Catholic Youth Center Day Care

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

On 03/26/26, a facility vehicle driven by facility person #1 was involved in an accident while transporting children. Facility person #1 was issued traffic citations for the accident after failing to stop at a stop sign and/or failing to yield to a vehicle after stopping at a stop sign.

Corrected by Mar 26, 2026

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3270.112/3270.113(a) · Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried. 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.

On 3/9/26, the facility self-reported that, on 3/6/26, at approximately 10:40am, staff #1 was observed on video on her phone and not supervising children in the toddler room. Child #1 was observed on the video fighting with a peer over a toy with no intervention by staff #1. It was further reported was that staff #1 grabbed child #1 by the child's arm and leg (both on same side of the child's body) and carried the child to the other side of the room and dropped child #1 down roughly causing child #1 to cry. Staff #1 returned to her phone and did not attend to child #1. Staff #1 was brought to the director's office and fired immediately per policy at the facility. The inspector viewed the video and found that the events occurred as described in the self-reported noncompliance.

Corrected by Mar 9, 2026

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

On 3/9/26, the facility self-reported that on 3/6/26, at approximately 10:40am, staff #1 was observed on video on her phone and not supervising children in the toddler room. Further reported was that staff #1 grabbed child #1 by the child's arm and leg (both on same side of the child's body) and carried the child to the other side of the room and dropped child #1 down roughly causing child #1 to cry. Staff #1 was brough to the director's office and fired immediately per policy at the facility. The inspector viewed the video and found that the events occurred as described in the self-reported noncompliance.

Corrected by Mar 9, 2026

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

The inspector observed a child in the infant room in a Bumbo baby seat that was not strapped in as is required.

Corrected by Dec 12, 2025

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3270.115(a)(4) · An indoor swimming pool which is not in use shall be made inaccessible to children. TIEREDLIS: 1. An indoor swimming pool which is not in use shall be made inaccessible to children. This portion of the plan must have an immediate correction date. 2. The director must develop and implement a detailed plan that will ensure that the pool is made inaccessible to children at all times. The plan should outline actions the facility will take against staff who violate this plan. This plan must be submitted to the DHS Northeast Regional Office prior to implementation for approval. Once it is accepted by the DHS Northeast Regional Office the director will ensure all staff and facility persons review the plan and sign off on the plan as well as all new hires moving forward. The correction date for this should reflect a date that allows for the development and review of the plan as well as time to train staff on the plan.

On 1/6/26 the inspector observed a door to the pool to be propped open with pool noodle and accessible to children.

Corrected by Jan 6, 2026

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3270.21/3270.76 · Conditions at the facility may not pose a threat to the health or safety of the children. 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 1/6/26 the inspector observed the ceiling on the third floor to have a leak as evidenced by drip marks and an 18-gallon tote filled with water collected from the leak accessible to children. The inspector was informed that the tote was placed under the ceiling leak to catch the water.

Corrected by Jan 6, 2026

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3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1.Children must be supervised at all times. The correction date for this must be immediate. 2. The facility director shall make a revision to the existing child supervision policy to include a tangible means to ensure that children remain assigned to staff. This tangible means of ensuring supervision must be able to be portable, easy to part out, either in total or individually to other staff. This revision will ensure that all children are accounted for and supervised by staff at all times. This revision must be submitted to the DHS Northeast Regional Office prior to implementation for approval. Once this revision is accepted by the DHS Northeast Regional Office the director will ensure all staff and facility persons are trained and sign off on the revision as well as all new hires moving forward. The correction date for this should reflect a date that allows for the development and review of the revision as well as time to train staff on the revision.

On 1/6/26 a supervision check was conducted in the toddler room (Tiny Tots) the inspector observed eleven older toddlers with staff #1 and #2. When asked to name the children they were responsible for staff #1 named and pointed to four toddlers. Staff #2 was also asked and pointed to and named three toddlers leaving four older toddlers unaccounted for.

Corrected by Feb 15, 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.

During the course of the unannounced complaint investigation, it was determined that the facility did not provide an accident report to the parent of child #1 on 9/17/25, the date of the accident or afterwards.

Corrected by Oct 27, 2025

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

During the course of the unannounced renewal inspection the inspector observed mouse droppings on the floor in the and around the equipment in the kitchen area.

Corrected by Sep 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. 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 is completed, staff persons #2. #3, and #5 must be supervised when interacting with children by an Assistant Group Supervisor who has completed the required training related to the citation. If there are no staff available to supervise staff persons #2 #3 and #5, staff persons #2, #3, and #5 may not work in childcare positions at the facility.

During the course of the unannounced renewal inspection the inspector observed the files for staff #2, #3, and #5, and found that all three staff have had direct contact with children and were missing the required Health and Safety training. Staff #11 completed the required pre-service training (see LIS Code Sheet), Health and Safety training over the 90 daytime frame allotted since hire. Staff #6, #7, #8, #9, #10, and #11 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected by Oct 3, 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 the course of the unannounced renewal inspection the inspector observed the files for staff #1, #2, #3, #5 and none had proof of having had fire safety training. Staff #11 did not update their fire safety training annually with the previous fire safety training having been dated 3/16/24 and the most current dated 4/7/25.

Corrected by Oct 10, 2025

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3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1). Until such time as the required training has been completed, staff persons #2, #4, and #5 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 #2, #4 and #5, staff persons #2, #4 and #5may not work in a child-care position at the facility.

