Childrens Express Inc

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 9:40 AM Certification Staff observed Staff #1 and #2 caring for a group of 27 preschoolers in Room 1. Staff #1 indicated Staff #3 had left the room to get art supplies. When asked to name the children in their assigned groups, Staff #1 identified 10 preschoolers and Staff #2 identified 10 preschoolers. Staff #3 was not physically present with the remaining 7 preschoolers in Room 1.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric first-aid/CPR and health and safety training.

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 pre- service trainings are completed, staff person #5 must be supervised, when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility

Regulation: 3270.151(a)

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

Noncompliance Area: The file of Staff #4 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #4 contained a health assessment dated 8/8/24.

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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file of Staff #4 lacked documentation of tuberculosis screening by the Mantoux method at initial employment (SEE LIS Code Sheet). The file of Staff #4 had a Mantoux test read date of 8/8/24.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Staff #5 lacked a National Sex Offender Registry Certificate prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #5 did not contain a NSOR. The file of Staff #5 lacked a State Criminal History Check, State Sex Offender Registry Check, and State Child Abuse and Neglect Registry Check from the State(s) in which Staff #5 resided in the last 5 years prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #5 did not contain a State Criminal History Check, State Sex Offender Registry Check, and State Child Abuse and Neglect Registry Check from the State(s) in which Staff #5 resided in the last 5 years. Staff #5, a provisional hire, was left alone for approximately 5 minutes with children while Staff #6 was outside getting a stroller to take the children for a walk.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 5 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. Facility Person # may not work in a child care position at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 9:40 AM Certification Staff observed Staff #1 and #2 caring for a group of 27 preschoolers in Room 1. Staff #1 indicated Staff #3 had left the room to get art supplies.

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.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 9:30 AM Certification Representative observed Staff #4 outside pushing an empty stroller. Staff #4 indicated staff were taking infants for a walk. When Certification Representative entered Room 5, Staff #4 and #5 were caring for 5 infants and 3 young toddlers. When Certification Representative asked Staff #4 who was in the room with Staff #4's assigned group of 1 infant and 3 young toddlers while Staff #4 was outside, Staff #4 indicated Staff #6. When Certification Representative asked Staff #5 who was in the room with Staff #5 while Staff #4 was outside, Staff #5 indicated Staff #5 was left alone with 5 infants and 3 young toddlers for approximately 5 minutes while Staff #4 was outside. When Certification Representative questioned Staff #6 about being in Room 5, Staff #6 indicated Staff #6 was outside with 2 preschoolers and 4 older toddlers and not in Room 5 with Staff #5.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 1/7/26, 2/5/26, 3/2/26, and 4/7/26.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 12/11/25 observed cracked LEGOS in Room 1. On 12/11/25 observed a cracked pink plastic connector in Room 1. On 12/11/25 observed a cracked bin containing magnets in Room 1. On 12/11/25 observed cracked LEGOS in Room 6. On 12/11/25 observed a cracked magna tile in Room 6. On 12/11/25 observed cracked stencils in Room 6.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: On 12/11/25 observed 11 pair of adult scissors in a plastic bin on the shelf above the desk on the school-age side of Room 6 which were accessible to children in care.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility did not have documentation of conducting emergency drills annually. The facility had documentation of an emergency drill being conducted on 2/11/25 with a previous one conducted on 1/26/24.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff #1 lacked documentation of completing mandated reporter training every 60 months. Staff #1 had documentation of completing mandated reporter training on 7/2/25 with previous training completed on 4/8/20.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #2 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 8/29/20. Staff person #2 had documentation of completing Part 1 of mandated reporter training on 1/16/22 and completing Part 2 of mandated reporter training on 8/29/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Staff #1 lacked a Child Abuse Clearance updated every 60 months. The file of Staff #1 contained a Child Abuse Clearance dated 7/8/25 with a previous one dated 4/14/20. The file of Staff #2 lacked a DHS FBI Clearance prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #2 contained a DHS FBI Clearance dated 8/4/23.

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.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On 12/11/25 the power strip tower lacked protective receptacle covers in Room 3 which were accessible to children 5 years of age or younger.

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

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: On 12/11/25 the telephone number of the nearest hospital, police department, fire department, ambulance and poison control was not posted by the telephone in Room 4.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 12/11/25 observed loose baseboard trim to the left of the sink in the Boys' Bathroom in Room 6.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: On 12/11/25 the toilet and sink area in the bathroom in Room #4 lacked a clean, lidded waste receptacle.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 12/16/24 observed approximately a 1 by 1 inch crack on a photo and craft keeper creating rough edges in Room 3.

