Growing Adventures

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: It was observed on 4/17/2026 on the preschool playground, the large piece of outdoor climbing equipment that requires embedded mounting is not mounted over at least 9 inches of loose-fill.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: It was observed on 4/17/2026 in the older toddler classroom staff person #4 used their hand to lift the lid to the hands-free covered can while discarding a soiled diaper. Staff person #4 failed to use the hands-free mechanism on the diaper pail.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The health assessment for staff person #1 (DOH see LIS code sheet) was not updated in a timely manner. This is evidenced by health assessments dated 2/19/2024 and 3/31/2026, which exceeds 24 months. The health assessment for staff person #4 (DOH see LIS code sheet) was not updated in a timely manner. This is evidenced by health assessments dated 8/2/2022 and 9/11/2024, which exceeds 24 months.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff person #4 (DOH see LIS code sheet) did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. This is evidenced by documentation of their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) being dated 4/30/2022-2024 and 12/10/2024 - 2026.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff person #2 (DOH see LIS code sheet) did not complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. This is evidenced by their training certificate in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation being dated 3/28/2026 - 2028.

Correction Required: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The operator did not comply with the CPSL as clearances for staff person #3 were not renewed in a timely manner. This is evidenced by PSP clearances dated 8/10/2020 and 9/12/2025, child abuse clearances dated 8/13/2020 and 9/23/2025, and FBI clearances dated 8/20/2020 and 9/12/2025, which all exceeded 60 months. The operator did not comply with the CPSL as mandated reporter training for staff person #4 was not renewed in a timely manner. This is evidenced by mandated reporter training certificates dated 2/28/2021 and 3/24/2026, which exceeds 60 months.

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

Regulation: 3270.61(e)/3270.62(c)

Description: Halls, etc. not included/Space safe for large muscle activity

Noncompliance Area: it was observed on 4/17/2026 the back hallway of the facility is set up and being used for large muscle activity for the young toddlers on inclement weather days. A hallway may not be included in measured indoor space and is not safe for large muscle activity.

Correction Required: Measured indoor space excludes space occupied by halls, bathrooms, offices, kitchens and locker rooms. Outdoor or indoor play space shall be safe for large muscle activity.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed on 4/17/2026 in the Older Toddler Room a Magic Eraser is being stored in a pull out drawer that has a broken child safety latch on it, making the drawer and it's contents accessible to 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: 3270.66(b)

Description: Original container

Noncompliance Area: It was observed on 4/17/2026 in the infant room three (3) spray bottles containing cleaning materials are hanging from a shelf used to store food. It was observed on 4/17/2026 in the Older Toddler room two (2) Magic Erasers are not stored in an original labeled container or in a container that specifies the content.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed on 4/17/2026 in the Pre-K room the bunny habitat was excessively dirty and littered with animal feces.

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: It was observed on 4/17/2026 the sink area in the young toddler room is not equipped with a clean, lidded waste receptacle and the lid to the waste receptacle beside the diapering area is visibly dirty.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The Director or designated staff person who is responsible for compliance with this chapter does not have proof of purchase of an interconnected fire detection system that is required to be kept with the facility's fire drill logs in accordance with section 1016(c) of the act (62 P.S. § 1016(c)).

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: At the time of inspection, documentation of child service reports completed every 6 months was not available for child #1.

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)(5)

Description: Information re: special needs

Noncompliance Area: At the time of inspection, information about a child's disability was not available on the emergency contact form for child #2.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: During the inspection, children were observed to leave the diaper changing table and reenter the classroom play area before their hands were washed in the Toddler 1 and the Older Twos classrooms. Verbal prompts from the CR were provided before the child was called over to the sink.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of inspection, plan to address continuity of operations was not available in the program's emergency plan.

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(e)

Description: Letter to parents

Noncompliance Area: A statement detailing accommodations for infants, toddlers, and children with special needs or chronic medical conditions was not available in the emergency plan letter to parents.

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(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff person #2 had not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 10/2024 and the current certificate, which was completed on 12/10/24. Staff person #3 had not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 9/2024 and the current certificate, which was completed on 12/10/24.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of inspection, staff #2 was observed to have exceeded the 60-month requirement for the reissuance of the child abuse clearance, as evidenced by the previous child abuse clearance dated 7/25/19 and a new child abuse clearance dated 8/8/24.

