Kids Campus Nursery And Daycare Llc

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: At the time of the inspection, the refrigerator in the older toddler room did not contain 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(b)

Description: Posted in group space

Noncompliance Area: At the time of the inspection, the written plan of daily activities was not posted in the older toddler room.

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

Regulation: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: At the time of the inspection, the operator acknowledged that transportation is provided. There was nothing in writing regarding transportation in the documents that parents receive at enrollment.

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)(1)/3270.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: At the time of the inspection, the agreement on file for child #1 did not specify the amount of the fee to be charged per day or per week or when the fee is to be paid.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: At the time of the inspection, the child service report on file for child #1, child #2, child #4 and child #5 did not contain a date as to when the assessment was completed and there was no indication that a copy was provided to the parents.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of the inspection, the emergency contact form for child #1, child #3 and child #5 did not include the work address and phone number of the enrolling parent.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: At the time of the inspection, the emergency contact form for child #3 did not include the health insurance policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of the inspection, the emergency contact form for child #2, child #3 and child #5 did not include the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: At the time of the inspection, there was no initial health report on file for child #3. Child #3 has been enrolled at the facility for more than 60 days (see LIS code sheet for date of admission).

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.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: At the time of the inspection, the health report dated 8/21/25 for child #2 did not include a statement that the child is able to participate in childcare 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of the inspection, the emergency plan dated 10/1/25, did not include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

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 OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: At the time of the inspection on 4/13/26, the emergency contact form and agreement for child #1 was not reviewed/updated every 6 months, as required. This is evidenced by the last documented date of review of 6/22/25.

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

Regulation: 3270.182(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: At the time of the inspection, the emergency contact form for child #3 did not contain signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

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: 3270.182(7)

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

Noncompliance Area: At the time of the inspection, staff acknowledged that they do not provide incident reports to the parents and do not have a facility file for incident reports.

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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: At the time of the inspection, the operator acknowledged that a letter explaining the emergency procedures is not provided to parents of each enrolled child.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: At the time of the inspection, staff person #1 did not complete 12 clock hours of childcare training during the 11/24-11/25 training period. Staff person #1 only completed 1 clock hour of childcare training during the 11/24-11/25 training period.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of childcare training. Staff person #1 must take 11 hours of professional development to fulfill requirement for training year 11/2024-11/2025. Hours used to fulfill training year 11/2024-11/2025 may not be used to fulfill current training year.

Regulation: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: At the time of the inspection, in the young toddler room, the receptacle used to contain the water for handwashing was not emptied. It was full of water and leaking out onto the plastic base and carpet. Staff acknowledged that it was not emptied from the week prior.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: CONTINUED NON-COMPLIANCE: At the time of the inspection on 2/11/26, the manual monthly monitoring of the fire detection system was last conducted 1/9/26 and not every 30 days, as required. An acceptable plan of correction was received stating the correction would be implemented by 3/6/26. An inspection occurred on 4/13/26. The last documented manual monthly monitoring of the fire detection system was conducted on 3/5/26 and not every 30 days as required.

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

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

Noncompliance Area: At the time of the inspection, staff person #2 did not have a health assessment on file. The TB screening for staff person #2 was conducted on 12/30/25 and not at initial hire (see LIS code sheet for date of hire). Staff person #3 did not have a TB screening on file at initial employment (see LIS code 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: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of the inspection, staff person #2 only had one 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: At the time of the inspection, staff person #1 did not have current mandated reporter training on file. This is evidenced by the mandated reporter training on file dated 1/26/21.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). OCDEL Announcement C-25-01 states that mandated reporter training be renewed every 60 months, prior to the previous certification turning 60 months.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, staff person #1 did not have a current Child Abuse clearance or NSOR certificate on file. This is evidenced by the Child Abuse clearance dated 1/22/21 and the NSOR certificate dated 1/22/21. Staff person #1 was observed to have routine interaction and direct contact with children. There was no signed disclosure statement on file for staff person #2.

