Kindercare Learning Center

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: Ongoing non-compliance: During the renewal inspection, the health report on file for child #6 was dated 12/26/24, which was more than 60 days following the first day of attendance (see code sheet for start date). There was no health assessment on file for child #9 who has been enrolled for more than 60 days (see code sheet for start date). An acceptable plan of correction was submitted that stated "Management will ensure that all students have a health report on file within the first 60 days of care. Any child who fails to comply will have care suspended until which time there is a current health report on file. A designated student file tracker and check list will be used along with a tab system to indicate required paperwork due dates and completion of forms." The correction date was 4/30/26. On 5/4/26, there was still no health assessment on file for child #9 who has been enrolled for more than 60 days (see code sheet for start date).

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: Ongoing non-compliance: During the renewal inspection, the most recent health report on file for child #3 was dated 4/25/25; for child #10 it was dated 10/14/24 both periods of greater than 6 months (see code sheet for dates of birth). An acceptable plan of correction was submitted that stated "Management will require the parent provide an updated health report at least every 6 months for an infant or young toddler. A designated student file tracker and check list will be used along with a tab system to indicate required paperwork due dates and completion of forms including health reports." The correction date was 4/30/26. On 5/4/26, there was still no updated health assessment for child #3 and #10.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: Ongoing non-compliance: During the renewal inspection, the most recent health assessment on file for child #5 was dated 6/25/24, and for child #6 it was dated 12/26/24, both periods of greater than 12 months. An acceptable plan of correction was submitted that stated "Management will require the parent provide an updated health report at least every 12 months for an older toddler or preschool child. A designated student file tracker and check list will be used along with a tab system to indicate required paperwork due dates and completion of forms including health reports." The correction date was 4/30/26. On 5/4/26, there was still no updated health assessment for child #5.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: Ongoing non-compliance: During the renewal inspection, there were no written references on file for staff #9. An acceptable plan of correction was submitted that stated, "Management will ensure that a facility person's record includes 2 written nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Management will use the designated staff file tracker and check list to ensure all required staff information is on file in accordance to regulations." The correction date was 4/30/26. On 5/4/26, there were still no references on file for staff #9.

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: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: Ongoing non-compliance: During the renewal inspection, there was no documentation of 2 years of experience to qualify staff #8, #9, and #10 for the assistant group supervisor position. An acceptable plan of correction was received that stated "Management will ensure that any staff listed as an assistant group supervisor will have on file: a copy of a high school diploma or GED and documented 2 years of experience with children. Management will use the designated staff file tracker and check list to maintain compliance with documentation of staff qualifications." The correction date was 4/30/26. On 5/4/26, there was still no documentation of 2 years of experience for staff #9 and #10.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The pad on the soft climber in the front young toddler room and the soft seat in the Preschool room were frayed.

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(f)

Description: 2 feet apart

Noncompliance Area: Child #11 was sleeping in a crib and there was less than 2 feet of space on three sides of the crib.

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)

Description: Signed

Noncompliance Area: The agreement of child #4 was not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information for child #8 did not include the address of the physician.

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: The emergency contact information for child #5, #6, and #10 did not include the work address and phone number of the enrolling parent.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information for child #8 did not include the insurance policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for child #5and #8 did not include the address of the release persons. There was no name, address and telephone number of a release person listed for child #10.

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: There were numerous children in most classrooms that did not have the emergency contact information present in the space where they were receiving care.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The most recent emergency contact and fee agreement for child #5, #6, #8, and #10 were dated from February of 2025 and had not been updated or reviewed in more than 6 months.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The health report on file for child #6 was dated 12/26/24, which was more than 60 days following the first day of attendance (see code sheet for start date). There was no health assessment on file for child #9 who has been enrolled for more than 60 days (see code sheet for start date)

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: On 2/24/26, the most recent health report on file for child #3 was dated 4/25/25; for child #10 it was dated 10/14/24 both periods of greater than 6 months (see code sheet for dates of birth).

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: On 2/24/26, the most recent health assessment on file for child #5 was dated 6/25/24, and for child #6 it was dated 12/26/24, both periods of greater than 12 months.

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

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: There was insufficient documentation of immunization against Hepatitis A for child #2, Pneumococcal for child #4, and HIB for child #8.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: There was an EpiPen for child #12 in the school age room that expired on 12/31/25.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 2/24/26 staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/8/2021. The operator could not produce a continuity of operations plan that is required by 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.

