Kindercare Learning Center-grant Drive

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 10.8.25, Child #1, was left on the playground, alone. Child #1, who was to be in the care of Staff #1, was not supervised for three (3) to five (5) minutes.

Correction Required: 1. 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. 2. The legal entity will arrange for all facility staff, including the director and other regional leadership personnel, to attend an in-person training entitled "Creating a Safe Environment with Active Supervision" by the ELRC #5, with an emphasis on transitioning. Proof of attendance shall be submitted to the Western Region office, and the training hours earned can be applied to annual training hour requirements. 3. The legal entity will arrange for facility leadership to cooperate with their assigned Quality Coach to standardize a supervision system/tag system that will be used by all staff. 4. The legal entity will arrange for facility leadership to create and utilize a step-by-step onboarding policy for the training of newly-hired staff and substitute staff, after selection of a supervision system.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 10.8.25, Child #1 was left on the playground, alone. Child #1 was not supervised, and Staff #1 was not physically present with the child and did not know the child's location.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: On 10.8.25, Child #1, was left on the playground, alone. The staff:child ratio was 0:1.

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.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In the Infant Room, an occupied crib had two (2) feet of space on two (2) sides of the crib, with an unoccupied crib on the third side. In the Discovery PS - A Room, an occupied cot had two (2) feet of space on one (1) side of the cot, with two (2) closets on the other two (2) sides. In the Discovery PS - A Room, an occupied cot had two (2) feet of space on two (2) sides of the cot, with a closet on the third side. In the Discovery PS - B Room, an occupied cot had two (2) feet of space on two (2) sides of the cot, with a closet on the third side. In the Discovery PS - B room, two (2) occupied cots had two (2) feet of space on two (2) sides of the cot, with a shelf on the third side.

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: 3270.107

Description: Refrigerator

Noncompliance Area: A thermometer was not located in the refrigerator in the Infant Room.

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)/3270.124(f)

Description: Services proceeded/Updated every 6 months

Noncompliance Area: Child Service Reports, which are required every six (6) months, were not available for the following children: Child #3, Child #4, Child #7, and Child #9. Child Service Reports, which are required every six (6) months, were last completed in January of 2025, for the following children: Child #5, Child #6, and Child #8.

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). The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: The Emergency Contact form, in the file for Child #3, did not include the phone number for the emergency contact person.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact form, in the file for Child #3, did not include the phone number of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The Emergency Contact form, in the files for Child #2, Child #7, and Child #9, did not include the work address or work phone numbers of the enrolling parent.

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

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The Emergency Contact form, in the file for Child #9, did not include written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The Emergency Contact form, in the files for Child #6 and Child #9, did not include information on the child's special needs.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The Emergency Contact form, in the file for Child #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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact form, in the files for Child #6 and Child #10, did not include the release person's phone number.

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(f)/3270.181(c)

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

Noncompliance Area: The Emergency Contact information and Financial Agreement were not reviewed/updated at least once in a 6-month period for the following children: Child #3, Child #4, Child #5, Child #6, Child #7, Child #8, and Child #9.

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)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #10 (see IS Code Sheet) did not contain a Health Assessment, which exceeded the requirement of an initial health report no later than 60 days following the first day of attendance at the facility.

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: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The Health Assessment, in the file for Child #3, was dated 10.10.24, and none thereafter, which exceeded the 12-month requirement. Th Health Assessments in the file for Child #9 were dated 9.7.23 and 10.21.25, which exceeded the 12-month requirement.

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

Regulation: 3270.131(d)(1)

Description: Child's health history

Noncompliance Area: The file for Child #10 did not contain a review of the child's health history.

Correction Required: A health report shall include a review of the child's health history.

Regulation: 3270.131(d)(2)/3270.131(d)(3)

Description: Child's allergies/Current medication and reason

Noncompliance Area: The file for Child #10 did not contain documentation of the child's allergies or medications.

Correction Required: A health report shall include a list of the child's allergies. A health report shall include a list of the child's current medication and the reason for the medication.

Regulation: 3270.131(d)(4)/3270.131(d)(7)

Description: Acute or chronic health problem/Free from contagious/communicable disease

Noncompliance Area: The file for Child #10 did not contain documentation of assessments of acute or chronic health problems, special needs, treatment or services, screening test results, or a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning. A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The two (2) most recent Health Assessments, in the files for Staff #5, Staff #6, and Staff #13, exceeded the 24-month renewal requirement. The file for Staff #8 did not have a new Health Assessment within the 24-month renewal requirement. The file for Staff #9 and Staff #11 did not have a Health Assessment conducted within 12 months prior to providing initial service in a child care setting.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The files for Staff #9 (see IS Code Sheet) and Staff #11 (see IS Code Sheet) did not contain a tuberculosis screening prior to initial employment.

