Cambria County Elton Child Care 15934 Building Blocks Child Care Center Llc

Child Care Center ✓ Licensed

Building Blocks Child Care Center Llc

Elton, PA · Cambria County

CORNER OF FOREST HILLS, Elton, PA 15934

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Quick Facts

Capacity

41 children

Languages

English, American Sign Language, English, Spanish

Subsidized Program

Participates

State Rating

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Contact Information

📞 (814) 410-6006

CORNER OF FOREST HILLS

Elton, PA 15934

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🌐 www.bldg-blocks.com/contact-us.html

✓ Licensed Child Care Center

Active License

License Number

CER-00258712

License Issued

Sep 3, 2026

Active Through

Sep 3, 2027

Issued By

Pennsylvania Department of Education and Public Welfare

District Office

Early Learning Resource Center for Region 6

Reviews

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About the Provider

At Building Blocks, we believe that it is crucial to give every child in our care a clean, safe, comfortable, and fun environment in which they can learn and grow to their full potential.

With age appropriate programs and curriculum, our teachers and caregivers aim to foster individual learning and developent in every age group. Developmentally appropriate activities and engaging lesson plans ensure that your child will be presented every opportunity to expand his or her mind and establish critical thinking and social skills.

At our Center, we feel it is important to encourage children to engage in a variety of activities, fostering well-rounded individuals. Our teachers and staff work to reinforce social, physical, and intellectual concepts through various day to day programs.

Hours of Operation

Monday6:00 AM - 6:00 PM
Tuesday6:00 AM - 6:00 PM
Wednesday6:00 AM - 6:00 PM
Thursday6:00 AM - 6:00 PM
Friday6:00 AM - 6:00 PM
Saturday Closed
Sunday Closed

Inspection/Report History

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

Inspection Date	Reason	Description	Status

2026-06-16	Renewal	3270.102(c) - Outdoor equip.- protective surfacing	Compliant - Finalized
Regulation: 3270.102(c) Description: Outdoor equip.- protective surfacing Noncompliance Area: Observed embedded equipment in the outdoor play space with approximately 2 to 5 inches of rubber mulch. The Consumer Product Safety Commission recommends 6 inches of rubber mulch as a protective surface covering. Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.
Provider Response: (Contact the State Licensing Office for more information.) We will purchase and lay the appropriate additional amount of mulch.

2026-06-16	Renewal	3270.103 - Small Toys and Objects	Compliant - Finalized
Regulation: 3270.103 Description: Small Toys and Objects Noncompliance Area: Observed a foam block with bite marks in the top drawer of the cart with cloth drawers to the right of the bathroom located on the infant side of the Infant/Toddler Room. 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 object was discarded.

2026-06-16	Renewal	3270.123(a)(3) - Services proceeded	Compliant - Finalized
Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: Child #2 lacked a child service report completed within 6 months from the date of admission. (SEE LIS Code Sheet). Child #2 had child service reports completed on 9/10/25 and 3/2/26. Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).
Provider Response: (Contact the State Licensing Office for more information.) We will ensure that all children have a child service report completed within 6 months of enrollment.

2026-06-16	Renewal	3270.123(b)/3270.182(8) - Parent receives original/Copy of initial and subsequent agreements. Parent receives original.	Compliant - Finalized
Regulation: 3270.123(b)/3270.182(8) Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original. Noncompliance Area: The files of Children #1 and #3 contained the original agreement. The facility did not make a copy for the files and give the original to the parent. Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.
Provider Response: (Contact the State Licensing Office for more information.) The original agreement was given to the parents of child #1 and child #3.

2026-06-16	Renewal	3270.124(b)(2) - Physician name, address, phone	Compliant - Finalized
Regulation: 3270.124(b)(2) Description: Physician name, address, phone Noncompliance Area: Emergency contact information for Child #1 did not include the telephone number of the child's physician or source of medical care. Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.
Provider Response: (Contact the State Licensing Office for more information.) The phone number for the child's pediatrician was added to the Emergency Contact information.

2026-06-16	Renewal	3270.124(b)(3) - Parent home/work address, phone	Compliant - Finalized
Regulation: 3270.124(b)(3) Description: Parent home/work address, phone Noncompliance Area: Emergency contact information for Child #1 did not include the complete work address of the enrolling parent. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
Provider Response: (Contact the State Licensing Office for more information.) The complete address of the parent's work place was added to the child's Emergency Contact information.

2026-06-16	Renewal	3270.131(d)(5)/3270.131(e)(1) - Immunization record/Exemption documentation from parent/guardian	Compliant - Finalized
Regulation: 3270.131(d)(5)/3270.131(e)(1) Description: Immunization record/Exemption documentation from parent/guardian Noncompliance Area: The file of Child #2, a young toddler, lacked DTAP/DTP/TD and Pneumococcal immunizations according to the recommendations of the ACIP. Child #2 had documentation of 3 DTAP/DTP/TD immunizations and 3 Pneumococcal immunizations. The file of Child #3, an infant, lacked Hepatitis B immunizations according to the recommendations of the ACIP. Child #3 had documentation of 1 Hepatitis B immunization. Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.
Provider Response: (Contact the State Licensing Office for more information.) A letter from the parent was obtained indicating it was their desire to hold off on the vaccine until a later date.

2026-06-16	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 file of Staff #3 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #3 contained a health assessment dated 5/20/26, but the name of the person examined was not identified. 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.) The employee's name was added to the physical form by the medical facility.

2026-06-16	Renewal	3270.151(c)(3) - Exam communicable disease	Compliant - Finalized
Regulation: 3270.151(c)(3) Description: Exam communicable disease Noncompliance Area: The adult health assessment for Staff #2 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.) The employee obtained an updated health assessment that included all the proper documentation.

2026-06-16	Renewal	3270.151(c)(5) - Physician/CRNP assessment	Compliant - Finalized
Regulation: 3270.151(c)(5) Description: Physician/CRNP assessment Noncompliance Area: The adult health assessment for Staff #2 did not include the physician's or CRNP's assessment of the person's suitability to provide child care. Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.
Provider Response: (Contact the State Licensing Office for more information.) The employee obtained an updated health assessment that included all the proper documentation.