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: On 12/1/6/24 observed a shelf containing a car garage/car wash which was unstable because it moved from side to side in Room 1. On 12/16/24 observed a doll house which was not anchored creating a potential tipping hazard in Room 1. On 12/16/24 observed 2 doll houses which were not anchored creating a potential tipping hazard in Room 6.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: On 12/16/24 emergency contact information for Child #3 was not present when Child #3 was receiving care in Room 4.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file of Child #1 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #1 contained health reports dated 5/31/23, 6/13/24, and 12/3/24.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The financial agreement for Child #2 was not reviewed and updated at least once in a 6-month period. Child #2's financial agreement was reviewed on 8/23/23, 5/31/24, 6/3/24, and 8/22/24.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter provided to the parent explaining emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.31(c)(3)(i)/3270.31(c)(3)(ii)

Description: Min. 400 hrs classroom training/Age and Training

Noncompliance Area: The file of Staff #3, who was designated as an aide, lacked documentation the curriculum included, at minimum, a total of 600 hours including a minimum of 400 clock hours of classroom training and a minimum of 200 clock hours of supervised training in a child care facility.

Correction Required: An individual 16 years of age or older who is enrolled in an approved training curriculum may be used as a staff person if the curriculum includes, at minimum, a total of 600 clock hours including a minimum of 400 clock hours of classroom training. A minimum of 200 clock hours of supervised training in a child care facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training. Staff person #1 completed health and safety training prior to 9/30/16 so it is not acceptable.

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 will have until January 21, 2025, to complete the required training. Until such time as the required training has been completed, staff person #1 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, staff person #1 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: The file of Staff #2 lacked a valid State Police Clearance because it did not have a "disseminated on" date. The file of Staff #5 lacked application for the National Sex Offender Registry Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #5 contained a NSOR request date of 6/10/24 and a NSOR dated 6/17/24.

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

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: At approximately 9:30 AM on 12/18/24 observed Staff #4 and Staff #6, who were both classified as aides, working alone together in Room 2.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 12/16/24 observed loose base trim in the corner of the girls' bathroom located in Room 6.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The Facility's Room #3, currently the spare room, was observed to lack a written plan of daily activities posted in that childcare space.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: The facility's young pre-school room had the medication Cetirizine present and labeled as belonging to child #1 without written consent for administration from the parent also present.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff person #1 was observed to have a Mandated reporter training certificate that was not signed by the instructor.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The facility was observed to have an oven with a broken glass oven door, with shards and chunks of glass present.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: Staff members #1 and #2 were observed exceeding ratio requirements when caring for 21 preschool children in the pre-school room.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: A wooden chair in the pre-school room was observed to be loose and unstable.

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: The refrigerator in the infant room was observed to have a temperature of 50 degrees.

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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for child #1 was observed to contain an emergency form that lacked the address of the child's physician or source of medical care.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility was observed to have an emergency plan that lacked a statement regarding continuity of care in the event of an emergency at the facility.

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: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility was observed to have an emergency plan that lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 12/16/21 observed a LEGO base with approximately 1/2 inch piece missing from the corner creating rough edges in the Preschool Classroom. On 12/16/21 observed two cracks both approximately 2 inches wide at the top of the green slide of the Pirate Ship climber creating pinch points in the Preschool/School-Age Outdoor Play Space. On 12/16/21 observed a cracked white bin containing numbered peg boards on the book shelf by the phone creating rough edges in the Pre K Classroom. On 12/16/21 observed approximately a 3 inch crack on a blue tub containing cardboard blocks creating pinch points in the Pre K Classroom.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #1 lacked the work telephone number of the enrolling parent on the emergency contact form.

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

Regulation: 3270.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: Child #2 lacked a health report which included 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.

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: 3270.151(a)

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

Noncompliance Area: Staff #2 and #4 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting. Staff #2 had a start date of 8/9/21 with health assessments dated 5/15/20 and 11/22/21. Staff #4 had a start date of 11/18/21 with a health assessment dated 12/1/21. Staff #3 lacked a health assessment conducted every 24 months. Staff #3 had a current health assessment dated 5/20/20 with a previous one dated 5/9/18.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: Staff #2 and #4 lacked an adult health assessment which included tuberculosis screening by the Mantoux method at initial employment. Staff #2 had a start date of 8/9/21 with a Mantoux test read date of 5/18/20. Staff #4 had a start date of 11/18/21 with a Mantoux test read date of 9/21/20

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.

