Kidz City Child Care Center

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. TIERED LIS: 1. When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The portion of this plan shall have an immediate correction date. 2. The legal entity must arrange for staff person #1, staff person #2, staff person #3, and staff person #4 to complete the training entitled "Supervisión: Proporción de Personal: a Niños" through Better Kid Care. The correction date for this portion of the plan shall be a the date in which training will be completed by aforementioned staff members.

An unannounced monitoring inspection was conducted on 10/1/2025. At that time, there were six infants with staff person #1 in the infant room. Staff person #2 and staff person #3 reported that staff member #4 was in the room had to go to the store and was only gone for a few minutes. Staff person #3 was covering staff person #4 and went out to the lobby for a few minutes since their group was asleep.

Corrected by Oct 7, 2025

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3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a procedure and policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during transportation. Policy must include how the facility will maintain organization in knowing which schools each child attends as well as the start and end dates of each school. The policy must include steps to ensure that each child gets on or off the van at the correct location. This policy must address supervision during transition times, such as visiting the bathroom and supervision on the playground. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy. The operator shall provide a date for when the policy will be created, sent to NE Regional office for approval, and staff will be trained.

A complaint investigation was conducted on 8/21/2025. Complaint investigation verified that a child was transported by the facility and dropped off at a school that the child does not attend. Child was picked up by the facility after the childcare facility was notified by the school that child had been dropped off.

Corrected by Sep 24, 2025

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3270.121(a) · The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

A complaint investigation was conducted on 8/21/2025. Complaint investigation verified that facility's handbook does not address transportation.

Corrected by Sep 24, 2025

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3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child. TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for Staff Person #1 to complete the Better Kid Care trainings entitled "Preschool Foundations: Nurture Interactions and Guide Behavior" and "School-Age Youth Programs: Positive Interactions, Positive Outcomes". The operator shall provide a correction date for when the training will be completed.

A complaint investigation was conducted 7/10/2025--7/14/2025. Based on interviews with children, Staff Member #1 has been observed hitting children with their hands on the back. It was also reported that staff members were observed grabbing children.

Corrected by Jul 16, 2025

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

During the renewal inspection conducted 7/10/2025--7/14/2025, the following staff members updated their fire safety training past 12 months. Staff person #2: Fire safety training certificates on file are dated 4/10/02024 and 5/21/2025. Staff person #8: Fire safety training certificates on file are dated 4/10/02024 and 5/21/2025. Staff person #9: Fire safety training certificates on file are dated 4/10/02024 and 5/21/2025. Staff person #10: Fire safety training certificates on file are dated 11/11/2023 and 5/21/2025. Staff person #11: Fire safety training certificates on file are dated 11/11/2023 and 5/21/2025. Staff person #12: Fire safety training certificates on file are dated 11/11/2023 and 5/21/2025.

Corrected by Jul 14, 2025

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

During renewal inspection conducted 7/10/2025-7/14/2025, staff person #7 completed pediatric first-aid/CPR training on 5/21/2025, which was not within 90 days of their date of hire (see LIS code sheet).

Corrected by Jul 14, 2025

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 valid PSP clearance is on file.

During the renewal inspection conducted on 7/10/2025--7/14/2025, the file for staff person #1 contained a PSP request dated 10/28/2024, which is not a valid clearance.

Corrected by Jul 10, 2025

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3270.36(b)(1) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. Staff person #3 and staff person #9 may only function as Aides within the facility until a high school diploma or equivalency is provided and on file at the facility.

During the renewal inspection conducted 7/10/2025--7/14/2025, staff person #3 and staff person #9 were listed as assistant group supervisors (AGS) but do not have proof of high school diplomas on file.

Corrected by Jul 28, 2025

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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. Staff person #7 may only function as an Aide at the facility unless proof of 2 years' experience with children is provided and placed in the staff person's file.

During the renewal inspection conducted 7/10/2025--7/14/2025, staff person #7 was listed as an assistant group supervisor (AGS); however, 2 years' experience is not documented in file.

Corrected by Jul 22, 2025

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

During the renewal inspection conducted 7/10/2025--7/14/2025, the cabinet underneath the sink in the toddler area was unlocked, making cleaning materials labeled "keep out of reach of children" accessible to children in the room.

