KINDERCARE LEARNING CENTER 1278

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a cracked small green teeter totter toy on the toddler playground. Observed cracked magna tiles with sharp edge and exposed magnets in the DP 1 and preschool classrooms.

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: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerators in the kitchen and in the Pre-K classroom were lacking thermometers.

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 files for child #1 and child #2 are lacking child service reports.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for child #2 contains emergency contact and financial agreement that have not been reviewed and updated by a parent in the previous 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(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for child #3 is lacking a health report and immunization record and has been in attendance for greater than 60 days.

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(e)/3270.131(e)(3)

Description: ACIP recommended immunization record /Dismissal policy

Noncompliance Area: The file for child #3 is lacking a health report and immunization record and has been in attendance for greater than 60 days. Child #3 must be removed from care.

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

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 person #1 is lacking a current health assessment conducted during the previous 24-month period as evidenced by the most recent health assessment on file is dated 12/27/2023. The file for staff person #2 contains a current health assessment that was conducted greater than 24 months after the previous health assessment as evidenced by health assessments on file dated 11/20/2023 and 6/4/2026. The file for staff person #6, hire date (see IS code sheet) contains an initial health assessment and TB test dated 6/3/2026 that was conducted after the first day working with 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: 3270.161(e)

Description: Fresh fruit/vegetables refrigerated

Noncompliance Area: Observed in the kitchen a box of unrefrigerated oranges that were purchased on a previous day.

Correction Required: Fresh fruits and vegetables that are not used on the day of purchase shall be refrigerated.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #5 is lacking 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(a)(6)

Description: Emergency plan

Noncompliance Area: The operator was lacking documentation of any emergency drills conducted during the previous 12-month period.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for staff person #4 is lacking initial emergency plan training within 90 days of hire.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff person #4, hire date (see IS code sheet) contains documentation of Pa Health and Safety training topics completed greater than 90 days after hire date as evidenced by training certificates dated 2/8/2026.

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 following staff files contain documentation of current mandated reporter training that was completed after the previous training expired as evidenced by the following dates: Staff person #1, 9/29/2020 and 6/23/2026, Staff person #2, 5/27/2021 and 6/2/2026, Staff person #3, 11/6/2019 and 6/26/2025. The file for staff person #4, hire date (see IS code sheet) contains mandated reporter training that was completed greater than 90 days after hire as evidenced by the training dated 2/8/2026.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 contains current FBI clearance obtained greater than 60 months after the previous FBI clearance, as evidenced by clearances dated 7/21/2020 and 6/16/ 2026. The file for staff person #2. contains current State Police clearance obtained greater than 60 months after the previous state police clearance.evidenced by clearances dated 5/18/ 2021 and 6/3/2026, current child abuse clearance obtained greater than 60 months after the previous child abuse clearance evidenced by clearances dated 5/18/2021 and 6/9/2026, contains current FBI clearance obtained greater than 60 days after the previous FBI clearance, evidenced by dates 5/24/2021 and 6/9/2026 and current NSOR verification obtained greater than 60 months after the previous NSOR verification evidenced by clearances dated 5/13/2021 and 6/8/2026. The file for staff person #5, hire date (see IS code sheet) is lacking documentation of having applied for the FBI fingerprint clearance prior to start date in child care. The file for staff person #6, hire date (see IS code sheet) is lacking a signed disclosure statement at the time of initial hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #5 may not work in a child care position at the facility.

Regulation: 3270.37(b)/3270.192(2)(ii)

Description: Aide qualifications/Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #5, serving as an aide, is lacking documentation of education and experience required to serve as an aide.

Correction Required: An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(a)/3270.66(d)

Description: Locked or inaccessible/Toxic plants not permitted

Noncompliance Area: Observed Ivy growing through the wooden fence onto the child care play space. Ivy is on the list of toxic plants to humans.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toxic plants are not permitted in a child care space.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The downstairs preschool bathroom is lacking a handwashing sign.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log identified that the most recent fire drills dated 2/20/2026 and 6/24/2026 exceeded 60 days between drills.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm test log identified that the most recent alarm tests dated 2/20/2026 and 6/24/2026 exceeded 30 days between tests.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: Observed in the infant room vinyl covered foam blocks with worn corners with bits of flaking vinyl that could be a choking hazard to children still placing objects in their mouth.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Mandated Reporter Training, PFA/CPR certification, Health and Safety training topics.

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 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 staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.151(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The file for staff person #3, hire date (see IS code sheet), contains an initial health assessment that was signed by an RN and therefore not valid.

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Regulation: 3270.151(c)(1)

Description: Physical examination

Noncompliance Area: The file for staff person #3, hire date (see IS code sheet), contains an initial health assessment with a statement that a physical exam was not conducted.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First aid / CPR and Health and Safety topics. Staff person #2 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Health and Safety topics.

