Kids First Daycare Inc

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.

Several ceiling surfaces were observed to be dirty or in poor repair throughout the facility as follows: * Older 1's: Stained and broken ceiling tiles and dust accumulation on the ceiling vent; 3 ceiling tiles need to be replaced (2 with cracked pieces coming out and 1 bulging) * Infant Rm: 1 stained and cracked ceiling tile and dust accumulation around the ceiling vent and tiles * 2's Rm: 1 stained ceiling tile * PreKdg Rm: a few bubbling ceiling tiles * Preschool Rm: 3 stained ceiling tiles

Corrected by Apr 3, 2026

View state record

3270.163(a)(4) · A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one grain.

The lunch that was served during the inspection did not include a grain. Lunch consisted of bologna and cheese roll-up, peas, pineapples and milk.

Corrected by Apr 3, 2026

View state record

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service training has been completed, Staff person #5 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR

Corrected by Jun 25, 2025

View state record

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. TIERED LIS: 1. The staff: child ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of 2 hours of in-person 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 will be completed.

During the inspection, the PreK class was observed transitioning in and out of the classroom to use the bathroom outside of the classroom. Staff Person #1 remained in the classroom with 11-15 preschool children, while Staff Person #2 was in the bathroom with a few of the children, sending them back to the classroom as they finished. Staff Person #1 was out of ratio (1:10) in the classroom with up to 15 children, until Staff Person #2 returned to the classroom.

Corrected by Aug 22, 2025

View state record

3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Child #1 was observed sleeping in a crib with a pacifier strap attached to the pacifier. Child #2 was observed sleeping in a crib with a stuffy toy.

Corrected by Jun 25, 2025

View state record

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children and primary care groups. 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 will be completed.

During the inspection, the PreK class was observed transitioning in and out of the classroom to use the bathroom outside of the classroom. Staff Person #1 remained in the classroom with 11-15 preschool children, while Staff Person #2 was in the bathroom with a few of the children, sending them back to the classroom as they finished. Staff Person #1 and #2 were not physically present with the children in their group. In the School Age classroom, there were 13 total children (younger and older school age) with 2 staff. Staff Persons #3 and #4 were unable to identify their Primary Care Groups.

Corrected by Jun 24, 2025

View state record

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

The initial health assessment on file for Staff Person #5, did not include the date that the TB Test was given or read by the health care practitioner.

Corrected by Jul 25, 2025

View state record

3270.166(3)/3270.166(4) · Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility. Disposable nursers and bottles shall be labeled with the child's name.

Child #1 was using a center bottle that was not labeled with the child's name. The bottle stays at the center and is washed without the use of a dishwasher.

Corrected by Aug 5, 2025

View state record

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person # 2 may not work in a childcare position at the facility until the DHS FBI clearance results are received.

There was no current FBI clearance that was completed through DHS for Staff Person #2. The current one on file was done through PDE, which is not acceptable for childcare positions.

Corrected by Mar 25, 2025

View state record

3270.36(b)(5)/3270.37(c) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Staff Person #3 was observed working alone, unsupervised with children. Staff Person #3 did not have documentation of 2 years (2,500 hours) of childcare experience to be qualified to work as an AGS.

Corrected by Mar 25, 2025

View state record

3270.133(1) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Medication (Epi-Pen) for Child #1 was not in the original prescription container.

Corrected by Mar 25, 2025

View state record

3270.133(6)/3270.133(7) · A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

There was no medication log for Child #1's inhaler that was filled out by the parent, giving permission and instructions on when to administer the inhaler. The one that was filled out by the staff when the inhaler was administered, was on a medication log for Child #1's other Epi-Pen medication at the facility. (corrected on-site)

Corrected by Mar 25, 2025

View state record

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

There was no documentation of annual 12 hours of childcare training on file for Staff Person #1.

Corrected by Mar 25, 2025

View state record

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

A spray bottle containing cleaning solution that was not labeled with its contents, was observed in the 2's Room.

Corrected by Mar 13, 2024

View state record

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Staff Person #1 did not have the clearances required for a provisional hire prior to working at the facility (see Code Page). Prior to starting, her file contained only one of the two clearance results (the state police clearance) required to begin working provisionally.

Corrected by Mar 13, 2024

View state record

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

Hand Sanitizer was observed in the front pocket of a backpack in the 2's Room, which was accessible to children.

Corrected by Mar 13, 2024

View state record

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

Ceiling tiles and vents in the Infant and Preschool (3's) classrooms were dirty, with visible dust buildup. There was also a light cover in the Preschool classroom that was dirty.

Corrected by Feb 12, 2023

View state record

3270.94(a)(1)/3270.95(a) · 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. Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

During a complaint investigation on 6/30/22, it was discovered that the last documented fire drill on their log, was dated 4/19/22, which was beyond the required fire drills conducted every 60 days.

Corrected by Aug 2, 2022

View state record

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

When Child #1 fell out of Staff Person #1's arms, the child injured his leg and the parent was called. When the parent picked up the child, the incident report was not written yet to give to the parent the day of the injury.

Corrected by Jun 1, 2022

View state record

3270.76/3270.77(a) · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

In the 2's Room, the doorway to the kitchen is in need of repair where paint is chipping at the bottom of the white post and on the blue painted frame.

Corrected by Jan 30, 2022

View state record

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

The updated health report for Child #1 did not include documentation of the influenza vaccine having been given in the past year. The last dated documentation of the influenza vaccine was dated 11/25/20.

Corrected by Feb 28, 2022

View state record