Keystone Smiles Community Child Care Ctr
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About the Provider
Hours of Operation
- Monday8:30 AM - 4:30 PM
- Tuesday8:30 AM - 3:30 PM
- Wednesday8:30 AM - 3:30 PM
- Thursday8:30 AM - 3:30 PM
- Friday8:30 AM - 3:30 PM
- Saturday Closed
- Sunday Closed
Inspection/Report History
Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.
| Inspection Date | Reason | Description | Status |
|---|---|---|---|
| 2026-02-25 | Renewal | 3270.111(b) - Posted in group space | Compliant - Finalized |
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Regulation: 3270.111(b) Description: Posted in group space Noncompliance Area: A daily activity schedule was not posted in the mindfulness room. Correction Required: The written plan of daily activities shall be posted in the group space. |
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Provider Response: (Contact the State Licensing Office for more information.) A schedule is now posted in the Mindfulness Room. |
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| 2026-02-25 | Renewal | 3270.124(b)(2) - Physician name, address, phone | Compliant - Finalized |
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Regulation: 3270.124(b)(2) Description: Physician name, address, phone Noncompliance Area: The file for child #1 had an emergency contact form that lacked the telephone number of the child's physician. Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. |
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Provider Response: (Contact the State Licensing Office for more information.) On the emergency contact, the phone number for the physician of child #1 was added. |
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| 2026-02-25 | Renewal | 3270.131(e)(1)/3270.131(e)(3) - Exemption documentation from parent/guardian/Dismissal policy | Compliant - Finalized |
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Regulation: 3270.131(e)(1)/3270.131(e)(3) Description: Exemption documentation from parent/guardian/Dismissal policy Noncompliance Area: The file for child #2, enrolled more than 60 days at the facility, lacked documentation of the 4th DTAP vaccination being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation. Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #2 must be dismissed from care by close of business on 2-25-25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. |
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Provider Response: (Contact the State Licensing Office for more information.) The guardian for child #2 submitted a statement saying the child is exempt from this vaccine. The statement was sent to the inspector the day after the inspection. |
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| 2026-02-25 | Renewal | 3270.151(a)/3270.151(c)(2) - 12 months prior to service and every 24 months thereafter/Mantoux TB | Compliant - Finalized |
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Regulation: 3270.151(a)/3270.151(c)(2) Description: 12 months prior to service and every 24 months thereafter/Mantoux TB Noncompliance Area: The file for staff person #3 had a health assessment that was dated after the staff person provided initial service in a child care setting at the facility. The file for staff person #3 lacked a tuberculosis screening by the Mantoux method prior to providing initial service in a child care setting at the facility and requires a current tuberculosis screening by the Mantoux method. Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff person #3 had a physical conducted on 4/21/25 however it lacked all information needed for employment within a childcare setting. Another physical was completed on 12/17/25 using the childcare staff health form. Staff person #3 will obtain a tuberculosis screening by the Mantoux method. |
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| 2026-02-25 | Renewal | 3270.151(c)(3) - Exam communicable disease | Compliant - Finalized |
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Regulation: 3270.151(c)(3) Description: Exam communicable disease Noncompliance Area: The file for staff person #3 had a health assessment that lacked an examination for communicable diseases and the results of that examination. Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff person #3 will reach out to health physician requesting the statement to be complete, signed and dated. |
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| 2026-02-25 | Renewal | 3270.31(e)(4)(i) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(i) Description: Age and Training Noncompliance Area: The file for staff person #1 had current pediatric first-aid/CPR training with a completion date of 1-15-26 that was after the November 2025 expiration of the prior training. The file for staff person #2 had current pediatric first-aid/CPR training with a completion date of 1-22-26 that was after the November 2025 expiration of the prior training. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Pediatric first aid/CPR training for staff person #1 was completed 1/15/26. Pediatric first aid/CPR training for staff person #2 was completed 1/22/26. |
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| 2026-02-25 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff person #3 completed the following required pre-service training on 2-19-26 that was over 90 days after their date of hire (see LIS code sheet): Pediatric first-aid/CPR training. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #3 had CPR/First Aid training on 6/3/25, however it was not the acceptable training platform. The DHS approved Pediatric First Aid/CPR was completed on 2/19/26. |
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| 2026-02-25 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff person #3 had an NSOR verification certificate that was dated after their start date. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The NSOR certification for staff person #3 was completed 8/21/25, 3 days beyond initial start date. |
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| 2026-02-25 | Renewal | 3270.74 - Emergency Numbers Posted | Compliant - Finalized |
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Regulation: 3270.74 Description: Emergency Numbers Posted Noncompliance Area: The telephone number of the nearest hospital was not posted by the telephones in the pre-k 1, pre-k 2, and mindfulness rooms. Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The phone number for the Clarion Hospital as added to the postings in the PreK Classrooms 1, 2 and in the Mindfulness Room. |
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| 2026-02-25 | Renewal | 3270.75(a) - In child care spaces | Compliant - Finalized |
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Regulation: 3270.75(a) Description: In child care spaces Noncompliance Area: The mindfulness room lacked a first-aid kit. Correction Required: A first-aid kit shall be in a child care space. |
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Provider Response: (Contact the State Licensing Office for more information.) A first aid kit with all required items was added to the Mindfulness Room. |
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| 2026-02-25 | Renewal | 3270.75(c) - Has all items | Compliant - Finalized |
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Regulation: 3270.75(c) Description: Has all items Noncompliance Area: The first-aid kit in the pre-k 2 room lacked sterile gauze pads. The first-aid kit in the moon room lacked soap. Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. |
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Provider Response: (Contact the State Licensing Office for more information.) The first aid kit in the PreK Room, 2, had sterile gauze pads that were opened, not in a sealable package. Gauze pads in an unopened package was added to the first aid kit. Soap was added to the first aid kit located in the Moon Room. |
