Laugh And Learn Kids Academy

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's outdoor play space was conducted. In the outdoor play area, broken toys and equipment were observed. The boat ramp was missing boards, cracked and had broken sharp wooden pieces. The bench seats also had surfaces that were not in good repair.

Correction Required: 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.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's outdoor play area was conducted. In the small children's play area, mulch with a diameter less than 1 inch was observed.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires the agreement form to be signed by the operator and parent. The operator did not sign the agreement forms if Child #1 and Child #2.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.123(a)(1)/3270.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires the fee to be charged included on the agreement form. The agreement form to Child #1 did not include the fee to be charged.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation require staff to track children's growth and development (child service report) at least every 6 months. The operator indicated the following children have attended the facility more than 6 months and the files did not contain completed growth and development forms (child service reports): child #1, #2, #3, #4 and #5.

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

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires the agreement form to specify the child's arrival and departure times. The agreement form for Child #1 did not include the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires an agreement form to specify the date of children's admission. The following children's agreement forms did not contain their date of admission: Child #1, #2 and #3.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child. TIERED LIS: 1. Children's files shall contain their date of admission. (THIS PORTION OF THE PLAN SHALL HAVE AN IMMEDIATE CORRECTION DATE.) 2. The legal entity will submit a complete emergency contact form and a complete fee agreement form for any new child being enrolled at the facility to the NE Regional Office for approval prior to the child receiving care at the facility. The completed forms for all new enrollments must be submitted to the NE Regional Office for a period of three months from the date the office receives acceptable plans of correction. (THE CORRECTION DATE FOR THIS PORTION OF THE PLAN SHALL BE AT MINIMUM OF 3 MONTHS FROM THE DATE THE PLANS ARE RECEIVED.)

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires the emergency contact form to include the name, address and telephone number of the child's physician or source of medical care. The emergency contact form for Child # 1 was missing the child's medical provider's phone number.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires children's emergency contact and agreement forms to be updated at least every 6 months. These forms of the following children were not updated at least every 6 months: Child #1, #2, #3, #4 and #5.

Correction Required: 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.

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the dates of birth. Regulation requires the health report for older toddler and preschool age children to be updated at least every 12 months. The following children's files did not contain an updated health re/port: Child #3 (previous 9/20/24, no current), Child #4 (previous 1/28/25, no current) and Child #5 (previous 1/28/25, no current).

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #3 had a health assessment dated for 9/25/23 and this staff did not update their health assessment at least every 24 months as required by regulation. This health assessment was no longer valid as of 9/25/25. Staff #5 did not obtain a health assessment or tuberculosis screening prior to working in a child care role at the facility. Staff #5 obtained a health assessment on 3/3/26 and a tuberculosis screening on 3/5/26. Staff #5 was working in a child care role at the time of this inspection.

Correction Required: 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.

Regulation: 3270.163(a)(1)/3270.163(a)(2)

Description: Dairy/Protein

Noncompliance Area: A renewal inspection occurred at the facility. Lunch served at this inspection consisted of ramen noodles and juice. This lunch did not include a dairy product or a protein as required by regulation.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product. A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one protein.

Regulation: 3270.165

Description: Menus

Noncompliance Area: A renewal inspection occurred at the facility on 3/31/26. A physical site review was conducted. Regulation requires a menu to be posted or provided to each family. The operator indicated at the time of the inspection that the menu was taken down and not replaced.

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

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of admission. Regulation requires children's files to contain consent for emergency medical care and administration of minor first-aid to be included in the children's files prior to admission. The following children's files were missing the following consent: Child #1 (emergency medical and first aid), Child #2 (emergency medical and first aid) and Child #4 (emergency medical and first aid).

Correction Required: 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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #6 has worked in a child care role, as indicated by the operator, prior to the file containing two letters of nonfamily references as required by regulation.

Correction Required: 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.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. At the time of the inspection, the operator was unable to provide 12 hours of annual child care training: Staff #1 and Staff #3.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff #3 did not update their pediatric first aid/CPR training prior to their current certification (11/8/23) expiring as required by regulation. This training expired on 11/8/25.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required pre- service trainings are completed, staff #3 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff available to supervise staff #3, staff #3 may not work in a child-care position at the facility.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in annual fire safety training. The following staff did not participate in annual fire safety training: Staff #1 (previous 1/14/25, current 3/30/26) and Staff #3 (previous 1/22/25, current 4/2/26).

