Kiddie City Early Learning Center Inc

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There is a ripped toy couch used by the children in the Pre-K Counts classroom.

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

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Child # 1 does not have signed consent for emergency medical care or minor first aid.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Facility staff # 1 & # 2 have not had emergency plan training in over 12 months. Staff # 1 training on emergency plan on 11/20/23 to 5/19/25. Staff # 2 training on plan from 9/29/23 to 5/19/25.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: During a complaint investigation on 7/11/25 it was reported by the facility director, that facility staff person # 1 admitted to the facility director on 7/8/25 that they bit child # 1 on the hand, "not hard", after child # 1 bite them while having a behavioral issue on 7/8/25. Facility staff # 1 was immediately terminated and escorted out of the building.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility staff # 2 was hired and working in childcare and did not have their NSOR clearance on file at time of hire. Facility staff person # 2 had their NSOR on file on 7/3/25. See code sheet for date of hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Tiered LIS: 1. 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 information required under the CPSL. This portion of the plan shall have an immediate correction date. 2. Facility administration must develop a hiring checklist to be used for all new hires. The checklist must be submitted to the Regional Office for approval. Once approved, the checklist will be used to ensure the CPSL is in compliance for all new employees. A copy of the checklist will be maintained in each new hires' file. This portion of the plan shall have a date by which the checklist will be created, approved, and implemented. 3. The legal entity will submit complete files to the Northeast Regional Office for any new hires for a period of three months from the date an acceptable plan is received. During that time, new hires may not begin to work in child care position until their file has been approved by the Northeast Regional Office. Submitted files will be reviewed within 1 week of submission. This portion of the plan shall have a date that is at least three months out from the date the plan of correction is submitted.

Regulation: 3270.182(7)

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

Noncompliance Area: Child # 1 & # 2 both had incidents within a week of each other and the incident reports for each child were not given to the children's parent until a day after each of the incidents occurred. This was observed on file at the facility during a complaint investigation. The incident with child # 1 occurred on 3/19/25 and the incident report was given 3/20/25. The incident with child # 2 occurred in 3/6/25 and the incident report was given 3/7/25.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A Pre-K 2 classroom cubby white door shelf has a broken door hinge. There is a broken Fisher Price ride on toy on the infant playground.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The Pre-K Counts 3 classroom has cots that are not numbered or labeled with the assigned children. Pre-K 2 classroom does not have cots #'d. Pre-K counts 4 classrooms only has 2 out of 12 children's cots numbered and assigned. The older toddler cot list has no names assigned for the children.

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

Regulation: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: Child # 2 did not have their emergency contact forms, or fee agreements completed at time of admission .

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child # 1 did not have a child service report completed in over 6 months from 1/18/23 to 9/21/24.

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

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: Facility staff # 1 had a Mantoux test on file at time of hire that was more than 12 months old.

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.

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

Description: Age and Training

Noncompliance Area: Facility staff # 2 did not have Pediatric First Aid and CPR training until after the current training certificate expired on 9/27/23. Training was done 10/12/23 for facility staff # 2.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There is toxic hand sanitizer on a shelf in the Pre-K 3 classroom that is accessible to the children.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The classroom back wall in the young toddler classroom has large pieces of ripped plastic on the walls of the classroom that are accessible to the children. The plastic is used like a lamination covering alphabet decorations on wall.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility fire alarm/ smoke detector system has not been inspected in over 12 months as required since 9/8/23.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 did not have the one hour update to the health and safety training within 90 days of hire (see LIS code sheet for date of hire).

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 person #1 will take the one hour update to the health and safety training by 12/26/23.

Regulation: 3270.108(c)

Description: No styrofoam

Noncompliance Area: During the inspection, throughout the facility, Styrofoam plates and bowls were used.

Correction Required: Styrofoam cups and plates may not be used.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: During the inspection, child #7 and child #10 did not have a HEP A #2 immunization. These children were not immunized according to recommendations of the ACIP.

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). 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). Children #7 and #10 must be dismissed from care by close of business 9/26/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.178

Description: Transportation First Aid Kit

Noncompliance Area: During the inspection, the black Chrysler and Ford transit #4 did not contain tweezers. The Bus #1 did not contain soap or scissors. The Bus #5 did not contain soap, scissors or tweezers.