2026-06-16	Renewal	3270.165 - Menus	Compliant - Finalized
Regulation: 3270.165 Description: Menus Noncompliance Area: The operator did not conspicuously post the menu at least 1 week in advance or provide a menu to each family. Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.
Provider Response: (Contact the State Licensing Office for more information.) We have printed and posted snack menus in each of the classrooms.

2026-06-16	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: The emergency contact and agreement for Child #2 were not reviewed and updated at least once in a 6-month period. Child #2's emergency contact and agreement were reviewed on 2/8/25, 9/4/25, and 3/3/26. 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.) The paperwork was reviewed in March of 2026.

2026-06-16	Renewal	3270.31(e) - Age and Training	Compliant - Finalized
Regulation: 3270.31(e) Description: Age and Training Noncompliance Area: Staff #1 lacked 4 hours of annual child care training required between December 2024 and December 2025. Staff #1 had 7 hours of child care training completed on 2/25/26 used towards correction Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.
Provider Response: (Contact the State Licensing Office for more information.) Staff has 12 hours of training. The staff member will complete the required number of training hours.

2026-06-16	Renewal	3270.31(f) - Health and Safety Training	Compliant - Finalized
Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff person #2 has not completed the following required pre- service training within 90 days of their date of hire (SEE LIS Code Sheet): Pediatric first-aid and CPR. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.
Provider Response: (Contact the State Licensing Office for more information.) The staff member will complete the proper Pediatric CPR/First Aid training as soon as a training is available in the area. Until that time, the staff member will be supervised at all times.

2026-06-16	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 #1 lacked a National Sex Offender Registry Certificate updated every 60 months. The file of Staff #1 contained a NSOR dated 3/7/25 with a previous one dated 12/10/19. The file of Staff #2 lacked a DHS FBI Clearance prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #2 contained a DHS FBI Clearance dated 6/26/25. 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.) The staff member currently has the proper NSOR clearance. The staff member has a DHS FBI Clearance.

2026-06-16	Renewal	3270.66(e) - Arts and crafts non-toxic	Compliant - Finalized
Regulation: 3270.66(e) Description: Arts and crafts non-toxic Noncompliance Area: Observed Xtra Care Shave Cream which indicated "keep out of the reach of children" in the 1st cabinet on the toddler side of the Infant/Toddler Room that staff stated was used for an art activity. Correction Required: Arts and crafts materials shall be nontoxic.
Provider Response: (Contact the State Licensing Office for more information.) The shaving cream was disposed of on the date of inspection.

2026-06-16	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/Toddler Room lacked nonporous gloves. 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.) A box of nonporous gloves was added to the emergency kit.

2026-06-16	Renewal	3270.76 - Building Surfaces	Compliant - Finalized
Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: Observed rotting trim on the left and right sides along the bottom of the back of the shed located in the outdoor 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.) The necessary repairs will be made to the shed in the outdoor play space.

2026-06-16	Renewal	3270.77(a) - No peeling paint or plaster	Compliant - Finalized
Regulation: 3270.77(a) Description: No peeling paint or plaster Noncompliance Area: Observed peeling paint on the bottom trim of the shed in the outdoor play space. 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.) The necessary repairs will be made to the shed in the outdoor play space.

2026-06-16	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: The facility was unable to provide written documentation that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 6/26/25, 7/23/25, 8/20/25, 9/19/25, 10/2/25, 11/1/25, 12/1/25, 12/29/25, 1/29/26, 2/25/26, 3/26/26, 4/24/26, and 5/22/26. Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.
Provider Response: (Contact the State Licensing Office for more information.) The fire detection system was tested under the observation of the licensing agent.

2025-06-16	Renewal	3270.102(c) - Outdoor equip.- protective surfacing	Compliant - Finalized
Regulation: 3270.102(c) Description: Outdoor equip.- protective surfacing Noncompliance Area: Observed embedded equipment in the outdoor play space with approximately 2 to 3 inches of rubber mulch. The Consumer Product Safety Commission recommends 6 inches of rubber mulch as a protective surface covering. Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.
Provider Response: (Contact the State Licensing Office for more information.) Additional mulch was purchased and dispersed around the swings and the "fall zone" for the swings.

2025-06-16	Renewal	3270.124(b)(5) - Information re: special needs	Compliant - Finalized
Regulation: 3270.124(b)(5) Description: Information re: special needs Noncompliance Area: Emergency contact information for Children #2 and #3 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation. Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.
Provider Response: (Contact the State Licensing Office for more information.) Forms were updated to include stating that special needs are not applicable for those children who have no special needs dictated by a parent or a medical professional.

2025-06-16	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 file of Child #4 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #4 contained a current health report dated 4/15/25 with a previous one dated 10/16/23. 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.) We obtained an updated health report for the child.

2025-06-16	Renewal	3270.131(d)(5)/3270.131(e)(3) - Immunization record/Dismissal policy	Compliant - Finalized
Regulation: 3270.131(d)(5)/3270.131(e)(3) Description: Immunization record/Dismissal policy Noncompliance Area: Child #1, a 7-month-old, lacked DTAP/DTP/TD and Pneumococcal immunizations according to the recommendations of the ACIP. Child #1 had documentation of 2 DTAP/DTP/TD immunizations and 2 Pneumococcal immunizations. 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).
Provider Response: (Contact the State Licensing Office for more information.) We obtained a written note from the doctor explaining that the child was unable to receive the vaccines at the scheduled appointment due to illness.

2025-06-16	Renewal	3270.27(a)(6) - Emergency plan	Compliant - Finalized
Regulation: 3270.27(a)(6) Description: Emergency plan Noncompliance Area: The facility lacked documentation of conducting emergency drills annually. The facility provided documentation of an emergency drill being conducted on 5/13/25 with a previous one conducted on 4/22/24. 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.) An Emergency Drill was conducted as soon as it was realized that it had been longer than one year since the previous drill was conducted

2025-06-16	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 #1 lacked a National Sex Offender Registry Certificate updated every 60 months. The file of Staff #1 contained a NSOR dated 3/7/25 with a previous one dated 1/23/20. 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.) The updated clearance was in the employee's file at the time of the inspection.

