Just Kiddin Llc

Regulation: 20.71(a)(7)

Description: Fraud or deceit in obtaining or attempting to obtain a certificate of compliance

Noncompliance Area: During the renewal inspection conducted on 3/18/2026 observed that staff person #2's health assessments on file dated 7/8/2021, 7/8/2023, and 7/11/2025 appeared to have had the dates altered. Certification representative spoke with the physician's office and the office confirmed that staff person #2 was not seen as a patient on those dates. The health assessments for staff person #2 are fraudulent and not valid. Staff person #2 did not have other valid health assessments on file.

Correction Required: The Department may deny, refuse to renew or revoke a certificate of compliance for fraud or deceit in obtaining or attempting to obtain a certificate of compliance.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: During the renewal inspection conducted on 3/18/2026 observed child #1 and #2's agreements did not specify the child's arrival and departure times.

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

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

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

Noncompliance Area: During the renewal inspection conducted on 3/18/2026 observed that staff person #3's file did not include verification of child care experience prior to service at the facility.

Correction Required: A director shall have attained an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

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

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

Noncompliance Area: During the renewal inspection conducted on 3/18/2026 observed that staff person #1 and #2's files did not include verification of child care experience prior to service at the facility.

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

Regulation: 3270.124(b)(3)/3270.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During the renewal inspection conducted on 3/28/25 observed child #1's emergency contact information did not include the work addresses and telephone numbers of the enrolling parent. Observed child #1 and #2's emergency contact information did not include the address of the individual designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During the renewal inspection conducted on 3/28/25 observed the written plan identifying the means of transporting a child to emergency medical care and staffing provisions in the event of an emergency was not displayed conspicuously in every child care space.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection conducted on 3/28/25 observed staff person #1's file did not include verification of emergency plan training at the time of initial employment.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: During the renewal inspection conducted on 3/28/25 observed staff person #1's fire safety training on file expired. It is dated 3/11/2024. Corrected 3/31/2025.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: During the renewal inspection conducted on 3/28/25 observed staff person #1's file did not include verification of completion of professional development in pediatric first aid and pediatric cardiopulmonary resuscitation.

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

Regulation: 3270.75(c)/3270.75(d)

Description: Has all items/On excursions

Noncompliance Area: During the renewal inspection conducted on 3/28/25 observed the facility's excursion first-aid kit did not contain a bottle of water.

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. One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the allocated unannounced monitoring inspection conducted on 12/12/2024 observed a child sleeping in a bouncy chair.

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

Regulation: 3270.111(a)/3270.111(b)

Description: Written plan/Posted in group space

Noncompliance Area: During the allocated unannounced monitoring inspection conducted on 12/12/2024 observed classrooms 1 and 2 did not have a written plan of daily activities and routines posted in the group space.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact forms on file for children # 1 and 2 do not have the enrolling parent's work address.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A hole in the bathroom wall was observed behind the door where the doorknob hits the wall.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff persons #1 and 2 were observed to be caring for children unsupervised. Staff persons #1 and 2 have not completed the following pre-service training required prior to caring for children unsupervised: Staff person # 1 is missing 10-hour health and safety and staff person # 2 is missing mandated reporter and 10-hour health and safety.

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 persons #1 and 2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #1 and 2, staff persons # 1and 2 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

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

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #3 will have until 9/6/23 to complete the required training. Until such time as the required training has been completed, staff person #3 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 # 3, staff person #3 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: During a file review on 7/19/23, there was no NSOR verification on file for staff person # 3 - see code sheet for DOH. There was no FBI clearance or proof of fingerprints being taken on file for staff person # 2 - see code sheet for DOH.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There are play mats used for climbing in the toddler room with torn edges, which makes them unable to be properly sanitized. There is a little tikes climber in the indoor play area with cracks creating pinch points on the blue bridge area.

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: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement on file for child # 1 is not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.123(a)(1)/3270.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: The agreements on file for children # 1 and 2 do not have the fee amount or the date the fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The agreement on file for child # 1 does not have the services provided.

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: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement on file for child # 5 does not have the release persons.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreements on file for children # 1, 2, and 5 do not have the child's start date.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for child # 1 does not have the physician's address. The emergency contact forms on file for children # 4 and 5 do not have the phone number of the 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: The emergency contact form on file for child # 3 does not have the enrolling parent's work address.

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: The emergency contact form on file for child # 1 does not have the health insurance name.

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: 3270.131(d)(1)

Description: Child's health history

Noncompliance Area: The health report for child # 1 does not have a review of the child's health history.

