Pennsylvania Learning Academy

Regulation: 20.71(a)(5)

Description: Mistreatment or abuse of a child/children cared for in facility

Noncompliance Area: On May 15, 2026, during the complaint investigation, it was found that on May 13, 2026, staff person #1 mistreated, or abused child #1 after repeatedly asking child #1 for a hug and asking child #1 to touch his genital area. Additionally, it was found via video footage reviewed, on May 13, 2026, staff person #1 mistreated or abuse child #2 when unzipping his pants and having child # 2 touch his genital area.

Correction Required: The Department may deny, refuse to renew or revoke a certificate of compliance for mistreatment or abuse of a child/children cared for in facility. Facility person #1 cannot have access to children in the facility. The operator may not allow abuse to occur at the facility.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: On May 15, 2026, during the unannounced inspection, there was a tan dresser draw observed with chipping paint inside of classroom 6 childcare space.

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

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: On May 15, 2026, during the complaint investigation, it was found that the facility did not notify the parents of child #2 of an incident that occurred on May 13, 2026, at the facility involving staff person #1 having child #2 touch his genital area.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: On May 15, 2026, during the complaint investigation, it was found on May 13, 2026, staff person #1 mistreated, or abused child # 1 after repeatedly asking child #1 for a hug and asking child#1 to touch his genital area. Additionally, it was found via video footage reviewed, on May 13, 2026, staff person #1 mistreated or abuse child #2 when unzipping his pants and having child # 2 touch his genital area.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: On May 15, 2026, during the unannounced inspection, staff person #1 was observed to be caring for children unsupervised on May 13, 2026, via video footage reviewed. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised. (Pennsylvania Health and Safety)

Correction Required: Until such time as the required pre- service trainings are completed, staff person #-1must be supervised, when interacting with children at a minimum by, an assistant group supervisor who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On May 15, 2026, during the unannounced inspection, the storage closet on the left side of the hallway contained hand sanitizer on a shelf accessible and in reach to children receiving care in the space, the employee breakroom next to the storage closet had hand soap on a shelf, accessible and in reach to children receiving care in the space, the janitor's closet next to the storage closet, had hand soap, cleaning solutions, Clorox bleach, paint, Windex glass cleaner, accessible and in reach to children receiving care in the space, and the kitchen area contained dawn dish detergent and hand sanitizer, accessible and in reach to children receiving care in the space

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: 3270.124(c)

Description: Each child care space

Noncompliance Area: On March 17, 2026, during the renewal inspection, 5 out of 6 emergency contact forms reviewed for children present and receiving care in room 5 childcare space, were incomplete. The room 2 childcare space emergency contact forms were not available for children present and receiving care in the space.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: On March 17, 2026, during the renewal inspection, the file reviewed for staff person #1 and staff person #2, did not contain proof a fire safety training within the last 12 months. The fire safety training contained in the file for staff person #1 was dated (4/18/24), and the fire safety training contained in the file for staff person #2 was dated (4/20/24) see code sheet for hire dates.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: On March 17, 2026, during the renewal inspection, the file reviewed for staff person #2 did not contain proof that an evaluation was conducted within the last 12 months, evaluation contained in the file was dated (4/2/24).

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: 3270.61(a)

Description: Indoor space- small muscle

Noncompliance Area: On October 16, 2025, during the unannounced inspection, the infant room childcare space on the right side of the facility near the entrance was not set up and ready to receive children, as it contained storage materials.

Correction Required: A facility shall provide indoor childcare space for individual and group small muscle activity.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On October 16, 2025, during the unannounced inspection, the outlet under the television in the Pre-k classroom did not contain a protective cover.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: On October 16, 2025, during the unannounced inspection, there was no evidence that a fire drill was conducted within a 60-day period. Fire drill log reviewed last fire drill recorded date 4/2/25.

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.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: During the unannounced inspection conducted 4/15/25, the record reviewed for staff #1 did not include an initial health assessment (Continued noncompliance from the renewal inspection conducted 3/24/25).

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.

