Abington Kids Creative Learning Center Inc

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 5/20/26, the director verified that on 5/6/26, a child fell and bumped their cheek on an infant floor seat and an incident report was not provided to the parent on the date of the incident..

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: During a self-reported complaint investigation on 2/17/26, certification rep reviewed camera footage from 2/10/26 in which staff # 1 pulled the hood on the back of child # 1 shirt, causing them to fall onto the floor. Staff # 1 then forcefully picked up child # 1 and put them in a chair. Staff # 1 was immediately terminated as a result of the incident, and the director contacted the Regional Office to report noncompliance.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: During a renewal inspection on 2/17/26, there was no designated release persons listed on the agreement for child # 1.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: During a renewal inspection on 2/17/26, there was no date of admission on the agreements for children # 3, 4, 5, and 6.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During a renewal inspection on 2/17/26, there was no health insurance name and policy number on the emergency contact form for child # 1. There was no health insurance policy number on the emergency contact form for child # 6.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During a renewal inspection on 2/17/26, there was no release person's name address or telephone number on the emergency contact form. There was no release persons address provided for child # 6.

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: 3270.131(e)(1)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: During a renewal inspection on 2/17/26, the immunization record on file for child # 5 did not have the required number of vaccines for a child their age (see code sheet for DOB).

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. 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).

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: During a renewal inspection on 2/17/26, there was no written consent for the emergency medical care or the administration of minor first aid procedures on the emergency contact from for child # 2.

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: During a renewal inspection on 2/17/26, certificate rep observed that more than 12 months passed since the most recent fire safety training for staff # 1, 2, and 3. The current fire safety training certificates for staff # 1 is dated 10/4/24, staff # 2 is dated 5/28/24, and staff # 3 is dated 4/15/24.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person # 4 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR/First Aid.

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 # 4 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 # 4, staff person # 4 may not work in a child-care position at the facility

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During a renewal inspection on 2/17/26, the most recent staff evaluation on file for staff # 2 was dated 8/23/24, therefore no longer valid.

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: 3270.37(b)(1)/3270.192(2)(ii)

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

Noncompliance Area: During a renewal inspection on 2/17/26, the director indicated that staff # 5 is an aide. There is no proof of education on file to qualify them for this position.

Correction Required: An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During a renewal inspection on 2/17/26, certification rep observed a small area of peeling paint in the 2 B classroom.

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

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

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

Noncompliance Area: During a complaint investigation between 10/1/25 and 10/20/25 certification rep verified with staff interviews that child # 1 removed an outlet cover from the wall and placed it in their mouth. Staff # 1 removed the outlet cover from the child's mouth immediately, however, they did not see the how the child obtained the outlet cover.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision. The training must be approved by DHS prior to staff completing the training. Staff must be trained while there are no children in care. The operator shall provide a date for which this training will be completed.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During an unannounced inspection on 9/2/25, certification rep observed an exposed bolt on a climber on 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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During an unannounced inspection on 9/2/25, there was no thermometer in the 2 year old classroom refrigerator, which was used to store children's lunches.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: During an unannounced inspection on 9/2/25, there were no written non-family references on file for staff # 1 and 3.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an unannounced inspection on 9/2/25, there was no proof of request on file for the NSOR and FBI clearances for staff # 3 as required by CPSL at the time of their hire (see code sheet).

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. Tier 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. This portion of the plan shall have an immediate correction date. 2. The facility director that is responsible for hiring staff will attend the existing provider orientation scheduled on November 12, 2025, at the regional office. The facility director will contact the regional office at 1-800-222-2108 to schedule this training. This portion of the plan shall have a date by which the existing provider orientation will be completed.

Regulation: 3270.35(b)/3270.192(2)(ii)

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

Noncompliance Area: During an unannounced inspection on 9/2/25, the director indicated that staff # 1 was hired as a group supervisor. There was no proof of education and experience to qualify them for this position at the facility.

Correction Required: A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an unannounced inspection on 9/2/25, there were more than 30 days between fire alarm tests. Fire alarm tests were logged on 4/2/25, 5/5/25, 6/5/25.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The nap cots in the preschool room were not labeled for the use of an individual child.