2025-06-16	Renewal	3270.82(e) - Toilet and sinks proper height	Compliant - Finalized
Regulation: 3270.82(e) Description: Toilet and sinks proper height Noncompliance Area: The sink in the bathroom in the toddler section of the classroom lacked platforms or steps to be easily approached by children using it. Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.
Provider Response: (Contact the State Licensing Office for more information.) A small footstool was placed in the bathroom for the children to use when necessary in order to reach the sink.

2025-06-16	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: The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 6/17/24, 7/5/24, 8/12/24, 9/9/24, 10/2/24, 10/10/24, 11/1/24, 11/27/24, 12/27/24, 1/24/25, 2/20/25, 3/21/25, 4/7/25, 5/5/25, and 5/30/25. Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.
Provider Response: (Contact the State Licensing Office for more information.) The fire detection system will be tested at minimum, every 30 days.

2024-08-14	Unannounced Monitoring	3270.102(c) - Outdoor equip.- protective surfacing	Compliant - Finalized
Regulation: 3270.102(c) Description: Outdoor equip.- protective surfacing Noncompliance Area: 2nd citation. Previously cited on 6/26/24. Observed embedded equipment in the outdoor play space with approximately 1 to 4 inches of rubber mulch. The Consumer Product Safety Commission recommends 6 inches of rubber mulch as a protective surface covering. Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.
Provider Response: (Contact the State Licensing Office for more information.) Additional mulch will be added to the area surrounding the swing sets to meet the required standards.

2024-06-26	Renewal	3270.102(c) - Outdoor equip.- protective surfacing	Non Compliant - Finalized
Regulation: 3270.102(c) Description: Outdoor equip.- protective surfacing Noncompliance Area: Observed embedded equipment in the outdoor play space with approximately 2 inches of rubber mulch. The Consumer Product Safety Commission recommends 6 inches of rubber mulch as a protective surface covering. Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.
Provider Response: (Contact the State Licensing Office for more information.) Additional mulch will be added to the area surrounding the swing sets to meet the required standards.

2024-06-26	Renewal	3270.103 - Small Toys and Objects	Non Compliant - Finalized
Regulation: 3270.103 Description: Small Toys and Objects Noncompliance Area: Observed a #3 peg board with bite marks in the Preschool/School-Age Room. 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 peg board was discarded.

2024-06-26	Renewal	3270.104(a) - Clean, good repair, proper size	Non Compliant - Finalized
Regulation: 3270.104(a) Description: Clean, good repair, proper size Noncompliance Area: Observed a Step 2 tool bench, Fisher Price tool bench, Little Tykes Kitchen, and a Step 2 Kitchen which were not anchored creating a potential tipping hazard in the Toddler Section of the room. 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 oversized toys will be anchored to the wall to prevent tipping.

2024-06-26	Renewal	3270.123(a)(3) - Services proceeded	Non Compliant - Finalized
Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: The file of Child #3 lacked child service reports completed at least every 6 months. The file of Child #3 contained child service reports dated 5/22/23 and 1/17/24. Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).
Provider Response: (Contact the State Licensing Office for more information.) Child #3 has a current Child Service Report. Staff will be more diligent in generating and maintaining children's paperwork in the proper time frame.

2024-06-26	Renewal	3270.123(b)/3270.182(8) - Parent receives original/Copy of initial and subsequent agreements. Parent receives original.	Non Compliant - Finalized
Regulation: 3270.123(b)/3270.182(8) Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original. Noncompliance Area: The files of Children #1, #4, and #5 contained the original agreement. The facility did not make a copy for the files and give the original to the parent. Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.
Provider Response: (Contact the State Licensing Office for more information.) Parents of Children #1, #4, and #5 were give the original agreements, and copies were placed in the files. Going forward, parents will be given the original Agreement Form and a copy will placed in the child's file.

2024-06-26	Renewal	3270.124(b)(3) - Parent home/work address, phone	Non Compliant - Finalized
Regulation: 3270.124(b)(3) Description: Parent home/work address, phone Noncompliance Area: Emergency contact information for Child #4 did not contain the work address and work telephone number of the enrolling parent. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
Provider Response: (Contact the State Licensing Office for more information.) Work address and work telephone number were added to the emergency contact for Child #4. We will ensure that all paperwork is filled out fully and completely, including all required addresses and phone contacts.

2024-06-26	Renewal	3270.131(b)(1) - Infant: updated health report every 6 months	Non Compliant - Finalized
Regulation: 3270.131(b)(1) Description: Infant: updated health report every 6 months Noncompliance Area: The file of Child #5 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #5 contained health reports dated 9/27/23 and 6/6/24. Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.
Provider Response: (Contact the State Licensing Office for more information.) Child #5 has a current health report. We will be more diligent about reminding parents to have all necessary paperwork completed and returned to us in the State mandated time frame.

2024-06-26	Renewal	3270.131(b)(2) - Toddler/preschool: updated health report every 12 months	Non Compliant - Finalized
Regulation: 3270.131(b)(2) Description: Toddler/preschool: updated health report every 12 months Noncompliance Area: The file of Child #2 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #2 contained health reports dated 3/27/23 and 5/15/24. 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.) Child #2 has a current health report. We will be more diligent about reminding parents to have all necessary paperwork completed and returned to us in the State mandated time frame.

2024-06-26	Renewal	3270.181(c) - Emergency info/agreement updated 6 mos	Non Compliant - Finalized
Regulation: 3270.181(c) Description: Emergency info/agreement updated 6 mos Noncompliance Area: The emergency contact and agreement for Child #3 were not reviewed and updated at least once in a 6-month period. Child #3's emergency contact and agreement were reviewed on 3/6/23, 9/3/23, and 4/4/24. The emergency contact and agreement for Child #5 were not reviewed and updated at least once in a 6-month period. Child #5's emergency contact and agreement were signed on 9/12/23 and reviewed on 4/3/24. 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.) Children #3 and #5 have current reviews of the emergency contact form and agreement. We will be more diligent about having parents review and sign their child's paper work in the State mandated time frame.

