Kidz City Child Care Center

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection on 7/21/26, Certification Representative reviewed child files and child #1 child service report (CSR) was not in compliance with every 6 months review with previous CSR dated on 10/30/25 and current CSR dated 6/24/26. Child #2 - CSR was not in compliance with every 6 months review with previous CSR dated 7/25/25 and no current CSR in file. Child #3 - CSR was not in compliance with every 6 months review with previous CSR dates 8/26/25 and no current CSR in file.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: During renewal inspection on 7/21/25, Certification Representative observed an unlabeled bottle in the infant room.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: During the renewal inspection on 7/21/26, Certification Representative reviewed child files and child #2 file did not contain signed parental consent for transportation.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: During renewal inspection on 7/21/26, Certification Representative reviewed staff files and staff person #1 did not have state health assessment showing staff person #1 was free of communicable diseases or TB results with dates. Staff person #2 had a health assessment showing a positive TB test and no other documentation on site of a chest x-ray to determine there was no evidence of active TB. Staff person #3 did not have state health assessment to show that they were free of communicable diseases.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During renewal inspection on 7/21/26, Certification Representative observed cabinet door under sink unlocked with visible toxics (cleaning supplies) in preschool room. Cabinet was locked and fixed on site.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: An unannounced monitoring inspection was conducted on 10/1/2025. At that time, there were six infants with staff person #1 in the infant room. Staff person #2 and staff person #3 reported that staff member #4 was in the room had to go to the store and was only gone for a few minutes. Staff person #3 was covering staff person #4 and went out to the lobby for a few minutes since their group was asleep.

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. TIERED LIS: 1. 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 portion of this plan shall have an immediate correction date. 2. The legal entity must arrange for staff person #1, staff person #2, staff person #3, and staff person #4 to complete the training entitled "Supervisión: Proporción de Personal: a Niños" through Better Kid Care. The correction date for this portion of the plan shall be a the date in which training will be completed by aforementioned staff members.

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

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

Noncompliance Area: A complaint investigation was conducted on 8/21/2025. Complaint investigation verified that a child was transported by the facility and dropped off at a school that the child does not attend. Child was picked up by the facility after the childcare facility was notified by the school that child had been dropped off.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a procedure and policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during transportation. Policy must include how the facility will maintain organization in knowing which schools each child attends as well as the start and end dates of each school. The policy must include steps to ensure that each child gets on or off the van at the correct location. This policy must address supervision during transition times, such as visiting the bathroom and supervision on the playground. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy. The operator shall provide a date for when the policy will be created, sent to NE Regional office for approval, and staff will be trained.

Regulation: 3270.121(a)

Description: Review policies and procedures

Noncompliance Area: A complaint investigation was conducted on 8/21/2025. Complaint investigation verified that facility's handbook does not address transportation.

Correction Required: The operator shall review with the parent, at the time of application, 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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During the renewal inspection conducted 7/10/2025--7/14/2025, exposed bolts were observed on the metal gate of the outdoor play area.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the renewal inspection conducted 7/10/2025--7/14/2025, two cribs in use by children in the infant room were observed to be unlabeled.

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: 3270.113(b)

Description: No physical punishment

Noncompliance Area: A complaint investigation was conducted 7/10/2025--7/14/2025. Based on interviews with children, Staff Member #1 has been observed hitting children with their hands on the back. It was also reported that staff members were observed grabbing children.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for Staff Person #1 to complete the Better Kid Care trainings entitled "Preschool Foundations: Nurture Interactions and Guide Behavior" and "School-Age Youth Programs: Positive Interactions, Positive Outcomes". The operator shall provide a correction date for when the training will be completed.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection conducted 7/10/2025--7/14/2025, most recent child service report on file for child #1 is dated 12/9/2024, which is over 6 months ago.

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)(6)

Description: Admission date

Noncompliance Area: During the renewal inspection conducted 7/10/2025--7/14/2025, date of admission was missing from child #2's fee agreement.