During the course of the unannounced renewal inspection the inspector observed the files for staff #2, #4, and #5 and noted that all three did not have any proof of having any Pediatric 1st Aid and CPR and have direct care with children.

Corrected by Oct 31, 2025

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

During the course of the unannounced renewal inspection the inspector observed five bottles of Equate hand sanitizer in the first-grade classroom sitting out on a table and in reach of children.

Corrected by Sep 17, 2025

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3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

During the course of the unannounced renewal inspection the inspector observed the windows on the third floor (Preschool Prep) to be opened over six inches.

Corrected by Sep 30, 2025

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

During the course of the unannounced renewal inspection the inspector observed that the entire first aid kit in the concession area was missing.

Corrected by Oct 6, 2025

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

During the course of the unannounced renewal inspection the inspector observed the first aid kit in the red gym to be missing band aids and soap. Two of the vans used for transportation were missing water and soap.

Corrected by Sep 30, 2025

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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.

The inspector observed two large holes in the wall in the preschool prep classroom, evidence of leaking in the kinder tots bathroom as well as missing ceiling tiles, ripped carpeting in the kindergarten classroom, the metal screen in the bathroom on the main floor to be sharp and peeling from the door. The inspector also observed exposed bolts and broken aluminum twist ties on the fencing for the outdoor play area as well as two broken benches and lifted and broken macadam in the fenced play area.

Corrected by Oct 1, 2025

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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 the course of the unannounced renewal inspection the inspector observed chipped paint in the main hallway, 1st grade classroom bathroom, kindergarten classroom, kinder tot classroom bathroom and cubby area, preschool classroom and bathroom, preschool prep classroom, and lunchroom.

Corrected by Oct 12, 2025

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

During the course of the unannounced renewal inspection the inspector observed the finger/pinch guards on the doors in the facility to be falling off and in disrepair.

Corrected by Sep 30, 2025

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

During the course of the unannounced renewal inspection the inspector observed torn cushions on a couch in the lunchroom as well as ripped folding chairs in the concession area.

Corrected by Oct 4, 2025

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

During the course of the unannounced renewal inspection the inspector found that thermometers were missing from the kinder tots classroom and preschool prep classroom.

Corrected by Sep 17, 2025

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

During the course of the unannounced renewal inspection the inspector found that the facility was using Styrofoam for food service.

Corrected by Sep 30, 2025

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3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan must have an immediate correction date. 2.The legal entity must arrange for staff #12 to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when this training is completed.

During the course of the unannounced renewal inspection supervision checks were conducted. The inspector asked staff # 12 to point to and name each child they were assigned to. Staff #12 could not identify the children they were responsible for during this time.

Corrected by Oct 30, 2025

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3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

During the course of the unannounced renewal inspection the inspector observed the file for child #5 and found that a fee agreement was missing.

Corrected by Sep 17, 2025

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3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

During the course of the unannounced renewal inspection the inspector observed the files for child #1 and #6 and found that there were both missing release persons designated on the agreement forms as are required.

Corrected by Oct 3, 2025

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

During the course of the unannounced renewal inspection the inspector observed the files for child #5 and found that the physician's telephone number was missing. The file for child #7 was missing the name, address and telephone number of the child's physician.

Corrected by Sep 30, 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 the course of the unannounced renewal inspection the inspector observed the files for children #1, #2, #3, #4, #5, #6, and #8 were all missing the required home and work addresses and telephone numbers of the enrolling parent.

Corrected by Oct 14, 2025

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

During the course of the unannounced renewal inspection the inspector observed the files for child #7 found that it did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits.

Corrected by Sep 29, 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 the course of the unannounced renewal inspection the inspector observed the file for child #1 and found that it was missing the name, address and telephone number of the individual designated by the parent to whom the child may be released. The files for children #2, #6, and #8 were missing the release person's address. The files for children #7 and #8 were missing the telephone numbers of the designated release person.

Corrected by Oct 14, 2025

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3270.131(d)(8) · 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 the course of the unannounced renewal inspection the inspector observed the file for child #8 and found that this child was missing the age-appropriate screenings recommended by the American Academy of Pediatrics.

Corrected by Oct 14, 2025

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

During the course of the unannounced renewal inspection the inspector observed the file for staff #2, #3, #4, #5 and found that all four staff were missing a health assessment and TB screening as is required for direct care with children. Staff #8 and #11did not update their health assessment every twenty-four months as evidenced by a previous health assessment for staff #8 dated 4/29/22 and the most recent dated 5/9/24. Staff #11 had a previous health assessment dated 5/25/23 and no update since.

Corrected by Nov 4, 2025

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

During the course of the unannounced renewal inspection the inspector observed the files for children #3, #6, #8 were all missing the required parental signatures for emergency medical care for the children as well as administration of minor first-aid procedures by facility staff.

Corrected by Oct 14, 2025

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

During the course of the unannounced renewal inspection the inspector observed the file for child #3 and found it was missing the required signed parental consent for transportation, walking excursions, swimming and wading.

Corrected by Oct 14, 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 the course of the unannounced renewal inspection the inspector observed the file for staff #2, #3, and #5 and found all were missing the two required written nonfamily references.

Corrected by Oct 14, 2025

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

During the course of the unannounced renewal inspection the inspector observed the file for child #7 and found that the health assessment was dated past the 60 days following the first day of attendance at the facility (see LIS Code Sheet for DOA).