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 persons #1 and #2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff persons #1 and #2 have not completed mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff persons #1 and #2 must be supervised, when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed an uncovered outlet on the light sting on the Valentine tree in the Atrium.

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

Regulation: 3270.67(a)

Description: Trash removed once a day

Noncompliance Area: At ~10:00am observed the hands-free trash in the bathroom in the Toddler A classroom to be overflowing and evident that the trash had not been removed from the facility in the previous day.

Correction Required: Trash shall be removed from the facility at least once per day.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed the window and window ledge in the downstairs preschool room was covered with dirt and cobwebs.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed the playground climbing equipment on both the toddler and preschool playgrounds to be visibly dirty with debris and cobwebs. Observed a radio flyer trike on the toddler playground to have cracked plastic with a sharp edge. The hallway gate by the Todd B classroom was cracked with a sharp edge. The backside of the changing table in the Todd B room had cracked plastic and a protruding latch.

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: The Multi-age classroom was lacking a current mat list to identify which rest mat belonged to which specific child. Two infants were observed sleeping on the floor in the infant room.

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Observed an infant sleeping in a crib which was beside a chair, shelf and rest mat therefore not allowing the required 2 feet of space on 3 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: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the Multi-age classroom was lacking an operable thermometer. The thermometer in the white refrigerator in the infant room read 55 degrees.

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

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

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

Noncompliance Area: Observed 2 preschool aged children to be alone in the Preschool 2 classroom with a speech therapist and no staff were present in the child care space. Staff person #2 who claimed the children in their supervision group was in the adjacent Preschool 1 classroom.

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

Regulation: 3270.114

Description: Outdoor Activity

Noncompliance Area: According to staff interviews, the children are not taken outdoors daily.

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

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

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

Noncompliance Area: The files for child #3 and #5 are lacking signed parental consent for emergency medical care for the child.

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(c)

Description: Each child care space

Noncompliance Area: Emergency contact information was not present in the Todd A room for a young toddler receiving care in the child care space. Emergency contact information was not present in the Todd B room for 4 young toddlers receiving care in the child care space.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care was not posted in the DP 1 classroom.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The files for children #1,2,4 and 5 contain current emergency contact forms and financial agreements that were updated greater than 6 months after the previous update. The files are now current.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for child #5 contains an initial health report that was received greater than 60 days after the first day of attendance at the facility. The file is now current.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for child #1, young toddler, contains an updated health report that was obtained greater than 6 months after the previous health report. The file is now current.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for child #4, preschool aged, contains an updated health report that was obtained greater than 12 months after the previous health report. The file is now current.

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

Regulation: 3270.131(e)(1)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The file for child #1 is lacking current HIB and Hep A immunizations as required by the ACIP. The file for child #2 is lacking current Hep A. Child #1 and #2 must be removed from care until current immunization status is received.

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

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: Alcohol antiseptic pads were present in first-aid bags in the Todd A, Todd B, Multi-age and Preschool rooms and lacked the name of the child for whom they were intended.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Observed staff persons #1, infant room, and #8, Todd A, did not immediately discard a soiled diaper during a diaper change.

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: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: Staff #1, infant room, did not clean the changing surface following a diaper change. According to staff in the Multi-age classroom and Preschool 1 classroom, children who wear pull-ups are changed standing up in the preschool bathrooms. The surface is not cleaned after each pull-up change.

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

Regulation: 3270.135(e)

Description: 2 hour diaper check

Noncompliance Area: Diaper changes in the Todd B room exceeded 2 hours between diaper changes as evidenced by staff person #11 stating that diapers had been changed at 9:00 am and would be changed again after the children ate lunch which was observed to be occurring at 11:30am.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: health and safety training topics, Pediatric First Aid and CPR, and mandated reporter training. Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre- service training required prior to caring for children unsupervised: health and safety training topics and mandated reporter training. Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid and CPR. Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre- service training required prior to caring for children unsupervised: health and safety training topics and mandated reporter training.

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 #1,2,4 and 5 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1,2,4,5, staff persons #1,2,4,5 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 person #4 is lacking a staff health assessment and TB test results and was observed working with children in the Multi-age classroom.

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: 3270.152

Description: Adult Hygiene

Noncompliance Area: Observed staff person #1 in the infant room did not wash their hands after changing a child's diaper.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.161(a)

Description: Wholesome

Noncompliance Area: Observed in the refrigerator in the Preschool 2 classroom open container of 1% milk that smelled spoiled.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Regulation: 3270.182(1)

Description: Initial and subsequent health reports

Noncompliance Area: The files for child #1,4 and 5 are lacking timely initial or updated health reports. The files are now current.

