Catholic Youth Center Day Care

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: On 03/26/26, a facility vehicle driven by facility person #1 was involved in an accident while transporting children. Facility person #1 was issued traffic citations for the accident after failing to stop at a stop sign and/or failing to yield to a vehicle after stopping at a stop sign.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.112/3270.113(a)

Description: Infant/Toddler Stimulation/Supervised at all times

Noncompliance Area: On 3/9/26, the facility self-reported that, on 3/6/26, at approximately 10:40am, staff #1 was observed on video on her phone and not supervising children in the toddler room. Child #1 was observed on the video fighting with a peer over a toy with no intervention by staff #1. It was further reported was that staff #1 grabbed child #1 by the child's arm and leg (both on same side of the child's body) and carried the child to the other side of the room and dropped child #1 down roughly causing child #1 to cry. Staff #1 returned to her phone and did not attend to child #1. Staff #1 was brought to the director's office and fired immediately per policy at the facility. The inspector viewed the video and found that the events occurred as described in the self-reported noncompliance.

Correction Required: Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 3/9/26, the facility self-reported that on 3/6/26, at approximately 10:40am, staff #1 was observed on video on her phone and not supervising children in the toddler room. Further reported was that staff #1 grabbed child #1 by the child's arm and leg (both on same side of the child's body) and carried the child to the other side of the room and dropped child #1 down roughly causing child #1 to cry. Staff #1 was brough to the director's office and fired immediately per policy at the facility. The inspector viewed the video and found that the events occurred as described in the self-reported noncompliance.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The inspector observed a child in the infant room in a Bumbo baby seat that was not strapped in as is required.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.115(a)(4)

Description: Indoor pool inaccessible

Noncompliance Area: On 1/6/26 the inspector observed a door to the pool to be propped open with pool noodle and accessible to children.

Correction Required: An indoor swimming pool which is not in use shall be made inaccessible to children. TIEREDLIS: 1. An indoor swimming pool which is not in use shall be made inaccessible to children. This portion of the plan must have an immediate correction date. 2. The director must develop and implement a detailed plan that will ensure that the pool is made inaccessible to children at all times. The plan should outline actions the facility will take against staff who violate this plan. This plan must be submitted to the DHS Northeast Regional Office prior to implementation for approval. Once it is accepted by the DHS Northeast Regional Office the director will ensure all staff and facility persons review the plan and sign off on the plan as well as all new hires moving forward. The correction date for this should reflect a date that allows for the development and review of the plan as well as time to train staff on the plan.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 1/6/26 a supervision check was conducted in the toddler room (Tiny Tots) the inspector observed eleven older toddlers with staff #1 and #2. When asked to name the children they were responsible for staff #1 named and pointed to four toddlers. Staff #2 was also asked and pointed to and named three toddlers leaving four older toddlers unaccounted for.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1.Children must be supervised at all times. The correction date for this must be immediate. 2. The facility director shall make a revision to the existing child supervision policy to include a tangible means to ensure that children remain assigned to staff. This tangible means of ensuring supervision must be able to be portable, easy to part out, either in total or individually to other staff. This revision will ensure that all children are accounted for and supervised by staff at all times. This revision must be submitted to the DHS Northeast Regional Office prior to implementation for approval. Once this revision is accepted by the DHS Northeast Regional Office the director will ensure all staff and facility persons are trained and sign off on the revision as well as all new hires moving forward. The correction date for this should reflect a date that allows for the development and review of the revision as well as time to train staff on the revision.

Regulation: 3270.21/3270.76

Description: General Health and Safety/Building Surfaces

Noncompliance Area: On 1/6/26 the inspector observed the ceiling on the third floor to have a leak as evidenced by drip marks and an 18-gallon tote filled with water collected from the leak accessible to children. The inspector was informed that the tote was placed under the ceiling leak to catch the water.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. 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: 3270.182(7)

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

Noncompliance Area: During the course of the unannounced complaint investigation, it was determined that the facility did not provide an accident report to the parent of child #1 on 9/17/25, the date of the accident or afterwards.

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: During the course of the unannounced renewal inspection the inspector observed the finger/pinch guards on the doors in the facility to be falling off and in disrepair.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: During the course of the unannounced renewal inspection the inspector observed torn cushions on a couch in the lunchroom as well as ripped folding chairs in the concession area.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During the course of the unannounced renewal inspection the inspector found that thermometers were missing from the kinder tots classroom and preschool prep classroom.

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: 3270.108(c)

Description: No styrofoam

Noncompliance Area: During the course of the unannounced renewal inspection the inspector found that the facility was using Styrofoam for food service.

Correction Required: Styrofoam cups and plates may not be used.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During the course of the unannounced renewal inspection supervision checks were conducted. The inspector asked staff # 12 to point to and name each child they were assigned to. Staff #12 could not identify the children they were responsible for during this time.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan must have an immediate correction date. 2.The legal entity must arrange for staff #12 to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when this training is completed.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: During the course of the unannounced renewal inspection the inspector observed the file for child #5 and found that a fee agreement was missing.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: During the course of the unannounced renewal inspection the inspector observed the files for child #1 and #6 and found that there were both missing release persons designated on the agreement forms as are required.

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: During the course of the unannounced renewal inspection the inspector observed the files for child #5 and found that the physician's telephone number was missing. The file for child #7 was missing the name, address and telephone number 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: During the course of the unannounced renewal inspection the inspector observed the files for children #1, #2, #3, #4, #5, #6, and #8 were all missing the required home and work addresses and telephone numbers of the enrolling parent.