Correction Required: 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #5 did not have a state police clearance or an NSOR prior to working in a child care role at the facility as required by the CPSL. Staff #5 obtained a state police clearance on 3/31/26 and an NSOR on 3/10/26. Staff #5 was working at the time of this inspection. Staff #6 did not have on file a state police clearance, child abuse clearance or an NSOR clearance on file prior to working in a child care role as required by the CPSL. The operator indicated Staff #6 had worked in a child care role without having obtained these clearances.

Correction Required: 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. TIERED LIS 1. Facility Person #5 and #6 may not work in a child care position at the facility. (THIS PORTION OF THE PLAN SHALL HAVE AN IMMEDIATE CORRECTION DATE.) 2. The legal entity will submit complete files to the Northeast Regional Office for any new hires for a period of three months from the date an acceptable plan is received. During that time, new hires may not begin to work in child care position until their file has been approved by the Northeast Regional Office. Submitted files will be reviewed within 1 week of submission.  (THE CORRECTION DATE FOR THIS PORTION OF THE PLAN SHALL BE AT A MINIMUM OF 3 MONTHS FROM THE DATE OF THE REGIONAL OFFICE RECEIVES THE PLAN OF CORRECTION).

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. The file of Staff #6 did not contain proof of education or experience prior to working in a child care role at the facility. The operator indicated Staff #6 has worked in a child care role at the facility without the file containing proof of education or experience. Staff #6 could not be appropriately qualified to work in a child care role at the facility at the time of this inspection.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires an annual evaluation be completed on staff by the director. The following staff did not have an annual inspection completed on them: Staff #1 (previous12/6/24, current3/31/26), Staff #2 (previous 11/1/24, current 3/31/26) and Staff #3 (previous 12/6/24, current 3/31/26).

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: A renewal inspection occurred at the facility on 3/31/26. A physical site review was conducted. At the time of this Certification Representatives arrival, Staff #2 was alone at the facility for a period of roughly 15 minutes with 9 children ages older toddler to school age. This number of children would require at least 2 staff members.

Correction Required: 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). TIERED LIS: 1. The required staff:child ratios must be maintained at all times. (THIS PORTION OF THE PLAN SHALL HAVE AN IMMEDIATE CORRECTION DATE.) 2. The director shall create a policy/procedure regarding staff:child ratio. At minimum the policy should include a call off procedure with a time prior to a shift that a staff is to call, which will allow the director time to find a replacement. The policy shall also indicate how the facility will ensure at least two qualified staff are present when two or more children are in care. The policy shall also include a plan to stop allowing children to attend care on that day when staff:child ratios have been met. This policy must be submitted for approval to the Department prior to implementation. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on this policy. Staff will then sign off on the policy to indicate their understanding of this policy/procedure. (THE OPERATOR SHALL PROVIDE A DATE FOR WHEN A POLICY/PROCEDURE IS DEVELOPED, APPROVED BY THE DEPARTMENT AND REVIEWED/SIGNED OFF BY STAFF.)

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: A renewal inspection occurred at the facility on 3/31/26. A physical site review was conducted. At the time of this Certification Representatives arrival, Staff #2 was alone at the facility for a period of roughly 15 minutes with 9 children ages older toddler to school age.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's outdoor play area was conducted. The fence surrounding the play area in several areas is not attached to the poles and the fencing and poles were rusty. The covering under the mulch was exposed and posed as a tripping hazard on the play are a surface. The fencing that separates the younger and older children's play area is also not secured in several areas.

Correction Required: 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.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires child service reports to be conducted on children every 6 months. A the time of the inspection, the director was unable to provide child service reports for the following children: Child #2 and #5.

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

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires children's emergency contact and agreement forms to be reviewed and updated at least every 6-month period. The following children's forms were not updated at least every 6-month period: Child #2 (previous emergency contact 4/18/24 and current 2/21/25; previous agreement 4/18/24 and current 4/8/25) and Child #5 (previous emergency contact and agreement 11/11/24; no current emergency contact or agreement).

Correction Required: 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.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires a health report in a child's file within 60 days of enrollment. The following children were enrolled at the facility for more than 60 days and the files did not contain a health report: Child #1 and Child #4.

Correction Required: 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.

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires children to provide an updated health report every 12 months for an older toddler and preschool child. The following children were of these ages and the file did not contain updated health reports: Child #2 (previous 11/30/23, current 1/28/25) and Child #5 (previous 11/21/23, no current).

