New Star Child Care Center

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 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 person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 was reported to be caring for children unsupervised on 3/31/26. Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first- aid/CPR training expiration date of 2/28/26.

Corrected by Apr 9, 2026

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3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, staff person #1 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 person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 2/28/26. Documentation of updated Pediatric first aid and CPR training is not on file.

Corrected by Apr 27, 2026

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3270.20(a)(1)/3270.20(b) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. 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.

Complaint investigation 4/2/26-5/13/26 verified that on 3/31/26 at 7:42 PM the legal entity became aware that Child 1 was taken to the emergency room regarding an injury that occurred at the facility. As of 4/9/26 at 2:05PM the Northeast Regional Office did not receive telephone notice or a written report of this incident from the operator. On 4/9/26 at 9:21PM an incident report was submitted regarding this incident, however this is more than 72 hours after the operator became aware the child went to the emergency room due to the injury.

Corrected by Apr 9, 2026

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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.

Complaint investigation 4/2/26-5/13/26 verified that on 3/31/26 around 3:26 PM Child 1 had pinched two of their fingers in a pinch point on the door jam to the single bathroom used by the children in the school aged room(Room 4).

Corrected by Jun 12, 2026

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3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children must be supervised at all times. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for the legal entity, the director and all staff to receive a minimum of three hours of training regarding Supervision and Ratios. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a correction date for when this training will be completed. 3. The Legal entity, the director, and all staff will demonstrate compliance with with these regulations as they relate to supervision during unannounced monitoring visits over the course of the next 3 months. The correction date for this portion of the plan shall be at minimum 3 months from the date an acceptable plan is received.

Complaint investigation 4/2/26-5/13/26 verified that on 3/31/26 around 3:26 PM the following incident regarding supervision occurred: Staff 1 was standing in Room 4 by the door to Room 3. From where Staff 1 was standing they were unable to see the children who were playing in area where the bathrooms were located in Room 4 including the doorway to the single bathroom in room 4. Children who frequent this room report they regularly play in the bathrooms and in this area because Staff are unable to see them. Staff 1 reported they were not able to see the children who were playing at the doorway to the bathroom when an injury occurred to Child 1 on 3/31/26.

Corrected by Aug 31, 2026

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3270.132(a) · If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent.

Complaint investigation 4/2/26-5/13/26 verified that on 3/31/26 around 3:26 PM Child 1 had his fingers injured to the point that Staff 1 felt the child needed medical attention. Child 1's parent was not notified of the injury until they arrived to pick the child up around 4:30PM. It was reported that there was about 20 minutes of time between when first aid was done, and the parent arrived in which Staff 2 was going to notify the parent but did not.

Corrected by Apr 9, 2026

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

Complaint investigation 4/2/26-5/13/26 verified that on 3/31/26 around 3:26 PM Child 1 received an injury at the facility. It was reported that a written report regarding the injury was not provided to the parents as no written report was made for the injury. Child's file and Facility accident, injury illness folder also did not contain a written report of the injury.

Corrected by May 29, 2026

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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. TIERED LIS: 1. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for technical assistance regarding Health & Safety- Healthy Environments to be provided to the facility, facility persons, director, and legal entity by a PQAS-approved trainer. The technical assistance must be in-person and completed onsite at the facility. The legal entity must receive DHS approval of the technical assistance trainer prior to scheduling the technical assistance. The operator shall provide a correction date for this technical assistance will be received by. 3. The Legal entity, the director, and all staff will demonstrate compliance with the regulations related to Toxics (§3270.66) and Small Toys and Objects (§3270.103) during 3 unannounced monitoring visits over the course of the next 3 months. The operator shall provide a correction date for this portion of the plan that is at minimum 3 months from the date the Regional Office receives the acceptable Plan of Correction.

