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Child Care Center ✓ Licensed

All About Kids Daycare And Learning Center Llc

Millersburg, PA · Dauphin County
560 Rising Sun Rd, Millersburg, PA 17061
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Quick Facts

Subsidized Program
Participates
State Rating
2

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Contact Information

📞 (717) 692-5474
560 Rising Sun Rd
Millersburg, PA 17061
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✓ Licensed Child Care Center
Active License
License Number
CER-00251476
License Issued
May 15, 2026
Active Through
May 15, 2027
Issued By
Pennsylvania Department of Education and Public Welfare
District Office
Early Learning Resource Center for Region 9

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About the Provider

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ALL ABOUT KIDS DAYCARE AND LEARNING CENTER LLC is a Child Care Center in MILLERSBURG PA. The provider also participates in a subsidized child care program.

Hours of Operation

  • Days of Operation Monday–Friday

Inspection/Report History

Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.

Inspection Date Reason Description Status
2026-02-05 Renewal 3270.123(a)(5) - Designated release persons Compliant - Finalized

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: It was observed that the agreement form of child #1 did not specify the persons designated by a parent to whom the child may be released

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

Provider Response: (Contact the State Licensing Office for more information.)
Form was filled out by parent stating same as emergency contact.
2026-02-05 Renewal 3270.123(a)(7) - Services considered extra Compliant - Finalized

Regulation: 3270.123(a)(7)

Description: Services considered extra

Noncompliance Area: It was observed that the agreement form of child #1 did not specify if extra services were offered.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Provider Response: (Contact the State Licensing Office for more information.)
Form was completed stating no extra services were required or offered.
2026-02-05 Renewal 3270.124(b)(4)/3270.182(3) - Written consent/Consent for emergency medical care required prior to admission Compliant - Finalized

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

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

Noncompliance Area: It was observed that the emergency contact form of child #1 did not have signed parental consent for emergency medical care.

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

Provider Response: (Contact the State Licensing Office for more information.)
Parent signature was obtained.
2026-02-05 Renewal 3270.124(b)(7) - Name/address/phone release person Compliant - Finalized

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: It was observed that the emergency contact forms for children #1 and #3 did not include the address of the release person.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Addresses were obtained and entered on forms.
2026-02-05 Renewal 3270.166(4) - Bottles labeled Compliant - Finalized

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: It was observed that the bottles in the 1's classroom were not labeled with the child's name. (Corrected on site.)

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

Provider Response: (Contact the State Licensing Office for more information.)
Bottles were labeled immediately.
2026-02-05 Renewal 3270.182(5) - Consent for administration of minor first-aid required prior to admission Compliant - Finalized

Regulation: 3270.182(5)

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

Noncompliance Area: It was observed that the emergency contact form of child #1 did not have signed parental consent for administration of minor first-aid.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Provider Response: (Contact the State Licensing Office for more information.)
Parent signature was obtained.
2026-02-05 Renewal 3270.192(3) - Health assessment, TB test Compliant - Finalized

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: It was observed that staff person #1 did not have evidence on file of a health assessment every 24 months. 11/6/23 and 1/15/26

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
Updated physical was obtained for employee's file.
2026-02-05 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: It was observed that staff person #2 did not update their NSOR clearance every 60 months. 2/7/20 and 1/27/26 (11 mos., 15-day lapse) It was observed that staff person #3 did not update their State Police clearance every 60 months. 10/15/20 and 1/19/26 (3 mos., 4-day lapse)

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

Provider Response: (Contact the State Licensing Office for more information.)
Updated clearances were obtained and will be updated as required.
2026-02-05 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed in the 2-3's classroom that the changing table had an excessive build-up of dirt on it. (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.

Provider Response: (Contact the State Licensing Office for more information.)
Table was cleaned immediately.
2025-10-29 Allocated Unannounced Monitoring 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed that the hallway door leading to the parking lot, which is an emergency exit, was partially blocked by boxes, as was the fire alarm pull. It was observed that the trashcan in the kitchen had an excessive build-up of dirt on it. It was observed that the 2 children's potties in the downstairs bathroom had a build-up of dirt on them. It was observed that the back light in the infant room was flashing and had dirt and insect buildup on the glass.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Hallway was cleaned out, and emergency exit is clear. New trashcan was bought to replace the old one. Potties were cleaned and disinfected thoroughly. Back light was removed and cleaned thoroughly.
2025-10-29 Allocated Unannounced Monitoring 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: It was observed that the fire detection system was not tested every 30 days. 6/8/25-7/9/25

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.

Provider Response: (Contact the State Licensing Office for more information.)
Fire detection system will be tested every 30 days as opposed to every month
2025-04-16 Unannounced Monitoring 3270.106(a) - Clean, age appropriate Compliant - Finalized

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: On 4/16/25, it was observed that the pack and play with giraffes and elephants, in the older toddler classroom was observed to have a large stain on the mat and was not numbered for individual use.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The stained mat was removed immediately after inspection and replaced with a new one. The pack and play will be cleaned after use and deep cleaned weekly.
2025-04-16 Unannounced Monitoring 3270.31(f)/3270.31(f)(10) - Health and Safety Training/Health and Safety Training - Pediatric First Aid and CPR Compliant - Finalized

Regulation: 3270.31(f)/3270.31(f)(10)

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

Noncompliance Area: Staff person #4 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 persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #4 will have until 5/24/25 to complete the required training. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Pediatric First Aid/CPR training was completed by the staff member on 5/3/2025, the certification will be attached with this summary when it is returned.
2025-01-31 Renewal 3270.106(f) - 2 feet apart Compliant - Finalized

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During the time of inspection, it was observed that the children's rest equipment in the younger toddler/older toddler classroom was not placed 2 feet apart on three sides. This was corrected during the inspection.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The children's rest equipment was moved the proper distance apart at the time of inspection.
2025-01-31 Renewal 3270.123(a)(5) - Designated release persons Compliant - Finalized

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: Documentation of the agreement on file for child 2, did not include the persons designated by a parent to whom the child may be released.