Corrected by Oct 14, 2025

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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.

While at the facility unannounced on 8/7/25 the inspector observed a leak on the third-floor ceiling.

Corrected by Aug 20, 2025

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

On 7/14/25 the director contacted OCDEL to self-report that staff #1 was observed on video grabbing child #1 by their hair and moving them away from a table. Staff #1 was immediately terminated on 7/14/25.

Corrected by Jul 14, 2025

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a childcare position at the facility. s of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL.

Durning the course of the unannounced visit at the facility the inspector reviewed the file for staff #1 and found that this staff was missing a necessary out of state clearance.

Corrected by Apr 2, 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. 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. Each staff person shall be assigned the responsibility for supervision of specific children. TIERED LIS: 1. Children must be supervised at all times. The correction date for this portion of the plan must be immediate. 2. The legal entity must arrange for all staff to receive a minimum of three hours of training regarding Supervision. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive approval from the DHS Northeast Regional Office regarding the training content prior to scheduling the training. The provider must provide a correction date for when the training will be completed.

On 3/12/25 the director self-reported to DHS that child #1 was left alone in a classroom, for four minutes, after staff #1 left the room leaving the child behind.

Corrected by May 3, 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.

Durning the unannounced renewal inspection the inspector reviewed the file for staff #1, This staff did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Corrected by Aug 30, 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 #3 may not work in a childcare position at the facility.

Durning the unannounced renewal inspection the inspector reviewed the file for staff #3 was hired with a volunteer Pa Child Abuse clearance and not an employment version as is required. Staff #4 has been employed over 90 days and did not have PA Mandated Reporter training as is required.

Corrected by Aug 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.

Durning the unannounced renewal inspection the inspector and director toured the outdoor play spaces and found the aluminum fencing ties to be broken creating areas that require repair.

Corrected by Sep 27, 2024

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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.

Durning the unannounced renewal inspection the inspector and director toured the facility, and chipped paint was observed in the preschool room, 1st grade room, library, little learner room, and new beginning rooms.

Corrected by Sep 27, 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.

Durning the unannounced renewal inspection the inspector and director discussed an incident that occurred recently where a child got their finger pinched in a door at the facility that required emergency medical care.

Corrected by Oct 11, 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. The facility must install finger pinch door guards throughout the facility to ensure that pinch points are not accessible to children in care.

Durning the unannounced renewal inspection the inspector and director discussed an incident that occurred recently where a child got their finger pinched in a door at the facility that required emergency medical care.

Corrected by Oct 11, 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.

Durning the unannounced renewal inspection the inspector reviewed child files and found that child #2 had updated the emergency contact and agreement forms annually versus every six months or as needed.

Corrected by Sep 27, 2024

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

Durning the unannounced renewal inspection the inspector reviewed the file for staff #4 (facility cook) and noted that this staff was hired with a health assessment dated 9/17/18. The health assessment must be within a year old at the time of hire.

Corrected by Sep 23, 2024

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3270.131(a)/3270.131(b)(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Durning the unannounced renewal inspection the inspector reviewed child files and found that child #1 did not have an updated child health assessment on file since enrollment. The file for child #2 did not obtain an initial health assessment until nine months from enrollment.

Corrected by Sep 27, 2024

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3270.111(c)/3270.113(a)(1) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The facility director will implement a supervision policy that will ensure staff fully understand their responsibility regarding the supervision of children at all times. This policy must be submitted to DHS prior to implementation for approval. Once this policy is accepted by DHS the director will ensure all staff and facility persons sign off on this policy presently and moving forward.

During the complaint investigation that began on 8/9/24 the inspector was able to verify that on 7/26/24, during the afternoon, staff #1 was not supervising the children in their group which resulted in two children engaging in a physical altercation.

Corrected by Aug 9, 2024

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3270.111(c)/3270.113(a)(1) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

During the complaint investigation that began on 8/9/24 the inspector was able to verify that on 7/26/24, during the afternoon, staff #1 was not supervising the children in their group which resulted in two children engaging in a physical altercation

Corrected by Aug 9, 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 #5 may not work in a child care position at the facility.

An unannounced inspection was conducted. A review of staff files was conducted. See the code sheet for the date of hire. Staff #5 was hired using volunteer state police clearance. The appropriate state police clearance was not applied for prior to Staff #5 working in child care.

Corrected by Apr 18, 2024

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

An unannounced inspection was conducted. A review of staff files was conducted. See the code sheet for the date of hire. Staff #5 has worked in child care and the file did not contain a health assessment prior to working in child care.

Corrected by Mar 26, 2024

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

An inspection occurred at the facility. A physical site review was conducted. Through staff interviews it was determined that on 3/4/24, the preschool classroom contained 36 children with 2 staff. This classroom has a measured capacity of 20. The classroom was over capacity by 16 children. Documentation showed that another preschool classroom (kinder-tots) measured for 13 children and on 3/13/24, this classroom contained 14 children. This classroom was over capacity by 1 child.

Corrected by Mar 15, 2024

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3270.61(h) · The capacity established for an indoor space may not be exceeded. The maximum capacity for each child care space shall be printed and posted in a conspicuous area in each child care space.

An inspection occurred at the facility. A physical site review was conducted. Through staff interviews it was determined that on 3/4/24, the preschool classroom contained 36 children with 2 staff. This classroom has a measured capacity of 20. The classroom was over capacity by 16 children. Documentation showed that another preschool classroom (kinder-tots) measured for 13 children and on 3/13/24, this classroom contained 14 children. This classroom was over capacity by 1 child.

