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Child Care Center ✓ Licensed

Allegheny General Hospital Center for Children

Pittsburgh, PA · Allegheny County
621 E North Ave, Pittsburgh, PA 15212
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Quick Facts

Subsidized Program
Participates
State Rating
4

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Contact Information

📞 (412) 231-0250
621 E North Ave
Pittsburgh, PA 15212
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✓ Licensed Child Care Center
Active License
License Number
CER-00252868
License Issued
Mar 25, 2026
Active Through
Mar 25, 2027
Issued By
Pennsylvania Department of Education and Public Welfare
District Office
Early Learning Resource Center for Region 5

Reviews

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About the Provider

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Bright Horizons is the world's leading provider of employer-sponsored child care, back-up care, education and work/life solutions with more than 700 child care and early education programs and schools for employers and working families across the US, UK, Ireland and Canada. Committed to creating great work environments for its 18,000 employees, the company has been named 12 times as one of FORTUNE magazine's "Best Companies to Work for in America."

Bright Horizons provides work/life solutions for more than 800 leading employers to help them address challenges across key life stages. Programs include child care, back-up care, college counseling, elder care, and work/life consulting.

The first few years of life are an extraordinary time that sets the stage for all the years that follow. Our program for learning creates educational environments that empower children to be confident, successful, lifelong learners and socially responsible citizens. Bright Horizons' innovative programs help children, families, and employers work together to be their very best.

Hours of Operation

  • Days of Operation Monday–Friday
  • Open HoursM-F: 6:00 a.m. to 6:30 p.m.

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
2025-12-10 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A toddler-sized vinyl couch in the classroom was observed to be in poor repair. Two small areas of the couch had missing vinyl exposing the underlying mesh material.

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 toddler-sized couch in the toddler classroom was removed and thrown away.
2025-12-10 Renewal 3270.103 - Small Toys and Objects Compliant - Finalized

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the Toddler 1 classroom, the mats located beneath the toddler climber had blue painter's tape on them, and the tape was curling at the edges. If a toddler were to remove the tape, the pieces would be less than an inch in diameter, creating a potential choking hazard to children still placing objects in their mouths. Also in the Toddler 1 classroom, packaging tape covering a label titled "EMERGENCY CONTACT FORMS" was on the floor. The tape could be rolled into a piece less than one inch in diameter and was accessible to children still placing objects into their mouths.

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 tape in toddler one was removed from the floor and mat near the climber. The tape covering the label "Emergency Contact Forms" was replaced so that it would not come off the binder in the future.
2025-12-10 Renewal 3270.104(a) - Clean, good repair, proper size Compliant - Finalized

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: In the Movement Matters child care space, an 8-cube storage organizer approximately 5 feet tall was positioned vertically against the wall. The organizer was not anchored and could potentially tip over onto a child.

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 shelf in the Movement Matters zone was placed horizontally in the room so that it would not tip over.
2025-12-10 Renewal 3270.106(f) - 2 feet apart Compliant - Finalized

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In the Infant 2 classroom, an infant was observed to be sleeping in their crib with the top positioned against the wall and approximately 8-10 inches from another crib on the left side.

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 cribs in Infant two were separated to allow 2 feet of space on three sides of the crib.
2025-12-10 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

Regulation: 3270.151(a)

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

Noncompliance Area: The most recent consecutive health assessments of staff #3 were dated more than 24 months apart (7/19/2023 and 8/28/2025).

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Provider Response: (Contact the State Licensing Office for more information.)
Staff member #3 obtained a current health report on 8/28/2025.
2025-12-10 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: The file of staff #2, hired after 1/1/2025 (see LIS code sheet), contained a disclosure statement completed on a previous version of the form dated 2/21/2023 and not the current version dated 1/1/2025. The most recent consecutive child abuse clearances for staff #4 were dated more than 60 months apart (10/22/2020 and 11/5/2025).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Provider Response: (Contact the State Licensing Office for more information.)
Staff member #2 signed the current version (dated 1/1/25)of the disclosure statement on 12/12/2025 to replace the old version of the form.. Staff member #4 corrected the child abuse clearance on 11/5/2025.
2025-12-10 Renewal 3270.75(c) - Has all items Compliant - Finalized

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Early Preschool 1 classroom did not contain gloves or soap.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Gloves and Soap were added to the Early Preschool One first aid bag on 12/11/2025/
2025-12-10 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The laminate baseboard in the Preschool 1 classroom was pulling from the wall by the circle time carpet. The mesh covering on the fence in the outdoor area had about 5 large holes, each approximately the size of a tennis ball or slightly smaller where a child could put their arm.