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: During the course of the unannounced renewal inspection the inspector observed the files for child #7 found that it did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits.

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 the course of the unannounced renewal inspection the inspector observed the file for child #1 and found that it was missing the name, address and telephone number of the individual designated by the parent to whom the child may be released. The files for children #2, #6, and #8 were missing the release person's address. The files for children #7 and #8 were missing the telephone numbers of the 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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: During the course of the unannounced renewal inspection the inspector observed the file for child #7 and found that the health assessment was dated past the 60 days following the first day of attendance at the facility (see LIS Code Sheet for DOA).

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

Regulation: 3270.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: During the course of the unannounced renewal inspection the inspector observed the file for child #8 and found that this child was missing the age-appropriate screenings recommended by the American Academy of Pediatrics.

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the course of the unannounced renewal inspection the inspector observed the files for staff #2, #3, and #5, and found that all three staff have had direct contact with children and were missing the required Health and Safety training. Staff #11 completed the required pre-service training (see LIS Code Sheet), Health and Safety training over the 90 daytime frame allotted since hire. Staff #6, #7, #8, #9, #10, and #11 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

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. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training is completed, staff persons #2. #3, and #5 must be supervised when interacting with children by an Assistant Group Supervisor who has completed the required training related to the citation. If there are no staff available to supervise staff persons #2 #3 and #5, staff persons #2, #3, and #5 may not work in childcare positions at the facility.

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

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

Noncompliance Area: During the course of the unannounced renewal inspection the inspector observed the file for staff #2, #3, #4, #5 and found that all four staff were missing a health assessment and TB screening as is required for direct care with children. Staff #8 and #11did not update their health assessment every twenty-four months as evidenced by a previous health assessment for staff #8 dated 4/29/22 and the most recent dated 5/9/24. Staff #11 had a previous health assessment dated 5/25/23 and no update since.

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(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 the course of the unannounced renewal inspection the inspector observed the files for children #3, #6, #8 were all missing the required parental signatures for emergency medical care for the children as well as administration of minor first-aid procedures by facility staff.

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: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: During the course of the unannounced renewal inspection the inspector observed the file for child #3 and found it was missing the required signed parental consent for transportation, walking excursions, swimming and wading.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the course of the unannounced renewal inspection the inspector observed the file for staff #2, #3, and #5 and found all were missing the two required written nonfamily references.

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: During the course of the unannounced renewal inspection the inspector observed the files for staff #1, #2, #3, #5 and none had proof of having had fire safety training. Staff #11 did not update their fire safety training annually with the previous fire safety training having been dated 3/16/24 and the most current dated 4/7/25.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the course of the unannounced renewal inspection the inspector observed the files for staff #2, #4, and #5 and noted that all three did not have any proof of having any Pediatric 1st Aid and CPR and have direct care with children.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1). Until such time as the required training has been completed, staff persons #2, #4, and #5 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 #2, #4 and #5, staff persons #2, #4 and #5may not work in a child-care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the course of the unannounced renewal inspection the inspector observed five bottles of Equate hand sanitizer in the first-grade classroom sitting out on a table and in 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(c)

Description: No insects or rodents

Noncompliance Area: During the course of the unannounced renewal inspection the inspector observed mouse droppings on the floor in the and around the equipment in the kitchen area.

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

Regulation: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: During the course of the unannounced renewal inspection the inspector observed the windows on the third floor (Preschool Prep) to be opened over six inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: During the course of the unannounced renewal inspection the inspector observed that the entire first aid kit in the concession area was missing.

Correction Required: A first-aid kit shall be in a child care space.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the course of the unannounced renewal inspection the inspector observed the first aid kit in the red gym to be missing band aids and soap. Two of the vans used for transportation were missing water and soap.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The inspector observed two large holes in the wall in the preschool prep classroom, evidence of leaking in the kinder tots bathroom as well as missing ceiling tiles, ripped carpeting in the kindergarten classroom, the metal screen in the bathroom on the main floor to be sharp and peeling from the door. The inspector also observed exposed bolts and broken aluminum twist ties on the fencing for the outdoor play area as well as two broken benches and lifted and broken macadam in the fenced play area.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the course of the unannounced renewal inspection the inspector observed chipped paint in the main hallway, 1st grade classroom bathroom, kindergarten classroom, kinder tot classroom bathroom and cubby area, preschool classroom and bathroom, preschool prep classroom, and lunchroom.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: While at the facility unannounced on 8/7/25 the inspector observed a leak on the third-floor ceiling.

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)

Description: No physical punishment

Noncompliance Area: On 7/14/25 the director contacted OCDEL to self-report that staff #1 was observed on video grabbing child #1 by their hair and moving them away from a table. Staff #1 was immediately terminated on 7/14/25.

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

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

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

Noncompliance Area: On 3/12/25 the director self-reported to DHS that child #1 was left alone in a classroom, for four minutes, after staff #1 left the room leaving the child behind.

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. 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. Each staff person shall be assigned the responsibility for supervision of specific children. TIERED LIS: 1. Children must be supervised at all times. The correction date for this portion of the plan must be immediate. 2. The legal entity must arrange for all staff to receive a minimum of three hours of training regarding Supervision. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive approval from the DHS Northeast Regional Office regarding the training content prior to scheduling the training. The provider must provide a correction date for when the training will be completed.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Durning the course of the unannounced visit at the facility the inspector reviewed the file for staff #1 and found that this staff was missing a necessary out of state 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. Facility Person #1 may not work in a childcare position at the facility. s of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Durning the unannounced renewal inspection the inspector and director discussed an incident that occurred recently where a child got their finger pinched in a door at the facility that required emergency medical care.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Durning the unannounced renewal inspection the inspector and director discussed an incident that occurred recently where a child got their finger pinched in a door at the facility that required emergency medical care.

