Babies N Motion

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

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

Noncompliance Area: During renewal inspection on 6/5/26, Certification Representative was checking supervision/ratio in the main area and Staff #2 and Staff #3 were naming either too many children or did not know which children they were assigned to. When discussing supervision, it was determined that this was because they were utilizing the name rings and did not remove children from that name ring who were not present on 6/5/26. Also, facility uses floating staff to always be in ratio, this presented a problem when identifying which children they were assigned to.

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. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must develop a written supervision policy and procedure to be implemented in the facility. The written policy must address how each staff person will be responsible for each child on a daily basis. The legal entity will submit policy/procedure to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies and procedures, and it must be documented at the facility. The legal entity will provide a date when the policy is completed.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: During renewal inspection on 6/5/26, Certification Representative observed two bottles unlabeled in the fridge. Fixed on site and labeled

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 6/5/26, Certification Representative reviewed staff files. Staff person #1 had out of state clearances from Florida. The child abuse clearance from Florida was not on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a childcare position at the facility. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a childcare position at the facility.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: During renewal inspection conducted 6/3/2025, child #1's medical records do not reflect that child is immunized according to the recommendations of the ACIP. Child #1's medical record indicated that child received 1 of 2 doses each of the following vaccines: Rotavirus, DTAP, HIB, Pneumococcal, and IPV. There is no exemption on file. Child #1 is an infant (see LIS code sheet for DOB).

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 must be dismissed from care by close of business 6/3/2025 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.166(3)

Description: Disposable nursers or parents

Noncompliance Area: During renewal inspection conducted on 6/3/2025, facility staff reported that they wash infant bottles. Facility does not have a commercial dishwasher.

Correction Required: Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During renewal inspection conducted 6/3/2025, staff person #1 had 3 hours of annual training for training year 12/19/2023-12/19/2024.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person #1 must take 9 hours of professional development to fulfill requirement for training year 12/19/2023-12/19/2024. Hours used to make up last year's training cannot be counted toward training year 12/19/2024-12/19/2025.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During renewal inspection conducted 6/3/2025, several staff members updated their mandated reporter training past 60 months. Mandated reporter certificates on file for staff person #3 are dated 11/23/2019 and 3/27/2025, which is past 60 months. Mandated reporter certificates on file for staff person #4 are dated 11/23/2019 and 3/13/2025, which is past 60 months. Mandated reporter certificates on file for staff person #5 are dated 11/23/2019 and 3/3/2025, which is past 60 months. Mandated reporter certificates on file for staff person #6 are dated 11/23/2019 and 2/18/2025, which is past 60 months. Mandated reporter certificates on file for staff person #7 are dated 11/23/2019 and 3/25/2025, which is past 60 months.

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

Regulation: 3270.36(b)(3)/3270.36(b)(5)

Description: HS/GED, 15 credits + 1 yr/HS/GED + 2 yrs

Noncompliance Area: During renewal inspection conducted 6/3/2025, staff person #2 is listed as an AGS but does not have 2 years of experience with children documented on file. Staff person #8 is listed as an AGS but does not have 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.74/3270.111(b)

Description: Emergency Numbers Posted/Posted in group space

Noncompliance Area: During renewal inspection conducted on 6/3/2025, the following postings were missing from the following rooms: Front room (room to the right of the main door): Daily activities and emergency telephone numbers. Infant/Young Toddler area: Daily activities.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility. The written plan of daily activities shall be posted in the group space.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During renewal inspection conducted 8/13/2024, the following information was missing from children's files: Child #1: Father's home and work addresses and telephone numbers. Child #2: Mother's work address and work telephone number. Father's home and work addresses and telephone numbers. Child #3: Father's home and work addresses and work telephone number. Child #4: Mother's work address and work telephone number. Father's home and work addresses and telephone numbers.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: During renewal inspection conducted on 8/13/2024, trash can used for diapering in the infant/young toddler area was not covered.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection conducted 8/13/2024, staff person #1 had volunteer child abuse clearance on file dated 8/17/2023, which is not acceptable.

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. Staff Person #1 may not work in a child care position at the facility until acceptable clearance is on file.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: As of 8/16/23 during the renewal inspection, Staff #1 had not completed the required update to the Health and Safety training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: As of the renewal inspection on 8/16/23, the letter provided to parents regarding the emergency plan did not include information about lock down procedures, and accommodations for children with chronic medical conditions.

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.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: During the renewal inspection on 8/16/23, Staff #2 was alone with 2 young toddlers in the front room.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 8/16/23, there were at least 2 outlets in the infant room that did not have outlet covers and were accessible to children.

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

Regulation: 3270.136(d)

Description: Communicate report to DOH

Noncompliance Area: During an unannounced inspection, staff #1 stated that a staff person had reported to her that the staff's rapid COVID test came back positive. The positive case was not reported to the PA Dept of Health.