Corrected by Jul 10, 2025

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3270.67(c) · Evidence of infestation of insects or rodents in the facility is not permitted.

During the renewal inspection conducted 7/10/2025--7/14/2025, a cockroach was observed on the floor of the girls' bathroom on the first floor. Additionally, children at the facility reported seeing cockroaches in the bathrooms.

Corrected by Aug 2, 2025

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

During the renewal inspection conducted 7/10/2025--7/14/2025, exposed bolts were observed on the metal gate of the outdoor play area.

Corrected by Jul 29, 2025

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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 the renewal inspection conducted 7/10/2025--7/14/2025, two cribs in use by children in the infant room were observed to be unlabeled.

Corrected by Jul 14, 2025

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

During the renewal inspection conducted 7/10/2025--7/14/2025, most recent child service report on file for child #1 is dated 12/9/2024, which is over 6 months ago.

Corrected by Jul 10, 2025

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3270.123(a)(6) · An agreement shall specify the date of the child's admission.

During the renewal inspection conducted 7/10/2025--7/14/2025, date of admission was missing from child #2's fee agreement.

Corrected by Jul 10, 2025

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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.

During the renewal inspection conducted 7/10/2025--7/14/2025, the following information was missing from children's files: Child #2: Full addresses of release persons. Child #3: Release person's phone number. Child #4: Mother's work telephone number and release person's address.

Corrected by Jul 28, 2025

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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 #5 must be dismissed from care by close of business 7/10/2025 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

During the renewal inspection conducted 7/10/2025--7/14/2025, documentation on file did not show that child #5 is immunized according to the recommendations of the ACIP. Child #5's immunization record showed that child had received 1 of 3 doses of each of the following immunizations: Rotavirus, DTAP, HIB, and Pneumococcal vaccines. Child #5 received 1 of 2 doses of the IPV vaccine.

Corrected by Jul 10, 2025

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3270.134(c) · Paper towels may be used as towels and washcloths. Paper towels shall be discarded after each use.

During renewal inspection conducted 7/10/2025--7/14/2025, paper towel dispenser in the girls' bathroom upstairs waws empty and no cloth towels were observed.

Corrected by Jul 10, 2025

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

During the renewal inspection conducted 7/10/2025--7/14/2025, the initial health assessment on file for staff person #1 was dated 9/25/2023, which is more than 12 months before their start date providing initial service in the facility (see LIS code sheet for exact start date).

Corrected by Jul 11, 2025

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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.

During renewal inspection conducted 7/10/2025-7/14/2025, health assessment on file for staff person #5 does not include results for TB testing.

Corrected by Jul 15, 2025

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3270.151(c)(2)(ii) · A record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis.

During the renewal inspection conducted 7/10/2025--7/14/2025, the health assessment on file for staff person #4 indicated a positive TB test; however, the results of a chest x-ray and evaluation were not on file.

Corrected by Jul 11, 2025

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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.

During renewal inspection conducted 7/10/2025-7/14/2025, health assessment on file for staff person #5 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 30, 2025

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

During the renewal inspection conducted 7/10/2025--7/14/2025, unlabeled bottles were observed in the infant room.

Corrected by Jul 28, 2025

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3270.166(5) · An infant 6 months of age or younger shall be held while being bottle fed.

During the renewal inspection conducted 7/10/2025--7/14/2025, an infant who staff reported was 5 months old was observed to be lying in a crib feeding themselves a bottle.

Corrected by Jul 14, 2025

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3270.182(3) · 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 conducted 7/10/2025--7/14/2025, emergency contact form for child #1 did not include signed parental consent for emergency medical care for the child.

Corrected by Jul 10, 2025

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

During the renewal inspection conducted 7/10/2025--7/14/2025, there was no proof of education on file for staff person #4.

Corrected by Jul 14, 2025

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person #6 must take 11 hours of professional development to fulfill requirement for training year 2/16/2024-2/16/2025. Trainings used to make up last years' training hours may not be counted toward training year 2/16/2025-2/16/2026.

During the renewal inspection conducted 7/10/2025--7/14/2025, the training record for staff person #6 shows that they received 1 hour of annual child care training for training year 2/16/2024--2/16/2025.