2024-06-26	Renewal	3270.27(e) - Letter to parents	Non Compliant - Finalized
Regulation: 3270.27(e) Description: Letter to parents Noncompliance Area: The letter provided to the parent explaining the emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and 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.
Provider Response: (Contact the State Licensing Office for more information.) The letter was amended to include addressing accommodations for infants, toddlers and children with special needs.

2024-06-26	Renewal	3270.31(e) - Age and Training	Non Compliant - Finalized
Regulation: 3270.31(e) Description: Age and Training Noncompliance Area: The file of Staff #3 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training. Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.
Provider Response: (Contact the State Licensing Office for more information.) Staff #3 has completed 12 hours of training. We will be more diligent in requiring staff to complete all the necessary trainings and clearances within the designated time limits.

2024-06-26	Renewal	3270.31(e)(4)(ii) - Fire safety - 1 yr.	Non Compliant - Finalized
Regulation: 3270.31(e)(4)(ii) Description: Fire safety - 1 yr. Noncompliance Area: The file of Staff #3 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #3 contained documentation of fire safety training completed on 5/15/24 with a previous one completed on 10/10/22. 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.) Staff #3 has current fire safety training. We will be more diligent in requiring staff to obtain all necessary trainings and updates. If a staff member must take a leave of absence for medical, or any other reason, the dates of the leave will be documented in the staff person's file and all trainings and clearances will be required within the legal time frame of that person's return.

2024-06-26	Renewal	3270.31(f)(10) - Health and Safety Training - Pediatric First Aid and CPR	Non Compliant - Finalized
Regulation: 3270.31(f)(10) Description: Health and Safety Training - Pediatric First Aid and CPR Noncompliance Area: The files of Staff #1 and #2 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS Code Sheet). The file of Staff #1 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 2/18/23. The file of Staff #2 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 5/14/24. 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.) Staff #1 and #2 have current pediatric first aid and CPR. We will be more diligent in requiring staff to complete all the necessary trainings and clearances within the designated time limits.

2024-06-26	Renewal	3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information	Non Compliant - Finalized
Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file of Staff #3 lacked a Child Abuse Clearance and DHS FBI Clearance updated every 60 months. The file of Staff #3 contained a Child Abuse Clearance dated 5/24/24 with a previous one dated 8/9/18. The file of Staff #3 contained a DHS FBI Clearance dated 5/22/24 with a previous one dated 8/30/18. 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 #3 has current clearances. We will be more diligent in requiring staff to obtain all necessary trainings and updates. If a staff member must take a leave of absence for medical, or any other reason, the dates of the leave will be documented in the staff person's file and all trainings and clearances will be required within the legal time frame of that person's return.

2024-06-26	Renewal	3270.66(a) - Locked or inaccessible	Non Compliant - Finalized
Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: Observed Claire Disinfectant Spray and Fantastik which indicated "keep out of the reach of children" in the top drawer of the changing table which were accessible to children in the Infant Section of the room. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.
Provider Response: (Contact the State Licensing Office for more information.) A new safety latch was placed on the drawer to prevent access by children.

2024-06-26	Renewal	3270.66(a)/3270.66(d) - Locked or inaccessible/Toxic plants not permitted	Non Compliant - Finalized
Regulation: 3270.66(a)/3270.66(d) Description: Locked or inaccessible/Toxic plants not permitted Noncompliance Area: Observed toxic shrubs in the outdoor play space which were accessible to children. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toxic plants are not permitted in a child care space.
Provider Response: (Contact the State Licensing Office for more information.) The shrubs will be enclosed with landscape fencing preventing children from touching the plants.

2024-06-26	Renewal	3270.76 - Building Surfaces	Non Compliant - Finalized
Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: Observed rust on 3rd and 4th poles from the gate beside the parking lot in the outdoor play space. Observed rust on the 1st, 3rd, and 5th sections of the fence from the gate beside the parking lot in the outdoor play space. Observed rust on the 2nd post from the corner behind the swing set in the outdoor play space. Observed loose trim on the bump out in the bathroom of the Toddler Section of the room. 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.) Areas of rust on the fencing will be cleaned and painted. Loose trim was repaired.

2024-06-26	Renewal	3270.77(a) - No peeling paint or plaster	Non Compliant - Finalized
Regulation: 3270.77(a) Description: No peeling paint or plaster Noncompliance Area: Observed peeling paint on the posts and boards of the swing set in the outdoor play space. 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.) The frames of the swing sets will be repainted.

2023-06-29	Renewal	3270.102(a) - Clean and good repair	Compliant - Finalized
Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: Observed in the infant space, 6 plastic baskets stacked on one another causing crush hazard. Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
Provider Response: (Contact the State Licensing Office for more information.) Secured baskets to the wall.

2023-06-29	Renewal	3270.123(a)(3) - Services proceeded	Compliant - Finalized
Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: The file of child #2 lacked child service reports every 6 months. Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).
Provider Response: (Contact the State Licensing Office for more information.) Director will be more diligent that child service reports are done every 6 months.

2023-06-29	Renewal	3270.124(b)(2) - Physician name, address, phone	Compliant - Finalized
Regulation: 3270.124(b)(2) Description: Physician name, address, phone Noncompliance Area: The file of child #1 lacked an emergency contact form with the address of the child's physician or source of medical care. Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.
Provider Response: (Contact the State Licensing Office for more information.) Added information to the form.

2023-06-29	Renewal	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: At the time of the inspection, there was not a Shaken Baby, Abusive Heah Trauma, and Child Maltreatment policy. At the time of the inspection, the Emergency Plan lacked continuity of operations. Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.
Provider Response: (Contact the State Licensing Office for more information.) A Shaken Baby, Abusive Heah Trauma, and Child Maltreatment policy was created. Continuity of operations was created in the Emergency Plan that states all documents scanned to a flash drive and the financial records are kept off site.