Correction Required: A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During the inspection, the emergency drill on file was conducted on 4/21/22 and not annually as required.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the inspection, there was no annual emergency plan training on file for staff person #1, staff #6 through staff #8, staff #10 through staff #14, staff #17 through staff #19, staff #22 through staff #31 and staff #35.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the inspection, staff person #11, staff person #14, staff person #24, staff person #27 and staff person #31 only had 6 clock hours of child care training during their 12/21-12/22 training period.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the inspection, staff person #27 had mandated reporter training on file dated 8/17/22 with a previous training date of 2/14/17. This date is more than the required 60 month timeframe. Staff person #30 did not have a completed NSOR on file until 3/2/23 and was past the 45 day provisional hiring period (see LIS sheet for date of hire).

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During the inspection, staff person #8 did not have a completed annual evaluation on file. This is evidenced by the evaluation on file dated 6/24/22.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the Pre-K Counts 4 classroom, a bottle of Pepto Bismol, perfume and lotion were observed in an unlocked cabinet. These items were accessible to children. In the PK Counts 1 room, a container of shaving cream was observed in an unlocked cabinet.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the inspection, tweezers were missing from the first aid kit in the Pre-K Counts 2 room.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the inspection, in the School age room, the PK Count 1 and 2 rooms the white cubbies had broken doors which would dangle when opened. This poses a hazard to children.

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

Regulation: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: During the inspection, in the young toddler room, the sink located next to the changing table and trash can which contained used diapers was not functioning. There was no source of running water in this diapering area.

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

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

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

Noncompliance Area: During the onsite inspection, the certification representative was in the school age classroom as children were arriving. There were 22 older school age children present. Staff #3 and staff #4 were unable to clearly identify the children that they were responsible for when asked by the certification representative.

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

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

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

Noncompliance Area: During the onsite inspection, the certification representative was in the school age classroom as children were arriving. There were 22 older school age children present. Staff #3 and staff #4 were unable to clearly identify the children that they were responsible for when asked by the certification representative.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The facility must update their staff policies to include and address Chapter 3270.113 (a) and Chapter 3270.113 (a)(1). The policies must also include actions taken for any staff observed violating these policies. This must be submitted to DHS for approval. After approval from DHS, the legal entity will arrange a training of all staff on these policies. Verification of the training will be placed in each staff person's file.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: During the onsite inspection, staff person #12's TB test on file was dated 2/27/19 and is older than 12 months from the date of hire (see LIS sheet for date of hire).

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the onsite inspection, staff person #2 had a PA State Police clearance on file dated 5/10/23. The previous PA State Police clearance was dated 4/9/18, reflecting more than 60 months of updating the clearance. Staff person #12 does not have a NSOR certificate on file and has been employed at the facility for more than 45 days (see LIS sheet for date of hire).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #12 may not work in a child care position at the facility.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: During the renewal inspection on 9/16/22, the rubber mulch loose surfacing on the playground around the embedded equipment measured 2 inches, and not the required 6 inches that meets the recommendations of the United States Consumer Product Safety Commission.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: During the renewal inspection on 9/16/22, child #3 and child #5, preschool children, did not have updated health assessments on file within the past 12 months.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection on 9/16/22, the operator did not have child maltreatment and abusive head trauma policies.

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. The provider's written policy must include, but is not limited to: Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and address the prevention and identification of child maltreatment.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection on 9/16/22, the operator did not include volunteer emergency preparedness training and continuity of operations in the emergency plan.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall update the sections of their emergency plans that must address volunteer emergency preparedness training, practice drills, and continuity of operations.

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: During the renewal inspection on 9/16/22, the health assessment on file for staff #1 stated "yes" to question #2's exam for communicable diseases but there was no explanation included. Staff #2's health assessment did not have any answer to question #2 or question #3 documented.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, the emergency plan on file did not include accommodations for toddlers during an emergency.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During the renewal inspection on 9/16/22, in the school age room to the right of the main entrance, the water measured 112° F.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection on 9/16/22, the carpet in the PreK Counts room, was dirty and stained. The ceiling vents throughout the building were dirty. The yellow shelf in the School age room was not secured to a surface and was able to be tipped over.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection on 9/16/22, the blue shelf in the school age room had chipped paint along the edges. In the second school age room, there was chipped paint on the blue wall.

