Chesterbrook Academy

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection was conducted on 6/2/26 and 6/8/26. On 6/2/26, a broken storage tote was observed on the playground.

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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: A renewal inspection was conducted on 6/2/26 and 6/8/26. On 6/2/26, a broken thermometer was observed in the refrigerator in the Toddlers Room.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: A renewal inspection was conducted on 6/2/26 and 6/8/26. On 6/2/26, the child files were reviewed. The fee agreement for Child #3 was not signed by the operator.

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

Regulation: 3270.124(b)(2)/3270.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: A renewal inspection was conducted on 6/2/26 and 6/8/26. On 6/2/26, the child files were reviewed. The emergency contact information for Child #1 did not include the phone number of the child's physician or the health insurance coverage and policy number.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: A renewal inspection was conducted on 6/2/26 and 6/8/26. On 6/2/26, the child files were reviewed. The emergency contact form and fee agreement for Child #2 had not been updated since 10/1/25, more than six months prior to the inspection. The fee agreement for Child #3 had not been updated since 10/1/25, more than six months prior to the inspection.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: A renewal inspection was conducted on 6/2/26 and 6/8/26. On 6/8/26, the staff files were reviewed. The file for Staff Person #6 did not contain fire safety training that was completed in the past twelve months. The most recent fire safety training on file for Staff Person #6 was dated 2/17/25.

Correction Required: Staff persons shall participate, at least annually, in fire safety 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted on 6/2/26 and 6/8/26. On 6/8/26, the staff files were reviewed. The file for Staff Person #1 did not include a PA State Police Clearance for employment. (There was a volunteer PA State Police Clearance on file for Staff Person #1 dated 11/3/25). The file for Staff Person #2 did not include a PA Child Abuse Clearance for employment. (There was a volunteer PA Child Abuse Clearance on file for Staff Person #2 dated 1/29/25). The FBI Clearance on file for Staff Person #2 had been stapled in the corner with the attached pages torn off. The rap sheet that had been attached to the FBI Clearance of Staff Person #2 was missing from the file. The clearances for Staff Person #3 included the staff's address in NJ. Staff Person #3 stated that they moved to NJ in 6/2025. The PA Clearances for Staff Person #3 were updated in 8/2025, but the out-of-state clearance was not requested at that time. The FBI Clearance for Staff Person #3 was not updated within 60 months. This is evidenced by the clearances on file being dated 8/13/20 and 9/7/25. The file for Staff Person #4 did not include an FBI Clearance or an NSOR that had been completed within the past 60 months. This was evidenced by the clearances on file being dated: FBI 11/30/20 and NSOR: 10/19/20. The clearances for Staff Person #5 were not updated within 60 months. This is evidenced by the clearances on file being dated: State Police: 11/17/20 and 2/6/26, Child Abuse Clearance: 11/17/20 and 2/12/26, and FBI Clearance 12/1/20 and 2/24/26.

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 a State Police Clearance for employment is on file. Staff Person #2 may not work in a child care position at the facility until a PA Child Abuse Clearance for employment is on file and a complete FBI Clearance, including the rap sheet, is on file. Staff Person #3 may not work in a child care position at the facility until a NJ Child Abuse Clearance is on file. Staff Person #4 may not work in a child care position at the facility until a current FBI Clearance and NSOR are on file. TIERED LIS: 1. 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 a State Police Clearance for employment is on file. Staff Person #2 may not work in a child care position at the facility until a PA Child Abuse Clearance for employment is on file and a complete FBI Clearance, including the rap sheet, is on file. Staff Person #3 may not work in a child care position at the facility until a NJ Child Abuse Clearance is on file. Staff Person #4 may not work in a child care position at the facility until a current FBI Clearance and NSOR are on file. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a hiring checklist. The checklist should include an outline of what needs to be in a staff file and by when. The hiring checklist must be submitted to Northeast Regional Office for approval. Once approved, the child care center will use the hiring checklist whenever a new staff is hired. The operator shall provide a correction date for when the tracking document will be completed.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: A renewal inspection was conducted on 6/2/26 and 6/8/26. On 6/2/26, a trash can that was not plastic lined was observed in the bathroom in the Beginner A Room.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.76/3270.102(a)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: An inspection was conducted on 8/19/25 as a result of an incident report made by the facility. On 8/12/25, Child #1 was standing behind the door of the Toddler Room, unseen by a parent entering the room. When the parent opened the door, the child's finger was pinched between the door and door jam, fracturing the child's finger.