2023-06-29	Renewal	3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test	Compliant - Finalized
Regulation: 3270.151(a)/3270.192(3) Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test Noncompliance Area: The file of staff #1 lacked health assessments timely due to the fact they were more than 2 years apart. Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
Provider Response: (Contact the State Licensing Office for more information.) Director will be more diligent to ensure staff have their health assessments done every 2 years.

2023-06-29	Renewal	3270.21 - General Health and Safety	Compliant - Finalized
Regulation: 3270.21 Description: General Health and Safety Noncompliance Area: Observed loose fitted sheets in the 3 brown pack and plays used by infants. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.
Provider Response: (Contact the State Licensing Office for more information.) Sheets are now secure with clips on the underside of each mat.

2023-06-29	Renewal	3270.94(a)(1) - Every 60 days	Compliant - Finalized
Regulation: 3270.94(a)(1) Description: Every 60 days Noncompliance Area: Based on documentation, fire drills were conducted more than 60 days apart due to the fact they were done on 4-5-23 and 6-28-23. Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.
Provider Response: (Contact the State Licensing Office for more information.) Fire drills will be done every 60 days.

2023-06-29	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: Based on documentation, testing of the smoke detectors was not done every 30 days due to the fact testing occurred on 5-1-23 and 6-1-23 which is 31 days. Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.
Provider Response: (Contact the State Licensing Office for more information.) Testing will be done every 30 days.

2022-06-13	Renewal	3270.133(5) - Original label	Compliant - Finalized
Regulation: 3270.133(5) Description: Original label Noncompliance Area: Observed expired diaper creams as follows: child #1 Equate Petroleum Jelly expiration 4-2022; child #2 Desitin expiration date 10-2020; child #3 Dollar General Baby Healing Ointment expiration 12-20-20; and child #4 Desitin expiration 10-2021. 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.) All expired diapering ointment was discarded immediately.

2022-06-13	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: The file of staff #4 was observed to contain late Mandated Reporter trainings due to the fact they were dated 5-6-15 and 8-3-20. Therefore, more than 60 months apart. 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.) Staff member #4 completed the mandated reporter training om August 3, 2020.

2022-06-13	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 for staff person #2 was observed not to contain documentation of application of a National Sex Offender Registry prior to date of hire and not to contain a National Sex Offender Registry report prior to date of hire (See IS CODE SHEET) At the time of reviewing files, the file of staff #3 was observed to have a PA State Police Clearance and PA Child Abuse clearance for the purpose of volunteer rather than employment See IS CODE SHEET) Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #2 and #3 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 #2 and #3 may not work in a child care position at the facility.
Provider Response: (Contact the State Licensing Office for more information.) Staff #2 was immediately excluded from working until a valid National Sex Offender Registry clearance was obtained. Staff #3 applied for the PA State Police clearance and the PA Child Abuse clearance for employment immediately. She was excluded from working until we received both of those documents. Subsequently, Staff #3 resigned from her position at the facility.

2022-06-13	Renewal	3270.36(b)(5)/3270.192(2)(iii) - HS/GED + 2 yrs/Exp, educ., training at facility	Compliant - Finalized
Regulation: 3270.36(b)(5)/3270.192(2)(iii) Description: HS/GED + 2 yrs/Exp, educ., training at facility Noncompliance Area: The file of staff #1 lacked documentation to support the position of Assistant Group Supervisor due to the fact 2 years' experience was not on file. Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person's record shall include 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.) Documentation of additional hours that Staff #1 spent working with children who were not her own since her previous documentation letter was obtained. The additional documented hours caused Staff #1 to exceed the minimum number of hours, along with education, to be classified as an Assistant Group Supervisor.

2020-06-22	Renewal	3270.124(b)(3) - Parent home/work address, phone	Compliant - Finalized
Noncompliance Area: The file of Child #2 lacked the work address and work telephone number of the enrolling parent on the emergency contact form. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
Provider Response: (Contact the State Licensing Office for more information.) Work address and work telephone number were added to the emergency contact form for Child #2. We will be more diligent in having the forms completed in their entirety, including specifying addresses and phone numbers for those parents working from home.

2020-06-22	Renewal	3270.124(c) - Each child care space	Compliant - Finalized
Noncompliance Area: On 7/30/20 emergency contact information for Child #2 and #3 were not present when they were in the Toddler Classroom. Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.
Provider Response: (Contact the State Licensing Office for more information.) Emergency contact forms for Children #2 and #3 were added to the Toddler Classroom. We will be more diligent about adding Emergency contact information for children to the classroom on the date they are enrolled.

2020-06-22	Renewal	3270.131(d)(3)/3270.133(8) - Current medication and reason/Special diet - parent's instructions	Compliant - Finalized
Noncompliance Area: The file of Child #2 lacked a health report which included a list of the child's current medication and the reason for the medication as well as if a special diet is prescribed for a child and if the diet is administered to the child. Correction Required: A health report shall include a list of the child's current medication and the reason for the medication. If a special diet is prescribed for a child and if the diet is administered to the child, written instructions and the parent's written consent shall be retained in the child's file.
Provider Response: (Contact the State Licensing Office for more information.) Child #2 has a health report which includes the list of the child's current medications and special diet. We will be more diligent in making sure that the health practitioner checks all the appropriate boxes on the child's health form.

2020-06-22	Renewal	3270.131(d)(4) - Acute or chronic health problem	Compliant - Finalized
Noncompliance Area: The file of Child #2 lacked a health report which included an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing, or lead poisoning. Correction Required: A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.
Provider Response: (Contact the State Licensing Office for more information.) Child #2 has a health report which includes assessment of an acute or chronic health problem. We will be more diligent in making sure that the health practitioner checks all the appropriate boxes on the child's health form.

