic authority of their location and routes around the child care facility.

Corrected Corrected by Mar 16, 2023

Marked corrected in the state record.

3270.34(a)/3270.34(c) · A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6).A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

The facility did not have a director at the time of the visit.

Corrected Corrected by Mar 30, 2022

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.

CHILD 2'S PHYSICAL WAS NOT SIGNED BY A PHYSICIAN, PHYSICIAN'S ASSISTANT NOR A CRNP, NOR DID IT CONTAIN THE PROFESSIONAL TITLE.

Corrected Corrected by Mar 22, 2022

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

CHIILD 1'S PHYSICAL DID NOT STATE IF THE CHILD WAS FREE FROM COMMUNICABLE DISEASE AND ABLE TO PARTICIPATE IN CHILD CARE.

Corrected Corrected by Mar 22, 2022

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

3270.51/3270.52 · 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. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). 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.

DURING INSPECTION STAFF 1 HAD 15 CHILDREN IN THE ROOM ALONE, THE YOUNGEST ONE WAS A YOUNG TODDLER. THE VIDEO ALSO SHOWED 18 CHILDREN IN THE ROOM WITH ONLY STAFF 2.

Corrected Corrected by Nov 19, 2021

Category: ratio. Marked corrected in the state record.