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

Provider Response: (Contact the State Licensing Office for more information.)
Child 2's financial agreement was updated by her mother to show that the persons designated to pick up the child are the same as those listed on the child's emergency contact form.
2025-01-31 Renewal 3270.124(b)(6) - Insurance coverage information Compliant - Finalized

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Documentation of the emergency contact information on file for child 1, did not include the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits

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

Provider Response: (Contact the State Licensing Office for more information.)
Child 1's mother amended her emergency contact form to list her health insurance provider and policy number at pickup on the day of inspection.
2025-01-31 Renewal 3270.124(b)(7) - Name/address/phone release person Compliant - Finalized

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Documentation of the emergency contact information on file for child 1, did not include the release person's address. This was corrected during the inspection.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The child's emergency contact form was amended at the time of inspection to show that the release person in question was the child's father and has the same address as the child.
2025-01-31 Renewal 3270.134(a) - Child's hands washed Compliant - Finalized

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: During the time of inspection, a staff member in the younger toddler/older toddler classroom told certification representative that if children are under one year of age, they do not wash their hands with soap and water after a diaper change.

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

Provider Response: (Contact the State Licensing Office for more information.)
All children, including any infants who are able to hold their head up and move around will have their hands washed with soap and water after each diaper change.
2025-01-31 Renewal 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1, staff person 2, staff person 3, staff person 4, staff person 5 and staff person 6--- has completed Pediatric first aid and CPR training, however (the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum/ the trainer has not provided documentation that they are PQAS-certified in that training curriculum).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person ##1, staff person 2, staff person 3, staff person 4, staff person 5 and staff person 6--- must be supervised, when interacting with children at a minimum by, an (AGS, primary staff person, or family child care home staff person) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #--, staff person #1, staff person 2, staff person 3, staff person 4, staff person 5 and staff person 6-- may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
All staff members completed pediatric first aid and CPR training with a PQAS certified instructor on 3/8/2025 and received their new certificates. Copies of each staff members certificates will be attached with the summary when it is returned.
2025-01-31 Renewal 3270.82(j) - Running water - diapering Compliant - Finalized

Regulation: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: During the time of inspection, it was observed that the portable sinks used in diapering areas of the infant, young toddler and older toddler classroom were not being emptied at least once a day

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Provider Response: (Contact the State Licensing Office for more information.)
All portable sinks have been, and will continue to be, emptied daily and thoroughly cleaned weekly.
2024-06-24 Unannounced Monitoring 3270.106(b) - No bed linens alone Compliant - Finalized

Regulation: 3270.106(b)

Description: No bed linens alone

Noncompliance Area: It was observed at the time of inspection two pre-school children and three school-age children were sleeping on the floor wrapped in a blanket. (corrected at inspection)

Correction Required: Bed linens may not be used alone as age-appropriate rest equipment.

Provider Response: (Contact the State Licensing Office for more information.)
The children were given nap mats owned by the facility, and the mats were labeled with the respective children's names, to use until their own are returned from home.
2024-06-24 Unannounced Monitoring 3270.66(a)/3270.103 - Locked or inaccessible/Small Toys and Objects Compliant - Finalized

Regulation: 3270.66(a)/3270.103

Description: Locked or inaccessible/Small Toys and Objects

Noncompliance Area: It was observed at the time of the inspection the closet in the hallway near the young toddler room and the bathroom was unlocked and open. The closet contained plastic bags and paint that was accessible to children. (Corrected at 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. 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.

Provider Response: (Contact the State Licensing Office for more information.)
The closet door was closed and locked at the time of inspection, and will remain closed and locked at all times that children are present.
2024-06-24 Unannounced Monitoring 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: It was observed at the time of inspection the fire detection system was last tested on 5-15-24.

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

Provider Response: (Contact the State Licensing Office for more information.)
The fire detection system was tested and a fire drill was conducted this afternoon, and a copy of the log will be sent along with this summary.
2024-06-05 Unannounced Monitoring 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Continued non-compliance from SIN-00244800: It was observed at the time of inspection the diaper pad in the big room was cracked and the foam was exposed. (corrected at inspection) Plates being used for lunch had a white crust on them that appeared to be either food or dishwasher detergent.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The cracked part of the diaper pad in the big room was covered with tape at the time of inspection. The plates that had residue or stains on them were cleaned thoroughly, and plates with visible wear or stains remaining after cleaning were discarded and replaced.
2024-06-05 Unannounced Monitoring 3270.133(6) - Written consent Compliant - Finalized

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: It was observed at the time of inspection child #1's record did not contain written consent for administration of their EpiPen.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Provider Response: (Contact the State Licensing Office for more information.)
A new medication log was created at the time of inspection and was sent home to be filled out by the child's parents at the end of the day. It was received from the parents today and placed with the child's medication, a copy of the medication log was sent to the inspector at the time of receiving it.
2024-06-05 Unannounced Monitoring 3270.82(h) - Handwashing signs Compliant - Finalized

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: Continued non-compliance from SIN-00244800: It was observed at the time of inspection the young toddler classroom sink in the diapering area did not have a sign which the written requirement that a facility person and able child shall wash their hands after toileting and before eating. (corrected at inspection)

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.