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in annual 12 hours of child care training. At the time of the inspection, the file of Staff #1 only contained 4 hours of annual child care training. Staff #1 did not have a total of 12 hours of annual child care training as required by regulation.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: CONTINUED NON-COMPLIANCE. A renewal inspection occurred at the facility during the period of 11/5/24 to 12/4/24. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. At the time of this inspection, the following children's files were missing the enrolling parents work address and phone number: Child #1, #2, #4, #5 and #6. These children were observed receiving care during this inspection. An acceptable plan of correction was received on 1/21/25. An unannounced inspection occurred at the facility on 3/31/25. A review of staff files was conducted. At the time of this inspection, the following child's file was missing the enrolling parents work address and phone number as required by regulation: Child #5.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: CONTINUED NON-COMPLIANCE. A renewal inspection occurred at the facility during the period of 11/5/24 to 12/4/24. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. Regulation requires enrolled children to have written consent for emergency medical care. The following enrolled children did not have consent for emergency medical care in their file: Child #1, #2, #3, #5 and #7. An acceptable plan of correction was received on 1/21/25. An unannounced inspection occurred at the facility on 3/31/25. A review of child files was conducted. Regulation requires enrolled children to have written consent for emergency medical care. The following enrolled child did not have consent for emergency medical care in their file: Child #1.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: CONTINUED NON-COMPLIANCE. A renewal inspection occurred at the facility during the period of 11/5/24 to 12/4/24. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. At the time of this inspection, the following children were observed receiving care at the facility and the file was missing the child's health insurance coverage and policy number: Child #1, #2, #3 (policy number only), #4, #5 (policy number only) and #6. An acceptable plan of correction was received on 1/21/25. An unannounced inspection occurred at the facility on 3/31/25. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. At the time of this inspection, the following children were observed receiving care at the facility and the file was missing the child's health insurance coverage and policy number as required by regulation: Child #1, #3 (policy number only) and #5 (policy number only).

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: CONTINUED NON-COMPLIANCE. A renewal inspection occurred at the facility during the period of 11/5/24 to 12/4/24. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. At the time of this inspection, the following children were observed receiving care and the file was missing complete release person's information: Child #3 (addresses only), Child #4 (addresses only) and Child #5 (addresses only). An acceptable plan of correction was received on 1/21/25. An unannounced inspection occurred at the facility on 3/31/25. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. At the time of this inspection, the following children were observed receiving care and the file was missing complete release person's information as required by regulation: Child #5 (addresses only).

Correction Required: 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.

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: CONTINUED NON-COMPLIANCE. A renewal inspection occurred at the facility during the period of 11/5/24 to 12/4/24. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. Regulation requires written consent for first aid procedures in the children's files. The following enrolled children's files were missing consent for first aid procedures: Child #1, #2, #3, # 5 and #7. An acceptable plan of correction was received on 1/21/25. An unannounced inspection occurred at the facility on 3/31/25. A review of children's files was conducted. See the code sheet for the child's date of enrollment. Regulation requires written consent for first aid procedures in the children's files. The following enrolled child's file was missing consent for first aid procedures: Child #1.

Correction Required: 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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: CONTINUED NON-COMPLIANCE. A renewal inspection occurred at the facility during the period of 11/5/24 to 12/4/24. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff files to contain two letters of written reference. At the time of this inspection, the following files were missing letters of reference: Staff #4 (2 letters) and Staff #6 (1 letter). Both staff were observed working in child care at the time of this inspection and the suitability of these staff could not be appropriately determined due to the lack of letters of reference. An acceptable plan of correction was received on 1/21/25. An unannounced inspection occurred at the facility on 3/31/25. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff files to contain two letters of written reference. At the time of this inspection, the following file was missing letters of reference: Staff #4 (2 letters).