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The diaper trash can observed in the 3-year-old classroom was not hands free.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

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

Description: Age and Training

Noncompliance Area: Staff person # 7 has 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 1/31/2025. Documentation of updated Pediatric first aid and CPR training is not on file.

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. Until such time as the required training has been completed, staff person # 7 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 # 7, staff person # 7 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons # 3 and 6 have not completed the following required pre- service training within 90 days of their dates of hire (see LIS code sheet): Pediatric CPR/First Aid.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10s. Until such time as the required training has been completed, staff persons # 3 and 6 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 persons # 3 and 6, staff persons # 3 and 6 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff # 1 (see code sheet for DOH) does not have the required clearances required under the CPSL; staff # 1 only has their state police and child abuse clearances. Staff # 3 (see code sheet for DOH) has an NSOR clearance dated 1/17/25, this is more than the 45-day provisional hiring period permitted at the time of their hire. Staff # 5 (see code sheet for DOH) does not have a valid FBI clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include 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, 3, and may not work in a child care position at the facility.

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

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

Noncompliance Area: The staff files for staff # 1, 2, 3, and 4, assistant group supervisors, do not have the required child care experience and education prior to service at the facility documented.

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

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

Noncompliance Area: During an investigation of self-reported noncompliance, it was verified that staff # 1 was not properly supervising child # 1, which led to child # 1 consuming hydrogen peroxide. It appears to have been an isolated incident and the staff was terminated immediately. Facility has policies in place that were not followed by staff # 1.

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

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

Noncompliance Area: During an investigation of self-reported noncompliance, it was verified that staff # 1 was not properly supervising child # 1, which led to child # 1 consuming hydrogen peroxide. It appears to have been an isolated incident and the staff was terminated immediately. Facility has policies in place that were not followed by staff # 1.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity shall put in writing, their policy regarding special projects and activities and submit to the regional office for approval. All current staff shall review and sign off on the policy and this policy will be discussed and signed off on by new employees at their time of hire.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person # 1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR/First Aid. 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 CPR/First Aid and 10 Hour Health and Safety Training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-10) within 90 days of hire. Staff persons # 1 and 2 will have until 6/22/24 to complete the required training. Until such time as the required training has been completed, staff persons # 1 and 2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons # 1 and 2, staff persons #1 and 2 may not work in a child-care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During a complaint investigation on 6/3/24, it was verified that on 5/30/34, staff person # 1 left hydrogen peroxide on the changing table and consumed by child # 1. Hydrogen peroxide is 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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection was conducted on 2/16/24. At that time, two ripped nap mats with exposed foam were observed in the preschool 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.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A renewal inspection was conducted on 2/16/24. At that time, plastic bags containing diapers and wipes were observed under the unlocked changing table and in cubbies next to the table, approximately 24 inches high or lower, where they were accessible to the toddlers in care.

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 on 2/16/24. At that time, the crib in the toddler room was labeled with the incorrect name and not with the name of the child who uses it.

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)(3)

Description: Services proceeded

Noncompliance Area: A renewal inspection was conducted on 2/16/24. At that time, the following children who have been enrolled longer than six months did not have child service reports on file: Child #1, Child #2, Child #3, Child #4, and Child #5.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: A renewal inspection was conducted on 2/16/24. At that time, the emergency contact information for the following children did not include the work address and phone number of the parents: Child #1, Child #4, Child #5, Child #6, and Child #7.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: A renewal inspection was conducted on 2/16/24. At that time, the emergency contact information for Child #6 did not include health insurance information.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: A renewal inspection was conducted on 2/16/24. At that time, Children's Tylenol with an expiration date of 12/23 was observed in the infant room.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection was conducted on 2/16/24. At that time, the staff files were reviewed. Staff Person #5 had not completed the required one hour health and safety training update within 90 days of their date of hire.

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)/3270.151(c)(2)

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

Noncompliance Area: A renewal inspection was conducted on 2/16/24. At that time, the staff files were reviewed. Staff Person #2 did not have a health assessment on file. The health assessment and TB test results for Staff Person #12 was dated 10/12/23, after their date of hire.

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: 3270.182(7)

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

Noncompliance Area: A renewal inspection was conducted on 2/16/24. At that time, the facility did not have a master file for incident reports.