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

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

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

Noncompliance Area: During the renewal inspection conducted 7/10/2025--7/14/2025, the following information was missing from children's files: Child #2: Full addresses of release persons. Child #3: Release person's phone number. Child #4: Mother's work telephone number and release person's address.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: During the renewal inspection conducted 7/10/2025--7/14/2025, documentation on file did not show that child #5 is immunized according to the recommendations of the ACIP. Child #5's immunization record showed that child had received 1 of 3 doses of each of the following immunizations: Rotavirus, DTAP, HIB, and Pneumococcal vaccines. Child #5 received 1 of 2 doses of the IPV vaccine.

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 #5 must be dismissed from care by close of business 7/10/2025 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(c)

Description: Paper towels discarded

Noncompliance Area: During renewal inspection conducted 7/10/2025--7/14/2025, paper towel dispenser in the girls' bathroom upstairs waws empty and no cloth towels were observed.

Correction Required: Paper towels may be used as towels and washcloths. Paper towels shall be discarded after each use.

Regulation: 3270.151(a)

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

Noncompliance Area: During the renewal inspection conducted 7/10/2025--7/14/2025, the initial health assessment on file for staff person #1 was dated 9/25/2023, which is more than 12 months before their start date providing initial service in the facility (see LIS code sheet for exact start date).

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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: During renewal inspection conducted 7/10/2025-7/14/2025, health assessment on file for staff person #5 does not include results for TB testing.

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.

Regulation: 3270.151(c)(2)(ii)

Description: Record include X-ray results and evaluation

Noncompliance Area: During the renewal inspection conducted 7/10/2025--7/14/2025, the health assessment on file for staff person #4 indicated a positive TB test; however, the results of a chest x-ray and evaluation were not on file.

Correction Required: A record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis.

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: During renewal inspection conducted 7/10/2025-7/14/2025, health assessment on file for staff person #5 does not include an examination for communicable diseases and the results of that examination. or 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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: During the renewal inspection conducted 7/10/2025--7/14/2025, unlabeled bottles were observed in the infant room.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.166(5)

Description: Six-months-old held

Noncompliance Area: During the renewal inspection conducted 7/10/2025--7/14/2025, an infant who staff reported was 5 months old was observed to be lying in a crib feeding themselves a bottle.

Correction Required: An infant 6 months of age or younger shall be held while being bottle fed.

Regulation: 3270.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: During the renewal inspection conducted 7/10/2025--7/14/2025, emergency contact form for child #1 did not include signed parental consent for emergency medical care for the child.

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.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: During the renewal inspection conducted 7/10/2025--7/14/2025, there was no proof of education on file for staff person #4.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the renewal inspection conducted 7/10/2025--7/14/2025, the training record for staff person #6 shows that they received 1 hour of annual child care training for training year 2/16/2024--2/16/2025.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person #6 must take 11 hours of professional development to fulfill requirement for training year 2/16/2024-2/16/2025. Trainings used to make up last years' training hours may not be counted toward training year 2/16/2025-2/16/2026.

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

Description: Fire safety - 1 yr.

Noncompliance Area: During the renewal inspection conducted 7/10/2025--7/14/2025, the following staff members updated their fire safety training past 12 months. Staff person #2: Fire safety training certificates on file are dated 4/10/02024 and 5/21/2025. Staff person #8: Fire safety training certificates on file are dated 4/10/02024 and 5/21/2025. Staff person #9: Fire safety training certificates on file are dated 4/10/02024 and 5/21/2025. Staff person #10: Fire safety training certificates on file are dated 11/11/2023 and 5/21/2025. Staff person #11: Fire safety training certificates on file are dated 11/11/2023 and 5/21/2025. Staff person #12: Fire safety training certificates on file are dated 11/11/2023 and 5/21/2025.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During renewal inspection conducted 7/10/2025-7/14/2025, staff person #7 completed pediatric first-aid/CPR training on 5/21/2025, which was not within 90 days of their date of hire (see LIS code sheet).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection conducted on 7/10/2025--7/14/2025, the file for staff person #1 contained a PSP request dated 10/28/2024, which is not a valid clearance.