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.)
Tape was applied to the baseboard in preschool 1 so that the baseboard could not be pulled away from the wall immediately on 12/11/2025. Center has submitted a work order on 12/12/2025 to fix the baseboard. Tape was applied to the mesh covering on the fence to repair the holes on 12/22/2025. A work order has been submitted on 12/22/2025 to replace the mesh covering so it is free of holes.
2024-12-10 Renewal 3270.103 - Small Toys and Objects Compliant - Finalized

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Large crayons with a diameter of less than 1 inch were accessible to children in a basket on a shelf in the Early Preschool 2 classroom.

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.)
Center Director removed large crayons from Early Preschool Two that were less than 1 inch.
2024-12-10 Renewal 3270.131(b)(1)/3270.182(1) - Infant: updated health report every 6 months/Initial and subsequent health reports Compliant - Finalized

Regulation: 3270.131(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The file of child #1, identified as a young toddler (see LIS code sheet), contained health assessments dated 1/3/2024 and 8/8/2024, exceeding 6 months.

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. A child's record shall contain initial and subsequent health reports.

Provider Response: (Contact the State Licensing Office for more information.)
There is no immediate response needed for files for child #1 because the health assessment dated 8/8/2024 was still current.
2024-12-10 Renewal 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: A reference letter in the file of staff #1 was dated 3/12/2024, after their start date at the facility.

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.

Provider Response: (Contact the State Licensing Office for more information.)
There was no immediate response needed because staff #1¿s file contained two written, nonfamily references from individuals attesting to the staff members suitability to serve as a facility person
2024-12-10 Renewal 3270.65 - Protective Outlet Covers 5 yrs. or less Compliant - Finalized

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: An electrical outlet by the refrigerator in the Movement Matters/Enrichment Center did not contain a protective receptacle cover.

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.)
Program immediately replaced a protective receptacle cover into the electrical outlet on 12/10/2024 near the refrigerator in the Movement Matters/Enrichment area that was missing the protective receptacle cover.
2024-12-10 Renewal 3270.69(b) - 110º F or less Compliant - Finalized

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: When measured, the hot water at the sinks in the following rooms had a temperature which exceeded 118 degrees F: The sink between the Toddler 1 and 2, the small and large sinks in Preschool, the diapering sink between Infant 1 and Infant 2, the small and large sinks in K Prep, the large sinks in and between Early Preschool 1 and 2 and Kindergarten.

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.)
Center Director contacted facilities immediately on December 10, 2024 to set the water temperature at 110 F and to ensure it did not exceed that temperature on all sinks accessible to children. Additionally, staff will turn the water on when the children wash hands to ensure the usage of cold and hot water will not exceed 110 degrees. Water and other sources of heat accessible to children will not have a temperature exceeding 110 degrees.
2024-12-10 Renewal 3270.75(b) - Inaccessible to children Compliant - Finalized

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: When the Early Preschool 1 classroom returned from outdoor play, the backpack containing a first aid kit was placed on a low piece of furniture and was accessible to children.

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

Provider Response: (Contact the State Licensing Office for more information.)
Early Preschool 1 moved their first aid backpack out of reach of children on 12/10/2024
2024-12-10 Renewal 3270.75(c) - Has all items Compliant - Finalized

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Preschool classroom did not contain scissors.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Scissors were added to the preschool classroom first aid kit on 12/10/2024
2024-12-10 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: By the small climber on the toddler play space, there were 2 areas of the rubber surfacing which were splitting apart and able to be pulled up by the children. There is a gap approximately 3 inches between the soft surfacing and walkway in the toddler play space and the surfacing which could cause a tripping hazard for a small child. The privacy mesh along the fence had 4 holes and an area in the toddler play space which was not attached and torn. The holes and tears were low enough for children to put their hands through.