Correction Required: A facility person who knows of a communicable disease for which 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases) requires reporting, or who knows of a group expression of an illness which may be of public concern, whether or not it is known to be of a communicable nature, shall report it promptly to the appropriate division of the Department of Health as specified in Chapter 27, or to a local department of health.

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

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

Noncompliance Area: During an unannounced inspection on 10/11/22, staff #1 did not have a health assessment and TB screening prior to starting work at the facility.

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.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 8/30/22 during the renewal inspection, Staff #2 and #3 were working together with 8 young and older toddlers and did not have specific children assigned to them for supervision.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: On 8/30/22 during the renewal inspection, the most recent health assessment for child #2, a young toddler, was dated 2/7/22.

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

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: On 8/30/22 during the renewal inspection, the health assessment for child #1 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: As of the renewal inspection on 8/30/22, the operator had not notified local traffic safety authorities in the previous year in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: As of the renewal inspection on 8/30/22, the operator had not provided the parent of each child enrolled with information on how to access the regulations electronically and with instructions for contacting the NE Regional Child Care Office.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: As of the renewal inspection on 8/30/22, the operator had not sent a copy of the emergency plan to the county emergency management agency.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 8/30/22 during the renewal inspection, the file of staff #1 did not have a complete and current state police clearance or an FBI clearance and must be removed from care.

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. Facility Person #1 may not work in a child care position at the facility.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 9/16/21 during the renewal inspection, children in the infant room were left unsupervised in the front part of the L-shaped room when staff #2 went to the back of the room to change a diaper and when the staff was in the kitchen area in the back of the room. From the back of the room, the staff could not see the children in the front part of the room.

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.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: On 9/27/21 during the review of the children's files for the renewal inspection, the emergency contact for child #2 did not include the address and phone number for the physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On 9/27/21 during the children' file review for the renewal inspection, the emergency contact information for child #1 did not include the 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.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: On 9/16/21 during the renewal inspection, the emergency contact information was not in the child care space where children were receiving care.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: On 9/16/21 and 9/27/21 during the renewal inspection, a written plan identifying the means of transporting a child to emergency care was not posted in the gross motor room on the second floor.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: On 9/27/21 during the children's file review for the renewal inspection, there was no updated immunization record for child #2. The most recent one in the file was dated 7/16/20, although there was an updated health assessment.

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

Regulation: 3270.133(2)

Description: Written instructions

Noncompliance Area: On 9/27/21 during the renewal inspection, there were no written instructions from the doctor who prescribed the Albuterol for child #3.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: On 9/27/21 during the renewal inspection, the medication for child #3 was not labeled with the child's name.

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.

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: On 9/27/21 during the renewal inspection, the medication for child #3 and #4 was stored in each child's backpack in the cubbies in the front of the facility.

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

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: On 9/27/21 during the renewal inspection, there was no written parental consent for the administration of medication for child #3 or #4, both of whom had medication at the facility.

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

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: On 9/27/21 during the renewal inspection, a medication log was not completed for the administration of medication to child #3.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: On 9/16/21 during the renewal inspection, staff #2 did not wash the hands of child #1 after diapering. The child was placed immediately into the crib.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: On 9/16/21 during the renewal inspection, there were bottles in the infant room that were not labeled with a child's name.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: On 9/27/21 during the renewal inspection, the emergency plan did not provide for accommodations for infants and toddlers.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: On 9/27/21 during the renewal inspection, staff #1 did not have training on the emergency plan at hire.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: On 9/27/21 during the renewal inspection, the emergency plan had not been sent to the county or the city.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 9/27/21 during the renewal inspection, the child abuse clearance was missing from the file of staff #1. Staff #1 was working at the center on 9/16/21 during the first part of the renewal inspection. The facility does not have a new hire waiver. Staff #1 must be removed from care until all clearances are on file at the facility.

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

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: On 9/16 and 9/27/21 during the renewal inspection, a director was not employed by the facility after the passing of the former director.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: On 9/16/21 during the renewal inspection, there were 5 infants in the infant room with one staff, and 7 children ages 1-2 years with one staff. On 9/27/21 during the continuation of the renewal inspection, there were 8 children in the preschool room, one of the children was only 2 years old, with one staff.

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. 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). 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.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: On 9/16/21 during the renewal inspection, there was no handwashing sign posted at the kitchen sink.

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.

Regulation: 3270.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: On 9/16 and 9/27/21 during the renewal inspection, there was no evacuation route posted on the second floor of the facility.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On 9/16/21 and 9/27/21 during the renewal inspection, there was no documentation of an annual inspection of the fire system or of the installation date of the system. The fire alarm system is connected to several other businesses and apartments on the city block.

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.