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: During the renewal inspection on 9/16/22, the toilets in the school age rooms had urine on the seats and along the base of the toilets. The walls around the sinks were dirty.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: The facility reported an injury to a child that occurred on 6/21/2022 to the Regional Office on 6/22/2022. During an onsite follow-up inspection on 6/27/22, the rubber mulch loose surfacing on the playground around the equipment measured 2 inches, and not the required 6 inches that meets the recommendations of the United States Consumer Product Safety Commission.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an unannounced inspection on 10-29-21, the last recorded date of the manual monthly monitoring testing was conducted on 9-21-21. There was no record of manual testing of the fire detection system in the month of October.

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. Manual monthly monitoring of the fire detection system will occur every 30 days.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: At the time of the inspection, the refrigerator in the Infant room did not have a 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.

Regulation: 3270.111(a)/3270.111(b)

Description: Written plan/Posted in group space

Noncompliance Area: At the time of the inspection, there was no written plan of daily activities and routines posted in the Infant and Young Toddlers classroom.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: At the time of the inspection, the agreements for child #1-10 did not include services that were being provided to the child.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: At the time of the inspection, the agreements for child #1-10 did not specify the persons designated by a parent to whom the child may be released.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: At the time of the inspection, in each classroom, the written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was missing.

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

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: At the time of the inspection, the health report on file for child #1 did not include 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.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: At the time of the inspection, the operator did not notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.174

Description: Age of Driver = 18 Yrs.

Noncompliance Area: At the time of the inspection, staff #1 was observed driving the white Honda Odyssey van and contained children coming from their school. Staff #1 did not have any photo ID in his file and It could not be determined that staff #1 has a valid driver's license .

Correction Required: The operator of the vehicle shall be 18 years of age or older and shall have a valid operator's license.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: At the time of the inspection, staff #1 did not have any verification of education on file.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of the inspection, staff #1 and 11 did not have verification of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file.

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

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, the emergency plan on file did not include accommodations for shelter of children during an emergency including lock-down.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: At the time of the inspection, the emergency plan on file was dated 8-3-2020 and was not updated annually in writing.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: At the time of the inspection, staff #2 did not have emergency plan training on file.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, staff # 1 (date of hire 2-20-2020) did not have a completed NSOR certificate or mandated child abuse training on file. There was no signed disclosure statement on file for staff #2 (date of hire 8-16-21) and there were no requests for copies of the PA State Police and Child Abuse clearances on file. The NSOR for staff #4 was dated 7-28-21 showing over a 17 month span of not having this clearance on file when hired under the 45 day provisional period. Staff #10 (date of hire 5-20-19) did not have an NSOR on file until 12-23-2020 showing a period of 5 months from the required date of 7-1-2020 for obtaining this certificate.

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 #1 MAY NOT WORK IN A CHILD CARE POSITION.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, the FBI clearance on file for staff #3 (date of hire 12-4-17) was dated 4-17-21, however, the previous FBI clearance on file was dated 9-4-15 showing a period of 7 months of not having a current FBI clearance on file. For staff #4 (date of hire 2-17-2020), the Child Abuse clearance (current date 5-19-21) with the previous one on file being dated 3-24-16 showing 2 months of not having a current Child Abuse clearance. The FBI clearance (current date 5-20-21) with a previous FBI clearance showing 4-1-16, therefore showing over a 1 month's time of not having a current FBI on file. For staff person #7 (date of hire 8-8-17), the State Police Clearance (current date 4-16-21) had a previous date of 2-10-16, the Child Abuse clearance (current date 4-16-21) had a previous date of 2-12-16 and the FBI clearance (current date 4-17-21) had a previous date of 2-16-16 all showing a 2 month span of staff #7 not having current clearances on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. The CPSL was revised to include a requirement that all clearances (and/or mandated reporter training) be updated and on file at least every 60 months.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, staff # 1 (date of hire 2-20-2020) did not have a completed NSOR certificate or mandated child abuse training on file. There was no signed disclosure statement on file for staff #2 (date of hire 8-16-21) and there were no requests for copies of the PA State Police and Child Abuse clearances on file. The NSOR for staff #4 was dated 7-28-21 showing over a 17 month span of not having this clearance on file when hired under the 45 day provisional period. Staff #10 (date of hire 5-20-19) did not have an NSOR on file until 12-23-2020 showing a period of 5 months from the required date of 7-1-2020 for obtaining this certificate.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. The Legal Entity or person responsible for the Legal Entity who is responsible for employment must obtain from the applicant, either the result of the PA State Police (PSP) Criminal History Clearance or the DHS required FBI clearance. The Legal Entity or the person responsible for the Legal Entity shall maintain copies of the applicant's completed request forms for the balance of the required clearances. The balance of the required clearances include Child Abuse Clearances, either the PSP clearance or the DHS required FBI clearance (whichever completed clearance is not on file), the NSOR verification, and out-of-state clearances if individual has resided outside of Pennsylvania and works in a child care facility in Pennsylvania. The waiver request, once approved, allows a 45-day provisional hire period for the applicant until all required clearances are on file with the provider. The provisional hire period must not exceed 45 days.