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.)
Center Director reached out to facilities so they could obtain quotes to have repair of the toddler play space rubber safety surfacing and the mesh covering the fencing in the preschool and toddler playgrounds repaired by March 24, 2025. The area will be fenced off until repaired.
2024-12-10 Renewal 3270.77(a) - No peeling paint or plaster Compliant - Finalized

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: The wall on the left when entering the Early Preschool 2 classroom had a quarter-size area of peeling paint.

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

Provider Response: (Contact the State Licensing Office for more information.)
Center Director immediately covered the spots with tape and submitted a request to maintenance to patch and paint the areas. The work has been/will be completed on 12/10/2024
2023-12-14 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A wheelbarrow on the preschool play space was broken, missing one of the handles, exposing children to sharp, rough edges. The Movement Matters/Enrichment classroom contained a dollhouse which a floor was not attached to the frame and red plastic toolbox on the play workbench which had a hole about an inch in diameter and had a cracked lid.

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 wheelbarrow on the preschool play space was removed immediately from the playground and placed in the trash. The dollhouse that was in the Movement Matters Zone was removed as well.
2023-12-14 Renewal 3270.131(b)(1)/3270.182(1) - Infant: updated health report every 6 months/Initial and subsequent health reports Compliant - Finalized

Regulation: 3270.131(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The file of child #1 contained a health assessment dated 7/6/2022, completed as a young toddler (see coded LIS sheet) but did not have documentation of current health assessment. The file of child #3, identified as an infant (see coded LIS sheet), contained health assessments dated 5/30/2023 and 12/6/2023 exceeding 6 months.

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. A child's record shall contain initial and subsequent health reports.

Provider Response: (Contact the State Licensing Office for more information.)
In order to correct the health appraisal for child #1, we requested a new health assessment to be obtained. One was received on 12/26/2023. Child #3's health assessment was corrected on 12/6/2023.
2023-12-14 Renewal 3270.131(b)(2)/3270.182(1) - Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports Compliant - Finalized

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The file of child #2, identified as a preschool age child (see coded LIS sheet), contained a health assessment dated 8/30/2022 and an updated health assessment dated 9/19/2023 exceeding 12 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Provider Response: (Contact the State Licensing Office for more information.)
Child #2's health assessment was corrected on 9/19/2023.
2023-12-14 Renewal 3270.133(5) - Original label Compliant - Finalized

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: A medication bag in the Kindergarten Prep classroom contained an Epi-pen which had an expiration date of 9/2023.

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

Provider Response: (Contact the State Licensing Office for more information.)
We requested for the family to supply a new Epi-Pen prior to the child returning to care. The child remained out of the center on 12/15/2023, and returned to the center 12/19/2023 with a current Epi-Pen.
2023-12-14 Renewal 3270.134(a) - Child's hands washed Compliant - Finalized

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: In the Kindergarten Prep classroom, a child was observed to go to the restroom, and when finished, went back to play with their friends without washing their hands.

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.)
Once we were notified that the child did not wash their hands, we immediately asked the child to wash their hands.
2023-12-14 Renewal 3270.151(c)(3) - Exam communicable disease Compliant - Finalized

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessment of facility person #1 did not contain documentation an examination for communicable disease was completed.

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

Provider Response: (Contact the State Licensing Office for more information.)
The health assessment for facility person #1 received an updated copy for their health assessment to contain documentation for communicable disease.
2023-12-14 Renewal 3270.181(c) - Emergency info/agreement updated 6 mos Compliant - Finalized

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Documentation of the review and/or update of the emergency contact form for child #2 exceeded 6 months (8/29/2022 and 9/5/2023).

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.)
Child's #2's emergency contact for was corrected on 9/5/2023.
2023-12-14 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The Preschool and Toddler 1 classrooms each contained area rugs which were curling at the edges causing a possible tripping hazard for children. A gap approximately 4 inches existed in the toddler play space between the rubber safety surfacing and cement walkway causing a tripping hazard and the surfacing by the small slide was cracked which could also cause a hazard. A hole approximately 4 x 2 inches was in the wall of the Kindergarten classroom by the large block area. The mesh covering the fencing in the preschool and toddler play spaces contained multiple holes and tears from the entrance of the toddler play space to the far end and side of the preschool play space.