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| 2026-02-25 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: In the moon room/indoor gross motor room, the steps leading to the bouncy area were unstable and a visible hazard. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The steps in the Moon Room were made secure, boards and railing were replaced. |
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| 2026-02-25 | Renewal | 3270.82(h) - Handwashing signs | Compliant - Finalized |
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Regulation: 3270.82(h) Description: Handwashing signs Noncompliance Area: The bathroom on the right in the pre-k room upstairs lacked a handwashing sign posted at the toilet. Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) A handwashing sign is now posted beside the toilet in the bathroom in the upstairs PreK 1 classroom. |
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| 2026-02-25 | Renewal | 3270.94(a)(1) - Every 60 days | Compliant - Finalized |
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Regulation: 3270.94(a)(1) Description: Every 60 days Noncompliance Area: According to the fire drill log, a fire drill was not conducted at least once every 60 days on multiple occasions within the last year. Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days. |
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Provider Response: (Contact the State Licensing Office for more information.) A fire drill was complete every 60 days beginning August 2025 in September, October and December. Following December the fire drill was conducted 8 days beyond the due date on 2/20/26. |
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| 2026-02-25 | Renewal | 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(a)/3270.95(b) Description: Devices must be compliant/Director or designated staff person ensure compliance Noncompliance Area: According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 3-11-25 to 4-18-25. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The fire detection system was checked within the 30 day timeframe throughout the last school year, except for the timeframe between 3/11/25-4/18/25. The date was 7 days past the due date. |
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| 2025-02-25 | Renewal | 3270.113(a) - Supervised at all times | Compliant - Finalized |
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Regulation: 3270.113(a) Description: Supervised at all times Noncompliance Area: At approximately 9:55 a.m., a speech therapist was observed with 2 preschoolers in the mindfulness room without a staff person present in the room to supervise the children. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The 2 students were placed in the classroom with the Speech therapist continuing services within the classroom setting with staff supervision. |
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| 2025-02-25 | Renewal | 3270.113(a)(1) - Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)(1) Description: Staff assigned to specific children Noncompliance Area: At approximately 9:55 a.m., a speech therapist was observed with 2 preschoolers in the mindfulness room without a staff person present in the room to supervise the children. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The 2 students were placed in the classroom with the Speech therapist continuing services within the classroom setting with staff supervision. |
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| 2025-02-25 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: The files for child #1 and #3 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The specific address of the children will be added to the emergency contact forms. |
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| 2025-02-25 | Renewal | 3270.131(a)/3270.182(1) - Health information/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(a)/3270.182(1) Description: Health information/Initial and subsequent health reports Noncompliance Area: The file for child #2 lacked an initial health assessment within 60 days of the child's first day of attendance at the facility and requires a current health assessment. Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports. |
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Provider Response: (Contact the State Licensing Office for more information.) The guardian of the student was contacted and documentation will be obtained from the doctor. Immunization report already on file. |
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| 2025-02-25 | Renewal | 3270.131(d)(7) - Free from contagious/communicable disease | Compliant - Finalized |
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Regulation: 3270.131(d)(7) Description: Free from contagious/communicable disease Noncompliance Area: The file for child #1 had a health assessment that lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. |
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Provider Response: (Contact the State Licensing Office for more information.) The guardian of the child was contacted and the statement from the doctor will be obtained. |
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| 2025-02-25 | Renewal | 3270.131(d)(8) - Age appropriate screenings complete | Compliant - Finalized |
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Regulation: 3270.131(d)(8) Description: Age appropriate screenings complete Noncompliance Area: The file for child #1 had a health assessment that lacked a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health assessment. Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section. |
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Provider Response: (Contact the State Licensing Office for more information.) The guardian of the child was contacted and the documentation from the doctor will be obtained. |
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| 2025-02-25 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Compliant - Finalized |
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Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: The file for staff person #2 had a health assessment that exceeded 24 months between assessments. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Corrected. Staff health assessment on file. |
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| 2025-02-25 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: The file for staff person #4 lacked two written, nonfamily references. Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) Effective 2/26/25, staff person #4 no longer works at the center as an employee. |
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| 2025-02-25 | Renewal | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Regulation: 3270.27(c) Description: Training regarding plan Noncompliance Area: The file for staff person #3 lacked current emergency plan training completed within the last year. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Director met with the cook, staff person #3, to review the emergency plan training, signed and dated 2/26/25. |
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| 2025-02-25 | Renewal | 3270.31(e)(4)(i) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(i) Description: Age and Training Noncompliance Area: The file for staff person #1 had current pediatric first-aid/CPR training with a completion date of 1-23-25 that was after the October 2024 expiration of the prior training. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Corrected. Staff person #1 received first aid/CPR training 1/23/25. |
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| 2025-02-25 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff person #4 lacked an NSOR verification certificate at their start date and requires a current NSOR verification certificate. (See LIS CODE SHEET) 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. Staff Person #4 may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Effective 2/26/25, staff person #4 no longer works at the center as an employee. |
