Adventurous Kids Early Childhood Center Inc

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The facility admitted to using two highchairs that were observed in the Preschool classroom for certain children in the classroom. The highchair that was indicated to be used by Child #1 is only approved for children up to age 3 (see code sheet for child's date of birth), according to the manufacturer's manual. The manufacturer's manual for the highchair indicated by the facility staff to be used by Child #2 indicated that the highchair is only suitable for children who are no older than three years old (see code sheet for date of birth) or a maximum weight of 33 pounds. However, there was no documentation on file showing that the child's weight fell within the safe weight parameters to use the highchair.

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

Regulation: 3270.111(c)/3270.113(e)

Description: Promote development/Restraints prohibited

Noncompliance Area: During an inspection on 05/20/26, Staff #2 admitted to putting preschool-aged children into highchairs in the classroom at mealtimes to restrict their access to other children's food and keep them at the mealtime. Staff #4 admitted to putting Child #1 and Child #2, preschool-aged children, into highchairs at times that were not mealtimes. Staff #1 also stated that they put Child #1 in a highchair at times that were not mealtimes.

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 restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. TIERED LIS: 1. Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. This portion of the plan shall have an immediate correction date. 2. The Legal Entity/Director will create a policy regarding the management of children's behaviors for the facility. This policy must state that equipment, such as highchairs and pack-n-plays, will not be used to restrict children's movements for behavior purposes, or in any instance that isn't a mealtime. Also, equipment used for children must meet the acceptable age/weight range per the manufacturer's instructions. Additionally, at a minimum, the policy must include the following: 1. Appropriate behavior management techniques and how the staff will demonstrate their knowledge of these techniques. 2. What steps staff will follow if they are still unable to manage a child's behavior after using appropriate behavior management techniques. 3. Appropriate uses for equipment, such as highchairs and pack-n-plays, and how staff will determine which children can safely use the equipment. 4. Specifically, how the facility will ensure appropriate behavior management practices are being used. 5. How staff can include mixed ability children in activities that cater to their individual needs and interests while also promoting safe behavior choices. This behavior management policy must be submitted to the Department prior to implementation for approval. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on this policy. Documentation of the training must be maintained at the facility. The operator shall provide a date by when this will be completed.

Regulation: 3270.131(a)/3270.131(d)(5)

Description: Health information/Immunization record

Noncompliance Area: The record for Child #2 (see code sheet for date of admission) did not contain any health reports, immunization records, or a letter of exemption, and this child has been attending care for more than 60 days.

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. A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Child #2 may not return to care until required immunizations or a letter exemption, and a current health report are on file.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire detection system was not tested at least once every 30 days as indicated by the following fire detection system testing logs that were on file: 1/2/26 and 2/2/26, 3/1/26 and 4/1/26.

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: 3270.107

Description: Refrigerator

Noncompliance Area: Facility refrigerator in the kitchen does 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: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: Facility emergency plan was not reviewed in over 12 months from 6/1/23 to 7/26/24.

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.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: During the renewal, in the school age room, the bookshelf located next to the television was not secured to a surface and was able to be tipped over. The white dramatic play kitchen in the Preschool room was wobbly and began to fall apart when moved. The blue bookshelf in the school age room 4 was wobbly and not secured to a surface. This poses a hazard 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: During the renewal inspection, staff person #1 did not complete the required one-hour 2022 update to the health and safety training withing 90 days of hire. It was completed on 10/2/23 (see LIS code sheet for date of hire).

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 will complete updates to the health and safety training within 90 days of hire or by the required deadlines.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: During the renewal inspection, the health assessment for staff person #16 did not contain an examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the renewal inspection, staff person #14 did not have any of the required 12 clock hours of child care training during the 3/22-3/23 training period.

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: During the renewal inspection, staff person #12 updated mandated reporter training on 5/17/22. The previous date of mandated reporter training was done on 2/21/17. This time reflects longer than the 60 month required update. Staff person #16 does not have a current FBI clearance on file. This is evidenced by the FBI clearance on file dated 4/26/18, which past the 60 month required update. Staff person #16 also did not update the mandated reporter training until 9/10/23. The previous mandated reporter training on file was dated 5/21/18. This also reflects longer than the 60 month required update.

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. The CPSL was revised to include a requirement that all clearances and mandated reporter training be updated and on file at least every 60 months. Staff Person #16 may not work in a child care position at the facility.