Continued Non-Compliance: During a renewal inspection on 10/6/25 Cert rep observed curl cream, styling gel, Glade air spray, and hair detangler in the unlocked cabinet under the changing table in the men's bathroom, and Airwick air spray, hand sanitizer, and Lysol wipes in unlocked the gray drawers in the nurse area of Room 2. These items were all labeled keep out of reach of children." These locations/items were accessible to children. Cert rep also observed plastic bags and gloves in the changing table in the women's bathroom, plastic bags in a bin on a chair in the men's bathroom, and plastic bags in unlocked the gray drawers in the nurse area of Room 2. Room 2 and both bathrooms are used by young toddlers and older toddlers. These plastic bags and gloves were accessible to children who may still be placing objects in their mouths. The facility's acceptable plan of correction received 11/4/25, indicated Toxics and Small Toys and Objects would be inaccessible to children by 10/10/25. Additionally, the facility's acceptable plan of correction indicated the facility would demonstrate compliance with these regulations during 3 unannounced monitoring visits over the course of 3 months ending 2/4/26. On 1/9/26 during an unannounced inspection Cert rep observed a bottle of Clorox bleach on the floor of the closet in Room 1. Cert rep observed the door to the closet was open about 8 inches, and there were no barriers that would prevent the mobile infant children in this room from accessing the bleach bottle. The Clorox Bleach was labeled keep out of reach of children. The facility's acceptable plan of correction received 1/27/26, indicated Toxics and Small Toys and Objects would be inaccessible to children by 1/9/26. Additionally, the facility's acceptable plan of correction indicated the facility would demonstrate compliance with these regulations during 3 unannounced monitoring visits over the course of 3 months ending 4/27/26. On 4/1/26 during an unannounced inspection Cert rep observed an open bag of Calcium Citrate pellets on the floor of the entrance to the facility which is a part of Room 2. The bag of Calcium Citrate was labeled keep out of reach of children. Additionally, Cert rep observed zip lock bags, and bagged wipes labeled, "To avoid suffocation please keep bag out of reach of children" on shelves that were accessible to the older toddlers who were present on the older toddler side of Room 2. Staff reported the children who were observed to be on this side of the room were known to still be placing toys and items in their mouths.

Corrected by Aug 5, 2026

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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. TIERED LIS: 1. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a policy and procedures regarding storage of toxic, other cleaning materials. This policy must address the specific steps and procedures the legal entity, director and staff will take to ensure that all toxics and cleaning materials used daily in the classrooms/bathrooms will be inaccessible to children. The policy must include that toxics and cleaning materials other than those needed for daily use in the classrooms/bathrooms will be stored in areas that are not used by children and indicate how those areas will be kept inaccessible. The legal entity must submit the policy & procedures to Regional Office for approval. Once approved by the Regional Office, the legal entity must train all staff and new hires on the policy and procedures. Staff must sign an acknowledgement which will be kept on file. The operator will provide a date for when this portion of the plan will be completed. 3. The Legal entity, the director, and all staff will demonstrate compliance with the regulations related to Toxics (§3270.66) and Small Toys and Objects (§3270.103) during 3 unannounced monitoring visits over the course of the next 3 months. The operator shall provide a correction date for this portion of the plan that is at minimum 3 months from the date the Regional Office receives the acceptable Plan of Correction.

Continued Non-Compliance: During a renewal inspection on 10/6/25 Cert rep observed curl cream, styling gel, Glade air spray, and hair detangler in the unlocked cabinet under the changing table in the men's bathroom, and Airwick air spray, hand sanitizer, and Lysol wipes in unlocked the gray drawers in the nurse area of Room 2. These items were all labeled keep out of reach of children." These locations/items were accessible to children. Cert rep also observed plastic bags and gloves in the changing table in the women's bathroom, plastic bags in a bin on a chair in the men's bathroom, and plastic bags in unlocked the gray drawers in the nurse area of Room 2. Room 2 and both bathrooms are used by young toddlers and older toddlers. These plastic bags and gloves were accessible to children who may still be placing objects in their mouths. The facility's acceptable plan of correction indicated the correction related to related to Toxics(§3270.66) and Small Toys and Objects(§3270.103) inaccessible to children would be implemented by 10/10/25. Additionally, the facility's acceptable plan of correction indicated the facility would demonstrate compliance with the regulations related to Toxics(§3270.66) and Small Toys and Objects(§3270.103) during 3 unannounced monitoring visits over the course of 3 months ending 2/4/26. On 1/9/26 during an unannounced inspection Cert rep observed a bottle of Clorox bleach on the floor of the closet in Room 1. Cert rep observed the door to the closet was open about 8 inches, and there were no barriers that would prevent the mobile infant children in this room from accessing the bleach bottle. The Clorox Bleach was labeled keep out of reach of children.

Corrected by Apr 27, 2026

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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 2 must take 12 hours of professional development to fulfill requirement for training year5/2024-5/2025. Hours used to fulfill training year 5/2024-5/2025 cannot be used to fulfill current training year. Staff person 6 must take 7.5 hours of professional development to fulfill requirement for training year12/2023-12/2024. Hours used to fulfill training year 12/2023-12/2024 cannot be used to fulfill current training year.

