Norma De Hoyos Day Care 2

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

During the renewal inspection on 1/28/26 Cert rep observed two uncovered accessible outlets in Room 1 by the soccer ball wall painting and by the Bert character wall painting. Children in this room are Preschool aged.

Corrected by Jan 28, 2026

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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 a renewal inspection on 1/28/26 Staff 6's most recent emergency plan training was dated 12/18/24, which is more than 12 months ago.

Corrected by Feb 20, 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.

During a renewal inspection on 1/28/26 Staff persons 4 & 5 did not complete Pediatric first aid and CPR training on or before expiration of the their previous certification. This is evidenced by previously documented Pediatric first aid and CPR training on file expiring 10/31/25 and updated Pediatric first aid and CPR training documentation dated 11/5/25, being on file for both Staff 4 and 5. It was reported that both Staff 4 and 5 worked as Staff between 10/31/25 and 11/5/25.

Corrected by Jan 28, 2026

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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 1/28/26 Staff 5 had fire safety trainings dated 2/22/24 and 10/14/25, which is more than 12 months between fire safety trainings.

Corrected by Jan 28, 2026

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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 1/28/26 Staff 1 had a high school diploma and 0 years experience documented on file. Staff 1 has been working as an AGS.

Corrected by Feb 20, 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 1/28/26 Cert rep observed stacked furniture and equipment which creates a falling/tipping hazard in the unlocked left bathroom in Room 6.

Corrected by Jan 28, 2026

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

During a renewal inspection on 1/28/26 Cert rep observed peeling paint on the wall by the toilet in the last stall of the First unisex bathroom in Room 1.

Corrected by Feb 20, 2026

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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.

During a renewal inspection on 1/28/26 Cert rep observed accessible plastic bags in the unlocked purple closet in Room 2, and in the unlocked first bathroom in Room 6. These areas are accessible to children under 3 years old who may still be placing objects in their mouths.

Corrected by Jan 28, 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 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. This portion of the plan shall have an immediate correction date. 2. The operator will have Staff 1, 2, and 3 participate in in the following trainings on Better Kid Care: "Supervision: What's required?" (1 hour long) and "Supervision: Teamwork" (1 hour long) or the Spanish version of these trainings. If Staff 1, 2, and/or 3 have already completed these trainings the legal entity shall have Staff 1, 2, and 3 complete 2 hours of PQAS approved trainings related to supervision. The trainings used to fulfill this portion of the plan must be approved by the NE Regional Office before completion. The legal entity shall maintain documentation of the training certificates in the staff files. The provider shall provide a date when this portion of the plan will be completed.

During a renewal inspection on 1/28/26 Cert rep observed the following incident regarding supervision: Staff 1 and 2 were present in the Older Toddler room with 15 older toddler children who were napping. Staff 1 named and identified five children as being in their group, Staff 2 named and identified five children as being in their group, and five children were not identified as being in any assigned group. When cert rep questioned this it was determined that the five unassigned children were supposed to be in Staff 1's group, while Staff 3 was on break, however Staff 3 did not notify Staff 1 they were needing to take over the supervision of these children.

Corrected by Mar 1, 2026

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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.

During a renewal inspection on 1/28/26 Child 2's fee agreement was not signed by the operator and did not have the child's date of admission.

Corrected by Jan 28, 2026

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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 1/28/26 emergency contact forms for Children 1, 2, & 3 did not include parents' home address (Child 1), parents' work address (Children 1, 2, & 3), and parent's work phone number (Children 1& 2).

Corrected by Jan 28, 2026

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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 1/28/26 Cert Rep observed that the emergency contact forms for 10 young school aged children and 2 older school age children not present with them in Room 2, where they were receiving care.

Corrected by Feb 2, 2026

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

During an unannounced inspection on 7/9/25 Staff 2 did not complete mandated reporter training within 60 months of their previous mandated reporter training. This is evidenced by mandated reporter trainings on file being dated 2/1/20 and 2/20/25. Staff 2 is reported to have worked in a child care position between 2/1/25-2/20/25.

Corrected by Jul 9, 2025

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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). 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 address the staff:child ratios for both similar and mixed age groups. This policy shall address the steps staff should take when ratios are exceeded or not able to be maintained. 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.

On 7/9/25 during an unannounced inspection Cert rep observed the following incident regarding ratios: Staff 1-3 were present in the Lower level Lunch room with16 children. When cert rep questioned this it was determined Staff:child ratios were exceeded due to the ages of the children(2 older toddler, and 14 younger toddlers).

