Children Of America North Wales Llc

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 3/24/26, it was observed that the records of staff person #1 and staff person #2 did not contain an updated National sex Offender Registry certificate (NSOR) as required by the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 & #2 may not work in a childcare position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: During the unannounced inspection on 2/20/26, it was observed via video that staff #1 used physical punishment with a child.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the renewal inspection on 4/1/25, it was observed that the mats/cots were not labeled for the use of a specific child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: During the renewal inspection on 4/1/25, it was observed that the records of staff person #1 and staff person #2 did not include acceptable verification of education.

Correction Required: 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: 3270.75(c)

Description: Has all items

Noncompliance Area: During the renewal inspection on 4/1/25, it was observed that the first aid kits were missing items in Rooms PreK A, Infant B, and Infant A.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the unannounced inspection from 12/2/24-12/13/24, it was determined that children were not being supervised at all times

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: During the unannounced inspection on 9/12/24-10/9/24, it was verified that the school age children use an open grassy area for play adjacent to a busy street.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: During the renewal inspection on 3/21/24, it was observed that the records of child #3, child #4, child #5, child #6, and child #7 did not specify the amount of the fee to be charged.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection on 3/21/24, it was observed that the records of child #3 and child #4 did not include the Child Service Report..

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During the renewal inspection on 3/21/24, it was observed that the records of child #1, child #2, child #3, child #4, child #5, child #6, and child #7 did not include 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: 3270.131(a)/3270.131(d)(5)

Description: Health information/Immunization record

Noncompliance Area: During the renewal inspection on 3/21/24, it was observed that the records of child #4 did not include an initial health report. The records of child #6 did not include an initial Health report and immunized status.

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

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: During the renewal inspection on 3/21/24, it was observed that the records of child #5 did not include an updated Health report. Report dated 11/15/2022.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection on 3/21/24 it was observed that the records of staff person #1 did not contain the 1-hr Health and safety update as required by the CCDBG.

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: 3270.176(a)

Description: Insured

Noncompliance Area: During the renewal inspection on 3/21/24, it was observed that there were no documents available on site to verify that the vehicle was insured.

Correction Required: A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

Regulation: 3270.24(a)

Description: Immediate access

Noncompliance Area: During the renewal inspection on 3/21/24, it was observed that there was no immediate access to the records.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 3/21/24, it was observed that the records of facility person #2 did not contain complete clearances for the PA State Police clearance and the Federal Bureau of Investigations (FBI) clearance for a provisional hire. The records of staff person #1 did not include the Mandated reporter training as required by the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 & # 2 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.113(c)/3270.183(b)

Description: No ridicule or threaten harm/No information disclosed

Noncompliance Area: During investigation it was verified that facility person #1 was disclosing information concerning a child and their family to another family. Also, facility person #1 singled child out.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not disclose information concerning a child or family, except in the course of inspections and investigations by agents of the Department.

Regulation: 3270.182(7)

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

Noncompliance Area: During investigation child did not have incident report on file.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: During investigation toddler class was out of ratio.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: At the time of investigation facility person 1 admitted to pushing child's chin to make them eat and also put child in chair a little rough.

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

Regulation: 3270.162(d)

Description: Not forced to eat

Noncompliance Area: At the time of investigation facility person #1 confirmed she was pushing child's mouth to have him chew and eat cornbread.

Correction Required: A child may not be forced to eat food.

Regulation: 3270.92(a)

Description: No portable space heaters

Noncompliance Area: At the time of investigation facility person #1 was using space heater in her office.

Correction Required: Portable space heaters are not permitted.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: At the time of investigation facility person 1 admitted to pushing child's chin to make them eat and also put child in chair a little rough.

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

Regulation: 3270.162(d)

Description: Not forced to eat

Noncompliance Area: At the time of investigation facility person #1 confirmed she was pushing child's mouth to have him chew and eat cornbread.

Correction Required: A child may not be forced to eat food.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At the time of inspection children in the afterschool program were not receiving appropriate supervision.

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

Regulation: 3270.151(b)/3270.192(3)

Description: Conducted by physician, PA or CRNP/Health assessment, TB test

Noncompliance Area: At the time of inspection facility person #3 did not have a health assessment on.

