KINDERCARE LEARNING CENTER 1050

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Staff Person #1 states that they were talking to the Child #1 to redirect them during a behavioral outburst and the child started screaming. Staff Person #1 states that they picked the child up and began to carry them to another table to calm down. Child reported to caregiver later that day that they had received a potential injury as a result of being put down into a seat in an excessively hard fashion by the staff person.

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(b)

Description: No physical punishment

Noncompliance Area: Staff Person #1 states that they were talking to the Child #1 to redirect them during a behavioral outburst and the child started screaming. Staff Person #1 states that they picked the child up and began to carry them to another table to calm down. Child reported to caregiver later that day that they had received a potential injury as a result of being put down into a seat in an excessively hard fashion by the staff person. Facility Director confirmed that Staff Person #1 had been at first placed on administrative leave and then shortly thereafter, terminated from employment as a result of specific facts involved in this case.

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

Regulation: 3270.19(a)/3270.19(b)

Description: Required to report/Child abuse reporting

Noncompliance Area: During an investigation of regulatory noncompliance on 5.22.26, Staff Person #1 verbally stated that the guardian of Child #1 had informed them that a bruise was found on the child's buttocks after having been 'slammed down into a chair' by Staff Person #2. Upon direct questioning, Staff Person #1 confirmed that they had not contacted Childline to make a mandated report of suspected child abuse because they believed that the child's guardian was going to be making that call.

Correction Required: An operator or a staff person who has reason to believe that a child enrolled in the facility has been abused is required to report suspected child abuse to ChildLine as mandated by the CPSL. A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department. Required Plan of Correction: Staff Person must re-take mandated reporter training course through an approved curriculum and provide documentation of completion to Certification Representative.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Upon investigation, it was found that Staff Person #3 did verbally confirm that they had at times physically held a child in place as a form of behavioral control, rather than utilizing other approved methods to promote the children's age-appropriate skill development and social competence.

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: 3270.151(a)

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

Noncompliance Area: Upon inspection of staff personnel files, it was found that the health assessment on file for Staff Person #1 was dated 7.11.22 [expired 7.31.24].

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of facility person #1 contains a child abuse history clearance dated 2.28.20 which is more than 60 months old. There is no application in the file for an updated child abuse clearance. The file of facility person #1 contains a PA Criminal history clearance dated 2.17.20 which is more than 60 months old. There is no application in the file for an updated PA Criminal history clearance. The file of facility person #1 contains a DHS FBI clearance dated 2.26.20 which is more than 60 months old. There is no application in the file for an updated DHS FBI clearance. The file of facility person #1 contains a NSOR dated 4.9.20 which is more than 60 months old. There is no application in the file for an updated NSOR. Facility 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 6.12.20. The file of facility person #2 does not contain copies of out of state clearances [Georgia Child Abuse and Georgia Sexual Offender], despite having a valid driver's license on file from that state less than five years old. Facility person #2 does have all valid PA required clearances and a Georgia Criminal Clearance on file at the time of the inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility person #1 must be removed from a childcare position by the close of business because she/he does not have all the required clearances or requests for clearances [effective 4.6.26]. The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, facility person #1 must be supervised, when interacting with children at a minimum by, an (AGS) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise facility person #1, facility person #1 may not work in a child-care position at the facility. Facility person #2 must be removed from a childcare position by the close of business because she/he does not have all the required clearances or requests for clearances [effective 4.6.26].

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: Upon investigation, Staff Person #1 self-reported that they will at times use a raised voice/used harsh tones and volume when relating to children in moments of frustration [confirmed not immediately necessary to control childcare space] and has immediately apologized to the children for their outbursts.

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. Staff Person #1 must register for, and complete six [6] hours of professional development training [either in-person or online] focused on the topics of behavioral management in childcare settings, age-appropriate developmental expectations for children and adult self-awareness in the workplace. Prior to registry and completion, these courses must be preapproved by the Certification Representative and the verification of completion submitted immediately upon completion.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: It was observed that the rest equipment (in the front section of Toddler Room) was not labeled for the use of a specific child and used only by the specified child.