Correction Required: A health report shall include a review of the child's health history.

Regulation: 3270.131(d)(2)/3270.131(d)(3)

Description: Child's allergies/Current medication and reason

Noncompliance Area: The health reports on file for child # 4 does not include a statement of the child's allergies. The health reports on file for children # 1, 2, and 4 do not include a statement or list of current medications.

Correction Required: A health report shall include a list of the child's allergies. A health report shall include a list of the child's current medication and the reason for the medication.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact forms for children # 2 and 5 were last reviewed and signed by the parent 4/22, the agreements were last signed by the parent 10/21.

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: There is not a valid HS diploma on file for staff person # 1.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: There are no written non family references on file for staff persons # 2, and 5. There is only one written non family reference on file for staff persons # 1 and 6.

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

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Staff person # 3 did not receive annual fire safety training in 2022.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The most recent staff evaluation on file for staff person # 4, is dated 2/2022 and is older than 12 months. Staff person # 6 did not receive a 12 month evaluation since their start date.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The molding along the baseboard in the infant room is peeling.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person # 1 was observed to be caring for children unsupervised. Staff person # 1 has not completed the following pre-service training required prior to caring for children unsupervised: Getting Started with Center Based Care, 10 hour 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 #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 person(s) available to supervise staff person # 1, staff person # 1 may not work in a child-care position at the facility.

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 was injured at the facility on 1/4/23, the parent was not given a written report on the date of the incident.

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

Regulation: 3270.20(a)(1)

Description: Inpatient hospitalization or ER treatment of child

Noncompliance Area: On 1/4/23, child # 1 was injured at the facility and taken by the parent to an urgent care facility. As of 1/9/23, the operator did not report this to the regional office.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

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: Getting Started with Center Based Care.

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 1/28/23 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: 3270.52

Description: Mixed Age Level

Noncompliance Area: During an unannounced visit, cert rep observed staff person # 1 out of ratio. Staff person # 1 had a group with 3 young toddlers, 2 older toddlers, and 2 preschool children. This group of children would have required a minimum of 2 staff.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an unannounced monitoring visit, fire alarm test logs were observed to be out of compliance. More than 30 days passed between fire alarm tests logged on 10/1/22 and 11/11/22.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Renewal Inspection was conducted on 6/1/2022. Staff #1, the owner was present was for the inspection. Staff #1 had an expired child abuse clearance on file dated 12/27/2016. Staff #2 had current clearances on file at the time of the inspection, but the National Sex Offender Registry (NSOR) clearance on file for Staff #2 was dated 4/15/2022. There was not any proof on file on 6/1/2022 to show that Staff #2 applied for the NSOR clearance prior to working at the facility. (See code sheet for date of hire).

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

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

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

Noncompliance Area: During an unannounced inspection on 3/22/2022, Child #1 was observed to walk out of the area where the preschool group was located to use the bathroom at the back of the room, closing the door. This bathroom is located in an area of the classroom where the staff person was unable to properly supervise the child using the restroom and the group of children assigned to the staff at the same time. Staff #2 could not see Child #1 while the Child #1 was in the bathroom.

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

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: During an unannounced inspection at the facility on 3/31/2022, Staff #3 admitted that she has previously strapped Child #2, age 3, in a highchair for 5 to 10 minutes. Staff #3 admitted that she has done this multiple times. Staff #3 stated that Child #2 has been placed in the highchair to keep the other children safe and for him to calm down.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. The legal entity must arrange for all facility staff employed as of the date of the training to receive a minimum of 2 hours of PQAS-approved in-person or live training regarding behavior management. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: During an unannounced inspection at the facility on 3/31/2022, Staff #3 admitted that she has previously strapped Child #2, age 3, in a highchair for 5 to 10 minutes. Staff #3 admitted that she has done this multiple times. Staff #3 stated that Child #2 has been placed in the highchair to keep the other children safe and for him to calm down.

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

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: During an unannounced inspection on 3/22/2022, Staff #1 reported that the infants are fed baby cereal as requested by the parent. However, this request was not obtained in writing from the parents.

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

Regulation: 3270.182(7)

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

Noncompliance Area: During an unannounced inspection on 3/22/2022, the facility did not have an accident file to maintain the second copy of reports for accidents, injuries and illnesses involving a child in care at the facility.