Regulation: 3270.33(d)

Description: General requirements for facility persons

Noncompliance Area: At the time of the inspection, there was not one staff person in the facility that was certified and competent in Pediatric CPR.

Correction Required: One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: At the time of the inspection, there was a bottle of Listerine in a cabinet in the school age room above the sink. This cabinet was not locked and was accessible to children.

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

Regulation: 3270.67(c)

Description: No insects or rodents

Noncompliance Area: At the time of the inspection, there was evidence of mouse feces in the kitchen storage area under the shelf that holds the utensils.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: At the time of the inspection, in the Young Toddlers room, emergency phone numbers of the nearest hospital, police department, fire department, ambulance and poison control center were not posted.

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

Regulation: 3270.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: At the time of the inspection, evacuation routes were not posted in the Young Toddler room.

Correction Required: Evacuation routes are posted in a conspicuous location on each floor of the facility.

Noncompliance Area: Staff 1-5 did not have updated emergency plan training. Staff 1 last had it on 8/15/2017. Staff 2 and 4 last had it on 7/24/2018. Staff 3 last had it on 8/17/2017 and staff 5 had it on 4/23/2018.

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.

Noncompliance Area: In the preschool 2 room there was peeling paint on the wall to the right upon entrance, as well as on the wall on the left.

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

Noncompliance Area: Two seats in the school bus had exposed foam making it difficult for them to be easily cleaned.

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

Noncompliance Area: During an unannounced pool visit on 7/19/2018, staff were able to only identify 20 children in the pool amongst their groups when there were 25 children present.

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

Noncompliance Area: During an unannounced pool visit on 7/19/2018, emergency contact forms for the children present were not in the pool area.

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

Noncompliance Area: Staff 1 was hired on 5/29/2018 and did not have emergency plan training on file.

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

Noncompliance Area: On 2/7/2018, a child that did not belong to the child care facility got onto the facility transportation vehicle. The bus pickup is at 4:00PM, and the children return to the facility at approximately 4:10-4:15PM. When the children got back to the center, staff # 1 noticed that the child did not belong to the child care center.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The facility will develop a transportation checklist to ensure that the correct children are on the van.

Noncompliance Area: During a complaint investigation, staff 1 and 2 admitted that they do not have assigned groups in the baby room. At one point it was admitted by staff that around 12/27/2018, during the time of the complaint investigation, there were 8 children in the baby room and there were no assigned groups. Staff 1 and 2 stated that they do not have assigned groups most of the time and that they take care of all of 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.

Noncompliance Area: During the course of the complaint investigation, staff #1 admitted that child # 1's diaper was not checked within a two hour period. Child #1's diaper was checked at 6:00PM. and again between 8:30-9:00PM. There was also a diaper log which did not have any diaper checks documented for child #1 until 10PM the night of 12/27/2018. The child arrived at the facility in the mid to later afternoon.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Noncompliance Area: There was furniture that had exposed cushioning in the afterschool room.

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

Noncompliance Area: In the bathrooms utilized by the children, there were no lidded waste receptacles. In the diapering area of the toddler room, there was not a hands free lidded waste receptacle for disposing of diapers.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle. If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.