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: 3270.111(c)/3270.112

Description: Promote development/Infant/Toddler Stimulation

Noncompliance Area: It was observed that the two teachers (staff persons #1 and #2) in the front section of the Toddler classroom were not providing the proper activities and stimulation for the children in their care. The children were wandering around the classroom, crying, and trying to climb on furniture, and the teachers did not attempt to interact with and provide the appropriate stimulation.

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. Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files of child #2, #4, #5, and #7 did not contain child service reports within the last 6 months providing information to the family about the child's growth and development in the context of services being provided. The most current child service reports for these children are dated February of 2025. (See Code Sheet).

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

Regulation: 3270.123(a)(5)/3270.123(a)(6)

Description: Designated release persons/Admission date

Noncompliance Area: Child #6's agreement did not specify a release person and the date of the child's admission.

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

Regulation: 3270.123(a)(7)

Description: Services considered extra

Noncompliance Area: Child #1's agreement did not specify the services which are to be considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The parents of child #4 did not receive the original agreement. The original agreement was in the child's file.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3270.124(b)(1)

Description: Child's name, birth date

Noncompliance Area: The emergency contact information of child #4 did not include the child's birthdate.

Correction Required: Emergency contact information must include the name and birth date of the child

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information of child #6. #7, and #8 did not include the enrolling parent's work address and work telephone number. Child #6's emergency contact information also did not include the enrolling parent's home telephone number.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child #6's emergency contact information does not include the child's health insurance policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Child #3 and #6's emergency contact information does not include 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: 3270.124(c)

Description: Each child care space

Noncompliance Area: It was observed, in the Infant, Discovery PS, Preschool, and Toddler classrooms, that there were missing emergency contact forms. There were not emergency contact forms for all of the children in each of the rooms.

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(e)(4)

Description: Annual immunization reporting to DOH

Noncompliance Area: Child #4 and #6's files did not contain proof of the required immunizations. Child #4's file contained only 2/4 Hepatitis B immunizations, 3/4 DTAP immunizations, and 1/2 of the required Hepatitis A immunizations for this child's age. Child #6's file contained only 3/4 DTAP, HIB and Pneumococcal immunizations required and did not contain any documentation of having received the Varicella, MMR, and Hepatitis A immunization. (See Code Sheet)

Correction Required: The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Staff person #3, in the back section of the Toddler classroom, did not was a child's hands after diapering the child. (corrected during inspection)

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: It was observed that staff persons in the Toddler Room (front section) did not discard the dirty disposable diapers using the hands-free aspect of the trashcan. They used their hand to lift the lid each time they disposed of diapers (corrected during inspection).

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: 3270.151(a)

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

Noncompliance Area: The time between staff person #5's health assessments exceeded the permitted 24 months' timeframe (9/29/22, 4/24/25)

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The operator did not notify local traffic safety authorities, in writing, of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility in the permitted annual timeframe (most recent dated 11/18/24),

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: 3270.178

Description: Transportation First Aid Kit

Noncompliance Area: It was observed that the first-aid kits, in all three vehicles, did not contain soap. There was no water in the first-aid kit in one of the vehicles (orange #2416). Water was added to this vehicle (corrected) during the inspection.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child #6's financial agreement was not updated within the last 6 months (most recent 1/15/25). Child #7's emergency contact information and financial agreements were not updated within the last 6 months (most recent 12/23/24)

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

Regulation: 3270.182(1)

Description: Initial and subsequent health reports

Noncompliance Area: Child #4 and #6's files did not contain current health reports (most recent on file dated 5/3/23 and 12/9/21 respectively).

Correction Required: A child's record shall contain initial and subsequent health reports.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Child #3 and #6's records did not contain signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff person #2's record did not include verification of education.

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

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: Staff person #1's file did not contain an initial health assessment with the results of the TB testing.