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

Regulation: 3270.182(5)

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

Noncompliance Area: The files for children #3 and #5 contain emergency contact forms that are lacking 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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The files for staff persons #3 and #8 are lacking 2 non-family reference letters.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: The wooden gate on the preschool playground which exits into the front parking lot bordering a busy street was not latched. The gate was able to open slightly allowing space for a small child to escape however an uneven ground surface prevented the gate from opening fully to allow an adult to exit.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Observed in the DP 2 classroom a plastic trash container that had visible stuck-on food particles and mold on the interior of the container.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

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

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

Noncompliance Area: The file for staff person #6 contains only 9 of the required 12 annual training hours completed during the period 12/2023 to 12/2024.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. 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: Staff person #9 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training topics.

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 #9 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #9, staff person #9 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #2, hire date (see IS code sheet) contains a state police clearance that is missing the dissemination date and is therefore not valid and is lacking a completed NSOR verification. The file for staff person #6, hire date (see IS code sheet) contains a state police clearance that expired 5/28/25 and a child abuse clearance that expired 5/29/25 and is lacking current updated clearances. The file for staff person #10, hire date (see IS code sheet) is lacking an NSOR verification as required under CPSL for employment in a child care facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2, #6 and #10 may not work in a child care position at the facility.

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

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

Noncompliance Area: The files for staff persons #1, #5 and #11, observed serving as assistant group supervisors working unsupervised, are lacking qualifications to serve as assistant group supervisors.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for staff persons #6 and #7 are lacking an annual written evaluation completed during the previous 12 month period.

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: 3270.35(d)/3270.35(e)

Description: Director only 45 children enrolled/46 or more children- additional group sups

Noncompliance Area: On the day of inspection there are 51 children enrolled and 48 children in attendance. The only staff person with group supervisor qualifications is serving as director. The facility is lacking a group supervisor for the first group of 45 children and is lacking a group supervisor for the additional partial group of 45 children.

Correction Required: A director may not function as a group supervisor in a facility in which more than 45 children are enrolled. In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: The files for staff persons # 1,5 and 11 contain documentation to serve as an aide. Observed staff persons #1,5 and 11 working with children unsupervised by at minimum an AGS with all requirements to care for children unsupervised.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On a low shelf in the unlocked Atrium bathroom, observed spray cleaners stating 'Keep out of reach of children' accessible to children. On an accessible shelf in an unlocked cabinet in the Multi--age classroom, observed disinfectant spray and glass cleaner labeled keep out of reach of children. Also observed disinfectant spray on an open classroom shelf. On the outdoor play spaces along the fence observed English Ivy and Virginia Creeper, both identified as toxic to humans. In an unlocked hallway closet by the front stairs observed bug spray and paint, both labeled keep out of reach of 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: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: Observed a corn plant on a high shelf in the DP1 classroom. Corn plants are identified as toxic to humans. On the outdoor play spaces along the fence observed English Ivy and Virginia Creeper, both identified as toxic to humans.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The water temperature at the sink in the bathroom in the downstairs multi-age classroom measured 120 degrees.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Muliti-age classroom contained a roll of gauze that was out of the package and therefore not sterile.

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: Observed in the Multi-age room a CD player / radio sitting in a high window with the cord hanging low and accessible to children causing a hazard if a child were to pull the cord. Observed the playground turf to be covered with twigs, leaves, acorns and weeds growing in the turf demonstrating that the playground surface is not being maintained for safety. Observed a protruding screw on a bulletin board by the circle time area in the Preschool room.

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: 3270.78/3270.113(a)

Description: Lighting/Supervised at all times

Noncompliance Area: A lack of sufficient artificial or natural lighting in the multi-aged classroom during naptime prevented the staff from adequately being able to see the children in care to assure their well-being.

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: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The waste receptacle by the classroom sink in the Multi-age classroom is lacking a lid.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: The outside cellarway of the Preschool 2 emergency exit was used for storing unused or broken toys and equipment causing an obstruction to the exit. The exit ramp of the emergency exit from the Infant room was used to store unused equipment causing an obstruction to the exit. The large wooden gate to exit from the preschool side of the playground into the front parking lot was blocked by uneven ground. The gate would open far enough to allow a small child to escape but not allow a larger child or adult to exit.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

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

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

Noncompliance Area: 2ND CITATION: The file for child #3, preschool aged, is lacking an updated health report in the previous 12-month period. PREVIOUSLY CITED ON 1/15/25

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: 2ND CITATION: The files for staff persons #2,3,5 and 6 are lacking documentation of fire safety training completed during the previous 12-month period. PREVIOUSLY CITED ON 1/15/25

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: 2ND CITATION: Staff persons #2,3,5 and 6 have not received written evaluations during the previous 12-month period. PREVIOUSLY CITED ON 1/15/25

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: 2ND CITATION: The first-aid kits in the Discovery 1 and Pre-K classrooms were lacking tweezers. PREVIOUSLY CITED ON 1/15/25

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(g)