Corrected by Aug 25, 2025

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

During an unannounced inspection on 7/9/25 Cert rep observed 12 children in Room 3 multiple times over the course of the inspection. This room has a measured capacity of 8. The time period of when this room would be over capacity was not indicated on the daily schedule.

Corrected by Jul 9, 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. 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. This portion of the plan shall have an immediate correction date. 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 policy shall address how staff will keep track of their assigned groups throughout the day. 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.

On 7/9/25 during a complaint investigation Cert rep observed the following incident regarding supervision: Staff 1-3 were present in the Lower level Lunch room with16 children(2 older toddler, and 14 younger toddlers). Staff 1 named and identified 4 children(1 OT, 3 YT) as being in their group, Staff 2 named and identified 5 children(5 YT) as being in their group, and Staff 3 named and identified 5 children(5 YT) as being in their group. When cert rep questioned this it was determined that 1 child was identified as being in both Staff 1 and Staff 3's group, and 3 of the children were not identified as being in any assigned group.

Corrected by Aug 25, 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. Until such time as the required training has been completed, Staff persons 9 and 11 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise Staff persons 9 and 11, Staff persons 9 and 11 may not work in a child-care position or have direct contact with children at the facility.

Staff persons 9 and 11 have 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 Mar 14, 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.

During a renewal inspection on 1/10/25 Cert rep observed the following school buses owned by the facility and driven for transportation did not have a valid Pennsylvania State Police inspection for School buses: 2012 Chevrolet Express Cutaway, 2015 Chevrolet Express Cutaway, 2002 Chevrolet Bus, 2010 Chevrolet Bus, and the 2019 Blue bird Bus . All five School buses had an inspection sticker that expired 8/31/2024. This inspection is a Department of Transportation requirement.

Corrected by Jan 14, 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 a renewal inspection on 1/9/25 and 1/10/2025 it was noted that Staff 7 has not completed Emergency plan training. It has been more than 90 days since Staff 7's date of hire. Staff 10 and 11 have not completed emergency plan training in 2023 or 2024.

Corrected by Feb 3, 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. Facility Person 1, 2, 3, 4 and 5 may not work in a child care position at the facility until such time as the NSOR clearance certificate is obtained and in the Facility person's file. Staff 6, and Staff 8 may not work in a child care position at the facility until such time as the PSP clearance certificate is obtained and in the Facility person's file. Staff 7 may not work in a child care position at the facility until such time as the FBI clearance certificate is obtained and in the Facility person's file.

During a renewal inspection on 1/9/25 and 1/10/25 Cert rep noted the following concerns regarding the CPSL: 1) NSOR clearance's for Facility Person's 1, 2, 3, 4, 5 were not completed in the past 60 months. Evident by NSOR certificate's dated 11/6/2019 for all five staff. 2) Staff 6 and Staff 8 had a PSP request dated 9/24/24 and 1/2/24 respectively on file but did not have the PSP clearance certificate on file. Staff were outside of their 45 day provisional hire window (See code sheet for DOH) 3) Staff 7 did not have a FBI clearance certificate or request on file. 4) Staff 6 and 9 had disclosure statements that were not dated. Staff 6's disclosure statement did not have a witness signature.

Corrected by Jan 9, 2025

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3270.35(b)(3) · A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children.

During a renewal inspection on 1/10/25 Cert rep noted Staff 8 does not have 2500 hours(2 years) of child experience verified on file. Staff 8 has an associate's degree in early education and 1059 hours of childcare experience on file. Staff 8 has been working as a group supervisor.

Corrected by Feb 24, 2025

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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.

During a renewal inspection on 19/25 and 1/10/25 it was noted the facility only has one Group supervisor. Staff reported that at any given time the maximum number of children present at the facility is 108, which would require 3 group supervisors. The director cannot act as a group supervisor because more than 45 children are enrolled.

Corrected by Mar 1, 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.

During a renewal inspection on 1/9/25 Staff 9 and 12 do not have documentation of verification of childcare experience in their files. Staff 9 and 12 have high school diplomas in their files. Staff 9 and 12 have been working as assistant group supervisors.