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. The facility must install finger pinch door guards throughout the facility to ensure that pinch points are not accessible to children in care.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Durning the unannounced renewal inspection the inspector reviewed child files and found that child #2 had updated the emergency contact and agreement forms annually versus every six months or as needed.

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: 3270.131(a)/3270.131(b)(1)

Description: Health information/Infant: updated health report every 6 months

Noncompliance Area: Durning the unannounced renewal inspection the inspector reviewed child files and found that child #1 did not have an updated child health assessment on file since enrollment. The file for child #2 did not obtain an initial health assessment until nine months from 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. The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Durning the unannounced renewal inspection the inspector reviewed the file for staff #1, This staff did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

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: Durning the unannounced renewal inspection the inspector reviewed the file for staff #4 (facility cook) and noted that this staff was hired with a health assessment dated 9/17/18. The health assessment must be within a year old at the time 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Durning the unannounced renewal inspection the inspector reviewed the file for staff #3 was hired with a volunteer Pa Child Abuse clearance and not an employment version as is required. Staff #4 has been employed over 90 days and did not have PA Mandated Reporter training as is required.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3 may not work in a childcare position at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Durning the unannounced renewal inspection the inspector and director toured the outdoor play spaces and found the aluminum fencing ties to be broken creating areas that require repair.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Durning the unannounced renewal inspection the inspector and director toured the facility, and chipped paint was observed in the preschool room, 1st grade room, library, little learner room, and new beginning rooms.

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

Regulation: 3270.111(c)/3270.113(a)(1)

Description: Promote development/Staff assigned to specific children

Noncompliance Area: During the complaint investigation that began on 8/9/24 the inspector was able to verify that on 7/26/24, during the afternoon, staff #1 was not supervising the children in their group which resulted in two children engaging in a physical altercation.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. 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 facility director will implement a supervision policy that will ensure staff fully understand their responsibility regarding the supervision of children at all times. This policy must be submitted to DHS prior to implementation for approval. Once this policy is accepted by DHS the director will ensure all staff and facility persons sign off on this policy presently and moving forward.

Regulation: 3270.111(c)/3270.113(a)(1)

Description: Promote development/Staff assigned to specific children

Noncompliance Area: During the complaint investigation that began on 8/9/24 the inspector was able to verify that on 7/26/24, during the afternoon, staff #1 was not supervising the children in their group which resulted in two children engaging in a physical altercation

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. 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)(2)

Description: Supervision on and facility premises

Noncompliance Area: A complaint inspection was conducted at the facility. After reviewing facility paperwork, video footage, and interviewing staff, it was determined that the facility was out of ratio on multiple occasions. Staff admitted that on 3/4/24, the classroom that contained Staff #1 and #2 had 36 preschool children. This amount of children requires at least 4 staff. Video footage was viewed for this same day for the infant and toddler room. At 8:50 a.m., Staff #3 had 5 infants and toddlers. At 9:50 a.m., Staff #3 had 7 infants and toddlers. At 11:30 a.m., Staff #3 had 8 infants and toddlers. Staff #3 was out of ratio until another staff came in at 11:40 a.m. Two staff persons would have been required to meet ratio from 8:50 a.m. until 11:40 a.m. Staff also admitted that on 3/13/24, Staff #4 was in a classroom with 14 preschool children. This amount of children requires at least 2 staff persons.

Correction Required: The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

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

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

Noncompliance Area: An unannounced inspection was conducted. A review of staff files was conducted. See the code sheet for the date of hire. Staff #5 has worked in child care and the file did not contain a health assessment prior to working in child care.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: An unannounced inspection was conducted. A review of staff files was conducted. See the code sheet for the date of hire. Staff #5 was hired using volunteer state police clearance. The appropriate state police clearance was not applied for prior to Staff #5 working in child care.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #5 may not work in a child care position at the facility.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: A complaint inspection was conducted at the facility. After reviewing facility paperwork, video footage, and interviewing staff, it was determined that the facility was out of ratio on multiple occasions. Staff admitted that on 3/4/24, the classroom that contained Staff #1 and #2 had 36 preschool children. This amount of children requires at least 4 staff. Video footage was viewed for this same day for the infant and toddler room. At 8:50 a.m., Staff #3 had 5 infants and toddlers. At 9:50 a.m., Staff #3 had 7 infants and toddlers. At 11:30 a.m., Staff #3 had 8 infants and toddlers. Staff #3 was out of ratio until another staff came in at 11:40 a.m. Two staff persons would have been required to meet ratio from 8:50 a.m. until 11:40 a.m. Staff also admitted that on 3/13/24, Staff #4 was in a classroom with 14 preschool children. This amount of children requires at least 2 staff persons.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. 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 legal entity, director or supervisor will develop a policy to ensure appropriate supervision and ratios are always maintained when unforeseen circumstances arrive such as staff calling off or staff running late. The legal entity, director or supervisor will also develop a policy for staff and how they should handle situations when parents do not follow their agreed upon drop-off and pick-up times to ensure appropriate ratios are always maintained. This policy will be submitted to the Regional Office for review and, upon approval, will be reviewed with all staff. Staff will sign off that they have reviewed and understand these policies and this documentation will remain on file at the facility.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: A complaint inspection was conducted at the facility. After reviewing facility paperwork, video footage, and interviewing staff, it was determined that the facility was out of ratio on multiple occasions. Staff admitted that on 3/4/24, the classroom that contained Staff #1 and #2 had 36 preschool children. This amount of children requires at least 4 staff. Video footage was viewed for this same day for the infant and toddler room. At 8:50 a.m., Staff #3 had 5 infants and toddlers. At 9:50 a.m., Staff #3 had 7 infants and toddlers. At 11:30 a.m., Staff #3 had 8 infants and toddlers. Staff #3 was out of ratio until another staff came in at 11:40 a.m. Two staff persons would have been required to meet ratio from 8:50 a.m. until 11:40 a.m. Staff also admitted that on 3/13/24, Staff #4 was in a classroom with 14 preschool children. This amount of children requires at least 2 staff persons.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. 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 legal entity must arrange for all facility staff to receive a minimum of three hours of PQAS-approved training, regarding supervision and appropriate ratios of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: A complaint inspection was conducted at the facility. After reviewing facility paperwork, video footage, and interviewing staff, it was determined that the facility was out of ratio on multiple occasions. Staff admitted that on 3/4/24, the classroom that contained Staff #1 and #2 had 36 preschool children. This amount of children requires at least 4 staff. Video footage was viewed for this same day for the infant and toddler room. At 8:50 a.m., Staff #3 had 5 infants and toddlers. At 9:50 a.m., Staff #3 had 7 infants and toddlers. At 11:30 a.m., Staff #3 had 8 infants and toddlers. Staff #3 was out of ratio until another staff came in at 11:40 a.m. Two staff persons would have been required to meet ratio from 8:50 a.m. until 11:40 a.m. Staff also admitted that on 3/13/24, Staff #4 was in a classroom with 14 preschool children. This amount of children requires at least 2 staff persons.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. 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.