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: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: The previous facility director left the position in early May of 2021. There has not been a director on staff as of 5/12/2021 up until the current date of 3/31/2022. An acceptable plan of correction was received on 6/8/2021, but was not implemented by the expiration date of 7/16/2021 for the previous certificate of compliance for the facility. A 1st Provisional Certificate of Compliance was issued from 7/16/2021 to 1/16/2022. On 7/18/2021, the owner provided a name and a partial file for a new director. An acceptable plan of correction was received on 7/19/2021. However, this plan was not implemented. On 11/2/2021, a complete file for a qualified director still had not been provided to the Certification Representative. The owner reported on 11/2/2021 that she was still looking for a qualified director. An acceptable plan was received on 11/2/2021, but was not implemented by the correction date of 12/2/2021. An acceptable plan was received on 12/6/2021, but was not implemented by the correction date of 1/31/2022. The facility was issued a 2nd Provisional Certificate of Compliance from 12/6/2021 to 6/6/2022. As of 2/14/2022, a complete file for a qualified director still had not been provided to the Certification Representative. An acceptable plan of correction was again received on 2/23/2022, but was not implemented by the correction date of 3/25/2022. A site visit was conducted on 3/31/2022, and the facility did not yet have a director.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During an unannounced inspection on 3/22/2022, Staff #1 was observed working with a mixed age group of 5 children. One of the children was an infant, three of the children were young toddlers and one child was preschool aged. The required staff to child ratio for this mixed group is 1 staff to 4 children. This amount of children would require 2 staff.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: The previous facility director left the position in early May of 2021. There has not been a director on staff as of 5/12/2021 up until the current date of 12/6/2021. An acceptable plan of correction was received on 6/8/2021, but was not implemented by the expiration date of 7/16/2021 for the previous certificate of compliance for the facility. A 1st Provisional Certificate of Compliance was issued from 7/16/2021 to 1/16/2022. On 7/18/2021, the owner provided a name and a partial file for a new director. An acceptable plan of correction was received on 7/19/2021. However, this plan was not implemented. On 11/2/2021, a complete file for a qualified director still had not been provided to the Certification Representative. The owner reported on 11/2/2021 that she was still looking for a qualified director. An acceptable plan was received on 11/2/2021, but was not implemented by the correction date of 12/2/2021. An acceptable plan was again received on 12/6/2021, but was not implemented by the correction date of 1/31/2022. The facility was issued a 2nd Provisional Certificate of Compliance from 12/6/2021 to 6/6/2022. As of 2/14/2022, a complete file for a qualified director still has not been provided to the Certification Representative.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: The previous facility director left the position in early May of 2021. There has not been a director on staff as of 5/12/2021 up until the current date of 12/6/2021. An acceptable plan of correction was received on 6/8/2021, but was not implemented by the expiration date of 7/16/2021 for the previous certificate of compliance for the facility. A Provisional Certificate of Compliance was issued from 7/16/2021 to 1/16/2022. On 7/18/2021, the owner provided a name and a partial file for a new director. An acceptable plan of correction was received on 7/19/2021. However, this plan was not implemented. On 11/2/2021, a complete file for a qualified director still had not been provided to the Certification Representative. The owner reported on 11/2/2021 that she was still looking for a qualified director. An acceptable plan was received on 11/2/2021, but was not implemented by the correction date of 12/2/2021.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Noncompliance Area: During Renewal inspection it was observed that files for Staff # 1, # 2 and # 3 did not follow CPSL regulations. Staff # 1, FBI clearance dated 10/29/15, new clearance dated 11/3/20, State Police clearance dated 10/27/15 new clearance dated 11/1/20, Child abuse clearance dated 10/29/15, new clearance dated 11/1/20 and Mandated Reporter Training dated 3/18/15, new training dated 11/1/20. Staff # 2 State Police clearance dated 3/11/15, new clearance dated 9/23/20 and Mandated Reporter Training dated 2/9/15, new training dated 10/2/20. Staff # 3 signed disclosure statement on 5/17/20, FBI Clearance dated 7/28/20, State Police Clearance dated 7/17/20 and NSOR dated 7/20/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. The Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) Clearance effective 9/30/2019. The CPSL also states that anyone hired after 9/30/19 was required to have the NSOR clearance to work in child care.

Noncompliance Area: During a complaint investigation conducted on 6/25/20, Cert. Rep. observed video footage from 6/18/20. In the video Staff # 1 was observed picking up Child # 1 under the arms removing him from the room. Staff # 1 was heard stating, " you are the worse child I have had in my life." In the video Staff # 2 was observed reaching for her drink not intervening on behalf of the child.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use harsh, demeaning or abusive language in the presence of children. The legal entity must arrange all facility staff to attend a minimum of 2 hours of in-person/virtual (online training will not be accepted) PQAS approved training regarding Behavior Management in which participants will reflect on different behavior management techniques, learn how to address challenging behaviors. Training can not be used towards annual training hours. Facility must receive DHS approval of training content prior to scheduling training.