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

Description: HS/GED/Transcript, diploma and letters

Noncompliance Area: At the time of inspection, education verification in the form of an evaluation of a foreign degree was not avaialble for staff #1.

Correction Required: An aide shall have a high school diploma or a general educational development certificate. 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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During the inspection, water in the bathroom adjacent to the indoor play space was observed to be 120 degrees F. Water in the white, utility sink within the older preschool room was observed to be 118 degrees F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the inspection, tape was not available in the first aid kit in the young preschool room. CORRECTED ON SITE.

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: 3270.69(a)

Description: Running water/ safe drinking water

Noncompliance Area: Facility did not have verification of an approved water source on file. Facility is on a well and requires the Public Water System Compliance form be filled out prior to license renewal by the Department of Environmental Protection (DEP). Upon review, the form was not completed or on file.

Correction Required: A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the young toddler room a plastic shopping bag and a plastic zip lock bag were observed to be accessible to children in the cubby area.

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

Regulation: 3270.111(c)/3270.113(d)

Description: Promote development/No harsh language

Noncompliance Area: In the young preschool room, staff #6 was in the bathroom with a group of children. Staff #6 could be heard yelling and using harsh language with the children when they were not following directives.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact form for child #2 was missing a complete work address for the father. address on file contained the city but no other information.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: Emergency contact form for child #1 and #3 were missing the information on the child's disability.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: There was no parental consent to administer medication for child #5. Medication for child #5 was observed to be in the classroom.

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

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: Child #5 was observed to have medication in the classroom, however there was no medication log on file for child #5 Medication log for child #4 did not list symptoms for use of the medication. Medication log stated to "use with allergic reaction" but did not list symptoms of an allergic reaction.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: In the infant room, a hands free diaper pale was observed to be inaccessible to staff after changing diapers. Diaper pale was positioned in a way that did not allow for hands free use. Corrected on site by moving the diaper pale to a different area.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: Health assessment for staff #2 and #5 did not list a date in which the TB test was completed.

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: 3270.166(5)

Description: Six-months-old held

Noncompliance Area: Child #1 was observed to be sitting in a bouncer while a staff was feeding the child a bottle. Child #1 was under the age of 6 months at the time of observation.

Correction Required: An infant 6 months of age or younger shall be held while being bottle fed.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: On the preschool playground, multiple "spikey weeds" were observed to be growing in the mulch accessible to children. The plants contained jagged edges that are a hazard to children and staff.

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

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

Description: Age and Training

Noncompliance Area: Staff number 1 completed Pediatric CPR/first aide on 2/9/22 and updated on 4/8/24, which is greater was past the expiration date. Staff person #1 now has approved Pediatric CPR on file.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff Person #1 had a state police clearance dated 8/28/18 and updated on 9/8/23, a child abuse clearance dated 9/7/18 and updated on 9/18/23, and an FBI clearance dated 8/31/18 and updated on 9/20/23, all of which were completed greater than 60 months. Staff #3 had a state police clearance dated 8/28/18 and updated 9/8/23, a child abuse clearance dated 9/9/18 and updated 9/18/23, and an FBI clearance dated 8/31/18 and updated on 9/20/23, all of which were completed. greater than 60 months. Staff #4 did not have an NSOR clearance on file. Staff #4 may not be on facility premises until clearance is obtained and 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 # 4 may not be on facility premises until clearance is received and on file. 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 #4 may not be on the facility premises.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the Young Toddler room, peeling paint was observed on the wall. In the upstairs preschool room, peeling paint was observed on the door frame of the exit door near the bathroom. Paint was observed to be chipping off, leaving exposed rust. In the young Preschool room, peeling paint was observed near the floor on the door frame of the exit door leading to the playground.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Fire drill was completed on 8/21/23 and again on 10/31/23, which is greater than 60 days.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.19(b)

Description: Child abuse reporting

Noncompliance Area: Staff #1 was made aware of reportable concerns with a child and did not make a report to ChildLine. Staff #1 reported that when they initially heard the concerns Staff #1 did not notify parents or management. After another incident happened staff #1 notified management and management made a report to ChildLine.