2020-06-22	Renewal	3270.131(d)(7) - Free from contagious/communicable disease	Compliant - Finalized
Noncompliance Area: The file of Child #2 lacked a health report which included 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.
Provider Response: (Contact the State Licensing Office for more information.) Child #2 has a health report which includes a statement that the child is able to participate in child care and is free from communicable diseases. We will be more diligent in making sure that the health practitioner checks all the appropriate boxes on the child's health form.

2020-06-22	Renewal	3270.131(e)(1) - Exemption documentation from parent/guardian	Compliant - Finalized
Noncompliance Area: The file of Child #1 lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.
Provider Response: (Contact the State Licensing Office for more information.) Child #1 has a note from the doctor explaining why the flu shot was not given. We will be more diligent in requesting documentation from a health practitioner when he or she recommends against a child getting a vaccine until a date that falls later than the ACIP recommendations.

2020-06-22	Renewal	3270.151(a) - 12 months prior to service and every 24 months thereafter	Compliant - Finalized
Noncompliance Area: The file of Staff #3 lacked a health assessment conducted every 24 months. The file of Staff #3 contained a current health assessment dated 6/28/20 with a previous one dated 4/24/18. 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 #3 has a current health assessment. We will be more diligent in requiring staff physicals every 24 months.

2020-06-22	Renewal	3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information	Compliant - Finalized
Noncompliance Area: The file of Staff #1 lacked a National Sex Offender Registry Verification Certificate. Staff #2 lacked verification of the mandated reporter training every 5 years. Staff #2 had documentation of the mandated reporter training completed on 5/6/15. The files of Staff #4 and #5 lacked documentation of application for the National Sex Offender Registry Verification Certificate prior to or on the date of initial hire. Staff #4 had a start date of 10/7/19 with a NSOR dated 1/21/20. Staff #5 had a start date of 10/28/19 with a NSOR dated 1/21/20. 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.
Provider Response: (Contact the State Licensing Office for more information.) Staff #1 has been removed from care and will not return until the NSOR is received. Staff #2 has current mandated reporter training. Staff #4 and #5 have NSORS in their files. We will ensure that all clearances are received by the required date and will not allow staff members to work until the proper documentation has been received. We will be more diligent about reminding staff to update all required training as necessary.

2020-06-22	Renewal	3270.63 - Unsafe Areas in Outdoor Space	Compliant - Finalized
Noncompliance Area: On 7/30/20 observed an open concrete stairwell leading to the lower level of the building which was accessible to the children in the outdoor play space. It is located to the left of the entrance to the facility. Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.
Provider Response: (Contact the State Licensing Office for more information.) Our landlord completed an area of fencing that encloses the play area and prohibits children from access to the stairs. The fence will remain in place.

2020-06-22	Renewal	3270.76 - Building Surfaces	Compliant - Finalized
Noncompliance Area: On 7/30/20 observed exposed bolts on the gate by the gray shed in the outdoor play space. On 7/30/20 observed rust on the top of the fence parallel to the gray house and rust on the fence perpendicular to the gray shed in the outdoor 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.) Exposed bolts were covered during the inspection. The fence was painted. We will be more diligent in checking for signs of rust and painting as necessary. We will check to ensure that all fence bolts have rubber caps in place during our morning playground checks.

2020-06-22	Renewal	3270.77(a) - No peeling paint or plaster	Compliant - Finalized
Noncompliance Area: On 7/30/20 observed peeling paint on the trim of the blue shed in the outdoor play space. 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.) The peeling paint was removed and the trim repainted. We will be more diligent about checking for cracked or peeling paint and make repairs as necessary.

2019-06-05	Renewal	3270.102(a) - Clean and good repair	Compliant - Finalized
Noncompliance Area: Observed a cracked gas cap on a Blue and Red Little Tykes Cozy Coupe creating rough edges in the Outdoor Play Space. 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 gas cap has been removed and the area on the riding toy has been repaired to shield any rough edges. We will be diligent in examining toys and equipment for broken, cracked or rough edges.

2019-06-05	Renewal	3270.123(a)(3) - Services proceeded	Compliant - Finalized
Noncompliance Area: The file of Child #2 lacked Child Service Reports updated every 6 months. The file of Child #2 contained a current Child Service Report dated 5/13/19 with a previous one dated 5/21/18. Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).
Provider Response: (Contact the State Licensing Office for more information.) We will be more diligent in ensuring that each child has a copy of a signed and dated child service report completed at least every six months in his or her file.

2019-06-05	Renewal	3270.124(b)(2) - Physician name, address, phone	Compliant - Finalized
Noncompliance Area: The file of Child #1 lacked the complete address and telephone number of the child's physician or source of medical care on the emergency contact form. Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.
Provider Response: (Contact the State Licensing Office for more information.) Information was added to the emergency contact form. We will be more diligent when reviewing children's paperwork to ensure complete street addresses and telephone numbers are included on the forms.

2019-06-05	Renewal	3270.131(d)(7) - Free from contagious/communicable disease	Compliant - Finalized
Noncompliance Area: The file of Child #3 contained a health report which lacked a statement indicating 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.
Provider Response: (Contact the State Licensing Office for more information.) A new health assessment was obtained for Child #3 with that information. We will review all health assessments from physicians offices to ensure the appropriate box is checked indicating that the child is able to participate in childcare and appears to be free from contagious or communicable illnesses.

2019-06-05	Renewal	3270.131(e)(1) - Exemption documentation from parent/guardian	Compliant - Finalized
Noncompliance Area: The files of Children #3 and #4 lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.
Provider Response: (Contact the State Licensing Office for more information.) Letters were obtained from parents for Children #3 and #4 indicating they declined the influenza vaccine for their children. We will encourage parents to get influenza vaccines for their children who are six months and older and to put in writing if they decline the vaccine or it is not flu season and the vaccine is not offered at the time the child turns six months old.

2019-06-05	Renewal	3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test	Compliant - Finalized
Noncompliance Area: The file of Staff #3 lacked a health assessment conducted every 24 months. The file of Staff #3 contains a current health assessment dated 5/29/19 with a previous one dated 12/14/16. Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
Provider Response: (Contact the State Licensing Office for more information.) We will be more diligent in keeping track of due dates for staff health assessments and ensuring all staff attend appointments on time.