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 #1 may not work in a child care position at the facility until valid PSP clearance is on file.

Regulation: 3270.36(b)(1)

Description: HS/GED + 30 credits

Noncompliance Area: During the renewal inspection conducted 7/10/2025--7/14/2025, staff person #3 and staff person #9 were listed as assistant group supervisors (AGS) but do not have proof of high school diplomas on file.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. Staff person #3 and staff person #9 may only function as Aides within the facility until a high school diploma or equivalency is provided and on file at the facility.

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: During the renewal inspection conducted 7/10/2025--7/14/2025, staff person #7 was listed as an assistant group supervisor (AGS); however, 2 years' experience is not documented in file.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. Staff person #7 may only function as an Aide at the facility unless proof of 2 years' experience with children is provided and placed in the staff person's file.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the renewal inspection conducted 7/10/2025--7/14/2025, the cabinet underneath the sink in the toddler area was unlocked, making cleaning materials labeled "keep out of reach of children" accessible to children in the room.

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: During the renewal inspection conducted 7/10/2025--7/14/2025, a cockroach was observed on the floor of the girls' bathroom on the first floor. Additionally, children at the facility reported seeing cockroaches in the bathrooms.

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

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

Description: Age and Training/Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started in Center Based Care-Revised 2022 or PA Required Health and Safety for Centers-Group Child Care Part 1 and 2. Staff 2 and 3 had expired pediatric first aid/cpr on file (Please see LIS code sheet for date of hire). Both pediatric first aid/cpr certificates expired in February of 2025.

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 within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #1, 2 and 3 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 persons #1, 2 and 3, staff persons #1, 2 and 3 may not work in a child-care position at the facility. Staff person #1 must complete PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: While at the facility unannounced on 2/4/25 the inspector reviewed the file for staff #1 and observed that the initial Pa Child Abuse clearance dated for 12/3/19 and this clearance was not updated until 1/22/25. This clearance was not updated every 60 months as required by the CPSL. This clearance needed to be updated by 12/3/24.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During renewal inspection, exposed bolts were observed on the fence to the outdoor play space. Children have to pass exposed bolts to enter the play space.

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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During renewal inspection, emergency transportation plan was not posted in the Toddler room (rear).

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: During renewal inspection, immunization record on file for child #1 does not reflect that child is immunized according to the recommendations of the ACIP. Child #1 has 1 of 2 doses each of Rotavirus, DTaP, Hib, Pneumococcal, and IPV vaccines. There is no exemption on file. Child #1 is an infant (see LIS code sheet for date of birth).

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 10/31/2024 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: During renewal inspection, there were unlabeled bottles in the refrigerator in the infant room. When staff was asked about them, staff reported that the unlabeled bottles belong to a child in care.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During renewal inspection, last emergency drill log on file at the facility is dated 6/1/2023, which is past one year.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During renewal inspection, staff person #1 was last trained on emergency plan on 5/11/2023, which is past one year. Staff person #2 was last trained on emergency plan on 2/16/2023, which is past one year. Staff person #3 was last trained on emergency plan on 5/3/2023, which is past one year.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During renewal inspection, two outlets accessible to children under 5 years old were not covered in the Blue room.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During renewal inspection, first-aid kits in the following rooms were missing items: Multipurpose room's first-aid kit was missing soap. Toddler (rear) room's first-aid kit was missing soap and gloves. Blue room's first-aid kit was missing tape.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During renewal inspection, the following information was missing from children's emergency contact forms: Child #2: Father's work address. Child #3: Father's work address and work telephone number. Child #4: Father's work address and work telephone number. Child #5: Father's work address and work telephone number. Child #6: Father's work address. An acceptable plan of correction was received with a correction date of 6/18/2024. When certification representative returned for unannounced monitoring on 9/17/2024, the following information was missing from children's emergency contact forms: Child #2: Father's work address. Child #3: Father's work address and work telephone number. Child #4: Father's work address and work telephone number. Child #5: Father's work address and work telephone number.