Regulation: 3270.61(h)

Description: Exceeding Capacity

Noncompliance Area: An inspection occurred at the facility. A physical site review was conducted. Through staff interviews it was determined that on 3/4/24, the preschool classroom contained 36 children with 2 staff. This classroom has a measured capacity of 20. The classroom was over capacity by 16 children. Documentation showed that another preschool classroom (kinder-tots) measured for 13 children and on 3/13/24, this classroom contained 14 children. This classroom was over capacity by 1 child.

Correction Required: The capacity established for an indoor space may not be exceeded.

Regulation: 3270.61(h)

Description: Exceeding Capacity

Noncompliance Area: An inspection occurred at the facility. A physical site review was conducted. Through staff interviews it was determined that on 3/4/24, the preschool classroom contained 36 children with 2 staff. This classroom has a measured capacity of 20. The classroom was over capacity by 16 children. Documentation showed that another preschool classroom (kinder-tots) measured for 13 children and on 3/13/24, this classroom contained 14 children. This classroom was over capacity by 1 child.

Correction Required: The capacity established for an indoor space may not be exceeded. The maximum capacity for each child care space shall be printed and posted in a conspicuous area in each child care space.

Regulation: 3270.133(3)/3270.133(4)

Description: Name on bottle/Locked

Noncompliance Area: An inspection occurred at the facility from 10/18/23 to 11/2/23. A physical site review was conducted. A bookbag was found accessible to children in the Preschool Prep classroom. Medications were found in the bookbag and are as follows: two bottles of nasal spray, pain reliever, NEB, inhaler, Claritin, vitamin (handwritten vitamin on the bottle, not in manufacture bottle), vitamin, Pepto, and NyQuil. These bottles indicated the need to be kept out of reach of children. Some of these medication bottles also included instructions for children 12-years and up. The child's bag these items were found it was of preschool age.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: An inspection occurred at the facility from 4/11/23 to 4/27/23. A review of staff files was conducted. See the code sheet for the dates of hire of staff. Staff # 1, # 14, # 16, did not have a health assessment and tuberculosis screening on file at the time of this inspection. Staff # 4 has not had an updated health assessment conducted since 1/7/21. Staff # 5 did not have a health assessment and tuberculosis screening conducted until 9/9/22 and 9/12/22. Staff # 6 had a health assessment on 12/29/19 and this staff did not participate in an updated health assessment until 4/14/22. Staff # 7 had a health assessment on 9/18/20 and this staff did not participate in an updated health assessment until 10/7/22. Staff # 9 had a health assessment on 12/17/19 and this staff did not participate in an updated health assessment until 2/6/23. Staff # 10 had a health assessment on 11/12/20 and this staff did not participate in an updated health assessment until 2/6/23. Staff # 23 had a health assessment on 8/6/20 and this staff did not participate in an updated health assessment until 3/22/23. Staff # 33 did not have a health assessment and tuberculosis screening conducted until #/24/23 and 3/27/23. Staff # 35 had a health assessment on 2/16/21 and this staff did not participate in an updated health assessment until 3/21/23. An acceptable plan of correction was received on 5/23/23. An inspection occurred at the facility from 10/18/23 to 11/2/23. A review of staff files was conducted. Staff # 37 did not have a health assessment or tuberculosis screening done at initial hire. Staff # 37 did not have a health assessment and tuberculosis screening done until 9/25/23. Staff # 39 did not have a heath assessment or tuberculosis screening done at initial hire. Staff # 39 did not have a health assessment done until 11/11/23. At the time of this inspection, Staff # 39 did not have a valid tuberculosis screening on file.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: An inspection occurred at the facility from 4/11/23 to 4/27/23. A review of staff files was conducted. See the code sheet for the dates of hire of staff. The following staff did not have a tuberculosis screening completed prior to working in childcare: Staff # 1, # 4, # 5, # 14, # 16, and # 33. An acceptable plan of correction was received 5/23/23. An inspection occurred at the facility from 10/18/23 to 11/2/23. A physical site review was conducted. Staff # 37 did not have a tuberculosis screening done at initial hire. Staff # 37 did not have a tuberculosis screening done until 9/25/23. Staff # 39 did not have a tuberculosis screening done at initial hire. Staff # 39 did not have a valid tuberculosis screening on file at the time of this inspection.