Provider Response: (Contact the State Licensing Office for more information.)
A handwashing sign was already present above the classroom sink at the time of inspection. A second, slightly larger, sign was added at the time of inspection that was satisfactory. The original sign hanging above the sink was satisfactory during previous inspections, so I do not agree with this being labeled 'continued non-compliance.' But we did hang a larger one.
2024-05-15 Renewal 3270.102(a) - Clean and good repair Non Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed at the time of inspection the protective handle of a scooter in the toddler play area was broken leaving the metal exposed. A sponge and cleaning brush, used to clean the lunch time dishes, were sitting in a glass jar that had mold and soap scum. The feeding chairs used in the main eating area were wiped down after lunch but still had food stuck to them.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The scooter was removed from the play yard at the time of inspection. The glass jar which held the cleaning brushes was removed and all the sponges and cleaning brushes were cleaned or replaced. The feeding chairs were deep cleaned to remove any food stuck to them and have been cleaned daily after lunch since as usual.
2024-05-15 Renewal 3270.103 - Small Toys and Objects Non Compliant - Finalized

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: It was observed at the time of inspection the hallway near the kitchen and young toddler room and bathroom on the main/lower floor off of the kitchen, had plastic bags containing diapers and clothing accessible to toddlers who use the bathroom and the kitchen area.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The bags containing diapers were removed at the time of inspection and disposed of, bags containing clothes were moved to an area inaccessible to the children.
2024-05-15 Renewal 3270.104(a) - Clean, good repair, proper size Non Compliant - Finalized

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: It was observed at the time of inspection a cord to a sound machine was hanging and presented a choking hazard. It was observed at the time of inspection the pre-school classroom had a hammer under a table on the floor accessible to children. A shelf in the pre-school classroom was not secured to the wall an posed a hazard. (corrected at inspection).

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

Provider Response: (Contact the State Licensing Office for more information.)
The cord for the sound machine was properly stowed. The hammer was removed from the pre-school classroom and placed in a cabinet which is inaccessible to the children. The shelf in question in the pre-school classroom was secured to the wall at the time of inspection.
2024-05-15 Renewal 3270.106(a) - Clean, age appropriate Non Compliant - Finalized

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: It was observed at the time of inspection the pack and plays used for napping in the young toddler area did not have the names of the child for specific use. (corrected at inspection)

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.

Provider Response: (Contact the State Licensing Office for more information.)
All pack and plays which were missing a name tag had name tags added to them at the time of inspection.
2024-05-15 Renewal 3270.107 - Refrigerator Non Compliant - Finalized

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: It was observed at the time of inspection the refrigerator thermometer in the pre-school classroom read 52 degrees. (corrected at inspection)

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.

Provider Response: (Contact the State Licensing Office for more information.)
The refrigerator in the pre-school classroom cooled to its normal temperature during the inspection. It was warmer than usual because of the lunches being taken out and put back in during lunch time.
2024-05-15 Renewal 3270.111(b) - Posted in group space Non Compliant - Finalized

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: It was observed at the time of inspection the infant classroom did not have a daily schedule. (corrected at inspection)

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

Provider Response: (Contact the State Licensing Office for more information.)
A daily schedule was added to the infant classroom at the time of inspection
2024-05-15 Renewal 3270.124(b)(2) - Physician name, address, phone Non Compliant - Finalized

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: It was observed at the time of inspection child #1's emergency contact information did not contain the name address and telephone number 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.

Provider Response: (Contact the State Licensing Office for more information.)
It was confirmed with the parent that the child does not currently have a primary care physician as they are still looking for a new one. It was acknowledged on the paperwork with an n/a.
2024-05-15 Renewal 3270.124(b)(5) - Information re: special needs Non Compliant - Finalized

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: It was observed at the time of inspection child #2 and #3's emergency contact information did not contain information of the child's special needs.

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

Provider Response: (Contact the State Licensing Office for more information.)
Special needs in both children's files were updated with "n/a" as neither child has special needs, as per their parents
2024-05-15 Renewal 3270.124(b)(6) - Insurance coverage information Non Compliant - Finalized

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: It was observed at the time of inspection child#1's emergency contact information did not include their health insurance coverage and policy number. Child #3's emergency contact form did not contain did not contain their health insurance policy number.

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

Provider Response: (Contact the State Licensing Office for more information.)
Child #1's emergency contact was updated by the parents to show they do not have health insurance, with the sections acknowledged with "N/A." Child #3's emergency contact form was updated to show "ask if needed" for their insurance policy number as they were not comfortable having it on record.
2024-05-15 Renewal 3270.161(d) - Potentially hazardous food refrigerated Non Compliant - Finalized

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: It was observed at the time of inspection a cup of milk was in the hallway at the entrance of the building.

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

Provider Response: (Contact the State Licensing Office for more information.)
The cup of milk was removed from the hallway, and emptied, at the time of inspection.
2024-05-15 Renewal 3270.181(c) - Emergency info/agreement updated 6 mos Non Compliant - Finalized

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: It was observed at the time of inspection that child #4's emergency contact information and health assessment noted the child needed an EpiPen. There was not an EpiPen on site and the director said the parent said it was no longer needed. The emergency contact for was not updated to reflect the change in information.

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.

Provider Response: (Contact the State Licensing Office for more information.)
An EpiPen was provided by the parent as a precaution, even though the child has never used one
2024-05-15 Renewal 3270.66(a) - Locked or inaccessible Non Compliant - Finalized

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed at the time of inspection hand sanitizer and prescription nasal spray were in a bin accessible to children in the preschool classroom. The cabinet under the sink in the preschool classroom was unlocked and contained dish soap that stated keep out of reach of children. Diaper cream was in a bin on the floor in the bathroom the pre-school classroom accessible to children. (corrected at 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.