2019-06-05	Renewal	3270.21 - General Health and Safety	Compliant - Finalized
Noncompliance Area: Observed an electrical cord that was not secured under the 2nd cabinet where the riding toys are stored creating a potential strangulation hazard in the Infant/Toddler Room. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.
Provider Response: (Contact the State Licensing Office for more information.) Cord was secured. We will secure all electrical cords in the future.

2019-06-05	Renewal	3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information	Compliant - Finalized
Noncompliance Area: The file of Staff #2 lacked a FBI Clearance updated every 60 months. The file of Staff #2 contained a current FBI Clearance dated 8/30/18 with a previous one dated 8/13/13. 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.) We will be more diligent regarding the dates that clearances are due and ensure they get clearances by the due date.

2019-06-05	Renewal	3270.35(b)(3)/3270.192(2)(iii) - Associate's + 2 yrs/Exp, educ., training at facility	Compliant - Finalized
Noncompliance Area: The file of Staff #3, who is designated as a Group Supervisor, lacked documentation of 2 years of experience with children. Correction Required: A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children. 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.) We will document the number of hours all staff members have worked with children and keep the documentation in each staff member's file.

2019-06-05	Renewal	3270.36(b)(5)/3270.192(2)(iii) - HS/GED + 2 yrs/Exp, educ., training at facility	Compliant - Finalized
Noncompliance Area: The files of Staff #1 and #2, who are designated as Assistant Group Supervisors, lacked documentation of 2 years experience with children. Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include 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.) We will document the number of hours all staff members have worked with children and include it in each staff member's file.

2019-06-05	Renewal	3270.66(a) - Locked or inaccessible	Compliant - Finalized
Noncompliance Area: Observed a dish basin containing bleach water on the 1st cabinet in the Infant/Toddler Room which was accessible to children. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.
Provider Response: (Contact the State Licensing Office for more information.) We will no longer add bleach to the dish washing basin until a staff member is available to complete the dish washing process completely. The staff member will remain at the dis basin until all dishes have been disinfected and the water in the basin is disposed of.

2019-06-05	Renewal	3270.76 - Building Surfaces	Compliant - Finalized
Noncompliance Area: Observed loose trim at the corner of the left wall before entering the Preschool Classroom. Observed rust on the fence and gate in the outdoor 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.) The trim was glued in place and the fence is being painted. We will be more diligent in examining both indoor and outdoor areas to be sure all surfaces are in good repair.

2018-06-05	Renewal	3270.102(a) - Clean and good repair	Compliant - Finalized
Noncompliance Area: Observed a Little Tykes orange motorcycle with a broken gas cap creating rough edges on the black top in the outdoor play space. Observed a blue tricycle with a cracked basket and pieces missing from it on the black top in the outdoor play space. Observed a Little Tykes boat water table with broken plastic pieces creating rough edges in the fenced outdoor play space. Observed a shelf containing plastic bins which was not anchored creating a tip hazard in the Preschool Classroom. Observed a black corner shelf which was not anchored creating a tip hazard in the Infant Room. Observed a wood Little Tykes kitchen set which was not anchored creating a tip hazard in the Toddler Room. 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.) We will repair or discard toys and play equipment that has rough edges, sharp corners, pinch and crush points, splinters or exposed bolts. We will anchor the black shelf in the infant area and the storage shelf in the preschool room to the wall. We will discard the wooden kitchen in the toddler area. Play equipment will be checked before each use.

2018-06-05	Renewal	3270.102(c) - Outdoor equip.- protective surfacing	Compliant - Finalized
Noncompliance Area: Observed embedded equipment in the outdoor play space with 2 to 4 inches of rubber mulch. The Consumer Product Safety Commission recommends 6 inches of rubber mulch as a protective surface covering. Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.
Provider Response: (Contact the State Licensing Office for more information.) The swings will be removed until such time that we can acquire adequate mulch and labor to ensure that there is six inches of rubber mulch or nine inches of bark mulch under the swing sets.

2018-06-05	Renewal	3270.103 - Small Toys and Objects	Compliant - Finalized
Noncompliance Area: Observed stickers with a diameter less than 1 inch in a black cloth bin located on a small cart by the bathroom in the Infant Room which were accessible to children. Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.
Provider Response: (Contact the State Licensing Office for more information.) The stickers were removed and staff members were instructed to store any reward chart incentive stickers that are less than one-inch in diameter in a locked cabinet where they will remain.

2018-06-05	Renewal	3270.106(a) - Clean, age appropriate	Compliant - Finalized
Noncompliance Area: Observed rest equipment not labeled for the use of a specific child in the Preschool Classroom. Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.
Provider Response: (Contact the State Licensing Office for more information.) All sleeping bags and mats will be labeled with the owner's name or initials and checked each week to be sure the name has not washed or faded from the rest equipment. Items will be re-labeled as necessary.

2018-06-05	Renewal	3270.123(a)(3) - Services proceeded	Compliant - Finalized
Noncompliance Area: The files of Children #3 and #4 lacked Child Service Reports completed and updated every 6 months. The file of Child #3 contained a Child Service Report dated 11/30/17 with the previous one dated 6/7/17. The file of Child #4 contained a Child Service Report dated 1/24/18 with a previous one dated 6/5/17. Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).
Provider Response: (Contact the State Licensing Office for more information.) Children #3 and #4 have updated child service reports. We will be sure to complete child service reports every six months.

2018-06-05	Renewal	3270.123(a)(5) - Designated release persons	Compliant - Finalized
Noncompliance Area: The file of Child #4 lacked the persons designated by the parent to whom the child may be released on the agreement. Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.
Provider Response: (Contact the State Licensing Office for more information.) The information was added to the child's form. We will require the parent or legal guardian to list the persons to whom the child may be released on the agreement form.