Corrected by Jul 28, 2025

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3270.31(e)(4)(i)/3270.31(f) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #1, 2 and 3 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #1, 2 and 3, staff persons #1, 2 and 3 may not work in a child-care position at the facility. Staff person #1 must complete PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started in Center Based Care-Revised 2022 or PA Required Health and Safety for Centers-Group Child Care Part 1 and 2. Staff 2 and 3 had expired pediatric first aid/cpr on file (Please see LIS code sheet for date of hire). Both pediatric first aid/cpr certificates expired in February of 2025.

Corrected by Apr 9, 2025

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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.

While at the facility unannounced on 2/4/25 the inspector reviewed the file for staff #1 and observed that the initial Pa Child Abuse clearance dated for 12/3/19 and this clearance was not updated until 1/22/25. This clearance was not updated every 60 months as required by the CPSL. This clearance needed to be updated by 12/3/24.

Corrected by Feb 19, 2025

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

During renewal inspection, staff person #1 was last trained on emergency plan on 5/11/2023, which is past one year. Staff person #2 was last trained on emergency plan on 2/16/2023, which is past one year. Staff person #3 was last trained on emergency plan on 5/3/2023, which is past one year.

Corrected by Oct 16, 2024

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

During renewal inspection, two outlets accessible to children under 5 years old were not covered in the Blue room.

Corrected by Oct 15, 2024

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

During renewal inspection, first-aid kits in the following rooms were missing items: Multipurpose room's first-aid kit was missing soap. Toddler (rear) room's first-aid kit was missing soap and gloves. Blue room's first-aid kit was missing tape.

Corrected by Oct 15, 2024

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

During renewal inspection, exposed bolts were observed on the fence to the outdoor play space. Children have to pass exposed bolts to enter the play space.

Corrected by Oct 16, 2024

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

During renewal inspection, emergency transportation plan was not posted in the Toddler room (rear).

Corrected by Oct 15, 2024

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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 must be dismissed from care by close of business 10/31/2024 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, immunization record on file for child #1 does not reflect that child is immunized according to the recommendations of the ACIP. Child #1 has 1 of 2 doses each of Rotavirus, DTaP, Hib, Pneumococcal, and IPV vaccines. There is no exemption on file. Child #1 is an infant (see LIS code sheet for date of birth).

Corrected by Oct 31, 2024

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

During renewal inspection, there were unlabeled bottles in the refrigerator in the infant room. When staff was asked about them, staff reported that the unlabeled bottles belong to a child in care.

Corrected by Oct 16, 2024

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

During renewal inspection, last emergency drill log on file at the facility is dated 6/1/2023, which is past one year.

Corrected by Oct 16, 2024

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

During renewal inspection, staff person #4 was last trained on emergency plan on 6/18/2022. Staff person #5 was last trained on emergency plan on 2/3/2023. Staff person #4 was last trained on emergency plan on 11/28/2022. An acceptable plan of correction was received with a correction date of 6/1/2024. When certification representative returned for unannounced monitoring on 9/17/2024, staff person #5 was last trained on emergency plan on 2/3/2023

Corrected by Sep 20, 2024

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

During renewal inspection, there was no staff evaluation on file for staff person #4, staff person #5, or staff person #8 (see LIS code sheet for start dates). An acceptable plan of correction was received with a correction date of 6/18/2024. When certification representative returned for unannounced monitoring on 9/17/2024, there was no staff evaluation on file for staff person #5 (see LIS code sheet for start date).

Corrected by Sep 17, 2024

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3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

During renewal inspection, peeling paint was observed in the blue room on the second floor of the facility. Additionally, girls' bathroom on the first floor had water damage to ceiling tiles. An acceptable plan of correction was received with a correction date of 6/18/2024. When certification representative returned for unannounced monitoring on 9/17/2024, girls' bathroom on the first floor had water damage to ceiling tiles.

Corrected by Sep 20, 2024

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

During renewal inspection, the following information was missing from children's emergency contact forms: Child #2: Father's work address. Child #3: Father's work address and work telephone number. Child #4: Father's work address and work telephone number. Child #5: Father's work address and work telephone number. Child #6: Father's work address. An acceptable plan of correction was received with a correction date of 6/18/2024. When certification representative returned for unannounced monitoring on 9/17/2024, the following information was missing from children's emergency contact forms: Child #2: Father's work address. Child #3: Father's work address and work telephone number. Child #4: Father's work address and work telephone number. Child #5: Father's work address and work telephone number.