Correction Required: 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: An inspection occurred at the facility from 4/11/23 to 4/27/23. A review of staff files was conducted. See the code sheet for the dates of hire of staff. The following staff files were missing proof of education: Staff # 1, # 14, # 16, # 21, and # 33. An acceptable plan of correction was received on 5/23/23. An inspection occurred at the facility from 10/18/23 to 11/2/23. A review of staff files was conducted. Staff # 21 was still missing proof of education in their file and this staff could not be appropriately qualified for a childcare position 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. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: An inspection occurred at the facility from 4/11/23 to 4/27/23. During that time, staff files were viewed. See the code sheet for the dates of hire of staff. Staff persons # 1, # 3, # 5, # 14, and # 36 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training topics. Staff persons # 1, # 3, # 5, # 14, # 17, # 20, # 21, # 25, # 26, # 28, # 30, # 31, # 33, # 34, and # 36 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR. An acceptable plan of correction was received on 5/23/23. An inspection occurred at the facility from 10/18/23 to 11/2/23. During that time, staff files were viewed. Staff # 13 and # 21 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training topics. Staff # 13 took health and safety training topics on 7/31/23. Staff # 21 took health and safety training topics on 4/2/23. The file of Staff # 30 was reviewed. Staff # 30 still did not complete appropriate pediatric first aid/CPR. The file of Staff # 11 was also reviewed. Staff # 11 was working at the facility without having current training in pediatric first aid/CPR. This staff last took the training on 10/26/19. Staff # 18 does not current pediatric first aid/CPR training. The file of Staff # 4 was reviewed, and this staff did not update their pediatric first aid/CPR training prior to their current training expiring. Staff # 4 took this training on 5/5/21 and did not take pediatric first aid/CPR training until 6/6/23. The file of Staff # 18 was reviewed, and this staff did not update their pediatric first aid/CPR training prior to their current training expiring. Staff # 18 took this training on 6/9/21. Staff # 18 does not current pediatric first aid/CPR 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 person # 11 and # 30 will have until 11/18/23 to complete the required training. Until such time as the required training has been completed, staff person # 11, # 18 and # 30 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 # 11, # 18 and # 30, staff person # 11, # 18 and # 30 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: An inspection occurred at the facility from 4/11/23 to 4/27/23. Staff files were reviewed. See the code sheet for the dates of hire of staff. Staff # 4 clearances are expired and dated as follows: child abuse 4/5/18 and the FBI 4/4/18. Staff # 24 had an FBI clearance expired on 1/13/18and this clearance was not updated until 1/18/23. Staff # 32 had a child abuse clearance expired on 12/14/17 and this clearance was not updated until 1/23/23 and had an FBI clearance dated 4/18/18 that has not yet been updated. The clearances of Staff # 4, # 24, and # 32 were not updated every 60 months as required by the CPSL. The file of Staff # 3 indicated this staff had lived in New York and Connecticut. See the code sheet for the date of hire of this staff and at the time of this inspection, the file of Staff # 3 did not have the clearances for these states. Staff # 3 was hired in correctly as a provisional hire. The file of Staff # 13 indicated this staff had lived in New York. See the code sheet for the date of hire of this staff and at the time of this inspection, the file of Staff # 13 did not have the clearances for this state. Staff # 13 was hired in correctly as a provisional hire. See the code sheet for the date of hire of Staff # 34. Staff # 34 was hired using a volunteer child abuse clearance dated 3/29/22. Staff # 34 was hired incorrectly per the CPSL. See the code sheet for the date of hire of the following staff: Staff # 25, and # 26. These staff did not have a signed and dated disclosure statement in their file. An acceptable plan of correction was received on 5/23/23. An inspection occurred at the facility from 10/18/23 to 11/2/23. A review of staff files was conducted. Staff # 17 was hired incorrectly as a provisional hire. See the code sheet for the date of hire. Staff # 17 did not have a child abuse clearance prior to working in a child care role at the facility. Staff # 17 did not receive a child abuse clearance until 9/7/23.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: An inspection occurred at the facility from 4/11/23 to 4/27/23. A physical site review was conducted. In the preschool prep classroom, in the children's cubbies, a bottle of calamine lotion was found and accessible to children. The label on this bottle indicated that the bottle was to be kept out of reach of children. An acceptable plan of correction was received 5/23/23. An inspection occurred at the facility from 10/18/23 to 11/2/23. A physical site review was conducted. In the infant/toddler room on the second floor, a closet was found unlocked and a bottle of bleach was found accessible on the floor. The bottle indicated the need to be kept out of the 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(c)

Description: No insects or rodents

Noncompliance Area: An inspection occurred at the facility from 10/18/23 to 11/2/23. A physical site review was conducted. In the lower-level classrooms, rodent feces was found. Areas were addressed with the director during the inspection.

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

Regulation: 3270.76/3270.82(g)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: An inspection occurred at the facility from 10/18/23 to 11/2/23. A physical site review was conducted. All bathroom areas used by the children were inspected. The bathrooms had a strong smell of urine.