Provider Response: (Contact the State Licensing Office for more information.)
The hand sanitizer, prescription nasal spray, dish soap, and diaper cream were all moved into respective cabinets which are inaccessible to the children.
2024-05-15 Renewal 3270.76 - Building Surfaces Non Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The foam padding on the floor in the young toddler area and the hallway were dirty. The kitchen cabinets, cabinet handles and wall next to the stove had food debris on them. The top of the refrigerator in the pre-school classroom was dirty.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The foam mats were deep cleaned. The kitchen cabinets and walls in the kitchen were all scrubbed and sanitized. The top of the refrigerator in the pre-school classroom was wiped down and sanitized.
2024-05-15 Renewal 3270.82(h) - Handwashing signs Non Compliant - Finalized

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: It was observed at the time of inspection the hand washing area in the big room did not have a handwashing sign. (corrected at inspection)

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.

Provider Response: (Contact the State Licensing Office for more information.)
A hand washing sign was added at the time of inspection.
2024-05-15 Renewal 3270.82(j) - Running water - diapering Non Compliant - Finalized

Regulation: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: It was observed at the time of inspection the portable sinks used in diapering areas of the infant, young toddler and older toddler classroom were not being emptied at least once a day.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Provider Response: (Contact the State Licensing Office for more information.)
All handwashing sinks in diapering areas are emptied and cleaned once per day.
2024-04-16 NS- Unannounced Monitoring 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed at the time of inspection the rug in the older toddler classroom was dirty and stained. There were two cloth bins in the pre-school classroom that were ripped. The cabinet door, under the sink, in the kitchen was off it's hinges.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Rugs were shampooed and cleaned, 2 cloth bins were replaced, cabinet door was fixed and attached with magnets.
2024-04-16 NS- Unannounced Monitoring 3270.135(a)(3) - Disposable diapers Compliant - Finalized

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: It was observed at the time of inspection a soiled diaper was in a plastic bag sitting outside the older toddler classroom on the floor.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Diapers will be placed directly in hands free cans and disposed of daily. Not in separate bags
2024-04-16 NS- Unannounced Monitoring 3270.66(a) - Locked or inaccessible Compliant - Finalized

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed at the time of inspection the kitchen door that is adjacent to childcare space was left open and cleaning products in an unlocked cabinet under the sink 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.

Provider Response: (Contact the State Licensing Office for more information.)
Kitchen door was closed and cabinet door was fixed
2024-04-16 NS- Unannounced Monitoring 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire detection log documented the last fire safety system testing on 1/17/2024.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Fire system is tested every time we do a fire drill but wasn't noted at the correct place on the log
2024-03-12 NS- Unannounced Monitoring 3270.111(c) - Promote development Compliant - Finalized

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Provider was previously cited. On 10-16-23 staff #1 picked child #1 up by her wrists and heard a pop causing bilateral elbow dislocation. SIN-00233004 listed that the legal entity would arrange for all facility staff to receive training regarding developmentally appropriate practices to include age-appropriate lifting and caring for infants and toddlers, infant sleep position, and daily programming for infants and toddlers by 2-15-24. Continued non-compliance was observed on 3-12-23. Documentation that all staff completed training regarding developmentally appropriate practices to include age-appropriate lifting and caring for infants and toddlers, infant sleep position, and daily programming for infants and toddlers was not completed.

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. The legal entity must arrange for all facility staff to receive in-person training and technical assistance regarding developmentally appropriate practices to include age-appropriate lifting and caring for infants and toddlers, infant sleep position, and daily programming for pre-school students, infants and toddlers. The legal entity must receive DHS approval of the training content prior to scheduling the training. Documentation of completed training must be submitted to DHS and be maintained on file at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
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. Will make sure all staff get the training required. Inspector said someone will be reaching out to us to complete the in person training. Waiting to hear back.
2024-03-12 NS- Unannounced Monitoring 3270.151(c)(2) - Mantoux TB Compliant - Finalized

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: It was observed at the time of inspection staff #2's health assessment did not include 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.

Provider Response: (Contact the State Licensing Office for more information.)
Paperwork with the negative TB test was emailed to Judy the next day.
2024-03-12 NS- Unannounced Monitoring 3270.192(2)(ii) - Exp, educ., training prior to facility Compliant - Finalized

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: It was observed at the time of inspection staff #2's record did not contain verification of education prior to service at the facility.

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

Provider Response: (Contact the State Licensing Office for more information.)
Complete transcript showing graduation date was emailed to Judy the next day.
2024-03-12 Complaints- Legal Location 3270.52 - Mixed Age Level Compliant - Finalized

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 2-28-2024 a staff person left the older toddler room to answer the door causing the room to be 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).

Provider Response: (Contact the State Licensing Office for more information.)
Staff will be in ratio at all times.
2024-02-15 Unannounced Monitoring 3270.32(a) - Comply with CPSL Compliant - Finalized

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: It was observed at the time of inspection staff #1's Pennsylvania State Police Criminal History Clearance was for the purpose of volunteer. Corrected at inspection.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 reapplied for their Pennsylvania State Police Clearance at the time of inspection for the purpose of employment. The clearance was received and placed in their file.
2024-01-11 NS- Unannounced Monitoring 3270.135(a)(3) - Disposable diapers Compliant - Finalized

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: It was observed at the time of inspection staff changed a diaper then carried the soiled diaper across the room, through two gates and threw the diaper away in a trash can. The soiled diaper was not discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. CORRECTED AT INSPECTION.

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.

Provider Response: (Contact the State Licensing Office for more information.)
A plastic lined lidded trash can was placed in the young toddler diapering area.
2023-12-14 NS- Unannounced Monitoring 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed at the time of inspection strings of holiday lights were hanging in the "Big Room" accessible to older toddlers presenting a strangulation hazard. It was observed at the time of inspection ceiling tiles in the pre-school room had water stains on 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.