During a renewal inspection on 10/6/25-10/9/25 Staff 2 had 0 hours of annual training on file (Training year 5/2024-5/2025), and Staff 6 had 4.5 hours of annual training on file(Training year 12/2023-12/2024). This does not meet the required 12 hours of annual childcare training. See code sheets for DOH.

Corrected by Oct 30, 2025

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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. The facility's emergency plan shall address continuity of operations.

During a renewal inspection 10/6/25-10/9/25 the facility's emergency plan did not address continuity of operations.

Corrected by Oct 17, 2025

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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.

During a renewal inspection on 10/6/25-10/9/25 it was reported that parents of enrolled children were not being provided a letter explaining the emergency procedures.

Corrected by Oct 17, 2025

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

During a renewal inspection on 10/6/25-10/9/25 Staff 4 and Staff 5 did not complete fire safety training within 12 months of the previous training. This is evidence by fire safety trainings documented in Staff 4's (9/28/23 & 7/14/25) and in Staff 5's file(2/7/24 & 10/8/25).

Corrected by Oct 17, 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.

During a renewal inspection 10/6/25-10/9/25 Staff 1 had NSOR certificates dated 1/14/20 & 8/27/25, Staff 3 had NSOR certificates dated 11/6/19 & 9/12/25, Staff 4 had NSOR certificates dated 11/6/19 & 9/12/25, and Staff 6 had NSOR certificates dated 11/6/19 & 9/12/25. This is more than 60 months between NSOR certificates and is a violation of the CPSL. Staff 1, 3, 4, and 6 were documented to have worked as staff between the expiration of the previous NSOR certificate, and the current NSOR certificate.

Corrected by Oct 17, 2025

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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. TIERED LIS: 1. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff hired as of the date of the training to receive a minimum of 2 hours of PQAS-approved training regarding Health & Safety- Healthy Environments. The training must be in-person and completed outside of child care hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a correction date for this training will be completed by. 3. The Legal entity, the director, and all staff will demonstrate compliance with the regulations related to Toxics(§3270.66) and Small Toys and Objects(§3270.103) during 3 unannounced monitoring visits over the course of the next 3 months. The operator shall provide a correction date for this portion of the plan.

During a renewal inspection on 10/6/25 Cert rep observed curl cream, styling gel, Glade air spray, and hair detangler in the unlocked cabinet under the changing table in the men's bathroom, and Airwick air spray, hand sanitizer, and Lysol wipes in unlocked the gray drawers in the nurse area of Room 2. These items were all labeled keep out of reach of children." These locations/items were accessible to children. Cert rep also observed plastic bags and gloves in the changing table in the women's bathroom, plastic bags in a bin on a chair in the men's bathroom, and plastic bags in unlocked the gray drawers in the nurse area of Room 2. Room 2 and both bathrooms are used by young toddlers and older toddlers. These plastic bags and gloves were accessible to children who may still be placing objects in their mouths.

Corrected by Feb 4, 2026

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

During a renewal inspection on 10/6/25 Cert rep observed stacked chairs(tipping hazard) in the library area of Room 4(the school age room) . Cert rep also observed a broken wooden fence with exposed sharp nails(impaling hazard and rough edges from the broken wood) in the playground.

Corrected by Oct 22, 2025

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

During a renewal inspection on 10/6/25 Cert rep observed a young toddler in a highchair seat however the child was not secured in the highchair with the seat's T-shape safety straps.

Corrected by Oct 22, 2025

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3270.121(b) · At the time of enrollment, a parent shall receive in writing 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.

During a renewal inspection on 10/6/25-10/9/25 it was noted the facility's supervision policies were not being provided to the parents in writing at the time of enrollment.

Corrected by Oct 22, 2025

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

During a renewal inspection on 10/6/25 Child 6's fee agreement was not signed by the operator.

Corrected by Oct 22, 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 a renewal inspection on 10/6/25 the most recent child service reports for Child 2 and 3 were more than 6 months ago. This was evidenced by child service reports in the files dated 8/28/24(Child 2), and 3/19/25(Child 3).

Corrected by Oct 22, 2025

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

During a renewal inspection on 10/6/25 Children 1, 2, 4, and 5 were missing the following information on their respective emergency contact forms: Parent's home address(Child 1), parent's home phone number(Child 1), parent's work address (Children 1, 2, 4, and 5), and parent's work phone number(Children 1 and 4).