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff person #1, #4, and #6's records did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility's updated emergency plan was not sent to the local municipality (corrected during inspection)

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)(i)

Description: Age and Training

Noncompliance Area: The time between staff person #5's pediatric first aid and CPR training exceeded the permitted two-year timeframe (6/6/22, 8/5/24)

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(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The time between staff person #5's fire safety training exceeded the permitted annual timeframe (1/14/24, 2/11/25)

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: Staff person #5's record did not contain a current NSOR clearance. Their previous NSOR clearance expired 9/20/25.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person # 5 may not work in a child care position at the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: It was observed, that the first-aid kits in the School-Age and Toddler (front section) classrooms, were missing soap. (SA was corrected during inspection).

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: It was observed that there were 3 locations (about 2" each) of peeling paint between the bathroom doors in the School-Age classroom (corrected during inspection).

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

Regulation: 3270.78/3270.113(a)

Description: Lighting/Supervised at all times

Noncompliance Area: It was observed that, during naptime, there was not sufficient lighting to properly supervise the children in the Discovery Preschool (far right corner), the front section of the Toddler room, Preschool, and PreK classrooms. The Preschool and PreK lighting issue was corrected during the inspection.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light. 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.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: Staff person #1 did not follow the written feeding schedule obtained by the parent of child #1.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

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

Description: Age and Training

Noncompliance Area: Staff persons #1 and #2 did not renew their certification in pediatric first-aid and CPR training before the expiration of their previous certification. (4/12/23, 10/7/25), 9/12/23, 10/7/25) respectively.

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: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: Two staff persons #3 and #4, who are designated as aides were working together, unsupervised by another staff person qualified as an assistant group supervisor or higher. (corrected during inspection).

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff persons #1 and #2, in the School-Age classroom, did not have primary care groups established (corrected during visit).

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: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed, in the Preschool bathroom (2nd bathroom) that many pieces of what appears to be insulation were covering the sink (seems to be falling down from ceiling).

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: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: Fire detection devices were not tested at least every 30 days (last documented testing date was 5/23/25). (tested during visit).

Correction Required: 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)

Description: Comply with CPSL

Noncompliance Area: Staff person #1's Mandated Reporter training is not current. The most recent MR training expired in July of 2024.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: According to a review of the facility's CSRs, there was a 6-minute period of time on 5/12/25, in the DPS classroom (older toddlers) that there was only one staff person for 7 two-year old children. On 5/13/25, there were only two staff persons for 9 infants from 9:06 until 9:37 am. Several staff persons stated that it can sometimes take 15 minutes or more to correct the staff to child ratio when they notify admin that they are over ratio.

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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: It was observed that the Preschool and Young Toddler bathrooms were dirty: both the floor and the toilets.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.182(7)

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

Noncompliance Area: Staff persons #1 and #2 are not consistently writing and providing incident reports to parents on the same day that the incident occurred. Some incidents occurred, and no incident reports could be located at the facility for these incidents.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: It was observed, in the Toddler classroom, that the rest equipment was labeled with numbers, but there was no chart indicating which child uses which rest cot. (corrected during inspection).

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: 3270.107

Description: Refrigerator

Noncompliance Area: It was observed, in the Infant room, that the refrigerator in the front section of the room, did not have an operable thermometer. (corrected during inspection).

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The records of child #3, #4, and #9 did not contain completed child service reports every 6 months :2/5/25 only, 2/5/25 only, 2/6/25 only, respectively. (see Code Sheet).

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: Child #4's agreement did not specify the date of the child's admission.

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

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The parents of child #2 and #8 did not receive the original agreement. The originals were in the children's files.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #2's emergency contact information did not include the enrolling parent's work address and telephone number. Child #6's emergency contact information does not include the enrolling parent's work telephone number.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information of child #3, #6, and #10 did not include the health insurance policy number.