Correction Required: A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department.

Regulation: 3270.24(a)

Description: Immediate access

Noncompliance Area: During an inspection in the afternoon on 4/8/24, Staff #1 was identified as the designated person in charge. Staff #1 did not have access to staff and child files to provide to the certification representative upon request,

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: 3270.111(c)

Description: Promote development

Noncompliance Area: Staff #1 reported that child #1 pulled down their pants and exposed themselves to child #2 and #3. Staff #1 had previously been made aware of concerning behaviors amongst the children but did not notify parents or management about the behaviors when they were initially discovered.

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.

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

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

Noncompliance Area: Upon entering the Older Preschool Room, 9 children were observed to be in the child care space with no teacher present for approximately 2 minutes. After review of the room, staff #1 was observed to be located in the bathroom with a child assisting with changing the child's clothing. Staff #1 was not able to supervise the rest of the children while in the bathroom with the child.

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. DIRECTED PLAN OF CORRECTION: Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

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

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

Noncompliance Area: Upon entering the Older Preschool Room, 9 children were observed to be in the child care space with no teacher present for approximately 2 minutes. After review of the room, staff #1 was observed to be located in the bathroom with a child assisting with changing the child's clothing. Staff #1 was not able to supervise the rest of the children while in the bathroom with the child.

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. DIRECTED PLAN OF CORRECTION: Facility will participate in 2 TA sessions with Community Connections for Children Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.182(7)

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

Noncompliance Area: Child #1 sustained a scratch above the eye while in care after another child threw a pencil at him. There was no incident report on file for the injury.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the Older Toddler 2 classroom, a sensory bottle was observed to be unsecured, allowing children access to items within that were less than an inch in diameter. Corrected on Site by removing the bottle.

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

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: Medication was observed for child #1 and there was no prescription label with the medication.

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.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: Medication log for child #1 was missing the dates for administration. Child #2 was observed to have a medication and there was no medication log on file for the medication.

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

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

Description: Age and Training

Noncompliance Area: Staff #1 did not have approved Pediatric CPR on file. Staff #1 must be supervised by a qualified staff until training is complete.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: First Aid Kit located in the Young Older Toddler room was observed to be missing Gauze. Corrected on Site.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Annual Fire Detection Testing report was dated 5/13/22 and was not completed within the past year.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: A staff person was observed pulling a child away from the table by one arm because the child had sat down for snack before being called to do so. The staff was observed using physical force to move the child.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. DIRECTED PLAN OF CORRECTION- All facility staff will be required to attend an in person training approved by DHS.

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

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

Noncompliance Area: Staff number 1 and 2 left child #1 unsupervised in the gross motor room for approximately 2 minutes.

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 legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

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

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

Noncompliance Area: Staff number 1 and 2 left child #1 unsupervised in the gross motor room for approximately 2 minutes.

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 premise Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

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

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

Noncompliance Area: Staff number 1 and 2 left child #1 unsupervised in the gross motor room for approximately 2 minutes.

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 legal entity must arrange for all facility staff 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. 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)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff number 1 left a child from her primary care group on the playground. The child was supervised by other staff but staff number 1 had not accounted for all of the primary care group before leaving the playground.

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. DIRECTED PLAN OF CORRECTION: Staff number 1 will be required to complete a training that is approved by DHS relating to supervision

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 11/30/22, it was observed that staff person 1 was caring for children alone in a classroom. Staff does not have current pediatric first aid/CPR by a PQAS certified trainer. Corrected during inspection.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 11/28/22, it was observed that the round foam blocks in the Older Toddler 1 classroom were broken. CORRECTED ON SITE.

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)(2)

Description: Physician name, address, phone

Noncompliance Area: On 11/28/22, it was observed that child 5 did not have an address on file for their 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: On 11/28/22, it was observed that child 5 did not have a work address on file for their 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: On 11/28/22, it was observed that health insurance coverage and policy number were not on file for child 6.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 11/28/22, it was observed that addresses were not on file for the release persons of child 2, 4, 5, and 6.