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.)
To correct the curling rug in Preschool we moved the furniture to be placed on the part of the rug that was curling so that it was no longer a tripping hazard. A new rug was purchased for Toddler one and replaced the rug that caused a tripping hazard in Toddler One. We have covered the hole in the kindergarten classroom so that the children can not touch it, and have requested maintenance to repair the hole. We will obtain quotes to have repair of the toddler play space rubber safety surfacing and the mesh covering the fencing in the preschool and toddler playgrounds to have the repair work completed by January 31, 2023.
2023-07-11 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: Documentation of the testing of the fire detection system exceeded 30 days from 5/16/2023 to 6/21/2023 but is now current.

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.)
Testing the system is now current.
2023-03-21 Complaints- Legal Location 3270.135(e) - 2 hour diaper check Compliant - Finalized

Regulation: 3270.135(e)

Description: 2 hour diaper check

Noncompliance Area: Based on conversation with staff, there have been times when children are not changed right away after nap and are provided their snacks first, then are changed. The time period between the before nap diaper change and after snack diaper change exceeded 2 hours.

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

Provider Response: (Contact the State Licensing Office for more information.)
All staff were retrained to ensure that they are changing children's diapers at least every 2 hours and whenever the child indicate discomfort or exhibits behavior that suggests a soiled diaper.
2023-03-21 Complaints- Legal Location 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: Based on conversation with staff and review of documentation, a child was injured at the facility and an incident report was not provided to the parent on the day of the incident, it was provided the next day.

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.)
All staff were retrained to ensure that when a child is injured at the facility they will complete an incident report and provide it to the family before the end of the day that the injury occurred.
2023-03-21 Unannounced Monitoring 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file of staff #1 contained documentation of the completion of the professional development listed under 31(f)1-10 was dated 3/22/2023 which was over 90 days from their date of hire (see coded LIS sheet).

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff Person #1 Completed the professional development on 3/22/2023.
2022-12-07 Renewal 3270.104(a) - Clean, good repair, proper size Compliant - Finalized

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: A beige cube shelf with 8 spaces for bins, which was being used vertically, was approximately 4'10" high and was not anchored to the wall.

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 beige 8 cube shelf was lowered to the floor so that it was child sized and was not a hazard
2022-12-07 Renewal 3270.124(b)(6) - Insurance coverage information Compliant - Finalized

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The insurance information on the emergency contact form for child #1 included the name of the policy, but the policy number was listed it as "unk."

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.)
The insurance information was located on file on another form and was mistakenly not transferred to the emergency contact form. The insurance information was entered on the emergency contact form.
2022-12-07 Renewal 3270.131(b)(2) - Toddler/preschool: updated health report every 12 months Compliant - Finalized

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The health assessments of child #1, identified as a preschool age child (see coded LIS sheet), were dated 4/26/2021 and an updated heath assessment dated 7/7/2022, which exceeded 12 months. The health assessment of child #2, also identified as a preschool age child (see coded LIS sheet), contained a health assessment dated 12/9/2021 the with the appointment date documented as 5/9/2021, and a health assessment dated 9/19/2022, which is more than 12 months ago.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Provider Response: (Contact the State Licensing Office for more information.)
The health assessment for child #1 was received on 7/7/2022, which corrected the lapse of time that we did not have one.
2022-12-07 Renewal 3270.133(3) - Name on bottle Compliant - Finalized

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: The infant 2 classroom contained an unopened box of Desitin which was not labeled for the child which it was intended.

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
The unopen box of desitin was labeled during our site inspection.
2022-12-07 Renewal 3270.151(b) - Conducted by physician, PA or CRNP Compliant - Finalized

Regulation: 3270.151(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The health assessment of facility person #1 was signed by a nurse practitioner and facility person #2 was signed by a family nurse practitioner and not a physician, physician's assistant or certified registered nurse practitioner.

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Provider Response: (Contact the State Licensing Office for more information.)
The health assessments for Facility Person #1 and #2 have both been requested to be completed by a physician, physician's assistant, or CRNP by January 16th.
2022-12-07 Renewal 3270.163(a)(1) - Dairy Compliant - Finalized

Regulation: 3270.163(a)(1)

Description: Dairy

Noncompliance Area: The lunch the children were having in the toddler 1 and 2 classrooms did not contain a dairy product.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product.