Corrected by Apr 3, 2024

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3270.51/3270.52 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The legal entity, director or supervisor will develop a policy to ensure appropriate supervision and ratios are always maintained when unforeseen circumstances arrive such as staff calling off or staff running late. The legal entity, director or supervisor will also develop a policy for staff and how they should handle situations when parents do not follow their agreed upon drop-off and pick-up times to ensure appropriate ratios are always maintained. This policy will be submitted to the Regional Office for review and, upon approval, will be reviewed with all staff. Staff will sign off that they have reviewed and understand these policies and this documentation will remain on file at the facility.

A complaint inspection was conducted at the facility. After reviewing facility paperwork, video footage, and interviewing staff, it was determined that the facility was out of ratio on multiple occasions. Staff admitted that on 3/4/24, the classroom that contained Staff #1 and #2 had 36 preschool children. This amount of children requires at least 4 staff. Video footage was viewed for this same day for the infant and toddler room. At 8:50 a.m., Staff #3 had 5 infants and toddlers. At 9:50 a.m., Staff #3 had 7 infants and toddlers. At 11:30 a.m., Staff #3 had 8 infants and toddlers. Staff #3 was out of ratio until another staff came in at 11:40 a.m. Two staff persons would have been required to meet ratio from 8:50 a.m. until 11:40 a.m. Staff also admitted that on 3/13/24, Staff #4 was in a classroom with 14 preschool children. This amount of children requires at least 2 staff persons.

Corrected by May 14, 2024

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3270.51/3270.52 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The legal entity must arrange for all facility staff to receive a minimum of three hours of PQAS-approved training, regarding supervision and appropriate ratios of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

A complaint inspection was conducted at the facility. After reviewing facility paperwork, video footage, and interviewing staff, it was determined that the facility was out of ratio on multiple occasions. Staff admitted that on 3/4/24, the classroom that contained Staff #1 and #2 had 36 preschool children. This amount of children requires at least 4 staff. Video footage was viewed for this same day for the infant and toddler room. At 8:50 a.m., Staff #3 had 5 infants and toddlers. At 9:50 a.m., Staff #3 had 7 infants and toddlers. At 11:30 a.m., Staff #3 had 8 infants and toddlers. Staff #3 was out of ratio until another staff came in at 11:40 a.m. Two staff persons would have been required to meet ratio from 8:50 a.m. until 11:40 a.m. Staff also admitted that on 3/13/24, Staff #4 was in a classroom with 14 preschool children. This amount of children requires at least 2 staff persons.

Corrected by Jun 2, 2024

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3270.51/3270.52 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. 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.

A complaint inspection was conducted at the facility. After reviewing facility paperwork, video footage, and interviewing staff, it was determined that the facility was out of ratio on multiple occasions. Staff admitted that on 3/4/24, the classroom that contained Staff #1 and #2 had 36 preschool children. This amount of children requires at least 4 staff. Video footage was viewed for this same day for the infant and toddler room. At 8:50 a.m., Staff #3 had 5 infants and toddlers. At 9:50 a.m., Staff #3 had 7 infants and toddlers. At 11:30 a.m., Staff #3 had 8 infants and toddlers. Staff #3 was out of ratio until another staff came in at 11:40 a.m. Two staff persons would have been required to meet ratio from 8:50 a.m. until 11:40 a.m. Staff also admitted that on 3/13/24, Staff #4 was in a classroom with 14 preschool children. This amount of children requires at least 2 staff persons.

Corrected by Mar 15, 2024

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3270.113(a)(2) · The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

A complaint inspection was conducted at the facility. After reviewing facility paperwork, video footage, and interviewing staff, it was determined that the facility was out of ratio on multiple occasions. Staff admitted that on 3/4/24, the classroom that contained Staff #1 and #2 had 36 preschool children. This amount of children requires at least 4 staff. Video footage was viewed for this same day for the infant and toddler room. At 8:50 a.m., Staff #3 had 5 infants and toddlers. At 9:50 a.m., Staff #3 had 7 infants and toddlers. At 11:30 a.m., Staff #3 had 8 infants and toddlers. Staff #3 was out of ratio until another staff came in at 11:40 a.m. Two staff persons would have been required to meet ratio from 8:50 a.m. until 11:40 a.m. Staff also admitted that on 3/13/24, Staff #4 was in a classroom with 14 preschool children. This amount of children requires at least 2 staff persons.

Corrected by Mar 15, 2024

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3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person # 11 and # 30 will have until 11/18/23 to complete the required training. Until such time as the required training has been completed, staff person # 11, # 18 and # 30 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 # 11, # 18 and # 30, staff person # 11, # 18 and # 30 may not work in a child-care position at the facility.