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

Regulation: 3270.151(c)(3)/3270.151(c)(4)

Description: Exam communicable disease/Information re: medical problems

Noncompliance Area: During renewal inspection, health assessment on file for staff person #3 is a visit summary and does not include a statement stating that staff person #3 is free from communicable diseases and able 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 information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. An acceptable plan of correction was received with a correction date of 6/18/2024. When certification representative returned for unannounced monitoring on 9/17/2024, health assessment on file for staff person #3 is a visit summary and does not include a statement stating that staff person #3 is free from communicable diseases and able to provide child care.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During renewal inspection, staff person #4 was last trained on emergency plan on 6/18/2022. Staff person #5 was last trained on emergency plan on 2/3/2023. Staff person #4 was last trained on emergency plan on 11/28/2022. An acceptable plan of correction was received with a correction date of 6/1/2024. When certification representative returned for unannounced monitoring on 9/17/2024, staff person #5 was last trained on emergency plan on 2/3/2023

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During renewal inspection, there was no staff evaluation on file for staff person #4, staff person #5, or staff person #8 (see LIS code sheet for start dates). An acceptable plan of correction was received with a correction date of 6/18/2024. When certification representative returned for unannounced monitoring on 9/17/2024, there was no staff evaluation on file for staff person #5 (see LIS code sheet for start date).

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During renewal inspection, peeling paint was observed in the blue room on the second floor of the facility. Additionally, girls' bathroom on the first floor had water damage to ceiling tiles. An acceptable plan of correction was received with a correction date of 6/18/2024. When certification representative returned for unannounced monitoring on 9/17/2024, girls' bathroom on the first floor had water damage to ceiling tiles.

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: 3270.107

Description: Refrigerator

Noncompliance Area: During renewal inspection conducted 5/7/2024, refrigerator in the infant room did not have a thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

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

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

Noncompliance Area: During renewal inspection, there were 20 children in the green room. Staff person #1 identified 10 children as being in their group. Staff person #2 identified 8 children as being in their group. Staff person #2 did not know the names of the children in their care and relied on assistance from staff person #1. Before rep departed room, both staff persons were assigned 10 children each.

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

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

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

Noncompliance Area: During renewal inspection, there were 20 children in the green room. Staff person #1 identified 10 children as being in their group. Staff person #2 identified 8 children as being in their group. Staff person #2 did not know the names of the children in their care and relied on assistance from staff person #1. Before rep departed room, both staff persons were assigned 10 children each.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must arrange for staff person #1 and staff person #2 to complete three trainings entitled "Supervisión: ¿Qué Se Requiere?", "Supervisión:Moviendo a los Niños", and "Supervisión: Posicionamiento -- ¿Cuál Es Mi Lugar?" through Better Kid Care.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During renewal inspection, Child Service Report (CSR) for child #1 completed on 3/28/2024 was not signed/dated by parent/guardian.

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: During renewal inspection, the following information was missing from children's emergency contact forms: Child #2: Father's work address. Child #3: Father's work address and work telephone number. Child #4: Father's work address and work telephone number. Child #5: Father's work address and work telephone number. Child #6: Father's work address.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: During renewal inspection, the following children's files did not indicate that they were immunized according to the recommendations of the ACIP: Child #2: 3 of 4 doses each of DTAP and Pneumococcal vaccines and 2 of 3 doses of HIB vaccine. Child #3: 3 of 4 doses each of DTAP and Pneumococcal vaccines and 2 of 3 doses of HIB vaccine.