Provider Response: (Contact the State Licensing Office for more information.)
The children in toddler one and toddler two were given milk at lunch during our state inspection after learning they did not receive it.
2022-12-07 Renewal 3270.27(a)(6) - Emergency plan Compliant - Finalized

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Based on conversation with the director, an emergency drill was conducted within the 12 months prior to the emergency drill on 9/14/2022, but documentation was not provided.

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

Provider Response: (Contact the State Licensing Office for more information.)
The emergency drill on 9/14/2022 was noted, and in the future all emergency drills will be noted to ensure their documentation.
2022-12-07 Renewal 3270.31(e)(4)(i) - Age and Training Compliant - Finalized

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Pediatric first aid and CPR of facility person #4 expired 2/2021 and was not renewed until 2/23/2022, after the expiration date.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Provider Response: (Contact the State Licensing Office for more information.)
The pediatric first aid and CPR of facility person #4 was corrected on 2/23/2022.
2022-12-07 Renewal 3270.31(e)(4)(ii) - Fire safety - 1 yr. Compliant - Finalized

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Fire safety trainings for facility person #4 were dated 2/15/2021 and 6/1/2022 exceeding 12 months.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Provider Response: (Contact the State Licensing Office for more information.)
The fire safety training was corrected on 6/1/2022.
2022-12-07 Renewal 3270.32(a) - Comply with CPSL Compliant - Finalized

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Though within 45 days of their hire date, the PA state police clearance of facility person #3, was dated 10/7/2017 and renewed on 10/14/2022 exceeding 60 months.

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.)
Facility person #3 renewed their PA state police clearance on 10/14/2022.
2022-12-07 Renewal 3270.72(b) - Screened Compliant - Finalized

Regulation: 3270.72(b)

Description: Screened

Noncompliance Area: The windows in the K-Prep and Early Preschool 2 classrooms were open, but they were not screened.

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

Provider Response: (Contact the State Licensing Office for more information.)
The windows in K-Prep and Early Preschool 2 were closed during the inspection visit.
2022-12-07 Renewal 3270.75(c) - Has all items Compliant - Finalized

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the infant 2 classroom did not contain tape and the kindergarten classroom first aid kit did not contain soap.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The first aid kit in Infant 2 received tape and Kindergarten received soap on the day of inspection.
2022-12-07 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The top hinge on the cupboard door below the changing table in toddler 2 was detached from the inside of the cupboard.

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 top hinge of the cupboard door below the changing table in toddler two will be replaced by the maintenance from our client by January 13th. In the meantime, we have placed a child safety lock on the door so that the children and staff can not open the door.
2022-12-07 Renewal 3270.94(a)(4) - Hypothetical locations Compliant - Finalized

Regulation: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: The hypothetical location documented on the fire drill log was used consecutively on 6/22/2022 and 7/14/2022.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Provider Response: (Contact the State Licensing Office for more information.)
The hypothetical locations of our fire drills will change each month and we will not use the same location consecutively.
2022-07-19 Unannounced Monitoring 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 and 2 were observed to be caring for children unsupervised. Staff person #1 and 2 have not completed the following pre-service training required prior to caring for children unsupervised: Staff person #1: Pediatric first-aid and pediatric CPR in an approved curriculum by a PQAS instructor. Staff person #2: Pediatric first-aid and pediatric CPR by a PQAS trainer.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 and 2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1 and 2, staff person 1 and 2 may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff Member #1 and #2 were immediately placed in a classroom where they could observed by another qualified staff member. Staff Members #1 and #2 completed a CPR/First Aide training preformed by a PQAS instructor on August 2nd to complete the pre-service training to care for children unsupervised.
2022-07-19 Unannounced Monitoring 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2 and 4 had acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in the training topic.

Correction Required: Staff persons shall complete professional development in the topics of 3270.31(f)(10), within 90 days of hire. Staff person #2 and 4 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Provider Response: (Contact the State Licensing Office for more information.)
Staff Member's #2, #3, and #4 all completed Pediactric First Aid/CPR with a PQAS-approved instructor on August 2, 2022.
2022-07-19 Unannounced Monitoring 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 completed the required health and safety topics from 3270.31(f)(1) through 3270.31(f)(9) more than 90 days from their start date with children (dated 5/25/2022).