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 that all clearances need to be updated every 60 months, prior to the current clearance's expiration. TIERED LIS: 1.) The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff Person #1 may not work in a childcare position at the facility until a completed Child Abuse clearance and NSOR certificate is on file at the facility. This portion of the plan requires an immediate date of correction. 2.) The Legal Entity/Director will create a method (i.e. tracking system) or policy for monitoring the expiration dates of clearances to ensure that all clearances are updated and on file prior to the current clearance's expiration. The policy must also include how and when the facility will have staff update expiring clearances. The policy should also include what actions will be taken when a staff person has a clearance that expired and does not have an updated current clearance on file. This policy must be submitted to the Northeast Regional Office for approval. Once approved, all existing staff and any new hires must be trained on the approved policy and documentation must be kept on file at the facility. This date of correction will be when all requirements have been met.

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: At the time of the inspection, staff person #2 did not have a transcript to accompany the Associate in Science to determine the qualifications for the position the staff person was performing.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At the time of the inspection, in the infant room with only staff person #4, there were 5 children (4 infants and one young toddler) present. This number and age of children require there to be two staff present at all times.

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). TIERED LIS: 1.) The required staff:child ratios must be maintained at all times.This portion of the plan requires there to be an immediate date of correction. 2.) The facility will create a posting for each child care space that includes the age level definitions under 3270.4 and the staff:child ratio requirements under 3270.51. This portion of the plan shall have a date of correction for when the requirements are posted in each child care space. 3.) The Legal Entity shall update/review policies surrounding staff-to-child ratios, including procedures for staff to follow if a child is dropped off and there are too many kids in the room, which would exceed staff:child ratio requirements. The policy should include either having the parent wait for another staff person to arrive, turning away the child, or redirecting the child to another room that can meet the appropriate staff:child ratio. This policy must be submitted to the Northeast Regional Office for approval. Once approved, all existing staff and any new hires must be trained on the approved policy and documentation must be kept on file at the facility. This date of correction will be when all requirements have been met.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of the inspection, the gray classroom carpets and area rugs throughout the facility were dirty with brown stains on them. The floor in the Preschool room was dirty with remnants of food under them. Staff acknowledged that the carpets had not been cleaned since March 2025, other than the occasional spot clean and that the children's clothing, including socks, do get dirty from the carpets.

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. Tiered LIS: 1.) 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. This portion of the plan requires a date of correction by when the facility will be in compliance. 2.) The operator will update their facility cleaning procedures by creating and providing a cleaning schedule which includes the classroom daily and weekly cleaning responsibilities, including the cleaning/mopping of the floor. This schedule will be posted in each childcare space, and staff will sign off on the schedule acknowledging the cleaning responsibilities for each room. An additional master cleaning schedule will also be created and provided showing the cleaning maintenance plan for the larger building surfaces at the facility, which must include a schedule for carpet cleaning. This date of correction will be when all requirements have been met.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: At the time of the inspection on 2/11/26, the manual monthly monitoring of the fire detection system was last conducted 1/9/26 and not every 30 days, as required.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of the inspection, in the school age room, the red cushions of the small wooden sofa were torn and the inside foam was exposed.

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: 3270.111(a)/3270.111(b)

Description: Written plan/Posted in group space

Noncompliance Area: At the time of the inspection, in the school age room, there was no written plan of daily activities and routines, including a time for free play posted.

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)(6)

Description: Admission date

Noncompliance Area: At the time of the inspection, the agreement on file for child #1 did not include a date of admission.

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

Regulation: 3270.124(b)(3)/3270.124(b)(6)

Description: Parent home/work address, phone/Insurance coverage information

Noncompliance Area: At the time of the inspection, the emergency contact form for child #1 did not include the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. The emergency contact form for child #2 did not include the work addresses of the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: At the time of the inspection, in the school age room, not all emergency contact forms were present for the children in the room 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.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: At the time of the inspection, child #1 was missing the following immunizations and was not in compliance with the recommendations of the ACIP: Hep B#2, DTAP #2, Pneumococcal #2, HIB #2 and IPV #2.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 must be dismissed from care by close of business on 6/4/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: At the time of the inspection, staff person #1 was observed not washing her hands or the hands of the children after diapering.