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 #2 and Child #3 must be dismissed from care by close of business 5/28/2024 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During renewal inspection, staff person #4 completed the required one-hour 2022 update on 4/25/2023. Health and safety training was to be completed no later than 12/30/2022.

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: 3270.151(a)

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

Noncompliance Area: During renewal inspection, health assessment on file for staff person #2 is dated 8/31/2022 and does not include a TB test conducted within the past 12 months (see LIS code sheet for start date).

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

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

Noncompliance Area: During renewal inspection, the following health assessments were not updated within 24 months: Staff person #4: Health assessments on file dated 8/5/2021 and 5/2/2024. Staff person #5: Health assessments on file dated 1/24/2022 and 5/1/2024.

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: 3270.151(c)(3)/3270.151(c)(4)

Description: Exam communicable disease/Information re: medical problems

Noncompliance Area: During renewal inspection, health assessment on file for staff person #3 is a visit summary and does not include a statement stating that staff person #3 is free from communicable diseases and able 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 information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Regulation: 3270.175(c)

Description: Manufacturer's instructions used

Noncompliance Area: During renewal inspection, manufacturers' instructions for use of car seats and booster seats were not present in the facility's van used for transportation.

Correction Required: Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times.

Regulation: 3270.178

Description: Transportation First Aid Kit

Noncompliance Area: During renewal inspection conducted 5/7/2024, first-aid kit used for transportation was missing soap and water.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: During renewal inspection, file for staff person #6 did not contain adequate documentation of experience to meet the qualifications for the position in which the staff person was hired.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During renewal inspection, staff person #6 did not have two written nonfamily references on file (see LIS code sheet for date of hire). Staff person #7 had two references dated 3/6/2024 and 3/10/2024, which was after start date (see LIS code sheet for start date).

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(c)

Description: Training regarding plan

Noncompliance Area: During renewal inspection, staff person #4 was last trained on emergency plan on 6/18/2022. Staff person #5 was last trained on emergency plan on 2/3/2023. Staff person #4 was last trained on emergency plan on 11/28/2022.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During renewal inspection, staff person #4 obtained 6.5 hours of child care training for training year 6/18/2022-6/18/2023.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person #4 must take 5.5 hours of professional development to fulfill requirement for training year 6/18/2022-6/18/2023.

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

Description: Fire safety - 1 yr.

Noncompliance Area: During renewal inspection, fire safety training for staff person #5 was completed on 4/10/2024, which was past one year after hire (see LIS code sheet for SD). Fire safety training for staff person #4 was conducted 7/11/2022 and 11/11/2023, which is past one year. Fire safety training for staff person #8 was conducted 2/9/2023 and 4/10/2024, which is past one year.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During renewal inspection, staff person #3 completed CCDBG Health and Safety training on 2/1/2024, which was not within 90 days of their date of hire (see LIS code sheet for SD).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection, staff person #3 did not have completed NSOR clearance on file. Staff person #3 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 #3 may not work in a child care position at the facility until completed NSOR clearance is on file.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection, staff person #3 did not have completed NSOR clearance on file. Staff person #3 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. For a period of three (3) months, the legal entity must send a complete file to the Northeast Regional Office for all new hires. New hires may not begin to work in childcare until the file has been approved by the Northeast Regional Office.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection, staff person #3 did not have completed NSOR clearance on file. Staff person #3 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 must arrange for the legal entity to register for and attend the existing provider orientation conducted by the NE Regional Office on 8/21/2024.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During renewal inspection, there was no staff evaluation on file for staff person #4, staff person #5, or staff person #8 (see LIS code sheet for start dates).