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. 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: 3270.166(1)

Description: Written statement

Noncompliance Area: There were no written statements for giving the formula and feeding schedule, from the parent, for any of the eight (8) infants enrolled at the facility.

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

Regulation: 3270.182(5)

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

Noncompliance Area: The Emergency Contact form, in the file for Child #9, did not contain signed parental consent for administration of minor first-aid by staff.

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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: There was no documentation that the emergency plan/plan updates were sent to the local municipality and 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)(i)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: The file for Staff #5 contained documentation of Pediatric First-Aid/CPR training which expired on 1.25.25, and it was not renewed until 3.22.25. The file for Staff #6 contained documentation of Pediatric First-Aid/CPR training which expired on 9.26.24, and it was not renewed until 9.3.25

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The files for Staff #8 and Staff #10 contained documentation of Fire Safety Training on 10.25.23 and 6.18.25, which exceeded the annual requirement. The files for Staff #12 and Staff #13 contained documentation of Fire Safety Training on 5.9.24 and 6.18.25, which exceeded the annual requirement.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for Staff #1 (see IS Code Sheet) contained documentation of Health and Safety Training - Part 2 on 9.19.25, which exceeded 90 days of hire. The file for Staff #7 (see IS Code Sheet) did not contain documentation of the Health and Safety Training - 1 hour update, or Part 1 and Part 2, which exceeded 90 days of hire. The file for Staff #11 (see IS Code Sheet) contained documentation of Health and Safety Training - Part 1 on 6.18.25, and Part 2 on 6.20.25, which exceeded 90 days of hire. The file for Staff #14 (see IS Code Sheet) did not contain any documentation of Health and Safety Training, which exceeded 90 days of hire.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: The file for Staff #11 (see IS Code Sheet) contained documentation of Pediatric First-Aid/CPR training on 6.18.25, which exceeded 90 days of hire.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #3 (see IS Code Sheet) contained an NSOR Certificate dated 6.11.25, which was after the first date caring for children. The file for Staff #4 (see IS Code Sheet) contained an NSOR Certificate dated 10.1.25, which was after the first date caring for children. The file for Staff #13 contained State Police Clearances dated 8.6.20 and 9.20.25, and NSOR Certificates dated 8.12.20 and 9.10.25, which exceeded the 60-month renewal requirement. The file for Staff #2 contained Mandated Reporter training on 12.13.19 and 6.4.25, which exceeded the 60-month renewal requirement.

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: The Staff Evaluations in the file for Staff #5 were dated 2/2024 and 4.9.25, which exceeded the 12-month requirement.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit, in the Preschool Room, did not contain tweezers. The first-aid kit in the excursion bag, in the Pre-K Room, did not contain tweezers.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the Toddler A Room, approximately 5" x 8" of peeling contact paper/wallpaper was located on the right wall, which was not in good repair and created a choking hazard for children in 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: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: The sink in the right bathroom, in the Discovery PS - A Room, did not have running water, which was not in good repair.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The restroom on the right, in the Discovery PS - B Room, did not have a handwashing sign posted at the toilet. The restroom on the right, in the Pre-K Room, did not have a handwashing sign posted at the toilet.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: In the diapering area, in the Discovery PS - A Room, which has older toddlers who are still in diapers, there was not a source of running water connected to the portable sink.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for Staff #4 (see IS Code Sheet) did not contain documentation of a Health Assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for Staff #2 did not contain documentation of a tuberculosis screening.

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. 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(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: The file for Staff #2 did not contain proof of education, so it was unable to be determined if Staff #2 qualified as an Assistant Group Supervisor. The file for Staff #4 did not contain Evaluated proof of a foreign diploma/degree, and therefore, the educational equivalency was unable to be determined.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff #2 did not include two (2) written, nonfamily references.

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(f)

Description: Health and Safety Training

Noncompliance Area: The file for Staff #5 (see IS Code Sheet) did not contain documentation of Health and Safety Training - Part 2, within 90 days of hire.