Corrected by Sep 17, 2024

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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. An acceptable plan of correction was received with a correction date of 6/18/2024. When certification representative returned for unannounced monitoring on 9/17/2024, health assessment on file for staff person #3 is a visit summary and does not include a statement stating that staff person #3 is free from communicable diseases and able to provide child care.

During renewal inspection, health assessment on file for staff person #3 is a visit summary and does not include a statement stating that staff person #3 is free from communicable diseases and able to provide child care.

Corrected by Sep 18, 2024

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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.

During renewal inspection conducted 5/7/2024, first-aid kit used for transportation was missing soap and water.

Corrected by Jun 18, 2024

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

During renewal inspection, there was no staff evaluation on file for staff person #4, staff person #5, or staff person #8 (see LIS code sheet for start dates).

Corrected by Jun 18, 2024

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

During renewal inspection conducted 5/7/2024, first-aid kit in the multipurpose room was missing tweezers. First-aid kit in the toddler room was missing tape.

Corrected by Jun 18, 2024

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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 renewal inspection, staff person #4 completed the required one-hour 2022 update on 4/25/2023. Health and safety training was to be completed no later than 12/30/2022.

Corrected by Jun 14, 2024

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

During renewal inspection, staff person #4 was last trained on emergency plan on 6/18/2022. Staff person #5 was last trained on emergency plan on 2/3/2023. Staff person #4 was last trained on emergency plan on 11/28/2022.

Corrected by Jun 1, 2024

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

During renewal inspection, fire safety training for staff person #5 was completed on 4/10/2024, which was past one year after hire (see LIS code sheet for SD). Fire safety training for staff person #4 was conducted 7/11/2022 and 11/11/2023, which is past one year. Fire safety training for staff person #8 was conducted 2/9/2023 and 4/10/2024, which is past one year.

Corrected by Jun 18, 2024

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

During renewal inspection, staff person #3 completed CCDBG Health and Safety training on 2/1/2024, which was not within 90 days of their date of hire (see LIS code sheet for SD).

Corrected by Jun 18, 2024

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 #3 may not work in a child care position at the facility until completed NSOR clearance is on file.

During renewal inspection, staff person #3 did not have completed NSOR clearance on file. Staff person #3 has been employed at the facility for more than 45 days (see LIS code sheet for date of hire).

Corrected by May 3, 2024

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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. For a period of three (3) months, the legal entity must send a complete file to the Northeast Regional Office for all new hires. New hires may not begin to work in childcare until the file has been approved by the Northeast Regional Office.

During renewal inspection, staff person #3 did not have completed NSOR clearance on file. Staff person #3 has been employed at the facility for more than 45 days (see LIS code sheet for date of hire).

Corrected by Sep 18, 2024

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 renewal inspection, staff person #3 did not have completed NSOR clearance on file. Staff person #3 has been employed at the facility for more than 45 days (see LIS code sheet for date of hire).

Corrected by Aug 21, 2024

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3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

During renewal inspection, peeling paint was observed in the blue room on the second floor of the facility. Additionally, girls' bathroom on the first floor had water damage to ceiling tiles.

Corrected by Jun 18, 2024

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

During renewal inspection conducted 5/7/2024, refrigerator in the infant room did not have a thermometer.

Corrected by May 7, 2024

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3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

During renewal inspection, there were 20 children in the green room. Staff person #1 identified 10 children as being in their group. Staff person #2 identified 8 children as being in their group. Staff person #2 did not know the names of the children in their care and relied on assistance from staff person #1. Before rep departed room, both staff persons were assigned 10 children each.

Corrected by May 7, 2024

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3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must arrange for staff person #1 and staff person #2 to complete three trainings entitled "Supervisión: ¿Qué Se Requiere?", "Supervisión:Moviendo a los Niños", and "Supervisión: Posicionamiento -- ¿Cuál Es Mi Lugar?" through Better Kid Care.

