KINDERCARE LEARNING CENTER 303051

Regulation: 3270.131(a)(3)

Description: Initial health report for older toddler/preschool no more than 1 year

Noncompliance Area: The initial health report for child # 1 is dated over 1 year from the time of enrollment for child # 1. The report is dated 3/24/24 and child # 1 was enrolled 3/30/26.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: Facility staff # 2 does not have mandated reporter training on file and has worked at the facility more than 90 days.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a childcare position at the facility. TIERD LIS: 1.The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed information required under the CPSL. This portion of the plan shall have an immediate correction date. 2. The facility director and assistant director will both attend in person existing provider orientation. They will register and attend the training in person and present completed certificates of attendance once the training is completed by both the regional director and assistant director. The facility director will let the certification representative know when they are registered and what date they are both attending the training. This portion of the plan shall have a date by which the orientation is completed and proof of completion by the director and assistant director is received to the assigned certification representative. 3. Facility administration must develop a hiring checklist to be used for all new hires. The checklist must be submitted to the Regional Office for approval. Once approved, the checklist will be used to ensure the CPSL is in compliance for all new employees. A copy of the checklist will be maintained in each new hires' file. This portion of the plan shall have a date by which the checklist will be created, approved, and implemented.

Regulation: 3270.31(f)/3270.31(f)(10)

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

Noncompliance Area: During a complaint investigation conducted onsite at the facility on 11/21/24 certification rep observed facility staff # 1 did not complete the health and safety training's Part 1 & 2 and the mandated reporter training within 90 days from the time of hire. Facility staff # 2 did not complete Part 1 & Part 2 of the health and safety trainings within 90 days from the time of hire. Facility staff # 2 did not have pediatric first aid and cpr completed within 90 days from time of hire.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.31(f)/3270.31(h)

Description: Health and Safety Training/Health and Safety Training

Noncompliance Area: During a complaint investigation conducted onsite at the facility on 11/21/24 certification rep observed facility staff # 1 did not complete the health and safety training's Part 1 & 2 and the mandated reporter training within 90 days from the time of hire. Facility staff # 2 did not complete Part 1 & Part 2 of the health and safety trainings within 90 days from the time of hire. Facility staff # 2 did not have pediatric first aid and cpr completed within 90 days from time of hire.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. All staff persons shall complete the professional development under § 3270.31(f).

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: The facility has a toxic Febreeze plug in air freshener in the hall used by the children, accessible to the children.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The cots in the Pre K room are not labeled or assigned to specific children in the classroom.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child # 2,3,4 & 5 have their most current child service reports that are not signed by the facility staff or the parent for child # 2 and by the parents or guardian for child # 3,4 & 5. .

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)(6)

Description: Insurance coverage information

Noncompliance Area: Child # 1 does not have their health insurance policy number on file.

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: 3270.181(e)

Description: Emergency master file updated

Noncompliance Area: The emergency contact information for child # 6 in the emergency binder used by facility staff when evacuating in the Preschool classroom has not been updated in over 6 months for child # 6 since 7/8/24.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

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

Description: Age and Training

Noncompliance Area: Facility staff # 1 did not complete pediatric first aid and cpr before the expiration of their training certificate. First aid training for facility staff was 4/10/23 to 7/14/25.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility staff # 2 hired and working in childcare did not have their NSOR clearance on file at the time of hire on 6/30/25. NSOR on file 7/1/125.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in DPS B Preschool room emergency bag has no tweezers.

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: 3270.113(b)

Description: No physical punishment

Noncompliance Area: During a complaint investigation on 12/3/24, facility staff # 1 was reported to grab child #1's by the left forearm and cause a bruise and pain to child # 1. Child # 1 was interviewed and credible. Facility staff # 1 admitted to grabbing children in the past to prevent them from hurting themselves or another child.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: During a complaint investigation on 12/3/24, facility staff # 1 was reported to grab child #1's by the left forearm and cause a bruise and pain to child # 1. Child # 1 was interviewed and credible. Facility staff # 1 admitted to grabbing children in the past to prevent them from hurting themselves or another child.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. Facility staff # 1 will complete a 2-hour PQAS approved training on safe, appropriate redirection of children in a facility classroom and outside on facility play space. The training must be approved by the Northeast Regional certification representative prior to facility staff # 1 completing the training.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The cots are not labeled for the children in the Discovery Preschool A classroom and the Discovery Preschool B classroom. There are ripped Nap Mats in the Toddler A classroom used by the children.