Regulation: 3270.181(a)

Description: Each child

Noncompliance Area: During the complaint investigation conducted 4/15/25, upon request there was no individual record available for review for child #1.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: During the complaint investigation conducted 4/15/25, it was found that Child #1 was given and using another child's pacifier by staff person #1 because they were crying. Child #1 was sent home with a pacifier that belonged to another child. it was also found that child #1 was given a sippy cup that was not the child's. Children's bottles and sippy cups were observed not labeled with each child's individual name during the investigation in the infant and toddler childcare spaces.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the unannounced inspection conducted 4/15/25, the record reviewed for facility person #1 did not contain a DHS required FBI fingerprint clearance or NSOR verification. (See code sheet for hire date). Facility person #1 was also observed working alone with school age children. (Continued noncompliance from the renewal inspection conducted 3/24/25).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 -- may not work in a childcare position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, required DHS FBI clearance, NSOR verification, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During the unannounced inspection conducted 4/15/25, facility person #1 was observed working alone with 18 children, with the youngest being preschool aged.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection conducted 3/24/25, the shaken baby syndrome policy reviewed did not include the prevention and identification of child maltreatment.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: During the renewal inspection conducted 3/24/25, the record reviewed for staff #2 did not include a health assessment.

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.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During the renewal inspection conducted 3/24/25, upon request there was no verification available for review to verify the facility notified, 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 childcare 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 childcare facility.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During the renewal inspection conducted 3/24/25, upon request there was no emergency drill log available for review to verify the facility conducts annual emergency drills.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the renewal inspection conducted 3/24/25, upon request, verification of annual minimum 12 clock hours of childcare training was not available for review for staff #1.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection conducted 3/24/25, the file reviewed for staff person #2 did not contain National Sex Offenders Registry verification. (See code sheet for hire date).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2-- may not work in a childcare position at the facility.

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

Description: HS/GED + 2 yrs/Transcript, diploma and letters

Noncompliance Area: During the renewal inspection conducted 3/24/25, the record reviewed for staff #2 did not include verification of education to qualify the staff for the position performing. (Assistant Group Supervisor)

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 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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During renewal inspection on April 25, 2024, certification representative observed changing pads in room 7 and the preschool room that were ripped and in need of cleaning.

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: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: During renewal inspection on April 25, 2024, certification representative observed 1 child strapped in a highchair and 3 children in a bucket seat table from 9:50 to 10:05 watching a television show on a mobile phone.

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

Regulation: 3270.123(a)(5)/3270.124(b)(7)

Description: Designated release persons/Name/address/phone release person

Noncompliance Area: During renewal inspection on April 25, 2024, the emergency contact forms of children #3 and #5 did not contain the address of the release persons, and the financial agreements did not specify the release persons.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: During renewal inspection on April 25, 2024, the agreements of children 2, 3, 4 and 5 did not specify the date of the child's admission.

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

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection on April 25, 2024, the financial agreements and emergency contact forms of children #1, 2 and #3 were not updated at least once in a 6 month period.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: During renewal inspection on April 25, 2024, the records of children #3 and #5 did not contain a health report.

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.

Regulation: 3270.131(c)/3270.131(d)(7)

Description: Completed or signed by physician, PA, or CRNP/Free from contagious/communicable disease

Noncompliance Area: During renewal inspection on April 25, 2024, the health reports of children #1 and #4 did not include statements that the child is able to participate in child care and appear to be free from contagious or communicable disease and were not signed by a physician.

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.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: During renewal inspection on April 25, 2024, the records of staff #1, 2 and 3 did not contain a health assessment or tuberculin test.

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During renewal inspection on April 25, 2024, the record of staff #2 did not contain 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.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During renewal inspection on April 25, 2024, provider did not have documentation of an annual emergency drill.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During renewal inspection on April 25, 2024, the operator did not have evidence that they submitted the emergency plan to the local municipality and 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection on April 25, 2024, the record of staff #1 did not contain a Child Abuse clearance or the results of the NSOR verification, the record of staff #2 did not contain documentation or submission/receipts for any of the required clearances, and the record of staff #4 did not contain the results of the NSOR verification certificate.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

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

Description: HS/GED + 2 yrs/Transcript, diploma and letters

Noncompliance Area: During renewal inspection on April 25, 2024, the records of staff #1 and 2 did not contain documentation of at least 2 years experience with children to qualify them for the position in which they were performing (AGS per director).

