Happy Kydz Child Care Center Llc

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.

A renewal inspection was conducted on 7/21/2025-7/22/2025. At that time, staff reported that a cleaning agent was inside of an unlabeled spray bottle in the Purple Room.

Corrected by Jul 21, 2025

View state record

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

A renewal inspection was conducted on 7/21/2025-7/22/2025. At that time, PA Required Health and Safety for Centers-Group Child Care Part 2 certificate on file for staff person #4 is dated 5/27/2025, which is more than 90 days after their start date at the facility (see LIS code sheet for staff person #4's start date).

Corrected by Jul 22, 2025

View 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.

A renewal inspection was conducted on 7/21/2025-7/22/2025. At that time, the following clearances and mandated reporter training certificates were renewed past 60 months: Staff person #3: Mandated reporter certificates on file are dated 1/18/2020 and 6/7/2025, which is past 60 months. Staff person #7: PSP clearances on file dated 9/11/2019 and 11/5/2024, which is past 60 months. Child abuse clearances on file are dated 9/20/2019 and 11/5/2024, which is past 60 months. FBI clearances on file are dated 9/14/2019 and 11/8/2024, which is past 60 months.

Corrected by Jul 22, 2025

View state record

3270.33(a)/3270.192(2)(iv) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include 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.

A renewal inspection was conducted on 7/21/2025-7/22/2025. At that time, the staff files were reviewed. The file for staff person #1 and staff person #6 contained education that had not been evaluated for equivalency in the United States by a service that is a member of the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE).

Corrected by Jul 22, 2025

View state record

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

A renewal inspection was conducted on 7/21/2025-7/22/2025. At that time, there was not a labeled cot for child #5 in the Orange Room, where child was receiving care/napping.

Corrected by Jul 21, 2025

View state record

3270.111(b)/3270.124(e) · The written plan of daily activities shall be posted in the group space. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

A renewal inspection was conducted on 7/21/2025-7/22/2025. At that time, the following postings were missing from the following rooms: Yellow Room #1: Daily activities and emergency transportation plan. Yellow Room #2: Daily Activities. Pink Room: Emergency transporation plan.

Corrected by Jul 21, 2025

View state record

3270.124(b)(3)/3270.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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.

A renewal inspection was conducted on 7/21/2025-7/22/2025. At that time, father's address was missing from child #4's emergency contact form. Father is also listed as a release person.

Corrected by Jul 21, 2025

View 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.

A renewal inspection was conducted on 7/21/2025-7/22/2025. At that time, emergency contact form for child #5 was not present in the Orange Room where the child was receiving care. Staff reported that child's first day was 7/21/2025.

Corrected by Jul 21, 2025

View state record

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

A renewal inspection was conducted on 7/21/2025-7/22/2025. At that time, initial health assessment on file for staff person #2 is dated 8/29/2023, which is more than 12 months prior to their start date at the facility (see LIS code sheet for staff person #2's start date). There are two health assessments on file for staff person #6. One of them is dated 6/26/2023, which is more than 12 months prior to their start date at the facility. The other is dated 6/27/2025, which is after their start date at the facility (see LIS code sheet for staff person #6's start date).

Corrected by Jul 23, 2025

View state record

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

A renewal inspection was conducted on 7/21/2025-7/22/2025. At that time, health assessment on file for staff person #5 does not include a TB test. Staff person #5 works with food at the facility (see LIS code sheet for staff person #5's start date).

Corrected by Aug 1, 2025

View 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.

A renewal inspection was conducted on 7/21/2025-7/22/2025. At that time, most recent health assessment dated 11/1/2024 on file for staff person #7 does not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected by Jul 22, 2025

View state record

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

A renewal inspection was conducted on 7/21/2025-7/22/2025. At that time, an unlabeled bottle was observed in the Baby Room.

Corrected by Jul 21, 2025

View state record

3270.178 · A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

A renewal inspection was conducted on 7/21/2025-7/22/2025. At that time, tape was missing from the first-aid kit in Van #1.

Corrected by Jul 21, 2025

View state record

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.

A renewal inspection was conducted on 7/21/2025-7/22/2025. At that time, fee agreements for the following children were not reviewed within the past 6 months: Child #1: Fee agreement last updated 12/16/2024. Child #2: Fee agreement last updated 11/20/2024. Child #3: Fee agreement last updated 12/20/2024.