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. 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.

Regulation: 3270.121(a)

Description: Review policies and procedures

Noncompliance Area: A renewal inspection was conducted 6/17/25 and 6/27/25. At that time, the family handbook did not include the facility's policy on supervision.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: A renewal inspection was conducted 6/17/25. At that time, staff stated that Hyland's Teething Gel was administered to Child #1 at least two times the previous week, but a medication log was not established for administration of the medication.

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

Regulation: 3270.151(a)

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

Noncompliance Area: A renewal inspection was conducted 6/17/25 and 6/27/25. During the file review, Staff Person #3 did not have a health assessment on file that was completed within 12 months of their date of hire. The health assessments on file for Staff Person #3 was dated 4/2/25 and 11/30/22.

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: A renewal inspection was conducted 6/17/25 and 6/27/25. During the file review, Staff Person #5 only had one written nonfamily letter of reference on file.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: A renewal inspection was conducted 6/17/25. At that time, the staff files were reviewed. The file for Staff Person #1 only included verification of 5.5 hours of child care training completed during the training year 3/18/24-3/18/25. An additional 6.5 child care training hours is required.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: A renewal inspection was conducted 6/17/25 and 6/27/25. During the file review, it was found that Staff Person #4 did not update their mandated reporter training within 60 months. This is evidenced by the documented mandated reporter training on file being dated 1/24/20 and 3/16/25.

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

Regulation: 3270.35(b)(1)

Description: Bachelor's

Noncompliance Area: A renewal inspection was conducted 6/17/25 and 6/27/25. During the file review, Staff Person #3, a group supervisor, did not have documentation of completion of high school or college education on file. Staff Person #3 had 3 years experience working with children on file.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: A renewal inspection was conducted 6/17/25 and 6/27/25. During the file review, Staff Person #5, an assistant group supervisor, did not have documentation of two years' experience working with children on file. Staff Person #5 had documentation of 233 hours working with children and a high school diploma 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.

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

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

Noncompliance Area: An investigation was conducted on 4/29/25. During the investigation, it was found that a lapse of supervision occurred on 4/22/25 when Child #1 was found at the beginning of the hallway to the facility by Staff Person #1. Child #1 had left the Beginner B Classroom at the end of the hallway unnoticed by Staff Person #2, Staff Person #3, and Staff Person #4. It was unknown whose supervision group Child #1 belonged to. At the time of the investigation, staff #2, #3, &#4 were no longer employed at the facility.

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. Children must be supervised at all times. 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. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must update the facility supervision policy in order to maintain proper supervision when a new child is enrolled at the facility. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. The policy should include the procedure for preparing for newly enrolled children, including who is responsible for creating the supervision card and delivering the supervision card and emergency contact form to the child's classroom. The policy should include how staff should determine whose supervision group the new child will be assigned to. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy. The operator shall provide a correction date for when the policy will be reviewed and signed off by all staff.

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

Description: Age and Training

Noncompliance Area: An unannounced inspection was conducted on 4/29/25. At that time, the preservice training for all staff present was reviewed. Staff person #7 had not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 2/2025 and the current Pediatric first aid and CPR training on file dated 4/7/25.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: An unannounced inspection was conducted on 4/29/25. At that time, the preservice training for all staff present was reviewed. Staff person #5 had not completed mandated reporter training prior to the expiration of their previously completed mandated reporter training. This is evidenced by the previously documented mandated reporter training on file being dated 1/24/20 and the current mandated reporter training being dated 3/16/25. Staff person #6 had not completed mandated reporter training prior to the expiration of their previously completed mandated reporter training. This is evidenced by the previously documented mandated reporter training on file being dated 3/23/20 and the current mandated reporter training being dated 4/21/25.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: An unannounced inspection was conducted on 4/29/25. At that time, the fire drill log was reviewed. The fire drills had not been conducted for 62 days, which was evidenced by the dates of the fire drills on the log: 12/3/24 - 2/3/25.