Regulation: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: Staff #1 and #5 lacked an adult health assessment which included an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

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

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

Noncompliance Area: Staff #3, who was designated as an assistant group supervisor, lacked documentation of 2 years experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: On 12/16/21 the first-aid kit in the Preschool Classroom lacked 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: On 12/16/21 observed exposed bolts on the fence in the Toddler Outdoor Play Space. On 12/16/21 observed loose baseboard trim by the dishwasher in the Pre K Classroom.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility was unable to provide written documentation that the fire detection system was tested annually by a fire safety professional. The facility provided documentation that the fire detection system was tested by a fire safety professional on 10/14/21 with a previous test on 8/17/20.

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

Noncompliance Area: Observed a torn fire station pop up tent beside the refrigerator in the Pre K Classroom upstairs. Observed a cracked bin containing wooden houses, trees, and cars by the easel in the Pre K Classroom upstairs. Observed a torn window frame on the pop up castle which allowed a metal rod to protrude creating rough edges in the Preschool Classroom. Observed foam numbers with bite marks and pieces missing in the Pre K Classroom downstairs. Observed a Jake and the Never Land Pirates Play Hut with approximately a 2 inch tear on the roof by the climber in the Pre K Classroom downstairs. Observed a tunnel with loose trim by the climber in the Pre K Classroom downstairs. Observed a number ball with approximately a 1 inch by 2 inch tear with exposed stuffing in the Pre K Classroom downstairs. Observed torn tumbling mats with exposed foam by the climber in the Pre K Classroom downstairs. Observed a torn half circle cube with exposed foam by the climber in the Pre K Classroom downstairs.

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.

Noncompliance Area: Observed rest equipment not labeled for the use of a specific child in the Pre K Classroom upstairs.

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: Observed children sleeping on rest equipment in the Young Toddler Classroom which lacked 2 feet of space on three sides. Observed approximately 4 inches of space between 2 children and approximately 1 foot of space between 2 children in the Young Toddler Classroom.

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: The file of Child #2 lacked a Child Service Report updated every 6 months. The file of Child #2 contained a Child Service Report dated 10/22/19 with the previous one dated 10/19/18.

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

Noncompliance Area: The file of Child #3 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form.

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

Noncompliance Area: Emergency contact information for Child #5 was not present when Child #5 was in the Young Toddler Classroom.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Noncompliance Area: The file of Child #1 lacked a reviewed and updated financial agreement which should have been reviewed at least once in a 6-month period. Child #1 had an admission date of 8/26/15 with a financial agreement reviewed on 8/28/19, 9/23/19, and 11/19/19. The file of Child #4 lacked a reviewed and updated emergency contact form and financial agreement which should have been reviewed at least once in a 6-month period. Child #4 had an emergency contact form reviewed on 11/1/19 with a previous review on 4/8/19. Child #4 had a financial agreement reviewed on 11/4/19 with a previous review on 4/8/19.

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.

Noncompliance Area: The file of Child #4 lacked an initial health report no later than 60 days following the first day of attendance at the facility. Child #4 had an admission date of 4/10/19 with a health report dated 10/22/19.

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: The file of Child #4 lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: The file of Staff #2 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting. Staff #2 had a start date of 7/9/19 with a health assessment dated 12/2/19.

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: The file of Staff #5 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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: The file of Staff #2 lacked documentation of training regarding the emergency plan at the time of initial employment. Staff #2 had a start date of 7/9/19 with documentation of emergency plan training on 8/29/19.

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.

Noncompliance Area: The file of Staff #2 lacked a copy of a signed disclosure statement at initial service in a child care setting. Staff #2 had a start date of 7/9/19 with a disclosure statement dated 10/17/17. The files of Staff #4 and #5 lacked a National Sex Offender Registry Verification Certificate. Staff #4 had a start date of 11/6/19. Staff #5 had a start date of 11/27/19. The file of Staff #7 lacked a valid FBI clearance. Staff #7 had a start date of 6/3/19 with a Department of Education FBI Clearance dated 5/6/19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4 ,#5 , and #7 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 #4, #5, and #7 may not work in a child care position at the facility.