Corrected by Jul 21, 2025

View 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 child care position at the facility until signed/dated disclosure statement is on file.

During unannounced monitoring conducted 1/8/2025, disclosure statement on file for staff person #1 was not signed or dated.

Corrected by Jan 8, 2025

View state record

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.

During unannounced monitoring conducted on 1/8/2025, facility's fire detection testing log reflected that smoke alarms were last tested on 11/27/2024, which is past 30 days ago.

Corrected by Jan 8, 2025

View state record

3270.27(c)/3270.31(e)(4)(ii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. Staff persons 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.

During renewal inspection conducted 8/27/2024, emergency plan training on file for staff person #1 is dated 11/7/2022 and 1/3/2024, which is past one year. Additionally, fire safety training on file for staff person #1 is dated 2/19/2023 and 3/6/2024, which is past one year.

Corrected by Aug 27, 2024

View state record

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

During renewal inspection conducted 8/27/2024, an uncovered electrical outlet accessible to children under 5 years old was observed in the Baby room.

Corrected by Aug 27, 2024

View state record

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

During renewal inspection conducted 8/27/2024, rest equipment used by children in the Green Apple B room was not labeled.

Corrected by Aug 28, 2024

View 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).

During renewal inspection conducted 8/27/2024, last child service report (CSR) on file for child #4 is dated 8/30/2023, which is past 6 months.

Corrected by Sep 3, 2024

View state record

3270.123(a)(4)/3270.123(a)(5) · An agreement shall specify the child's arrival and departure times. An agreement shall specify the persons designated by a parent to whom the child may be released.

During renewal inspection conducted 8/27/2024, the following information was missing from children's fee agreements: Child #1: Release person(s). Child #2: Release person(s). Child #4: Arrival and departure times. Child #5: Release person(s). Child #7: Arrival and departure times. Release person(s).

Corrected by Aug 27, 2024

View state record

3270.124(b)(2)/3270.124(b)(3) · 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 home and work addresses and telephone numbers of the enrolling parent.

During renewal inspection conducted 8/27/2024, the following information was missing from children's emergency contact forms: Child #2: Name, address, and telephone number of child's doctor. Child #3: Both parents' work addresses and work telephone numbers. Child #4: Father's work address and home telephone number Child #5: Both parents' home and work addresses Child #7: Both parents' home and work addresses and home telephone numbers.

Corrected by Aug 27, 2024

View 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 renewal inspection conducted 8/27/2024, health insurance coverage and policy number were missing from child #2's emergency contact form.

Corrected by Aug 27, 2024

View 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 renewal inspection conduct4ed 8/27/2024, emergency transportation plan was not posted in Green Apple B room.

Corrected by Aug 27, 2024

View state record

3270.131(b)(1)/3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

During renewal inspection conducted 8/27/2024, the following children need updated health assessments: Child #1: Last health assessment on file is dated 7/25/2022. Child #1 is preschool-aged. Child #2: Last health assessment on file is dated 2/29/2023. Child #2 is a young toddler. Child #6: Last health assessment on file is dated 10/4/2022. Child #6 is preschool-aged.

Corrected by Aug 29, 2024

View state record

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1, child #2, and child #5 must be dismissed from care by close of business 8/27/2024 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

During renewal inspection conducted 8/27/2024, the following children's immunization summaries do not reflect that children are immunized according to the recommendations of the ACIP: Child #1: Received 1 of 4 doses of DTAP vaccine. There is no exemption on file. Child #1 is preschool-aged (see LIS code sheet for DOB). Child #2: Received 2 of 3 doses each of DTAP and Pneumococcal vaccines. There is no exemption on file. Child #2 is a young toddler (see LIS code sheet for DOB). Child #5: Received 1 of 2 doses of Hepatitis A vaccine. There is no exemption on file. Child #5 is preschool-aged (see LIS code sheet for DOB).

Corrected by Aug 29, 2024

View state record

3270.131(d)(7)/3270.131(d)(8) · 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. A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

During renewal inspection conducted 8/27/2024, health assessment on file for child #6 does not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. Additionally, health assessment does not include developmental screenings.