Provider Response: (Contact the State Licensing Office for more information.)
Lights were tied up out of the reach of the children, Water stains were covered with paint.
2023-11-17 Complaints- Legal Location 3270.115(a)(5)/3270.115(b)(1) - Staff:child ratios while swimming/Water activity Compliant - Finalized

Regulation: 3270.115(a)(5)/3270.115(b)(1)

Description: Staff:child ratios while swimming/Water activity

Noncompliance Area: It was determined at the time of inspection that on July 7, 2023 the facility had a water day which included wading for young toddlers, older toddlers and pre-school children. The facility did not have enough staff to children to be in the required ratios while wading,

Correction Required: The staff-child ratios while children are swimming are Infant 1:1; Young or older toddler 1:2; Preschool 1:5; Young school-age 1:6; Older school-age1:8. Staff persons shall supervise children in care using wading pools. Staff: child ratios in subsection (a) apply when children are wading.

Provider Response: (Contact the State Licensing Office for more information.)
We will no longer have pools or anything children can swim in. If we decide to do it again, we will have enough staff and that water safety training is completed by all the staff members.
2023-11-17 Complaints- Legal Location 3270.115(a)(8) - Included in ratio/annual training Compliant - Finalized

Regulation: 3270.115(a)(8)

Description: Included in ratio/annual training

Noncompliance Area: On July 7, 2023 the facility had a water day that included wading for young toddlers, older toddlers and pre-school classrooms. The facility persons did not have annual water safety instruction.

Correction Required: A facility person who is counted in the staff-child swimming ratio shall annually complete water safety instruction.

Provider Response: (Contact the State Licensing Office for more information.)
Water safety training will be administered to all staff when needed for wading.
2023-11-17 Unannounced Monitoring 3270.182(3)/3270.182(5) - Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission Compliant - Finalized

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: It was observed at the time of inspection child #1's record did not contain signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff prior to admission.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Provider Response: (Contact the State Licensing Office for more information.)
Parent signed the form for consent for emergency medical care and first-aid.
2023-11-17 Complaints- Legal Location 3270.182(6) - Signed parental consent for transportation, walking excursions, swimming and wading Compliant - Finalized

Regulation: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: It was determined at the time of inspection on July 7,2023 the facility had a water day that included wading for the young toddler, older toddler and pre-school classrooms, The children's records did not contain signed parental consent for swimming and wading.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Provider Response: (Contact the State Licensing Office for more information.)
All children that would participate in wading would have parental permission to do so.
2023-11-17 Unannounced Monitoring 3270.27(e) - Letter to parents Compliant - Finalized

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: Continued noncompliance from SIN-00232210: It was observed at the time of inspection the operator's letter to parents explaining the emergency procedures did not include a plan to provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions and that provides for accommodation for shelter of children during a lockdown.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Provider Response: (Contact the State Licensing Office for more information.)
Letter to the parent was updated with explanations of emergency procedures including a plan for infants, toddler, children with disabilities, and chronic medical conditions providing accommodations for shelter of children during lockdown.
2023-10-19 Unannounced Monitoring 3270.111(c)/3270.112 - Promote development/Infant/Toddler Stimulation Compliant - Finalized

Regulation: 3270.111(c)/3270.112

Description: Promote development/Infant/Toddler Stimulation

Noncompliance Area: It was observed at the time of inspection two infants were in infant seats watching tv. Staff stated they were watching tv to get them to sleep.

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

Provider Response: (Contact the State Licensing Office for more information.)
TV was removed from infant room, and children were interacted with by staff and were put in pack and plays once they began to fall asleep.
2023-10-19 Unannounced Monitoring 3270.119 - Infant sleep position Compliant - Finalized

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: It was observed at the time of inspection two infants were sleeping in infant swings.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Children were removed from swings and put in pack and play on their back when they begin to fall asleep.
2023-10-19 Unannounced Monitoring 3270.51 - Similar Age Level Compliant - Finalized

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: It was observed at the time of inspection staff #1 was caring for 5 infants in one childcare space.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Another staff member was immediately sent to the infant room. Daily staff: child ratio sheets were printed and will be filled out each day and sent to DHS Certification Representative weekly. Staff: child ratios will be in compliance at all times.
2023-10-17 Unannounced Monitoring 3270.123(a) - Signed Compliant - Finalized

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: It was observed at the time of inspection child #1's financial agreement was not signed by the operator.

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

Provider Response: (Contact the State Licensing Office for more information.)
Child no longer attends, the program all files were reviewed, and any missing information was corrected.
2023-10-17 Unannounced Monitoring 3270.123(a)(2) - Date fee to be paid Compliant - Finalized

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: It was observed at the time of inspection child #1's financial agreement did not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Provider Response: (Contact the State Licensing Office for more information.)
Child no longer attends, all files were gone through and any missing information was corrected. All files will be checked regularly and kept up to date.
2023-10-17 Unannounced Monitoring 3270.123(a)(3) - Services proceeded Compliant - Finalized

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: It was observed at the time of inspection child #1's financial agreement did not include the services to be provided to the family and child.

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).

Provider Response: (Contact the State Licensing Office for more information.)
Child no longer attends; all files were reviewed, and any missing information was corrected.
2023-10-17 Unannounced Monitoring 3270.123(a)(4) - Arrival/departure times Compliant - Finalized

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: It was observed at the time of inspection child #1's financial agreement did not specify the child's arrival and departure times.

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

Provider Response: (Contact the State Licensing Office for more information.)
Child no longer attends the program, all files were reviewed, and any missing information was corrected.
2023-10-17 Unannounced Monitoring 3270.123(a)(5) - Designated release persons Compliant - Finalized

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: It was observed at the time of inspection child #1's financial agreement did not specify the persons designated by a parent to whom the child may be released.

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

Provider Response: (Contact the State Licensing Office for more information.)
Child no longer attends; all files were reviewed, and any missing information was corrected.
2023-10-17 Unannounced Monitoring 3270.123(a)(6) - Admission date Compliant - Finalized

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: It was observed at the time of inspection child #1's financial agreement did not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission.