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title. 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)(ii)/3270.192(3)

Description: Record include X-ray results and evaluation/Health assessment, TB test

Noncompliance Area: At the time of inspection facility person 3 did not have a Mantoux test reading and results on file.

Correction Required: A record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis. 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)

Description: Exp, educ., training prior to facility

Noncompliance Area: At the time of inspection facility person #6 did not have proof of qualifications on file.

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

Regulation: 3270.31(f)/3270.31(g)

Description: Health and Safety Training/Professional development certificate

Noncompliance Area: At the time of inspection facility person #4 and 8 did not have health and safety training on file.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Regulation: 3270.32(a)/3270.192(2)(iv)

Description: Comply with CPSL/Transcript, diploma and letters

Noncompliance Area: At the time of inspection facility persons #2 and 7 did not have NSOR certificate on file,

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 & 7 may not work in a childcare position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include 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.

Noncompliance Area: On 8/5/20 during renewal inspection, certification representative reviewed 7 staff files. Staff #1's heath assessment was dated for 4/4/2018. Date of hire was 8/13/2007.

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.

Noncompliance Area: On 8/5/2020 during renewal inspection, certification representative reviewed 7 staff files. Staff #1's mandated reporter training was dated for 12/17/14. Date of hire was 8/13/2007. Staff #2's mandated reporter training was dated for 2/9/15. Date of hire was 4/9/12. Staff #3 did not have mandated reporter training on file. Date of hire was 4/29/19. Staff #3 did not have an NSOR clearance on file. Date of hire was 4/29/19. Staff #4 did not have an NSOR clearance on file. Date of hire was 6/10/19. Staff #3 did not have a state police clearance on file. Date of hire was 4/29/19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1,2,3,4 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1,2,3,4 may not work in a child care position at the facility.

Noncompliance Area: A staff member yelled and screamed at children throughout the day ongoing to deal with transitions and challenging behavior.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Noncompliance Area: Ocdel rep observed several preschoolers clean up toys then go to the table and have lunch without washing their hands directly prior to eating. The staff noted the children's hands were washed prior to cleaning the toys up. In addition, a staff wiped a child's nose w

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

Noncompliance Area: During a field trip on 7/3/2019 to a movie theater, a child left the group, unnoticed by the supervising staff, and went to the restroom unsupervised. A staff person from a different facility, at the same theater, found the child and returned him to his group.

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.

Noncompliance Area: During the renewal inspection, a review of the children's records found that Child #1 did not have a health assessment that had been updated within the last 12 months. The last health assessment on record was dated 3/8/2018.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: At the time of the renewal inspection, a review of the staff records found that the record for Staff #1 and Staff #2 did not have 2 written nonfamily references on file.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON 3-9-18, CERT REP OBSERVED OUT OF DATE HEALTH ASSESSMENTS FOR CHILD 4 AND CHILD 7.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: DURING RENEWAL INSPECTION ON 3-9-18, CERT REP OBSERVED OUT OF DATE SIGNATURES UPDATING EMERGENCY CONTACT INFORMATION AND FINANCIAL AGREEMENT FOR CHILD 1, 4, 5, 6, 7, AND 10.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: DURING RENEWAL INSPECTION ON 3-9-18, CERT REP OBSERVED MISSING SIGNED PARENTAL CONSENT FOR TRANSPORTATION, WALKING EXCURSIONS, SWIMMING AND WADING FOR CHILD 4 AND 5.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON 3-9-18, CERT REP OBSERVED MISSING RAP SHEET WITH THE FBI CLEARANCE FOR STAFF 8, AS WELL AS AN OUT OF DATE FBI CLEARANCE FOR STAFF 9.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Noncompliance Area: AT TIME OF UNANNOUNCED MONITORING ON 4-20-17, STAFF PERSON #1 WAS OBSERVED WORKING ALONE IN THE PRE-2 ROOM, FOR APPROXIMATELY 10 MINUTES, WITH 14 PRE-SCHOOL CHILDREN. SOME CHILDREN WERE ON REST EQUIPMENT, BUT MORE THAN HALF OF THE CLASS WAS UP AND ACTIVE. THIS SITUATION REQUIRED 2 STAFF.