Noncompliance Area: During renewal inspection on 4/29/19, Fee Agreement for Child # 1 did not specify the date on which fee is to be paid. Fee Agreement for Child # 1 did not specify child's arrival and departure times. As of 7/16/19 verification of Fee Agreement for child # 1 with arrival, departure time and date on which Fee is to be paid was not received.

Correction Required: An agreement shall specify the date on which the fee is to be paid. An agreement shall specify the child's arrival and departure times.

Noncompliance Area: During Renewal Inspection on 4/29/19, Emergency Contact Form for Child # 1 did not contain medical insurance policy name. As of 7/16/19 verification of emergency contact for child # 1 with medical insurance policy name was not received.

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: During Renewal Inspection on 4/29/19, File for Staff # 2 did not contain verification of child care experience. File for Staff # 3 did not contain child care experience required for an Assistant Group Supervisor. As of 7/16/19 verification of child care experience for staff # 2 and # 3 were not received.

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: During renewal inspection on 4/29/19, File for Staff # 1 did not contain an FBI Clearance. Staff has verification of being fingerprinted on 2/20/18. As of 7/16/19 verification of FBI Clearance for Staff # 1 was not received.

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: Fee Agreement for Child # 1 did not specify the date on which fee is to be paid. Fee Agreement for Child # 1 did not specify child's arrival and departure times.

Correction Required: An agreement shall specify the date on which the fee is to be paid. An agreement shall specify the child's arrival and departure times.

Noncompliance Area: Emergency Contact Form for Child # 1 did not contain medical insurance policy name.

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: Diaper pad in the Infant room was observed to have a ripped surface, rendering the surface unable to be sanitized.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: File for Staff # 2 did not contain verification of child care experience. File for Staff # 3 did not contain child care experience required for 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: File for Staff # 1 did not contain an FBI Clearance. Staff has verification of being fingerprinted on 2/20/18.

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: First-aid kit in the Infant Room was missing scissors.

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: Yellow wall in the Preschool room, was observed to have an area of damaged plaster.

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

Noncompliance Area: Diapering area in the Toddler Room did not have a source of running water for hand washing.

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

Noncompliance Area: During a complaint investigation on 9/7/18 through documents and interviews it was determined that Child # 1 was injured at facility in 8/27/18, incident report was not given to parent at time of pick-up. Incident Report was given to parent on 8/28/18.

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. Provider will submit all Incident Reports on a weekly basis for 3 months to the Regional Office.

Noncompliance Area: During a complaint investigation on 9/7/18 through documents and interviews it was determined that Child # 1 was injured at facility on 8/27/18. Child # 1 was taken to the ER on 8/30/18, due to this injury. Regional Office was not notified of incident until 9/4/18.

Correction Required: The facility operator shall make reports to a child's parent and to the Department in accordance with 3270.20 (relating to reporting injury, death or fire).

Noncompliance Area: Emergency Contact Form and Fee Agreement for Child # 1 were not updated every 6-months. Last update in file is dated 12/29/17.

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: During a complaint investigation, through a review of documents and interviews with staff and parent, an incident report was not completed nor given to the parent of Child 1 when parent picked up the child on 8/1/18, date of incident.

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

Noncompliance Area: During complaint investigations on 8/7/18 and 9/18/18 it was determined, through documents and interviews, that there were two facility persons in the Preschool Room with 22 children. Facility person # 1, a volunteer, was supervising 12 School Age children and Staff # 3, an assistant group supervisor, was supervising 10 Preschool children.

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

Noncompliance Area: Infant Room did not have a plan of daily activities posted.

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

Noncompliance Area: Preschool Staff did not have supervision groups assigned to them.

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: On 4/17/18 several areas of peeling paint and exposed plaster were observed in the indoor play area.

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

Noncompliance Area: Child file #1 is does not have an updated health assessment on file

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

Noncompliance Area: There is no proof on file that facility person #1 has been fingerprinted prior to the start date of 4/18/17. A transaction number was written down in the file but it could not be verifed that it was proof of facility person #1 being fingerprinted.

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 until all required documents are on file.

Noncompliance Area: There is a small hole located in the bathroom behind the door

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.