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

Regulation: 3270.151(a)

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

Noncompliance Area: At the time of the inspection, the health assessment for staff person #3 was dated as 3/29/23 and not every 24 months, as required.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: At the time of the inspection, staff person #8 and staff person #9 did not complete fire safety training annually. This is evidenced by the current fire safety training on file dated 6/3/25 and 6/2/25, respectively. The previous fire safety training for staff person #9 was completed on 12/13/23.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: At the time of the inspection, staff person #8 did not have a written evaluation on file and has been employed at the facility for more than 2 months (see LIS code sheet for date of hire). Staff person #9 did not have an evaluation every 12 months as required. This is documented by the only evaluation on file dated 6/2022.

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: At the time of the inspection, there was a bottle of Blue Lizard sunscreen that read "Keep Out of Reach of Children" located in a child's bag.

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 wood shavings resulting from an infestation of ants in the window sill of the school age room.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of the inspection, there were tall thistle plants on the inside of the fence of the outdoor playground. These pose 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: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: At the time of the inspection, in both of the younger and older toddler rooms, none of the staff or children present washed their hands before lunch.

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

Regulation: 3270.161(a)/3270.161(e)

Description: Wholesome/Fresh fruit/vegetables refrigerated

Noncompliance Area: During the inspection on 3/26/25, bananas were observed on a cart in the kitchen. The operator acknowledged they were not purchased on 3/26/25 and therefore, these should have been refrigerated. A box of whole grain Bluey cereal was observed on a table in the kitchen. The box and inside bag were open and the contents were not properly stored to prevent spoilage.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption. Fresh fruits and vegetables that are not used on the day of purchase shall be refrigerated.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: At the time of the inspection, in the older toddler room, staff person #7 had her child's chicken nuggets stored in a lunchbox with an icepack in the bathroom closet.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of the inspection, the gray carpets throughout the facility were soiled and visibly dirty with dark stains throughout. The multi-colored throw carpets throughout the facility were dirty with dark brown stains on them. The operator acknowledged the carpets were not cleaned since the summer of 2024. Staff do not remember ever having the carpets cleaned.

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: At the time of the inspection on 1/7/25, in the young toddler room during rest time, the pack and plays with children sleeping in them were positioned next to each other lining the wall. They were not positioned at the required 2 feet of space on three sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During the inspection on 10/23/24, in the Infant and Young toddler rooms, staff person #8 and staff person #10 acknowledged that not all children receiving care in these rooms had their emergency contact forms in the childcare space. An acceptable plan of correction was received stating the correction would be implemented by 11/30/24. An inspection occurred on 1/7/25. No classroom had emergency contact forms for the children present in those childcare spaces. This was acknowledged by the staff present in those spaces.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the inspection on 1/7/25, Staff person #6 was observed to be caring for children unsupervised. Staff person #6 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid/CPR training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #6 must be supervised, when interacting with children at a minimum by, an AGS 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 #6, staff person #6 may not work in a child-care position at the facility

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the inspection on 10/23/24, the emergency plan was reviewed in October 2023. Staff person #1, #7 #8, #9 and #10 were trained in the emergency plan on 12/13/23 and not when the plan was reviewed in October. Staff person # 2 did not have emergency plan training on file within 90 days of hire (see LIS code sheet for date of hire). An acceptable plan of correction was received stating the correction would be implemented by 11/13/24. During an inspection on 1/7/25, staff person #4 did not have documentation of 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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the inspection on 1/7/25, staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training requirements. Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR training