Noncompliance Area: The file of Staff #1, who was designated as an assistant group supervisor, lacked documentation of 1 year of experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The files of Staff #2, #3, and #6, who were designated as an assistant group supervisors, lacked documentation of 2 years experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: Observed a power strip on the shelf to the left of the TVs which lacked protective receptacle covers in the Pre K Classroom downstairs. Observed a power strip by the aquarium which lacked protective receptacle covers in the Pre K Classroom downstairs. Observed a power strip to the left of the refrigerator by the block area which lacked protective receptacle covers in the Pre K Classroom downstairs.

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

Noncompliance Area: Two sinks in the Preschool Classroom lacked hand washing signs. The sink in the Young Toddler Classroom lacked a hand washing sign.

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.

Noncompliance Area: Observed a cracked yellow pretend clipboard creating pinch points in the kitchen play area in the Preschool Room downstairs. Observed 2 cubbies to the right of the emergency exit which were not anchored creating a potential tip hazard in the Preschool Room downstairs. Observed gym mats with exposed foam on the shelf beside the climber in the Preschool Room downstairs. Observed red and orange tumble blocks with exposed foam beside the climber in the Preschool Room downstairs. Observed a purple mat with exposed foam on the climber in the Preschool Room downstairs. Observed torn cardboard stacking blocks on the shelf with the musical instruments in the Preschool Room downstairs. Observed a bin labeled "zoo animals" with a crack/hole creating rough edges and pinch points in the Older Toddler Room. Observed a Little Tykes white house with a blue roof with a piece missing at the door in the Preschool/School-Age Outdoor Play Space. Observed a boat climber with a crack across from the steering wheel creating rough edges in the Preschool/School-Age Outdoor Play Space.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: The file of Child #4 lacked the child's arrival and departure times on the agreement.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: The files of Children #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 contained the original agreement. The facility did not make a copy for the files and give the original to the parent.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: The file of Child #5 lacked the address of the child's physician or source of medical care on the emergency contact form. The file of Child #6 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

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

Noncompliance Area: The file of Child #9 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

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

Noncompliance Area: The file of Staff #5 lacked a health assessment which includes an examination for communicable diseases and the results of that examination as well as the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: The file of Child #6 lacked a reviewed and updated emergency contact form which should have been reviewed at least once in a 6-month period. Child #6 had an emergency contact form reviewed on 6/11/17, 5/1/18, and 11/1/18.

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: The files of Staff #3 and #5 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file of Staff #3 contained one reference. The file of Staff #5 contained one 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

Noncompliance Area: Observed an electrical cord to a baby swing which was not secured creating a potential trip and/or strangulation hazard in the Infant Room. Observed adult scissors in the top drawer to the left of the kitchen sink in the Older Toddler Room which were accessible to children.

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

Noncompliance Area: The file of Staff #5 lacked documentation of training regarding the emergency plan at the time of initial employment. Staff #5 had a start date of 5/14/18 with documentation of emergency plan training on 5/30/18.

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.

Noncompliance Area: The file of Staff #2 lacked a complete FBI clearance. The file of Staff #2 did not contain a rap sheet. Staff #2 was removed from care. The file of Staff #4 lacked a signed disclosure statement before starting in child care. Staff #4 had a start date of 8/14/18 with a signed disclosure statement dated 8/17/18.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: The file of Staff #6 lacked documentation of 30 credit hours in early childhood education, child development, special education, elementary education or the human services field. The file of Staff #6 contained an Associate Degree in Medical Assistant and an Associate Degree in Interpreter Training but contained no transcripts.

Correction Required: A director shall have attained an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 4 years of experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file of Staff #1 lacked documentation of 2 years of experience with children.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: The file of Staff #4 lacked documentation of 2 years experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: The first-aid kit in the Preschool Room in the downstairs lacked adhesive bandages. The first-aid kit in the Infant Room lacked sterile gauze pads.