Corrected by Aug 27, 2024

View state record

3270.135(a)(3)/3270.135(b) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

During renewal inspection conducted 8/27/2024, pedal on the diapering trash can in Green Apple B room was not operable, rendering it unable to be hands-free. Diapering trash can in the Baby room was not hands-free and did have several dirty diapers inside. Additionally, diapering mat used in the Green Apple A room was ripped, rendering it unable to be properly sanitized.

Corrected by Sep 4, 2024

View state record

3270.175(c)/3270.178 · Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times. A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

During renewal inspection conducted 8/27/2024, the following items were missing from vans used for transportation: Van #1: Soap in transportation first-aid kit. Van #2: Manufacturers' instructions for use of safety restraints (booster seats).

Corrected by Sep 4, 2024

View state record

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

During renewal inspection conducted 8/27/2024, emergency drill logs on file at facility were dated 2/17/2023 and 3/6/2024, which is past one year.

Corrected by Sep 3, 2024

View state record

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

During complaint investigation conducted on 8/8/2024, incident report for incident that occurred on 8/2/2024 involving child #1 was not retained in the child's file.

Corrected by Aug 8, 2024

View state record

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

During unannounced monitoring conducted 8/8/2024, staff person #1 and staff person #2 stated that there were 23 total school-aged children present in the school-age room. Staff person #1 pointed to and named 12 children assigned to her. Staff person #2 pointed to and named 11 children assigned to her. Rep conducted head count and there were 24 total school-aged children in the room, Staff members referenced the attendance sheet to see which child was unaccounted for. Before rep departed room, staff person #2 realized that she was missing a child in her group. Each staff member was then assigned 12 school-aged children.

Corrected by Aug 8, 2024

View state record

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. 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. The legal entity must arrange for staff person #1 and staff person #2 to complete two trainings entitled "Supervision: What's Required?" and "Supervision: Teamwork" (also offered in Spanish, if staff person(s) is primarily Spanish-speaking) through Better Kid Care or similar training that has been approved by the Northeast Regional Office.

During unannounced monitoring conducted 8/8/2024, staff person #1 and staff person #2 stated that there were 23 total school-aged children present in the school-age room. Staff person #1 pointed to and named 12 children assigned to her. Staff person #2 pointed to and named 11 children assigned to her. Rep conducted head count and there were 24 total school-aged children in the room, Staff members referenced the attendance sheet to see which child was unaccounted for. Before rep departed room, staff person #2 realized that she was missing a child in her group. Each staff member was then assigned 12 school-aged children.

Corrected by Aug 21, 2024

View 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. Staff person #4 will have until July 24, 2024 to complete the required training. Until such time as the required trainings are completed, staff person #4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

During unannounced monitoring conducted 7/1/2024, the following staff persons did not complete pediatric first-aid/CPR training prior to expiration date of old certificate: Staff person #1: Pediatric first-aid/CPR certificates dated 11/2/2019 and 2/18/2023. Staff person #3: Pediatric first-aid/CPR certificates dated 2/6/2021 and 2/18/2023. Staff person #4: Pediatric first-aid/CPR certificate on file expired on 10/30/2023.

Corrected by Jul 13, 2024

View 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. The legal entity must arrange for the legal entity to register for and attend the existing provider orientation conducted by the NE Regional Office on 8/21/2024.

During unannounced monitoring inspection conducted 7/1/2024, staff person #1 had PSP clearance request dated 1/23/2023, which is not an acceptable clearance. Additionally, staff person #2 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected by Aug 21, 2024

View state record

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #2 will have until July 23, 2024 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 training related to this citation. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff person #1 may not work in a child care position at the facility until acceptable PSP clearance is on file.

During unannounced monitoring inspection conducted 7/1/2024, staff person #1 had PSP clearance request dated 1/23/2023, which is not an acceptable clearance. Additionally, staff person #2 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected by Jul 1, 2024

View 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 unannounced monitoring conducted 7/1/2024, staff person #1, identified as an Aide, was working unsupervised with 4 infants.

Corrected by Jul 1, 2024

View state record

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.

During unannounced monitoring conducted on 7/1/2024, facility's fire detection testing log indicated that smoke alarms were tested past 30 days on the following occasions: 1/26/2024-2/26/2024, 4/26/2024-5/28/2024. Log did not reflect that smoke alarms were tested in June 2024.

Corrected by Jul 1, 2024

View 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.