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.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: An unannounced inspection was conducted on 4/29/25. At that time, the thirty day testing log of the fire detection system was reviewed. The fire detection system had not been tested every thirty days. This was evidenced by the dates of the testing on the log: 12/3/24, 1/3/25, 2/3/25, 3/25/25.

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.

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

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

Noncompliance Area: A complaint inspection was conducted on 12/10/24. At that time, Staff Person #1 admitted that they do not know how Child #1 was injured on 11/18/24. Child #1 was in the primary care group of Staff Person #1 on 11/18/24.

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. Children must be supervised at all times. 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. The legal entity must arrange for Staff Person #1 to complete training regarding Supervision of Children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

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

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

Noncompliance Area: A complaint inspection was conducted on 12/10/24. At that time, Staff Person #1 admitted that they do not know how Child #1 was injured on 11/18/24. Child #1 was in the primary care group of Staff Person #1 on 11/18/24.

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. Children must be supervised at all times. 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: 3270.182(7)

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

Noncompliance Area: A complaint inspection was conducted on 12/10/24. At that time, it was found that an incident report was written on 11/19/24 for Child #1. The incident report was written in response to the parent questioning staff as to how Child #1 was injured on 11/18/24.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection was conducted 11/5/24. At that time, the coating of the stairs on the playground equipment has begun to chip away, exposing the rusty metal steps.

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.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A renewal inspection was conducted 11/5/24. At that time, plastic bags and tootsie rolls were observed in an open backpack in the cubbies in the Beginner A Classroom. Floor level drawers that were not equipped with child locks were observed to contain plastic bags in the Beginner A Classroom. A plastic bag was observed hanging from a hook in the cubby area of the Beginner B Classroom. All were accessible to the children in the classrooms. Staff in the Beginner A and Beginner B Classrooms stated that there were children in the room who are still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: A renewal inspection was conducted 11/5/24. At that time, there was no corresponding cot list to identify which children were assigned to which numbered cot in the Intermediate A 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.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: A renewal inspection was conducted 11/5/24. At that time, there was no designated release person listed on the fee agreement of Child #7.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: A renewal inspection was conducted 11/5/24. At that time, the emergency contact form for Child #2 did not include the name and phone number of the child's physician. The emergency contact form for Child #6 did not include the name of the child's 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)(3)

Description: Parent home/work address, phone

Noncompliance Area: A renewal inspection was conducted 11/5/24. At that time, the emergency contact forms for Child #1, Child #2, Child #3, and Child #4 did not include the work phone number of the mother. The emergency contact form for Child #3 did not include the correct home address of the parents.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: A renewal inspection was conducted 11/5/24. At that time, the emergency contact forms for Child #2 and Child #5 did not include the address of the release person.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: A renewal inspection was conducted 11/5/24. At that time, the emergency contact form for Child #4 had not been reviewed by the parent since 4/15/24.

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

Regulation: 3270.151(a)

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

Noncompliance Area: A renewal inspection was conducted 11/5/24. At that time, the staff files were reviewed. The health assessments on file for Staff Person #1 were dated 7/22/22 and 8/13/24, more than 24 months between health assessments.