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| 2025-02-25 | Renewal | 3270.37(b)(1)/3270.192(2)(ii) - HS/GED/Exp, educ., training prior to facility | Compliant - Finalized |
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Regulation: 3270.37(b)(1)/3270.192(2)(ii) Description: HS/GED/Exp, educ., training prior to facility Noncompliance Area: The file for staff person #4, functioning as an aide, lacked verification of education to qualify as an aide. Correction Required: An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Effective 2/26/25, staff person #4 no longer works at the center as an employee. |
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| 2025-02-25 | Renewal | 3270.51 - Similar Age Level | Compliant - Finalized |
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Regulation: 3270.51 Description: Similar Age Level Noncompliance Area: At approximately 9:55 a.m., a speech therapist was observed with 2 preschoolers in the mindfulness room without a staff person present in the room to supervise the children resulting in a 0:2 staff to child ratio. Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. |
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Provider Response: (Contact the State Licensing Office for more information.) The 2 students were placed in the classroom with the Speech therapist continuing services within the classroom setting with staff supervision. |
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| 2025-02-25 | Renewal | 3270.75(b) - Inaccessible to children | Compliant - Finalized |
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Regulation: 3270.75(b) Description: Inaccessible to children Noncompliance Area: The first-aid kit in the pre-k room was located in a backpack in a cubby near the door and was accessible to children. Correction Required: A first-aid kit must be inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) The first aid kit was placed out of reach of children. |
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| 2025-02-25 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: In the pre-k room, there were a few damaged ceiling tiles that were observed. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Our maintenance man was contacted and will fix the damaged ceiling tiles. |
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| 2025-02-25 | Renewal | 3270.77(a) - No peeling paint or plaster | Compliant - Finalized |
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Regulation: 3270.77(a) Description: No peeling paint or plaster Noncompliance Area: In the lunchroom, there were a few areas of peeling paint on the front right wall near the baseboard. Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. |
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Provider Response: (Contact the State Licensing Office for more information.) To ensure the safety of the children, tape was added to the areas on the wall containing the peeling paint. |
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| 2025-02-25 | Renewal | 3270.92(a) - No portable space heaters | Compliant - Finalized |
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Regulation: 3270.92(a) Description: No portable space heaters Noncompliance Area: There was a portable space heater observed in the office. Correction Required: Portable space heaters are not permitted. |
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Provider Response: (Contact the State Licensing Office for more information.) The space heater was removed. |
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| 2024-02-07 | Renewal | 3270.124(e) - Written emergency plan posted | Compliant - Finalized |
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Regulation: 3270.124(e) Description: Written emergency plan posted Noncompliance Area: The medical emergency transportation plan was not posted in the mindfulness room or the gross motor room. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The medical emergency transportation plan was posted in the mindfulness room and gross motor room. |
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| 2024-02-07 | Renewal | 3270.133(3) - Name on bottle | Compliant - Finalized |
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Regulation: 3270.133(3) Description: Name on bottle Noncompliance Area: There was insect sting relief medication in the first aid kid, not labeled with the name of a particular child for their use. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The insect sting medication was removed. |
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| 2024-02-07 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Compliant - Finalized |
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Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: The current health assessment on file for Facility Person #1 was completed more than 24 months after previous health assessment on file for Facility Person #1. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility person #1 does have current health assessment on file, however it was past the 24 month timeline. |
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| 2024-02-07 | Renewal | 3270.27(e) - Letter to parents | Compliant - Finalized |
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Regulation: 3270.27(e) Description: Letter to parents Noncompliance Area: The letter to the parents regarding the facility's emergency plan did not include the facility's accommodations in the event of an emergency or the facility's plans for annual emergency drills. Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. |
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Provider Response: (Contact the State Licensing Office for more information.) The emergency drill procedure and timeline was added to the letter to the parents regarding the emergency plan. |
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| 2024-02-07 | Renewal | 3270.27(f) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(f) Description: Emergency plan Noncompliance Area: There was no documentation, as required, to indicate the facility's emergency plan was sent to the local municipality and the county emergency management agency. Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. |
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Provider Response: (Contact the State Licensing Office for more information.) The emergency plan was sent to the municipality in August 2023. The emergency plan was mailed to the clarion county emergency management agency in Feb 2024. |
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| 2024-02-07 | Renewal | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: The following toxics were accessible to children receiving care in the lunchroom. There was a hand sanitizer labeled "keep out of reach of children" on a table in reach of children. There were bottles of cleaning supplies including bleach on the floor in the kitchen, adjacent to the lunchroom. The door to the kitchen was open as children received care in the lunchroom. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) The hand sanitizer was removed from the lower table onto a high cabinet, out of reach of children. |
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| 2024-02-07 | Renewal | 3270.77(a) - No peeling paint or plaster | Compliant - Finalized |
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Regulation: 3270.77(a) Description: No peeling paint or plaster Noncompliance Area: There was a small area of peeling paint on the wall in the upstairs Pre-K Counts room, near the floor, in the back of the room in a reading/ book area. Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. |