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff persons#4 and #6 will have until 1/24/25 to complete the required training. Until such time as the required training has been completed, staff persons #4 and #6 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #4 and #6, staff persons #4 and #6 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a previous inspection on 7/30/24, staff person #2 did not have a signed disclosure statement at time of hire. Staff person #4 did not have a signed disclosure statement, NSOR certificate or FBI clearance on file and has been employed at the facility for more than 45 days (see LIS code sheet for date of hire). An acceptable plan of correction was received stating the plan would be implemented by 7/30/24. A follow up inspection occurred on 9/16/24. Staff person #6 did not have the request for or completed PA State Police clearance on file at time of initial hire (see LIS code sheet for date of hire). Staff person #7 did not update the Child Abuse clearance within 60 months as required. This is evidenced by the Child Abuse clearance on file dated 9/6/19. An acceptable plan of correction was received stating the plan would be implemented by 9/16/24. A renewal inspection was conducted on 10/23/24. Staff person #2 did not have a completed FBI clearance on file and was employed at the facility for more than 45 days (see LIS code sheet for date of hire). An acceptable plan of correction was received stating the plan would be implemented by 11/12/24. An inspection occurred on 1/7/25. The facility did not follow their plan to maintain compliance and allowed staff person #4 to return to the facility without a signed disclosure statement or completed NSOR on file. Staff person #4 has been employed at the facility for more than 45 days (see LIS 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. Staff Person #4 may not work in a child care position at the facility until the completed NSOR is received.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a previous inspection on 7/30/24, staff person #2 did not have a signed disclosure statement at time of hire. Staff person #4 did not have a signed disclosure statement, NSOR certificate or FBI clearance on file and has been employed at the facility for more than 45 days (see LIS code sheet for date of hire). An acceptable plan of correction was received stating the plan would be implemented by 7/30/24. A follow up inspection occurred on 9/16/24. Staff person #6 did not have the request for or completed PA State Police clearance on file at time of initial hire (see LIS code sheet for date of hire). Staff person #7 did not update the Child Abuse clearance within 60 months as required. This is evidenced by the Child Abuse clearance on file dated 9/6/19. An acceptable plan of correction was received stating the plan would be implemented by 9/16/24. A renewal inspection was conducted on 10/23/24. Staff person #2 did not have a completed FBI clearance on file and was employed at the facility for more than 45 days (see LIS code sheet for date of hire). An acceptable plan of correction was received stating the plan would be implemented by 11/12/24. An inspection occurred on 1/7/25. The facility did not follow their plan to maintain compliance and allowed staff person #4 to return to the facility without a signed disclosure statement or completed NSOR on file. Staff person #4 has been employed at the facility for more than 45 days (see LIS 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. The Legal Entity, Director or any facility persons responsible for hiring must register for and attend the Existing Provider Orientation presented by the Northeast Regional Office on 02/12/2025. Registration must be completed by calling: 1-800-222-2108.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a previous inspection on 7/30/24, staff person #2 did not have a signed disclosure statement at time of hire. Staff person #4 did not have a signed disclosure statement, NSOR certificate or FBI clearance on file and has been employed at the facility for more than 45 days (see LIS code sheet for date of hire). An acceptable plan of correction was received stating the plan would be implemented by 7/30/24. A follow up inspection occurred on 9/16/24. Staff person #6 did not have the request for or completed PA State Police clearance on file at time of initial hire (see LIS code sheet for date of hire). Staff person #7 did not update the Child Abuse clearance within 60 months as required. This is evidenced by the Child Abuse clearance on file dated 9/6/19. An acceptable plan of correction was received stating the plan would be implemented by 9/16/24. A renewal inspection was conducted on 10/23/24. Staff person #2 did not have a completed FBI clearance on file and was employed at the facility for more than 45 days (see LIS code sheet for date of hire). An acceptable plan of correction was received stating the plan would be implemented by 11/12/24. An inspection occurred on 1/7/25. The facility did not follow their plan to maintain compliance and allowed staff person #4 to return to the facility without a signed disclosure statement or completed NSOR on file. Staff person #4 has been employed at the facility for more than 45 days (see LIS 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. The legal entity will submit complete files for any new hires for a period of three months to the NE Regional Office. During that time, new hires may not begin to work in child care until their file has been approved by the NE Regional Office. Submitted files will be reviewed within 1 week of submission.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: During an inspection on 10/23/24, staff person #5, an aide, was observed working alone unsupervised in the older toddler room with six older toddler aged children. Staff person #2, also an aide, then joined staff person #5 and both were then working unsupervised in the older toddler room. An acceptable plan of correction was received stating that the correction would be implemented by 10/23/24. An inspection occurred on 1/7/25. Staff person #6, an aide, was observed working unsupervised in the young toddler room during rest time.