During renewal inspection, there were 20 children in the green room. Staff person #1 identified 10 children as being in their group. Staff person #2 identified 8 children as being in their group. Staff person #2 did not know the names of the children in their care and relied on assistance from staff person #1. Before rep departed room, both staff persons were assigned 10 children each.

Corrected by Jun 30, 2024

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

During renewal inspection, Child Service Report (CSR) for child #1 completed on 3/28/2024 was not signed/dated by parent/guardian.

Corrected by Jun 18, 2024

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3270.175(c) · Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times.

During renewal inspection, manufacturers' instructions for use of car seats and booster seats were not present in the facility's van used for transportation.

Corrected by Jun 18, 2024

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

During renewal inspection, the following information was missing from children's emergency contact forms: Child #2: Father's work address. Child #3: Father's work address and work telephone number. Child #4: Father's work address and work telephone number. Child #5: Father's work address and work telephone number. Child #6: Father's work address.

Corrected by Jun 18, 2024

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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 #2 and Child #3 must be dismissed from care by close of business 5/28/2024 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, the following children's files did not indicate that they were immunized according to the recommendations of the ACIP: Child #2: 3 of 4 doses each of DTAP and Pneumococcal vaccines and 2 of 3 doses of HIB vaccine. Child #3: 3 of 4 doses each of DTAP and Pneumococcal vaccines and 2 of 3 doses of HIB vaccine.

Corrected by May 7, 2024

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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.

During renewal inspection, the following health assessments were not updated within 24 months: Staff person #4: Health assessments on file dated 8/5/2021 and 5/2/2024. Staff person #5: Health assessments on file dated 1/24/2022 and 5/1/2024.

Corrected by Jun 18, 2024

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

During renewal inspection, health assessment on file for staff person #2 is dated 8/31/2022 and does not include a TB test conducted within the past 12 months (see LIS code sheet for start date).

Corrected by Jul 11, 2024

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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.

During renewal inspection, health assessment on file for staff person #3 is a visit summary and does not include a statement stating that staff person #3 is free from communicable diseases and able to provide child care.

Corrected by Jun 18, 2024

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

During renewal inspection, file for staff person #6 did not contain adequate documentation of experience to meet the qualifications for the position in which the staff person was hired.

Corrected by Jun 18, 2024

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

During renewal inspection, staff person #6 did not have two written nonfamily references on file (see LIS code sheet for date of hire). Staff person #7 had two references dated 3/6/2024 and 3/10/2024, which was after start date (see LIS code sheet for start date).

Corrected by Jun 18, 2024

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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.

During renewal inspection, facility's last fire drill was conducted 3/7/2024, which is past 60 days.

Corrected by Jun 18, 2024

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person #4 must take 5.5 hours of professional development to fulfill requirement for training year 6/18/2022-6/18/2023.

During renewal inspection, staff person #4 obtained 6.5 hours of child care training for training year 6/18/2022-6/18/2023.

Corrected by Jun 18, 2024

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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 Legal Entity / Director will establish a ratio policy which must also include details regarding pick up and drop off of children at the facility and the procedures that will be put in place for immediate access for agents of the department. This 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.

It was observed on 12/8/23 at approximately 8am, that the infant room was out of ratio. Staff person #1 was observed leaving the infant room to come open the facility's main door then staff person #1 walked back into the infant room with staff person #2. Staff person #1 and #2 were the only staff present in the infant room with 10 children: one preschooler, two older toddlers, three younger toddlers, and four infants.

Corrected by Jan 1, 2024

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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).

It was observed on 12/8/23 at approximately 8am, that the infant room was out of ratio. Staff person #1 was observed leaving the infant room to come open the facility's main door then staff person #1 walked back into the infant room with staff person #2. Staff person #1 and #2 were the only staff present in the infant room with 10 children: one preschooler, two older toddlers, three younger toddlers, and four infants.