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Provider Response: (Contact the State Licensing Office for more information.) A poster was hung in the specified area. |
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| 2024-02-07 | Renewal | 3270.82(h) - Handwashing signs | Compliant - Finalized |
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Regulation: 3270.82(h) Description: Handwashing signs Noncompliance Area: There were no handwashing signs posted at one toilet in restroom off of the Pre-K Counts room or at two toilets in the restroom off of the preschool/Pre-K Counts room. Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) A handwashing sign was posted beside the toilet in both restrooms. |
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| 2024-02-07 | Renewal | 3270.94(a)(9) - Written record | Compliant - Finalized |
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Regulation: 3270.94(a)(9) Description: Written record Noncompliance Area: The number of children participating in each fire drill was not documented on the facility's fire drill log. Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill. |
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Provider Response: (Contact the State Licensing Office for more information.) Attendance records were reviewed and the number of children were added to the fire drill log. |
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| 2024-02-07 | Renewal | 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(a)/3270.95(b) Description: Devices must be compliant/Director or designated staff person ensure compliance Noncompliance Area: The documentation of smoke detector testing on file indicates that smoke detectors were tested on 3/1/23 and then again on 4/16/23, more than 30 days between testing. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Smoke detectors will be tested within the 30 day timeframe. |
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| 2023-02-21 | Renewal | 3270.131(a) - Health information | Compliant - Finalized |
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Regulation: 3270.131(a) Description: Health information Noncompliance Area: The initial health assessment on file for child #1 was completed more than 60 days after the child's first day of attendance at the facility. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Health assessment is now current. |
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| 2023-02-21 | Renewal | 3270.131(d)(5)/3270.131(e)(3) - Immunization record/Dismissal policy | Compliant - Finalized |
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Regulation: 3270.131(d)(5)/3270.131(e)(3) Description: Immunization record/Dismissal policy Noncompliance Area: There was no documentation of a current influenza vaccine (recommended annually by the ACIP) on file for child #2. Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). |
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Provider Response: (Contact the State Licensing Office for more information.) Parent/guardian provided documentation stating their child did not receive the vaccine. |
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| 2023-02-21 | Renewal | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: There was no plan for continuity of operations included the facility's emergency plan, as required by federal mandate. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Continuity of operations was added to the existing center emergency plan. |
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| 2023-02-21 | Renewal | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: There was no documentation that Faciity Person #1 had completed the required health and safety training update. The health and safety training update completed by Faciity Person #3 (dated 2/15/23) and Facility Person #4 (dated 1/30/23) were completed after the required completion date of 12/30/22. Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Staff are required to obtain health and safety professional development training updates required by OCDEL within the prescribed timeframe. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility person #1 is no longer placed in the center. Facility person #2 was complete. |
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| 2023-02-21 | Renewal | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: Facility Persons #1 and #4 were observed to be caring for children unsupervised. Facility Persons #1 and #4 have not completed the following pre-service training required prior to caring for children unsupervised: 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 persons #1and #4 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 #4, these staff may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility person #1 is no longer placed in the center. Facility person #4-complete, Director was in the classroom to supervise until the requirement was met. |
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| 2023-02-21 | Renewal | 3270.151(a)/3270.151(c)(2) - 12 months prior to service and every 24 months thereafter/Mantoux TB | Compliant - Finalized |
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Regulation: 3270.151(a)/3270.151(c)(2) Description: 12 months prior to service and every 24 months thereafter/Mantoux TB Noncompliance Area: The most recent health assessment on file for Facility Person #1 was completed more than 24 months prior. The current/initial health assessment, including a TB test, on file for Faciity Person #4 was completed after their start date in a child care position at the facility. Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility person #1 is no longer placed at the center. Facility person #4- health assess on file |
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| 2023-02-21 | Renewal | 3270.21 - General Health and Safety | Compliant - Finalized |
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Regulation: 3270.21 Description: General Health and Safety Noncompliance Area: There were sharp knives in an open kitchen drawer near the entrance to the kitchen, accessible to children receiving care in the adjacent lunchroom as the door to the kitchen was open and/or unlocked. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) Knives were immediately placed out of reach of children. |
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| 2023-02-21 | Renewal | 3270.27(a)(6) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(6) Description: Emergency plan Noncompliance Area: The most recent emergency drill documented and on file was conducted on 2/18/22, more than 12 months prior. Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Emergency drill conducted and up to date. |
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| 2023-02-21 | Renewal | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Regulation: 3270.27(c) Description: Training regarding plan Noncompliance Area: There was no documentation of emergency plan training on file for Facility Person #1, employed at the facility more than 90 days. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility person #1 is no longer placed at the center. |
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| 2023-02-21 | Renewal | 3270.31(e) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e) Description: Age and Training Noncompliance Area: There was no documentation on file of any child care training hours completed during the most recent review year (12/19/21-12/19/22) on file for Facility Person #1. Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility person #1 is no longer placed at the center. |
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| 2023-02-21 | Renewal | 3270.31(e)(4)(ii) - Fire safety - 1 yr. | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii) Description: Fire safety - 1 yr. Noncompliance Area: There was no documentation of annual firesafety training on file for Facility Person #1, employed at the facility more than 12 months. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility person #1 no longer placed at the center. |