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: 3270.75(c)

Description: Has all items

Noncompliance Area: During renewal inspection conducted 5/7/2024, first-aid kit in the multipurpose room was missing tweezers. First-aid kit in the toddler room was missing tape.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During renewal inspection, peeling paint was observed in the blue room on the second floor of the facility. Additionally, girls' bathroom on the first floor had water damage to ceiling tiles.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: During renewal inspection, facility's last fire drill was conducted 3/7/2024, which is past 60 days.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed that on 10/23/23, at approximately 10:35am, a child in the older toddler room opened the half door separating the older and younger toddler rooms. At that same time, child #1 was observed moving towards the door and tried to pull themselves up by grabbing on to the hinge side of the open door. The other child closed the door pinching the finger of child #1 in the hinge which resulted in child #1 needing emergency room treatment for their finger. On 11/24/23, an acceptable plan of correction was received from the facility stating that the facility doors have safety protectors to avoid pinch points and that they will maintain these protectors on all doors. On 12/8/23, during their plan of correction verification visit, it was observed that the above stated plan was not implemented. The following door hinges, within the facility, did not contain safety protectors: both sets of bathroom doors downstairs and upstairs, the upstairs door in the blue room, and the hinge on the toddler room portable half gate.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: It was observed on 12/8/23 at approximately 8am, that the infant room was out of ratio. Staff person #1 was observed leaving the infant room to come open the facility's main door then staff person #1 walked back into the infant room with staff person #2. Staff person #1 and #2 were the only staff present in the infant room with 10 children: one preschooler, two older toddlers, three younger toddlers, and four infants.

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 Legal Entity / Director will establish a ratio policy which must also include details regarding pick up and drop off of children at the facility and the procedures that will be put in place for immediate access for agents of the department. This ratio policy must be submitted to the Department prior to implementation for approval. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on this policy.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: It was observed on 12/8/23 at approximately 8am, that the infant room was out of ratio. Staff person #1 was observed leaving the infant room to come open the facility's main door then staff person #1 walked back into the infant room with staff person #2. Staff person #1 and #2 were the only staff present in the infant room with 10 children: one preschooler, two older toddlers, three younger toddlers, and four infants.

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).

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed that on 10/23/23, at approximately 10:35am, a child in the older toddler room opened the half door separating the older and younger toddler rooms. At that same time, child #1 was observed moving towards the door and tried to pull themselves up by grabbing on to the hinge side of the open door. The other child closed the door pinching the finger of child #1 in the hinge which resulted in child #1 needing emergency room treatment for their finger.

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: 3270.20(b)

Description: Mail or deliver written report to regional office within 72 hours

Noncompliance Area: It was observed that on 10/23/23, an incident occurred at the facility requiring emergency medical care for child #1. The facility provided a written report of the incident to the appropriate regional office on 10/27/23, after being instructed to do so. This report was received more than 72 hours after the emergency room treatment took place.

Correction Required: The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): all 10 Health and Safety Topics including pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 11/22/23 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, then staff person #1 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 the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #1 will have until 11/22/23 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 or GS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, then staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: File for staff person #2 did not contain adequate documentation of education or experience to meet the qualifications for the position in which the staff person was hired.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: It was observed in the toddler room front that there was not at least 2 feet of space on at least 3 sides of the cots being used by children.

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: 3270.119

Description: Infant sleep position

Noncompliance Area: It was observed and stated that an infant, unable to roll, was placed to sleep laying on their stomach, which is not in the position recommended by the AAP and no documentation of any type of medical reasoning for this was observed on file.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3270.123(a)/3270.123(a)(6)

Description: Signed /Admission date

Noncompliance Area: Agreements for child #7 and #8 did not contain the date of admission for the child, and agreement for child #7 also was not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Emergency contact form for child #5 did not contain the name, address, or telephone number of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact forms for child #3 - #8 did not include the enrolling parent's work address, and emergency contact forms for child #3, #4, #6, and #8 also did not include the enrolling parent's work telephone number.

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: Emergency contact forms for child #2, #4, #5, and #7 did not include the child's health insurance policy number and emergency contact forms for child #2 and #5 also did not include the name of the health insurance policy under which the child was covered.