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 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: 3270.61/3270.101(a)

Description: Measurement and use of indoor child care space/Age appropriate

Noncompliance Area: During renewal inspection on April 25, 2024, rooms 1, 3, and 8 were not set up for child care and did not contain sufficient materials.

Correction Required: Measurement and use of indoor child care space. Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During renewal inspection on April 25, 2024, certification representative observed a hold in the blackboard in the school age 1 room, a hole in the blue wall in room 7, a hole in the bathroom in school age 2, lights in need of repair in room 8, a floor panel in need of repair in room 2 and a hole in the wall in room 10 in need of repair.

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 renewal inspection on April 25, 2024, certification representative observed areas of chipped paint in rooms 7, school age 2, the indoor play space, and room 2.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection, certification representative reviewed facility files and there was no policy for Shaken Baby Syndrome including the identification and prevention of Child Maltreatment per Announcement C-22-03 that was issued on January 24,2022..

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.15(b)

Description: Building Codes

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and there was no certificate of occupancy on file at the facility. Provider will make sure that staff files will ensure that all staff files include a health assessment with TB results at the time of hire and updated health assessments by reviewing staff files biannually to maintain compliance.

Correction Required: The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance issued by the Department under this chapter.

Regulation: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 staff files and the files for staff #3 and staff #4 did not contain a health assessment and the file for staff #$ did not include TB testing or results.

Correction Required: An adult health assessment must include a physical examination. 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.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During the renewal inspection, certification representative reviewed facility files and there was no written notification sent to the local traffic authorities.

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: 3270.18(a)

Description: On file at facility

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and there was no record of current liability insurance.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 staff files and the files for staff #2 did not include a verification of experience and the files for staff #3 and staff #4 did not include a verification of experience or a verification of education.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. 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: During the renewal inspection, certification representative reviewed 5 staff files and the files for staff #2 and staff #4 did not include two non family 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.

Regulation: 3270.27(a)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and the emergency plan did not include a method to contact parents or a method for staff to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and the emergency plan did not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

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

Regulation: 3270.27(b)/3270.27(f)

Description: Plan reviewed/updated annually/Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files, and the emergency plan was not updated to include the continuity of operations or specific staff duties per announcement c-22-04, issued 4/19/22 nor was there proof that the emergency plan was sent to the the local municipality and to the county emergency management agency.

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. 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.

Regulation: 3270.31(e)(4)(i)/3270.31(f)(10)

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

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 staff files and the files for staff #1, staff #2 and staff #3 did not contain pqas certified pediatric cpr/first aid certification from an approved provider /approved course.

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

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: During the renewal inspection, certification representative did a facility walkthrough and staff #4 who had the qualifications of an aide was working unsupervised in the infant room with 4 children.(corrected at the time of inspection)

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

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH AND THERE WERE HOLES IN THE WALLS THROUGHOUT THE INDOOR PLAY SPACE/GYM AREA.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH AND THERE WERE NO LABELS ON THE REST EQUIPMENT THROUGHOUT THE FACILITY.

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: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 2 STAFF FILES AND THE FILE FOR STAFF #2 DID NOT CONTAIN TUBERCULIN RESULTS.

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.

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 2 STAFF FILES AND THE FILE FOR STAFF #2 DID NOT CONTAIN PROOF OF QUALIFICATIONS,THERE WAS NO RECORD OF THE LEVEL OF EDUCATION OR YEARS OF EXPERIENCE.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.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: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 2 STAFF FILES AND THE FILE FOR STAFF #2 DID NOT CONTAIN 2 WRITTEN NON FAMILY 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

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED THE FACILITY FILES AND THE EMERGENCY PLAN DID NOT INCLUDE INFORMATION ON HOW STAFF ARE TO RESPOND IN THE EVENT OF A LOCK DOWN, SHELTER IN PLACE, EVACUATION AND DID NOT INCLUDE ACCOMODATIONS FOR INFANTS, TODDLERS, CHILDREN WITH DISABILITIES AND CHILDREN WITH CHRONIC MEDICAL CONDITIONS.