Corrected by Jan 1, 2024

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

It was observed that on 10/23/23, at approximately 10:35am, a child in the older toddler room opened the half door separating the older and younger toddler rooms. At that same time, child #1 was observed moving towards the door and tried to pull themselves up by grabbing on to the hinge side of the open door. The other child closed the door pinching the finger of child #1 in the hinge which resulted in child #1 needing emergency room treatment for their finger. On 11/24/23, an acceptable plan of correction was received from the facility stating that the facility doors have safety protectors to avoid pinch points and that they will maintain these protectors on all doors. On 12/8/23, during their plan of correction verification visit, it was observed that the above stated plan was not implemented. The following door hinges, within the facility, did not contain safety protectors: both sets of bathroom doors downstairs and upstairs, the upstairs door in the blue room, and the hinge on the toddler room portable half gate.

Corrected by Dec 22, 2023

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

It was observed that on 10/23/23, an incident occurred at the facility requiring emergency medical care for child #1. The facility provided a written report of the incident to the appropriate regional office on 10/27/23, after being instructed to do so. This report was received more than 72 hours after the emergency room treatment took place.

Corrected by Nov 24, 2023

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

It was observed that on 10/23/23, at approximately 10:35am, a child in the older toddler room opened the half door separating the older and younger toddler rooms. At that same time, child #1 was observed moving towards the door and tried to pull themselves up by grabbing on to the hinge side of the open door. The other child closed the door pinching the finger of child #1 in the hinge which resulted in child #1 needing emergency room treatment for their finger.

Corrected by Nov 11, 2023

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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 will have until 11/22/23 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, then staff person #1 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): all 10 Health and Safety Topics including pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected by Nov 10, 2023

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #1 will have until 11/22/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, then staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected by Nov 3, 2023

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3270.33(a)/3270.192(2)(ii) · 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 verification of child care experience, education and training prior to service at the facility.

File for staff person #2 did not contain adequate documentation of education or experience to meet the qualifications for the position in which the staff person was hired.

Corrected by Nov 8, 2023

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

Written documentation was observed on file verifying that emergency plan training was completed by staff person #6 on 1/21/22 and 4/28/23; likewise written documentation on file for staff person #13 verified that emergency plan training was completed on 2/23/21 and 5/11/23. These dates show that emergency plan training was not completed for staff person #6 or #13 annually as required.

Corrected by Jun 8, 2023

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 #5, #6, and #9 may not work in a child care position at the facility.

It was observed and stated that staff persons #5 and #6, see code sheet for hire dates, both lived out of state within the last 5 years and out of state clearances were not on file for either staff person. File for staff person #9, see code sheet for hire date, did not contain a fully sign, dated, and witnessed disclosure statement.

Corrected by Jun 8, 2023

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3270.34(b)(1)/3270.192(2)(iv) · A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. 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.

File for staff person #11, who was hired to be the facility director, did not contain acceptable documentation of education or experience showing that staff person #11 is qualified to be the director of the facility.

Corrected by Jun 23, 2023

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3270.35(e) · In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

It was stated by the facility and written down by the owner that the facility currently serves a maximum of 65 children at any given time with a total of 78 children enrolled. Upon review of all staff files, the facility does not have written documentation verifying that any staff employed at the facility are qualified to be working in a group supervisor position.

Corrected by Jul 28, 2023

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3270.36(b)(5)/3270.192(2)(iv) · 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 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.

Files for staff person #3, #4, #10, and #12, who were employed as assistant group supervisors, did not have adequate documentation on file verifying 2 years experience working with children. Files for staff person #7, #8, and #9, who were employed as assistant group supervisors, did not have adequate documentation on file verifying a high school diploma or GED and 2 years experience working with children.

Corrected by Jul 7, 2023

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3270.37(b)(3) · An aide shall have a minimum of an 8th grade education and 2 years of experience with children.

File for staff person #5, who was employed as an aide, did not contain documentation of 2 years experience working with children.

Corrected by Jun 8, 2023

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3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

It was observed in the toddler room front that there was not at least 2 feet of space on at least 3 sides of the cots being used by children.

Corrected by Jun 8, 2023

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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.

It was observed and stated that an infant, unable to roll, was placed to sleep laying on their stomach, which is not in the position recommended by the AAP and no documentation of any type of medical reasoning for this was observed on file.

Corrected by Jun 8, 2023

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3270.123(a)/3270.123(a)(6) · An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

Agreements for child #7 and #8 did not contain the date of admission for the child, and agreement for child #7 also was not signed by the operator.