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: Emergency contact forms for child #1, #4, #5, and #7 did not include the address of the designated release persons.

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(b)(2)

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

Noncompliance Area: File for child #2, see code sheet for date of birth, contained two health reports which were dated 6/1/21 and 3/1/23. File for child #3, see code sheet for date of birth, contained only one health report dated 11/16/21. File for child #4, see code sheet for date of birth, contained two health reports dated 7/28/21 and 1/17/23. The files for child #2-#4 did not contain an updated health report dated 12 months from the previous health report on file which is required for the ages of these children.

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

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Repeated noncompliance from inspection conducted on 3/30/23 was observed, staff did not wash infant's hands after diapering both during a complaint inspection on 3/30/23 and during a renewal inspection on 5/16/23.

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

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: It was observed that staff did not clean the changing table after diapering in the infant room.

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

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

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

Noncompliance Area: File for staff person #1 and #9 did not contain a completed health assessment. File for staff person #2, see code sheet for date of hire, contained a health assessment dated 3/6/23 and a TB screening test result dated 4/28/23; these were not completed prior to initial service in a child care setting. File for staff person #10 did not contain the written results of a screening for TB. File for staff person #13 contained a health assessment dated 1/6/21, but an updated health assessment completed within the last 24 months was not found on file at the time of inspection.

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: 3270.182(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: Files for child #1, #2, #4, #5, and #7 did not contain signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid 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: 3270.192(5)

Description: Two written references

Noncompliance Area: Files for staff person #2, #4, #5, and #10 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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(c)

Description: Training regarding plan

Noncompliance Area: Written documentation was observed on file verifying that emergency plan training was completed by staff person #6 on 1/21/22 and 4/28/23; likewise written documentation on file for staff person #13 verified that emergency plan training was completed on 2/23/21 and 5/11/23. These dates show that emergency plan training was not completed for staff person #6 or #13 annually as required.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: It was observed and stated that staff persons #5 and #6, see code sheet for hire dates, both lived out of state within the last 5 years and out of state clearances were not on file for either staff person. File for staff person #9, see code sheet for hire date, did not contain a fully sign, dated, and witnessed disclosure statement.

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 #5, #6, and #9 may not work in a child care position at the facility.

Regulation: 3270.34(b)(1)/3270.192(2)(iv)

Description: Bachelor's + 1 yr/Transcript, diploma and letters

Noncompliance Area: File for staff person #11, who was hired to be the facility director, did not contain acceptable documentation of education or experience showing that staff person #11 is qualified to be the director of the facility.

Correction Required: A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of 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: 3270.35(e)

Description: 46 or more children- additional group sups

Noncompliance Area: It was stated by the facility and written down by the owner that the facility currently serves a maximum of 65 children at any given time with a total of 78 children enrolled. Upon review of all staff files, the facility does not have written documentation verifying that any staff employed at the facility are qualified to be working in a group supervisor position.

Correction Required: In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

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

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

Noncompliance Area: Files for staff person #3, #4, #10, and #12, who were employed as assistant group supervisors, did not have adequate documentation on file verifying 2 years experience working with children. Files for staff person #7, #8, and #9, who were employed as assistant group supervisors, did not have adequate documentation on file verifying a high school diploma or GED and 2 years experience working with children.

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: 3270.37(b)(3)

Description: 8th grade + 2 yrs

Noncompliance Area: File for staff person #5, who was employed as an aide, did not contain documentation of 2 years experience working with children.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: It was observed on video during a complaint investigation that child #1 was moved from the table and placed in their crib at approximately 10:30am. Child #1 slept. However, when child #1 awoke staff did not ignore the child but did not remove the child from the crib either. Staff wheeled the crib over to where they were sitting and did not move the child out of the crib until 1:30p when they picked the child up and placed the child back at the table. The child was fed and then left to sit at the table watching TV until 3pm. From 10:30a-3pm staff did not provide the child with a choice of activities that recognized that individual child's needs.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.