As of the renewal inspection on 8/21/23, the facility did not have continuity of operations included in the emergency plan as required by 45 CFR 98.41(a)(1)(vii).

Corrected by Aug 22, 2023

View state record

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

As of the renewal inspection on 8/21/23, the letter provided to parents regarding the emergency plan did not include information on lockdown, and accommodations for infants and toddlers, children with special needs, and children with chronic medical conditions.

Corrected by Aug 24, 2023

View state record

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3, #6 and #7 may not work in a child care position at the facility.

As of the renewal inspection on 8/21/23, Staff #3 (see code sheet for hire date) did not have a DHS FBI clearance. Staff #6 and #7 (see code sheet for hire dates) did not have NSOR clearance. Staff #3, #6 and #7 must be removed from care.

Corrected by Aug 25, 2023

View state record

3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

As of the renewal inspection on 8/21/23, Staff #2 and #4 did not have 2 years of experience documented to qualify for the reported Assistant Group Supervisor position.

Corrected by Aug 22, 2023

View 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 renewal inspection on 8/21/23, Staff #1, an Aide at the facility, was alone with 4 infants.

Corrected by Aug 22, 2023

View 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.

During the renewal inspection on 8/21/23, there were cleaning materials including Clorox bleach in an unlocked cabinet under the sink in the Sky Blue room. There was Febreeze spray and disinfecting wipes in an unlocked cabinet accessible to children in the Green Apple B room.

Corrected by Aug 22, 2023

View 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.

On 8/21/23 during the renewal inspection, there was a broken wooden picket on the fence around the small play yard. The broken piece was sitting in the yard and the remaining standing piece was sharp and splintered.

Corrected by Aug 25, 2023

View 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.

During the renewal inspection on 8/21/23, there was no handwashing sign in the bathroom off of the school age room.

Corrected by Aug 23, 2023

View state record

3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

On 8/21/23 during the renewal inspection, there was insufficient mulch under the embedded climbing structure. In most areas measured, the mulch was less than 6".

Corrected by Aug 28, 2023

View state record

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

On 8/21/23 during the renewal inspection, the refrigerator in the 2nd floor kitchen did not have a thermometer.

Corrected by Aug 24, 2023

View state record

3270.108(c) · Styrofoam cups and plates may not be used.

On 8/21/23 during the renewal inspection, Styrofoam plates were used to serve lunch.

Corrected by Aug 22, 2023

View 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.

During the renewal inspection on 8/21/23, staff #2 did not know the names of the children she was assigned to in the Green Apple B room.

Corrected by Aug 22, 2023

View state record

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

On 8/21/23 during the renewal inspection, the children were not taken outside. Staff #8 stated that it had been several weeks since they had been outside.

Corrected by Aug 23, 2023

View 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 abo.ut 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).

As of the renewal inspection on 8/21/23, there were no Child Service Reports completed for child #2 and child #4 (see code sheet for start date)

Corrected by Aug 22, 2023

View 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 the renewal inspection on 8/21/23, 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 conspicuously in every child care space.

Corrected by Aug 23, 2023

View state record

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

As of the renewal inspection on 8/21/23, the most recent health assessment on file for child #4 was dated 10/19/21.

Corrected by Aug 22, 2023

View state record

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

As of the renewal inspection on 8/21/23, the most recent influenza vaccine for child #4 was dated 4/23/19 and there was no exemption letter on file. Child #4 must be removed from care until proper documentation is on file.

Corrected by Aug 22, 2023

View state record

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

As of the renewal inspection on 8/21/23, there was no health assessment or TB for staff #4. There was no TB screening on file for staff #2

Corrected by Aug 22, 2023

View state record

3270.151(c)(3)/3270.151(c)(4) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

As of the renewal inspection on 8/21/23, the health assessment on file for staff #2 did not indicate an examination for communicable diseases and the results of that examination, and did not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children

Corrected by Aug 25, 2023

View state record

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.

As of the renewal inspection on 8/21/23, the fee agreement of child #3 was last updated on 2/21/23.

Corrected by Aug 24, 2023

View 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.

As of the renewal inspection on 8/21/23, there was only 1 reference on file for staff #2, and 1 for staff #5.

Corrected by Aug 22, 2023

View state record

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

On 8/21/23, the facility could not demonstrate that they had provided the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the Northeast regional child care office.