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| 2023-02-21 | Renewal | 3270.31(f)(10) - Health and Safety Training - Pediatric First Aid and CPR | Compliant - Finalized |
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Regulation: 3270.31(f)(10) Description: Health and Safety Training - Pediatric First Aid and CPR Noncompliance Area: The current pediatric first aid and CPR training documented and on file for Facility Person #1, employed at the facility for more than 90 days, was not acceptable as the training was conducted by a PQAS approved trainer. Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility person #1 is no longer placed at the center. |
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| 2023-02-21 | Renewal | 3270.31(f)/3270.31(g) - Health and Safety Training/Professional development certificate | Compliant - Finalized |
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Regulation: 3270.31(f)/3270.31(g) Description: Health and Safety Training/Professional development certificate Noncompliance Area: There was no documentation of completion of the required pre-service health and safety training on file for Facility Persons #1 and #4. The documentation of completion of the required pre-service health and safety training on file for Facility Person #2 (9/11/6) and Facility Person #3 (9/22/16) indicate the training was completed prior to 9/30/16. Facility Persons #1, #2, #3 and #4 have been employed at the facility for at least 90 days. (See IS Code Sheet.) 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, #2, #3 and #4 will have until 4/1/23 to complete the required training. Until such time as the required training has been completed, staff persons must be supervised, when interacting with children, by an AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1-#4, these staff may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Faciity person #1 no longer placed at the center. Facility persons 2, 3 and 4 completed training. |
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| 2023-02-21 | Renewal | 3270.34(a)(6) - Staff evaluations | Compliant - Finalized |
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Regulation: 3270.34(a)(6) Description: Staff evaluations Noncompliance Area: There were no annual staff evaluations on file for Facility Person #1, employed at the facility more than 12 months. Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility person #1 no longer placed in the center. |
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| 2023-02-21 | Renewal | 3270.36(b)(5)/3270.192(2)(ii) - HS/GED + 2 yrs/Exp, educ., training prior to facility | Compliant - Finalized |
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Regulation: 3270.36(b)(5)/3270.192(2)(ii) Description: HS/GED + 2 yrs/Exp, educ., training prior to facility Noncompliance Area: Facility Person #4 was classified as an assistant group supervisor. There was documentation of high school graduation on file for Facility Person #4, but no documentation of child care experience. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Documentation sent to the inspector; experience and high school diploma. Until Facility Person #4 completes her CDA, she will remain as an aide. |
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| 2023-02-21 | Renewal | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: There were toxics, including cleaning supplies, on the floor in the kitchen near the entrance under the sink, accessible to children receiving care in the adjacent lunchroom as the door to the kitchen was open and/or unlocked. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) The cleaning supplies were immediately placed out of reach of children. |
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| 2023-02-21 | Renewal | 3270.82(i) - Lidded waste receptacles | Compliant - Finalized |
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Regulation: 3270.82(i) Description: Lidded waste receptacles Noncompliance Area: The trash can by the sink in the lunchroom used for handwashing was not lidded. Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle. |
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Provider Response: (Contact the State Licensing Office for more information.) Trash can with lid was immediately put in place. |
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| 2023-02-21 | Renewal | 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(a)/3270.95(b) Description: Devices must be compliant/Director or designated staff person ensure compliance Noncompliance Area: The documentation of dates the facility's fire alarm system was tested indicates testing was done on 12/2/22, then again on 1/5/23. Test dates were also recorded as 4/12/22 and then on 5/20/22. In both instances, more than 30 days passed between test dates. Act 62 requires smoke detectors are tested at least every 30 days. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Fire alarm checks done and up to date. |
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| 2022-02-10 | Renewal | 3270.107 - Refrigerator | Compliant - Finalized |
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Regulation: 3270.107 Description: Refrigerator Noncompliance Area: The facility's refrigerator lacked an operating thermometer. Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator. |
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Provider Response: (Contact the State Licensing Office for more information.) Refrigerator now has an operating thermometer. |
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| 2022-02-10 | Renewal | 3270.131(a)/3270.182(1) - Health information/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(a)/3270.182(1) Description: Health information/Initial and subsequent health reports Noncompliance Area: The file for child #2, with start date of 8/25/21, lacks an initial health assessment. Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports. |
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Provider Response: (Contact the State Licensing Office for more information.) Obtain proper health assessment for child. |
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| 2022-02-10 | Renewal | 3270.131(c)/3270.131(d)(7) - Completed or signed by physician, PA, or CRNP/Free from contagious/communicable disease | Compliant - Finalized |
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Regulation: 3270.131(c)/3270.131(d)(7) Description: Completed or signed by physician, PA, or CRNP/Free from contagious/communicable disease Noncompliance Area: The current health report on file for child #1 lacked a signature by a physician, physician's assistant or CRNP. and lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. |
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Provider Response: (Contact the State Licensing Office for more information.) Director will have the family obtain the appropriate signatures needed for the health assessment. |
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| 2022-02-10 | Renewal | 3270.131(e)(1) - Exemption documentation from parent/guardian | Compliant - Finalized |
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Regulation: 3270.131(e)(1) Description: Exemption documentation from parent/guardian Noncompliance Area: The current immunization records on file for children #1, 2, 3, 4 and 5 lack verification of a flu shot within the past year as in accordance with the schedule recommended by the ACIP. The immunization record on file for child #4 lacks documentation of 2 Hep A immunizations and 1 Varicella immunization as in accordance with the schedule recommended by the ACIP. Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. |
