Aa To Zz Child Care And Learning Center

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Through the complaint investigation, it was verified that children in the 1-year-old classroom occasionally eat off of the floor when food is not cleaned up immediately after meals.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed in the 3-year-old classroom that the floors were not cleaned, with dirt and crumbs along the edges of shelves and on the carpets. It was observed in the 3-year-old room that the changing table pad was not clean, with dirt and crumbs along the edges and underneath the changing pad.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: Through the complaint investigation, it was verified that children in the 1-year-old classroom occasionally share sippy cups, when sippy cups are left unattended.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 2/25/26, staff member #1 instructed child #1 to get their coat, and the child ran down the hallway and was let out of the door by another child.

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.

Regulation: 3270.101(a)

Description: Age appropriate

Noncompliance Area: Observed the bookshelf in the Older Toddler (2) classroom did not include a sufficient amount and variety of books. Observed a limited amount and variety of toys and books available on the shelves in the Young Toddler (1) classroom.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed a cabinet drawer containing plastic bags in the Young Toddler (1) classroom which did not have an operating safety latch; the bags were accessible to children who are still placing objects in their mouths. *Corrected at the time of the inspection.

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: 3270.112

Description: Infant/Toddler Stimulation

Noncompliance Area: Observed staff person #2 and #3 were not actively engaged with the group of older toddlers and preschoolers in the Older Toddler (2) classroom. The children were seated at the table for a period of a least 10 minutes waiting for lunch. A video was playing on a small tablet on a nearby counter in lieu of staff interacting with the children.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement for child #1, #2, #3, #4, #5 and #6 was not signed by the operator. The agreement form used by the facility does not include a space requesting the signature of the operator.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information for child #5 does not include 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)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information for child #4 did not include the complete home address of the enrolling parent.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Observed emergency contact information was not present in the Infant 1, Older Toddler (2), and the Preschool classrooms for each child receiving care in the space. *Corrected at the time of the inspection.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: The infant classroom did not include a formula and feeding schedule from the parent for each infant receiving care.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Observed bottles in the Crawler/Walker room which were not labeled with the child's names to whom they belonged.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: The file for staff person #2 did not include a copy of the request for their State Police clearance prior to their first day caring for children (see LIS code sheet). The State Police clearance on file was dated 08/07/2025. The file for staff person #4 did not include a copy of the request for their FBI clearance prior to their first day caring for children (see LIS code sheet). The FBI clearance on file was dated 06/07/2025. The file for staff person #5 did not include a copy of the request for their FBI clearance prior to their first day caring for children (see LIS code sheet). The FBI clearance on file was dated 08/22/2025.

Correction Required: 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.

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

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

Noncompliance Area: Observed staff person #1 performing the duties as an assistant group supervisor (AGS), the file for staff person #1 did not include documentation of 2 years of verified child care experience to qualify as an AGS. The file included approximately 1610 hours of verified experience. *Corrected at the time of the 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: The director did not complete a written evaluation for staff person #3 within 12 months of initial hire (see LIS code sheet).

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed a bottle of Lysol cleaner on the bathroom counter next to the sink used by older toddlers which was accessible to children. *Corrected at the time of the inspection.

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: 3270.75(b)/3270.133(4)

Description: Inaccessible to children/Locked

Noncompliance Area: Observed the backpack containing the first aid kit and children's prescription medications was on the counter in the PreK classroom and was accessible to the preschool age children in care. *Corrected at the time of the inspection.

Correction Required: A first-aid kit must be inaccessible to children. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Crawler/Walker classroom did not include an assortment of adhesive bandages and scissors. The first aid kit in the School Age classroom did not include scissors and soap. The first aid kit in the Preschool classroom did not include tape. The first aid kit in the PreK classroom did not include soap. *Corrected at the time of the inspection.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed a cabinet drawer in the Older Toddler (2) classroom which was broken, the drawer falls off its track into the open cabinet shelves below creating a visible hazard. Observed the mirrors in the Young Toddler (1) and Older Toddler (2) classrooms had visible smudges and smears. Observed the plexiglass on the indoor wooden reading nook in the Older Toddler (2) classroom had visible smudges and smears. Obser

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed peeling paint on the wall located in the Young Toddler (1) classroom.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.135(e)