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: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: At the time of the inspection on 1/7/25, numerous staff members and the operator admitted that the facility is out of ratio during the afternoon hours beginning at 2:00pm.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. 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 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 Northeast Regional Office on a weekly basis for a period of three months after DHS approves the documentation format. The documentation for staff:child ratios must be received by close of business on Monday from the prior week.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: At the time of the inspection on 1/7/25, numerous staff members and the operator admitted that the facility is out of ratio during the afternoon hours beginning at 2:00pm.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: At the time of the inspection on 1/7/25, numerous staff members and the operator admitted that the facility is out of ratio during the afternoon hours beginning at 2:00pm.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. 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 Legal Entity / Director will update their existing supervision and ratio policy. The policy must address how the facility will maintain appropriate supervision and proper staff:child ratios at all times. The policy must also address situations that might affect staff:child ratios, such as staff calling off or having to leave early. The policy must address a plan to have staff stay at the facility until ratios are in compliance or contact parents to come pick up their children from care. This policy must be sent to the Northeast Regional Office for review and approval. Once approved, all existing staff and new hires must be trained on the approved procedures, and their signatures will indicate their understanding and ability to implement the policy. This documentation must be maintained at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: At the time of the inspection on 1/7/25, there was an opened bag of Ice Melt directly on the floor as you entered the building. This opened bag 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: 3270.104(a)/3270.135(b)

Description: Clean, good repair, proper size/Surfaces cleaned

Noncompliance Area: At the time of the inspection, in the young toddler room, the cover of the changing table pad was torn and was not able to be properly cleaned and sanitized after use. Staff person #5 was observed changing the diapers and pull-ups of children on the carpet in the classroom with no changing pad or other surface covering. By doing this, it does not allow for the surface to be properly cleaned and sanitized.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

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 room.

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)(2)

Description: Date fee to be paid

Noncompliance Area: At the time of the inspection, the agreement on file for child #2 did not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: At the time of the inspection, child #1, #3, #4 and #5 did not have child service reports conducted within the previous 6 months.

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)(4)/3270.123(a)(6)

Description: Arrival/departure times/Admission date

Noncompliance Area: At the time of the inspection, the agreement on file for child #2 did not include the arrival and departure times for the child. The agreement for child #1, #2 and #4 did not include the child's date of admission.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of the inspection, the emergency contact form for child #2 did not include the enrolling parent's work address or phone number.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During the inspection, in the Infant and Young toddler rooms, staff person #8 and staff person #10 acknowledged that not all children receiving care in these rooms had their emergency contact forms in the childcare 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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: At the time of the inspection, the emergency medical transportation plan was not posted in the infant room.

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

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: At the time of the inspection, the emergency contact form and agreement on file for child #1 was last reviewed/updated on 9/28/23 and not every 6 months as required.

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.

Regulation: 3270.131(b)(1)/3270.131(b)(2)

Description: Infant: updated health report every 6 months/Toddler/preschool: updated health report every 12 months

Noncompliance Area: At the time of the inspection, child #5, did not have health assessments every 6 months as required while young toddler age. This is evidenced by the current health assessment on file being dated 10/7/24 and the previous health assessment dated 9/26/22. (see LIS code sheet for date of birth). Child #4 did not have a health assessment on file every 12 months as required. This is evidenced by the current health assessment on file dated 2/7/24 and the previous health assessment on file dated 9/21/21.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. 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: 3270.133(1)/3270.133(6)

Description: Original container/Written consent

Noncompliance Area: At the time of the inspection, there was no parental written consent for the medication Valtoco for child #6. There was no original container with prescription label for the Albuterol for child #6.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: At the time of the inspection, staff person #5 did not wash her hands or the hands of the children she was diapering after they were diapered.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan did not include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

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 OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Regulation: 3270.151(a)

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

Noncompliance Area: At the time of the inspection, staff person #10 did not receive an updated health assessment until 10/22/24. the previous health assessment on file is dated 8/2/22. This reflects a timeframe of longer than the 24-month requirement for updating health assessments.

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

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: At the time of the inspection, in the young toddler, cheese was observed in a lunch box which was on a shelf. Cheese and yogurt were observed in a lunch box on a shelf in the older toddler room. Steak and chicken nuggets were observed in a lunch box on a shelf in the preschool room.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: At the time of the inspection, pick up and drop off procedures were not posted in the facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: At the time of the inspection, staff person #11 did not have any prior health assessments or TB screenings on file prior to the current one on file dated 3/29/23.