Corrected by Aug 22, 2023

View 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.

As of the renewal inspection on 8/21/23, there was no health assessment on file for child #1 or child #2 (see code sheet for start date).

Corrected by Sep 28, 2023

View state record

3270.161(b)/3270.161(d) · Food handling practices shall conform to the requirements of the Department of Health or the Department of Environmental Resources or its delegate agency where the child care facility is located. Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

During the renewal inspection on 8/21/21, there was a large quantity of ground beef sitting on the counter in the kitchen defrosting. There were gallons of milk that had been used for snack earlier sitting on shelves in the Purple Room and in the School Age Room.

Corrected by Aug 22, 2023

View 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.

As of the renewal inspection on 8/21/23, the operator had not notified 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.

Corrected by Aug 24, 2023

View 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). The required staff:child ratios must be maintained at all times. The legal entity must arrange for all facility staff employed as of the date of the training to receive a minimum of three (3) hours of PQAS-approved in-person or live training regarding ratios and supervision of children. The training must include supervision when children are using the bathroom. The operator shall ensure that the training is communicated to the staff so that they can clearly understand and comprehend the material with consideration of the staff person's native language. The operator shall provide a translator to ensure that this occurs. The legal entity must receive DHS approval of the training content prior to scheduling the training.

During an unannounced inspection on 3/30/23, Staff #1 was observed alone in Room #1 with 11 older toddler and preschool children. This group of children would require at least 2 staff to meet the required ratios.

Corrected by Aug 11, 2023

View 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). The required staff:child ratios must be maintained at all times. The Legal Entity / Director will establish a supervision and ratio policy. The policy will include how the facility will provide adequate supervision of children while maintaining appropriate ratio at all times. The policy must focus on ensuring that each child is able to be seen, heard, assessed and directed at all times. The policy must include the required staff:child ratios for each age group. The policy must include how the facility will ensure appropriate supervision and ratios during transition times, while in the outdoor play area, during nap time, and when children are using the bathroom. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in his assigned group and be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The policy must also address how these groups will be transitioned from one staff person to another during staffing changes. This supervision and ratio policy must be submitted to the Department prior to implementation for approval. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on this policy. Documentation of this training must be kept on file at the facility.

During an unannounced inspection on 3/30/23, Staff #1 was observed alone in Room #1 with 11 older toddler and preschool children. This group of children would require at least 2 staff to meet the required ratios.

Corrected by Apr 4, 2023

View 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). The required staff:child ratios must be maintained at all times.

During an unannounced inspection on 3/30/23, Staff #1 was observed alone in Room #1 with 11 older toddler and preschool children. This group of children would require at least 2 staff to meet the required ratios.

Corrected by Mar 30, 2023

View state record

3270.113(a)/3270.113(a)(1) · 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 required staff:child ratios must be maintained at all times. The Legal Entity / Director will establish a supervision and ratio policy. The policy will include how the facility will provide adequate supervision of children while maintaining appropriate ratio at all times. The policy must focus on ensuring that each child is able to be seen, heard, assessed and directed at all times. The policy must include the required staff:child ratios for each age group. The policy must include how the facility will ensure appropriate supervision and ratios during transition times, while in the outdoor play area, during nap time, and when children are using the bathroom. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in his assigned group and be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The policy must also address how these groups will be transitioned from one staff person to another during staffing changes. This supervision and ratio policy must be submitted to the Department prior to implementation for approval. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on this policy. Documentation of this training must be kept on file at the facility

During an unannounced inspection on 3/30/23, at approximately 10:30am, a boy was seen walking up the hallway unsupervised to the bathroom from Room #1. At approximately 10:40am, a preschool-age girl was seen walking back to the Purple room from the bathroom unsupervised.

Corrected by Apr 4, 2023

View state record

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. 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. The legal entity must arrange for all facility staff employed as of the date of the training to receive a minimum of three (3) hours of PQAS-approved in-person or live training regarding ratios and supervision of children. The training must include supervision when children are using the bathroom. The operator shall ensure that the training is communicated to the staff so that they can clearly understand and comprehend the material with consideration of the staff person's native language. The operator shall provide a translator to ensure that this occurs. The legal entity must receive DHS approval of the training content prior to scheduling the training.