Regulation: 3270.36(b)(5)/3270.192(2)(iv)

Description: HS/GED + 2 yrs/Transcript, diploma and letters

Noncompliance Area: During the renewal, staff person #1 did not have foreign education evaluated and did not have a high school diploma and therefore cannot be qualified as an assistant group supervisor.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. 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.

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: During the renewal inspection, in the Preschool room, toxic Pothos plants were observed and were accessible to children.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal, the blue bookshelf in school age room 4 had chipped paint all throughout the shelves and top.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During the renewal inspection, the operator admitted that a new fire detection system was installed in August 2023. There was no proof of purchase or installation documentation on file at the facility for the new fire detection system.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During the inspection, the manual monthly monitoring of the fire detection system was completed on 9/5/23. The previous date of testing was done on 8/1/23. This reflects a period of longer than the required 30 day timeframe for manually testing the fire detection system.

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: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: During the inspection, in the upstairs bathroom, the toilet seat was wobbly and not properly secured to the toilet.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the inspection, staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training topics

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 9), within 90 days of hire. Staff person #2 will have until 2/23/23 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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the inspection, staff person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-9 Staff person #1 shall complete the required one-hour 2022 update to the health and safety training by 2/23/23.

Regulation: 3270.101(c)/3270.101(c)(1)

Description: Include 6 categories of development/Dramatic role playing

Noncompliance Area: During the renewal inspection, in the young toddler room, there was no evidence of dramatic play equipment being available for child use.

Correction Required: Play equipment and materials shall include the items specified at §3270.101(c)(1) - (6). Play equipment and materials shall include materials for dramatic role playing.

Regulation: 3270.102(g)

Description: Hazardous toys and equipment

Noncompliance Area: During the renewal inspection, in the infant room, there were infant swings manufactured by 4Moms which were part of a United States Consumer Product Safety Commission recall in August 2022. The equipment was present in the room and was not repaired as per the United States Consumer Product Safety Commission guidelines.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the renewal inspection, a toddler was observed sleeping on a pullout child sized sofa that was not specific to that child for rest time.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: During the renewal inspection, child #10's health report did not contain an immunization record.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3270.75(c)/3270.178

Description: Has all items/Transportation First Aid Kit

Noncompliance Area: During the renewal inspection, scissors and tweezers were missing from van #1.

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. A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection, in the Preschool room, a cord was observed dangling from the television and not securely fastened preventing children from pulling on the cord. The block shelf was not securely fastened to the wall posing a tipping hazard. In the school age room, a cord was observed dangling from the television and not securely fastened preventing children from pulling on the cord. Carpets in the classroom were dirty and stained. Windowsills in the room contained dust. The brown shelf in the room had peeling paint. In the toddler room, the carpets were dirty and stained. The clothing bin had a crack exposing sharp corners. In the preschool room located on the second floor, the carpets were dirty and stained. In the school age rooms located on the second floor, the carpets were dirty and stained. The laminate floors were beginning to separate posing a tripping hazard.

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: 3270.80(a)

Description: Three steps handrail

Noncompliance Area: During the renewal inspection, in the young toddler room, the 3 steps leading from the door into the room were not equipped with a handrail.

Correction Required: Inside and outside stairs with three or more steps shall be equipped with a handrail.

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: During the renewal inspection, the middle toilet located in the downstairs girl's bathroom was leaking and water was present on the floor.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: During an unannounced onsite investigation on 7/18/22, child #4 did not have an initial health report on file within first 60 days of attendance (see code sheet for date of attendance).

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)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: During an unannounced onsite inspection on 7/18/22, child #3, a preschooler, did not have an updated health assessment on file. The health assessment on file was dated 6/4/21.

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.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The Allentown Health Bureau conducted an inspection at the facility on 7/7/22 and found the child health files to be out of compliance. Subsequently, an unannounced onsite inspection from OCDEL was conducted on 7/18/22, and child health records were reviewed. Child #1 was missing documentation of the DTAP #4 vaccination. Child #2 was missing documentation of the Hep B #3 and IPV #4 vaccinations. Child #5 was missing documentation of Hep B #3, MMR#1 and Varicella #1 vaccinations.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During an unannounced onsite inspection on 7/18/22, the operator did not have requirements for volunteer emergency preparedness training, practice drills and continuity of operations included in their emergency plan. The operator was not in compliance with federal requirements at 45 CFR § 98.41(a)(1)(vii) relating to health and safety requirements.