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:

Provider Response: (Contact the State Licensing Office for more information.)
Staff Member already completed the Health and Safety training, so retraining was not provided. However, staff member #3 will take the additional one hour course prior to December 2022.
2022-07-19 Unannounced Monitoring 3270.64 - Outside Walkways Compliant - Finalized

Regulation: 3270.64

Description: Outside Walkways

Noncompliance Area: The bricks on the bottom level of the retaining wall on the left when walking up the ramp to the play space are eroding. There is approximately 3 areas where the blocks are showing erosion. One area is approximately 1 foot, another is approximately 5 feet and the last is approximately 3 feet long. About 3 of the caps on the retaining wall are broken which could fall on a child. At the bottom of the wall across the walkway, an exposed piece of metal is rusted and has sharp areas which can cause injury.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

Provider Response: (Contact the State Licensing Office for more information.)
The caps have been replaced to prevent from falling. The exposed piece of metal was covered by a trek decking wall. The structural engineer that reviewed the wall reported that the eroded areas are not a hazard at this time. Our landlord is working towards replacing the entire wall in the spring of 2023.
2021-12-09 Renewal 3270.104(a) - Clean, good repair, proper size Compliant - Finalized

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: There was a low, child-size wooden stool n the KPrep room with a large crack on the surface, exposing splintering wood and creating a pinch point.

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 wooden stole was removed during the licensing visit.
2021-12-09 Renewal 3270.111(c) - Promote development Compliant - Finalized

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: There was no daily activity schedule posted in the kindergarten room for the time of day the room is used for child care purposes.

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.)
a daily schedule was created to include the activities available during child care hours outside of the kindergarten hours of 9 am to 3 pm
2021-12-09 Renewal 3270.131(a) - Health information Compliant - Finalized

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The health assessment on file for child #1, enrolled in August 2021, was completed more than 90 days after the child's first day of attendance at the facility.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The health assessment on file for child #1 had a current health assessment on file dated for December 2021 on file during the licensing visit. Even though it was past due, it was in their file.
2021-12-09 Renewal 3270.151(a)/3270.151(c)(2) - 12 months prior to service and every 24 months thereafter/Mantoux TB Compliant - Finalized

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: The TB test documentation on file for Facility Person #4 did not include the date the TB test was read.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.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.)
Facility person # 4 contacted the health provider to add the read date to her health assessment form.
2021-12-09 Renewal 3270.151(c)(3) - Exam communicable disease Compliant - Finalized

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The current health assessment on file for Facility Person #5 did not include an examination for communicable diseases and the results of that examination.

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

Provider Response: (Contact the State Licensing Office for more information.)
Facility Person #5 returned to the health care provider to have them correctly fill out her health assessment to include that they did not have communicable diseases at the time of the exam.
2021-12-09 Renewal 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: There were no written references on file for Facility Person #8.

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

Provider Response: (Contact the State Licensing Office for more information.)
Facility Person #8 obtained two written nonfamily references to attest that they are able to serve as a facility person.
2021-12-09 Renewal 3270.25(a) - Availability of certificate of compliance and applicable regulations Compliant - Finalized

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator indicated they have not provided the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

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

Provider Response: (Contact the State Licensing Office for more information.)
We posted a flyer that includes information on how families can access the regulation in this chapter electronically. We have posted it in our center's lobby for all families to see.
2021-12-09 Renewal 3270.27(c) - Training regarding plan Compliant - Finalized

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: There was no documentation of any emergency plan training on file for Facility Person #7.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Documentation was found and placed in employees file.
2021-12-09 Renewal 3270.31(e)(4)(ii) - Fire safety - 1 yr. Compliant - Finalized

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The documentation of the most recent (current) fire safety trainings on file for Facility Persons #2, #3, and #6 indicate they were each completed more than 12 months after the previous firesafety training on file for the particular staff person.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Provider Response: (Contact the State Licensing Office for more information.)
Employee #2, #3, and #6 printed their passed fire safety course information from pakeys to put in their files
2021-12-09 Renewal 3270.31(f)(10) - Health and Safety Training - Pediatric First Aid and CPR Compliant - Finalized

Regulation: 3270.31(f)(10)

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

Noncompliance Area: There was no documentation of completion of pediatric first aid/CPR on file for Facility Person #4, employed at the facility for more than 90 days.