Correction Required: 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: CONTINUED NON-COMPLIANCE. A renewal inspection occurred at the facility during the period of 11/5/24 to 12/4/24. A review of staff files was conducted. See the code sheet for the staff's dates of hire. Staff #3 was hired as a provisional hire and did not apply for a state police clearance until 10/2/24 as required by the CPSL for a provisional hire. Staff #3 began working in child care prior to applying for the state police clearance. Staff #3 was working in child care on 11/5/24 and on 11/18/24 and was not hired correctly as a provisional hire per the CPSL. Staff #3 did not have on file a state police clearance, documentation of applying for an FBI clearance, the official child abuse clearance or documentation of applying for an NSOR clearance. The file of Staff #3 also indicated this staff has lived out of state within the last 5 years and Staff #3 did not apply for that states clearances prior to providing child care. Staff #3 was observed working in child care on two occasions and was not hired correctly as a provisional hire. Staff #6 did not have a signed disclosure statement on file at the time of the inspection. An acceptable plan of correction was received on 1/29/25. An unannounced inspection occurred at the facility on 3/31/25. A review of staff files was conducted. See the code sheet for the date of hire. Staff #7 was hired incorrectly in relation to the CPSL. Staff #7 did not apply for the state police clearance prior to working in child care. Staff #7 did not receive a state police clearance until 1/9/25, which was after this staff's hire date.

Correction Required: 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. TIERED LIS: 1. Facility Person #7 may not work in a child care position at the facility. This portion of the plan shall have an immediate date of correction. 2. The Legal Entity/Director will call the Northeast Daycare Regional Office (800-222-2108) to schedule the legal entity, director and any one responsible for maintaining staff files to participate in the next Existing Provider Orientation. The Legal Entity, Director or any other appropriate staff will submit documentation to the Northeast Daycare Regional Office that they have attended the orientation. The operator shall provide a date for when this training shall be completed.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: An unannounced inspection occurred at the facility on 3/31/25. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires proof of education on file prior to a staff providing child care. Staff #7 was providing child care during this inspection and the file did not contain proof of education. Staff #7 could not be appropriately qualified as a staff person due to the lack of education on file.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: A complaint inspection occurred at the facility. Interviews were conducted. Through these interviews, it was determined that on 11/18/24, Child #2 was in the supervision group of Staff #2. During nap time, Staff #2 was observed falling asleep and did not see Child #2 being scratched on both sides of their face by another child. These scratches were significant enough that medical attention was sought for the Child #2. Regulation requires children to be supervised at all times. It was determined that a lapse in supervision occurred during nap time and a child was injured due to that lapse in supervision.

Correction Required: 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. Children must be supervised at all times.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: A complaint inspection occurred at the facility. Interviews were conducted. Through these interviews, it was determined that on 11/18/24, Child #2 was in the supervision group of Staff #2. During nap time, Staff #2 was observed falling asleep and did not see Child #2 being scratched on both sides of their face by another child. These scratches were significant enough that medical attention was sought for the Child #2. Regulation requires children to be supervised at all times. It was determined that a lapse in supervision occurred during nap time and a child was injured due to that lapse in supervision.

Correction Required: 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 Legal Entity / Director will establish a supervision policy. The policy must address all areas of 3270.113, including all areas under 3270.113 (a-e). The policy must also include how the facility will demonstrate their knowledge and ability to adequately supervise children while maintaining appropriate ratio at all times. The policy must focus on ensuring that each child is seen, heard, assessed and able to be directed at all times. The policy must also include how the facility will ensure appropriate supervision and ratios during nap time. The policy must be submitted to the Northeast Regional Office for review and approval. Once approved, the policy must be reviewed and discussed with all staff. Staff's signature will indicate their knowledge of the policy and ensuring proper supervision and ratios at all times. This documentation of signatures must be maintained at the facility.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: A complaint inspection occurred at the facility. A review of the child's file was conducted as well as interviews conducted with staff. The file of Child #1 had listed food restrictions soy, gluten and dairy as listed by the parent on the emergency contact. Staff #1 admitted to giving the child food that contained these items, and the child had an allergic reaction to the food ingredients listed.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.131(d)(2)/3270.131(d)(4)

Description: Child's allergies/Acute or chronic health problem

Noncompliance Area: A complaint inspection occurred at the facility. A review of the child's file was conducted as well as interviews conducted with staff. The file of Child #1 had listed a lactose free diet (allergy to cow's milk protein) on the child's health assessment. Staff #1 admitted to giving the child food that contained this item, and the child had an allergic reaction to the food item listed.