During an unannounced inspection on 3/30/23, at approximately 10:30am, a boy was seen walking up the hallway unsupervised to the bathroom from Room #1. At approximately 10:40am, a preschool-age girl was seen walking back to the Purple room from the bathroom unsupervised.

Corrected by May 31, 2023

View state record

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

During an unannounced inspection on 3/30/23, at approximately 10:30am, a boy was seen walking up the hallway unsupervised to the bathroom from Room #1. At approximately 10:40am, a preschool-age girl was seen walking back to the Purple room from the bathroom unsupervised.

Corrected by Mar 30, 2023

View state record

3270.31(f) · Staff person(s) shall complete the update required as part of 3270.31(f)(1 -- 9) by 12/30/22 or within 90 days of hire. Staff person #1, #2, #3, #4, and #5 will have until 4/19/23 to complete the required training.

As of an unannounced inspection on 3/30/23, Staff persons #1, #2, #3, #4 and #5 have not completed the following pre-service training which was required by 12/30/22 (see LIS code sheet): Pennsylvania Health and Safety Update 2022/Actualización de Salud y Seguridad de Pennsylvania 2022.

Corrected by Mar 31, 2023

View state record

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #5 will have until 4/19/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

As of an unannounced inspection on 3/30/23, Staff person #5 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected by Apr 4, 2023

View state record

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.

On 3/30/23 a review of the fire alarm test log during an unannounced inspection showed a gap of greater than 30 days in the fire alarm testing. An alarm test was recorded on 11/15/22 and not again until 1/25/23.

Corrected by Mar 30, 2023

View state record

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

As of 8/23/22 during the renewal inspection, Staff #2 and #3 did not have documentation of an annual minimum of 12 clock hours of child care training.

Corrected by Sep 23, 2022

View state record

3270.61(h) · The capacity established for an indoor space may not be exceeded.

On 8/23/22 during the renewal inspection, there were 7 preschool and school age children in the "Green" room on the 2nd floor that has a capacity of 6.

Corrected by Sep 19, 2022

View state record

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

As of 8/23/22 during the renewal inspection, there had not been an emergency drill conducted, documented and on file at the facility.

Corrected by Sep 23, 2022

View 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.

On 8/23/22 during the renewal inspection, there was no policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment as required by 45 CFR 98.41(a)(1)(vi).

Corrected by Sep 19, 2022

View state record

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.

As of 8/23/22 during the renewal inspection, the emergency plan had not been updated and contained out of date information.

Corrected by Sep 19, 2022

View state record

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. FACILITY PERSON #2 MAY NOT WORK IN A CHILD CARE POSITION AT THE FACILITY UNTIL ALL CLEARANCES ARE SUBMITTED AND ON FILE.

As of 8/23/22 during the renewal inspection, there was no signed disclosure statement for Staff #1. The State Police Clearance for Staff #2 stated "Request Under Review" and was not a complete and acceptable clearance.

Corrected by Sep 19, 2022

View state record

3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

As of 8/23/22 during the renewal inspection, Staff #1 did not have one year of child care experience documented to qualify for the identified Assistant Group Supervisor position.

Corrected by Sep 23, 2022

View 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.

On 8/23/22 during the renewal inspection, Staff #4, identified as an Aide, was working alone with 7 preschool and school age children.

Corrected by Sep 19, 2022

View 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.

On 8/23/22 during the renewal inspection, the first aid kit in the "Green" room on the 2nd floor was missing soap.

Corrected by Sep 19, 2022

View 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.

On 8/23/22 during the renewal inspection, there was overgrown weeds with berries and thistle in the playground, there was trash/litter on the playground, and the rubber mats were taped at the seams with the tape coming off. The rubber mats were buckling causing a tripping hazard.

Corrected by Sep 30, 2022

View state record

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

On 8/23/22 during the renewal inspection, there were broken tables, chairs, a broken climber, horse rocker, and slide on the outdoor playground.

Corrected by Sep 30, 2022

View state record

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

On 8/23/22 during the renewal inspection, the rest equipment in the Green Apple room had numbers but there was no list to identify which child had which number. In the Green room on the 2nd floor, the rest equipment was not labeled for a specific child.

Corrected by Sep 19, 2022

View state record

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

On 8/23/22 during the renewal inspection, there was no written plan of daily activities posted in the Green Apple room for the 2 and 3 year olds.