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: The file for Staff #1 did not contain documentation of a Disclosure Statement. The file for Staff #3 did not contain documentation of an NSOR Certificate or out-of-state clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #1 and Staff #3 may not work in a child care position at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: A Protective Receptacle Cover was not placed in the following locations, which were accessible to children five (5) years of age or younger: PK Room for top outlet on right side of wall, TK Room for top outlet under television, TK Room for bottom outlet on back wall, to right of window.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: QSR - Multi-Surface Cleaner, which stated, "Keep Out of Reach of Children," was located on a chair in the Discovery PS #2 room, which was accessible to children.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A Handwashing Sign was not posted at one (1) toilet in the Toddler B room or at one (1) sink in the PK room.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In the Infant room, a child was sleeping in a crib which was pushed up next to an empty crib on one side, with another side against the wall, which did not have at least two (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)(3)/3270.124(f)

Description: Services proceeded/Updated every 6 months

Noncompliance Area: The Child Service Reports, in the files for Child #1, Child #2, Child #4, Child #5, Child #6, and Child #7, were not completed every six (6) months.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information). The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact form, in the file for Child #3, 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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The Emergency Contact form and Financial Agreement, in the files for Child #2, Child #4, Child #5, Child #6, and Child #7, were not reviewed and updated, at least once in a 6-month period.

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(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The Health Assessment, in the file for Child #6, a preschool child, was dated 8.23.23, and none thereafter, which was beyond the 12-month requirement.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The two most recent Health Assessments in the file for Staff #4, Staff #5, and Staff #6 exceeded the 24-month renewal requirement.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The Health Assessment, in the file for Staff #1, did not address the results of the examination for communicable diseases.

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

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

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

Noncompliance Area: The file for Staff #2, classified as an aide, did not contain documentation of education or experience. The file for Staff #3, classified as an aide, did not contain documentation 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. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file for Staff #4 contained documentation of Emergency Plan training on 6.2.23 and 7.16.24, which exceeded the 12-month requirement.

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

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

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: The file for Staff #7 contained Pediatric First-Aid/CPR training which expired on 5.10.24, and it was not renewed until 6.19.24.

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

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

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

Noncompliance Area: The file for Staff #8 contained documentation of Fire Safety training on 5.3.23 and 8.2.24, which exceeded the 12-month requirement.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The Mandated Reporter training, in the file for Staff #5 (see IS Code Sheet), was dated 5.16.22, which exceeded the 90-day requirement.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the Infant room, Lysol Disinfecting Wipes (travel size), which stated "Keep out of reach of children," were in an unlocked, bottom cubby on the right wall, and were accessible to children in care.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit, located in the Discovery PS B room, did not contain tape, scissors, tweezers, or gauze.

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: In the Toddler A room, damaged plaster/paint, approximately 3 feet by 4 inches, was located above the children's cubbies.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: In the Discovery Preschool A restroom, a handwashing sign was not posted at the toilet on the left. In the Discovery Preschool B room, a handwashing signed was not posted at the classroom sink.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Child #1 was swatted on the bottom by Staff #1.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The Emergency Contact form, in the file for Child # 2, did not contain 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(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The Immunization Record, in the file for Child #1, did not contain documentation of the Influenza vaccination.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 must be dismissed from care by close of business on 12.27.23, and may only return to care when the Immunization Record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for Staff #2 and Staff #5 did not contain documentation of the Health & Safety, 1-hour Update.

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

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

Noncompliance Area: The file for Staff #3 contained documentation of Fire Safety Training on 2.21.22 and 9.27.23, which exceeded the annual requirement.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: The file for Staff #4 (see IS Code Sheet) and Staff #6 (see IS Code Sheet) contained documentation of Pediatric First-Aid/CPR on 12.11.23, which exceeded the 90-day requirement. The file for Staff #7 (see IS Code Sheet) contained documentation of Pediatric First-Aid/CPR on 6.14.23, which exceeded the 90-day requirement.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #1 (see IS Code Sheet) contained an FBI clearance application dated 12/16/23, which was after the documented start date. The file lacked a completed FBI clearance. Provider disclosed that Staff #1 had been permitted to work with children prior to 12/16/23. Therefore, Staff #1 was an incorrect provisional hire. The file for Staff #4 (see IS Code Sheet) contained documentation of Mandated Reporter training on 12.7.23, which exceeded the 90-day requirement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #1 cannot provide child care services.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff #5 contained written evaluations dated 6.27.22 and 12.15.23, which exceeded the 12-month requirement. The file for Staff #8 contained written evaluations dated 6.23.22 and 12.5.23, which exceeded the 12-month requirement.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: **Child #1 was alone and unsupervised on the outside playground after Staff #1 and Staff #2 transitioned their group of toddlers inside. Child #1 was alone and unsupervised for roughly one minute before Staff #3 returned to the playground to bring Child #1 back inside.