Regulation: 3270.151(a)

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

Noncompliance Area: Staff #1 had a health assessment on 5/22/23 and next on 8/7/25. Staff #4 had a health assessment on 1/12/24 and next on 2/1/26. Both were periods of greater than 24 months.

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: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: Written notification of safe routes was not posted by the operator at a conspicuous location in the child care facility.

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

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: There was no parental consent for the administration of minor first aid for child #1, and child #9.

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

Regulation: 3270.182(8)

Description: Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: There were no agreements on file for child #1, #7, and #9.

Correction Required: A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.192(1)

Description: Name, address, and phone

Noncompliance Area: The file of staff #3 did not include the staff person's current address.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: There were no written references on file for staff #9.

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: There was a gap of greater than 12 months in the emergency plan training for staff #1, #2, #4, #5, #6, #7 with training recorded on 2/6/24 and next on 4/7/25. The most recent emergency plan training for staff #9 was dated 12/5/24.

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)(i)

Description: Age and Training

Noncompliance Area: The Pediatric 1st Aid for staff #1 was not renewed prior to the expiration of the previous certificate. The previous one was issued 4/6/23 and the next one is dated 5/22/25.

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The most recent documentation of fire safety training for staff #1 was dated 3/18/24. There was a gap of greater than 1 year in the fire safety training for staff #2, #4, #5, #6, #7.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: As of the renewal inspection on 2/24/26, the most recent mandated reporter training on file for staff #1 was dated 2/8/21, a period of greater than 60 months. There was a period of greater than 60 months between the mandated reporter trainings for staff #2. Training was completed 8/27/20 and the next one was dated 1/26/26. There was a disclosure statement with a signature date of 12/16/25 on file for staff #3 (see code sheet for start date). The child abuse clearance for staff #10 was dated 6/2/25, which is after the start date. The FBI clearance is dated 8/5/25 which is greater than 45 days after the start date (see code sheet for start date). Staff #11 had a child abuse clearance dated 3/5/25 which was after the start date (see code sheet for start date).

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: There was a written evaluation for staff #1 on 3/6/24 and next on 4/14/25 a period of greater than 12 months. For staff #2the evaluations were done 3/26/24 and then 4/10/25. The most current written evaluation for staff #4 is dated 3/26/24, more than 12 months ago. The most current written evaluation for staff #7 is dated 10/22/24.

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

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: There was no documentation of 2 years of experience to qualify staff #8, #9, and #10 for the assistant group supervisor position.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was trash on the floor in the hallway. In the school age room there was Chapstick, cereal, smashed fruit, and trash on the floor several hours after before school care.

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: 3270.20(a)(1)/3270.20(b)

Description: Inpatient hospitalization or ER treatment of child/Mail or deliver written report to regional office within 72 hours

Noncompliance Area: The operator did not notify the regional licensing office within 24 hours, and did not submit a written report to the regional licensing office within 72 hours of child #1 receiving emergency room treatment .

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. 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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an unannounced inspection, the fire alarm test log was reviewed. The alarm was tested 12/10/25 and next on 1/12/26, a period of greater than 30 days.

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: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: Throughout the morning of 9/3/25 during an unannounced inspection, there were 12 preschool children in the room with one staff; 11 young and older toddlers in a room with 2 staff; there were 6 young toddlers with 1 staff; there were 8 older toddlers with 1 staff.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). TIERED LIS: 1. The required staff:child ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2. The facility shall create a written policy that ensures proper ratios are maintained in all classrooms throughout the day. The policy must specifically address strategies to maintain ratios during morning drop off and afternoon pick up times. The operator shall provide a date for when this will be completed.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: On 9/3/25 during an unannounced inspection, the most recent fire drill logged was on 6/17/25, a gap of greater than 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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On 9/3/25 during an unannounced inspection, the most recent fire alarm test logged was on 7/11/25, a period of greater than 30 days.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Continued Non-Compliance: During an unannounced inspection on 6/16/25, the file of staff #1 and #2 were reviewed. There was no documentation of a DHS FBI clearance and there was no receipt demonstrating that the staff had been fingerprinted. An acceptable plan of corrections was received stating "Receipt was obtained for #1 and #2 until actual clearance was obtained. Provider will make sure to obtain copy of proof of clearance (receipt) until physical clearances are obtained prior to staff beginning employment." The correction date was 6/20/25. On 7/28/25, staff #2 did not have FBI clearance or a receipt for fingerprinting 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. Facility Person #2 may not work in a child care position at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The hopscotch rug in the preschool room was frayed on the edge with a loop of the binding creating 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: 3270.113(a)/3270.113(a)(1)

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

Noncompliance Area: On 7/1/25, staff #1 placed child #1 in a storage closet in the classroom and closed the closet door leaving the child unattended in the closet for approximately 1 minute. Facility Person #1 was suspended and then terminated.