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. Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: An unannounced inspection occurred at the facility on 5/26/23. A physical site inspection was conducted. Staff # 1 was working in a classroom with 12 preschool children. Staff # 1 stated they became out of ratio at about 9:30a.m. when 2 children arrived. Staff # 1 was out of ratio for roughly 20 minutes until the director was made aware and at that time, children were moved so that appropriate staff:child ratios were met.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: An unannounced inspection occurred at the facility on 5/26/23. A physical site inspection was conducted. Staff # 1 was working in a classroom with 12 preschool children. Staff # 1 stated they became out of ratio at about 9:30a.m. when 2 children arrived. Staff # 1 was out of ratio for roughly 20 minutes until the director was made aware and at that time, children were moved so that appropriate staff:child ratios were met.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The legal entity, director or supervisor will develop a policy to ensure appropriate ratios are always maintained when unforeseen circumstances arrive such as staff calling off or staff running late. The legal entity, director or supervisor will also develop a policy for staff and how they should handle situations when parents do not follow their agreed upon drop-off and pick-up times to ensure appropriate ratios are always maintained. This policy will be submitted to the Regional Office for review and, upon approval, will be reviewed with all staff. Staff will sign off that they have reviewed and understand these policies and this documentation will remain on file at the facility.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review as conducted. All classrooms were missing a posted emergency medical transportation plan. Per regulation this plan is to be posted in all childcare spaces.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff persons # 19 and # 33 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR Staff persons # 19 and # 33 were also observed working unsupervised.

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. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Until such time as the required training has been completed, staff person # 19 and # 33 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 # 19 and # 33, staff person # 19 and # 33 may not work in a child-care position at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person # 4 was observed to be caring for children unsupervised. Staff person # 4 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/28/18.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required trainings are completed, staff person # 4 must be supervised, when interacting with children, by a AGS who has completed the required training related to this citation. 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The following staff were observed to be caring for children unsupervised without the following required trainings completed: Staff person # 7 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 3/21/21. Staff person # 9, and # 11 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 10/26/19. Staff person # 22 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 4/5/21. Staff person # 2, # 19, # 23, and # 24 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 4/6/21.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required trainings are completed, staff person # 1, # 2, # 4, # 7, # 9, # 11, # 19, # 22, # 23, # 24, and # 35 must be supervised, when interacting with children, by a AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person # # 1, # 2, # 4, # 7, # 9, # 11, # 19, # 22, # 23, # 24, and # 35, staff person # # 1, # 2, # 4, # 7, # 9, # 11, # 19, # 22, # 23, # 24, and # 35 may not work in a child care position at the facility.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire of staff. Staff # 1, # 14, # 16, did not have a health assessment and tuberculosis screening on file at the time of this inspection. Staff # 4 has not had an updated health assessment conducted since 1/7/21. Staff # 5 did not have a health assessment and tuberculosis screening conducted until 9/9/22 and 9/12/22. Staff # 6 had a health assessment on 12/29/19 and this staff did not participate in an updated health assessment until 4/14/22. Staff # 7 had a health assessment on 9/18/20 and this staff did not participate in an updated health assessment until 10/7/22. Staff # 9 had a health assessment on 12/17/19 and this staff did not participate in an updated health assessment until 2/6/23. Staff # 10 had a health assessment on 11/12/20 and this staff did not participate in an updated health assessment until 2/6/23. Staff # 23 had a health assessment on 8/6/20 and this staff did not participate in an updated health assessment until 3/22/23. Staff # 33 did not have a health assessment and tuberculosis screening conducted until #/24/23 and 3/27/23. Staff # 35 had a health assessment on 2/16/21 and this staff did not participate in an updated health assessment until 3/21/23.

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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire of staff. The following staff did not have a tuberculosis screening completed prior to working in childcare: Staff # 1, # 4, # 5, # 14, # 16, and # 33.

Correction Required: 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire of staff. The following staff files were missing proof of education: Staff # 1, # 14, # 16, # 21, and # 33.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: A renewal inspection occurred at the facility on 4/27/23. The following staff did not review the facility's emergency plan on an annual basis: Staff # 10 has not reviewed the emergency plan since 2/3/22. Staff # 12 has not reviewed the emergency plan since 1/5/22. Staff # 24 has not reviewed the emergency plan since 1/5/22. The following staff did not review the emergency plan within 90 days of their hire date (see code sheet for the date of hire): Staff # 17 reviewed the plan on 12/2/22. Staff # 25 reviewed the plan on 12/28/22.

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: A renewal inspection occurred at the facility on 4/27/23. A review of staff files was conducted. The following staff have not participated in annual fire safety training. The following staff last took fire safety training on: 6/7/21 - Staff # 4, # 7, # 8, # 12, and # 18; 7/2/21 - Staff # 11; 1/3/22 - Staff # 1; 3/4/22 - Staff # 27; 3/7/22 - Staff # 2, # 6, # 10, # 15, # 19, # 22, # 23, # 24, # 27, # 32 and # 35 The following staff have been hired for a year and have not participated in hire safety training: Staff #9 , # 20 and # 31

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: Staff persons # 1, # 3, # 5, # 14, and # 36 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training topics. Staff persons # 1, # 3, # 5, # 14, # 17, # 20, # 21, # 25, # 26, # 28, # 30, # 31, # 33, # 34, and # 36 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person # 1, # 3, # 5, # 14, # 17, # 20, #21 # 25, # 26, # 28, # 30, # 31, # 33, # 34, and # 36 will have until 5/23/23 to complete the required training. Until such time as the required training has been completed, staff person # 1, # 3, # 5, # 14, # 17, # 20, # 21, # 25, # 26, # 28, # 30, # 31, # 33, # 34, and # 36 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, # 3, # 5, # 14, # 17, # 20, # 21, # 25, # 26, # 28, # 30, # 31, # 33, # 34, and # 36, staff person # 1, # 3, # 5, # 14, # 17, # 20, # 25, # 26, # 28, # 30, # 31, # 33, # 34, and # 36 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person # 2, # 4, # 6, # 8, # 9, # 10, # 11, # 12, # 14, # 15, # 17, #, 18, # 19, # 20, # 22, # 23, # 24, # 25, # 26, # 27, # 28, # 30, # 31, # 32, # 33, and # 35 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. The listed staff still have not completed this training as of the date of the inspection.