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Provider Response: (Contact the State Licensing Office for more information.) Director will have the families do one of two things: have their child receive the missing recommended immunizations or guardian will submit a statement saying why the immunizations were not given. |
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| 2022-02-10 | Renewal | 3270.27(a)(6) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(6) Description: Emergency plan Noncompliance Area: The facility file lacked documentation that an emergency drill was conducted within the past year. Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Emergency drill will be conducted 2/17/22. |
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| 2022-02-10 | Renewal | 3270.31(e)(4)(i)/3270.192(2)(iii) - Age and Training/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(i)/3270.192(2)(iii) Description: Age and Training/Exp, educ., training at facility Noncompliance Area: The pediatric first aid and pediatric CPR training on file for staff #1 was not renewed on or before expiration date.. Training expired 2/2021 and then new training was completed 4/8/21. 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.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff will renew first aid and pediatric CPR training before expiration date. |
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| 2022-02-10 | Renewal | 3270.31(e)(4)(ii)/3270.192(2)(iii) - Fire safety - 1 yr./Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii) Description: Fire safety - 1 yr./Exp, educ., training at facility Noncompliance Area: There was more than 1 year between fire safety trainings for staff #1. Training was completed on 1/22/21 and then on 2/3/22. 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.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff will receive fire training annually, before the expiration date. |
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| 2022-02-10 | Renewal | 3270.32(a)/3270.192(2)(iii) - Comply with CPSL/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(2)(iii) Description: Comply with CPSL/Exp, educ., training at facility Noncompliance Area: The file for facility person #2, with start date of 8/8/15, lacks verification of current mandated reporter training which was completed within the past 60 months. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Kitchen staff will obtain Mandated Reporter Training. |
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| 2022-02-10 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for facility person #2, lacked verification of a disclosure statement and a current DHS FBI clearance. There is a DHS State Police on file- 2/16/18, Child Abuse - 2/27/18 and NSOR 11/26/19. 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 #2--- may not work at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Kitchen staff will obtain all necessary DHS clearances. |
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| 2020-02-18 | Renewal | 3270.123(a)(4)/3270.123(a)(5) - Arrival/departure times/Designated release persons | Compliant - Finalized |
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Noncompliance Area: The most current fee agreement on file for child #4 lacked an arrival and departure time and the names of the persons designated by a parent to whom the child may be released. Correction Required: An agreement shall specify the child's arrival and departure times.An agreement shall specify the persons designated by a parent to whom the child may be released. |
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Provider Response: (Contact the State Licensing Office for more information.) I will have the parent/guardian provide the information and list on the fee agreement. In the future, I will be sure this is done at enrollment time. |
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| 2020-02-18 | Renewal | 3270.124(b)(6)/3270.124(b)(7) - Insurance coverage information/Name/address/phone release person | Compliant - Finalized |
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Noncompliance Area: The most current emergency contact information on file for child #1 lacks a health insurance policy number. The most current emergency contact information on file for child #5 lacks the address of all release persons. 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) This information will be gathered from parent/guardian and it will be updated. In the future, this will be done at time of enrollment. |
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| 2020-02-18 | Renewal | 3270.131(e)(1) - Exemption documentation from parent/guardian | Compliant - Finalized |
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Noncompliance Area: The file for children #1, 2, 3, 4, and 5 lack documentation of a flu shot within the past year as in accordance with the schedule recommended by the ACIP. Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. |
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Provider Response: (Contact the State Licensing Office for more information.) I will have the discussion with the families and will get the proper documentation added to their file. In the future, at enrollment, I will be sure health immunization is current. |
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| 2020-02-18 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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Noncompliance Area: The initial health assessment on file for staff #6 was not conducted within 12 months prior to providing initial service in a child care setting. Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. |
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Provider Response: (Contact the State Licensing Office for more information.) The health assessment is on file. In the future, I will make sure that there is a health assessment within 12 months of start date is on file. |
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| 2020-02-18 | Renewal | 3270.21 - General Health and Safety | Compliant - Finalized |
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Noncompliance Area: In the Jungle Room, observed a hanging cord in reach of children and next to the Smartboard. In the Meadow Room, observed a hanging cord in reach of children and next to the cassette player. These pose a strangulation hazard and are a threat to the health and safety of the children. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) I used strong tape to adhere the cord to the wall so that it was not dangling. In the future, I will be sure that cords are properly secured. |
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| 2020-02-18 | Renewal | 3270.31(e)(4)(ii)/3270.192(2)(iii) - Fire safety - 1 yr./Exp, educ., training at facility | Compliant - Finalized |
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Noncompliance Area: The files for staff #1, 2, 3, 4, and 5 lack verification of fire safety training within the past year. The last documented fire safety training on file for staff #1, 2, 3, 4, and 5 was conducted on 1/17/2019. 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.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Due to staff changes in the Knox Community Firehall, there is a delay in getting our staff trained. This will be taken care of mid March 2020. In the future, the training will be done annually within the time frame. |
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| 2020-02-18 | Renewal | 3270.75(c) - Has all items | Compliant - Finalized |
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Noncompliance Area: In the STEM lab, observed that the first aid kit lacked soap. Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. |
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Provider Response: (Contact the State Licensing Office for more information.) Added soap. In the future, we will be sure the first aid kit is properly stocked. |