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 must have an immediate correction date. 2. Supervision policies and procedures must be reviewed with all current staff. Staff shall sign off on policies and procedures and that documentation shall remain in the staff's file. The operator shall provide a date for when this will be completed.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: On 7/1/25, staff #1 placed child #1 in a storage closet in the classroom and closed the closet door leaving the child unattended in the closet for approximately 1 minute. Facility Person #1 was suspended and then terminated.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. Tiered LIS: 1. Children may not be restrained or confined. This portion of the plan requires an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding behavior management. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when this training will be completed.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an unannounced inspection on 6/16/25, the file of staff #1 and #2 (see code sheet for start dates) were reviewed. There was no documentation of a DHS FBI clearance and there was no receipt demonstrating that the staff had been fingerprinted.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an unannounced inspection on 6/16/25, the fire alarm test log indicated that the most recent alarm test was on 4/17/25.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff person #2 only had 1 written reference on file.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an unannounced inspection on 4/15/25, staff #1 did not have clearances from a state she lived in during the previous five years and was on site (see code sheet for start date). Staff #2 was onsite and did not have a signed disclosure statement on file (see code sheet for start date).

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

Regulation: 3270.67(c)

Description: No insects or rodents

Noncompliance Area: On 4/15/25 there was evidence of roaches in the kitchen area. Additionally, there were ants on the desk in the office.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: As of the unannounced inspection on 4/15/25, the most recent fire drill was 1/9/25.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: As of the unannounced inspection on 4/15/25, the most recent alarm test was on 1/9/25.

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During the inspection an child #5 was asleep in a crib. There was not two feet of space on three sides of the crib.

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)(5)

Description: Designated release persons

Noncompliance Area: The fee agreement of child #2 did not include the persons designated by a parent to whom the child may be released.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information for child #1 did not include a policy number. The emergency contact information for child #3 did not include the health insurance coverage or policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for child #4 did not include the address of the individuals designated by the parent to whom the child may be released.

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

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: The initial health assessment and immunization record for child #2 was dated 12/26/24, more than 60 days following the first day of attendance (see code sheet for start date). The initial health assessment and immunization record for child #3 was dated 1/6/23, more than 60 days following the first day of attendance (see code sheet for start date).

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. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: During the inspection, a child came out of the bathroom after toileting and did not wash his hands.

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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: There was no documentation of TB screening and results on file for staff #4.

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)(3)

Description: Exam communicable disease

Noncompliance Area: There was no documentation of an exam for communicable diseases for staff #1, and #2. The health assessment for staff #7 indicated a communicable disease with no further information provided.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff #4 did not have 2 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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #3 (see code sheet for hire date) did not have clearances from the state in which she resided in the previous 5 years. Staff #5 (see code sheet for hire date) did not have FBI clearance. Staff #7 (see code sheet for hire date) did not have NSOR on file. Staff #8 (see code sheet for hire date) did not have NSOR 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. Facility Person #3, #5, #7, #8 may not work in a child care position at the facility.

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: Staff #3, #4, and #6 did not have sufficient documentation of experience to qualify as an AGS.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.37(b)(1)

Description: HS/GED

Noncompliance Area: There was no high school diploma on file for staff #9 to qualify as an Aide.

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

Regulation: 3270.75(d)

Description: On excursions

Noncompliance Area: The first aid kit on the bus did not contain water. Staff #10 reported that it is the only first aid kit they have on the bus during the school year.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection, the closer arm on the front door kept coming apart causing the door to not function properly.

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

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

Noncompliance Area: On 11/13/24, two older toddlers were left unsupervised on the playground for approximately 1-5 minutes.

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 all facility staff to receive a minimum of three (3) hours of PQAS-approved in-person training, including technical assistance, regarding supervision of children. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training. Training may not be conducted while children are in care.

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

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

Noncompliance Area: On 11/13/24, two older toddlers were left unsupervised on the playground for approximately 1-5 minutes.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed in the toddler back room that a gym mat had an area that was ripped and worn, leaving this mat not in good repair.