Corrected by Jun 8, 2023

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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.

Emergency contact form for child #5 did not contain the name, address, or telephone number of the child's physician or source of medical care.

Corrected by Jun 8, 2023

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

Emergency contact forms for child #3 - #8 did not include the enrolling parent's work address, and emergency contact forms for child #3, #4, #6, and #8 also did not include the enrolling parent's work telephone number.

Corrected by Jun 8, 2023

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

Emergency contact forms for child #2, #4, #5, and #7 did not include the child's health insurance policy number and emergency contact forms for child #2 and #5 also did not include the name of the health insurance policy under which the child was covered.

Corrected by Jun 8, 2023

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

Emergency contact forms for child #1, #4, #5, and #7 did not include the address of the designated release persons.

Corrected by Jun 8, 2023

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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.

File for child #2, see code sheet for date of birth, contained two health reports which were dated 6/1/21 and 3/1/23. File for child #3, see code sheet for date of birth, contained only one health report dated 11/16/21. File for child #4, see code sheet for date of birth, contained two health reports dated 7/28/21 and 1/17/23. The files for child #2-#4 did not contain an updated health report dated 12 months from the previous health report on file which is required for the ages of these children.

Corrected by Jun 23, 2023

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

Repeated noncompliance from inspection conducted on 3/30/23 was observed, staff did not wash infant's hands after diapering both during a complaint inspection on 3/30/23 and during a renewal inspection on 5/16/23.

Corrected by Jun 8, 2023

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3270.135(b) · 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.

It was observed that staff did not clean the changing table after diapering in the infant room.

Corrected by Jun 8, 2023

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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.

File for staff person #1 and #9 did not contain a completed health assessment. File for staff person #2, see code sheet for date of hire, contained a health assessment dated 3/6/23 and a TB screening test result dated 4/28/23; these were not completed prior to initial service in a child care setting. File for staff person #10 did not contain the written results of a screening for TB. File for staff person #13 contained a health assessment dated 1/6/21, but an updated health assessment completed within the last 24 months was not found on file at the time of inspection.

Corrected by Jun 23, 2023

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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.

Files for child #1, #2, #4, #5, and #7 did not contain signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid by facility staff.

Corrected by Jun 8, 2023

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

Files for staff person #2, #4, #5, and #10 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Jun 8, 2023

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3270.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

It was observed on video during a complaint investigation that child #1 was moved from the table and placed in their crib at approximately 10:30am. Child #1 slept. However, when child #1 awoke staff did not ignore the child but did not remove the child from the crib either. Staff wheeled the crib over to where they were sitting and did not move the child out of the crib until 1:30p when they picked the child up and placed the child back at the table. The child was fed and then left to sit at the table watching TV until 3pm. From 10:30a-3pm staff did not provide the child with a choice of activities that recognized that individual child's needs.

Corrected by Mar 31, 2023

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3270.135(e) · A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

It was observed on video during a complaint investigation that child #1 was changed at 10:24am and then again at approximately 3pm, and staff were not observed checking the child's diaper any time between 10:30a and 1:30pm.

Corrected by Mar 31, 2023

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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 and #2 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1 and #2, then staff person #1 and #2 may not work in a child-care position at the facility.

Staff person #1 and #2 were observed to be caring for children unsupervised. Staff person #1 and #2 have not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Training Topics.

Corrected by Apr 2, 2023

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3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10). All current child care staff who completed the previous health and safety pre-service training modules, prior to October 4, 2022, are required to complete the Pennsylvania Health and Safety Update 2022 by December 30, 2022. Staff #3-#5 will have until 4/21/23 to complete the required 1 hour training.

Staff person #3, #4, and #5 have not completed the following required professional development training by the required due date of 12/30/22 (see code sheet for date of hire): the Pennsylvania Health and Safety Update 2022.

Corrected by Apr 2, 2023

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3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times.

It was observed on video during a complaint investigation conducted on 3/30/23, that two staff were present in the infant room with five infants. One of the two staff persons walked out of the room leaving one staff person alone in the room with five infants.

Corrected by Mar 31, 2023

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3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

It was observed on video during a complaint investigation conducted on 3/30/23, that neither staff nor children washed their hands before meals, and neither staff nor children washed their hands after diapering in the infant room. On 5/16/23, during a renewal inspection, staff person in the infant room washed their hands after diapering a child, but did not wash the child's hands after diapering.