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.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A renewal inspection was conducted 11/5/24. At that time, disinfectant spray was observed in an unlocked floor level cupboard where it was accessible to the children in the Beginner B Classroom.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: A renewal inspection was conducted 11/5/24. At that time, discarded food items and tissues were observed in an unlidded trash can in the Preschool 1B Classroom.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: A complaint investigation was conducted on 7/2/24. At that time, it was found that staff person #1 had grabbed child #1 and carried the child by the wrist approximately 1 1/2 feet off the floor for about 15 feet to the table where the staff placed the child in a chair and told the child to sit. Staff Person #1 then grabbed child #2 and dragged the child across the floor by the wrist to sit at the table next to child #1. A short time later, staff person #1 dragged child #3 by the forearm to a table a few feet away as the child struggled to walk. Staff person #1 also pushed child #4 onto their cot after the child was playing in the sink. Child #4 was pushed hard enough that their head bounced off the cot. Staff person #1 then pushed the child's head down on the cot.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. The facility will maintain compliance with 3270.113b for a period of three months. There may be no instances of noncompliance during this time period during unannounced inspections.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: A complaint investigation was conducted on 7/2/24. At that time, it was found that staff person #1 had grabbed child #1 and carried the child by the wrist approximately 1 1/2 feet off the floor for about 15 feet to the table where the staff placed the child in a chair and told the child to sit. Staff Person #1 then grabbed child #2 and dragged the child across the floor by the wrist to sit at the table next to child #1. A short time later, staff person #1 dragged child #3 by the forearm to a table a few feet away as the child struggled to walk. Staff person #1 also pushed child #4 onto their cot after the child was playing in the sink. Child #4 was pushed hard enough that their head bounced off the cot. Staff person #1 then pushed the child's head down on the cot.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection was conducted 6/25/24. At that time, approximately a dozen exposed bolts were observed on the gate of the exterior fence leading to the parking lot on the toddler side of the playground. A broken, cracked cubby basked was observed in the school age area.

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.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A renewal inspection was conducted 6/25/24. At that time, diapers in plastic packaging bags and plastic bags were observed on the floor of the Toddler bathroom. The plastic bags were accessible to the potty trained toddlers. Staff stated at least one toddler is potty trained.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: A renewal inspection was conducted 6/25/24. At that time, the child files were reviewed. The financial agreements for Child #6 and Child #9 did not include designated release persons.

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

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: A renewal inspection was conducted 6/25/24. At that time, the child files were reviewed. The financial agreement for Child #2 did not include the child's date of admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: A renewal inspection was conducted 6/25/24. At that time, the child files were reviewed. The emergency contact forms for Child #4, Child #5, and Child #7 did not include the address of the child's 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)(3)

Description: Parent home/work address, phone

Noncompliance Area: A renewal inspection was conducted 6/25/24. At that time, the child files were reviewed. The emergency contact forms for Child #1, Child #2, and Child #8 did not include the business phone number of the parents. The emergency contact form for Child #6 did not include the business name, address, or phone number of the parents. The emergency contact form for Child #9 did not include the business address or phone number of the parents.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: A renewal inspection was conducted 6/25/24. At that time, the child files were reviewed. The emergency contact forms for Child #3, Child #4, and Child #7 did not include the address of the release persons. The emergency contact form for Child #9 did not include a designated release person.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: A renewal inspection was conducted 6/25/24. At that time, an epi-pen with an expiration date of 5/24 was observed in the Pre-K classroom.

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

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

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

Noncompliance Area: A renewal inspection was conducted 6/25/24. At that time, the staff files were reviewed. The file for Staff Person #2 contained a health assessment and TB test results dated 3/5/21 and 2/7/20, respectively, which is more than 12 months prior to the start date of Staff Person #2. The health assessments for Staff Person #3 were dated 5/9/22 and 6/13/24, which is more than 24 months between health assessments.

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: 3270.175(c)

Description: Manufacturer's instructions used

Noncompliance Area: A renewal inspection was conducted 6/25/24. At that time, there were no instruction manuals for the Cosco and Graco booster seats in Van #694.

Correction Required: Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: A renewal inspection was conducted 6/25/24. At that time, the staff files were reviewed. The file for Staff Person #7 only contained one letter of reference.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Description: Fire safety - 1 yr.

Noncompliance Area: A renewal inspection was conducted 6/25/24. At that time, the staff files were reviewed. The fire safety training for Staff Person #3 had not been completed in a timely manner. The dates of the training for Staff Person #3 were 2/21/23 and 6/10/24.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted 6/25/24. At that time, the staff files were reviewed. The State Police Clearance and the request for the clearance for Staff Person #4 was dated 8/8/23, after their date of hire.

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.