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

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

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

Noncompliance Area: Child #6's record did not contain updated health reports in the proper timeframes when the child was an infant and a toddler (8/31/22, 1/14/25).

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: It was observed, in the Infant room, that a staff person did not wash a child's hands after being diapered (corrected during inspection).

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

Regulation: 3270.135(a)(3)/3270.135(b)

Description: Disposable diapers/Surfaces cleaned

Noncompliance Area: It was observed, in the Infant room, that a staff person used her hands to open the hands-free covered trashcan to dispose of a diaper. This staff person did not clean the diaper changing surface after a diaper change. (both were corrected during inspection).

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

Regulation: 3270.151(a)

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

Noncompliance Area: Staff persons #2, #4, #5, #6, and #7 did not have a health assessment completed within 24 months of their previous health assessment (7/21/22, 9/23/24), (11/15/22, most current), (7/11/22 most current), (12/27/22 most current), (7/13/22 most current) respectively.

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: 3270.166(1)

Description: Written statement

Noncompliance Area: Child #1 (infant) did not have a statement, written by the parent, giving the formula and feeding schedule.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The parents of children #3, #4, #6, and #9 did not review and update the emergency contact information and the financial agreement at least once in a 6-month period. See Code Sheet

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

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Child #7's record did not contain signed parental consent for emergency medical care and signed parental consent for administration of minor first-aid for the child. (corrected during inspection)

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Emergency drills exceeded the permitted annual timeframe between drills (9/25/23, 12/9/24).

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

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

Description: Age and Training

Noncompliance Area: Staff persons #3, and #5 did not renew their pediatric first-aid and CPR training on or before the expiration of the most current certification. (6/2022, 8/5/24), (5/17/22, 8/5/24) respectively.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed, in the DPS classroom bathroom, that a Shark floor cleaner (with a long cord) was being stored in the bathroom. In the Toddler classroom bathroom, it was observed that there were two brooms laying across the toilets. Pieces of insulation were on a toilet, and there were several toys and books on the floor. (all corrected during inspection).

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff persons #4 and 5 were observed to be caring for children unsupervised. Staff persons #4 and 5 have not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid and CPR. (Corrected during inspection)

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff persons #4 and 5 must be supervised, when interacting with children at a minimum by, an (AGS, primary staff person, or family child care home staff person) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #4 and 5, staff persons #4 and 5 may not work in a child-care position at the facility

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

Description: Age and Training

Noncompliance Area: Staff persons #1 and #2 did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. (6/1/22, 8/5/24) and (6/1/22, 8/5/24) respectively.

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: Staff persons #3, 4, 5, and 6 have not completed the following required pre-service training within 90 days of their date of hire (see Code Sheet): Pediatric First-Aid and CPR.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #3, 4, 5, and 6 must be supervised, when interacting with children at a minimum by, an AGS or higher who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #3, 4, 5, and 6, staff persons #3, 4, 5, and 6 may not work in a child-care position at the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed that, in the Infant room, there was a broken crib drawer. The drawer was hanging down. There were 12 rest mats in the PreK room with the foam exposed. There were 8 rest mats in the Preschool room with the foam exposed. It was observed in the Preschool room that the blue cabinet (near back window) handle was broken. The lidded trashcan in the Preschool room girls' bathroom was broken. The Toddlers classroom contained a bean bag chair with two large tears; A blue vinyl couch (front space of Toddlers) had several areas of foam exposed on both armrests. CONTINUED DEFICIENCY: Provider failed to follow the plan of correction regarding the same violation from inspection of 7/25/24 and 8/15/24. Plan of correction stated, " Crib drawer in infant room will either be fixed or fully replaced. Pictures will be provided All rest mats with foam exposed will be replaced instead of mended to ensure they are in good condition. Pictures will be provided. Preschool blue teacher cabinet will receive new handles to ensure the ability to safety lock cabinet. Pictures will be provided Preschool girls bathroom trashcan was replaced with fully functioning trash can. Pictures will be provided. Toddler classrooms disposed of ripped bean bag chairs and vinyl couch and all replaced with new ones. Pictures will be provided." As of 10/9/24 facility visit, there are still at least 6 rest mats in both the Preschool and PreK room with the foam exposed.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: It was observed, in the PreK and the Preschool rooms, that the rest equipment was not labeled for the use of a specific child. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection date of 7/25/24 and 8/15/24.Plan of correction stated, "Both the preschool and prek classrooms will label all rest equipment for a specific child. Proof will be sent."