Corrected by Oct 22, 2025

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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 a renewal inspection on 10/6/25 Cert rep observed that emergency contact information for the preschool children receiving care in Room 4(the school aged room) were not present in Room 4 with the children.

Corrected by Oct 22, 2025

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

During a renewal inspection 10/6/25 Cert rep observed that the emergency contact forms for all of the children who are transported to and from the facility in the 2015 Dodge SW van and the 2004 Nissan SW van were not present in the vehicles. It was reported no other emergency contact forms or documents were taken when children are transported.

Corrected by Oct 22, 2025

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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 a renewal inspection 10/6/25 Cert rep observed that the facility's emergency medical transportation plan was not posted in Room 4(the school Age room)

Corrected by Oct 22, 2025

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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.

During a renewal inspection on 10/6/25 preschool Child 2's most recent health assessment was dated 9/23/24, which is more than 12 months ago. See LIS code sheet for DOB.

Corrected by Oct 23, 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). Children 2 and 3 must be dismissed from care by close of business 10/6/25 and may only return to care when the immunization record that is in accordance with the ACIP recommendations is provided or when a parent provides a written, signed exemption letter.

During a renewal inspection on 10/6/25 Child 2, a preschool child, was missing DTAP/DTP/TD dose 4, Child 3, an older toddler who has been enrolled for more than 60 days did not have an immunization record on file and Child 4, a school aged child who has been enrolled for more than 60 days did not have an immunization record on file (See LIS code sheet for DOBs and DOAs). At time of inspection there was no documentation on file for Children 2, 3, or 4 that the children are exempt from these vaccines due to strongly held personal beliefs, religious beliefs, or medical reasons. This is not in accordance with the ACIP recommended schedule of immunizations.

Corrected by Oct 28, 2025

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3270.151(a)/3270.151(b) · 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 health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

During a renewal inspection on 10/6/25-10/9/25, Cert Rep observed a health assessment on file for facility person 7 dated 9/5/2025. The date appeared to be altered. Cert Rep spoke with the physician's office and the office confirmed that facility person 7 has not been seen as a patient since 2021. This health assessment for facility person 7 is fraudulent and not valid. Facility person 7 did not have another valid health assessment on file. Additionally the following staff had more then 24 months between their staff health assessments: Staff 2(10/13/22 & 12/26/24), Staff 3(8/29/22 & 9/30/24), and Staff 6(7/28/21 & 3/17/25).

Corrected by Oct 23, 2025

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3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

During a renewal inspection 10/6/25-10/9/25 Cert rep observed the menu that was posted was from the first week of August 2025. It was reported that the parents were not otherwise provided information regarding the facility menu.

Corrected by Oct 23, 2025

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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 a renewal inspection 10/6/25 Cert rep observed that the facility's 2015 Dodge SW van did not have a first aid kit present. This van is used for transportation and it was reported staff do not take any other first aid kits with them.

Corrected by Oct 23, 2025

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3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

During a renewal inspection on 10/6/25 Child 3's emergency contact form and fee agreement was most recently reviewed by the parent on 12/13/24, which is more than 6 months ago.

Corrected by Oct 23, 2025

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

During a renewal inspection 10/6/25-10/9/25 Staff 8 has one reference in their file.

Corrected by Oct 23, 2025

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3270.25(a)/3270.25(b) · 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. The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

During a renewal inspection 10/6/25-10/9/25 it was reported the operator was not providing 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. Cert rep observed the inspection summary dated 07/16/2025 was not posted in a conspicuous location used by and viewable to the parents. The inspection summary dated 7/16/25 has non-compliance that has not yet been verified by the department as corrected.

Corrected by Oct 23, 2025

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3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

During a renewal inspection on 10/6/25-10/9/25 the facility did not have documentation to support that the emergency plan was sent to the local municipality.

Corrected by Oct 23, 2025

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3270.52/3270.55(a) · 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 staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children. TIERED LIS: 1. The required staff:child ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for the legal entity, the director and all staff to receive a minimum of three hours of training regarding Supervision and Ratios. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a correction date for when this training will be completed. 3. The Legal entity, the director, and all staff will demonstrate compliance with the regulations related to ratios (§3270.51 - §3270.55) during unannounced monitoring visits over the course of the next 3 months. The operator shall provide a correction date for when this training will be completed.