Description: Clean and good repair

Noncompliance Area: 2ND CITATION: The toilet in the Discovery 2 bathroom had exposed protruding bolts at the base. PREVIOUSLY CITED ON 1/15/25

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: 2ND CITATION: On 3/7/2025 at 8:35am observed staff person #1 caring for 7 older toddler children in the Discovery Preschool 1 room. At 8:45am observed staff persons #2 and #3 caring for 25 preschool aged children in the downstairs Multi-age B classroom. PREVIOUSLY CITED 10/30/2024.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. TIERED LIS: 1. When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. 2.Legal Entity will participate in technical assistance provided by the ELRC regarding administration of policy and procedures that ensure regulatory compliance at all times with a focus on maintaining staff:child ratios. Upon completion the LE will submit to certification representative documentation of the completed TA 3.The Legal Entity will conduct staff meeting for 5 months commencing upon the approval of this plan of correction. Agenda items will include review and discussion of citations from inspections conducted during the previous 6-month period, review of facility policy on how to maintain ratio compliance, and importance of staff showing up for scheduled shifts. The meeting agenda, discussion notes and attendance sheet will be submitted to DHS representative within 10 days after each meeting.

Regulation: 3270.61(c)

Description: 40 square feet wall-to-wall

Noncompliance Area: Based on staff interviews, there were 30 preschool children receiving care in the downstairs multi-aged classroom which has a capacity of 29.

Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Regulation: 3270.61(c)

Description: 40 square feet wall-to-wall

Noncompliance Area: Based on staff interviews, staff will take a baby into the kitchen or into the office with them when classrooms are over ratio. The office and kitchen are not licensed child care spaces.

Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: Based on staff interviews, staff will sometimes hold a baby while preparing meals in the kitchen which contains an oven and stove top, heat sources over 110° F.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: It was self-reported and verified through staff's written statements that staff person #1 restrained a child when staff #1 lay her body across a child preventing the child from moving.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Mandated reporter training.

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 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 staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1, hire date (see IS code sheet), contains a criminal history clearance dated 2/28/2024 obtained for the purpose of volunteer which is not valid for employment in child care under CPSL.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The rest cots used by the children in the preschool room were numbered however there was no list identifying which individual child was to use which rest cot.

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: Observed in the pre-k room a refrigerator that was unplugged and identified by staff as being non-operable.

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

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

Noncompliance Area: The file for child #1 included emergency contact information that was lacking written consent 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(c)

Description: Each child care space

Noncompliance Area: Emergency contact information was not available in the Discovery 1 room for children #4. 5.6.7 and 8 who were observed being cared for in the Discovery 1 room.

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(a)

Description: Health information

Noncompliance Area: The file for child #2 is lacking an initial health report within 60 days of the first day of attendance.

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

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

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

Noncompliance Area: The file for child #3, preschool aged, is lacking an updated health report in the previous 12-month period.

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)(5)/3270.131(e)

Description: Immunization record/ACIP recommended immunization record

Noncompliance Area: The file for child #2, age 6 months, is lacking an immunization report and has been in attendance for greater than 60 days. Child #2 must be removed from care.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The files for staff persons #2 and #3 contain current health assessments that were conducted greater than 24 months after the previous 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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The facility is lacking any verification that the local traffic safety authorities had been notified in writing within the previous 12 months of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility

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

Regulation: 3270.182(5)

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

Noncompliance Area: The file for child #1 is lacking signed parental consent for administration of minor first-aid procedures.

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(a)(6)

Description: Emergency plan

Noncompliance Area: The operator is lacking documentation to verify that an emergency drill has been conducted during the previous 12-month period.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The operator has not sent an updated emergency plan to the county emergency management agency and the local municipality.

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

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

Description: Fire safety - 1 yr./Transcript, diploma and letters

Noncompliance Area: The files for staff persons #2,3,5 and 6 are lacking documentation of fire safety training completed during the previous 12-month period.

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

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

Noncompliance Area: The file for staff person #2 contains only 4 of the required 12 hours of child care training between 12/19/23 and 12/31/24. The file for staff person #3 contains only 3 of the required 12 hours of child care training between 12/19/23 and 12/31/24. The file for staff person #5 contains only 1 of the required 12 hours of child care training between 9/6/23 and 9/30/24. The file for staff person #6 contains only 1 hour of child care training between 3/27/23 and 3/31/24.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. 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)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for staff persons #1, hire date (see IS code sheet) and #4, hire date (see IS code sheet) are lacking signed, dated and witnessed disclosure statements as required under CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #1 and 4 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff persons #2,3,5 and 6 have not received written evaluations during the previous 12-month period.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed the outlet below the small refrigerator in the Pre-K room is lacking a protective cover. Children 5 and under receive care in the pre-K room.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The hot water in the downstairs pre-k bathroom measured 115 degrees.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.