Correction Required: The facility shall have an emergency plan that provides for accommodations for 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(a)(4)

Description: Contact when ended

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED THE EMERGENCY PLAN AND THERE WAS NO METHOD THAT SHOWED HOW PARENTS WERE TO BE INFORMED THAT AN EMERGENCY WAS OVER AND TO PROVIDE INSTRUCTION FOR SAFE REUNIFICATION WITH THEIR CHILDREN.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED THE EMERGENCY PLAN AND THERE WAS NO EMERGENCY DRILL LOG.

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

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH AND THE EMERGENCY PLAN WAS NOT POSTED IN THE FACILITY.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

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

Description: Fire safety - 1 yr.

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 2 STAFF FILES AND THE FILE FOR STAFF #2 DID NOT CONTAIN FIRE SAFETY TRAINING.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 2 STAFF FILES AND THE FILE FOR STAFF #2 IS MISSING THE MANDATED REPORTER TRAINING,A CHILD ABUSE, FBI, AND NSOR CLEARANCES.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: staff person #2 and staff person #3 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. staff person #2 and staff person #3 may not work in a child care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH AND IN THE HONEYBEES ROOM, THE BATHROOM CABINET UNDER THE SINK WAS UNLOCKED AND CONTAINED CLEANING SUPPLIES.

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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH AND THE WATER TEMPERATURE IN WAS AT 115° F IN THE CATERPILLARS ROOM.

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, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH AND THE VENT INSIDE OF THE BATHROOM IN THE HONEYBEES ROOM IS DAMAGED.

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, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH AND IN THE GYM THERE WAS DAMAGED PLASTER AND MISSING PAINT ON THE YELLOW WALL AT THE BOTTOM AND ON THE BLUE WALL ,BETWEEN THE TWO DOORS, AT THE BOTTOM OF THE WALL BY THE DOOR FRAME.

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

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON FEBRUARY 27, 2020, CERTIFICATION REPRESENTATIVE OBSEVED A BOOK SHELF IN ROOM 4 THAT WAS WOBBLY AND UNSTABLE.

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

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON FEBRUARY 27, 2020, CERTIFICATION OBSERVED THE AIR VENTS IN ROOM 9 WERE IN NEED OF CLEANING AND ACCESSIBLE TO CHILDREN. CERTIFICATION REPRESENTATIVE ALSO OBSERVED A PIECE OF THE WOODEN MOLDING IN ROOM 9 WAS DETACHED FROM THE WALL, WITH SHARP EDGES EXPOSED.

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

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON FEBRUARY 27, 2020, CERTIFICATION REPRESENTATIVE OBSERVED CHIPPED PAINT UNDER THE LADY BUG ON THE WALL IN ROOM 7.

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

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON JANUARY 23, 2020, THE EMERGENCY CONTACTS OF CHILDREN #1, 2, 3 AND 4 WERE NOT IN THE CHILD CARE SPACE WHERE THE CHILDREN WERE RECEIVING CARE. CONTINUED NON-COMPLIANCE.

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

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON JANUARY 23, 2020, PROVIDER DID NOT HAVE A CURRENT COPY OF THE VEHICLE INSURANCE ON FILE.

Correction Required: A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON JANUARY 23, 2020, CERTIFICATION REPRESENTATIVE OBSERVED TOXIC CLEANING MATERIALS UNDER THE SINK IN ROOM 2, AND A BOTTLE OF BLEACH AND WATER UNDER THE SINK IN ROOM 5 THAT WAS NOT LABELED WITH THE CONTENTS.

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

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON JANUARY 23, 2020, CERTIFICATION REPRESENTATIVE OBSERVED A PIECE OF MOLDING DETACHED FROM BATHROOM WALL BEHIND TOILET, WITH NAILS STICKING OUT.

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

Noncompliance Area: DURING COMPLAINT INVESTIGATION ON 12-4-19, STAFF #1 STATED THAT SHE GRABBED THE HOOD OF CHILD #1 FROM BEHIND, RESULTING IN SCRATCHES LEFT ON THE CHILD'S NECK.