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

Regulation: 3270.123(a)(1)/3270.123(a)(4)

Description: Amount of fee/Arrival/departure times

Noncompliance Area: Child # 5,8 and 9 do not have fee amounts listed on file. Child # 5 and # 9 do not have arrival or departure times listed on file.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the child's arrival and departure times.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child # 8 has attended the facility over 6 months, does not have a child service report completed or on 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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child # 8 does not have medical insurance policy name or number on file.

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: 3270.133(3)/3270.133(6)

Description: Name on bottle/Written consent

Noncompliance Area: There is Equate sunscreen that is not labeled for a child in the Preschool B classroom. There is unlabeled butt cream in a bucket on the bathroom floor used by the children of the Discovery Preschool B classroom. There are no written consent forms for Infant Tylenol pain and fever reliever and Dr Talbots soothing gel for 2 children in the medicine cabinet of the Toddler A classroom. There is unlabeled Children Motrin in the first aid medicine cabinet on the wall of the Pre-K classroom.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.133(4)/3270.133(5)

Description: Locked/Original label

Noncompliance Area: There is a bucket of diaper creams on the floor of the Preschool B classroom bathroom that is not locked and accessible to the children. There is Equate sunscreen that expired in May 2024 in Preschool B sunscreen bucket.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children. Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.181(c)/3270.182(2)

Description: Emergency info/agreement updated 6 mos/Application, admission, withdrawal dates

Noncompliance Area: The following children did not have their emergency contact forms, and fee agreements reviewed in over 6 months: Child # 1,2,3, 4, 6,7 8 & 10. Child # 2 & # 8 have no dates of admission of file.

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. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.27(a)(6)/3270.27(b)

Description: Emergency plan/Plan reviewed/updated annually

Noncompliance Area: The facility has not conducted an emergency drill in over 12 months. The facility emergency plan has not been reviewed in over 12 months since 6/27/23.

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

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

Description: Age and Training

Noncompliance Area: Facility staff # 1 did not complete Pediatric First aid and CPR before its expiration from 5/17/22 to 7/18/24. Facility staff # 3 did not complete Pediatric First aid and CPR before its expiration from 5/4/22 to 7/18/24. Facility staff # 4 did not complete Pediatric First aid and CPR before its expiration from 6/21/22 to 7/18/24.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Facility staff # 2 did not complete the required Health and Safety training within 90 days from time of hire until 1/24/24. Facility staff # 2 did not complete the required Health and Safety training within 90 days from time of hire until 1/24/24. Facility staff # 5 did not complete the required Health and Safety training within 90 days from time of hire until 1/16/24.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Facility staff # 4 did not complete mandated reporter training within 60 months from the last training. Mandated reporter training completed 10/11/17 and then again on 7/2/23 for facility staff # 4.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in Discovery Preschool B room has no tweezers. The first aid kit in the Pre-K classroom has no gauze. The first aid kit in the Preschool A room and in the Preschool A emergency bag have no medical 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: The 1- and 2-year-old toddler outdoor playgrounds have shredded disposable cups and forks and garbage throughout the space along with broken rubber balls. There are pickers on the shrubs accessible to the children on the young toddler outdoor PlaySpace.

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: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: During the inspection, the large, embedded climber in the play yard had a fall height of four feet high and was required to be installed on top of nine inches of wood mulch. There were only four inches of wood mulch around the equipment and under the slide areas.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair. The large, embedded climber in the play yard shall be made inaccessible and will not be used by the children until such time as the loose impact absorbing material meets the recommendations of the United States Consumer Product Safety Commission. For this piece of equipment there needs to be nine inches of loose-fill impact absorbing material under the climber.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: During the inspection, the large, embedded climber in the play yard had a fall height of four feet high and was required to be installed on top of nine inches of wood mulch. There were only four inches of wood mulch around the equipment and under the slide areas.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During the inspection, in the DPS B room, children were resting on cots. The corners of the cots for multiple children were touching and were not 2 feet apart 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: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: During the inspection, the agreements for child #1 and child #2 did not contain a date of admission.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During the inspection, child #1 and child #11 through child #20 did not have emergency contacts in the child care space that they were receiving care in.