Description: 2 hour diaper check

Noncompliance Area: The operator provided a diaper changing report from 11/03/2025 - 11/12/2025 which lists when diaper changes were documented for each child. The report showed several diaper changes for children which exceeded the 2-hour time frame throughout the day. Documentation shows that diapers in the infant and toddler classrooms were consistently late between the morning diaper changes with a period of between 15 - 45 minutes late. Diaper changes after naptime do not reflect a timely diaper change when the children wake up from their naps. Naptime is scheduled from 12:00 - 2:30 in the toddler classrooms; with some children not having a documented diaper change until after 3:00 pm. The documents further show some dates in which diaper changes were not logged more than once or twice throughout the day indicating that the diapers were soiled and/or not checked every two hours.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed electrical outlets in the PreK and Young Toddler (Crawler/Walker) classrooms which lacked protective receptacle covers.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed Febreze deodorant spray and Clorox wipes on the counter in the school-age room which were 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: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed visible dirt and dust on the baseboard in the PreK classroom. Observed a trash can lid in the PreK classroom with dried on food. Observed paper towels on the floor of the bathroom located in the school-age classroom. Observed the floors and area carpets in the school-age classroom had crumbs, small bits of paper and dirt.

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #1 did not include verification of child care experience and education at the time of initial hire. Previously cited on 06/05/2025.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #2 did not include a second written, nonfamily reference 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: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: On 05/29/2025, a bottle of hot sauce was placed on the counter in the Preschool classroom per the instruction of staff person #2 to single out and threaten harm to child #1 in an effort to deter the child from biting. Staff person #3 and #4 were both aware that the hot sauce was on the counter and did not remove the hot sauce from the counter. The child gained access to the bottle and licked the lid.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #1 did not include verification of child care experience and education at the time of initial hire.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #1 did not include 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 did not include an NSOR clearance prior to their first day caring for children (see LIS code sheet). The file included documentation of a request dated 05/28/2025.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 05/05/2025, a staff person observed staff person #1 grab child #1 by the neckline of their shirt and swung them around, causing them to fall on their hands and knees. The force caused the child to slide across the room from the door. A few days prior to this incident a staff person observed staff person #1 slam child #2 into a chair in a rough manner, causing the child to hit their elbow on the table. In another incident, date unknown, another staff person observed staff person #1 hit child #3 with the back of her hand in the mouth and then grabbed the child by the shirt and yelled at the child. Other staff have also observed staff person #1 grabbing children and putting them in a chair in a rough manner and yelling at children in the classroom.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: Observed a table in the school age classroom with a loose leg, which caused the table to be unstable. Observed the safety strap on a white highchair located in the infant classroom had a broken latch and was unable to be buckled properly.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Observed less than 2 feet on 3 sides of the cribs in the infant room while the cribs were in use.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Observed a child enter the school-age classroom from the PreK classroom to use the bathroom. The child was not supervised by a staff person during this time. The staff person sent the child to the preschool classroom to use the bathroom, but the child went the other direction to the school-age room instead.

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.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for child #1 included a health report which was not on file within 60 days of their first day of attendance at the facility (see LIS code sheet). The initial health report on file was dated 07/01/2024, with no previous health report on file).

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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Observed the children in the infant/young toddler classroom did not wash their hands before lunch.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The annual emergency drill was not completed within 12 months of the previous drill. The current emergency drill was documented on 08/19/2024 with the previous drill documented 07/2023.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for staff person #4 included documentation of emergency plan training which was not updated annually. The current training was dated 11/25/2024 with the previous training dated 10/10/2023.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 included the results of the NSOR clearance which was not on file within 45 days of hire (see LIS code sheet); the NSOR clearance on file was dated 11/25/2024. The file for staff person #2 included provisional hire documents which were not complete at the time of initial hire (see LIS code sheet). The FBI clearance request was completed on 07/13/2024 with the results dated 07/16/2024.The file for staff person #1 included the results of the NSOR clearance which was not on file within 45 days of hire (see LIS code sheet); the NSOR clearance on file was dated 07/08/2024. The file for staff person #3 included provisional hire documents which were not complete at the time of initial hire (see LIS code sheet). Documentation of a copy of the request for the NSOR clearance was not kept on file. The NSOR clearance was dated 07/05/2024.

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.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed a spray bottle of cleaning materials on the counter in the PreK classroom which was accessible to children. Observed a spray bottle of cleaning materials on the table in the preschool classroom, a child grabbed the bottle from the table and began spraying the cleaner on the table.