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

Noncompliance Area: DURING COMPLAINT INVESTIGATION ON 12-4-19, STAFF #1 STATED THAT SHE WAS ALONE WITH 19 CHILDREN DURING THE TIME OF THE INCIDENT (APPROXIMATELY 3:30 PM ON 11/27/19). THIS WAS ALSO REFLECTED ON THE RATIO MONITORING SHEET FOR 11-27-19.

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

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON DECEMBER 4, 2019, CERTIFICATION REPRESENTATIVE OBSERVED STAFF #1 ALONE IN ROOM 4 WITH 15 CHILDREN, THE YOUNGEST BEING 8 YEARS OLD (SECOND GRADE ACCORDING TO THE CHILD). THE RATIO FOR YOUNG SCHOOL AGE IS 1:12. FACILITY ON RATIO MONITORING SINCE 4-8-19, CONTINUED NON-COMPLIANCE.

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

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON NOVEMBER 15, 2019, CERTIFICATION REPRESENTATIVE OBSERVED CHILD #1 UNSUPERVISED IN ROOM #4 FOR A PERIOD OF TWO MINUTES, FROM 12:34 PM TO 12:36 PM.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON NOVEMBER 15, 2019, THE EMERGENCY CONTACT FORMS OF CHILDREN #2 AND #3 WERE NOT PRESENT IN THE CHILD CARE SPACE IN WHICH THE CHILDREN WERE RECEIVING CARE.

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

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON NOVEMBER 15, 2019, THE RATIO DOCUMENTATION PROVIDED INDICATED THAT THE FACILITY WAS NOT MAINTAINING PROPER STAFF:CHILD RATIOS ON MULTIPLE OCCASIONS (10-7-19 AT 4:30 PM, 10-16 AT 4:30 AND 5:00 PM, 10-21 AND 10-24-19 AT 4:00 PM). CONTINUED NON-COMPLIANCE - FACILITY ON RATIO MONITORING SINCE 4-8-19.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the SE Region Office on a weekly basis for a period of three months after DHS approves the documentation format. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON SEPTEMBER 9, 2019, THE NEGATIVE SANCTION LETTER WAS NOT POSTED IN A CONSPICUOUS LOCATION AS REQUIRED.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON SEPTEMBER 9, 2019, CERTIFICATION REPRESENTATIVE OBSERVED CHILDREN IN ROOM #9 WHICH WAS PRESENTED AS THE PLAYSPACE, BUT IS MEASURED AS CHILDCARE SPACE.

Correction Required: Indoor child care space may not be used simultaneously as play space.

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON SEPTEMBER 9, 2019, CERTIFICATION REPRESENTATIVE OBSERVED CHILDREN IN ROOM #9, WHICH WAS PRESENTED AS PLAY SPACE BUT IS MEASURED AS CHILDCARE SPACE. STAFF #1 STATED THAT THERE ARE NO OTHER AREAS IN THE FACILITY IDENTIFIED AS PLAY SPACE TO THE BEST OF HER KNOWLEDGE.

Correction Required: A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding.

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON SEPTEMBER 9, 2019, THE WATER TEMPERATURE MEASURED AT 112.7 F.

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

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON AUGUST 30, 2019, CERTIFICATION REPRESENTATIVE ENTERED ROOM 4 AT APPROXIMATELY 11:00 AM AND ASKED STAFF #1 HOW MANY CHILDREN SHE HAD, TO WHICH STAFF #1 REPLIED THAT SHE HAD 10 PRESCHOOL CHILDREN. WHEN ASKED TO NAME THE CHILDREN, STAFF #1 IDENTIFIED NINE TOTAL CHILDREN. WHEN ASKED AGAIN HOW MANY CHILDREN SHE HAD, STAFF #1 AGAIN REPLIED 10. WHEN BOTH STAFF #1 AND CERTIFICATION REPRESENTATIVE COUNTED AGAIN, BOTH COUNTED 9 CHILDREN, TO WHICH STAFF #1 THEN STATED THAT SHE IN FACT HAD 9 CHILDREN. A CHILD THEN CAME OUT FROM BEHIND THE CLASSROOM DOOR, INDICATING THAT THERE WAS IN FACT 10 CHILDREN AND STAFF #1 DID NOT KNOW THE WHEREABOUTS OF A CHILD IN HER GROUP, OR WHICH CHILD WAS NOT ACCOUNTED FOR. CONTINUED NON-COMPLIANCE.