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: During the inspection, child #6 did not have an annual influenza vaccine and was missing Hep A #2. Child #7 was missing DTAP #4 vaccine. Child #8 was missing an annual influenza vaccine and Hep A #2. Child #9 and child #10 were missing the annual influenza vaccination. There were no letters of exemption from the parent for any of these children's missing vaccines.

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(ren) #6 through #10 must be dismissed from care by close of business on 7/17/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: During the inspection, in the Pre-K classroom, the label for the Glucagon presented for child #21 stated that it expired on 3/30/23. In the preschool room, the label for the Avi-Q presented for child #22 stated to use by 3/25/23.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: During the inspection, staff person #12 did not obtain an updated health assessment until 7/2/23. The previous health assessment on file was dated 3/18/21. This reflects more than a 24 month timeframe for obtaining an updated health assessment. Staff person #14 did not obtain a health assessment until 4/7/22, which was after the date of initial employment (see LIS CODE sheet for date of hire). Staff person #16 did not obtain an updated health assessment until 7/3/23. The previous health assessment on file was dated 3/27/21.This reflects more than a 24 month timeframe for obtaining an updated health assessment. Staff person #17 did not obtain an updated health assessment. The current health assessment on file is dated 4/12/21 and therefore is no longer valid. Staff person #18 did not have the initial health assessment on file at time of hire. The health assessment on file was dated 4/29/22 (see 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During the inspection, the letter provided to the local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was not dated and there was not verification this was sent annually.

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

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: During the inspection, staff person #4 and staff person #17 did not have the foreign education on file evaluated.

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

Regulation: 3270.24(f)

Description: Director ID

Noncompliance Area: During the renewal, the certification representative was unable to view a valid photo ID for staff person #1, the Director.

Correction Required: A valid photo identification of the director or designated staff person who is responsible for compliance with this chapter shall be provided to the agent of the Department at the time of inspection.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During the inspection, staff person #1 admitted that the Chapter 3270 is not provided to the parents electronically.

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, staff person #1, #2, #3, #6, #7, #11, #12, #14, #16, #17 #19 had emergency plan training on 6/27/23. The previous date of emergency plan training was conducted on 4/27/22, reflecting more than a 12 month training period. Staff person #5, #10, #13 did not have documentation of emergency plan training within 90 days of initial employment (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)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: During the inspection, staff person #7 did not have documentation of fire safety training on file during the 8/21-8/22 training year. Staff person #12 did not have documentation of fire safety training during their 3/22-3/23 training year. Staff person #14 did not have documentation of fire safety training during their 1/22-1/23 training year. Staff person #19 did not have documentation of fire safety training during their 7/21-7/22 training 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 the inspection, staff person #4, staff person #5 and staff person #18 did not complete the required Health and Safety training update by 12/2022. The training was completed on 2/28/23, 7/13/23 and 1/4/23, respectively.

Correction Required: Staff persons shall complete updated health and safety trainings by the required timeframes.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the inspection, staff person #2 had a State Police clearance on file which stated "Under Review" and it did not include a dissemination date. Staff person #10 had mandated reporter training on file dated 7/2/23 with a previous training date of 10/11/17. This reflects more than a 60 month timeframe for updating the mandated reporter training. Staff person #14's file did not include the signature page for the 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. The CPSL was revised to include a requirement that all clearances (and/or mandated reporter training) be updated and on file at least every 60 months. Facility Person #2 may not work in a child care position at the facility.

Regulation: 3270.34(b)(1)

Description: Bachelor's + 1 yr

Noncompliance Area: During the inspection, the Bachelor's degree on file for staff #1 did not specify what the degree was in and there were no transcripts specifying what the major was in.

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.