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

Noncompliance Area: AT TIME OF INSPECTION ON 4-6-17, A CHILD IN THE INFANT B CLASSROOM WAS SLEEPING ON A BOPPY PILLOW ON THE FLOOR.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child`s parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: AT TIME OF INSPECTION ON 4-6-17, IN INFANT B ROOM, AN INFANT WAS SLEEPING IN HIS CRIB, AND THERE WAS NOT AT LEAST 2 FEET OF SACE ON THREE SIDES OF THE CRIB.

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

Noncompliance Area: AT TIME OF INSPECTION ON 4-6-17, THE AGREEMENT FOR CHILD #6 DID NOT SPECIFY THE INDIVIDUALS TO WHOM THE CHILD MAY BE RELEASED. THE EMERGENCY CONTACT FORM FOR CHILD #6 DID NOT INCLUDE THE RELEASE PERSON'S ADDRESS.

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

Noncompliance Area: AT TIME OF INSPECTION ON 4-6-17, THE EMERGENCY CONTACT FORM FOR CHILD #1 DID NOT INCLUDE THE HEALTH INSURANCE POLICY NUMBER. THE EMERGENCY CONTACT FOR CHILD #3 DID NOT INCLUDE THE HEALTH INSURANCE COVERAGE OR POLICY NUMBER

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

Noncompliance Area: AT TIME OF INSPECTION ON 4-6-17, THE FILE FOR CHILD #5 ( DATE OF ENROLLMENT 11/30/15) DID NOT CONTAIN A PHYSICAL OR IMMUNIZATION SCHEDULE.

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.

Noncompliance Area: AT TIME OF INSPECTION ON 4-6-17. THE FILE FOR CHILD #1, #3, AND #4, DID NOT CONTAIN UPDATED HEALTH REPORTS OR IMMUNIZATION SCHEDULES.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerThe operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: AT TIME OF INPSECTION ON 4-6-17, THE FACILITY WAS TEMPORARILY USING AN 11-15 PASSENGER RENTAL VAN TO TRANSPORT CHILDREN TO/FROM SCHOOL WHILE THEIR BUS WAS BEING REPAIRED.

Correction Required: In accordance with the requirements of 67 Pa. Code Chapter 171 (relating to school buses and school vehicles), the facility may not transport a child in an 11-15 passenger van.

Noncompliance Area: AT TIME OF INPSPECTION ON 4-6-17, THE AGREEMENTS FOR CHILD #1, #2, #3, #4 HAD NOT BEEN UPDATED WITHIN A 6 MONTH PERIOD. THE EMERGENCY CONTACT FOR CHILD #4 HAD NOT BEEN UPDATED WITHIN A 6 MONTH PERIOD.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: AT TIME OF INSPECTION ON 4-6-17, STAFF PERSON #1 DID NOT HAVE ENOUGH DOCUMENTATION OF EXPERIENCE TO QUALIFY FOR THE AGS POSITION. STAFF PERSON #3 DID NOT HAVE VERIFICATION OF A HIGH SCHOOL DIPLOMA IN THE STAFF FILE.

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

Noncompliance Area: AT TIME OF INSPECTION ON 4-6-17, THE FILE OF STAFF PERSON #1, HIRE DATE 2-14-11, DOES NOT CONTAIN COMPLETED CHILD ABUSE AND CRIMINAL HISTORY INFORMATION REQUIRED UNDER THE CPSL. THE FBI CLEARANCE FOR STAFF PERSON #1 IS DATED FROM 4-23-11.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility.

Noncompliance Area: AT TIME OF INSPECTION ON 4-6-17, THERE WAS A TOXIC PLANT (PHILODENDRON) IN THE PRE-K 2 CLASSROOM.

Correction Required: Toxic plants are not permitted in a child care space.

Noncompliance Area: AT TIME OF INSPECTION ON 4-6-17, THE FIRST AID KITS IN THE INFANT B AND KINDERGARTEN CLASSROOM WERE MISSING SOAP AND TWEEZERS.

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

Noncompliance Area: AT TIME OF INSPECTION ON 4-6-17, THE BATHROOM IN THE PRE-K 2 CLASSROOM HAD A LIGHT THAT WAS NOT WORKING.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Noncompliance Area: AT TIME OF INSPECTION ON 4-6-17, THERE WAS A HANDWASHING SIGN MISSING ABOVE THE SINK IN THE KINDERGARTEN CLASSROOM.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.