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)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: A renewal inspection was conducted on 2/16/24. At that time, the staff files were reviewed. Staff Person #4 had last completed fire safety training on 11/15/22.

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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection was conducted on 2/16/24. At that time, the staff files were reviewed. Staff Person #1 had not completed the required health and safety training within 90 days of their date of hire. The training was dated 1/3/24. Staff Person #12 had not completed the required health and safety training within 90 days of their date of hire. The training was dated 12/25/23. Staff Person #15 had not completed the required health and safety training within 90 days of their date of hire. The training was dated 1/28/24.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted on 2/16/24. At that time, the staff files were reviewed. The NSOR request on file for Staff Person #1 was dated 1/19/24, which was after their date of hire. Staff Person #8 had the request for the state police clearance, but did not have the State Police Clearance on file. The date of the request was not included on the request. Staff Person #10 had an FBI Clearance completed through the Department of Education and not through DHS, as required. Staff Person #12 had requested the NSOR on 9/28/23, but did not have the NSOR certificate on file at this time. Staff Person #12 had requested the PA State Police Clearance on 9/28/23 after their date of hire. Staff Person #12 had their FBI Clearance on file dated 10/2/23 which was after their date of hire, but did not have the request on file. The PA State Police Clearance for Staff Person #13 was dated and requested 9/29/23 after their date of hire. The FBI Clearance for Staff Person #13 was dated 10/2/23 after their date of hire. The request for the clearance was not on file. The NSOR Certificate for Staff Person #13 was dated 1/22/24, which was more than 45 days after their hire date. The NSOR was requested 9/29/23, after their date of hire. The mandated reporter training for Staff Person #13 was dated 2/5/24, more than 90 days after their date of hire. The FBI Clearance for Staff Person #14 was dated 10/13/23, after their date of hire and there was no request on file. Staff Person #14 has resided in NY in the past five years and does not have NY Clearances on file. The NSOR request on file for Staff Person #15 was dated 1/31/24, which was after their date of hire. Staff Person #16 has resided in NY in the past five years and does not have NY SOR on file. The Child Abuse Clearance on file for Staff Person #17 was dated 12/19/23, after their date of hire. The NSOR request on file for Staff Person #17 was dated 1/19/24, which was after their date of hire. The FBI Clearance and request for staff Person #18 was dated 1/31/24, which was after their date of hire. The NSOR on file for Staff Person #18 was dated 2/1/24, which was more than 45 days 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. Staff Person #10 may not work in a child care position at the facility until they have a DHS FBI Clearance on file. Staff Person #12 may not work in a child care position at the facility until they have an NSOR certificate on file. Staff Person #14 may not work in a child care position at the facility until they have an NSOR certificate and CARI clearance from NY on file. Staff Person #16 may not work in a child care position at the facility until they have an NSOR certificate from NY on file.

Regulation: 3270.33(b)

Description: No more than 50% aides

Noncompliance Area: A renewal inspection was conducted on 2/16/24. At that time, 15 of the 26 employed staff were listed as aides on the staff data sheet.

Correction Required: At least 50% of the staff persons in a facility shall be individuals qualified and functioning as directors, group supervisors and assistant group supervisors. No more than 50% of the staff persons may be of aide qualification level.

Regulation: 3270.34(b)(3)/3270.192(2)(ii)

Description: Associate's + 3 yrs/Exp, educ., training prior to facility

Noncompliance Area: A renewal inspection was conducted on 2/16/24. At that time, the staff files were reviewed. Staff Person #3 did not have verification of any experience working with children on file at the facility. Staff Person #3 did have verification of completion of an Associate's Degree in Human Services.

Correction Required: A director shall have attained 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 3 years of 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: 3270.36(b)(1)/3270.192(2)(ii)

Description: HS/GED + 30 credits/Exp, educ., training prior to facility

Noncompliance Area: A renewal inspection was conducted on 2/16/24. At that time, the staff files were reviewed. Staff Person #2 did not have verification of any experience working with children on file at the facility. Staff Person #2 did have verification of high school education. Staff Person #11 did not have verification of any experience working with children on file at the facility. Staff Person #11 did have verification of high school education. Staff Person #14, an assistant group supervisor, had education on file from Serbia, but the education had not been evaluated for the equivalency in the America. Staff Person #14 had verification of 4 years' experience working with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.37(b)(1)/3270.192(2)(ii)

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

Noncompliance Area: A renewal inspection was conducted on 2/16/24. At that time, the staff files were reviewed. Staff Person #7 did not have verification of high school education on file at the facility.