Continued Non-Compliance: During an announced inspection on 5/5/25 Cert rep observed 17 preschool aged children were assigned the Staff 2 during naptime. One preschool child in this group was observed to be sitting at a table, away from her nap mat. Two other preschool children were observed to be running around the classroom for at least 3 minutes before staff redirected them to the nap mat. Naptime ratios were not able to be used due to 3 of the preschool children were not located on or near their nap mats during this time. Cert rep also observed that these same 17 preschool children remained assigned to only staff 1 as all the children woke from nap time. Staff 2 was out of ratio until another staff arrived at least 5 minutes later. The facility's acceptable plan of correction indicated the correction that staff:child ratios must be maintained at all times would be implemented by 5/27/25. On 7/16/25 an unannounced inspection was conducted during nap time where cert rep observed the following: Staff 3 named and reported having 11 children (7 young toddlers, and 4 older toddlers) in their assigned group. The Children were all napping or on their rest mats. Staff 3 reported she took over the care group from Staff 4. Staff 4 reported she had been covering the same group of 11 children while another staff was on lunch.

Corrected by Nov 8, 2025

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3270.51/3270.55(a) · 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 staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children. TIERED LIS: 1. The required staff:child ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2. The operator shall create a Ratio Policy that must include the requirement for children to be resting or on their nap mat for naptime ratios to be used. This policy will be submitted to the Northeast regional office for approval and will be reviewed with all staff once approved by the Northeast regional office. Staff will sign acknowledgement of the updated policy which will be kept in their staff files. The operator shall provide a correction date for when this portion of the plan will be completed.

During an announced inspection on 5/5/25 Cert rep observed 17 preschool aged children were assigned the Staff 2 during naptime. One preschool child in this group was observed to be sitting at a table, away from her nap mat. Two other preschool children were observed to be running around the classroom for at least 3 minutes before staff redirected them to the nap mat. Naptime ratios were not able to be used due to 3 of the preschool children were not located on or near their nap mats during this time. Cert rep also observed that these same 17 preschool children remained assigned to only staff 1 as all the children woke from nap time. Staff 2 was out of ratio until another staff arrived at least 5 minutes later.

Corrected by Jul 11, 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. 2.The legal entity must create a 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 transition times, such as visiting the bathroom and staff transitions. 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 correction date for when this portion of the plan will be completed.

During an unannounced inspection on 5/5/25 Cert rep observed Staff 1 was seated at the front desk. From this location Staff 1 was not able to see, hear, direct and assess her assigned group of children who were on the other side of the room napping because pieces of furniture and half walls blocked Staff 1's view. Staff 1 also reported that video cameras are used to supervise her assigned children while Staff 1 is in the office which is located on the 2nd floor of the facility.

Corrected by Jul 11, 2025

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3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

During an unannounced inspection on 5/5/25 the facility's most recent annual fire detection system testing inspection took place on 4/9/24. This is more that 12 months since the most recent inspection.

Corrected by May 7, 2025

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

On 10/10/24 during a renewal inspection certification rep observed an accessible wooden cabinet area to the right of the nurse's desk in Room 2 on the Older toddler side of the room. In this cabinet area was plastic bags which were accessible to children who may still be putting objects in their mouths. On the changing table in the girl's bathroom and the changing table in the infant classroom/room 1 certification rep observed plastic bags and gloves being stored in an area that would be accessible to children who may still be putting objects in their mouths while they are being changed. Cert rep returned on 11/19/24 for unannounced verification visit and observed that plastic bags were still accessible in the wooden cabinet area to the right of the nurse's desk in Room 2 on the Older toddler side of the room and in the changing table in the infant room. Plastic bags were no longer accessible in the changing table in the girls bathroom.

Corrected by Dec 6, 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.

On 10/10/24 during a renewal inspection certification rep observed that child 1's father's home and work addresses and telephone numbers were not present. Father of child 1 was known as father was listed as an emergency contact for child 1. Cert rep returned on 11/19/24 for unannounced verification visit and noted that child 1's father's home and work addresses still were not present on the emergency contact form for child 1. Child 1's father's work phone number was also not present. Child 1's father's home phone number was listed on the emergency contact form.

Corrected by Dec 6, 2024

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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.

On 10/10/24 during a renewal inspection after diapering a child a staff person did not wash the first child's hands, or her hands before changing another child. Cert rep returned on 11/19/24 for unannounced verification visit and it was observed that the staff person changing the diapers of multiple children but did not wash the individual children's hands after changing individual diapers but allowed children to wait to wash hands until all diapers had been changed. The staff person did wash the staff's hands after changing each child's diaper. Additionally, the children were observed to not wash their hands before having snack.