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. To maintain full compliance with 45 CFR § 98.41(a)(1)(vii), child care facilities must have requirements for volunteer emergency preparedness training, practice drills and continuity of operations included in their emergency plan.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: During an onsite inspection on 7/18/22, staff #2's health assessment stated "yes" to communicable diseases, but there was no further explanation as required.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During an onsite inspection on 7/18/22, staff #2, staff #3, staff #6, staff #7, staff #8, staff #11, staff #13, staff #14 and staff #16 did not have an updated emergency plan training within the past 12 months on file.

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: During an onsite inspection on 7/18/22, staff #2 did not have annual training in fire safety. The last recorded training being conducted was done on 11/27/19. Staff #11 did not have annual fire safety training. The last recorded training being conducted was done on 11/23/20.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During an unannounced onsite inspection on 7/18/22, staff person #9 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 #9 will have until 8/12/2022 to complete the required training. Until such time as the required training has been completed, staff person #9 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 #9, staff person #9 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: During an onsite inspection on 7/18/22, there was no date of signature on the disclosure statement for staff #1 and staff #3.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During an onsite inspection on 7/18/22, there was no written evaluation from the Director on file for staff #2, staff #6 and staff #7, staff #11, staff #12, staff #14 within the past 12 months.

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: 3270.35(b)(1)/3270.192(2)(iv)

Description: Bachelor's/Transcript, diploma and letters

Noncompliance Area: During an unannounced onsite inspection on 7/18/22, staff #8 had a Bachelor's degree but did not have a transcript on file showing what the Bachelor degree was in.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.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.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an unannounced onsite inspection on 7/18/22, the manual monthly monitoring log was last conducted on June 10 and not within the 30 day requirement. The operator is not in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c).

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: At the time of the inspection, in the Preschool room, there was a white shelf on top of another shelf which was not secured and was able to tipped onto a child. In the Toddlers room, the pink dramatic play equipment (kitchen set) was not secured and able to be tipped onto a child.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of the inspection, the emergency contact form on file for child #2 and 7 did not have an address for the individual designated by the parent to whom the child may be released.

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(c)

Description: Each child care space

Noncompliance Area: At the time of the inspection, in every classroom, there were no emergency contact forms for those children who were in the classroom.

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: 3270.124(d)

Description: Excursions

Noncompliance Area: At the time of the inspection, in each vehicle used by the facility, there were no emergency contact forms for those children utilizing the transportation service.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: At the time of the inspection, there was no verification of a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted in any child care space in the facility.

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: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: At the time of the inspection, on the health report for child #1, 3-6, there was no annual influenza vaccination or exemption from the influenza vaccine on file.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: At the time of the inspection, on the health report for child #1, there was no statement stating that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: At the time of the inspection, the health assessment on file for staff #9 did not have tuberculosis screening by the Mantoux method at initial employment.

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(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: At the time of the inspection at 9:38am, in the Preschool room, there was a bottle of Ketchup that said to keep refrigerated after opening sitting on a table. Ketchup was not served during breakfast at any time.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: At the time of the inspection, there was no verification that the operator notified local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: At the time of the inspection, there was no instructions for contacting the appropriate regional child care office in the child care facility or given to the parents electronically.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, staff #2 did not have a PA State Police clearance that displayed a disposition date. The clearance was enlarged with over half of the clearance not visible.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: At the time of the inspection, in the Preschool room, there was a missing receptacle cover located by the television.

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: At the time of the inspection, in the Preschool room, there were baby wipes in a plastic bag which stated to keep out of reach of children. This was accessible to the children in the room. There was an air freshener in the school age room which was at a level that was accessible to children. In the toddler room, there were baby wipes in a plastic bag which stated to keep out of reach of children. This was accessible to the children in the room.

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: At the time of the inspection, the trash can in the cafeteria room did not have a lid and there were tissues inside along with food.

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: At the time of the inspection, in the SA room, the carpets were dirty and stained.

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: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: At the time of the inspection, the sink in the bathroom on the 2nd floor was leaking water on the floor due to a damaged pipe. This caused water damage to the floor under the sink to where the floor was peeling upwards. In the women's bathroom, a toilet was leaking when flushed causing water to leak out onto the floor.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: Preschool 1 and 2 were combined for nap time. The numbered cots were not clear on which child belonged on which cot. At least one cot had two different numbers on it. Only one staff knew which children belonged on the specific cots.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: Child 1 did not have a child service report on file.

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).

Noncompliance Area: There was no emergency contact information present in any of the child care spaces.