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 .CONTINUED DEFICIENCY; Provider failed to follow plan of correction regarding the same violation from inspection of 7/25/24 and 8/15/24. Plan of correction stated that" Both the preschool and PreK classrooms will label all rest equipment for a specific child. Proof will be sent."

Regulation: 3270.131(b)(2)

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

Noncompliance Area: Children #5, 6, and 10 did not have updated health assessments on file in the acceptable timeframe (one year) for their ages (most current on record 7/25/22, 10/20/22, 8/2022 respectively). See Code Sheet CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection date of 7/25/24 and 8/15/24. Plan of correction stated, "Child #5 is no longer enrolled, proof will be sent to OCDEL representative. Children #6 and #10 will obtain new and updated health assessments. Proof will be added to children's files and also sent to OCDEL representative" As of the 10/9/24 visit, there was no current health assessment for child #10 on file. SEE CODE SHEET

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: 3270.15(b)

Description: Building Codes

Noncompliance Area: There was no certificate of occupancy on file at the facility. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection dates of 7/25/24 and 8/15/24. Plan of correction stated "Certificate of occupancy will be obtained and provided to OCDEL representative."

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

Regulation: 3270.151(a)

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

Noncompliance Area: Staff person #1 and #9's initial health assessments are dated after providing initial service in the child care setting (dated 12/7/23 and 5/8/24 respectively). See Code Sheet. Staff persons #6 and #10 have no initial health assessment on record. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection date of 7/25/24 and 8/15/24. Plan of correction stated," Staff persons #6 and 10 will obtain a fully filled out health assessment. Proof will be sent to OCDEL Representative and placed in staff file."

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

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: Staff person #8 and #11's health assessments do not include an examination for communicable diseases and the results of that examination, and do not include the physician's or CRNP's assessment of the person's suitability to provide child care. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection date of 7/25/24 and 8/15/24. Plan of correction stated, "Staff person 11 is no longer employed by Kindercare, proof of termination will be sent to OCDEL representative. Staff person 8 will receive updated heath assessment to ensure all necessary information is documented. Proof will be placed in staff file and sent to OCDEL Representative."

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The operator did 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 (last one sent 8/1/22). CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection date of 7/25/24 and 8/15/24. Plan of correction stated, "Center director will notify local traffic safety authorities in writing of location of facility and programs use of pedestrian and vehicular routes. Proof will be filed in center and sent to OCDEL Representative."

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)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff persons #4, 6, 8, 10 have no verification of education on record. Staff person #12's record contains a Bachelor's degree with no inclusion of the major/field of education and has been working as a Group Supervisor. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection date of 7/25/24 and 8/15/24. Plan of correction stated, "Staff persons 4,6,8,10 and 12 will all obtain correct proof of education to be added to files. Proof will also be sent to OCDEL representative."

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The following staff persons' records do not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person: #4, 6, 7, and #11. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection date of 7/25/24 and 8/15/24. Plan of correction stated, " Staff persons 7 and 11 are no longer KinderCare employees, proof will be sent to OCDEL representative. Staff persons 4 and 6 will obtain two written references attesting to the persons suitability to serve as a facility person. Proof will be added to staff files and sent to OCDEL Representative."