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 UNANNOUNCED INSPECTION ON AUGUST 30, 2019, CERTIFICATION REPRESENTATIVE ENTERED ROOM 4 AT APPROXIMATELY 11:00 AM AND ASKED STAFF #1 HOW MANY CHILDREN SHE HAD, TO WHICH STAFF #1 REPLIED THAT SHE HAD 10 PRESCHOOL CHILDREN. WHEN ASKED TO NAME THE CHILDREN, STAFF #1 IDENTIFIED NINE TOTAL CHILDREN. WHEN ASKED AGAIN HOW MANY CHILDREN SHE HAD, STAFF #1 AGAIN REPLIED 10. WHEN BOTH STAFF #1 AND CERTIFICATION REPRESENTATIVE COUNTED AGAIN, BOTH COUNTED 9 CHILDREN, TO WHICH STAFF #1 THEN STATED THAT SHE IN FACT HAD 9 CHILDREN. A CHILD THEN CAME OUT FROM BEHIND THE CLASSROOM DOOR, INDICATING THAT THERE WAS IN FACT 10 CHILDREN IN THE ROOM AND 1 CHILD WAS NOT BEING SUPERVISED. AT 11:06 AM, CERTIFICATION REPRESENTATIVE OBSERVED CHILD #1 IN THE HALLWAY OUTSIDE OF ROOM #11 UNATTENDED AND UNSUPERVISED BY A STAFF MEMBER. CONTINUED NON-COMPLIANCE. FACILITY HAS BEEN ON RATIO AND SUPERVISION MONITORING SINCE 4-8-19.

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

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON AUGUST 30, 2019, CERTIFICATION REPRESENTATIVE OBSERVED STAFF #2 WITH 5 PRESCHOOL CHILDREN IN ROOM #11, WHERE NUMEROUS DESKS WERE STACKED UP ONTOP OF EACH OTHER AND WAS NOT SUITABLE FOR CHILD CARE. STAFF #2 STATED THAT THE ROOM WAS USED AS A STAFF LOUNGE, AND NOT AS A CHILD CARE SPACE BUT THE ROOM IS MEASURED AS CHILDCARE SPACE.

Correction Required: Measurement and use of inodoor child care spaceIndoor space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the child care being offered.

Noncompliance Area: DURING COMPLAINT INVESTIGATION ON AUGUST 30, 2019, THE DOCUMENTATION REGARDING DIAPER CHANGES FOR THE INFANT ROOM INDICATED THAT CHILDREN WERE NOT BEING CHECKED AND/OR CHANGED AT LEAST EVERY 2 HOURS.

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: DURING UNANNOUNCED INSPECTION ON JULY 24, 2019, CERTIFICATION REPRESENTATIVE OBSERVED STAFF #3 IN A GROUP OF 9 PRESCHOOL CHILDREN. WHEN ASKED TO NAME THE GROUP SHE WAS ASSIGNED TO, STAFF #3 STATED THAT SHE DID NOT KNOW ANY OF THEIR NAMES AS SHE WAS NEW (HIRE DATE 7-23-19). STAFF #3 ALSO STATED THAT SHE DID NOT HAVE A LIST OF THE CHILDREN'S NAMES TO REFERENCE. CERTIFICATION THEN OBSERVED STAFF #4 IN ROOM 5 WITH ANOTHER STAFF MEMBER AND A TOTAL OF 10 PRESCHOOL CHILDREN. WHEN ASKED TO NAME THE GROUP SHE WAS ASSIGNED TO, STAFF #4 STATED THAT SHE DID NOT KNOW THE NAMES OF THE CHILDREN AS SHE WAS NOT TYPICALLY IN THAT CLASSROOM.

