Ages And Stages Child Care Center Llc

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: A renewal inspection was conducted on 11/6/25. The facility does not have written statements giving the formula and feeding schedules for the facility's four infants from the parents.

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: A renewal inspection was conducted on 11/6/25. Staff 1#'s file does not contain two non-family references.

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: 3270.61(h)(2)/3270.61(h)(2)(ii)

Description: Measurement and use of indoor child care space/Designated on facility schedule

Noncompliance Area: A renewal inspection was conducted on 11/6/25. Cert rep observed the Preschool classroom to be over capacity and this was not indicated on the facility's schedule of daily activities for a 30-minute special activity. The Preschool classroom had 17 children and the capacity of the classroom is 14 children.

Correction Required: The capacity established for indoor space may not be exceeded except when older toddler, preschool or school-age children are participating in a program activity. When the number of older toddler, preschool or school-age children participating in a program activity exceeds the capacity of the child care space each time period shall be designated on the facility's schedule of daily activities.

Regulation: 3270.66(b)/3270.75(c)

Description: Original container/Has all items

Noncompliance Area: A renewal inspection was conducted on 11/6/25. The first aid kit in the Toddler classroom did not contain disposable, nonporous gloves. In the Infant/Wobblers classroom there was a bottle of cleaning solution that did not specify the contents and was not labeled.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces. A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.121(a)

Description: Review policies and procedures

Noncompliance Area: A renewal inspection was conducted 2/7/25-2/10/25. The facility's parent handbook did not contain a supervision policy.

Correction Required: The operator shall review with the parent, at the time of application, 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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: A renewal inspection was conducted 2/7/25-2/10/25. Child #1's emergency contact form did not contain the release persons address.

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: 3270.131(a)

Description: Health information

Noncompliance Area: A renewal inspection was conducted 2/7/25-2/10/25. Child #2's initial health assessment was not received within 60 days following the first day of attendance at the facility. Child #2's initial health assessment is dated 11/28/23. (See code sheet for date of admissions).

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(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: A renewal inspection was conducted 2/7/25-2/10/25. Child #3's immunization record indicates the child does not have the MMR or Varicella vaccine and only one dose of the Hepatitis A vaccine. There is no exemption letter is in child's file. This is not in accordance with the ACIP recommended schedule.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in childcare group settings). Child #3 will be removed from care by close of business on 2/7/25 until either the vaccination record is updated according to the ACIP recommended schedule or the parent provides an exemption letter.

Regulation: 3270.133(2)/3270.133(3)

Description: Written instructions/Name on bottle

Noncompliance Area: A renewal inspection was conducted 2/7/25-2/10/25. Cert rep observed in the toddler's classroom Nystatin cream marked prescription on the box. There was no RX label to indicate the name of the child and the box didn't contain instructions from the prescriber. Staff was unable to say who the medication belonged to or if the medication was administered.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable. The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection was conducted 2/7/25-2/10/25. Staff person #1 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training. The 1-hour update was required to completed by 12/30/22.

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 person #1 must complete PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2.

Regulation: 3270.27(b)/3270.27(f)

Description: Plan reviewed/updated annually/Emergency plan

Noncompliance Area: A renewal inspection was conducted 2/7/25-2/10/25. The facility did not have documentation on file that the emergency plan was sent to the local municipality and to the county emergency management agency. The facility did not have documentation that the emergency plan was reviewed annually.

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. The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: A renewal inspection was conducted 2/7/25-2/10/25. The first aid kit in the Infant/Wobblers classroom did not contain tweezers.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A renewal inspection was conducted 2/14/24. At that time, small plastic bags were observed in a diaper bag located at floor level of the cubbies in the Wobbler Room, where they were accessible to the young toddlers.

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: 3270.133(4)

Description: Locked

Noncompliance Area: A renewal inspection was conducted 2/14/24. At that time, Children's Tylenol observed in a diaper bag located at floor level of the cubbies in the Wobbler Room, where they were accessible to the young toddlers.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection was conducted 2/14/24. At that time, the emergency plan was reviewed. The emergency plan did not include a continuity plan for operations in times of an emergency.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: A renewal inspection was conducted 2/14/24. At that time, the staff files were reviewed. The file for Staff Person #1, an assistant group supervisor, contained verification of two years' experience, but did not include verification of high school education.

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

Regulation: 3270.27(a)(4)

Description: Contact when ended

Noncompliance Area: A renewal inspection was conducted 2/14/24. At that time, the emergency plan was reviewed. The emergency plan did not include a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

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

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: A renewal inspection was conducted 2/14/24. At that time, the emergency plan was not posted in a conspicuous location in the facility.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: A renewal inspection was conducted 2/14/24. At that time, the staff files were reviewed. The file for Staff Person #1, an assistant group supervisor, contained verification of two years' experience, but did not include verification of high school education.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection was conducted 2/14/24. At that time, the thirty-day test log of the fire detection system was reviewed. The testing dates were 6/15/23, 8/16/23, 9/8/23, 10/11/23, 11/28/23, 12/7/23, 1/18/23, and 2/14/23 which included four instances where the system had not been tested within thirty days.

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: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: An opening inspection was conducted 5/30/23. At that time, the child files were reviewed. The immunization record for Child #2 did not include a flu vaccine since 3/5/22. The flu vaccine is recommended annually.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #2 must be dismissed from care by close of business 5/30/23 and may only return to care when the immunization record is updated.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: An opening inspection was conducted 5/30/23. At that time, albuterol for Child #1 was observed in the PreK Room. The label on the albuterol stated the medication should be discarded after 5/2022.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: An opening inspection was conducted 5/30/23. At that time, the facility did not have liability insurance.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: An opening inspection was conducted 5/30/23. At that time, the staff files were reviewed for the staff currently employed. Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire: health and safety training. Staff person #2, who has been employed more than 90 days, had completed the incorrect pre-service training (Get Started with Home-Based Care), and does not have the correct health and safety training completed.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff Person #1 and Staff Person #2 will have until 6/14/23 to complete the required training. Until such time as the required training has been completed, Staff Person #1 and 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 #1 and Staff Person #2, then Staff Person #1 and Staff Person #2 may not work in a child-care position at the facility.