Correction Required: An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.37(b)(3)/3270.192(2)(ii)

Description: 8th grade + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: A renewal inspection was conducted on 2/16/24. At that time, the staff files were reviewed. Staff Person #6 did not have verification of two year's experience on file at the facility. Staff Person #6 did have verification of completion of 9th grade education.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of 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 on 2/16/24. At that time, BabyGanics sunscreen was observed on a bottom shelf of the unlocked changing table cabinet where it was accessible to the older toddlers in care. The sunscreen was 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: 3270.76

Description: Building Surfaces

Noncompliance Area: A renewal inspection was conducted on 2/16/24. At that time, a cracked toy box was observed on the playground presenting a pinch point.

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: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: A renewal inspection was conducted on 2/16/24. At that time, the diaper changing table in the young toddler room was across the room from the sink, presenting an opportunity for cross-contamination when moving from the changing table with the child to the sink for handwashing. The diaper changing table in the 2B room was across the room from the sink, presenting an opportunity for cross-contamination when moving from the changing table with the child to the sink for handwashing. There is no sink in the 2A room, where the older toddler children are changed at the changing table.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection was conducted on 2/16/24. At that time, the thirty day testing log for the fire detection system was reviewed. The dates of testing were as follows, showing more than 30 days between testing on 4 occasions: 2/22/23, 3/24/23, 4/21/23, 5/18/23, 6/16/23, 7/17/23, 8/16/23, 9/15/23, 11/30/23, 12/31/23, 1/12/24, 2/16/24.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection was conducted 2/17/23. At that time, two rusty sensory tables were observed on the playground. A cracked storage bin, presenting a pinch point, 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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A renewal inspection was conducted 2/17/23. At that time, plastic zip lock bags were observed in an unlocked drawer at floor level in the Einstein Room that were accessible to the children. The staff in this room indicated that there is a child in that classroom who was present at the time of inspection who places objects in their mouth.

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: 3270.111(a)

Description: Written plan

Noncompliance Area: A renewal inspection was conducted 2/17/23. At that time, a daily schedule was not posted in the Irwin Room and the Picasso Room.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: A renewal inspection was conducted 2/17/23. At that time, the emergency contact information for Child #1 and Child #2 did not contain the health insurance policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: A renewal inspection was conducted 2/17/23. At that time, the emergency contact information for Child #1 and Child #5 did not include the address of the release persons.

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: 3270.131(e)/3270.131(e)(3)

Description: ACIP recommended immunization record /Dismissal policy

Noncompliance Area: A renewal inspection was conducted 2/17/23. At that time, the immunization record of Child #1 showed the flu vaccine was last administered on 11/12/2020. The child's file did not include a letter of exemption.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 must be dismissed from care by close of business 2/17/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

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 2/17/23. At that time, the staff files were reviewed. The health report and TB test for Staff Person #7 was dated 12/15/20, more than 12 months prior to providing initial care at the child care facility. The file for Staff Person #13 did not include a health report.

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: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: A renewal inspection was conducted 2/17/23. At that time, the health report for Staff Person #5 did not include whether they were free from communicable diseases.

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

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: A renewal inspection was conducted 2/17/23. At that time, the health report for Staff Person #5 did not include whether they were suitable 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.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: A renewal inspection was conducted 2/17/23. At that time, the financial agreement for Child #3 was last reviewed 7/18/22.