Correction Required: A health report shall include a list of the child's allergies. A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

Regulation: 3270.133(8)/3270.162(b)

Description: Special diet - parent's instructions/Parents may provide

Noncompliance Area: A complaint inspection occurred at the facility. A review of the child's file was conducted as well as interviews conducted with staff. The file of Child #1 had listed food restrictions soy, gluten and dairy as listed by the parent on the emergency contact. Staff #1 admitted to giving the child food that contained these items, and the child had an allergic reaction to the food ingredients listed. The file of Child #1 also had listed a lactose free diet (allergy to cow's milk protein) on the child's health assessment. Staff #1 admitted to giving the child food that contained this item, and the child had an allergic reaction to the food item listed. Staff #1 admitted to allowing Child #1 to eat food that was not provided by the parent.

Correction Required: If a special diet is prescribed for a child and if the diet is administered to the child, written instructions and the parent's written consent shall be retained in the child's file. Meals and snacks may be provided by the parent, upon agreement between the parent and the operator.

Regulation: 3270.112

Description: Infant/Toddler Stimulation

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review as conducted. An infant was observed in an infant rocker seat from 9:45am until 11:15am. The child was observed to have limited interaction or supervision from staff. It was also observed the child was not belted into this rocker as the child moved and the straps were viewed not in use.

Correction Required: Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. On 11/26/24, Staff #1 and #4 were in a group of 13 children. When asked the supervision children's groups that each staff was assigned to, Staff #1 and # 4 only accounted for 12 of the 13 children. One child was not accounted for in a supervision/ratio group with a staff member.

Correction Required: 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. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must arrange for all facility staff to receive a minimum of three hours of in-person 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.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. On 11/5/24, the facility contained 2 staff and 14 children, ages infant to preschool. When Staff #2 and # 5 were asked what children, they were assigned to them, both staff were unable to provide the names of the children assigned to them for the responsibility of supervision.

Correction Required: 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. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: A complaint inspection occurred at the facility. Interviews were conducted. Through these interviews, it was determined on 10/28/24 that Staff #1 slapped Child #1 in the face with an open hand, causing redness and slight swelling on the right side of the child's face. Regulation does not allow for the use of physical discipline by staff in child care.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. For a period of 3 months, the facility shall have no occurrences of non-compliance related to physical discipline or restraints of children. The operator shall demonstrate compliance on unannounced visits over the next 3 months.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: A complaint inspection occurred at the facility. Interviews were conducted. Through these interviews, it was determined that on 10/28/24 Staff #1 slapped Child #1 in the face with an open hand, causing redness and slight swelling on the right side of the child's face. Regulation does not allow for the use of physical discipline by staff in child care.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: A complaint inspection occurred at the facility. Interviews were conducted. Through these interviews, it was determined that on 10/28/24 Staff #1 slapped Child #1 in the face with an open hand, causing redness and slight swelling on the right side of the child's face. Regulation does not allow for the use of physical discipline by staff in child care.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. The Legal Entity must arrange for all staff employed at the facility as of the date of the training to receive a minimum of two hours of PQAS-approved in-person training, regarding Behavior Management of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. The file of Child #5 was missing the fee amount to be charged as required by regulation.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of enrollments. The following children have been enrolled at the facility for more than 6 months and the file did not contain any child service reports: Child #1 and #5.

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

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. The date of admission is required to be listed in children's files. The following children's files were missing dates of admission: Child #2 and #7.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.123(a)/3270.182(8)

Description: Signed /Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's enrollment dates. At the time of the inspection, the files of the following children did not contain an agreement form with all the appropriate information as required by regulation: Child #1, #2, #3, #4, #6 and #7.

Correction Required: An agreement shall be signed by the operator and the parent. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. At the time of this inspection, the following children's files were missing an emergency contact person and their contact information: Child #2, #4 and #6. These children were observed receiving care at the facility. At the time of the inspection, Child #7 was observed receiving care and the file did not contain a fully completed emergency contact form.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. At the time of this inspection, the following children's files were missing the enrolling parents work address and phone number: Child #1, #2, #4, #5 and #6. These children were observed receiving care during this inspection.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. Regulation requires enrolled children to have written consent for emergency medical care. The following enrolled children did not have consent for emergency medical care in their file: Child #1, #2, #3, #5 and #7.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. At the time of this inspection, the following children were observed receiving care at the facility and the file was missing the child's health insurance coverage and policy number: Child #1, #2, #3 (policy number only), #4, #5 (policy number only) and #6.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: A renewal inspeciton occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. At the time of this inspection, the following children were observed receiving care and the file was missing complete release person's information: Child #3 (addresses only), Child #4 (addresses only) and Child #5 (addresses only).