Corrected by Feb 24, 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 a renewal inspection on 1/9/25 cert rep supervisor observed Windex on a low accessible shelf in the unlocked yellow closet in the infant/toddler room. Clorox wipes were observed to be accessible to children in school age classroom. Both are cleaning materials and labeled "keep out of reach of children"

Corrected by Jan 9, 2025

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

During a renewal inspection on 1/9/25 Cert rep supervisor observed the downstairs lunchroom/Room 6 did not have a first aid kit. This room is licensed as child care space.

Corrected by Jan 9, 2025

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3270.75(c)/3270.178 · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. 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 on 1/10/25 Cert rep observed the first aid kit on the 2019 Bluebird Bus/Bus #20 did not have tweezers.

Corrected by Jan 10, 2025

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3270.82(h)/3270.134(a) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

During a renewal inspection on 1/9/25 cert rep supervisor observed there was no handwashing signs in the bathroom of the preschool/Classroom #1, and the boy's bathroom in the downstairs lunch room/Room 6. Additionally Cert rep supervisor observed children not washing their hands before lunch in room 6/downstairs lunch room. Staff "cleaned" the children's hands with a paper towel that was wet with water only.

Corrected by Jan 9, 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 1/9/25 it was noted the following information is not being provided in writing to the parents: daily schedule and hours of operation.

Corrected by Jan 10, 2025

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3270.123(a)(1)/3270.123(a)(4) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the child's arrival and departure times.

During a renewal inspection on 1/9/25 and 1/10/25 Child 5's fee agreement did not state the fee amount or the child's arrival and departure times.

Corrected by Feb 3, 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 1/9/25 and 1/10/25 it was noted Child 2's Child Service Report was not dated. Child 2 has been enrolled for more than 6 months(see code sheet of date of admission).

Corrected by Feb 3, 2025

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3270.124(b)(1)/3270.124(b)(3) · Emergency contact information must include the name and birth date of the child. Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

During a renewal inspection on 1/9/25 and 1/10/25 Child 3's emergency contact form did not have Child's DOB. Child 3's and Child 5's emergency contact forms did not have parents' home and work addresses and phone numbers. Child 4's emergency contact form did not have father work address and phone number.

Corrected by Feb 3, 2025

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3270.124(b)(2)/3270.124(b)(6) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

During a renewal inspection on 1/9/25 and 1/10/25 Child 7's emergency contact form did not have name, address and telephone number of the child's physician or source of medical care. Child 5's emergency contact form did not have information on health insurance coverage and policy number.

Corrected by Feb 3, 2025

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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.

During a renewal inspection on 1/9/25 and 1/10/25 Child emergency contact form did not list the release persons address. Child 7's emergency contact form did not have name address or phone of release persons.

Corrected by Feb 3, 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 on 1/10/25 Cert rep observed the emergency medical transportation plan was not located on the transportation vehicles or in the binders taken with staff when transportation is provided for children. Staff reported this plan is not taken with them when transporting children.

Corrected by Feb 3, 2025

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3270.131(d)(7)/3270.131(d)(8) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

During a renewal inspection on 1/9/25 Child 1's health assessment does not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease. Child 1 and Child 4's health assessment does not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Corrected by Feb 24, 2025

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3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

During a renewal inspection on 1/9/25 Cert rep supervisor observed Medication logs for the following Child 8 did not have signed parental consent to administer the Child's Acetaminophen. Child 10's medication log indicated both Tylenol and ibuprofen were administered to the child. No where on Child 10's medication log does it indicate parental consent to administer ren did not include sign parental consent to administer Tylenol or ibuprofen.

Corrected by Jan 10, 2025

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3270.133(7)(i) · A medication log shall include the name of the medication.

During a renewal inspection on 1/9/25 Cert rep supervisor observed medication log for Child 8 that did not state the name of the medication on the log. This medication log noted this medication was a prescription medication.

Corrected by Jan 10, 2025

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3270.133(7)(iv) · A medication log shall include the amount of medication administered.

During a renewal inspection on 1/9/25 Cert rep supervisor observed Child 10's medication log is two pages. On the first page of Child 10's log both Albuterol and Amoxicillin are listed. Only 1 dosage amount is listed, and it does not indicate which medication this dosage applies to. Both medications were administered to Child 10.

Corrected by Jan 10, 2025

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

During a renewal inspection on 1/9/25 cert rep supervisor observed the emergency contact form for Child 2 and Child 11 had been updated in the children's files, but was not updated in the emergency contact form in the children's classroom. This was evident by information such as parent's address and number numbers not being present on the emergency contact forms in the classroom but were present on the master copy in the children's file.

