C3 KIDS

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: In the infant room, a changing pad and a blue chair were observed to have ripped corners with foam accessible to children. In Room 10, a blue chair was observed to have ripped corners with foam exposed and accessible to children.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: In room 12, staff #5 and staff #2 were observed to be working with children. Neither staff #2 nor staff #5 had completed Pediatric CPR/First Aide on file. In room 16 staff #4 was observed to be working along with children. Staff #4 did not have an FBI clearance, NSOR clearance or Pediatric CPR/First Aide on file.

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.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Staff #3 had a health assessment dated 4/25/26, which was not completed prior to working with children. Staff #4 did not have a health assessment on file. Staff #5 did not have a health assessment on file.

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: Staff #2 did not have a TB screening on file. Staff #4 did not have a TB screening on file.

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff #5 did not have verification of education or child care experience on file.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff #5 did not complete Health and Safety Training within 90 days of hire. Staff #5 does not have Health and Safety Training on file. Staff #5 must be supervised by a qualified staff (AGS or higher with all pre-service trainings completed) at all times. If there is no staff to supervise staff #5, then staff #5 may not work in a child care position.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: Staff #5 did not complete Pediatric CPR/First aid within 90 days of hire. Staff #5 does not have valid CPR/First Aid on file. Staff #5 must be supervised by a qualified staff (AGS or higher with all pre-service trainings completed) at all times. If there is no staff to supervise staff #5, then staff #5 may not work in a child care position.

Correction Required: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1 had an NSOR dated 9/22/20 and did not have an updated NSOR on file. Staff #1 may not work in a child care position until an NSOR clearance is updated and on file. Staff #2 had an NSOR clearance dated 4/27/26, which was not completed before working with children. Staff #4 had a state police clearance dated 4/22/26 and a child abuse clearance dated 4/22/26, which were not completed prior to working with children. Staff #4 does not have an NSOR or FBI clearance on file. Staff #4 may not work in a child care position until clearances are obtained and on file. Staff #5 did not have a state police clearance, Child abuse clearance, or NSOR on file. Staff #5 may not work in a child care position until all clearances are obtained and on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, #4, and #5 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. Facility Person #1, #4, and #5 may not work in a child care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In room 22, a bottle of all purpose cleaner was observed to be accessible to children above the sink. Corrected on site.

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: 3270.94(a)/3270.94(a)(1)

Description: Director or designated staff person responsibility/Every 60 days

Noncompliance Area: Fire Drills were observed to be conducted greater than 60 days apart on the following occasions: 5/27/25-6/27-25, 7/23/25-8/25/25, and 12/12/25-1/15/26

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the critera specified in §3270.95Ia)(1)- (a)(9) are met The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: On 2-20-26 an unannounced visit was conducted. It was determined that on 2-4-26, Staff #1 used inappropriate language in the presence of Child #1.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the Renewal Inspection 5-27-25; peeling paint was observed in the Toddler Room 15 on the wall near the bathroom entrance. This was brought to the attention of the Director.

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

Noncompliance Area: During Renewal Inspection on 9-17-20, it was discovered that a Handwashing sign was not posted at the double children's sinks in Room 22.

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.

Noncompliance Area: Staff person #1 did not wash her hands or an infants hands that she had just changed the diaper of. Staff person #1 also gave the same child a bottle after the diapering without washing either of their hands, staff person #1 did use a hand wipe on the child's hands. This occurred on 3-9-20 at approximately 11:11am. It was witnessed by this writer by viewing live camera feed in the directors office.

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

Noncompliance Area: During renewal inspection, 5-6-19, Staff #1's file did not contain verification of education.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: Socks were placed on the hands of a child to prevent the child from scratching the other children in care.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.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.

Noncompliance Area: Refrigerators in rooms 19 and 22 did not contain thermometers.

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.

Noncompliance Area: Staff in Older Infant A room did not wash a child's hands following diapering.

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

Noncompliance Area: Staff person #1's file did not have a current health assessment on day of 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.

Noncompliance Area: Staff had not reviewed the emergency plan annually and were often unclear of relocation sites.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Noncompliance Area: An outlet was uncovered in Room 20 above the sensory table.

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

Noncompliance Area: The cabinet in the bathroom between rooms 21 and 22 was unlocked and contained cleaning materials.

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: Staff #1 and #2 left a sleeping child unsupervised in the office for approximately 3-5 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. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: Staff #1 screams in children's faces using demeaning language.

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.

Noncompliance Area: Staff #1 screams in children's faces using demeaning language.

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

Noncompliance Area: During an incident the director disclosed confidential information regarding a child in the hallway. This information was disclosed in the presence of other day care staff.

Correction Required: A facility person may not disclose information concerning a child or family, except in the course of inspections and investigations by agents of the Department.

Noncompliance Area: Room 16 Older Toddlers was out of ratio on 9-22-17 at 7:50 am when I arrived unannounced. There was one staff in the room with 7 2 two year olds present, an 8th arrived at 7:53am.

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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: Refrigerator in Older Infant B Room did not ciontain 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.

Noncompliance Area: Staff persons # 3 and #7 had out dated health assessments on file.

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.

Noncompliance Area: The White Mini-Van had an expired inspection, 2-2017, and the White Bus had an expired insurance coverage card, 4-30-2017.

Correction Required: A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

Noncompliance Area: Staff #3 and #5 need proof of educational attainment level on file.

Correction Required: A facility person`s record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: Staff/Facility persons #1 Did not have completed FBI Clearance information on file, Date of Hire 1-5-17; #2 Did not have completed State Police Clearance on file, she had a Volunteer clearnace, Date of Hire 8-15-16; #3 Did not have Completed State Police information on file, Date of Hire 10-10-16; #4 Did not have completed State Police or FBI information on file, Date of Hire 8-14-16; #5 Did not have FBI information on file, Date of Hire 6-6-16; #6 Did not have PA Child Abuse information on file Date of Hire 2-12-13; #7 Did not have FBI Clearance information on file Date of Hire11-15-16

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility.

Noncompliance Area: Outlet in hallway leading to Young outdoor play are was uncovered near the strollers.

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

Noncompliance Area: Hands free lidded trash receptacle was needed on Young Toddler B Room.

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