Regulation: 3270.36(b)(1)/3270.192(2)(iv)

Description: HS/GED + 30 credits/Transcript, diploma and letters

Noncompliance Area: During the inspection, staff person #7 and staff person #9 did not have transcripts showing 30 credit hours in early childhood education, child development, special education, elementary education or the human services field to accompany the degree that was 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. 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: 3270.76

Description: Building Surfaces

Noncompliance Area: During the inspection, the grass on the gross motor play area measured approximately 7 inches high and in certain areas posed a tripping hazard for younger children walking. The poured in place surface under the DPS playground was cracked and posed a tripping hazard. The changing table pad in the Toddlers room was ripped and exposing the inside foam.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During an onsite inspection on 7/14/22, in the Pre-K room, the sofa was torn. The plastic toy bin was cracked revealing sharp edges. In the Pre-K 2 room, the green sofa was torn. In DPS A, the blue chair was torn at the edges. On the toddler playground, the yellow play kitchen was cracked revealing sharp edges.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection on 7/13/22, child #1, #2, #3, #5, #6, #7, #9 and #10 did not have a copy of 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 in their 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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During an onsite inspection on 7/13/22, child #2 did not have the phone number of the physician on the emergency contact form.

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)(7)

Description: Name/address/phone release person

Noncompliance Area: During an onsite inspection on 7/13/22, child # 3, child #4 and child #9 did not have the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

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: 3270.124(c)

Description: Each child care space

Noncompliance Area: During an onsite inspection, the emergency contact form for child #11 was not in the Pre-K classroom emergency contact binder.

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)

Description: Immunization record

Noncompliance Area: During an onsite inspection on 7/13/22, child #3 did not have verification of an annual influenza immunization and did not have an exemption for that immunization on file.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3270.133(3)/3270.133(6)

Description: Name on bottle/Written consent

Noncompliance Area: During the onsite inspection on 7/13/22, there was no medication label or written consent by the parent for the medication for child #12. There was no written consent by the parent for the medication for child #13 and child #14.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection on 7/13/22, the operator did not have requirements for volunteer emergency preparedness training and practice drills included in their emergency plan. The operator was not in compliance with federal requirements with 45 CFR § 98.41(a)(1)(vii).

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. To maintain full compliance with 45 CFR § 98.41(a)(1)(vii), child care facilities must have requirements for volunteer emergency preparedness training, practice drills and continuity of operations included in their emergency plan.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: During an onsite inspection on 7/13/22, in the DPS B room, the certification representative observed 2 lunch boxes on the shelf in the child belonging area. Inside these lunch boxes contained fruit, chicken and other perishable items which require refrigeration.

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

Regulation: 3270.181(d)

Description: Dated signature affixed

Noncompliance Area: During an onsite inspection on 7/13/22, the agreement on file for child #1 was not updated within the past 6 months.

Correction Required: Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During an onsite inspection on 7/13/22, staff #2, staff #3, staff #4, staff #5, staff #6, staff #7 and staff #8 did not have a written evaluation in the past 12 months on file.

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: 3270.37(b)(1)/3270.192(2)(iv)

Description: HS/GED/Transcript, diploma and letters

Noncompliance Area: During the renewal inspection on 7/13/22, staff #1 did not have education on file to qualify as a staff person.

Correction Required: An aide shall have a high school diploma or a general educational development certificate.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: 3270.76

Description: Building Surfaces

Noncompliance Area: During an onsite inspection, there was a water damaged ceiling tile in the Pre-K 2 classroom. On the DPS playground, the rubber surfacing was cracked and lifting posing a tripping hazard.

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

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Staff #2 admitted to stating "she can't even pull up her pants and mom thinks she can go on the potty" regarding a child being toilet trained during an incident that occurred on 6/8/22.

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.