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: 3270.71

Description: Heat Source

Noncompliance Area: The hot water temperature of the sink located in the school-age classroom bathroom reached a temperature of 111° F which exceeded the maximum temperature of 110° F.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: Observed the first-aid kit located in the school-age classroom was hanging at a window which was accessible to children.

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During naptime in the school age classroom, staff person #1 incorrectly identified the children in their assigned group. Staff person #1 named half of the 18 school age children that were in the back portion of the classroom closest to them, which included children from staff person #2's group. The first time staff person #1 named their group they named 8 children, then added 1 more child. Staff person #2 then named the 9 children in their assigned group (using the face-to-name cards) which included a few of the children already named by staff person #1. Staff person #1 then used face-to-name cards to identify the 9 children in their assigned group.

Correction Required: 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: 3270.61(g)

Description: Preschool - no napping/play are

Noncompliance Area: Observed 4 school-age children who were playing in the same group space as children who were sleeping or resting on their cots. Two were in an area near the counter directly next to a child that was sleeping on a cot and two were in the back left corner near a child resting on a cot.

Correction Required: Preschool and school-age children may not be involved in small or large muscle activity in the same group space in which children are sleeping or resting.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On the date of the investigation, observed staff person #1 on the playground with a group of preschool age children. While asking the children to line up to go inside, staff person #1 was talking to a child that was not lining up while 2 children were fighting over a "Caterpillar Stepper" - Pedal Walker. Staff person #1 did not observe the situation with the children fighting due to their focus being on the child on another portion of the playground that was not lining up.

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.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Observed staff person #5 did not wash the hands of the young toddlers in care after being diapered.

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

Regulation: 3270.14

Description: Pertinent Laws & Regulations

Noncompliance Area: Staff person #3 was observed to be caring for children unsupervised. Staff person #3 did not have documentation of completing the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid & CPR. Staff person #4 was observed to be transporting children unsupervised. Staff person #4 did not have documentation of completing the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid & CPR and Emergency Plan Training.

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. Until such time as the required pre-service trainings are completed, staff person #3 & #4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3 & #4, staff person #3 & #4 may not work in a child-care position at the facility.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: The file for staff person #4 included a letter from the physician in lieu of a complete health assessment at the time of initial hire, (see LIS code sheet). Staff person #4 was observed preparing food and providing transportation of children.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Observed staff person #1, caring for children unsupervised. The file for staff person #1, who has resided outside of PA in the previous 60 months did not include out of state clearance results within 45 days of hire (see LIS code sheet). The file for staff person #1 did not include documentation of the date the FBI fingerprinting was completed to be hired provisionally. The file for staff person #1 did not include the results of the FBI clearance within 45 days of hire; the FBI clearance was dated 04/05/2024. The clearances for staff person #2, with documentation of misdemeanor grade charges, were not sent to the Central Regional OCDEL for review at the time of initial hire (see LIS code sheet). Observed staff person #3 caring for children unsupervised. The file for staff person #3 did not include the results of an NSOR clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 & #3 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: Observed the sink in the young toddler classroom was not at the proper height for the young toddlers to easily reach the sink. A platform or steps were not available for the young toddlers to reach the sink.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: On 01/11/2024, staff person #1 was heard yelling the following statements at the children in the classroom during naptime, "Do it again once" and "I'm tired of this".

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.124(b)(2)/3270.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: The emergency contact information for child #3 did not include the address of the child's physician or source of medical care. The emergency contact information for child #3 did not include the health insurance coverage and policy number.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(3)/3270.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: The emergency contact information for child #3 did not include the work telephone number of the enrolling parent or the complete address and telephone numbers of the individuals designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for child #1 included a health report which was not updated within 6 months of the previous health report for an infant for young toddler (see LIS code sheet). The current health report was completed on 10/19/2023 with the initial health report completed on 02/07/2023.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #2 (see LIS code sheet) included a record of the child's immunization status which lacked a 4th dose of DTap, a 3rd & 4th dose of PCV13, and a 2nd & 3rd dose of HiB immunizations.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The financial agreement for child #2 and #4 was not updated at least once in a 6-month period. Current updates for child #2 was completed on 09/07/2023 & 07/02/2023 with the previous update completed on 11/08/2022. Current updates for child #4 were completed on 09/07/2023 & 06/12/2023 with the previous update completed on 09/12/2022.