Corrected by Feb 24, 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 1/9/25 Cert rep was unable to see documentation the emergency plan was sent to the local municipality. Staff reported they did not remember sending the emergency plan to the local municipality.

Corrected by Feb 3, 2025

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3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

During a renewal inspection on 1/9/25 Cert rep noted Child 2's initial health assessment was dated 7/23/24. This is more than 60 days after the child's enrollment date. (See code sheet for date of enrollment).

Corrected by Jan 10, 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 the Renewal Inspection on 1/4/2024, Staff #1 had completed clearance information on file. However, the FBI clearance on file for Staff #1 was dated 2/2/2023. The prior FBI clearance on file was dated 1/12/2017.

Corrected by Jan 4, 2024

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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 1/4/2024, it was observed that the play structure in the outdoor play area did not have at least 6 inches of rubber mulch surrounding the fall areas for this equipment that requires embedded mounting.

Corrected by Jan 5, 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.

On 1/4/2024, Staff #2 did not have verification of education and previous childcare experience on file. See LIS code sheet.

Corrected by Jan 19, 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 1/4/2024, Staff #2 did not have two written, nonfamily references on file. See LIS code sheet.

Corrected by Jan 19, 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 the Renewal Inspection on 1/4/2024, The most recent emergency drill conducted at the facility was documented to have been on 12/20/2022.

Corrected by Jan 12, 2024

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3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

During the review of child files on 1/5/2024, the initial health report on file for Child #1 was dated 12/28/2023. This was not within 60 days of the child's first day of attendance at the facility. See LIS code sheet.

Corrected by Jan 5, 2024

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3270.113(b)/3270.113(e) · A facility person may not use any form of physical punishment, including spanking a child. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. The legal entity must arrange for all facility staff employed as of the date of the training to receive a minimum of 2 hours of PQAS-approved in-person or live training regarding behavior management of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

An unannounced investigation was conducted on 9/28/2023. Following staff interviews, it was determined that the facility did previously use a highchair for discipline. On 9/28/2023, Staff #1, also admitted that a previously enrolled 4-year-old child had been physically restrained to prevent him from punching himself in the face and banging his head on the floor.

Corrected by Nov 10, 2023

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3270.113(b)/3270.113(e) · A facility person may not use any form of physical punishment, including spanking a child. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

An unannounced investigation was conducted on 9/28/2023. Following staff interviews, it was determined that the facility did previously use a highchair for discipline. On 9/28/2023, Staff #1, also admitted that a previously enrolled 4-year-old child had been physically restrained to prevent him from punching himself in the face and banging his head on the floor.

Corrected by Sep 28, 2023

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-9. Staff person #2 will have until 10/27/2023 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): The required pre-service health and safety training.

Corrected by Oct 18, 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.

On 9/28/2023, staff persons #1, #2 and #3 did not have any written, nonfamily references on file. See LIS code sheet.

Corrected by Oct 2, 2023

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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 #1, #2 and #3 will have until 10/27/2023 to complete the required training. Until such time as the required training has been completed, staff persons #1, #2 and #3 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 persons #1, #2 and #3, staff persons #1, #2 and #3 may not work in a child-care position at the facility.

Staff persons #1, #2 and #3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR).

Corrected by Oct 17, 2023

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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 required staff:child ratios must be maintained at all times. The legal entity must develop written policies and procedures for maintaining the required staff-to-child ratios at all times to be implemented at the facility. The written policies must address procedures for maintaining staff-to-child ratios at all times, including during all transition times, and procedures for floating/substitute staff to cover staff restroom breaks. The written policies must specifically address transitions from the classroom to other areas of the facility and back, including a procedure to ensure that all children in their assigned group are present and with their assigned staff person before transitioning, during the transition and upon completion of the transition to and from the classroom at all times. This procedure may include counting the children or completing a face-to-name recognition. The legal entity will submit the policies/procedures to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies and procedures and the documentation must be kept at the facility.

An unannounced inspection was conducted on 12/27/2022. Staff #1 was observed working alone with a mixed age group of 15 young school age and older school age children. The required staff to child ratio for this mixed age group is 1 staff to 12 children. An acceptable plan of correction was received on 1/30/2023. An unannounced verification visit was conducted on 2/17/2023. At 11:07 AM on 2/17/2023, Staff #2, #3 and #4 were observed working with a with a mixed age group of 47 young school age and older school age children. Four staff are required to maintain the required staff to child ratio for this mixed age group. Staff #5 had reportedly went to use the restroom. Staff #5 did not return to the classroom until 11:17 AM.