Corrected by Sep 19, 2022

View state record

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

On 8/23/22 during the renewal inspection, the children were not taken outside and staff #5 reported that they don't go outside because of the condition of the outdoor play space.

Corrected by Sep 30, 2022

View state record

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

On 8/23/22 during the renewal inspection, an infant was sleeping in a bouncy seat.

Corrected by Sep 19, 2022

View state record

3270.123(a)(1)/3270.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

During the renewal inspection on 8/23/22, the fee agreement of child #2 did not include the fee amount or the date the fee is to be paid. The fee agreement of child #5 did not include the fee amount.

Corrected by Sep 19, 2022

View 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).

During the renewal inspection on 8/23/22, the Child Service Report had not been completed in the previous six months for child #2, #5, #6, and #7.

Corrected by Sep 23, 2022

View 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.

During the renewal inspection on 8/23/22, the emergency contact information for child #8 did not include the name address and telephone number of the child's physician.

Corrected by Sep 30, 2022

View state record

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

During the renewal inspection on 8/23/22, the emergency contact information for child #5 did not include consent by the parent for emergency medical care.

Corrected by Sep 30, 2022

View 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 renewal inspection on 8/23/22, the emergency contact information for child #5, #7, and #8 did not include health insurance coverage and policy number.

Corrected by Sep 30, 2022

View state record

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

During the renewal inspection on 8/23/22, the emergency contact information for child #8 did not include the name, address, and phone number of the individual designated by parent to whom the child may be released.

Corrected by Sep 30, 2022

View 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 the renewal inspection on 8/23/22, the emergency contact information was not present in the child care space where child #1, #7, and #8 were receiving care.

Corrected by Sep 19, 2022

View 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.

During the renewal inspection on 8/23/22, the most recent emergency contact information and fee agreement for child #2 were dated 12/9/21; for child #3, #4, and #6 they were dated 2/5/22.

Corrected by Sep 30, 2022

View 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.

During the renewal inspection on 8/23/22, the health report for child #6 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected by Sep 19, 2022

View state record

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

During the renewal inspection on 8/23/22, the most recent influenza vaccine on record for child #2 was 12/4/19; for child #5 it was 1/6/20. There was no immunization record on file for child #7.

Corrected by Sep 30, 2022

View state record

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

During the renewal inspection on 8/23/22, there was Tylenol in the bag of child #5 hanging on the hook in the cubby in the classroom accessible to children.

Corrected by Sep 19, 2022

View state record

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

During the renewal inspection on 8/23/22, there was no signed parental consent for administration of minor first aid for child #5 and #8.

Corrected by Sep 30, 2022

View state record

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

During the renewal inspection on 8/23/22, there was no signed parental consent for transportation, walking excursions, swimming and wading for child #5.

Corrected by Sep 30, 2022

View 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

During the renewal inspection on 8/23/22, there were not two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person for staff #1 and #5.

Corrected by Sep 23, 2022

View 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.

During the renewal inspection on 8/23/22, there was no initial health assessment for child #5 (enrolled 7/21/21) and #7 (enrolled 1/13/22).

Corrected by Sep 30, 2022

View state record

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

A video that was taken at the facility shows Child #1 and Child #2 engaged in a physical fight in the school-age classroom. Child #3 and #4 were encouraging the children to fight while Child #5 recorded the incident on an electronic device and subsequently posted it to the social media platform Tik Tok. Staff #1 and Staff #2 were present in the classroom, but admitted to being unaware of both the fight occurring and the recording being made of the fight. Staff #1 was made aware of the video and the posting on Tik Tok by the children the next day.

Corrected by Sep 15, 2022

View state record

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. 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. The legal entity must arrange for all facility staff to receive a minimum of three hours of PQAS-approved in-person training, including technical assistance, regarding Developmentally Appropriate Practice to include supervision. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training.

A video that was taken at the facility shows Child #1 and Child #2 engaged in a physical fight in the school-age classroom. Child #3 and #4 were encouraging the children to fight while Child #5 recorded the incident on an electronic device and subsequently posted it to the social media platform Tik Tok. Staff #1 and Staff #2 were present in the classroom, but admitted to being unaware of both the fight occurring and the recording being made of the fight. Staff #1 was made aware of the video and the posting on Tik Tok by the children the next day.