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| 2019-02-14 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Noncompliance Area: In the private pay room, observed trays on an easel that were coming loose. In the outdoor play space, observed a flower bed, used by the children to plant flowers and vegetables, which had a large rusty protruding nail coming out of one side. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Fixed trays immediately and the rusty nail will be made safe for the children with no hazard. In the future, outdoor play space will be checked often and indoor classroom equipment will be checked often, as well. |
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| 2019-02-14 | Renewal | 3270.124(b)(2)/3270.124(b)(6) - Physician name, address, phone/Insurance coverage information | Compliant - Finalized |
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Noncompliance Area: The emergency contact information on file for child #2 lacked the telephone number of child's physician and health insurance policy number. Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. |
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Provider Response: (Contact the State Licensing Office for more information.) Will have guardian complete needed information. In the future, make sure all enrollment paperwork is in child's file. |
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| 2019-02-14 | Renewal | 3270.131(e)(1) - Exemption documentation from parent/guardian | Compliant - Finalized |
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Noncompliance Area: The immunization record on file for child #1, who is of preschool age, lacked 1 recommended dosage of the Pneumococcal vaccine, 1 recommended dosage of the Varicella vaccine, and 1 recommended dosage of the Hepatitis A vaccine. Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. |
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Provider Response: (Contact the State Licensing Office for more information.) Doctor stated Varicella was refused. Will get statement from guardians. Get required information from parent. In the future, closely monitor immunizations at time of enrollment. |
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| 2019-02-14 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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Noncompliance Area: There was more than 24 months between the previous health assessment and the most current and updated health assessment on file for staff #1. Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. |
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Provider Response: (Contact the State Licensing Office for more information.) Already in file. In the future, adhere to 24 month time frame. |
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| 2019-02-14 | Renewal | 3270.182(8) - Copy of initial and subsequent agreements. Parent receives original. | Compliant - Finalized |
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Noncompliance Area: The file for child #2 lacked a fee agreement. Correction Required: A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement. |
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Provider Response: (Contact the State Licensing Office for more information.) Completed and will have parents sign tomorrow, 2-15-2019. In the future, double check all enrollment paperwork is in file. |
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| 2019-02-14 | Renewal | 3270.32(a)/3270.192(2)(iii) - Comply with CPSL/Exp, educ., training at facility | Compliant - Finalized |
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Noncompliance Area: The file for staff #2, with hire date of 8-27-2018, lacked mandated reporter training within 90 days of hire. There is current mandated reporter training on file and dated 1-23-2019. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Already in file. In the future, adhere to 90 day probation period. |
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| 2019-02-14 | Renewal | 3270.67(d) - Contaminated trash in closed plastic-lined receptacle | Compliant - Finalized |
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Noncompliance Area: In the pre k counts room, observed a trash can which contained used tissues. This can lacked a plastic liner. Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. |
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Provider Response: (Contact the State Licensing Office for more information.) Plastic liner was added. In the future, make sure all cans have proper garbage bags. |
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| 2019-02-14 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Noncompliance Area: In the back entry way which is used only as a fire exit, observed that a door knob cover was missing on the closet and a screw was sticking out of it. In the outside play space, observed a wooden fence with splintered wood on the bottom and 12 nails sticking out of the front of the fence. In the outside play space, on the large storage shed's aluminum siding, observed three holes which had sharp edges. On the far side of the outdoor play space, observed dirty food grease on various parts of the fence. The play space shares an outside brick wall with a restaurant located next to the play space. The food grease is dripping from two vents in the shared wall. On the front gate of the outdoor play space, observed a cracked piece of vinyl on the bottom which had a sharp point. On the front door to the outside shed, observed large pieces of splintered wood. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Fixed the cracked vinyl on front gate and holes on storage shed by covering it. We will have maintenance crew fix fence near restaurant by cleaning and moving forward, and the nails and splintering wood by refurnishing the fence. Knob cover will be replaced. In the future, routine checks for all building surfaces will be completed. |
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| 2019-02-14 | Renewal | 3270.77(a) - No peeling paint or plaster | Compliant - Finalized |
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Noncompliance Area: In the outdoor play space, observed chipping paint on the two flower beds that are directly to the left when you walk in the play space. On the back exit door of the private pay room, observed peeling paint on the aluminum strip of the exit door. Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Have them repainted. In the future, monitor outdoor and indoor space better. |
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| 2018-10-02 | Allocated Unannounced Monitoring | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Noncompliance Area: In the Moon Room, observed the bouncy area's plastic mat which was ripped near the red and blue area and the side netting which was ripped. In the upstairs bathroom, outside of the lunch room, observed a large metal cabinet. This metal cabinet was wobbly and could be pulled over by the children. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Due to the shelf not being sturdy enough, it will be removed. Maintenance will reinforce the mat and the netting. Often safety checks will be done in the gross motor room will be conducted. |
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| 2018-10-02 | Allocated Unannounced Monitoring | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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Noncompliance Area: The file for staff #1 lacks an initial health assessment conducted within 12 months prior to providing initial service in a child care setting. Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. |
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Provider Response: (Contact the State Licensing Office for more information.) Requesting from staff. In the future, will ensure that this requirement is met. |