Correction Required: 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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: At the time of the inspection, the operator admitted to not providing the regulations electronically to parents of enrolled children.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the inspection, the emergency plan was reviewed in October 2023. Staff person #1, #7 #8, #9 and #10 were trained in the emergency plan on 12/13/23 and not when the plan was reviewed in October. Staff person # 2 did not have emergency plan training on file within 90 days of hire (see LIS code sheet for date of hire).

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: At the time of the inspection, staff persons #7 and #8 only had 1 clock hour and 2 clock hours of child care training during the 12/22-12/23 training period, respectively. Staff person #10 did not have any clock hours of child care training during the 12/22/-12/23 training period.

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

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: At the time of the inspection, the operator did not have documentation of fire safety training taken prior to the training on file dated 12/13/23 for staff person #1,#7, #8, #9, #10 and #11.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a previous inspection on 7/30/24, staff person #2 did not have a signed disclosure statement at time of hire. Staff person #4 did not have a signed disclosure statement, NSOR certificate or FBI clearance on file and has been employed at the facility for more than 45 days (see LIS code sheet for date of hire). An acceptable plan of correction was received stating the plan would be implemented by 7/30/24. A follow up inspection occurred on 9/16/24. Staff person #6 did not have the request for or completed PA State Police clearance on file at time of initial hire (see LIS code sheet for date of hire). Staff person #7 did not update the Child Abuse clearance within 60 months as required. This is evidenced by the Child Abuse clearance on file dated 9/6/19. An acceptable plan of correction was received stating the plan would be implemented by 9/16/24. A renewal inspection was conducted on 10/23/24. Staff person #2 did not have a completed FBI clearance on file and was employed at the facility for more than 45 days (see LIS 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. The CPSL was revised to include a 45 day provisional hiring period. Staff Person #2 may not work in a child care position at the facility.

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

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

Noncompliance Area: At the time of the inspection, staff person #5 did not have 2 years (2,500 hours) of prior childcare experience on file and therefore could not qualify as an 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 verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: At the time of the inspection, staff person #5, an aide, was observed working alone unsupervised in the older toddler room with six older toddler aged children. Staff person #2, also an aide, then joined staff person #5 and both were then working unsupervised in the older toddler room.

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

Description: Building Surfaces

Noncompliance Area: At the time of the inspection, a shelf in the young toddler room was not mounted to a surface and was able to be tipped over. Thistles were observed growing in between the children's play equipment located in the outdoor play space. A pile of branches and sticks were also observed in the same area and posed 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: 3270.81

Description: Glass

Noncompliance Area: At the time of the inspection, the glass doors in the hallway leading to the preschool room did not have visual identification on them.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: During the inspection on 9/16/24, staff person #5's health assessment did not include an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide child care.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the inspection, staff person #6 did not have 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an inspection on 7/30/24, staff person #2 did not have a signed disclosure statement at time of hire. Staff person #4 did not have a signed disclosure statement, NSOR certificate or FBI clearance on file and has been employed at the facility for more than 45 days (see LIS code sheet for date of hire). An acceptable plan of correction was received stating the plan would be implemented by 7/30/24. A follow up inspection occurred on 9/16/24. Staff person #6 did not have the request for or completed PA State Police clearance on file at time of initial hire (see LIS code sheet for date of hire). Staff person #7 did not update the Child Abuse clearance within 60 months as required. This is evidenced by the Child Abuse clearance on file dated 9/6/19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. The CPSL was revised to include that all clearances are updated every 60 months. Staff Person #6 and staff person #7 may not work in a child care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an inspection on 7/30/24, staff person #2 did not have a signed disclosure statement at time of hire. Staff person #4 did not have a signed disclosure statement, NSOR certificate or FBI clearance on file and has been employed at the facility for more than 45 days (see LIS code sheet for date of hire). An acceptable plan of correction was received stating the plan would be implemented by 7/30/24. A follow up inspection occurred on 9/16/24. Staff person #6 did not have the request for or completed PA State Police clearance on file at time of initial hire (see LIS code sheet for date of hire). Staff person #7 did not update the Child Abuse clearance within 60 months as required. This is evidenced by the Child Abuse clearance on file dated 9/6/19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. 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 until their file has been approved by the Northeast Regional Office. Submitted files will be reviewed within 1 week of submission.