Correction Required: Staff person # 2, # 4, # 6, # 8, # 9, # 10, # 11, # 12, # 14, # 15, # 17, #, 18, # 19, # 20, # 22, # 23, # 24, # 25, # 26, # 27, # 28, # 30, # 31, # 32, # 33, and # 35 complete the required one-hour 2022 update to the health and safety training by 5/23/23.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person # 4 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/28/18. Staff person # 1, and # 33 have not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person # 1, # 4 and # 33 will have until 5/23/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #, 1, # 4 and # 33 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person # 1, # 4, and # 33 staff person # 1, # 4, and # 33 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 occurred at the facility. A review of staff files was conducted. Staff # 4 clearances are expired and dated as follows: child abuse 4/5/18 and the FBI 4/4/18. Staff # 24 had an FBI clearance expired on 1/13/18and this clearance was not updated until 1/18/23. Staff # 32 had a child abuse clearance expired on 12/14/17 and this clearance was not updated until 1/23/23 and had an FBI clearance dated 4/18/18 that has not yet been updated. The clearances of Staff # 4, # 24, and # 32 were not updated every 60 months as required by the CPSL. The file of Staff # 3 indicated this staff had lived in New York and Connecticut. See the code sheet for the date of hire of this staff and at the time of this inspection, the file of Staff # 3 did not have the clearances for these states. Staff # 3 was hired in correctly as a provisional hire. The file of Staff # 13 indicated this staff had lived in New York. See the code sheet for the date of hire of this staff and at the time of this inspection, the file of Staff # 13 did not have the clearances for this state. Staff # 13 was hired in correctly as a provisional hire. See the code sheet for the date of hire of Staff # 34. Staff # 34 was hired using a volunteer child abuse clearance dated 3/29/22. Staff # 34 was hired incorrectly per the CPSL. See the code sheet for the date of hire of the following staff: Staff # 25, and # 26. These staff did not have a signed and dated disclosure statement in their file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The Legal Entity, Director, or any staff involved in the hiring of staff or staff files, will schedule and participate in the Existing Provider Orientation that will be conducted by the Northeast Regional Office in August of 2023.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 4 clearances are expired and dated as follows: child abuse 4/5/18 and the FBI 4/4/18. Staff # 24 had an FBI clearance expired on 1/13/18and this clearance was not updated until 1/18/23. Staff # 32 had a child abuse clearance expired on 12/14/17 and this clearance was not updated until 1/23/23 and had an FBI clearance dated 4/18/18 that has not yet been updated. The clearances of Staff # 4, # 24, and # 32 were not updated every 60 months as required by the CPSL. The file of Staff # 3 indicated this staff had lived in New York and Connecticut. See the code sheet for the date of hire of this staff and at the time of this inspection, the file of Staff # 3 did not have the clearances for these states. Staff # 3 was hired in correctly as a provisional hire. The file of Staff # 13 indicated this staff had lived in New York. See the code sheet for the date of hire of this staff and at the time of this inspection, the file of Staff # 13 did not have the clearances for this state. Staff # 13 was hired in correctly as a provisional hire. See the code sheet for the date of hire of Staff # 34. Staff # 34 was hired using a volunteer child abuse clearance dated 3/29/22. Staff # 34 was hired incorrectly per the CPSL. See the code sheet for the date of hire of the following staff: Staff # 25, and # 26. These staff did not have a signed and dated disclosure statement in their 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. Facility Person # 4, # 24, and # 32 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 occurred at the facility. A review of staff files was conducted. Staff # 4 clearances are expired and dated as follows: child abuse 4/5/18 and the FBI 4/4/18. Staff # 24 had an FBI clearance expired on 1/13/18and this clearance was not updated until 1/18/23. Staff # 32 had a child abuse clearance expired on 12/14/17 and this clearance was not updated until 1/23/23 and had an FBI clearance dated 4/18/18 that has not yet been updated. The clearances of Staff # 4, # 24, and # 32 were not updated every 60 months as required by the CPSL. The file of Staff # 3 indicated this staff had lived in New York and Connecticut. See the code sheet for the date of hire of this staff and at the time of this inspection, the file of Staff # 3 did not have the clearances for these states. Staff # 3 was hired in correctly as a provisional hire. The file of Staff # 13 indicated this staff had lived in New York. See the code sheet for the date of hire of this staff and at the time of this inspection, the file of Staff # 13 did not have the clearances for this state. Staff # 13 was hired in correctly as a provisional hire. See the code sheet for the date of hire of Staff # 34. Staff # 34 was hired using a volunteer child abuse clearance dated 3/29/22. Staff # 34 was hired incorrectly per the CPSL. See the code sheet for the date of hire of the following staff: Staff # 25, and # 26. These staff did not have a signed and dated disclosure statement in their 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. The legal entity will submit complete files for any new hires for a period of three months to the NE Regional Office. During that time, new hires may not begin to work in child care until their file has been approved by the NE Regional Office. Submitted files will be reviewed within 1 week of submission.