Correction Required: 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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Observed the fire safety training for staff person #2, #3, #4 and #5 was not completed within 12 months of the previous training. The current training for staff person #2 and #4 was completed on 09/12/2023 with the previous training completed on 08/12/2022. The current training for staff person #3 was completed on 09/13/2023 with the previous training completed on 08/12/2022. The current training for staff person #5 was completed on 12/28/2023 with the previous training completed on 08/12/2022.

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: Observed the Child Abuse and FBI clearances for staff person #2 were not updated within 60 months of the previous clearances. The current Child Abuse clearance was dated 05/22/2023 with the previous clearance dated 05/09/2018. The current FBI clearance dated 06/14/2023 with the previous clearance dated 05/01/2018.

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.

Regulation: 3270.72(b)

Description: Screened

Noncompliance Area: On 01/11/2024, observed a window was open in the PreK classroom at the front of the building; the window did not have a screen.

Correction Required: Windows or doors used for ventilation shall be screened when open.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed exposed screws along the back edge of the fence and next to the gate between the toddler and preschool playground and the gate leading out of the toddler playground which presented a visible hazard. The screws were sticking through the wood from the other side of the wooden slats.

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: 3270.107

Description: Refrigerator

Noncompliance Area: Observed the refrigerator in the young toddler classroom did not have a thermometer.

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

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #3 (see LIS code sheet) included a record of the child's immunization status which lacked an influenza immunization.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Observed the diaper station in the young toddler classroom did not have a hands-free covered can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid & CPR.

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. Until such time as the required pre-service trainings are completed, staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: A written statement giving the formula and feeding schedule for child #1 and #2 was not obtained from the parent.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #1 did not include a 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Observed the Child Abuse Clearance for staff person #3 was not requested prior to their first day working with children (see LIS code sheet). The Child Abuse Clearance was requested on 01/03/2023 and the results were dated 01/05/2023.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: Observed staff person #1 working alone in the Preschool classroom; the documentation on file for staff person #1 does not meet the qualifications to be an assistant group supervisor.

Correction Required: 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.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed a cabinet in the preschool classroom with a broken safety latch allowing children access to cleaning supplies (Lysol, glass cleaner, bleach, Microban, toilet bowl cleaner, Swiffer Wet Jet Cleaner) under the sink.

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: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: Observed the first-aid kit in the PreK classroom on the back counter which was accessible to children.

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed the cabinet door was off the hinges under the sink located in the Preschool bathroom. Observed the doorknob on the bathroom door located in the older toddler classroom was loose.

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: 3270.81

Description: Glass

Noncompliance Area: A visual strip or other visual identification was not placed on the glass located in the Older Infant/Young Toddler classroom. The row of windows spans from floor to ceiling between the classroom and hallway.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Regulation: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: Observed the sink used for hand washing in the young toddler room was not at a proper height for the children using them and did not have a platform or steps to make the sink accessible.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: Observed the diaper changing table in the older toddler and infant room did not have a hand washing sign posted.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: Observed the waste receptacle in the school age bathroom was not equipped with a lid.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Noncompliance Area: On 9/9/20, it was observed that one of the toddler bikes on the infant/toddler playground had a broken, wooden handle. The edges were sharp and splinters were present.

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.

Noncompliance Area: On 9/9/20, it was observed that small objects were present in the preschool classroom with a child under the age of 3 present. A toddler (age 2) was observed playing with a set of pegs and a board. The pegs were less than 1 inch in diameter and posed a choking hazard.

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.

Noncompliance Area: On 9/9/20 it was observed that an outlet cover was missing in the preschool classroom on the left side of the classroom. Children present were ages 2-12.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: On 9/9/20, it was observed that there was standing water in a cupboard on the infant/toddler playground. Insects were living in the bucket of water.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Noncompliance Area: On 9/9/20, it was observed that the kitchen door was open allowing the stove to be accessible to children who might be using the hallway.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: On 2/28/2020 it was observed that the purple, triangle mat in the Older Toddler classroom was torn exposing the stuffing. CORRECTED ON SITE.

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.

Noncompliance Area: On 1/17/2020, it was observed that the closed door was broken with a large hole in the classroom side in the Kindergarten/school age classroom. CORRECTED ON SITE.

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.

Noncompliance Area: On 12/23/19 it was observed that eh hall closet outside the office door was unlocked and slightly ajar. This closet is used to store cleaning supplies and paint.

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

Noncompliance Area: On 11/18/19 it was observed that the floor mat in the rear school age classroom was ripped and the stuffing was exposed. CORRECTED ON SITE.