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: Observed a broken piece of siding trim on the first door in the Infant/Toddler Outdoor Play Space. Observed floor tile which were separating creating gaps between them under the bulletin board in the Preschool Room upstairs.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: Observed torn rest cots in the Young Toddler Room. Observed a torn 1/2 wedge with exposed foam in the Young Toddler Room. Observed a tear with exposed foam on the left corner of the purple mat in the Indoor Climber area. Observed mats by the Indoor Climber with frayed edges. Observed a Little Tykes water table with a cracked eye spy which created rough edges in the Infant, Young Toddler, and Older Toddler outdoor play space. Observed a crack at the handle of the seesaw in the Preschool/School-Age outdoor play space. Observed a cracked Little Tykes label on the house which created rough edges in the Preschool/School-Age outdoor play space. Observed a broken cap at the back of the rock climbing red slide in the Preschool/School-Age outdoor play space. Observed a cracked cover on the turtle sandbox in the Preschool/School-Age outdoor play space. Observed a crack on the Pirate Ship where the table used to be located in the Preschool/School-Age outdoor play space.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: Observed rest equipment in the Older Toddler Room which was not labeled for the use of a specific child. Observed rest equipment in the Young Toddler Room which was 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.

Noncompliance Area: The files of Children #1, #3, #4, #6, #8, and #9 lacked 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 (Child Service Reports).

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

Noncompliance Area: The file of Child #5 lacked the child's arrival and departure times on the agreement.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: The files of Children #5 and #7 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

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

Noncompliance Area: The file of Child #3 lacked the work address and work telephone number of the enrolling parent on the emergency contact form. The files of Children #4 and #7 lacked the complete work address of the enrolling parent on the emergency contact form.

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

Noncompliance Area: The files of Children #5 and #7 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form.

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

Noncompliance Area: The Infant Room, Young Toddler Room, Older Toddler Room, and Preschool 3 and 4 Room lacked a plastic-lined, hands-free covered can.

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

Noncompliance Area: The file of Staff #6 lacked a health assessment conducted every 24 months. The file contained a health assessment dated 1/4/17 with the previous one dated 12/11/14.

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: The file of Child #1 lacked a reviewed and updated emergency contact form and financial agreement which should have been reviewed at least once in a 6-month period. The file of Child #1 had an emergency contact form reviewed on 5/22/16, 12/1/16, and 6/1/17. The file of Child #1 had an agreement reviewed on 11/30/17 with a previous review on 11/28/16. The files of Children #3, #4, #5, #7, #8, #9, and #10 lacked a reviewed and updated financial agreement which should have been reviewed at least once in a 6-month period. The file of Child #3 had a financial agreement reviewed on 11/29/17 with the previous review on 4/12/17. The file of Child #4 had a financial agreement reviewed on 11/30/17 with the previous review on 8/29/16. The file of Child #5 had a financial agreement reviewed on 6/16/16, 5/5/17, 9/5/17, and 11/30/17. The file of Child #7 had a financial agreement reviewed on 11/30/17 with a previous review on 8/28/16. The file of Child #8 had a financial agreement reviewed on 8/28/17 with a previous review on 6/6/16. The file of Child #9 had a financial agreement reviewed on 8/25/17 with a previous review on 6/6/16. The file of Child #10 had a financial agreement reviewed on 9/22/16, 5/14/17, and 11/30/17.

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

Noncompliance Area: The file of Staff #3 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file contained one written, nonfamily 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

Noncompliance Area: Observed 2 pairs of adults scissors to the left of the sink in Preschool 2 which were accessible to children. Observed adult scissors in the drawer to the left of the stove in Pre-K which were accessible to children. Observed loose sheets in 4 cribs in the Infant Room.

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

Noncompliance Area: The file of Staff #2 lacked documentation of training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. Staff #2 had a start date of 10/17/17.

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.

Noncompliance Area: The files of Staff #1, Staff #4, and Staff #5 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months. The most recent written evaluation in the file of Staff #1 was dated 11/22/16. The most recent written evaluation in the file of Staff #4 was dated 11/21/16. The most recent evaluation in the file of Staff #5 was dated 11/22/16.

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

Noncompliance Area: Observed a first-aid kit on the shelf at the entrance of Preschool 2 which was accessible to children. Observed a first-aid kit hanging on a hook in a cubby in Pre-K which was accessible to children.

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

Noncompliance Area: Observed a loose toilet paper holder in the bathroom stall closest to the kitchen area in the Older Toddler Room. Observed splintering wood on the picket fence around the AC unit. Observed exposed bolts at the gate and on the fence in the Infant, Young Toddler, and Older Toddler outdoor play space.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: The file of Staff #1 lacked a health assessment updated every 24 months. The most recent health assessment on file was dated 6/9/15.

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: The facility lacked an individual record for Staff #2 who was acting as a lifeguard during a swimming field trip.

Correction Required: An individual record is required for each facility person.