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: Staff #2 admitted to stating "she can't even pull up her pants and mom thinks she can go on the potty" regarding a child being toilet trained during an incident that occurred on 6/8/22.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. The legal entity must arrange for all facility staff hired as of the date of the training to receive a minimum of two hours of PQAS approved training regarding appropriate interactions with children. This training must be completed in person, or as a live training. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: Staff #2 admitted to stating "she can't even pull up her pants and mom thinks she can go on the potty" regarding a child being toilet trained during an incident that occurred on 6/8/22.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: Staff #2 admitted to stating "she can't even pull up her pants and mom thinks she can go on the potty" regarding a child being toilet trained during an incident that occurred on 6/8/22.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. Facility must update their staff policies to include and address Chapter 3270.113 (c) and Chapter 3270.113 (d). The policies must also include actions taken for any staff observed violating these policies. This must be submitted to DHS for approval. After approval from DHS, the legal entity will arrange a training of all staff on these policies. Verification of the training will be placed in each staff person's file.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: During a previous inspection on 4/29/22, the certification representative observed staff #1 raising her voice and shouting at a young toddler. Staff #1 was shouting at the child to "sit down" at the table during lunch time. An acceptable plan of correction was received stating that this violation was corrected on 4/29/22. During an inspection on 6/27/2022, Staff #2 admitted to stating "she can't even pull up her pants and mom thinks she can go on the potty" regarding a child being toilet trained during an incident that occurred on 6/8/22.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: During an onsite inspection on 4/29/22, the certification representative observed staff #1 raising her voice and shouting at a young toddler. Staff #1 was shouting at the child to "sit down" at the table during lunch time.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During an onsite inspection on 4/29/22, the certification representative observed staff #1 and #19 (see code sheet for date of hire) working together. Neither of these staff have completed the required Health and Safety topics or Pediatric First Aid and Pediatric CPR training in order to be working unsupervised.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Staff #1 and staff #19 do not have an acceptable training relating to Health and Safety Pre-service training topics and Pediatric First Aid and Pediatric CPR. Staff #1 and staff #19 will have 15 days from the date this directed POC is submitted and accepted to implement the corrections. Until such time as the correction is implemented, staff persons must be supervised by an AGS who has completed the required training related to Health and Safety Pre-service training topics and Pediatric First Aid and Pediatric CPR.

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

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

Noncompliance Area: During an onsite inspection on 4/29/22, Staff #4 and #12 (see code sheet for date of hire) did not have a health assessment or tuberculosis screening at initial employment. Staff #8, Staff #14 and Staff #16 had health assessments on file that were more than 24 months old. See code sheet for health assessment dates.

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)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: During an onsite inspection on 4/29/22, on the health assessment for staff #10 and #15, the questions pertaining to 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 were left unanswered.

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(2)(ii)/3270.192(2)(iv)

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

Noncompliance Area: On 3/29/22, an unannounced inspection was conducted. During the inspection, staff #2 did not have education or prior child care experience on file. An acceptable plan of correction was received on 4/8/22 with a correction date of 4/28/22. On 4/29/22, an unannounced inspection was conducted. During the inspection, staff #2 did not have verification of education on file. Staff #4, 7, 12 did not have education or experience on file to qualify them as a staff person.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During an onsite inspection on 4/29/22, staff #4, #7 and #12 did not have verification of 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: 3270.31(e)

Description: Age and Training

Noncompliance Area: During an onsite inspection on 4/29/22, staff #3, #5, #6, #8, #9, #10, #13, #14, #15, #16, #17, #18 did not have verification of 12 clock hours of child care training on file for the previous year of employment.

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

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

Description: Age and Training

Noncompliance Area: During an onsite inspection on 4/29/22, staff #14 did not renew the certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification which expired on 4/30/2021.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During an onsite inspection on 4/29/22, staff #1 and staff # 11 had not yet completed Pediatric First Aid and Pediatric CPR, and have been employed for more than 90 days (see code sheet for dates of hire). Staff #14 had not yet completed training relating to Health and Safety Pre-service training topics and has been employed for more than 90 days (see code sheet for date of hire). Staff #4, staff #12, staff #17 and staff #19 had not yet completed training relating to Health and Safety Pre-service training topics and Pediatric First Aid and Pediatric CPR and have been employed for more than 90 days (see code sheet for date of hire).