Correction Required: **The legal entity must create a tool (e.g., form, checklist) and submit to DHS for approval for documenting that the facility procedure for counting children is followed at all times, including during transition times. Upon approval by DHS, the legal entity will confirm continued compliance by sending copies of the completed documentation to the Western Regional Office on a monthly basis for a period of three months.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Child #1 was alone and unsupervised on the outside playground after Staff #1 and Staff #2 transitioned their group of toddlers inside. Child #1 was alone and unsupervised for roughly one minute before Staff #3 returned to the playground to bring Child #1 back inside.

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.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: *Child #1 was alone and unsupervised on the outside playground after Staff #1 and Staff #2 transitioned their group of toddlers inside. Child #1 was alone and unsupervised for roughly one minute before Staff #3 returned to the playground to bring Child #1 back inside.

Correction Required: *The legal entity must arrange for all staff to receive in-person training by the ELRC regarding supervision of children. Verification of completed training will be provided to the Certification Representative upon completion.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: *Child #1 was alone and unsupervised on the outside playground after Staff #1 and Staff #2 transitioned their group of toddlers inside. Child #1 was alone and unsupervised for roughly one minute before Staff #3 returned to the playground to bring Child #1 back inside.

Correction Required: *The legal entity must arrange for all staff to receive in-person training by the ELRC regarding supervision of children. Verification of completed training will be provided to the Certification Representative upon completion.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: **Child #1 was alone and unsupervised on the outside playground after Staff #1 and Staff #2 transitioned their group of toddlers inside. Child #1 was alone and unsupervised for roughly one minute before Staff #3 returned to the playground to bring Child #1 back inside.

Correction Required: **The legal entity must create a tool (e.g., form, checklist) and submit to DHS for approval for documenting that the facility procedure for counting children is followed at all times, including during transition times. Upon approval by DHS, the legal entity will confirm continued compliance by sending copies of the completed documentation to the Western Regional Office on a monthly basis for a period of three months.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Child #1 was alone and unsupervised on the outside playground after Staff #1 and Staff #2 transitioned their group of toddlers inside. Child #1 was alone and unsupervised for roughly one minute before Staff #3 returned to the playground to bring Child #1 back inside.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: Child #1 was alone and unsupervised on the outside playground after Staff #1 and Staff #2 transitioned their group of toddlers inside. Child #1 was alone and unsupervised for roughly one minute before Staff #3 returned to the playground to bring Child #1 back inside.

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.

Regulation: 3270.114

Description: Outdoor Activity

Noncompliance Area: As confirmed by employees of Kindercare, children were not taken outside to play on May 12, May 15, and May 16, 2023, due to high grass in the play yard.

Correction Required: Weather permitting, children shall be taken out doors daily.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: As confirmed by employees of Kindercare, the high grass had not been cut in several weeks, causing concerns about snakes and ticks creating a hazard for children in 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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The left, cabinet door, under the diaper changing table in the Infant room, was broken at the hinge.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The Agreement, in the file for Child #4, did not specify the amount of the fee to be charged.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact form, in the file for Child #4, did not contain the address or phone number of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The Emergency Contact form, in the file for Child #1, did not contain the Health Insurance/MA 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 form, in the files for Child #2 and Child #3, did not contain the release person's address. The Emergency Contact form, in the file for Child #3, did not contain the release person's phone number.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The files for Staff #8, Staff #9, Staff #10, and Staff #11 did not contain documentation that they completed the following pre-service training within 90 days of their date of hire (see IS Code Sheet): Pediatric First-Aid/CPR.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Staff #8, Staff #9, Staff #10, and Staff #11 will have until 2.24.23 to complete the required training. Until such time that the required training has been completed, Staff #8, Staff #9, Staff #10, and Staff #11 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise Staff #8, Staff #9, Staff #10, and Staff #11, Staff #8, Staff #9, Staff #10, and Staff #11 may not work in a child care position at the facility.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for Staff #1 contained a Health Assessment dated 8.9.22, and a Mantoux Test read on 7.20.22 (see IS Code Sheet), which were after the first day of caring for children. The file for Staff #3 contained Health Assessments dated 9.9.21, which was more than 12 months prior to the hire date, and 10.3.22, which exceeded the date of hire. The Mantoux test was read on 10.3.22 (see IS Code Sheet), which was after the first day of caring for children. The file for Staff #7 contained a Health Assessment and Mantoux test results on 8.3.22 (see IS Code Sheet), which was after the first day of caring for children.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file for Staff #4 contained documentation of Emergency Plan Training on 11.1.22 (see IS Code Sheet), which exceeded the 90 days of hire requirement.