Corrected by Sep 22, 2022

View 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 trainings are completed, staff person #1, #2, and #3 must be supervised, when interacting with children, by an AGS or above 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 #3, staff person #1, #2, and #3 may not work in a child-care position at the facility.

During an unannounced inspection on 7/13/22, Staff person #1 was observed to be caring for School Age children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First and and Pediatric CPR with an approved curriculum and a PQAS approved trainer. During an unannounced inspection on 7/13/22, Staff person #2 and #3 were observed to be caring for older toddlers unsupervised by a staff person who has completed the required trainings. Staff person #2 and #3 have not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety topics. Additionally, Staff #3 has not completed the Mandated Reporter training.

Corrected by Sep 16, 2022

View state record

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 and #2 will have until 8/23/22 to complete the required training. Until such time as the required training has been completed, staff person #1 and #2 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 and #2, staff person #1 and #2 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and Pediatric CPR with an approved curriculum and a PQAS approved instructor. Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): the required Health and Safety topics and Pediatric First Aid and Pediatric CPR with an approved curriculum and a PQAS approved instructor.

Corrected by Sep 21, 2022

View state record

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.

On 8/19/21 during the renewal inspection, the emergency plan listed contact names for staff who are no longer employed at the facility, including the name of the director. The plan had not been updated in several years to identify current staff and contact persons.

Corrected by Sep 10, 2021

View state record

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

On 8/19/21 during the renewal inspection, the most recent FBI clearance for staff #1 was dated 12/1/15, more than 60 months ago. Staff #1 must be removed from care until the current FBI clearance is on file.

Corrected by Aug 24, 2021

View 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.

On 8/19/21 during the renewal inspection, staff #2, qualified as an Aide, was alone in ratio with the infants and was not supervised according to the definition of supervision - able to be seen, heard, directed and assessed at all times - by someone qualified as an Assistant Group Supervisor or above.

Corrected by Sep 3, 2021

View state record

3270.66(a)/3270.103 · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

On 8/19/21 during the renewal inspection, there was an open D-Con mouse bait unit and plastic shopping bags accessible in an unlocked drawer in a room used by infants and toddlers.

Corrected by Sep 3, 2021

View 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.

On 8/19/21 during the renewal inspection, there was a piece of wood at the gate transition in the toddler play yard that was loose and exposed a sharp nail.

Corrected by Sep 3, 2021

View 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.

On 8/19/21 during the renewal inspection, there was no handwashing sign at the sink in the Green Apple B room.

Corrected by Sep 3, 2021

View 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.

On 8/19/21 during the renewal inspection, there was a shelving unit partially blocking the exit door in the School Age room attached to the kitchen on the second floor.

Corrected by Sep 3, 2021

View state record

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

On 8/19/21 during the renewal inspection, child #1 was placed in a crib that was labelled for another child. In the Red Room on the upper level, cots were not labelled.

Corrected by Sep 3, 2021

View state record

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

On 8/19/21 during the renewal inspection, there was no thermometer in the refrigerator that had gallons of milk in it in Room 11 on the first floor.

Corrected by Sep 3, 2021

View 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.

On 8/19/21 during the renewal inspection, staff #3 and #4 could not properly identify the children in the room and the children in their supervision group. Children were identified as having gone home but then pointed out as being in the room, and it was unclear to staff #4 which children she was responsible for.

Corrected by Sep 3, 2021

View 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.

On 8/19/21 during the renewal inspection, the immunization record for child #2 showed the most recent influenza vaccine dated 12/26/19.

Corrected by Sep 20, 2021

View state record

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

On 8/19/21 during the renewal inspection, staff #2 did not wash the hands of child #1 after changing her diaper. She was placed immediately in a crib.

Corrected by Sep 3, 2021

View state record

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.

On 8/19/21 during the renewal inspection, the emergency plan did not provide for accommodations for infants and toddlers.

Corrected by Sep 10, 2021

View state record

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

On 8/19/21 during the renewal inspection, the emergency plan did not include accommodations for shelter during a lock down.

Corrected by Sep 10, 2021

View state record

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.

On 8/19/21 during the renewal inspection, the plan had not been sent to the county or city.

Corrected by Sep 10, 2021

View state record