Corrected by Mar 31, 2023

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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 #2 - #6 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2 - #6 then staff person #2 - #6 may not work in a child-care position at the facility.

Staff person #2, #5, and #6 were observed to be caring for children unsupervised. Staff person #2, #5, and #6 have not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Staff person #2, #3, and #4 were observed to be caring for children unsupervised. Staff person #2, #3, and #4 have not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Training Topics.

Corrected by Jul 12, 2022

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3270.31(f) · Staff persons 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 7/12/22 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 who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 and #2, then staff person #1 and 2 may not work in a child-care position at the facility.

Staff person #1 and #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training Topics.

Corrected by Jun 22, 2022

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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.

File for staff person #2, hired (see code sheet), did not contain a FBI clearance.

Corrected by May 27, 2022

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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.

File for staff person #2, hired (see code sheet), did not contain a FBI clearance.

Corrected by May 27, 2022

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3270.66(a)/3270.66(b) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

It was observed that two bottles labeled as hand sanitizer were stored at the sink in the SA room accessible to children in care. It was stated by staff and observed that the one bottle of hand sanitizer did not contain hand sanitizer but was instead re-filled with hand soap; therefore the hand soap was not stored in an original labeled container specifying the contents.

Corrected by May 26, 2022

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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.

It was observed that some of the rest cots used by the children in care were not labeled.

Corrected by May 27, 2022

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

Emergency contact form for child #1 did not contain the parent's work address or work telephone number.

Corrected by May 26, 2022

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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.

File for staff person #6, hired (see code sheet), did not contain a health assessment or TB test results dated within the 12 months of initial employment. The health assessment on file was dated 10/7/20, and the TB test result was dated 10/9/20.

Corrected by Jul 22, 2022

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3270.173(a)/3270.173(b) · The staff-child ratios specified in §§3270.51 and 3270.52 apply when infant, young or older toddler and preschool children are transported. The driver may not be considered part of the staff-child ratio when infant, young or older toddler or preschool children are transported.

It was observed that one staff person left facility property with a preschool aged child and transported that child in a vehicle alone. The staff person was the driver of the vehicle, therefore could not be counted in ratio.

Corrected by May 26, 2022

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

It was observed and stated by staff that the facility did not conduct or log one emergency drill within the last 12 months.

Corrected by May 30, 2022

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3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #2 will have until 7/12/22 to complete the required 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 available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected by Jul 12, 2022

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

It was observed that the facility did not provide to each enrolled family information on how to access the regulations in Chapter 3270 electronically with instructions for contacting the appropriate regional child care office.

Corrected by May 26, 2022

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

It was observed that the facility did not have safe routes or pick up and drop off procedures posted in a conspicuous location used by parents. The operator could not verify that the facility notified traffic safety authorities annually in writing of the facility's pedestrian and vehicular routes around the child care facility.

Corrected by Jul 12, 2022

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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).

During a complaint investigation on 10/5/21, upon arrival it was observed that staff person #1 came downstairs leaving staff person #2 alone with 12 preschool aged children. While completing the investigation, a child was observed arriving mid-day. Staff person #3 walked the child down to the toddler room leaving staff person #4 alone with 6 toddlers, the youngest being a one-year-old, in that child care space.

Corrected by Oct 5, 2021

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

During a complaint investigation on 10/5/21, it was observed that the facility did not have on file a fire alarm inspection report dated within the last 12 months. Due to the facility's location, they are unable to test and document monthly testing of the alarms so a functional annual fire alarm inspection report is required.

Corrected by Nov 5, 2021

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

On 7/15/21, it was observed during a correction verification visit that Febreeze, hand sanitizer, disinfectant spray, and staff purses containing lotions and body spray were all being stored in an area that was accessible to the children receiving care in the upstairs Blue Room.

Corrected by Jul 15, 2021

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3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

On 7/15/21, it was observed during a correction verification visit that the kitchen area containing a stove actively being used with pots and pans observed on the stove was accessible to children in the blue room causing a visible hazard.

Corrected by Jul 23, 2021

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