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| 2018-10-02 | Allocated Unannounced Monitoring | 3270.151(c)(2)/3270.192(3) - Mantoux TB/Health assessment, TB test | Compliant - Finalized |
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Noncompliance Area: The file for staff #1 lacked an initial health assessment which included a screening by the Mantous method at initial employment. Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. |
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Provider Response: (Contact the State Licensing Office for more information.) Requested from staff. In the future, will ensure this requirement is met. |
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| 2018-10-02 | Allocated Unannounced Monitoring | 3270.27(c)/3270.192(2)(iii) - Training regarding plan/Exp, educ., training at facility | Compliant - Finalized |
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Noncompliance Area: The file for staff #1, with hire date of 08-21-2018, lacked emergency plan training within one week of hire. There is current emergency plan training on file and dated 09-06-2018. 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff has already completed emergency plan training. From here on, will make sure done within on week of hire. |
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| 2018-10-02 | Allocated Unannounced Monitoring | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Noncompliance Area: The file for staff #1, with hire date of 08-21-2018, lacked a completed disclosure statement at initial hire. There is a disclosure statement on file. However, there was no witness information or a date that the disclosure was signed. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Signed and dated. In the future, I will make sure that I, as the director, will ensure that there is a witness on the first day of hire. |
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| 2018-10-02 | Allocated Unannounced Monitoring | 3270.65 - Protective Outlet Covers 5 yrs. or less | Compliant - Finalized |
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Noncompliance Area: In the Bike Room, observed an electrical outlet without a receptacle cover. This was accessible to children 5 years of age or younger. Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. |
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Provider Response: (Contact the State Licensing Office for more information.) Covered the outlet. Ongoing walk through of the environment will be done to ensure outlet covers are covered properly. |
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| 2018-10-02 | Allocated Unannounced Monitoring | 3270.76 - Building Surfaces | Compliant - Finalized |
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Noncompliance Area: On the outside of the building and near the outside play space, one of the windows has a protective wooden covering. Observed exposed nails and cracked plastic at the right base of the covering. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Have maintenance fix this hazard. In the future, often safety checks of the outdoor environment will be done. |
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| 2018-02-20 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Noncompliance Area: In the Private Pre-K Counts bathroom, observed a toilet which had an exposed bolt at its' base. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Covered with tape as temporary fix but going to purchase bolt cover. In the future, we will be sure that there we are free from safety hazards. |
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| 2018-02-20 | Renewal | 3270.131(d)(7) - Free from contagious/communicable disease | Compliant - Finalized |
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Noncompliance Area: The current updated health assessments on file for children #1 and #2 lacked the statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. |
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Provider Response: (Contact the State Licensing Office for more information.) The current updated health assessments on file for children #1 and #2 lacked the statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. |
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| 2018-02-20 | Renewal | 3270.64 - Outside Walkways | Compliant - Finalized |
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Noncompliance Area: A non-active electrical wire with an exposed sharp metal piece was observed along the walkway which is used by the children to get to the outdoor play space. Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards. |
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Provider Response: (Contact the State Licensing Office for more information.) Covered over wire. In the future, the safety hazards will be checked on the outdoor walkways. |
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| 2018-02-20 | Renewal | 3270.75(c) - Has all items | Compliant - Finalized |
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Noncompliance Area: In the Private Pre-K Counts Room, observed a first-aid kit which lacked soap. Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. |
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Provider Response: (Contact the State Licensing Office for more information.) Added soap. In the future, we will make sure that all first-aid kits are equipped with mandatory items. |
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| 2017-02-23 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Noncompliance Area: In the moon room a tear was observed in the vinyl located in the middle of the bouncy 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The vinyl will be repaired. In the future director will ensure that the play space is in good repair. |
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| 2017-02-23 | Renewal | 3270.111(b) - Posted in group space | Compliant - Finalized |
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Noncompliance Area: The moon room and the bike room lacked an activity schedule. Correction Required: The written plan of daily activities shall be posted in the group space. |
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Provider Response: (Contact the State Licensing Office for more information.) An activity schedule was posted in both rooms. In the future director will ensure the activity scheduled remains posted. |
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| 2017-02-23 | Renewal | 3270.124(e) - Written emergency plan posted | Compliant - Finalized |
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Noncompliance Area: The moon room lacked a posting identifying the means of transporting a child in an emergency. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The emergency transportation plan was posted. In the future director will ensure emergency transportation plan remains posted. |
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| 2017-02-23 | Renewal | 3270.131(d)(7) - Free from contagious/communicable disease | Compliant - Finalized |
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Noncompliance Area: The child file for child #1 contained an initial health report that lacked a statement that the child is able to participate in child care and is free from communicable diseases. Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. |
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Provider Response: (Contact the State Licensing Office for more information.) The child file for child #1 contains a valid health report that includes the statement pertaining to communicable diseases. In the future director will ensure that the proper DHS form will be used and if the form is not used then the statement will be added to the health report by the physician. |
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