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

Regulation: 3270.151(a)

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

Noncompliance Area: On 11/28/22, it was observed that staff health assessments were not updated every 24 months. Staff person 1 had a health assessment on file that expired on 6/29/22 that was not updated until 7/20/22. Staff person 2 had a health assessment on file that expired on 1/30/22 that was not updated until 3/18/22. Staff person 3 had a health assessment on file that expired on 11/30/21 that was not updated until 2/18/22.

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

Regulation: 3270.182(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: On 11/28/22, it was observed that child 5, 6, and 7 were enrolled in the facility and did not have signed, parental consent on file for minor first aid and emergency medical care.

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

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

Description: Age and Training

Noncompliance Area: On 11/28/22, it was observed that staff persons 3 and 4 did not have a pediatric first aid/CPR course completed with a qualified instructor.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 11/28/22, it was observed that hand sanitizer was accessible to children in the Older Toddler 1 classroom attached to a low hanging child's backpack. CORRECTED ON SITE.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 11/28/22, it was observed that the vent cover on the heater beside the changing table had a visible and accessible layer of dust in the vents.

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(a)/3270.113(a)(1)

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

Noncompliance Area: Staff #1 did not realize that child #1 walked out of the PreK classroom and across the hall to the play room unsupervised. Staff person #1 did not know the whereabouts of her assigned primary care group, as child #1 left the classroom without staff's knowledge.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: At the time of inspection, cracked plastic balls and broken/cracked plastic sifting tray were observed on the preschool playground (CORRECTED ON SITE).

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: At the time of inspection, the emergency contact information on file for child 1 did not include address of the listed release persons.

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

Noncompliance Area: At the time of inspection, the health assessment form on file for staff person 1 did not include results of an examination for communicable diseases, nor the 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: Staff person 1 was a provisional employee working at the facility on 9/20/2019. She was the sole staff person responsible for the children in her care (not in the vicinity of a permanent employee) at the time of the supervision lapse on 9/20/2019.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Noncompliance Area: The facility self-reported the following incident: On 9-20-2019 around 5 PM, Staff person #1 left child #1 (two year old) unsupervised in the indoor gross motor play space for a period of approximately two and a half minutes after the group transitioned back to the child care space. The child was able to get out of the room and into the hallway where he was discovered by a parent.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: Staff #1 took one child from staff #2's primary care group to the restroom. Staff #1 was responsible for 3 school age children who remained in the the pool without her supervision. Staff #1 was not physically present with all of the children assigned to her care. Although two other staff people were supervising children in the pool area, they did not identify that the 3 children who remained in the pool were transferred to into their primary care groups.

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.

Noncompliance Area: Staff #2 stated that she was responsible for 7 children while swimming. The youngest child in her group was a young school-age child. Staff #2 was not following the required swim ratio of 1:6 for young school-age children. (CORRECTED ON SITE)

Correction Required: The staff-child ratios while children are swimming are Infant 1:1; Young or older toddler 1:2; Preschool 1:5; Young school-age 1:6; Older school-age1:8

Noncompliance Area: The emergency contact information provided for children 2 and 3 did not include signed parental consent for the emergency medical care, or signed parental consent for administration of minor first-aid procedures by facility staff

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. 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.

Noncompliance Area: The emergency contact information on file for children 3-8 did not include complete health insurance coverage information. The information on file for child 3 did not include the name of the health insurance coverage, and the information on file for children 4-8 did not include the health insurance policy numbers.

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 the time of the monitoring visit at the pool, the facility staff were unable to provide emergency contact information for the children present at the pool.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Noncompliance Area: The record for child 1 did not contain signed parental consent to swim. While child 1 did not get into the pool, she was taken on the excursion to the pool and had direct access to a swimming pool.

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

Noncompliance Area: At the time of inspection, a written plan of daily activities was not posted in the "library" child care space (CORRECTED ON SITE).

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

Noncompliance Area: At the time of inspection, the facility was unable to provide documentation Child Service Reports (the Department's approved form) had been timely during the past year for children 1, 4, 5, 6 and 7. Child 1 has been enrolled since 2-26-2018 and there were no child service reports on file. Child 4 has been enrolled the entire year, and one Child Service Report was on file from more than 6 months prior to the date of inspection (4-2018). Child 5 has been enrolled since January of 2018. There were no child service reports on file. Child 6 was a preschooler in the spring and is now a school-age child. A Child Service report was not on file for the spring. Child 7 has been enrolled for more than 6 months (4-11-18). There were no Child Service reports on file at the time on inspection.