Correction Required: 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.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires children's emergency contact and agreement forms to be updated at least every 6 months. The following children's forms were not updated at least every 6 months: Child #1 (emergency contact last updated4/22/24) and Child #5 (both emergency contact and agreement form last updated 4/17/24).

Correction Required: 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.

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review as conducted. Near the diaper changing area, in a cabinet, A&D ointment was found accessible to children. The tube indicated the need to keep out of reach of children. Children were observed receiving care in this area and the A&D ointment was accessible to children.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's diaper changing procedures was conducted. Regulation requires the hands of staff and children to be washed after diapering. Staff #6 did not wash their hands or the hands of the child whose diaper was being changed.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's emergency plan was conducted. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations for before and after an emergency. At the time of the inspection, the facility did not provide for review a copy of the facility's continuity of operations.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staffs dates of hire. Staff #3 began working in child care prior to receiving a health assessment. Staff #3 did not receive a health assessment until 11/1/24. Staff #4 began working in child care prior to receiving a health assessment. Staff #4 did not have a health assessment on file at the time of this inspection and was observed working in child care. Staff #6 began working in child care prior to receiving a health assessment. Staff #6 did not have a health assessment on file at the time of this inspection and was observed working in child care.

Correction Required: 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.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staffs dates of hire. Staff #3 did not receive a tuberculosis screening prior to working in child care. Staff #3 did not receive a tuberculosis screening until 10/30/24. Staff #4 and Staff #6 were both observed working in child care and these staff did not have on file at the time of this inspection, a tuberculosis screening.

Correction Required: 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.

Regulation: 3270.161(a)/3270.166(5)

Description: Wholesome/Six-months-old held

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review as conducted. An infant was observed drinking, with a bottle at 9:45am. This bottle was observed with the child, in the child's rocker seat. At roughly 11:15am, staff offered this bottle again to the infant. According to the American Academy of Pediatrics, this bottle should have been discarded after 1-hour and should have been discarded at roughly 10:45am and not offered to the child again at 11:15am. The infant was also identified as being under the age of 6 months and was not held while being bottle fed.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption. An infant 6 months of age or younger shall be held while being bottle fed.

Regulation: 3270.165

Description: Menus

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review as conducted. At the time of the inspection, a menu was not posted at the facility and was not provided to the families.

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

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: A renewal inspection occurred at the facility. A physical cite review was conducted. At the time of the inspection, the facility's safe routes were not posted in a conspicuous location at the facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. Regulation requires written consent for first aid procedures in the children's files. The following enrolled children's files were missing consent for first aid procedures: Child #1, #2, #3, # 5 and #7.

Correction Required: 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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff files to contain two letters of written reference. At the time of this inspection, the following files were missing letters of reference: Staff #4 (2 letters) and Staff #6 (1 letter). Both staff were observed working in child care at the time of this inspection and the suitability of these staff could not be appropriately determined due to the lack of letters of reference.

Correction Required: 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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staff's date of hire. Regulation requires staff to review the emergency plan on an annual basis. Staff #1 and #2 have not reviewed the emergency plan since 9/5/23. Regulation requires staff to review the emergency play within 90 days of their hire date. At the time of the inspection, the following staff still did not review the emergency plan: Staff #5.

Correction Required: 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.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in annual fire safety training. At the time of the inspection, Staff #2 had not yet completed annual fire safety training. At the time of this inspection, the file did not contain annual fire safety training since this staff's date of hire.

Correction Required: 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staff's dates of hire. Staff #3 was hired as a provisional hire and did not apply for a state police clearance until 10/2/24 as required by the CPSL for a provisional hire. Staff #3 began working in child care prior to applying for the state police clearance. Staff #3 was working in child care on 11/5/24 and on 11/18/24 and was not hired correctly as a provisional hire per the CPSL. Staff #3 did not have on file a state police clearance, documentation of applying for an FBI clearance, the official child abuse clearance or documentation of applying for an NSOR clearance. The file of Staff #3 also indicated this staff has lived out of state within the last 5 years and Staff #3 did not apply for that states clearances prior to providing child care. Staff #3 was observed working in child care on two occasions and was not hired correctly as a provisional hire. Staff #6 did not have a signed disclosure statement on file at the time of the inspection.