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

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

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

Noncompliance Area: The file for Staff #8 did not contain any documentation of Fire Safety Training (see IS Code Sheet). The file for Staff #10 did not contain any documentation of Fire Safety Training (see IS Code Sheet).

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for Staff #9 contained verification of the 1-hour Health & Safety Update on 1.12.23, which was due by December 30, 2022.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: The file for Staff #2 contained documentation of Pediatric First-Aid/CPR on 2.21.22 (see IS Code Sheet), which exceeded the 90 days of hire requirement. The file for Staff #6 contained documentation of Pediatric First-Aid/CPR on 10.25.22 (see IS Code Sheet), which exceeded the 90 days of hire requirement.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #1 contained a Child Abuse Clearance dated 8.18.22, an FBI Clearance dated 7.19.22, and an NSOR Certificate dated 7.26.22 (see IS Code Sheet), and no applications were present. The file for Staff #4 contained a State Police Clearance dated 1.29.22 and a Child Abuse Clearance dated 2.2.22 (see IS Code Sheet), and no applications were present. The file for Staff #5 contained an FBI Clearance dated 4.1.22 (see IS Code Sheet), and no application was present.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff #10 did not contain written evaluations for 2021 or 2022.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: Soap was not located in the first-aid kit located in the Older Toddler-B room.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There was no handwashing sign located at the toilet in the left, individual restroom, in the Discovery Preschool room.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for Staff #1 contained Health Assessments dated 11.26.19 and 2.15.22, which was beyond the 24 month renewal requirement. The file for Staff #2 (see IS Code Sheet) contained documentation that the staff member did not obtain an Health Assessment until 11.12.21, which was after the first day of caring for children.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #3 (see IS Code Sheet) contained a Disclosure Statement dated 9.13.21, which was signed after the first day of caring for children.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During times when he/she is to be supervising children, Staff #1 has been seen sleeping in both the Infant Room and the Two Year-Old Room. While sleeping, Staff #1 is not able to see, hear, assess nor direct children as outlined in 3270.4. While sleeping, Staff #1 is not able to know the whereabouts of the children in his/her supervisory group.

Correction Required: The Legal Entity (LE) will hold monthly staff meetings for a period of 4 months following the approval of the Plan of Correction. The agenda will include discussion regarding proper supervision and a review of the citations during the past year. Attendance sign-in sheets and agendas will be submitted to the Department after each staff meeting. Staff #1 is no longer employed at the facility as of 5.11.22.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During times when he/she is to be supervising children, Staff #1 has been seen sleeping in both the Infant Room and the Two Year-Old Room. While sleeping, Staff #1 is not able to see, hear, assess nor direct children as outlined in 3270.4. While sleeping, Staff #1 is not able to know the whereabouts of the children in his/her supervisory group.

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. Staff #1 is no longer employed at the facility as of 5.11.22.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During times when he/she is to be supervising children, Staff #1 has been seen sleeping in both the Infant Room and the Two Year-Old Room. While sleeping, Staff #1 is not able to see, hear, assess nor direct children as outlined in 3270.4. While sleeping, Staff #1 is not able to know the whereabouts of the children in his/her supervisory group.

Correction Required: The legal entity (LE) must ensure supervisory checks are completed three (3) times per week for all staff and classrooms. The LE will observe staff to ensure that they are able to identify supervisory group by name, see, hear, assess, and direct all children in their care. The LE will create and use a tracking form to demonstrate this activity, for a period of four (4) months after the Plan of Correction has been approved. The supervisory check forms will be provided to the Department upon request. Staff #1 is no longer employed at the facility as of 5.11.22.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During times when he/she is to be supervising children, Staff #1 has been seen sleeping in both the Infant Room and the Two Year-Old Room. While sleeping, Staff #1 is not able to see, hear, assess nor direct children as outlined in 3270.4. While sleeping, Staff #1 is not able to know the whereabouts of the children in his/her supervisory group.

Correction Required: Staff #1 is required to attend supervision training. The training will be approved by the Department prior to participation. This training will not count towards the annual 12 hours of training for Staff #1. Staff #1 is no longer employed at the facility as of 5.11.22.