Provider Response: (Contact the State Licensing Office for more information.)
Child no longer attends, all files were reviewed and any missing information was corrected.
2023-10-17 Unannounced Monitoring 3270.123(a)(7) - Services considered extra Compliant - Finalized

Regulation: 3270.123(a)(7)

Description: Services considered extra

Noncompliance Area: It was observed at the time of inspection child #1's financial agreement did not specify the services which are to be considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Provider Response: (Contact the State Licensing Office for more information.)
Child no longer attends the program; all files were reviewed, and any missing information was corrected.
2023-10-17 Unannounced Monitoring 3270.131(b)(1) - Infant: updated health report every 6 months Compliant - Finalized

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: It was observed at the time of inspection child #1's most recent health assessment in their file was completed on 1-17-23.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Child no longer attends the childcare center.
2023-10-17 Unannounced Monitoring 3270.132(a) - Contact parent/keep record Compliant - Finalized

Regulation: 3270.132(a)

Description: Contact parent/keep record

Noncompliance Area: On 10-16-23 child #1 was injured requiring emergency medical care and the parent was not contacted as soon as practical best interest of the child.

Correction Required: If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent.

Provider Response: (Contact the State Licensing Office for more information.)
Incident reports will be filled out immediately and signed by the parent. The parent will be given a copy, while another copy will go into the child's file as well as the master file.
2023-10-17 Unannounced Monitoring 3270.181(b) - Current Compliant - Finalized

Regulation: 3270.181(b)

Description: Current

Noncompliance Area: It was observed at the time of inspection child #1's financial agreement was missing documentation of designated persons to whom a child may be released, arrival/departure time, late fees, payment date, date of admission and services provided to the child by the facility. Child #1's emergency contact information did not contain signed consent for emergency medical care and consent for administration of first aid by facility staff. Child #1's health assessment was completed on 1/17/23 more than 6 months old. Child #2's file did not contain a financial agreement.

Correction Required: Information in a child's record shall be kept current by the operator.

Provider Response: (Contact the State Licensing Office for more information.)
Children are no longer in care.
2023-10-17 Unannounced Monitoring 3270.182(3)/3270.182(5) - Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission Compliant - Finalized

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: It was observed at the time of inspection child #1's record did not contain signed parental consent for emergency medical care for the child and contain signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Provider Response: (Contact the State Licensing Office for more information.)
Child is no longer in care. Files were reviewed and updated.
2023-10-17 Unannounced Monitoring 3270.182(7) - Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file Compliant - Finalized

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: On 10-16-23 child #1 obtained an injury while at the facility and a report of the injury was not given to the parent on the day of the incident.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Provider Response: (Contact the State Licensing Office for more information.)
Incident reports will be filled out immediately and signed by the parent. The parent will be given a copy, while another copy will go into the child's file as well as the master file.
2023-10-17 Unannounced Monitoring 3270.182(8) - Copy of initial and subsequent agreements. Parent receives original. Compliant - Finalized

Regulation: 3270.182(8)

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

Noncompliance Area: It was observed at the time of inspection child #2's file did not contain a financial agreement.

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

Provider Response: (Contact the State Licensing Office for more information.)
All files were checked and updated as needed. Child is no longer in care.
2023-10-17 Unannounced Monitoring 3270.183(a) - Locked cabinet Compliant - Finalized

Regulation: 3270.183(a)

Description: Locked cabinet

Noncompliance Area: It was observed at the time of inspection an emergency contact form containing a child's information was on a shelf in the entrance of the facility, where parents pick up and drop off children at the facility.

Correction Required: Child records are confidential and shall be stored in a locked cabinet.

Provider Response: (Contact the State Licensing Office for more information.)
Any and all forms containing confidential information will be properly stored in the child's file.
2023-10-17 Unannounced Monitoring 3270.19(a)/3270.19(b) - Required to report/Child abuse reporting Compliant - Finalized

Regulation: 3270.19(a)/3270.19(b)

Description: Required to report/Child abuse reporting

Noncompliance Area: On 10-16-23 staff #1 picked up child #1 by her wrists causing bilateral elbow dislocations. The operator did not make a report of suspected child abuse to Childline.

Correction Required: An operator or a staff person who has reason to believe that a child enrolled in the facility has been abused is required to report suspected child abuse to ChildLine as mandated by the CPSL. A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department.

Provider Response: (Contact the State Licensing Office for more information.)
Staff was informed that any and all serious injuries need to be reported to proper authorities.
2023-10-17 Complaints- Legal Location 3270.21/3270.111(c) - General Health and Safety/Promote development Non Compliant - Finalized

Regulation: 3270.21/3270.111(c)

Description: General Health and Safety/Promote development

Noncompliance Area: On 10-16-23 staff #1 picked child #1 by her wrists and heard a pop causing bilateral elbow dislocations.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff was terminated same day. Incident report was written up and mother pulled in as it happened, so she was made aware and I told her to take her to the doctor.
2023-10-17 Complaints- Legal Location 3270.21/3270.111(c) - General Health and Safety/Promote development Non Compliant - Finalized

Regulation: 3270.21/3270.111(c)

Description: General Health and Safety/Promote development

Noncompliance Area: On 10-16-23 staff #1 picked child #1 by her wrists and heard a pop causing bilateral elbow dislocations.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. 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. The legal entity must arrange for all facility staff to receive training regarding developmentally appropriate practices to include age-appropriate lifting and caring for infants and toddlers, infant sleep position, and daily programming for infants and toddlers. The legal entity must receive DHS approval of the training content prior to scheduling the training. Documentation of completed training must be submitted to DHS and be maintained on file at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff will be trained and heavily supervised. Will arrange for training.
2023-10-17 Unannounced Monitoring 3270.34(a)/3270.34(a)(2) - Director responsibilities/Objective and activities Compliant - Finalized