Corrected by Mar 17, 2023

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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 to child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff to child ratios must be maintained at all times. The legal entity must arrange for all facility staff, who are employed as of the date of the training, to receive a minimum of 3 hours of PQAS-approved training regarding training regarding supervision and ratios. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training.

An unannounced inspection was conducted on 12/27/2022. Staff #1 was observed working alone with a mixed age group of 15 young school age and older school age children. The required staff to child ratio for this mixed age group is 1 staff to 12 children. An acceptable plan of correction was received on 1/30/2023. An unannounced verification visit was conducted on 2/17/2023. At 11:07 AM on 2/17/2023, Staff #2, #3 and #4 were observed working with a with a mixed age group of 47 young school age and older school age children. Four staff are required to maintain the required staff to child ratio for this mixed age group. Staff #5 had reportedly went to use the restroom. Staff #5 did not return to the classroom until 11:17 AM.

Corrected by Mar 24, 2023

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

An unannounced inspection was conducted on 12/27/2022. Staff #1 was observed working alone with a mixed age group of 15 young school age and older school age children. The required staff to child ratio for this mixed age group is 1 staff to 12 children. An acceptable plan of correction was received on 1/30/2023. An unannounced verification visit was conducted on 2/17/2023. At 11:07 AM on 2/17/2023, Staff #2, #3 and #4 were observed working with a with a mixed age group of 47 young school age and older school age children. Four staff are required to maintain the required the staff to child ratio for this mixed age group. Staff #5 had reportedly went to use the restroom. However, Staff #5 did not return to the classroom until 11:17 AM.

Corrected by Feb 17, 2023

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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.

Staff #2 completed pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on 12/3/2022. However, the previous pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) certification on file for Staff #2 was dated 12/3/2019; thus, it had expired in December of 2021.

Corrected by Jan 12, 2023

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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 #1 will have until 1/27/2023 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 who has completed the required training related to this citation. If there are no staff available to supervise staff persons#1, 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): Professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR)

Corrected by Jan 12, 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.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: The required pre-service health and safety training and Pediatric First Aid/CPR. See LIS code sheet.

Corrected by Dec 28, 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). Staff #1 may not work in a childcare position at the facility. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #1 may not work in a childcare position at the facility.

An unannounced inspection was conducted on 12/27/2022, Staff #1 did not have the completed DHS FBI, child abuse or National Sex Offender Registry (NSOR) clearances or the requests for these clearances on file. Staff #1 was observed working unsupervised with a group of children on 12/27/2022.

Corrected by Dec 28, 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). The required staff: child ratios must be maintained at all times.

An unannounced inspection was conducted on 12/27/2022. Staff #1 was observed working alone with a mixed age group of 15 young school age and older school age children. The required staff to child ratio for this mixed age group is 1 staff to 12 children.

Corrected by Dec 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). Facility Person #1 and #2 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 and #2 may not work in a child care position at the facility until they have the completed National Sex Offender Registry (NSOR) clearance on file.

During the Renewal Inspection on 1/25/2022, Staff #1 and Staff #2 did not have the National Sex Offender Registry (NSOR) clearance on file. Staff #3 was rehired on 10/5/2021. The most recent state police clearance on file for Staff #3 on 1/25/2022 was dated 4/21/2016. Staff #4 had current clearances on file, However, the previous state police and child abuse clearances on file were dated 8/17/2016 and 8/2/2016. They were renewed on 9/23/2021 and 10/4/2021.

Corrected by Jan 25, 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.

Staff #2 was identified as the cleaning person in the facility. On 1/25/2022, Staff #2 did not have the health assessment and tuberculosis screening required at initial employment on file.

Corrected by Feb 4, 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

On 1/25/2022, Staff #2 and Staff #5 did not have any written, nonfamily references on file.

Corrected by Feb 4, 2022

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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 a Complaint Inspection on 9/16/2021, the fire drill log documented that fire drills were held on 7/21/2021 and 8/15/2021. However, the most recent documented fire drill prior to 7/21/2021 was on 12/23/2020.

Corrected by Jul 21, 2021

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