Correction Required: Staff persons shall complete professional development in the topics listed in subsection 3270.31(f)(1-10) within 90 days of hire. Staff #1, staff #4, staff #11, staff #12, staff #14, staff #17 and staff #19 will have an acceptable training relating to Health and Safety Pre-service training topics and Pediatric First Aid and Pediatric CPR. Staff #1, staff #4, staff #11, staff #12, staff #14, staff #17 and staff #19 will have 15 days from the date this directed POC is submitted and accepted to implement the corrections. Until such time as the correction is implemented, staff persons must be supervised by an AGS who has completed the required training related to Health and Safety Pre-service training topics and Pediatric First Aid and Pediatric CPR.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an onsite inspection on 4/29/22, staff #3 has a Child Abuse clearance that is of volunteer status and not for employment purposes. Staff #4 (see code sheet for date of hire) did not complete Mandated reporter training within 90 days of hire. Staff #12 (see code sheet for date of hire) did not have a State Police Clearance on file. The file for Staff #13 (see code sheet for date of hire) contained expired clearances for both the PA Child Abuse clearance (dated 2/7/17) and the PA DHS FBI clearance (dated 2/8/17), and did not contain a PA State Police clearance. Staff #14 (see code sheet for date of hire) does not have an FBI clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. The CPSL was revised to include a requirement that all clearances (and/or mandated reporter training) be updated and on file at least every 60 months. Staff #4 has 15 days to complete the Mandated reporter training and cannot be unsupervised. Facility Person ##3, 12, #13, #14 may not work in a child care position at the facility. The legal entity will contact the Ne Regional office to register and attend an Existing Provider Orientation scheduled for August 2022.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an onsite inspection on 4/29/22, staff #3 has a Child Abuse clearance that is of volunteer status and not for employment purposes. Staff #4 (see code sheet for date of hire) did not complete Mandated reporter training within 90 days of hire. Staff #12 (see code sheet for date of hire) did not have a State Police Clearance on file. The file for Staff #13 (see code sheet for date of hire) contained expired clearances for both the PA Child Abuse clearance (dated 2/7/17) and the PA DHS FBI clearance (dated 2/8/17), and did not contain a PA State Police clearance. Staff #14 (see code sheet for date of hire) does not have an FBI clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. The CPSL was revised to include a requirement that all clearances (and/or mandated reporter training) be updated and on file at least every 60 months. Staff #4 has 15 days to complete the Mandated reporter training and cannot be unsupervised. Facility Person ##3, 12, #13, #14 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 onsite inspection on 4/29/22, staff #3 has a Child Abuse clearance that is of volunteer status and not for employment purposes. Staff #4 (see code sheet for date of hire) did not complete Mandated reporter training within 90 days of hire. Staff #12 (see code sheet for date of hire) did not have a State Police Clearance on file. The file for Staff #13 (see code sheet for date of hire) contained expired clearances for both the PA Child Abuse clearance (dated 2/7/17) and the PA DHS FBI clearance (dated 2/8/17), and did not contain a PA State Police clearance. Staff #14 (see code sheet for date of hire) does not have an FBI clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. The CPSL was revised to include a requirement that all clearances (and/or mandated reporter training) be updated and on file at least every 60 months. Staff #4 has 15 days to complete the Mandated reporter training and cannot be unsupervised. Facility Person ##3, 12, #13, #14 may not work in a child care position at the facility. 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: 3270.51

Description: Similar Age Level

Noncompliance Area: During an onsite inspection on 5/13/2022, 14 older toddlers were observed with Staff #3 and Staff #17 in the DPS B classroom. This amount of children requires at least 3 staff persons. Staff #8 was observed in the toddler classroom with 7 young toddlers. This amount of children requires as least 2 staff persons.

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. The required staff:child ratios must be maintained at all times.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During an onsite unannounced inspection on 3/29/22, on the outdoor play areas, there was a cozy coupe ride on car with broken plastic by the steering wheel, a broken plastic picnic table, and a plastic wagon with the wheels broken off.

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

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

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

Noncompliance Area: During an onsite unannounced inspection on 3/29/22, in the Pre-K class, staff #1 and #5 had 20 children. Staff #1 and #5 were only able to each name 8 of the 10 children that they were responsible for. This left 4 children in the class unaccounted for.

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

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

Noncompliance Area: During an onsite unannounced inspection on 3/29/22, staff #1and #3 did not have a health assessment with TB test at initial employment. Staff #4 did not have a health assessment at initial employment (see 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(2)(ii)/3270.192(2)(iv)