Regulation: 3270.34(a)/3270.34(a)(2)

Description: Director responsibilities/Objective and activities

Noncompliance Area: It was observed at the time of inspection the director and staff stated that between 12:30 and 3 pm daily there is not a designated staff person who is responsible for compliance with this chapter in the Director's absence. The director is not fulfilling responsibilities as per the violations listed in this Licensing Inspection Summary and SIIN-00233004 and SIN-233232.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6). A director is responsible for administering the facility's program objectives and activities. The legal entity will develop and implement a written staff observation plan when staff persons are present with a group of children on the facility's premises. The director must discuss observations with each staff person will initial or sign that the discussion occurred. The legal entity must receive DHS approval of the observation plan before it is implemented. Documentation of completed observations must be submitted on a weekly basis to the Central Regional Office of Child Development and Early Learning for a period of 3-months. Documentation of completed observations must also be kept on file at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Beka is in charge when Kelli isn't in the building. If neither Beka nor Kelli are there, Heather is the go-to person. Kelli's hours are 9:00 to 5:00 daily with an hour lunch to do banking or other errands. Started observations on 11-15-23. Will submit them weekly to DHS.
2023-10-17 Unannounced Monitoring 3270.34(a)/3270.34(a)(2) - Director responsibilities/Objective and activities Compliant - Finalized

Regulation: 3270.34(a)/3270.34(a)(2)

Description: Director responsibilities/Objective and activities

Noncompliance Area: It was observed at the time of inspection the director and staff stated that between 12:30 and 3 pm daily there is not a designated staff person who is responsible for compliance with this chapter in the Director's absence. The director is not fulfilling responsibilities as per the violations listed in this Licensing Inspection Summary and SIIN-00233004 and SIN-00233232.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6). A director is responsible for administering the facility's program objectives and activities.

Provider Response: (Contact the State Licensing Office for more information.)
Director will make sure to be at the daycare at least 30 hours per week and supervising. If I am not there, in the event of a doctor appointment or other emergency, the director will make sure Beka or Heather are here to be the designated person responsible for compliance.
2023-10-17 Unannounced Monitoring 3270.34(a)/3270.34(a)(2) - Director responsibilities/Objective and activities Compliant - Finalized

Regulation: 3270.34(a)/3270.34(a)(2)

Description: Director responsibilities/Objective and activities

Noncompliance Area: It was observed at the time of inspection the director and staff stated that between 12:30 and 3 pm daily there is not a designated staff person who is responsible for compliance with this chapter in the Director's absence. The director is not fulfilling responsibilities as per the violations listed in this Licensing Inspection Summary and SIIN-00233004 and SIN-00233232.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6). A director is responsible for administering the facility's program objectives and activities. The Legal Entity will arrange for the director to attend the DHS Existing Provider Orientation.

Provider Response: (Contact the State Licensing Office for more information.)
Director signed up for existing provider training in January. Director also does weekly staff observations and keeps records of it.
2023-10-05 Renewal 3270.102(e) - Infant/toddler - no material less than 1 inch Non Compliant - Finalized

Regulation: 3270.102(e)

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

Noncompliance Area: It was observed at the time of inspection a sensory table containing coffee beans with a diameter of less than 1 inch was being used by toddlers at the facility. The toddler playground had was covered in mulch with a diameter of less than one inch.

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

Provider Response: (Contact the State Licensing Office for more information.)
Table with coffee beans was removed from the room. Mulch was completely covered up and we will be re-covering the yard with turf in the spring.
2023-10-05 Renewal 3270.106(a) - Clean, age appropriate Non Compliant - Finalized

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: It was observed at the time of inspection the sleeping bags/mats in the pre-school classroom and young toddler room were not all labeled for individual use. CORRECTED AT INSPECTION

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.

Provider Response: (Contact the State Licensing Office for more information.)
The sleeping mats were labeled
2023-10-05 Renewal 3270.106(b) - No bed linens alone Non Compliant - Finalized

Regulation: 3270.106(b)

Description: No bed linens alone

Noncompliance Area: It was observed at the time of inspection a child in the young toddler room was using a blanket as their rest equipment. CORRECTED AT INSPECTION.

Correction Required: Bed linens may not be used alone as age-appropriate rest equipment.

Provider Response: (Contact the State Licensing Office for more information.)
The blanket was replaced with a nap mat.
2023-10-05 Renewal 3270.107 - Refrigerator Non Compliant - Finalized

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: It was observed at the time of inspection that the refrigerator in the upstairs classroom did not have a thermometer. CORRECTED AT INSPECTION.

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.

Provider Response: (Contact the State Licensing Office for more information.)
A thermometer was placed in the refrigerator.
2023-10-05 Renewal 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children Non Compliant - Finalized

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

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

Noncompliance Area: It was observed at the time of inspection child #12 ran out of sight of staff #3 in the toddler "big room" classroom. Child #13 ran behind a will in the pre-school classroom and was not able to be seen by staff #2. A child in the pre-school classroom was observed going into the bathroom, out of sight of staff #2, during nap time.

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. 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.

Provider Response: (Contact the State Licensing Office for more information.)
Children will be supervised at all times. A staff person was moved to the area where the child could not be seen around the corner.
2023-10-05 Renewal 3270.124(b)(3) - Parent home/work address, phone Non Compliant - Finalized

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: It was observed at the time of inspection child #11's emergency contact information did not contain the work address of the enrolling parent.