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.

Noncompliance Area: Staff 1 only had three hours of training on file from August 2018 to August 2019.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: During the 10/18/2019 inspection, it was observed that there was an inoperable hands free garbage can in the first floor, as well as the 2nd floor bathroom. On 11/14/2019, there was a garbage can in the first floor bathroom that was not hands free. In the kitchen there was an uncovered garbage can. In the school age, preschool 2 and 3rd floor girls and boys bathrooms there were uncovered garbage cans.

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

Noncompliance Area: On the 10/18/2019 inspection, the radiator covers in the gym had exposed nails and staples. It was observed on 11/14/2019, that not all the radiators were fixed in the gym. Some still had exposed wood and small splinters.

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: There was an inoperable hands free garbage can in the first floor, as well as the 2nd floor bathroom.

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.

Noncompliance Area: There was a loose screen in the school age 3 room.

Correction Required: Screens shall be in good repair.

Noncompliance Area: The radiator covers in the gym had exposed nails and staples. The strip in the doorway to the infant and toddler room was loose and was a tripping hazard.

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.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: The preschool room had a ripped screen in it.

Correction Required: Screens shall be in good repair.

Noncompliance Area: In the infant room, there was a crib in use that only had two sides of 2 feet of space.

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.

Noncompliance Area: There were three ceiling tiles in the cafeteria that were pushed back.

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: In the toddler/school age room, there was not sufficient enough toys to meet the developmental needs and interests of the children. There were only blocks and a train in two tubs that were in the 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.

Noncompliance Area: In the infant room, the bucket seats did not have straps on them and there were children in them during the time of the inspection. In the preschool I room there was a TV on a stand that was wobbly and unstable.

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

Noncompliance Area: In the toddler room, child 1 was resting on an unlabeled cot.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: The school age II room did not have a full day school age schedule.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: As per day care staff, the facility does not have a supervision policy in writing that they give to the parents.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Noncompliance Area: Child 2 did not have an updated influenza shot on record.

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.

Noncompliance Area: Van 11 did not have an accessible first aid kit available.

Correction Required: A first-aid kit, including the contents as specified in 3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Noncompliance Area: In the preschool III room, Clorox wipes were accessible to the children in an unlocked cabinet.

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: In the preschool 1 and toddler/school age room there were loose screens in the window. In the school age II room, there was a ripped screen in the second window from left.

Correction Required: Screens shall be in good repair.

Noncompliance Area: In the gym, there was no lighting in the back hallway.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Noncompliance Area: During a complaint investigation, it was observed that the kitchen set in the older toddler room was not clean and had dried milk and dirt on it.

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: During an unannounced inspection, staff 2 was not able to identify the names of all of the children that she was assigned to. In the room there were 7 preschool children and staff 2 was only able to identify the names of 4 children.

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.

Noncompliance Area: In the two year old room, which is the 2nd room on right on the first floor, there were seven children to one staff. Facility person 1 stated that one of the children was preschool age and removed her to the preschool room. Certification representative then looked in the file of child 1 who was in the room and determined that he was 1 year old, which continued to make the room out of ratio.

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).

Noncompliance Area: The facility had a portable space heater running in their front office.

Correction Required: Portable space heaters are not permitted.

Noncompliance Area: There was A&D observed to be accessible to the children in a child's backpack. There was ceiling tiles observed to be cracked or not fully in place in the kitchen area which is utilized by children. There was also exposed foam around the pipes in the toddler room and gym area. In the gym area, the screen to the heater was not fully inserted, making it not in good repair.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: During the course of the complaint investigation, it was admitted by staff 1 that she tapped child 1 on the mouth with her fingers when picking him up from Head Start. The incident occurred on 8/29/2018.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. All staff will take a minimum of a two hour training through a PQAS trainer. The training will be about how to work with challenging behaviors. The training hours will not count towards the 6 hours of annual training.

Noncompliance Area: In the cafeteria, where school age children were present, there was laundry detergent and paint accessible to the children inside of an unlocked closet.

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: In the upstairs school age room under the mural on the backroom, there was loose molding which had wire running through it. During the unannounced visit on 6/22/2018, there was exposed foam around the pipes in the gym. It was observed that the foam continued to be exposed in the gym. In the upstairs school age rooms, there was also exposed foam observed around the pipes.

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 1 started at the facility on 6/7/2018. She did not have her fingerprints done until 6/16/2018.