An inspection occurred at the facility from 4/11/23 to 4/27/23. During that time, staff files were viewed. See the code sheet for the dates of hire of staff. Staff persons # 1, # 3, # 5, # 14, and # 36 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training topics. Staff persons # 1, # 3, # 5, # 14, # 17, # 20, # 21, # 25, # 26, # 28, # 30, # 31, # 33, # 34, and # 36 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. An acceptable plan of correction was received on 5/23/23. An inspection occurred at the facility from 10/18/23 to 11/2/23. During that time, staff files were viewed. Staff # 13 and # 21 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training topics. Staff # 13 took health and safety training topics on 7/31/23. Staff # 21 took health and safety training topics on 4/2/23. The file of Staff # 30 was reviewed. Staff # 30 still did not complete appropriate pediatric first aid/CPR. The file of Staff # 11 was also reviewed. Staff # 11 was working at the facility without having current training in pediatric first aid/CPR. This staff last took the training on 10/26/19. Staff # 18 does not current pediatric first aid/CPR training. The file of Staff # 4 was reviewed, and this staff did not update their pediatric first aid/CPR training prior to their current training expiring. Staff # 4 took this training on 5/5/21 and did not take pediatric first aid/CPR training until 6/6/23. The file of Staff # 18 was reviewed, and this staff did not update their pediatric first aid/CPR training prior to their current training expiring. Staff # 18 took this training on 6/9/21. Staff # 18 does not current pediatric first aid/CPR training.

Corrected by Nov 18, 2023

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

An inspection occurred at the facility from 4/11/23 to 4/27/23. Staff files were reviewed. See the code sheet for the dates of hire of staff. Staff # 4 clearances are expired and dated as follows: child abuse 4/5/18 and the FBI 4/4/18. Staff # 24 had an FBI clearance expired on 1/13/18and this clearance was not updated until 1/18/23. Staff # 32 had a child abuse clearance expired on 12/14/17 and this clearance was not updated until 1/23/23 and had an FBI clearance dated 4/18/18 that has not yet been updated. The clearances of Staff # 4, # 24, and # 32 were not updated every 60 months as required by the CPSL. The file of Staff # 3 indicated this staff had lived in New York and Connecticut. See the code sheet for the date of hire of this staff and at the time of this inspection, the file of Staff # 3 did not have the clearances for these states. Staff # 3 was hired in correctly as a provisional hire. The file of Staff # 13 indicated this staff had lived in New York. See the code sheet for the date of hire of this staff and at the time of this inspection, the file of Staff # 13 did not have the clearances for this state. Staff # 13 was hired in correctly as a provisional hire. See the code sheet for the date of hire of Staff # 34. Staff # 34 was hired using a volunteer child abuse clearance dated 3/29/22. Staff # 34 was hired incorrectly per the CPSL. See the code sheet for the date of hire of the following staff: Staff # 25, and # 26. These staff did not have a signed and dated disclosure statement in their file. An acceptable plan of correction was received on 5/23/23. An inspection occurred at the facility from 10/18/23 to 11/2/23. A review of staff files was conducted. Staff # 17 was hired incorrectly as a provisional hire. See the code sheet for the date of hire. Staff # 17 did not have a child abuse clearance prior to working in a child care role at the facility. Staff # 17 did not receive a child abuse clearance until 9/7/23.

Corrected by Nov 3, 2023

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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.

An inspection occurred at the facility from 4/11/23 to 4/27/23. A physical site review was conducted. In the preschool prep classroom, in the children's cubbies, a bottle of calamine lotion was found and accessible to children. The label on this bottle indicated that the bottle was to be kept out of reach of children. An acceptable plan of correction was received 5/23/23. An inspection occurred at the facility from 10/18/23 to 11/2/23. A physical site review was conducted. In the infant/toddler room on the second floor, a closet was found unlocked and a bottle of bleach was found accessible on the floor. The bottle indicated the need to be kept out of the reach of children.

Corrected by Nov 3, 2023

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

An inspection occurred at the facility from 10/18/23 to 11/2/23. A physical site review was conducted. In the lower-level classrooms, rodent feces was found. Areas were addressed with the director during the inspection.

Corrected by Nov 20, 2023

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3270.76/3270.82(g) · 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. Toilet areas and fixtures shall be cleaned daily and be in good repair.

An inspection occurred at the facility from 10/18/23 to 11/2/23. A physical site review was conducted. All bathroom areas used by the children were inspected. The bathrooms had a strong smell of urine.

Corrected by Nov 20, 2023

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3270.133(3)/3270.133(4) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

An inspection occurred at the facility from 10/18/23 to 11/2/23. A physical site review was conducted. A bookbag was found accessible to children in the Preschool Prep classroom. Medications were found in the bookbag and are as follows: two bottles of nasal spray, pain reliever, NEB, inhaler, Claritin, vitamin (handwritten vitamin on the bottle, not in manufacture bottle), vitamin, Pepto, and NyQuil. These bottles indicated the need to be kept out of reach of children. Some of these medication bottles also included instructions for children 12-years and up. The child's bag these items were found it was of preschool age.

Corrected by Nov 3, 2023

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3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