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: It was observed in the toddler front room that the garbage can used for diapering did not contain a lid.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Files for staff person #1-#5, see code sheet for hire date, all contained either expired or incomplete updated PA state police clearances. Updated clearances for staff #1-#5 were all requested on 9/29/23, however, these updated clearances for staff #1-#5 were printed and placed on file without a confirmed record result. This was corrected the day of inspection.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: It was observed in the Discovery Preschool room that a AA battery was on the floor accessible to the mouthing children in that room.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: It was observed in both the front and rear infant rooms as well as in discovery preschool and the preschool room that cribs and cots, containing resting children, did not have at least 2 feet of space on three sides of those cots and cribs in use.

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

Regulation: 3270.124(b)(2)/3270.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: Emergency contact form for child #3 did not contain the name, address and telephone number of the child's physician or source of medical care. This same form also did not contain the child's health insurance coverage information and policy number.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: File for child #3, see code sheet for enrollment date, did not contain a health report and the child has been enrolled for more than 60 days at the facility. File for child #4, see code sheet for enrollment date, did not contain an initial health report. The only health report observed on file the day of inspection was dated 9/20/22.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.134(a)/3270.135(b)

Description: Child's hands washed/Surfaces cleaned

Noncompliance Area: It was observed during a diaper change in the infant room that staff did not ensure that the infant's hands were washed after diapering. Also during this observed diaper change, the changing table surface, although sprayed, was not properly sanitized due to the cleaner not being left to sit on the surface for the required time it would take to sanitize that surface according to the instructions.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. 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(c)(1)

Description: Physical examination

Noncompliance Area: File for staff person #2 contained a health assessment dated 6/27/22, but this written health assessment on file had documented that no physical was conducted.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: It was observed that the facility's emergency plan was updated in February 2023, but the updated plan was only sent to the local township and not sent to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

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

Description: Fire safety - 1 yr.

Noncompliance Area: File for staff person #1 documented that they participated in a fire safety training on 9/17/21, but no documentation on file verifies that staff person #1 has participated in an updated annual fire safety training since that date.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: File for staff person #3 did not contain a written evaluation completed by the director within the last 12 months.

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

Regulation: 3270.61(h)

Description: Exceeding Capacity

Noncompliance Area: It was observed that although the established indoor space for the infant room rear measured for seven children, there were eight infants present and receiving care in that space at the time of inspection.

Correction Required: The capacity established for an indoor space may not be exceeded.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: It was observed that staff person #2 and #3 were not actively supervising the children in the preschool classroom. Staff person #2 and #3 could not see all children based on their placement in the classroom and were sending children unsupervised into the classroom cubby room to obtain their belongings.

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

Regulation: 3270.113(b)/3270.113(e)

Description: No physical punishment /Restraints prohibited

Noncompliance Area: It was observed during a complaint investigation on 3/23/23, that staff person #1 was holding child #1 by their wrist while the child was visibly upset and trying to pull away. It was stated during staff interviews that children are restrained, by restricting their movement, as a common practice when staff feel behaviors warrant it at the facility.

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

Regulation: 3270.113(b)/3270.113(e)

Description: No physical punishment /Restraints prohibited

Noncompliance Area: It was observed during a complaint investigation on 3/23/23, that staff person #1 was holding child #1 by their wrist while the child was visibly upset and trying to pull away. It was stated during staff interviews that children are restrained, by restricting their movement, as a common practice when staff feel behaviors warrant it at the facility.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. The legal entity must arrange for all facility staff to receive a minimum of two hours of in-person training, including technical assistance, regarding behavior management. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training. Training may not be conducted while children are in care.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: Agreement for child #1 did not specify the persons designated by a parent to whom the child may be released.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Emergency contact form for child #2 did not contain the address of the child's physician.

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 form for child #2 did not contain the enrolling parent's work address or 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)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact form for child #2 did not contain the release person's address.

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)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: File for child #3 and #4, both young toddlers, did not contain an updated health report dated within the last 6 months as required.

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

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: File for child #5 did not contain a review of the status all immunizations recommended by the ACIP.

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

Regulation: 3270.171(a)/3270.171(c)

Description: Pick-up and drop-off points/Safe routes posted

Noncompliance Area: It was observed and stated that the facility did not send to the local traffic authority the facility's annual traffic letter, and did not post the facility's pick up and drop off procedures.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: It was observed that the emergency plan letter, which had been provided to each enrolled family, did not contain all of the facility's emergency plan procedures as described in 3270.27(a). The emergency plan letter given to parents did not contain the facility's lockdown procedure or accommodations for infants, toddlers, those with special needs or chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures as described in 3270.27(a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: It was observed that the facility did not have verification that the emergency plan was sent to the local municipality.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: File for staff person #1, employed more than 90 days at facility, did not contain documentation of completion of pediatric CPR and first aid training.