Regulation: 3270.33(a)/3270.192(5)

Description: Each staff person meets quals/Two written references

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. The following staff were missing 2 letters of written reference in their file: # 1, # 13, # 14, # 16, # 25, and # 30. The following staff were missing 1 letter of written reference in their file: # 5, # 17, # 21, and # 29. These staff were unable to be appropriately qualified for a childcare role at the facility.

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 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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. The following staff evaluations were not conducted on an annual basis per regulation: Staff # 2 - previous 6/17/21, current 12/28/22 Staff # 4 - previous 6/24/21, current 12/19/22 Staff # 6 - previous 6/29/21, current 3/17/23 Staff # 7 - previous 7/2/21, current 12/19/22 Staff # 9 - previous 6/28/21, current 1/3/23 Staff # 11 - previous 7/6/21, current 3/17/23 Staff # 12 - previous 6/30/21, current 3/17/23 Staff # 15 - previous 6/24/21, current 3/17/23 Staff # 18 - previous 6/24/21, current 12/19/22 Staff # 20 - previous 3/23/22, no annual update Staff # 22 - previous 6/17/21, no annual update Staff # 23 - previous 6/29/21, current 3/15/23 Staff # 27 - previous 3/4/22, no annual update Staff # 32 - previous 3/17/22, no annual update Staff # 35 - previous 6/30/21, current 12/19/22

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. In the preschool prep classroom, in the children's cubbies, a bottle of calamine lotion was found and accessible to children. The label on this bottle indicated that the bottle was to be kept 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: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. The first aid-kit in the preschool class was on the floor and was accessible to children. Per the regulation, first-aid kits must be inaccessible to children.

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

Regulation: 3270.113(b)/3270.113(e)

Description: No physical punishment /Restraints prohibited

Noncompliance Area: On 6/24/2022, Child #1 was observed on facility video to be picked up by the upper arm inappropriately by Staff #1 at approximately 9pm because the child would not lay down on their cot and was disrupting other children. Child #1 received bruises to their arm as a result. Staff #1 admitted to also restraining Child #1 because the child was being disruptive to other children.

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(b)/3270.113(e)

Description: No physical punishment /Restraints prohibited

Noncompliance Area: On 6/24/2022, Child #1 was observed on facility video to be picked up by the upper arm inappropriately by Staff #1 at approximately 9pm because the child would not lay down on their cot and was disrupting other children. Child #1 received bruises to their arm as a result. Staff #1 admitted to also restraining Child #1 because the child was being disruptive to other children.

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 Staff #1 to receive a minimum of 2 hours of PQAS-approved training regarding behavior management. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 1 had a health assessment dated for 12/29/19 and this health assessment was not updated until 2/23/22. Staff # 3 had a health assessment dated for 5/29/19 and health assessment was not updated until 2/8/22. See code sheet for the hire date of Staff # 6. Staff # 6 did not obtain a health assessment until 5/9/22 and the file was missing a tuberculosis screening. Staff # 6 did not obtain an health assessment and TB prior to working in child care.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire for the following staff. Staff # 7 was hired with the file missing one letter of written reference. Staff # 8 was hired with the file missing two letters of written 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)/3270.31(h)

Description: Health and Safety Training/Health and Safety Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire for the following staff. Staff # 2 did not complete the health and safety training topics and pediatric first-aid and CPR within 90 days of their hire date. The health and safety topics were completed on 1/23/22 and pediatric first-aid and CPR was completed on 5/10/22. Staff # 4 did not complete the health and safety training topics within 90 days of their hire date. The training topics were completed on 5/15/22.

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 occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire for the following staff. Staff # 5 did not receive an NSOR until 3/3/22. Staff # 5 worked at the facility past the 45 provisional hire window without this NSOR clearance being obtained as required by the CPSL. Staff # 9 did not receive a state police clearance until 5/18/22. Staff # 9 did not apply for this clearances as required to be hired as a provisional hire per the CPSL. Staff # 9 began working at the facility hired incorrectly as a provisional hire. The file of Staff # 9 also indicated this staff has lived in two other states and the appropriate clearances of those states were not in Staff # 9's file as required by the CPSL.

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: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: A renewal inspection occurred at the facility. A physical site inspection was conducted. A hole and peeling paint was found in the wall near the entrance door of the New Beginnings classroom. Also in the New Beginnings bathroom, a leak was found under the sink and around the toilet, the molding was coming off the wall exposing a hole. Areas of dirt were found and discussed with staff in the Kindertots room. The ceiling vents in this classroom were also observed dusty. The red gym was found dirty with food/drink stains on the floor, with dirt, garbage and other empty bottles laying on the floor. Tares and rips were found in the red padding that surrounds the gym walls. The big gym also found with dirt on the walls and floor. The red padding on the walls in the big gym also was found with tares and rips in it. The mens and women's bathroom attached to the big gym were found dirty and with strong urine smells.

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

Regulation: 3270.161(a)

Description: Wholesome

Noncompliance Area: On 3/3/22, an unannounced inspection occurred in conjunction with the Wilkes-Barre City Sanitarian. In the kitchen, 11 1/2 pints of expired milk, dated for 2/25/22, were observed.

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

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: A complaint inspection was conducted at the facility on 3/3/22. During this inspection, the preschool room was observed to have 1 staff with 11 preschool age children. The ratio for this group is 1 staff:10 preschool children. Also during interviews, staff indicated that the facility is often out of compliance with staff:child ratios.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. 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).