An inspection occurred at the facility from 4/11/23 to 4/27/23. A review of staff files was conducted. See the code sheet for the dates of hire of staff. Staff # 1, # 14, # 16, did not have a health assessment and tuberculosis screening on file at the time of this inspection. Staff # 4 has not had an updated health assessment conducted since 1/7/21. Staff # 5 did not have a health assessment and tuberculosis screening conducted until 9/9/22 and 9/12/22. Staff # 6 had a health assessment on 12/29/19 and this staff did not participate in an updated health assessment until 4/14/22. Staff # 7 had a health assessment on 9/18/20 and this staff did not participate in an updated health assessment until 10/7/22. Staff # 9 had a health assessment on 12/17/19 and this staff did not participate in an updated health assessment until 2/6/23. Staff # 10 had a health assessment on 11/12/20 and this staff did not participate in an updated health assessment until 2/6/23. Staff # 23 had a health assessment on 8/6/20 and this staff did not participate in an updated health assessment until 3/22/23. Staff # 33 did not have a health assessment and tuberculosis screening conducted until #/24/23 and 3/27/23. Staff # 35 had a health assessment on 2/16/21 and this staff did not participate in an updated health assessment until 3/21/23. An acceptable plan of correction was received on 5/23/23. An inspection occurred at the facility from 10/18/23 to 11/2/23. A review of staff files was conducted. Staff # 37 did not have a health assessment or tuberculosis screening done at initial hire. Staff # 37 did not have a health assessment and tuberculosis screening done until 9/25/23. Staff # 39 did not have a heath assessment or tuberculosis screening done at initial hire. Staff # 39 did not have a health assessment done until 11/11/23. At the time of this inspection, Staff # 39 did not have a valid tuberculosis screening on file.

Corrected by Nov 17, 2023

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3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

An inspection occurred at the facility from 4/11/23 to 4/27/23. A review of staff files was conducted. See the code sheet for the dates of hire of staff. The following staff did not have a tuberculosis screening completed prior to working in childcare: Staff # 1, # 4, # 5, # 14, # 16, and # 33. An acceptable plan of correction was received 5/23/23. An inspection occurred at the facility from 10/18/23 to 11/2/23. A physical site review was conducted. Staff # 37 did not have a tuberculosis screening done at initial hire. Staff # 37 did not have a tuberculosis screening done until 9/25/23. Staff # 39 did not have a tuberculosis screening done at initial hire. Staff # 39 did not have a valid tuberculosis screening on file at the time of this inspection.

Corrected by Nov 17, 2023

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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.

An inspection occurred at the facility from 4/11/23 to 4/27/23. A review of staff files was conducted. See the code sheet for the dates of hire of staff. The following staff files were missing proof of education: Staff # 1, # 14, # 16, # 21, and # 33. An acceptable plan of correction was received on 5/23/23. An inspection occurred at the facility from 10/18/23 to 11/2/23. A review of staff files was conducted. Staff # 21 was still missing proof of education in their file and this staff could not be appropriately qualified for a childcare position at the facility.

Corrected by Nov 17, 2023

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

An unannounced inspection occurred at the facility on 5/26/23. A physical site inspection was conducted. Staff # 1 was working in a classroom with 12 preschool children. Staff # 1 stated they became out of ratio at about 9:30a.m. when 2 children arrived. Staff # 1 was out of ratio for roughly 20 minutes until the director was made aware and at that time, children were moved so that appropriate staff:child ratios were met.

Corrected by May 26, 2023

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3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The legal entity, director or supervisor will develop a policy to ensure appropriate ratios are always maintained when unforeseen circumstances arrive such as staff calling off or staff running late. The legal entity, director or supervisor will also develop a policy for staff and how they should handle situations when parents do not follow their agreed upon drop-off and pick-up times to ensure appropriate ratios are always maintained. This policy will be submitted to the Regional Office for review and, upon approval, will be reviewed with all staff. Staff will sign off that they have reviewed and understand these policies and this documentation will remain on file at the facility.

An unannounced inspection occurred at the facility on 5/26/23. A physical site inspection was conducted. Staff # 1 was working in a classroom with 12 preschool children. Staff # 1 stated they became out of ratio at about 9:30a.m. when 2 children arrived. Staff # 1 was out of ratio for roughly 20 minutes until the director was made aware and at that time, children were moved so that appropriate staff:child ratios were met.

Corrected by May 26, 2023

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3270.75(b) · A first-aid kit must be inaccessible to children.

A renewal inspection occurred at the facility. A physical site review was conducted. The first aid-kit in the preschool class was on the floor and was accessible to children. Per the regulation, first-aid kits must be inaccessible to children.

Corrected by May 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. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Until such time as the required training has been completed, staff person # 19 and # 33 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 # 19 and # 33, staff person # 19 and # 33 may not work in a child-care position at the facility.

Staff persons # 19 and # 33 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 Staff persons # 19 and # 33 were also observed working unsupervised.

Corrected by May 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 person # 4 must be supervised, when interacting with children, by a AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person # 4, staff person # 4 may not work in a child-care position at the facility.

Staff person # 4 was observed to be caring for children unsupervised. Staff person # 4 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 3/28/18.

Corrected by May 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 person # 1, # 2, # 4, # 7, # 9, # 11, # 19, # 22, # 23, # 24, and # 35 must be supervised, when interacting with children, by a AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person # # 1, # 2, # 4, # 7, # 9, # 11, # 19, # 22, # 23, # 24, and # 35, staff person # # 1, # 2, # 4, # 7, # 9, # 11, # 19, # 22, # 23, # 24, and # 35 may not work in a child care position at the facility.

The following staff were observed to be caring for children unsupervised without the following required trainings completed: Staff person # 7 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 3/21/21. Staff person # 9, and # 11 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 10/26/19. Staff person # 22 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 4/5/21. Staff person # 2, # 19, # 23, and # 24 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 4/6/21.

Corrected by May 8, 2023

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

A renewal inspection occurred at the facility on 4/27/23. The following staff did not review the facility's emergency plan on an annual basis: Staff # 10 has not reviewed the emergency plan since 2/3/22. Staff # 12 has not reviewed the emergency plan since 1/5/22. Staff # 24 has not reviewed the emergency plan since 1/5/22. The following staff did not review the emergency plan within 90 days of their hire date (see code sheet for the date of hire): Staff # 17 reviewed the plan on 12/2/22. Staff # 25 reviewed the plan on 12/28/22.