Corrected by Dec 6, 2024

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

On 10/10/24 during a renewal inspection facility staff reported that only preschool children, not all children under the age of 7 were utilizing appropriate safety restraints, i.e. booster seats, while being transported in the facility van. Staff report they do not transport infants or toddlers. Cert rep returned on 11/19/24 for unannounced verification visit and 4 children 7 years of age or younger were transported in one trip in the facility van. The facility van was observed to have only 2 booster seats for the children. Additionally a child under the age of 7 years old reported that when transported at daycare they "do not sit in a special seat"(ie booster seat) in the van, but they are using a "special seat" when transported by the parents.

Corrected by Dec 6, 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.

On 10/10/24 during a renewal inspection the following staff persons had less than two written references from non family members attesting to their suitability to serve as a staff person: Staff 1(0 references present), Staff 4(1 references present), Staff 5(1 references present), and Staff 6(1 references present). Cert rep returned on 11/19/24 for unannounced verification visit and noted that the following staff persons still had less than two written references from non family members attesting to their suitability to serve as a staff person: Staff 1(0 references present), and Staff 5(1 references present). Staff 4 and Staff 6 did have 2 written references on file at the time of the verification visit.

Corrected by Dec 6, 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.

On 10/10/24 during a renewal inspection certification rep observed an accessible outlet without a protective receptacle cover on the outlet in the middle of the left side wall in Room 1/Infant room.

Corrected by Oct 23, 2024

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3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

On 10/10/24 during a renewal inspection certification rep noted Staff 1' did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Previous pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) expired 1/2024. Renewal was completed on 2/29/24.

Corrected by Oct 23, 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.

On 10/10/24 during a renewal inspection certification rep noted that Staff 1, Staff 2, Staff 3 did not complete annual fire safety training. Staff 1's previous fire safety training was dated 6/17/23, 9/29/23, and 9/28/23 respectively.

Corrected by Oct 23, 2024

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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.

During a renewal inspection on 10/10/24 in was noted that Staff 5 and 6 have high school diplomas but do not have at least 2 years(2500 hours) of experience with children on file. They have 0 years and 1.10 years(1385.6 hours) of experience with children respectfully. Both staff were noted as being assistant group supervisors.

Corrected by Nov 4, 2024

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3270.66(a)/3270.66(d) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toxic plants are not permitted in a child care space.

On 10/10/24 during a renewal inspection certification rep observed Winterberry trees(Scientific name: Ilex verticillata) growing along the back fence of the outdoor playspace/playground. The leaves, branches and berries of these trees were coming through the fence into the playspace and were accessible to children. These plants are considered toxic.

Corrected by Oct 23, 2024

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

On 10/10/24 during a renewal inspection certification rep observed hand sanitizer (which is labeled keep out of reach of children) on the nurse's desk in Room 2 on the Older toddler side of the room. This area is accessible to children.

Corrected by Oct 23, 2024

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

On 10/10/24 during a renewal inspection certification rep observed a bottle of sanitizer was not stored in an original labeled container nor in a container that specifies the content at the changing table in the infant room/room 1.

Corrected by Oct 23, 2024

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3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

On 10/10/24 during a renewal the emergency numbers posted in all child care rooms did not include the number for the nearest hospital.

Corrected by Oct 23, 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.

On 10/10/24 during a renewal inspection certification rep observed the follow first kits were missing the following components: The young toddler side of room 2 (missing tweezers). The older toddler side of room 2(missing tape). The infant classroom/room 1(missing tape). The preschool room/room 3 (missing tape).

Corrected by Oct 23, 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.

On 10/10/24 during a renewal inspection certification rep observed a tripping/fall hazard in the outdoor playspace/playground. There was observed to be multiple areas of hard weeds/cut small trees growing about 2-3 inches above the ground. Due to the hardness on the plant and distance from the ground these pose a tripping hazard from children.

Corrected by Oct 23, 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.

On 10/10/24 during a renewal inspection certification rep observed a teal play kitchen in which the plastic oven window was broken and cracked on the older toddler room of room 2. The cracks in plastic contained rough edges.

Corrected by Oct 23, 2024

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

On 10/10/24 during a renewal inspection certification rep observed an accessible wooden cabinet area to the right of the nurse's desk in Room 2 on the Older toddler side of the room. In this cabinet area was plastic bags which were accessible to children who may still be putting objects in their mouths. On the changing table in the girl's bathroom and the changing table in the infant classroom/room 1 certification rep observed plastic bags and gloves being stored in an area that would be accessible to children who may still be putting objects in their mouths while they are being changed.