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

Provider Response: (Contact the State Licensing Office for more information.)
Facility person #4 obtained a new copy of their pediatric first aid/CPR to include in their file.
2021-12-09 Renewal 3270.31(h) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(h)

Description: Health and Safety Training

Noncompliance Area: There was no documentation of completion of training in health and safety topics numbers 1-9 as listed in the regulation 3270.31(f) on file for Faciilty Person #1, employed at the facility for more than 90 days.

Correction Required: All staff persons shall complete the professional development under subsection (f).

Provider Response: (Contact the State Licensing Office for more information.)
Facility Person #1 is no longer employed at Bright Horizons at AGH.
2021-12-09 Renewal 3270.32(a)/3270.192(2)(iii) - Comply with CPSL/Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: There was no documentation of completion of mandated reporter training on file for Facility Person #4, employed at the facility more than 90 days. The current mandated reporter training documented on file for Facility Person #5 was competed more than 60 months after the prior mandated reporter training documented and on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). . A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Facility Person #4 completed their mandated reporter training on 1/25/2022.
2021-12-09 Renewal 3270.37(b)/3270.192(2)(ii) - Aide qualifications/Exp, educ., training prior to facility Compliant - Finalized

Regulation: 3270.37(b)/3270.192(2)(ii)

Description: Aide qualifications/Exp, educ., training prior to facility

Noncompliance Area: There was no documentation on file of the education and/or child care experience needed for Facility Person #8 to qualify for the aid position in which she was classified

Correction Required: An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3).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.)
Facility Person #8 located their high school diploma to keep on file for the aid position.
2021-12-09 Renewal 3270.65 - Protective Outlet Covers 5 yrs. or less Compliant - Finalized

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There was an uncovered outlet on the wall in the KPrep room.

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.)
During the inspection we found the outlet plug cover near the plug and placed it back into the outlet.
2021-12-09 Renewal 3270.66(a) - Locked or inaccessible Compliant - Finalized

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There were diaper creams accessible to children in a drawer equipped with a faulty lock in the diapering area in the Toddler 1 room.

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

Provider Response: (Contact the State Licensing Office for more information.)
during the inspection, we placed all diaper creams that were in the drawer in the child's diaper cubby that is located out of the reach of children.
2021-12-09 Renewal 3270.77(a) - No peeling paint or plaster Compliant - Finalized

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was an area of damaged plaster on the wall behind/around a toilet paper holder in the Toddler 1 room

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

Provider Response: (Contact the State Licensing Office for more information.)
we covered the damaged plaster with tape so the children are unable to touch it. we have requested that our facility comes to paint the damaged area.
2021-12-09 Renewal 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: There was no proof of purchase for the interconnected fire alarm system on file at the facility.

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.)
Our facility manager filled out the ACT 62 attestation form to ensure the requirements under subsection (a) are met.
2021-11-05 Unannounced Monitoring 3270.106(f) - 2 feet apart Compliant - Finalized

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: On 11/5/21 there were 19 children resting on cots in the K-Prep room. Ten of these children were resting on cots without at least of 2 feet of space on three sides their cot.

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.)
In response to this violation, the Center Director and Regional Manager created a map for placement of cots was created for each classroom. We include a courtesy copy for our licensor as reference. On November 8, 2021, the Center Director and Health and Safety Director provided training to all facility staff members on how to adjust furniture placement during the naptime to ensure exact placement. Going forward, the Center Director, Health & Safety Director and Instructional Coach are conducting daily classroom visits during the nap time hours to ensure support is provided for those classrooms where children are awakening in anticipation of leaving their cots before the end of the scheduled naptime. During this time they also are observing and checking for appropriate placement of cots, teacher location in the classroom, and lighting.
2021-11-05 Unannounced Monitoring 3270.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: According to the staff person's statement, on 10/27/21 at approximately 2:15 PM during naptime, Facility Person #1 was supervising 11 older toddlers in the Early Preschool 2 room, and Facility Person #2 was supervising 9 older toddlers in the Early Preschool 1 room. There were no other staff persons present in either room at the time. When Facility Person #2 observed Facility Person #1 yelling at a child who wasn't napping and handling that child in a rough manner, she stepped into the kitchen area between the two rooms and called for another staff person to relieve Facility Person #1. She then asked the Facility Person #1 to leave the classroom. Facility Person #1 left the classroom. Facility Person #2 remained in the kitchen area between the two rooms for a few moments before another staff person arrived to supervise the children in Early Preschool 2, allowing her to return to Early Preschool 1 to supervise the children in that room. On 11/5/21 at approximately 2:45 PM, Facility Person #4 was observed supervising 9 preschoolers in the Preschool room as they rested on rest equipment. Facility Person #4 was seated in a chair, in a position where she was unable to see two of the children in the classroom due to the position of their rest equipment and other furniture in the classroom. There was no other staff person in the room supervising children.