Corrected by May 8, 2023

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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.

A renewal inspection occurred at the facility. A physical site review as conducted. All classrooms were missing a posted emergency medical transportation plan. Per regulation this plan is to be posted in all childcare spaces.

Corrected by May 8, 2023

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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.

A renewal inspection occurred at the facility on 4/27/23. A review of staff files was conducted. The following staff have not participated in annual fire safety training. The following staff last took fire safety training on: 6/7/21 - Staff # 4, # 7, # 8, # 12, and # 18; 7/2/21 - Staff # 11; 1/3/22 - Staff # 1; 3/4/22 - Staff # 27; 3/7/22 - Staff # 2, # 6, # 10, # 15, # 19, # 22, # 23, # 24, # 27, # 32 and # 35 The following staff have been hired for a year and have not participated in hire safety training: Staff #9 , # 20 and # 31

Corrected by May 8, 2023

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3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person # 1, # 3, # 5, # 14, # 17, # 20, #21 # 25, # 26, # 28, # 30, # 31, # 33, # 34, and # 36 will have until 5/23/23 to complete the required training. Until such time as the required training has been completed, staff person # 1, # 3, # 5, # 14, # 17, # 20, # 21, # 25, # 26, # 28, # 30, # 31, # 33, # 34, and # 36 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person # 1, # 3, # 5, # 14, # 17, # 20, # 21, # 25, # 26, # 28, # 30, # 31, # 33, # 34, and # 36, staff person # 1, # 3, # 5, # 14, # 17, # 20, # 25, # 26, # 28, # 30, # 31, # 33, # 34, and # 36 may not work in a child-care position at the facility.

Staff persons # 1, # 3, # 5, # 14, and # 36 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training topics. Staff persons # 1, # 3, # 5, # 14, # 17, # 20, # 21, # 25, # 26, # 28, # 30, # 31, # 33, # 34, and # 36 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.

Corrected by May 8, 2023

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3270.31(f) · Staff person # 2, # 4, # 6, # 8, # 9, # 10, # 11, # 12, # 14, # 15, # 17, #, 18, # 19, # 20, # 22, # 23, # 24, # 25, # 26, # 27, # 28, # 30, # 31, # 32, # 33, and # 35 complete the required one-hour 2022 update to the health and safety training by 5/23/23.

Staff person # 2, # 4, # 6, # 8, # 9, # 10, # 11, # 12, # 14, # 15, # 17, #, 18, # 19, # 20, # 22, # 23, # 24, # 25, # 26, # 27, # 28, # 30, # 31, # 32, # 33, and # 35 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. The listed staff still have not completed this training as of the date of the inspection.

Corrected by May 23, 2023

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The Legal Entity, Director, or any staff involved in the hiring of staff or staff files, will schedule and participate in the Existing Provider Orientation that will be conducted by the Northeast Regional Office in August of 2023.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 4 clearances are expired and dated as follows: child abuse 4/5/18 and the FBI 4/4/18. Staff # 24 had an FBI clearance expired on 1/13/18and this clearance was not updated until 1/18/23. Staff # 32 had a child abuse clearance expired on 12/14/17 and this clearance was not updated until 1/23/23 and had an FBI clearance dated 4/18/18 that has not yet been updated. The clearances of Staff # 4, # 24, and # 32 were not updated every 60 months as required by the CPSL. The file of Staff # 3 indicated this staff had lived in New York and Connecticut. See the code sheet for the date of hire of this staff and at the time of this inspection, the file of Staff # 3 did not have the clearances for these states. Staff # 3 was hired in correctly as a provisional hire. The file of Staff # 13 indicated this staff had lived in New York. See the code sheet for the date of hire of this staff and at the time of this inspection, the file of Staff # 13 did not have the clearances for this state. Staff # 13 was hired in correctly as a provisional hire. See the code sheet for the date of hire of Staff # 34. Staff # 34 was hired using a volunteer child abuse clearance dated 3/29/22. Staff # 34 was hired incorrectly per the CPSL. See the code sheet for the date of hire of the following staff: Staff # 25, and # 26. These staff did not have a signed and dated disclosure statement in their file.

Corrected by Aug 31, 2023

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 4, # 24, and # 32 may not work in a child care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 4 clearances are expired and dated as follows: child abuse 4/5/18 and the FBI 4/4/18. Staff # 24 had an FBI clearance expired on 1/13/18and this clearance was not updated until 1/18/23. Staff # 32 had a child abuse clearance expired on 12/14/17 and this clearance was not updated until 1/23/23 and had an FBI clearance dated 4/18/18 that has not yet been updated. The clearances of Staff # 4, # 24, and # 32 were not updated every 60 months as required by the CPSL. The file of Staff # 3 indicated this staff had lived in New York and Connecticut. See the code sheet for the date of hire of this staff and at the time of this inspection, the file of Staff # 3 did not have the clearances for these states. Staff # 3 was hired in correctly as a provisional hire. The file of Staff # 13 indicated this staff had lived in New York. See the code sheet for the date of hire of this staff and at the time of this inspection, the file of Staff # 13 did not have the clearances for this state. Staff # 13 was hired in correctly as a provisional hire. See the code sheet for the date of hire of Staff # 34. Staff # 34 was hired using a volunteer child abuse clearance dated 3/29/22. Staff # 34 was hired incorrectly per the CPSL. See the code sheet for the date of hire of the following staff: Staff # 25, and # 26. These staff did not have a signed and dated disclosure statement in their file.