Corrected by Oct 23, 2024

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3270.121(b) · At the time of enrollment, a parent shall receive in writing 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.

On 10/10/24 during a renewal inspection it was noted that parents were not being provided in writing information in regards to the facilities supervision policies.

Corrected by Nov 4, 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.

On 10/10/24 during a renewal inspection certification rep observed that child 1's father's home and work addresses and telephone numbers were not present. Father of child 1 was known as father was listed as an emergency contact for child 1.

Corrected by Oct 23, 2024

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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.

On 10/10/24 during a renewal inspection child 4's emergency contact information and financial agreement were dated 3/9/24 without a 6 month review/update.

Corrected by Oct 23, 2024

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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.

On 10/10/24 during a renewal inspection after diapering a child a staff person did not wash the first child's hands, or her hands before changing another child.

Corrected by Oct 23, 2024

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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.

On 10/10/24 during a renewal inspection certification rep observed staff person change the diaper of two children one right after the other. The diapering surface was not cleaned or sanitized between each child.

Corrected by Oct 23, 2024

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3270.166(3) · Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

On 10/10/24 during a renewal inspection staff person in the infant room reported washing infant feeding bottles by hand and reusing these bottles. The facility does not have/does not use a commercial dishwasher for cleaning infant feeding bottles.

Corrected by Oct 23, 2024

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3270.173(b) · The driver may not be considered part of the staff-child ratio when infant, young or older toddler or preschool children are transported.

On 10/10/24 during a renewal inspection staff person reported that a preschool child had been transported without an additional staff person to meet staff-child ratios. The driver of the van was being counted in staff-child ratio while the preschool child was being transported.

Corrected by Oct 23, 2024

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

On 10/10/24 during a renewal inspection facility staff reported that only preschool children, not all children under the age of 7 were utilizing appropriate safety restraints, i.e. booster seats, while being transported in the facility van. Staff report they do not transport infants or toddlers.

Corrected by Oct 23, 2024

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

On 10/10/24 during a renewal inspection certification rep observed safety restraints-booster seats in the facility van that did not have the booster seat's manufactures' instructions in the vehicle.

Corrected by Oct 23, 2024

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

On 10/10/24 during a renewal inspection certification rep observed that Child 1, 2, 3 and 4 were missing their initial and subsequent Health assessments until the most current assessment. Health assessments that were present were dated 10/3/24, 9/5/24, 1/30/24, and 10/3/24 respectively. Staff person reported the facility had removed initial and previous health assessments from Child files.

Corrected by Oct 23, 2024

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3270.192(2)(ii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During a renewal inspection on 10/10/24 Staff 5 and 6 did not have verification of experience with children in their staff files.

Corrected by Nov 4, 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.

On 10/10/24 during a renewal inspection the following staff persons had less than two written references from non family members attesting to their suitability to serve as a staff person: Staff 1(0 references present), Staff 4(1 references present), Staff 5(1 references present), and Staff 6(1 references present).

Corrected by Nov 4, 2024

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3270.133(7)/3270.133(7)(vii) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. A medication log shall include the initials of the staff person who administered the medication.

On 8/15/24 a complaint investigation was conducted. The allegation was that children were not receiving the medication they were supposed to. After completing staff and child interviews it was determined that medication has not been given. Also, the facility has not been maintaining medication logs to document when the medicine was given.

Corrected by Sep 5, 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.

Staff #3 did not have the 10hr health and safety training within the file.

Corrected by Aug 23, 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. Facility Person #1 & #2 may not work in a childcare position at the facility. Staff #5 and #6 may not return to working at the facility until the NSOR clearance has been received.

On 7/2/24 Staff #1 and #2 were observed working within the facility and assigned supervision groups. Staff #1 and #2 did not have a file at the facility. Staff #3 is being utilized for ratios. Staff #3 has not completed the mandated reporter training within 90 days of their date of hire. On 7/25/24 it was observed during file reviews that Staff #5 and #6 did not have the NSOR clearance on file and also did not request for the NSOR clearance prior to working with children. This excludes both Staff #5 & #6 from the 45-day provisional hire privilege. (See code sheet for date of hire).

Corrected by Aug 23, 2024

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3270.37(b)/3270.192(2)(iv) · An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3). A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Staff #3 only has a 7th grade education and does not qualify to be an aide. Staff #3 cannot be utilized to cover ratios or assist with caring for children.