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: 3270.182(5)

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

Noncompliance Area: A renewal inspection was conducted 2/17/23. At that time, the emergency contact information for Child #4 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: A renewal inspection was conducted on 2/17/23. At that time, the files for Staff Person #5, Staff Person #6, Staff Person #7, and Staff Person #10 did not have verification of child care experience and education prior to the onset of employment on file at the facility.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. The legal entity will create a hiring checklist and submit to Northeast Regional Office for approval. Once approved, the director will use the hiring checklist whenever a new staff is hired.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: A renewal inspection was conducted 2/17/23. At that time, the file for Staff Person #11 did not contain any letters of reference. The file for Staff Person #12 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(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection was conducted on 2/17/23. At that time, Staff person #2 completed the required one-hour 2022 update to the health and safety training on 1/11/23. Staff person #8 completed the required one-hour 2022 update to the health and safety training on 1/15/23. Staff person #9 completed the required one-hour 2022 update to the health and safety training on 1/10/23. The required one-hour 2022 update to the health and safety training was required to be completed by 12/30/22.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection was conducted on 2/17/23. At that time, Staff Person #4 did not complete the required health and safety training until 1/8/23 and the pediatric first aid and cpr training until 1/10/23, more than 90 days after their date of hire. Staff Person #11 did not complete the required pediatric first-aid and cpr training until 1/10/23, more than 90 days after their date of hire.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: A renewal inspection was conducted on 2/17/23. At that time, Staff Person #13, who has been employed more than 90 days, did not have mandated reporter training on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff Person #13 will have until 3/4/23 to complete the mandated reporter training. Until such time as the required training has been completed, Staff Person #13 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #13, then staff person #13 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted on 2/17/23. At that time, the file for Staff Person #1 contained a state police clearance dated 11/28/22, after their date of hire. The file for Staff Person #2, who has been employed more than 45 days, did not include an FBI clearance. The file for Staff Person #7, who has lived in NY in the past five years and has been employed more than 45 days, did not contain a NY child abuse clearance.

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 #3 may not work in a child care position at the facility until an FBI Clearance is on file at the facility. Staff Person #7 may not work in a child care position at the facility until a NY Child abuse clearance is on file at the facility.

Regulation: 3270.33(a)/3270.35(b)(4)

Description: Each staff person meets quals/Associate's, 30 + 3 yrs

Noncompliance Area: A renewal inspection was conducted on 2/17/23. At that time, Staff Person #6 had a high school diploma in their file but did not have verification of experience. The position of Staff Person #6 at the facility was a group supervisor. Staff Person #6 does not qualify as a group supervisor.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A group supervisor shall have an associate'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 3 years of experience with children.

Regulation: 3270.35(b)(1)/3270.192(2)(ii)

Description: Bachelor's/Exp, educ., training prior to facility

Noncompliance Area: A renewal inspection was conducted on 2/17/23. At that time, the file for Staff Person #7, a group supervisor, did not include a bachelor's degree.

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

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: A renewal inspection was conducted on 2/17/23. At that time, the file for Staff Person #10 had verification of high school diploma but did not include verification of any experience.

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: 3270.37(b)(2)

Description: 8th grade & enrolled in training

Noncompliance Area: A renewal inspection was conducted on 2/17/23. At that time, the file for Staff Person #5, an aide, did not include verification of completion of 8th grade education and verification of completion of the classroom training portion of the training curriculum.

Correction Required: An aide shall have a minimum of an 8th grade education and enrollment in a training curriculum described at §3270.31(c). The classroom training portion of the curriculum shall be completed. Documentation of completion of classroom training and continuing enrollment in the training curriculum shall be included in the staff person's file.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A renewal inspection was conducted 2/17/23. At that time, the doorframe on the outside of the building leading to the playground was observed to be splintering, with sharp pieces of wood and a nail exposed. An accumulation of leaves was observed alongside the stairs leading to the playground.

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: 3270.113(b)/3270.113(e)

Description: No physical punishment /Restraints prohibited

Noncompliance Area: A complaint investigation was conducted on 5/18/22. Through the investigation, it was found that Staff Person #1 has roughly grabbed children by the arm to move them around the room and has been observed holding their legs over top of a child to keep the child from moving.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. The legal entity must create a positive discipline policy. This policy must specifically include positives strategies for guiding children's behavior. This policy must ensure that staff will not use physical punishment, harsh language, physical restraint, or ridiculing of children. 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 current staff and have staff sign off that they understand and will follow the discipline policy. All new staff must review the discipline policy with the director at their time of hire and must sign off that they understand and will follow the discipline policy.