Regulation: 3270.51/3270.113(a)(1)

Description: Similar Age Level/Staff assigned to specific children

Noncompliance Area: During the inspection on 9/16/24, staff person #5 walked out of the older toddler room to grab gloves from the Infant room and left staff person #7 with 10 older toddler aged children. This number and age of children requires there to be two staff present with the children at all times.

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. When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times.

Regulation: 3270.51/3270.113(a)(1)

Description: Similar Age Level/Staff assigned to specific children

Noncompliance Area: During the inspection on 9/16/24, staff person #5 walked out of the older toddler room to grab gloves from the Infant room and left staff person #7 with 10 older toddler aged children. This number and age of children requires there to be two staff present with the children at all times.

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. When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The Legal Entity/Director must update existing supervision and ratio policies/procedures. The policies and procedures must include the requirement for staff to be able to see, hear, direct and assess children at all times. The procedures and policies must include requirement that staff know the names and whereabouts of children in their assigned group, and be physically present with the children in the assigned group at all times. The updates must also include procedures for situations of transition, including staff lunches, bathroom breaks, and for staff to obtain supplies located outside of the classroom while maintaining appropriate supervision and ratio requirements. The Legal Entity/Director will submit the updated policies to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies and procedures, and it must be documented in their files.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Operator acknowledged that children who receive services are taken out of the classroom by the therapist, away from the supervision of child care staff, and there is no parental consent on file.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The legal entity must develop or update their written supervision policies and procedures to be implemented in the facility. The written policy must address the requirement to obtain parental consent for children leaving the classroom to obtain services. The policy must also address how staff will properly supervise children receiving those services. The legal entity will submit their policies and procedures to the Northeast Regional Office for approval. Once approved, all existing staff and any new hires must be trained on the approved policy and procedure and it must be documented in their files.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Operator acknowledged that children who receive services are taken out of the classroom by the therapist, away from the supervision of child care staff, and there is no parental consent on file.

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.

Regulation: 3270.151(a)

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

Noncompliance Area: Staff person #1 does not have a current health assessment on file. This is evidenced by the health assessment on file dated 5/7/22.

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

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

Description: Age and Training

Noncompliance Area: Staff person #1 has not completed Pediatric First Aid/CPR training within the previous 24 months. This is evidenced by the previously documented Pediatric First Aid/CPR training on file being dated 5/19/22.

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 person#1 will have until 8/17/24 to complete the Pediatric First Aid/CPR training. Until such time as the required training has been completed, staff person#1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person#1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #2 did not have a signed disclosure statement at time of hire. Staff person #4 did not have a signed disclosure statement, NSOR certificate or FBI clearance on file and has been employed at the facility for more than 45 days (see LIS 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. Facility Person #4 may not work in a child care position at the facility until all clearances are on file.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: On 7/30/24, staff person #3, an aide, was observed working unsupervised in the school age room with 5 young school age children.

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: 3270.113(a)(1)/3270.113(a)(2)

Description: Staff assigned to specific children/Supervision on and facility premises

Noncompliance Area: On 5/10/24, in the young toddler room, staff #2 and staff #3 were assigned to 10 children (one infant, two young toddlers and seven older toddlers) in a mixed age group. The way children were assigned during this inspection would require there to be three teachers.

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. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55. 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).

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 1/13/19.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required trainings are completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

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

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

Noncompliance Area: Staff person #2 had a health assessment on file dated 3/19/23. The date on the health assessment appeared to have been altered by changing the original date of 1/19/21 to the new date of 3/19/23. The physician's office confirmed that a physical and TB test was not conducted for this staff person on 3/19/23. The last confirmed physical from the office was 1/19/21. The health assessment and TB test on file for Staff #5, dated 9/26/23, appeared to have been photocopied after the date was altered on the original copy. The original copy of the document was observed in the file and contained a date which was altered by white out, and a date of 9/26/23 was written on top of the white out.

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(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR training and Health and Safety Training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #5 will have until 6/28/24 to complete the required training. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 1/13/19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #1 will have until 6/5/24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.