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)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Staff persons #1, 10, and 13 have not completed fire safety training at least annually (most current 4/25/22, 2/18/23, 7/8/21 respectively. Staff persons #2, 8, 11, and 12 have no record of participating in fire safety training. See Code Sheet. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspections of 7/25/24 and 8/15/24. Plan Of Correction stated, "Staff persons 13 and 11 are no longer with Kindercare. Proof of termination will be sent. Staff persons 1, 2, 8, 10 and 12 will all complete updated fire safety trainings and proof added to their files." As of 10/9/24 , staff persons #1, 2, 8, 10, and 12 have no record of current fire safety training on file. No proof of termination for staff persons 11 and 13 was provided.

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: Staff person #-3 has not completed the following required pre-service training within 90 days of their date of hire (see Code Sheet): Pediatric First-Aid and CPR and 10-hour Health and Safety training. Staff person #11 has no record of completing the 10-hour health and safety training. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection dates of 7/25/24 and 8/15/24 (renewal inspection). Plan of correction stated "Staff person 3 and 11 are no longer with the facility and proof of termination will be provided. However, Kindercare did receive staff person 3's CPR, First Aid card. This card will also be provided." On 10/9/24, Cert Rep did view staff person #3's current pediatric FA/CPR training proof. No proof of termination of employment was provided for staff person #11.

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: Staff #3 and #5's files do not contain a completed Disclosure Statement. Staff person #4's file does not contain FBI and NSOR clearances and has worked at the facility for more than 45 days (receipt of applying 4/5/24 and 4/3/24 respectively). Staff person #11's file does not contain a State Police clearance. See Code Sheet CONTINUED DEFICIENCY: The provider failed to follow the plan of correction regarding this same violation from inspections on 7/25/24 and 8/15/24. Plan of correction stated, " Staff Person's 3 and 11 are no longer employed by KinderCare. Proof will be sent. Staff person #5 will sign new disclosure statement and proof will be added to staff file Staff person #4 already received NSOR and FBI fingerprints. Proof was sent to OCDEL representative on 8/28/24. Copies of both clearances were placed in employees files." No proof was provided that staff persons #3 and #11 are no longer employed at this facility.

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

Regulation: 3270.34(a)

Description: Director responsibilities

Noncompliance Area: It is observed that the Director, Staff person #14, is not maintaining responsibility for the general management of the facility evidenced by the multiple violations recorded on the 2024 renewal inspection summary regarding numerous missing required documents to be present in all staff files. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection on 7/25/24 and 8/15/24. Plan of correction stated, "Staff person's 13 is no longer employed by Kindercare. Proof will be sent reflecting this. Staff persons 14 and 15 will contact the Central Regional Office to schedule training. Proof of training being scheduled will be provided. In the event a new Assistant director is hired prior to training, they will also attend training." As of 10/10/24, the Area Leader, staff person #15, failed to follow the Directed plan of correction regarding this same violation by not attending the Existing Provider Orientation class conducted on 10/10/24.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6).The Director, Staff person #14, the Assistant Director, staff person #13, and the Area Leader, staff person #15, will be required to attend the Central Region Existing Provider Orientation class to be conducted on October 10, 2024. The required participants shall contact the Central Regional Office to schedule the training.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff persons #1,2,7,8,10,11, and 12 do not have a written staff evaluation on file within the last 12 months. CONTINUED DEFICIENCY: Provider failed to follow the plan of correction regarding the same violation from inspection of 7/25/24 and 8/15/24.. Plan of correction stated, "Staff persons 7 and 11 are no longer Kindercare employees, proof will be sent. Staff persons 1, 2, 8,10 and 12 will all receive a written evaluation and proof added to their files." As of 10/9/24, no proof was provided that staff persons #7 and #11 are no longer Kindercare employees. No staff evaluations were provided for staff persons #1,2, 8, 10 and 12.

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)/3270.192(2)(iv)

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

Noncompliance Area: Staff person #1 and #10 were being utilized as an Assistant Group Supervisor without the proof of 2 years of experience working with children on file. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection of 7/25/24 and 8/15/24. Plan of correction stated, "Staff persons 1 and 10 will provide proof of education and at least 2 years of experience. Proof will be added to their files."