Regulation: 3270.35(e)

Description: 46 or more children- additional group sups

Noncompliance Area: A renewal inspection was conducted 6/25/24. At that time, 23 out of 25 staff were listed as assistant group supervisors. The facility has 127 children enrolled and is in need of at least 3 group supervisors. Only one staff was listed as a group supervisor on the staff data sheets.

Correction Required: In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

Regulation: 3270.36(b)(3)

Description: HS/GED, 15 credits + 1 yr

Noncompliance Area: A renewal inspection was conducted 6/25/24. At that time, the staff files were reviewed. The file for Staff Person #2 included verification of 17 credits in the human services field and one year experience working with children. The file did not contain a high school diploma or GED certificate.

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.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: A renewal inspection was conducted 6/25/24. At that time, the staff files were reviewed. The file for Staff Person #1 contained a high school diploma, but did not include verification of any experience working with children. The file for Staff Person #5 contained a high school diploma, but did not include verification of any experience working with children. The file for Staff Person #6 contained a high school diploma and verification of .5 years' experience working with children. Staff Person #6 needs an additional 1.5 years' experience working with children. The file for Staff Person #8 contained a high school diploma, but did not include verification of any experience working with children. The file for Staff Person #9 contained a high school diploma, but did not include verification of any experience working 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 prior to service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A renewal inspection was conducted 6/25/24. At that time, Up + Up Kids Sunscreen Spray was observed in a backpack hanging in the cubby area approximately 30 inches high where it was accessible to the children in the room. Up + Up Sport Sunscreen Lotion was observed in a cubby basket in the school age room where it was accessible to children. Both sunscreens were labeled "keep out of reach of 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.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: A renewal inspection was conducted 6/25/24. At that time, discarded lunch was observed in an unlidded trash can in the Toddler Room and in the Beginner B Room.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: An unannounced inspection was conducted 5/17/24. At that time, the preservice trainings were reviewed for all staff present. The file for Staff Person #1, who has been employed longer than 90 days, contained the 6 hour health and safety training completed 7/11/19 and Get Started with Home-Based Care completed 9/26/19. The file for Staff Person #2, who has been employed longer than 90 days, contained the 6 hour health and safety training completed 3/3/19

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. The 6 hour Health and Safety Training is acceptable only if completed between 9/30/16 and 6/30/18. Staff are required to complete Get Started with Center-Based Care. Staff person #1 and staff person #2 will have until 6/4/24 to complete the required training, Get Started with Center-Based Care. Until such time as the required training has been completed, staff person #1 and staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 and staff person #2, then staff person #1 and staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: During a complaint investigation on 3/15/24, video coverage observed by certification representative shows on 3/8/24 facility staff # 1 swipe child # 1 on the face with their hand. Child # 1 immediately grabs their face and walks away from facility staff # 1 holding their face and crying.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. Facility director will arrange for all facility staff including the director and a representative from the legal entity to complete at least 2 hours of training on appropriate redirection and discipline of children. Training should be held in person by a PQAS approved instructor. Facility director will seek approval from OCDEL certification representative prior to scheduling and having all staff take the training.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: During a complaint investigation on 3/15/24, video coverage observed by certification representative shows on 3/8/24 facility staff # 1 swipes child # 1 on the face with their hand. Child # 1 immediately grabs their face and walks away from facility staff # 1 holding their face and crying.

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

Regulation: 3270.182(7)

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

Noncompliance Area: During a complaint investigation on 3/15/24, video coverage shows on 3/8/24 facility staff # 1 swipe child # 1 on the face with their hand. Child # 1 immediately grabs their face and walks away from facility staff # 1 crying. Facility staff report no incident report was completed regarding this incident.

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

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

Description: Age and Training

Noncompliance Area: Staff person # 1 & # 2 have expired PQAS approved Pediatric First Aid and CPR.

Correction Required: Competence is the completion of training by a professional in the field of first aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff person # 1 & # 2 will have until 3/7/24 to complete the required in person PQAS approved Pediatric First Aid and CPR training related to this citation. Until such time as the required training has been completed, staff person # 1 & # 2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person # 1 & # 2, staff # 1 & # 2 may not work in a childcare position at the facility.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child # 2 has not had a child service report completed in over 6 months from 10/31/22 to 5/20/23.