Correction Required: 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 child care position at the facility. The Legal Entity/Director will call the Northeast Daycare Regional Office (800-222-2108) to schedule the legal entity, director and any one responsible for maintaining staff files to participate in the next Existing Provider Orientation. The Legal Entity, Director or any other appropriate staff will submit documentation to the Northeast Daycare Regional Office that they have attended the orientation.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staff's dates of hire. Staff #3 was hired as a provisional hire and did not apply for a state police clearance until 10/2/24 as required by the CPSL for a provisional hire. Staff #3 began working in child care prior to applying for the state police clearance. Staff #3 was working in child care on 11/5/24 and on 11/18/24 and was not hired correctly as a provisional hire per the CPSL. Staff #3 did not have on file a state police clearance, documentation of applying for an FBI clearance, the official child abuse clearance or documentation of applying for an NSOR clearance. The file of Staff #3 also indicated this staff has lived out of state within the last 5 years and Staff #3 did not apply for that states clearances prior to providing child care. Staff #3 was observed working in child care on two occasions and was not hired correctly as a provisional hire. Staff #6 did not have a signed disclosure statement on file at the time of the inspection.

Correction Required: 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 child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires written evaluations for staff to be conducted on at least an annual basis. The following staff files were missing annual staff evaluations: Staff #1 and #2.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. On 11/5/24, the facility contained 2 staff with 14 children ages infant to preschool. When the children's similar ages were grouped, these 14 children would have required at least 3 staff. The facility was not in compliance with staff:child ratios from 9:42am until 10:15am. On 11/26/24, Staff #1 was with 5 children. The age of the youngest child was an infant. This number of children would have needed a second staff person to meet appropriate supervision ratios.

Correction Required: 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).

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review as conducted. On the rear left half wall, a bottle of cleaner (Oxydol Oxygen Orange Cleaner) was observed accessible to children. The bottle indicated the need to keep out of reach of children. Also, next to this bottle was a mop and bucket. The bucket contained dirty water that smelled of the cleaner listed above. Children were observed receiving care in this area, and the bottle of cleaner was accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. Garbage cans throughout the facility were found with items such as tissues, napkins and discarded paper plates. These garbage cans were not lidded/closed.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. Near the tables used for eating in the preschool section, spilled milk and cereal was found on the floor. The teal top paint of the orange half walls was observed peeling.

Correction Required: 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.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's fire safety system testing log was conducted. Regulation requires the fire safety system to be tested once at least every 30 days. The following tests of the fire safety system were not conducted at least every 30 days: 9/28/24-10/30/24.

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

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #1 worked in child care and did not receive a health assessment and TB screening until 7/2/24.

Correction Required: 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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #2 was viewed working in child care and the file was missing one letter of written reference.

Correction Required: 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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: A unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #2 was viewed working in child care and the file did not contain documentation that this staff had reviewed the facility's emergency plan within 90 days of their hire date.

Correction Required: 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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #2 will have until 9/27/24 to complete the required training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #1 was viewed working in child care and did not have valid clearances. In the file was a state police clearance dated 3/8/19, a child abuse clearance dated 1/7/19 and an FBI clearance dated 1/8/19. Staff #1 did not apply for updated clearances at their rehire date. Staff #2 was viewed working in child care past their provisional hire period and did not have on file a valid FBI clearance.

Correction Required: 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 and #2 may not work in a child care position at the facility.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: An unannounced inspection occurred at the facility. A review of the facility's fire safety system testing log was conducted. The following fire safety system tests were not conducted at least every 30 days as required by regulation: 1/3/24, 2/14/24, 3/25/24, 4/9/24, 5/31/24, 6/12.24, 7/23/24 and 8/30/24.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: On 11/17/2023, a Renewal Inspection was conducted. No Child Service Reports (CSR) indicating the child's growth and development in the context of the services being provided were observed in child #3"s or child #4's file, and both children have been enrolled for more than six months. An acceptable plan of correction was received on 12/13/23, stating that the violation would be fixed. On 1/22/2024, an inspection to verify the corrections was conducted. There were still no Child Service Reports (CSR) in child #4's file which documented the child's growth and development in the context of the services provided, and the child has been enrolled for more than six months.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: On 11/17/2023, a Renewal Inspection was conducted. During the inspection, no emergency transportation plan was on file or posted in the child care space. An acceptable plan of correction was received on 12/13/23, stating that the violation would be fixed. On 1/22/2024, an inspection to verify the corrections was conducted and there was still no emergency transportation plan was on file or posted in the child care space.

Correction Required: 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.