Regulation: 3270.113(b)/3270.113(e)

Description: No physical punishment /Restraints prohibited

Noncompliance Area: A complaint investigation was conducted on 5/18/22. Through the investigation, it was found that Staff Person #1 has roughly grabbed children by the arm to move them around the room and has been observed holding their legs over top of a child to keep the child from moving.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.113(c)/3270.113(d)

Description: No ridicule or threaten harm/No harsh language

Noncompliance Area: A complaint investigation was conducted 5/18/22. Through investigations, it was found that Staff Person #1 has told children, "Go play in traffic," and has been overheard saying "I want to smack that child in the face." Staff Person #2 has been overheard telling children in a harsh tone "Shut up" and "you're so annoying."

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children.

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

Description: Age and Training

Noncompliance Area: An unannounced investigation was conducted 5/18/22. At that time, the file for Staff Person #2, an assistant group supervisor who has been employed longer than 90 days, was reviewed. The file did not contain current pediatric first aid and CPR training. The pediatric first aid and CPR training on file was dated 3/4/20 and expired 3/4/22. Staff Person #2 was supervised by at least an assistant group supervisor or higher that had completed the required preservice professional development topics.

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 #2 will have 15 days from the date of the acceptable plan of correction to complete pediatric first aid and CPR training in an approved curriculum administered by a PQAS instructor. Until such time as the required pediatric CPR and first aid training is complete, the staff will remain supervised by at least an assistant group supervisor that has completed the required preservice professional development.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection was conducted on 4/25/22. At that time, the cots in the young toddler room were not stacked from largest to smallest, posing a crushing 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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: A renewal inspection was conducted on 4/25/22. At that time, the thermometer in the refrigerator in the infant room was not working properly.

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: 3270.151(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 on 4/25/22. At that time, the file for Staff Person #2 did not contain documentation of TB test results.

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: 3270.166(1)

Description: Written statement

Noncompliance Area: A renewal inspection was conducted on 4/25/22. At that time, staff did not have a written statement giving the feeding schedule for the infants in care.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.31(f)/3270.31(h)

Description: Health and Safety Training/Health and Safety Training

Noncompliance Area: A renewal inspection was conducted on 4/25/22. At that time, the file for Staff Person #5 did not contain documentation of health and safety training. Staff Person #5 has been employed at the facility more than 90 days.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire. All staff persons shall complete the professional development under subsection (f).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted on 4/25/22. At that time, staff files were reviewed. The file for Staff Person #2 contained documentation that they had lived in Florida in the past five years, but the file did not contain Florida clearances which were required prior to onset of employment. The file for Staff Person #3 contained an FBI Clearance dated 2/28/22 and the fingerprinting receipt dated 2/28/22, which was after their first day caring for children. The file for Staff Person #4 contained a PA State Police Clearance requested and dated 2/21/22 which was after their first day caring for children. The file also contained an NSOR certificate dated 3/3/22, which was more than 45 days after their first day caring for children. The file for Staff Person #6 contained a PA Child Abuse Clearance dated 2/22/22 and an NSOR certificate date 2/25/22, which was after their first day caring for children. The file for Staff Person #7 contained a PA State police clearance requested and dated 2/25/22, which was after their first day caring for children. The file for Staff Person #8 contained an FBI Clearance dated 3/2/22, with the fingerprinting receipt dated 3/2/22, the PA State Police Clearance requested and dated 3/30/22, and the NSOR requested 2/23/22, but the NSOR certificate was not on file. All of these dates were after the onset of employment for Staff Person #8. The file for Staff Person #9 contained an NSOR dated 4/4/22. Staff Person #9 was hired after 2/17/22 when Act 12 went into effect.

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. The Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) verification certificate effective 9/30/2019, requiring anyone hired after 9/30/19 to have the NSOR verification certificate to work in child care. On Feb. 17, 2022, Governor Tom Wolf signed HB 764 into law as Act 12 of 2022 (Act 12). Act 12 amends the Child Protective Services Law (CPSL) to allow most employers to hire an applicant on a provisional basis for up to 45 days. For certified child care operators, to do so, all the required conditions MUST be met. Staff Person #2 may not work in a child care position at the facility until the Florida clearances are on file at the facility. Staff Person #8 may not work at the facility until the NSOR certificate is on file at the facility.