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).

Regulation: 3270.131(d)(5)/3270.131(e)(4)

Description: Immunization record/Annual immunization reporting to DOH

Noncompliance Area: Child # 1,2,& 3 have not have the influenza vaccination according to the Department of Health's annual immunization reporting requirements. Child # 1 last influenza shot on 9/18/21, Child # 2 last influenza shot on12/22/20 and Child # 3 last influenza shot on 11/1/21. Child # 5 has no proof of the influenza shot nor do they have a note on file from a parent or guardian for personal or religious reasons why they are not immunized for influenza.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

Regulation: 3270.151(a)

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

Noncompliance Area: Facility staff # 1 did not have a health assessment in over 24 months from 11/22/20 to 1/25/23.

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.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The following children have not had emergency contact forms updated in over 6 months: Child # 1,2,3, & 4. Child # 1 emergency contact forms updated 5/20/22 to 5/22/23. Child # 2 emergency contact forms updated 9/25/22 to 5/22/23. Child # 3 emergency contact forms updated9/13/21 to 5/22/23. Child # 4 emergency contact forms updated 9/11/22 to 5/22/23.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility staff # 1 only has proof of the NSOR application on file from 12/10/20. Facility staff # 2 has a child abuse clearance on file that is over 60 months old from 4/2/18.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Facility director did not complete a staff evaluation for facility staff # 3 in over 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The facility first aid kit in the Pre-K classroom has no tape. The facility first aid kit in the Pre-K 2 classroom has no tweezers.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: At time of inspection on 12/28/22, facility fire alarm testing and drill log observed onsite. Facility did not test the fire alarm system in over 30 days since 11/9/22.

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

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

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

Noncompliance Area: During a complaint investigation on 11/7/22, facility staff # 1 entered the Pre K 2 classroom while rep was in the room. When asked where facility staff # 1 was coming from, facility staff # 1 said she left the classroom to use the bathroom in the hall outside of the PRE K 2 class she was working in. Facility staff # 1 could not supervise her group of children she was responsible for in the Pre K 2 class while in the bathroom.

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. Children must be supervised at all times.

Regulation: 3270.182(2)

Description: Application, admission, withdrawal dates

Noncompliance Area: During an unannounced file review at facility on 11/7/22, child #1's file did not have date of admission or withdrawal of child # 1.

Correction Required: A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: Child #1 who was enrolled and attending the facility does not have signed parental consent for emergency medical care or minor first aid.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During a complaint investigation on 11/7/22, facility janitor closet was observed to be unlocked.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During a complaint investigation at facility on 11/7/22, rep observed food all of the carpeting in the infant room near the changing table and all over the rugs in the Pre-K 2 classroom where children were earlier sleeping over the food on napping cots.

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.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The Beginners A classroom has no cot chart to identify who each cot belongs to in the facility classroom. All the cots are numbered only.

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.

Regulation: 3270.123(a)/3270.123(a)(6)

Description: Signed /Admission date

Noncompliance Area: Child # 1 has no date of admission or signature by the operator on the agreement form. Child # 7 has no date of admission on the agreement form.

Correction Required: An agreement shall be signed by the operator and the parent.An agreement shall specify the date of the child's admission.

Regulation: 3270.131(a)/3270.131(e)(2)(i)

Description: Health information/Exemption documentation from parent/guardian

Noncompliance Area: Child # 6 has no proof of the influenza vaccination or a note from a parent or guardian for an exemption from the immunization for religious beliefs or strong personal objection. Child # 8 did not have a health assessment on file for over 60 days since time of enrollment.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility does not have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment as required by April 29,2022 to be in compliance with federal requirements issued under the 55 Pa Code.

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: 3270.151(a)

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

Noncompliance Area: Facility person # 2 did not have a health assessment on file at time of hire. Health assessment completed on 5/10/22.

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.