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

Noncompliance Area: In the school age room, there was a hole in the back of the room where the mural is. In the gym, which is utilized by children, there were desks that posed as a tripping hazard. There was also exposed foam in the gym which encompassed the insulated pipes.

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 11/29/17, A NEGATIVE SANCTION UNANNOUNCED MONITORING VISIT WAS CONDUCTED AT THE FACILITY. IN THE INFANT/YOUNG TODDLER ROOM INSIDE THE BOTTOM UNLOCKED FILE CABINET DRAWER, INSPECTOR OBSERVED DEODORANT AND TWO PACKS OF HALLS IN A STAFF'S BAG ACCESSIBLE TO CHILDREN. BOTH DEODORANT AND HALLS ARE LABELED KEEP OUT OF REACH OF CHILDREN. ON 2/28/18, A NEGATIVE SANCTION UNANNOUNCED MONITORING VISIT WAS CONDUCTED. AT THAT TIME, THE INSPECTOR OBSERVED KITCHEN CLEANER AND AIR FRESHNER, BOTH LABELED KEEP OUT OF REACH OF CHILDREN, IN AN UNLOCKED CABINET IN THE SCHOOL AGE ROOM, WHICH IS ACCESSIBLE TO THE 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.

Noncompliance Area: ON 1/3/18, AN UNANNOUNCED INSPECTION WAS CONDUCTED. IN THE INFANT/TODDLER ROOM, INSPECTOR OBSERVED A REFRIGERATOR IN THE ROOM TOWARD THE FRONT OF THE ROOM ON THE SIDE WHERE THE INFANTS ARE LOCATED. THE THERMOMETER IN THE REFIRIGERATOR DISPLAYED A TEMPERATURE OF 50 F. INSPECTOR BELIEVES THE TEMPERATURE FELT WARM IN THE REFRIDGERATOR. INSPECTOR BELIEVES THE THERMOMETER TO BE ACCURATE. PROVIDER'S STAFF CLAIMED THE THERMOMERER DID NOT WORK.

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: ON 1/3/18, AN UNANNOUNCED INSPECTION WAS CONDUCTED. STAFF #1 DOH - 1/2/18 - DOES NOT HAVE A HEALTH ASSESSMENT ON FILE THAT WAS CONDUCTED WITHIN 12 MONTHS PRIOR TO INITIAL SERVICE IN A CHILD CARE SETTING. STAFF #1'S FILE INCLUDED A HEALTH ASSESSMENT DATED 10/11/16. STAFF #1 IS IN A CLASSROOM WITH CHILDREN ALONG WITH STAFF #2 DURING NAP TIME.

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.

Noncompliance Area: ON 1/3/18, AN UNANNOUNCED INSPECTION WAS CONDUCTED. STAFF #3 - DOH - 12/8/17 - DOES NOT HAVE A TB SCREENING AT INITIAL HIRE. STAFF #3'S TB SCREENING ON FILE IS DATED 9/2/16. STAFF 1 - DOH - 1/2/18 DOES NOT HAVE A TB SCREENING AT INTIAL HIRE. STAFF 1'S TB SCREENING ON FILE IS DATED 1/19/98. STAFF #1 IS IN A CLASSROOM WITH CHILDREN ALONG WITH STAFF #2 DURING NAP TIME.

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.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.

Noncompliance Area: ON 1/3/18, AN UNANNOUNCED INSPECTION WAS CONDUCTED. STAFF #1'S FILE DOES NOT HAVE PROOF OF REQUEST FOR A STATE POLICE CLEARANCE OR A COMPLETED STATE POLICE CLEARANCE ON FILE. STAFF #1 IS IN A CLASSROOM WITH CHILDREN ALONG WITH STAFF #2 DURING NAP TIME.

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

Noncompliance Area: In the infant/young toddler room inside the file cabinets unlocked bottom draw, inspector observed 2 packs of Halls inside a staff's bag that is accessible to children.

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: Inspector observed cots in the older toddler rooms with staff 1 and staff 2 and in the younger toddler room. None of the cots are labeled for the use of a specific child and used only by the specified child. Inspector asked staff for cot charts and they do not have cot charts.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: Staff 3 DOH - 11/6/17, does not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Staff 3 has only one written reference on file.

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

Noncompliance Area: Negative sanction letter is not posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: In the infant/young toddler room inside the bottom unlocked file cabinet draw, inspector observed deodorant and two packs of Halls in a staffs bag accessible to children. Both deodorant and Halls are labeled keep out of reach of 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. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.