Corrected by Aug 23, 2024

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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.

It was observed during an unannounced visit that the young toddler room was out of ratio. There was a total of 16 children under two years of age and two staff. Rep informed director that people without clearances and a file cannot be in facility and around the children. Rep stayed until parents were called for children to go home. Director decided to close the facility until she was able to get staff.

Corrected by Aug 23, 2024

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3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Staff #4 did not obtain a health assessment prior to working within the facility.

Corrected by Aug 23, 2024

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

Staff #1 and #2 did not have a file and were observed working with children.

Corrected by Aug 23, 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.

On 1/31/2024 and 2/8/2024, the last fire drill documented on the facility fire drill log was conducted on 11/7/2023.

Corrected by Feb 8, 2024

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

During the renewal inspection on 12/8/2023, a container of disinfectant wipes was seen on the floor in the school age classroom. The disinfectant wipes were labeled keep out of reach of children.

Corrected by Dec 8, 2023

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3270.76/3270.102(a) · 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. 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 on 12/8/2023, cracks with sharp edges exposed were seen on the plastic diapering changing table in the bathroom table where young toddlers are changed. Also, the grass in the outdoor play area was too high. This made length of grass too high for children to play safely in.

Corrected by Dec 8, 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 trainings are completed, staff persons #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 person(s) available to supervise staff persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility.

On 12/14/2022, Staff person #1 and Staff person #2 were observed to be caring for children unsupervised. Staff person # 1 and Staff person #2 have not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 4/28/2015 for Staff person #1 and 12/3/2017 for Staff person #2.

Corrected by Dec 16, 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). Facility Person #4 may not work in a childcare 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. Facility Person #4 may not work in a childcare position at the facility.

On 12/14/2022, Facility person #4 was observed cleaning at the facility. Facility person #4 did not have the completed National Sex Offender Registry (NSOR) clearance or clearance request on file on 12/14/2022. See LIS code sheet.

Corrected by Dec 28, 2022

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #2 will have until 1/12/2023 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.

Staff person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 12/3/2017. See LIS code sheet.

Corrected by Dec 14, 2022

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

During the Renewal Inspection on 12/14/2022, a small container of Sanis Air Freshener was observed in the bathroom stall of the bathroom near the infant room. This bathroom is used by children in the classroom next to the infant room. The Sanis Air Freshener was labeled keep out of reach of children.

Corrected by Dec 14, 2022

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3270.76/3270.102(a) · 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. 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 on 12/14/2022, the following was observed on the outdoor playground: Nails protruding from loose boards at the bottom of the fence on both sides upon entering the playground, a loose board with nails protruding and splinters from cracked wood at the top of the smaller wooden fence, a cracked hole with sharp edges exposed at the top of the metal fence pole and a cracked playhouse with sharp edges exposed.

Corrected by Jan 31, 2023

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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 the Renewal Inspection on 12/14/2022, the first-aid kit in the van at the facility used to transport children was missing gloves, soap, scissors and tweezers.

Corrected by Dec 28, 2022

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

During the Renewal Inspection on 12/14/2022, Staff #1, Staff #3 and Facility person #4 did not have any written, nonfamily references on file. See LIS code sheet.

Corrected by Dec 28, 2022

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3270.27(a)(5)/3270.27(a)(6) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

During the Renewal Inspection on 12/14/2022, the emergency at the facility did not have accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions. On 12/14/2022, a documented emergency drill had not been conducted at the facility during the previous 12 months.

Corrected by Dec 28, 2022

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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 the Renewal Inspection on 12/14/2021, a hole in the wall was seen in the girls bathroom of the school age classroom. The hole was the size of the door handle on the inside part of the door.

Corrected by Jan 14, 2022

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3270.76/3270.102(a) · 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. 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 on 12/14/2021, the following was observed in the outdoor play area that is currently being used by children at the facility: A plastic slide was cracked at the bottom leaving sharp edges exposed and the wooden fence next to the new wooden fence was cracked at the bottom leaving sharp edges and splinters exposed.

Corrected by Feb 21, 2022

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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.

During the Renewal Inspection on 12/14/2021, none of the equipment that requires embedded mounting in the outdoor play area had enough mulch surrounding the fall areas. Nine inches of mulch is required. The mulch only measured five inches on 12/14/2021.

Corrected by Dec 14, 2021

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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 on 12/14/2021, the most recent health assessment on file for Staff #1 was dated 10/28/2019.

Corrected by Jan 14, 2022

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