2018-06-05	Renewal	3270.123(b) - Parent receives original	Compliant - Finalized
Noncompliance Area: The files of Children #1, #2, #3, #4, and #5 contained the original copy of the agreement. The facility did not make a copy for the files and give the original to the parent. Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.
Provider Response: (Contact the State Licensing Office for more information.) The parents of Children 1 through 5 were given the original and a copy was made for the file. We will give the parent or legal guardian the original copy of the agreement form and make a copy for the child's file.

2018-06-05	Renewal	3270.124(b)(2) - Physician name, address, phone	Compliant - Finalized
Noncompliance Area: The file of Child #4 lacked the complete address of the child's physician or source of medical care on the emergency contact form. The files of Children #3 and #5 lacked the telephone number of the child's physician or source of medical care on the emergency contact form. Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.
Provider Response: (Contact the State Licensing Office for more information.) Information was added to the children's emergency contact forms. We will be sure the parent or legal guardian includes complete address and phone number for the child's physician on the emergency contact form.

2018-06-05	Renewal	3270.124(b)(3) - Parent home/work address, phone	Compliant - Finalized
Noncompliance Area: The files of Children #4 and #5 lacked the complete work address of the enrolling parent on the emergency contact form. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
Provider Response: (Contact the State Licensing Office for more information.) Information was added to children's emergency contact forms. We will make sure the enrolling parent or legal guardian completes all required information on the emergency contact form, including complete work addresses and phone numbers.

2018-06-05	Renewal	3270.124(b)(7) - Name/address/phone release person	Compliant - Finalized
Noncompliance Area: The file of Child #5 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form. Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
Provider Response: (Contact the State Licensing Office for more information.) Information was added to the child's emergency contact form. We will require the parent or legal guardian to provide complete addresses and phone numbers on the agreement form for individuals to whom the child may be released .

2018-06-05	Renewal	3270.131(b)(1) - Infant: updated health report every 6 months	Compliant - Finalized
Noncompliance Area: The file of Child #4 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #4 contained a health report dated 1/30/18 with a previous one dated 4/2/17. Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler
Provider Response: (Contact the State Licensing Office for more information.) We will be sure parents turn in an updated health report at least every six months for infants and young toddlers.

2018-06-05	Renewal	3270.181(c) - Emergency info/agreement updated 6 mos	Compliant - Finalized
Noncompliance Area: The file of Child #3 lacked a reviewed and updated emergency contact form and financial agreement which should have been reviewed at least once in a 6-month period. The file of Child #3 had an emergency contact form reviewed on 5/23/18 with a previous review on 3/30/17. The file of Child #3 had a financial agreement reviewed on 6/4/18 with a previous review on 3/30/17. 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 #3 has a current emergency contact form and agreement. We will make sure all paperwork is reviewed and updated by the parent or legal guardian every six months, at minimum.

2018-06-05	Renewal	3270.21 - General Health and Safety	Compliant - Finalized
Noncompliance Area: Observed a cord attached to the baby swing which was not secured creating a potential strangulation hazard in the Infant Room. Observed a cord attached to the CD Player and a cord attached to the air conditioner which were not secured creating a potential strangulation hazard in the Toddler Room. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.
Provider Response: (Contact the State Licensing Office for more information.) All electrical cords will be taped flat against the wall to prevent any strangulation hazard. Electrical cords will be checked with daily cleaning.

2018-06-05	Renewal	3270.35(b)(2) - Bachelor's, 30 credits + 1 yrs	Compliant - Finalized
Noncompliance Area: The file of Staff #1 contained a copy of a transcript indicating a Bachelor of Arts in English Literature and Theater Arts but lacked documentation of 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.
Provider Response: (Contact the State Licensing Office for more information.) Staff #1 is listed as an assistant group supervisor.

2018-06-05	Renewal	3270.94(a) - Fire drill every 60 days	Compliant - Finalized
Noncompliance Area: The facility did not conduct a fire drill at least every 60 days. The dates of the fire drills include: 1/12/17; 2/14/17; 4/5/17; 5/31/17; 1/24/18; 2/28/18; 4/13/18; and 5/31/18. Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.
Provider Response: (Contact the State Licensing Office for more information.) Fire drills will be conducted and logged in all child care spaces at minimum, every 60 days.

2018-03-02	Unannounced Monitoring	3270.37(c) - Aides supervised all times	Compliant - Finalized
Noncompliance Area: Based on information obtained during the course of the investigation of a child injury occurring on the morning of 3/1/18, it was determined through written and oral statements from staff, that staff #1 who is classified as an aide, was working alone in the toddler room and was not supervised by a staff person qualified at minimum as an assistant group supervisor. 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.
Provider Response: (Contact the State Licensing Office for more information.) We will maintain proper supervision at all times, including having an adequately qualified staff person relieve bathroom breaks when necessary. As of the payroll period ending on Friday, April 20, 2018, staff #1 has met the required number of hours to be classified as an AGS and is no longer considered an aide.

2018-03-02	Unannounced Monitoring	3270.52 - Mixed Age Level	Compliant - Finalized
Noncompliance Area: Based on information obtained during the course of the investigation of a child injury occurring on the morning of 3/1/18, it was determined through written and oral statements from staff, that staff #1 was responsible for 6 older toddlers and 5 young toddlers in the toddler room. Observed in the preschool room on 3/2/18 at lunch time, staff #2 was responsible for 10 preschool children and 4 school-age children. Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).
Provider Response: (Contact the State Licensing Office for more information.) We will maintain proper ratios at all times and move children to other groups as necessary to maintain those ratios.

2018-03-02	Unannounced Monitoring	3270.55(a) - Toddler and preschool children	Compliant - Finalized
Noncompliance Area: Observed on 3/8/18 at nap time, staff #3 was responsible for supervising 11 napping toddlers. There were 6 older toddlers and 5 young toddlers. Correction Required: The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children
Provider Response: (Contact the State Licensing Office for more information.) We will maintain the proper nap time ratios at all times and move three year old toddlers to the preschool room for napping when necessary to maintain ratios.

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