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: On 11/17/2023, a Renewal Inspection was conducted. The emergency contact information for Child #1 had a signature but no date to indicate that it had been reviewed within the last six months. An acceptable plan of correction was received on 12/13/23, stating that the violation would be fixed. On 1/22/2024, an inspection to verify the corrections was conducted. The emergency contact information for Child #1 had a signature but still no date to indicate that it had been reviewed within the last six months.

Correction Required: 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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 11/17/2023, a Renewal Inspection was conducted. Staff #1, #2, and #3 have no documentation showing their completion of the required one-hour Health and Safety training update. This training was required to be completed by 12/30/22 for all existing staff. An acceptable plan of correction was received on 12/13/23, stating that the violation would be fixed. On 1/22/24, an inspection to verify that the violations were fixed was conducted. Staff #2 was still observed to have no documentation showing their completion of the required one-hour Health and Safety training update.

Correction Required: 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 updated professional development by 2/7/24.

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: On 11/17/2023, a Renewal Inspection was conducted. During the inspection, there were no posted notifications which indicated a safe route for parents to pick-up and drop-off their children. An acceptable plan of correction was received on 12/13/23, stating that the violation would be fixed. On 1/22/2024, an inspection to verify the corrections was conducted. There were still no posted notifications which indicated a safe route for parents to pick-up and drop-off their children.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 1/22/2024, while conducting an inspection to verify corrections, another regulatory violation was observed. Staff #5 (see code sheet for date of hire) did not have documentation on file which included two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Correction Required: 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.

Regulation: 3270.27(a)(4)

Description: Contact when ended

Noncompliance Area: On 11/17/2023, a Renewal Inspection was conducted. The emergency plan, that was provided during the inspection, did not include a method to contact parents and provide them with emergency related information, such as how they can be reunited with their children. An acceptable plan of correction was received on 12/13/23, stating that the violation would be fixed. On 1/22/2024, an inspection to verify the corrections was conducted. The emergency plan, that was provided during the inspection, still did not include a method to contact parents and provide them with emergency related information, such as how they can be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: On 11/17/2023, a Renewal Inspection was conducted. Staff person #1, #2, and #3 have not completed 12 hours of annual professional development training for the previous year of employment. An acceptable plan of correction was received on 12/13/23, stating that the violation would be fixed. On 1/22/24, an inspection to verify the corrections was conducted. Staff person #1 still did not have any documentation which showed that they completed any annual professional development hours per the plan of correction. Staff person #2 only completed three hours of annual professional development training on 1/16/2024. Staff person #2 is required to complete 9 more hours of training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 11/17/2023, a Renewal Inspection was conducted. Staff #2 and #3, who have lived outside of PA within the last five years, do not have out-of-state clearances on file from those states. An acceptable plan of correction was received on 12/13/23, stating that the violation would be fixed. On 1/22/2024, an inspection to verify the corrections was conducted. Staff #2, who has lived outside of PA within the last five years, still did not have proof of completion of the NY Sex Offender Registry Check. Staff #5 was observed to be supervising children, but there was no record on file which showed that the staff had the required clearances, the requests for additional clearances, or the signed, witnessed, and dated disclosure statement prior to working with the children.

Correction Required: 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 Persons # 2 may not work in a child care position at the facility until the clearances are completed and on file.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During the inspection, the following violations were observed in the outdoor play space: A green plastic bench had a crack in it. There was a small broken yellow chair. A foot/ hand hold piece of the pirate ship had broken off and was on the ground.

Correction Required: 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.

Regulation: 3270.102(e)

Description: Infant/toddler - no material less than 1 inch

Noncompliance Area: Small rubber mulch pieces that were less than an inch in diameter were observed on the infant/ toddler side of the outdoor play space.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: No Child Service Reports (CSR) indicating the child's growth and development in the context of the services being provided were observed in child #3"s or child #4's file, and both children have been enrolled for more than six months.

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

Regulation: 3270.123(a)(5)/3270.124(b)(7)

Description: Designated release persons/Name/address/phone release person

Noncompliance Area: The record for child #5 did not contain the release person's address or specify the persons to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. 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.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information for child #4 was missing the address of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(3)/3270.124(b)(6)

Description: Parent home/work address, phone/Insurance coverage information

Noncompliance Area: There was no documentation on file that included a parent's work address and work phone number for Child #2. Child #3's emergency contact information was missing the health insurance coverage and health insurance policy number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During the inspection, no emergency transportation plan was on file or posted in the child care space.

Correction Required: 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.