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

Regulation: 3270.36(b)(3)/3270.192(2)(ii)

Description: HS/GED, 15 credits + 1 yr/Exp, educ., training prior to facility

Noncompliance Area: File for staff person #2, currently employed as an assistant group supervisor, contained a high school diploma, and 15 credit hours in a human service related field from an accredited college, but did not contain adequate documentation of 1 year experience working with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours 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 verification of child care experience, education and training prior to service at the facility.

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

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

Noncompliance Area: On Tuesday, February 8, 2022, child #1 was left unsupervised in the preschool room. At approximately 4:31pm, it was stated that staff person #1 had lined up the children in the preschool room and walked the children over to the prek room. At 4:35pm, parent of child #1 entered facility and signed child out for pick up on the Sign Out Record Sheet used by facility, but child #1 was unable to be located in the prek room with staff person #1. Child #1 was found hiding under the table alone in the preschool room. Director was notified immediately of the incident via a phone call at 4:42pm. Child was left unsupervised for a period of time between 4-11 minutes and was in the primary care group of staff person #1.

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 / Director will establish a supervision and ratio policy. The policy will include how the facility will demonstrate their knowledge and ability to adequately supervise children while maintaining appropriate ratio at all times. The policy must focus on ensuring that each child is seen, heard, assessed and able to be directed at all times. The policy must include the required staff:child ratios for each age group. The policy must include how the facility will ensure appropriate supervision and ratios during transition times and while in the outdoor play area. The policy must include how the facility will ensure appropriate supervision and ratios during nap time. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in his assigned group and be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The policy must also address how these groups will be transitioned from one staff person to another during staffing changes. This supervision and 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: 3270.113(a)/3270.113(a)(1)

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

Noncompliance Area: On Tuesday, February 8, 2022, child #1 was left unsupervised in the preschool room. At approximately 4:31pm, it was stated that staff person #1 had lined up the children in the preschool room and walked the children over to the prek room. At 4:35pm, parent of child #1 entered facility and signed child out for pick up on the Sign Out Record Sheet used by facility, but child#1 was unable to be located in the prek room with staff person #1. Child #1 was found hiding under the table alone in the preschool room. Director was notified immediately of the incident via a phone call at 4:42pm. Child was left unsupervised for a period of time between 4-11 minutes and was in the primary care group of staff person #1.

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

Noncompliance Area: A tricycle on the big playground was observed to have chipping red paint on the two back wheels, which are accessible to children when outside playing.

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.

Noncompliance Area: Staff Person #1 was hired and began working at the facility on 8/22/19, but was hired using a volunteer child abuse clearance dated 2/11/18, which is not valid for employment. An employment child abuse clearance was not obtained until 6/22/2020.

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.

Noncompliance Area: Multiple spots on the rubber surfacing on both the big playground and the toddlers playground were observed to be torn open, exposing the small pieces of rubber underneath the surfacing, and also creating tripping hazards. A section of the rubber surfacing on the 2s playground is separating from the macadam, posing a tripping hazard to children.

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

Noncompliance Area: One table in the Pre-K classroom and two tables in the School Age area were observed to have edges that are peeling away from the tables. Foam blocks in the Toddler classroom were observed to have bite marks, with small pieces of foam easily able to be pulled away from the blocks. Two trikes on the large playground were observed to have areas of red peeling paint on the tires. A climber on the infant/toddler playground was observed to have multiple spots of cracked plastic on the pink tunnel, posing a pinch hazard.

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.

Noncompliance Area: The emergency contact forms for children were reviewed in each classroom. Multiple forms in each classroom did not contain complete insurance information for the children, and insurance information is not contained in the child's master 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.

Noncompliance Area: During a review of the children's files at the facility, it was observed that none of the records for Child#1 through Child #6 have updated flu vaccines on file in accordance with the schedule recommended by the ACIP. None of these children's records had a letter of exemption for strong personal beliefs or religious beliefs from the parent. The file for Child #1 also did not contain up-to-date immunizations in accordance with the recommendations by the ACIP since the child's 2-month shots, though the child is currently 12 months old.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.