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

Provider Response: (Contact the State Licensing Office for more information.)
Work address was added to file
2023-10-05 Renewal 3270.124(f) - Updated every 6 months Non Compliant - Finalized

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: It was observed at the time of inspection child #1, #2, #3, #4, #5, #6 and #7's emergency contact information, in the pre-school classroom, were not updated with in the last six months. child #8, #9 and #10's emergency contact information, in the big room, were not updated in the last six months.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

Provider Response: (Contact the State Licensing Office for more information.)
Updated forms were placed in the files. Child #4 and #9 are no longer in care.
2023-10-05 Renewal 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Non Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: It was observed at the time of inspection the facility did not have continuity of operation plan including 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.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Plan was added to the emergency plan
2023-10-05 Renewal 3270.166(4) - Bottles labeled Non Compliant - Finalized

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: It was observed at the time of inspection that child # 15's bottle was not labeled in the infant fridge and child #14 's bottle was not lableled in the young toddler refrigerator. CORRECTED AT INSPECTION.

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

Provider Response: (Contact the State Licensing Office for more information.)
Both bottles were labeled.
2023-10-05 Renewal 3270.27(a)(1)/3270.27(a)(5) - Emergency plan/Emergency plan Non Compliant - Finalized

Regulation: 3270.27(a)(1)/3270.27(a)(5)

Description: Emergency plan/Emergency plan

Noncompliance Area: It was observed at the time of inspection the facility's emergency plan did not have a plan entitled "Lockdown" that provides for accommodation for shelter of children during a lockdown. The facility's emergency plan did not have a plan that provides for accommodation for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Provider Response: (Contact the State Licensing Office for more information.)
Lockdown plan was added to the plan
2023-10-05 Renewal 3270.27(e) - Letter to parents Non Compliant - Finalized

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: It was observed at the time of inspection the operator's letter to parents explaining the emergency procedures did not include a plan to provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions and that provides for accommodation for shelter of children during a lockdown.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Provider Response: (Contact the State Licensing Office for more information.)
A plan for accommodations for infants, toddlers, and special needs children was added to the plan.
2023-10-05 Renewal 3270.65 - Protective Outlet Covers 5 yrs. or less Non Compliant - Finalized

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: It was observed that an electrical outlet in the hallway, where children walk to the pre-school playground, did not have protective receptacle covers. CORRECTED AT INSPECTION

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

Provider Response: (Contact the State Licensing Office for more information.)
Protective receptacle covers were placed on the electrical outlets.
2023-10-05 Renewal 3270.66(a) - Locked or inaccessible Non Compliant - Finalized

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed at the time of inspection staff #1 was applying hand sanitizer on the hands of older toddlers. A diaper bag containing baby powder, that was open and, on the floor, was accessible to children eating lunch, walking outside and using the bathroom.

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

Provider Response: (Contact the State Licensing Office for more information.)
Hand sanitizer will NOT be used on children and all hazardous items were placed out of the reach of children.
2023-10-05 Renewal 3270.82(h) - Handwashing signs Non Compliant - Finalized

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: It was observed at the time of inspection the portable sink and diapering area, in the infant classroom, did not have a sign which outlines the requirements for handwashing. CORRECTED AT INSPECTION

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.

Provider Response: (Contact the State Licensing Office for more information.)
A handwashing sign was posted at the sink and diapering area in the infant room.
2023-01-20 Unannounced Monitoring 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The following was observed in the outdoor play spaces: -A bench had chipped/peeling paint. -A small trampoline had a cracked cover with exposed foam. -A play kitchen was cracked creating pinch points. -A playhouse was broken and the sides were separating. -Mulch had washed out of the play space entrance and prevented the play space gate from properly closing. (All areas listed were 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.

Provider Response: (Contact the State Licensing Office for more information.)
-A bench had chipped/peeling paint. (removed from play space) -A small trampoline had a cracked cover with exposed foam. (removed from play space) -A play kitchen was cracked creating pinch points. (removed from play space) -A playhouse was broken and the sides were separating. (taped so that playhouse stayed intact) -Mulch had washed out of the play space entrance and prevented the play space gate from properly closing. (mulch was removed and gate can now properly close).
2023-01-20 Unannounced Monitoring 3270.66(a) - Locked or inaccessible Compliant - Finalized

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A gallon jug of soap, 'label keep out of reach of children' was present in the staff cubby area and accessible to children. (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.

Provider Response: (Contact the State Licensing Office for more information.)
Jug of soap was removed and made inaccessible.
2023-01-20 Change in Location Capacity 3270.69(b) - 110º F or less Compliant - Finalized

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: Hot water temperature in upstairs bathroom measured at 116 degrees Fahrenheit.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Provider Response: (Contact the State Licensing Office for more information.)
Hot water heater for sink was turned off.
2022-11-30 Unannounced Monitoring 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed at the time of inspection on 11-30-22 a purple plastic chair in the outdoor play area in the back of the building was cracked. Electrical cords, for powering infant swings, in the infant room, were loose causing a choking hazard.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Electrical cords were taped to the wall. Cracked chair was removed from the yard.
2022-11-30 Unannounced Monitoring 3270.111(c) - Promote development Compliant - Finalized

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: It was observed at the time of inspection that television was on in the infant classroom, the toddler classroom and the pre-school room during the entire inspection from 9:15 am to 12:30 pm. It was observed at the time of inspection child #1 and child #2 were place in a highchair during lunch.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Tvs were turned off. Children will no longer be in high chairs.
2022-11-30 Unannounced Monitoring 3270.111(c) - Promote development Compliant - Finalized

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: It was observed at the time of inspection that television was on in the infant classroom, the toddler classroom and the pre-school room during the entire inspection from 9:15 am to 12:30 pm. It was observed at the time of inspection child #1 and child #2 were place in a highchair during lunch. Staff stated they were placed in the highchair so they would remain seated and eat their lunch.

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. All staff will participate in DHS approved technical assistance in programming to encourage daily activities promote the development of skills, social competence and self-esteem.

Provider Response: (Contact the State Licensing Office for more information.)
Tvs were turned off and children will no longer be placed in high chairs for meals. I think this is the same as violation 3. Will participate in Technical Assistance as 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.

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