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: Documentation of testing of the fire detection devices exceeded the permitted at least every 30 days timeframe. CONTINUED DEFICIENCY; Provider failed to follow plan of correction regarding the same violation from inspection date of 7/25/24 and 8/15/24.Plan of correction stated, "Testing of fire detection devices will be completed every 30 days and proof placed in fire drill binder and proof also provided to OCDEL Representative." At 10/9/24 visit, the documented testing of the fire detection devices exceeded the permitted at least every 30 days (7/11/24, 8/29/24, none in September).

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.135(e)

Description: 2 hour diaper check

Noncompliance Area: Staff are not checking/changing the children's diapers in the required timeframe of at least every 2 hours.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff person #1 and #2's files did not include verification of child care experience and education.

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

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: Staff person #2's record did not contain an initial health report including the results of an initial TB test.

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #2's file did not contain an FBI clearance (and no proof of being fingerprinted). Staff person #2's Disclosure Statement was not witnessed or dated.

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

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: The testing of the fire detection system exceeded the permitted at least every 30 days timeframe (7/11/24, 8/29/24).

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Staff person #1did not supervise the children in his care for a period of approximately 3 minutes. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection of 6/25/24. Maintenance plan of correction stated, "All staff persons will receive additional supervision training to ensure they understand that they know not to ever leave children unsupervised. Proof of training will be placed in each staff persons file. All children will be properly supervised at all times."

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(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff person #1 was not physically present with the children he was responsible to supervise. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection of 6/25/24. Maintenance plan of correction stated, "All staff persons shall receive additional supervision training of knowing their specific group of children. Proof of training will be placed in their staff files. Staff will properly supervise children at all times."

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Staff person #1 pushed a child down onto the mat (when child refused to nap) and hit the child's back. Staff person #1 was not physically present with the children he was responsible to supervise. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection of 6/25/24. Maintenance plan of correction stated, " All staff persons will receive additional training on child abuse, with a focus on not using physical punishment of any kind. Proof will be placed in each staff persons files."

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed that, in the Infant room, there was a broken crib drawer. The drawer was hanging down. There were 12 rest mats in the PreK room with the foam exposed. There were 8 rest mats in the Preschool room with the foam exposed. It was observed in the Preschool room that the blue cabinet (near back window) handle was broken. The lidded trashcan in the Preschool room girls' bathroom was broken. The Toddlers classroom contained a bean bag chair with two large tears; A blue vinyl couch (front space of Toddlers) had several areas of foam exposed on both armrests.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: It was observed, in the PreK and the Preschool rooms, that the rest equipment was not labeled for the use of a specific child.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Staff person #1 used physical punishment on children #1 through #3: flicking their hands and feet; throwing a toy at children to correct behavior; and tossing a child aside on the floor instead of lifting properly and placing the child on the floor.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreements of children #2,3,4,5,8 and 9 were not signed by the operator. The agreements of children #2 and 10 were not signed by the parent.

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

Regulation: 3270.123(a)(1)/3270.123(a)(3)

Description: Amount of fee/Services proceeded

Noncompliance Area: The agreements of children #1,2,4,5, and 7 do not specify the amount of the fee to be charged per day or per week. The files of children #1-7 and 10 did not contain child service reports (within the last 6 months) informing the family about the child's growth and development.

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

Regulation: 3270.123(a)(5)/3270.123(a)(6)

Description: Designated release persons/Admission date

Noncompliance Area: Child #4 and #6's agreements did not specify the persons designated by a parent to whom the child may be released. The agreements of children #1,2,3,4,6,7,9, and 10 did not specify the date of the child's admission.

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

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The parents of children #1 through #10 did not receive the original agreement. Originals were in children's files.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

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

Description: Each child emergency contact person/Physician name, address, phone

Noncompliance Area: The emergency contact information of child #9 did not include the emergency contact name and telephone number and the name of the name, address, and telephone number of the child's physician.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.