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

Noncompliance Area: During an onsite unannounced inspection on 3/29/22, there was no education or prior child care experience on file for staff #1, 2 and 3 to qualify them as a staff person at the facility.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During an onsite unannounced inspection on 3/29/22, staff #1-4 (see code sheet for date of hire) did not have initial emergency plan training within one week 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an onsite unannounced inspection on 3/29/22, staff #1 did not have a dated disclosure statement, a completed NSOR certificate and there was no fingerprint submission receipt for the FBI clearance. Staff #2 did not have a dated disclosure statement, a request for or completed PA State Police clearance until 3/2/22, a request for or completed Child Abuse clearance until 3/4/22 and does not have a completed NSOR certificate on file (see code sheet for date of hire). During a file review on 3/29/22, Staff #3 was hired and worked as a provisional hire (see code sheet for date of hire) at the facility. At this time, the file did not have a dated disclosure statement, a request for the NSOR certificate, a request for a child abuse clearance, or a fingerprint submission for the FBI clearance on file prior to beginning work, as per the CPSL provisional hiring requirements at the time of employment. The state police clearance was not obtained until 2/18/2022 and the NSOR certificate was dated 2/11/2022, both after the staff began working. The file was still missing a completed child abuse clearance and FBI clearance at the time of review. Staff #3 also resided in NY within the last 5 years, and did not have NY clearances on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. The Provisional Hire Waiver that was in effect allows a 45-day provisional hire period for the applicant until all required clearances are on file with the provider. ACT 12 WENT INTO EFFECT ON 2/17/22, CHANGING THE PROVISIONAL HIRING REQUIREMENTS FOR STAFF. Facility Person #1, 2 and 3 may not work in a child care position until all clearances are received and reviewed by DHS.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During an onsite unannounced inspection on 3/29/22, the certification representative observed staff #9 walk out of the kitchen into Discovery Preschool where there were 20 older toddlers (age 2-3 years old) with staff #6, #7 and #8. The certification representative asked staff #6 if they were out of ratio while staff #9 and she replied they were.

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: 3270.72(c)

Description: Good repair

Noncompliance Area: During an onsite unannounced inspection on 3/29/22, a screen on the window located on the outside preschool playground was torn and sharp to the touch.

Correction Required: Screens shall be in good repair.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an onsite unannounced inspection on 3/29/22, the manual monthly monitoring log for the fire detection system was last shown as being tested on 2/24/22 showing more than a 30 day span of being tested from the date of visit.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: At the time of the inspection, there was a large bottle of hand sanitizer on the table by the entrance to Pre-K 2. There was a container of disinfecting wipes as well as bottles of hand sanitizer on a table at the entrance of the facility. In both of these areas, the toxics were 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: 3270.107

Description: Refrigerator

Noncompliance Area: At the time of the inspection, the refrigerator in the kitchen had a piece of paper lining the fridge. The paper was wet and the appearance of a mold like substance was on the edge of the paper.

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

Regulation: 3270.111(a)/3270.111(b)

Description: Written plan/Posted in group space

Noncompliance Area: At the time of the inspection, in the Pre-K and Preschool rooms, the written plan of daily activities and routines, including a time for free play was not 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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At the time of the inspection, in the Discovery Preschool, there were 16 children present. Staff #4 named 4 children, staff #2 named 5 children and staff #8 named 5 children. Upon recounting numerous times, staff #2 and #8 realized they did not have the names of all children in their care and were each missing 1 child from their daily list of present children.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: At the time of the inspection, the emergency contact form for child #5 did not contain the address and 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: At the time of the inspection, the emergency contact form on file for child #2 did not include the work addresses and telephone numbers 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)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of the inspection, on the emergency contact form for child #1, 2, 6, 8 and 9 the address of the individual designated by the parent to whom the child may be released was missing.

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: 3270.124(c)

Description: Each child care space

Noncompliance Area: At the time of the inspection, in all classrooms, the emergency contact forms for some children of each of those classrooms were missing.

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, in the Older Toddler room, the Discovery Preschool and the Pre-K room, the written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted.

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)/3270.181(d)

Description: Updated every 6 months/Dated signature affixed

Noncompliance Area: At the time of the inspection, the emergency contact form for child #7 did not include a parent signature.

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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

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 (date of admission 6-1-21), child #4 (date of admission 6-1-21) and child #5 (date of admission 4-20-21).

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: 3270.133(5)

Description: Original label

Noncompliance Area: At the time of the inspection on 9-10-21 , in the Discovery Preschool, the AVI-Q medication label on file for child #11 stated to discard after 9-4-21.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

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, there was no health assessment or TB test on file for staff #4, staff #5, and staff #9. There was no updated health assessment on file for staff #8. The last health assessment for staff #8 was dated 8-19-19 and therefore expired on 8-19-21. The health assessment and TB on file for staff #10 (date of hire 9-7-21) was dated 1-19-20 which is more than 12 months of initial service in the child care setting. The health assessment on file for staff #19 (date of hire 2-6-17) was dated 8-5-19 and therefore expired.

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: 3270.171(a)

Description: Pick-up and drop-off points

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

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