Corrected by May 8, 2023

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. The legal entity will submit complete files for any new hires for a period of three months to the NE Regional Office. During that time, new hires may not begin to work in child care until their file has been approved by the NE Regional Office. Submitted files will be reviewed within 1 week of submission.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 4 clearances are expired and dated as follows: child abuse 4/5/18 and the FBI 4/4/18. Staff # 24 had an FBI clearance expired on 1/13/18and this clearance was not updated until 1/18/23. Staff # 32 had a child abuse clearance expired on 12/14/17 and this clearance was not updated until 1/23/23 and had an FBI clearance dated 4/18/18 that has not yet been updated. The clearances of Staff # 4, # 24, and # 32 were not updated every 60 months as required by the CPSL. The file of Staff # 3 indicated this staff had lived in New York and Connecticut. See the code sheet for the date of hire of this staff and at the time of this inspection, the file of Staff # 3 did not have the clearances for these states. Staff # 3 was hired in correctly as a provisional hire. The file of Staff # 13 indicated this staff had lived in New York. See the code sheet for the date of hire of this staff and at the time of this inspection, the file of Staff # 13 did not have the clearances for this state. Staff # 13 was hired in correctly as a provisional hire. See the code sheet for the date of hire of Staff # 34. Staff # 34 was hired using a volunteer child abuse clearance dated 3/29/22. Staff # 34 was hired incorrectly per the CPSL. See the code sheet for the date of hire of the following staff: Staff # 25, and # 26. These staff did not have a signed and dated disclosure statement in their file.

Corrected by Aug 31, 2023

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person # 1, # 4 and # 33 will have until 5/23/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #, 1, # 4 and # 33 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 # 1, # 4, and # 33 staff person # 1, # 4, and # 33 may not work in a child-care position at the facility.

Staff person # 4 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 3/28/18. Staff person # 1, and # 33 have not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected by May 8, 2023

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3270.33(a)/3270.192(5) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

A renewal inspection occurred at the facility. A review of staff files was conducted. The following staff were missing 2 letters of written reference in their file: # 1, # 13, # 14, # 16, # 25, and # 30. The following staff were missing 1 letter of written reference in their file: # 5, # 17, # 21, and # 29. These staff were unable to be appropriately qualified for a childcare role at the facility.

Corrected by May 8, 2023

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

A renewal inspection occurred at the facility. A review of staff files was conducted. The following staff evaluations were not conducted on an annual basis per regulation: Staff # 2 - previous 6/17/21, current 12/28/22 Staff # 4 - previous 6/24/21, current 12/19/22 Staff # 6 - previous 6/29/21, current 3/17/23 Staff # 7 - previous 7/2/21, current 12/19/22 Staff # 9 - previous 6/28/21, current 1/3/23 Staff # 11 - previous 7/6/21, current 3/17/23 Staff # 12 - previous 6/30/21, current 3/17/23 Staff # 15 - previous 6/24/21, current 3/17/23 Staff # 18 - previous 6/24/21, current 12/19/22 Staff # 20 - previous 3/23/22, no annual update Staff # 22 - previous 6/17/21, no annual update Staff # 23 - previous 6/29/21, current 3/15/23 Staff # 27 - previous 3/4/22, no annual update Staff # 32 - previous 3/17/22, no annual update Staff # 35 - previous 6/30/21, current 12/19/22

Corrected by May 8, 2023

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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.

A renewal inspection occurred at the facility. A physical site review was conducted. In the preschool prep classroom, in the children's cubbies, a bottle of calamine lotion was found and accessible to children. The label on this bottle indicated that the bottle was to be kept out of reach of children.

Corrected by May 8, 2023

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3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire of staff. Staff # 1, # 14, # 16, did not have a health assessment and tuberculosis screening on file at the time of this inspection. Staff # 4 has not had an updated health assessment conducted since 1/7/21. Staff # 5 did not have a health assessment and tuberculosis screening conducted until 9/9/22 and 9/12/22. Staff # 6 had a health assessment on 12/29/19 and this staff did not participate in an updated health assessment until 4/14/22. Staff # 7 had a health assessment on 9/18/20 and this staff did not participate in an updated health assessment until 10/7/22. Staff # 9 had a health assessment on 12/17/19 and this staff did not participate in an updated health assessment until 2/6/23. Staff # 10 had a health assessment on 11/12/20 and this staff did not participate in an updated health assessment until 2/6/23. Staff # 23 had a health assessment on 8/6/20 and this staff did not participate in an updated health assessment until 3/22/23. Staff # 33 did not have a health assessment and tuberculosis screening conducted until #/24/23 and 3/27/23. Staff # 35 had a health assessment on 2/16/21 and this staff did not participate in an updated health assessment until 3/21/23.

Corrected by May 8, 2023

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3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire of staff. The following staff did not have a tuberculosis screening completed prior to working in childcare: Staff # 1, # 4, # 5, # 14, # 16, and # 33.

Corrected by May 8, 2023

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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.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire of staff. The following staff files were missing proof of education: Staff # 1, # 14, # 16, # 21, and # 33.

Corrected by Apr 11, 2023

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