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: At the time of inspection, the agreement on file for child 2 did not specify the child's arrival and departure times.

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

Noncompliance Area: The emergency contact information on file at the time of inspection for child 3 did not include the name, address and telephone number 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.

Noncompliance Area: At the time of inspection, the emergency contact information on file for children 2 and 3 each did not include the enrolling parent's work address and telephone numbers.

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

Noncompliance Area: At the time of inspection, the emergency contact information on file for child 2 did not include the child's medical policy number. The emergency contact information on file for child 3 did not include the health insurance coverage nor the 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 the time of inspection, the emergency contact information on file for child 2 did not include addresses for the four listed release persons.

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

Noncompliance Area: At the time of inspection, the record for child 1 did not include a health assessment. The child has been enrolled for more than 60 days (date of admission listed as 2-26-2018).

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 the time of inspection, the most recent health assessment on file for child 2 (preschooler) was dated more than 12 months ago (10-30-2017). The most recent health assessment on file for child 3 (currently a young toddler) was dated more than 6 months ago (10-27-2017). The most recent health assessment on file for child 7 (infant) was dated more than 6 months ago on 3-28-2018. A printout was obtained from the doctor's office in July of 2018, but it was not signed by a doctor.

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 the time of inspection, the record for child 1 did not include signed parental consent for administration of minor first-aid procedures by facility staff. 2-26-2018 was listed as the date of admission.

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

Noncompliance Area: At the time of inspection, the record for staff person 3 did not include documentation of education. Staff person 3 was serving as an assistant group supervisor.

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

Noncompliance Area: At the time of inspection, the records for staff persons 1, 3, and 4 each included just one written, non-family 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: According to documentation on file at the time of inspection, staff persons 1, 2, and 4 began employment without complete provisional hire paperwork on file. Staff person 1 began employment on 8/27/2018, but was not fingerprinted for her FBI clearance until 9/5/2018. The only FBI clearance on file was dated 9/5/18. Staff person 2 began employment on 9/24/2018, but the only state police clearance on file was dated 10/1/2018. Staff person 4 began employment on 8/27/2018, but she was not fingerprinted for her FBI clearance until 9/8/2018. The only FBI clearance on file for staff person 4 was dated 9/14/2018.

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: At the time of inspection, a magic eraser was observed being stored in an area accessible to the children in the indoor gross motor playspace. (CORRECTED ON SITE)

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

Noncompliance Area: At the time of inspection on 11/15, a rug located in the preschool classroom was flipped on on the edge, creating a trip hazard. On 11/21, a staff person was overheard speaking to a child who had just tripped over the rug. A corner of the door frame (back door) in the pre-k classroom was sharp and rusty near the base (CORRECTED ON SITE). A gate to the toddler playground had a crack in the surface creating a sharp edge (CORRECTED ON SITE).

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: According to the fire drill log presented at the time of inspection, a fire drill was held on 3-7-18, and the next more than 60 days later on 7-5-2018. A tornado drill was done on 5-15-2018.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: At the time of the monitoring visit that took place at the swimming pool, staff person 1 was observed to be serving as the facility's lifeguard. The facility was unable to provide documentation that the staff person had been fingerprinted for his FBI clearance, or an FBI clearance prior to service.

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. 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: At the time of inspection, a toy bin in the back young toddler classroom was observed to be cracked. (CORRECTED ON SITE)

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: Upon review of the children's records, the follow was observed. The emergency contact on file for children 1, 3, and 6 did not include include the address and/or the telephone number of the child's physician. (CORRECTED ON SITE)

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: Upon review of the children's records, the following was observed. The emergency contact information on file for child 6 did not include the enrolling parent's work address. (CORRECTED ON SITE) The emergency contact information on file for child 2 did not include the enrolling parent's work address and work phone number.

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

Noncompliance Area: Upon review of the children's records, the following was observed. The emergency contact information on file for child 2 did not include the child's health insurance policy number.

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

Noncompliance Area: Upon review of the children's records, the following was observed. The emergency contact information on file for child 5 did not include an address for a listed 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.