Regulation: 3270.33(a)/3270.36(b)(5)

Description: Each staff person meets quals/HS/GED + 2 yrs

Noncompliance Area: A renewal inspection was conducted on 4/25/22. At that time, the files were reviewed. The file for Staff Person #1, an assistant group supervisor, contained a high school diploma, but did not contain verification of experience. The file for Staff Person #2, an assistant group supervisor, contained a high school diploma, but did not contain verification of experience. The file for Staff Person #6, an assistant group supervisor, contained a high school diploma, but did not contain verification of experience.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Noncompliance Area: While at the facility on 12/28/18 the inspector observed toddlers at rest time to be on mats labeled for children other than the child utilizing the mats.

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.

Noncompliance Area: While at the facility on 12/28/18 the inspector observed a bottle in the infant room to be missing labeling with the individual child's name as is required.

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

Noncompliance Area: While at the facility on 12/28/18 the inspector observed the file for staff #1 and noted that this staff began their first day working with children on 1/23/17 and as of 12/28/18 still do not have proof of having had annual fire safety training.

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.

Noncompliance Area: Please see SIN # 00144938

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).

Noncompliance Area: During interviews with staff at the facility on 11/08/18 the inspector was able to ascertain that staff #1 did, in fact, grab child #1 forcefully on 11/07/18 and one other time, specific date unknown. Staff #1 had also been observed by her peers to grab children who were not listening and hold them on her lap with both of her arms wrapped around the child's chest with her hands holding her own arms to keep the child in her lap and immobile.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. The legal entity must arrange for the director and any other staff that hold a supervisory position in the day care to attend an Existing Provider Training held in the Northeast Regional Office of DHS. This training will not be allowed to count towards the annual 6 hours of trainings each staff is required to obtain.

Noncompliance Area: During interviews with staff at the facility on 11/08/18 the inspector was able to ascertain that the facility had been out of ratio on 11/8/18 with a mixed age ratio of four infants, two preschoolers and one staff prior to the director arriving at roughly 9am. Also, it was learned the facility had been out of ratio recently, exact date unknown, with one staff and eleven preschool children at the end of the day as per staff interviews.

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). The required staff:child ratios must be maintained at all times. The director must arrange for all facility persons, including the director, and staff to receive a minimum of two hours of online training dealing specifically with ratios of children of different age groups. The legal entity must receive DHS approval of the training content prior to scheduling the online training. This training must be completed by an approved online resource. Further, this training will not be allowed to count towards the annual six hours of training required by regulation. The facility will be expected to demonstrate their knowledge and ability to effectively ensure that the ratio of children of different age groups is maintained at all times.

Noncompliance Area: While at the facility unannounced on 11/8/18 the inspector observed the outdoor fenced play space to be muddy and considerably slippery, The inspector observed the outdoor play space to have a film of dried mud on the top surface with a slippery under surfacing rendering it a potential safety issue for children at play. The inspector attempted to enter the outdoor play space but slipped upon entry. The outdoor toys were also muddy and dirty due to this. The director indicated the outdoor play space has issues with drainage which results in the slipperiness and muddy toys.

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.

Noncompliance Area: During the unannounced investigation at the facility the inspector observed a write up in the file of staff #1. This write up was written by the director of the facility and dated for 3/26/18. It noted that staff #1 was observed to have gotten frustrated and to have grabbed child #1 by the clothing and then grabbed child #1 by the arm and appeared to have pushed child #1.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. The facility director will implement a behavioral policy that will ensure staff fully understand proper redirection. This policy must be submitted to DHS prior to implementation for approval. Once this policy is accepted by DHS the director will ensure all current staff and facility persons sign off on this policy and all new hires moving forward.

Noncompliance Area: The inspector found that the facility kitchen, with stove, was without protective guards or made inaccessible to children.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: The inspector found a sharp plate board attached to the wall in the toddler room within reach of the children.

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.

Noncompliance Area: Four out of five childrens files reviewed did not have a valid record of growth and development assessment.

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).

Noncompliance Area: Outlet cover needed within the infant room.

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

Noncompliance Area: Observed rodent droppings on the floor within the kitchen.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.