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.

Provider Response: (Contact the State Licensing Office for more information.)
As noted previously, our program fully acknowledges our error here as a caregiver intervened to ensure Facility Person #1 was removed from the classroom promptly, leaving a classroom area out of ratio temporarily. In response to this incident, the Regional Manager and Center Director spoke individually with both Facility Person #2 and Facility Person #4 and reviewed our requirements for appropriate supervision, ratios and escalation practices on November 5, 2021.
2021-11-05 Complaints- Legal Location 3270.113(b) - No physical punishment Compliant - Finalized

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 10/27/21, at approximately 2:10 PM Facility Person #1 was supervising 11 older toddlers during naptime in the Early Preschool 2 room, when according to information reported by the operator, she was observed forcefully pushed the leg of Child #1 down onto his cot. Then, when the child sat up on his cot, she was observed grabbing him around his ankle and pulling him up by this ankle with the bottom half of his body off the cot to lay him back down.

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

Provider Response: (Contact the State Licensing Office for more information.)
In response to the concern raised by a co-teacher on October 27, 2021, the Center Director removed Facility Person #1 from the classroom immediately and placed her on administrative leave. Facility Person #1 will not be returning to the child care program. The program notified the child¿s parent, our child care licensing authority and child protective services within the time frames required for such reporting.
2021-11-05 Complaints- Legal Location 3270.113(d) - No harsh language Compliant - Finalized

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: On 10/27/21, at approximately 2:10 PM, Facility Person #1 was supervising 11 older toddlers during naptime in the Early Preschool 2 room, when according to information reported by the operator, she was observed yelling to Child #1 to get on his cot. And then was the child was on the cot, but would not lie down, she was observed yelling at him again to lie down.

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

Provider Response: (Contact the State Licensing Office for more information.)
In response to the concern raised by a co-teacher on October 27, 2021, the Center Director removed Facility Person #1 from the classroom immediately and placed her on administrative leave. Facility Person #1 will not be returning to the child care program. The program notified the child¿s parent, our child care licensing authority and child protective services within the time frames required for such reporting.
2021-11-05 Unannounced Monitoring 3270.51 - Similar Age Level Compliant - Finalized

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: According to the staff person's statement, on 10/27/21 at approximately 2:15 PM during naptime, Facility Person #1 was supervising 11 older toddlers in the Early Preschool 2 room, and Facility Person #2 was supervising 9 older toddlers in the Early Preschool 1 room. There were no other staff persons present in either room at the time. When Facility Person #2 observed Facility Person #1 yelling at a child who wasn't napping and handling that child in a rough manner, she stepped into the kitchen area between the two rooms and called for another staff person to relieve Facility Person #1. She then asked the Facility Person #1 to leave the classroom. Facility Person #1 left the classroom. Facility Person #2 remained in the kitchen area between the two rooms for a few moments before another staff person arrived to supervise the children in Early Preschool 2, allowing her to return to Early Preschool 1 to supervise the children in that room. On 11/5/21 at approximately 3:00 PM, Facility Person #3 was observed caring for 9 young toddlers in the Toddler 2 room. Although some children were still resting on cots, five of the young toddlers in the room were off of their rest equipment and moving around the classroom.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The program fully acknowledges our error here as a caregiver intervened to ensure Facility Person #1 was removed from the classroom promptly, leaving a classroom area out of ratio temporarily. In response to this incident, the Regional Manager and Center Director spoke individually with Facility Person #2 and reviewed our requirements for appropriate supervision, ratios and escalation practices on October 27, 2021, and November 8, 2021.

If you are a provider and believe any information is incorrect, please contact us. We will research your concern and make corrections accordingly.

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