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 UNANNOUNCED INSPECTION ON JULY 24, 2019, CERTIFICATION REPRESENTATIVE OBSERVED STAFF #1 IN ROOM 4 WITH 18 YOUNGER AND OLDER SCHOOL-AGE CHILDREN AT APPROXIMATELY 10:00 AM. AT APPROXMATELY 10:20 AM, CERTIFICATION OBSERVED STAFF #2 IN ROOM 4 WITH 15 YOUNGER AND OLDER SCHOOL AGE CHILDREN. CONTINUED NON-COMPLIANCE. FACILITY WAS PREVIOUSLY PLACED ON 3 TIERED MONITORING AS OF 4/8/2019.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON JUNE 20, 2019, CERTIFICATION REPRESENTATIVE OBSERVED THE SCHOOL-AGE CHILDREN WITH INSUFFICIENT MATERIALS (THE GROUP OF 11 SCHOOL-AGE CHILDREN WAS OBSERVED WATCHING A MOVIE SITTING IN DESKS, WITH ONLY ONE BOARD GAME AND SOME BOOKS IN THE ROOM AS ADDITIONAL OPTIONS). CONTINUED NON-COMPLIANCE.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include the items specified at 3270.101(c)(1) - (6).

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON 5-20-19, CERTIFICATION REPRESENTATIVE OBSERVED AN INSUFFICIENT AMOUNT OF TOYS FOR THE NUMBER AND AGES OF CHILDREN BEING CARED FOR IN THE CLASSROOM (APPROXIMATELY 4 TRUCKS, AND ONE SHELF OF BOOKS IN ROOM 4 WHERE 9 PRESCHOOL CHILDREN WERE PRESENT).

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include the items specified at 3270.101(c)(1) - (6).

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON 5-20-19, CERTIFICATION REPRESENTATIVE OBSERVED STAFF #1 IN ROOM 2 WITH SIX YOUNG TODDLERS. CONTINUED NON-COMPLIANCE.

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

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON 5-20-19, CERTIFICATION REPRESENTATIVE OBSERVED A SMALL HOLE IN THE WALL OF ROOM 4. CONTINUED NON-COMPLIANCE.

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

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON 5-20-19, CERTIFICATION REPRESENTATIVE OBSERVED AREAS OF CHIPPED PAINT IN ROOMS 4, 5, 6 AND 8. CONTINUED NON-COMPLIANCE.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON APRIL 8, 2019, CERTIFICATION REPRESENTATIVE OBSERVED A BUMBO SEAT WITHOUT A STRAP, ON A SHELF IN THE INFANT ROOM. THIS ITEM WAS RECALLED ON AUGUST 15, 2012 BY THE CONSUMER PRODUCT SAFETY COMMISSION.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Noncompliance Area: DURING COMPLAINT INVESTIGATION ON APRIL 8, 2019, CERTIFICATION REPRESENTATIVE OBSERVED A CHILD ON THE WINDOW SILL BEHIND THE BATHROOM IN ROOM #6, AND ALSO OBSERVED TWO STAFF (#1 AND #2) SEND THE SCHOOL-AGE CHILDREN INTO A CLASSROOM IN WHICH THERE WERE NO STAFF INSIDE (STAFF #1 AND #2 WERE BOTH IN THE HALLWAY), THEREFORE CHILDREN WERE UNSUPERVISED DURING THE TRANSITION INTO THE ROOM.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

Noncompliance Area: DURING RENEWAL INSPECTION ON APRIL 8, 2019, AT APPROXIMATELY 3:45 PM, STAFF #6 STATED THAT THEY HAD A TOTAL OF 25 CHILDREN. WHEN CERT REP ASKED STAFF #7 IF THEY HAD 25 CHILDREN, SHE CONFIRMED. CERT REP THEN STATED THAT SHE COUNTED 28 CHILDREN, AND STAFF #7 SAID SHE THOUGHT SHE ORIGINALLY COUNTED 27. ANOTHER CHILD THEN WALKED IN FROM THE HALLWAY, TOTALING 29 CHILDREN WITH TWO STAFF.

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.