Regulation: 3270.161(a)

Description: Wholesome

Noncompliance Area: There is yogurt that expired on 6/26/22 in the Pre K 2 classroom refrigerator.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child # 2,3,4 & 5 have not had their emergency contact forms and fee agreements reviewed and signed by a parent or guardian in over 6 months. Child # 2 : 7/15/21 to June 2022; Child # 3 : 9/21/20 to June 2022; Child # 4: 7/16/21 to June 2022 and Child # 5 : 8/6/21 to June 2022.

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Facility staff # 1 hired and working in child care does not have 2 references on file. Facility staff # 4 hired and working in child care does not have 2 references on file.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility emergency plan does not have accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility has no documentation of an annual emergency drill being conducted.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Facility staff # 2 did not have emergency plan training at time of initial employment. Emergency plan training done 5/18/22. Facility staff # 3 did not have emergency plan training at time of initial employment. Emergency plan training done 5/26/22.

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(c)

Description: Training regarding plan

Noncompliance Area: Facility staff did not review the emergency plan in more than a week from the annual review and update. Emergency plan reviewed 4/28/22 and all staff reviewed the emergency plan on 5/26/22.

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: The emergency plan was not sent to the local municipality or county emergency management agency since 7/10/15.

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: 3270.31(e)(4)(i)/3270.31(f)(10)

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

Noncompliance Area: Facility staff #4 has been working in child care more than 90 days and does not have pediatric first aid and cpr completed and on file. Facility staff # 5 & # 6 have not completed pediatric first aid and cpr and their certifications expired. Facility staff # 5 & # 6 only completed the approved online portion of the pediatric first aid and cpr, the in person requirement was never conducted to complete the training.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility person # 2 did not have the NSOR on file at time of hire and the disclosure statement is not dated. .

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Pre K 2 classroom has no band-aids and only 1 glove. The first aid kit in the Beginners A class only has 1 glove. The first aid kit in the Pre K classroom has no 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.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Child # 1 was resting on a cot in the PRE K 2 classroom along with 3 other children on cots that did not have 2 feet of space on three sides. All four of the children were in corners of the room.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.151(c)(3)/3270.151(c)(4)

Description: Exam communicable disease/Information re: medical problems

Noncompliance Area: Facility staff #1 has a health assessment on file that does not state if staff member #1 is free from communicable diseases. The health assessment for staff # 1 does not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Facility person # 1 who is working as an assistant group supervisor, has a diploma on file "Associate in Arts". There are no transcripts on file to ensure staff # 1 has the qualifications as a assistant group supervisor.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility staff # 1 hired and working in childcare only has PA clearances on file and resides in NJ.

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 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 until all NJ clearances are on file and approved. .

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: Facility has no director since 4/21/22.

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

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

Noncompliance Area: During the complaint investigation on 5/6/22 while in the PRE K 2 classroom, rep observed child # 2 on a nap cot in a corner in a side area of facility classroom that had a wall that obstructed the view of staff 2 & 3. Staff # 2 & #3 could not see, hear, assess , or direct child # 2 from the area of the classroom they were in with the other children.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. The legal entity must submit a policy in writing approved by DHS regarding the facilities procedure for ensuring children are supervised at all times. The policy shall ensure that all children can be seen, heard , assessed and directed at all times. Once approved, all staff shall review the policy and sign documentation to be kept on file that they reviewed and understand the supervision policy. 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: 3270.113(a)/3270.113(a)(1)

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

Noncompliance Area: A complaint investigation was conducted 5/6/22 on site at facility. Facility staff # 1 and # 2 admitted that on 4/22/22 they went outside to the playground with a group of 11 two year old children. After lining the children up to come inside and entering the facility classroom, they did a head count and only 10 children were present. Facility staff # 1 immediately went outside on the playground and child # 1 was alone hiding under the play gym.

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. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of PQAS approved training in person regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. No children may be present while facility staff are receiving the in person training.

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

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

Noncompliance Area: A complaint investigation was conducted 5/6/22 on site at facility. Facility staff # 1 and # 2 admitted that on 4/22/22 they went outside to the playground with a group of 11 two year old children. After lining the children up to come inside and entering the facility classroom, they did a head count and only 10 children were present. Facility staff #1 immediately went outside on the playground and child # 1 was alone hiding under the play gym.

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. Children must be supervised at all times.