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.

Noncompliance Area: On 9/6/19 it was observed that there was an uncovered electrical outlet in the Preschool Classroom. Children under the age of 5 were present in the classroom. CORRECTED ON SITE.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: On 9/6/19 it was observed that peeling paint was present in the facility. Peeling paint was observed by the train table in the preschool classroom. CORRECTED ON SITE.

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.Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: On 8/13/19 it was observed that medications were not being administered according to the physicians prescription. Child 1 was to be administered medication at 11:00 AM daily, according to physicians prescription on file. Medications were given late on 4 occasions: on 7/3/19 medication was given at 12:00 PM, on 8/1/19 medication was given at 12:00 PM, on 8/9/19 medication was given at 2:00 PM, on 8/12/19 medication was given at 11:29AM

Correction Required: The operator shall make reasonable accommodation in accordance with applicable federal and state laws to facilitate administration of medication or a special diet that is prescribed by a physician, physician's assistant or CRNP as treatment related to the child's special needs. Facility persons are not required to administer medication or special diets which are requested or required by a parent, a physician, a physician's assistant or a CRNP but are not treatment related to the child's special needs.

Noncompliance Area: On 4/18/19 it was observed that an outlet was uncovered in the rear school age (tigers) classroom. The youngest child in care in this classroom at the time of the visit was age 3. Outlet covers are required when outlet covers are accessible to children under age 5. CORRECTED ON SITE.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: On 3/29/19, it was observed that the school age classroom was out of ratio from 8:15 until 8:30 AM. Two staff were present with 25 to 27 older and younger school age children. Required ratio for this age group was 1 staff for every 12 children. At 8:30 AM and third staff person arrived to meet the ratio.

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

Noncompliance Area: On 3/29/19, it was observed that 2 of the ceiling tiles in the preschool (Monkey) classroom were broken above the loft area. The children were pulling them down and breaking them.

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.

Noncompliance Area: Staff person 1 has been named as named as a perpetrator in a founded/indicated report of child abuse.

Correction Required: A facility person who has been named as perpetrator in a founded/an indicated report of child abuse may not be present in the facility.

Noncompliance Area: On 1/23/19, child 1 was left, unsupervised, in the center van for approximately 30-35 minutes.

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 must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: On 1/23/19, staff persons 1 and 2 left child 1 unsupervised, in the center van for approximately 30-35 minutes. Staff person 1 was the primary staff for child 1. Staff person 1 was not physically present with the child or aware of their whereabouts.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The facility shall develop a name-to-face card system in order to properly identify each child and assign them to primary care groups. The facility shall seek DHS approval prior to implementing the card system.

Noncompliance Area: On 1/8/19 it was observed that 3 children were playing in a loft area in the Preschool (Monkey) classroom. The loft is accessible by a ladder. The protective mat for surfacing under the ladder was observed to be folded up and leaning against the ladder. No surfacing was present in the fall zone. In addition, the mat posed a tripping hazard for children climbing up and down on the ladder as the bottom 2-3 steps of the ladder were behind the mat.

Correction Required: Indoor play equipment for climbing shall be installed or used over a protective surface covering which does not interfere with the stability of the equipment.

Noncompliance Area: On 1/7/19 , between 8:18 and 8:22 AM, it was observed that a staff person was using their personal cell phone and was not looking at the children or staff under their supervision. The staff person was responsible for 7 preschool children as well as supervision of an Aide in the adjoining classroom.

Correction Required: 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. 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.

Noncompliance Area: On 1/7/19 it was observed that the toddler (hippo) classroom was out of ratio from 8:30 until approximately 9:00. 15 young and older toddlers were observed with 2 staff persons.

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

Noncompliance Area: On 1/7/19 it was observed that an electrical outlet without a cover was accessible to young and old toddlers in the toddler (Hippo) classroom. A utility closet door was left open exposing and outlet without a protective cover.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: On 1/7/19 it was observed that the ceiling air vents throughout the building were dirty with a layer of dust as well as the wall vent outside the kitchen door. A partially chewed/eaten hot dog was observed on the floor in the toddler (hippo) room when one of the children shifted a book shelf on wheels, hot dogs were not served for breakfast. Half of an apple was observed on the floor in front of the utility closet, apples were not served for breakfast.

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.

Noncompliance Area: On 1/8/19 it was observed that there was peeling paint on the windowsill, to the left of the exit door, in the front school age classroom.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.