KINDERCARE LEARNING CENTER 1402

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: At the time of inspection on 7/17/26, file of staff person #1 did not include staff health assessment as well as the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

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: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: At the time of inspection on 7/17/26, file of staff person #1 did not include verification of education required for the position of an assistant group supervisor.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service 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: At the time of inspection on 5/12/26, file of staff person #1 did not include an initial health assessment with TB results

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: 20.71(a)(7)

Description: Fraud or deceit in obtaining or attempting to obtain a certificate of compliance

Noncompliance Area: At the time of renewal inspection on 10/30/25, health assessments of staff persons #1 and #2 were submitted for review. Upon follow-up with the respective physician offices, it was confirmed that the health assessments for these staff members had not been completed by those offices. Based on this verification, two submitted health assessments have been determined to be fraudulent.

Correction Required: The Department may deny, refuse to renew or revoke a certificate of compliance for fraud or deceit in obtaining or attempting to obtain a certificate of compliance.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of renewal inspection, toys, cars in Room 5 (Twos) were dirty and in need of cleaning, staffed toys, cars in Preschool/Pre-K room were dirty and in need of cleaning.

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: 3270.133(5)

Description: Original label

Noncompliance Area: At the time of renewal inspection, first aid kit in Preschool room included Eyewash that expired on 8/2024.

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

Regulation: 3270.151(a)

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

Noncompliance Area: At the time of renewal inspection, file of staff persons #2 did not have current 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.

Regulation: 3270.178

Description: Transportation First Aid Kit

Noncompliance Area: At the time of renewal inspection, transportation first aid kit did not include tweezers and soap.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: At the time of renewal inspection, the door to the laundry area with toxic materials was unlocked and accessible to children in Room 5 (Twos).

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: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of renewal inspection, vents in Pre-K room were dirty and in need of cleaning.

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: At the time of renewal inspection, sink located in the bathroom next to the Pre-K room was dirty and in need of cleaning.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: At the time of renewal inspection, handwashing signs were not posted at the sinks in Room 5 (Twos) and Pre-K room as well as in the bathroom located in the Pre-K 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: 3270.94(a)(9)

Description: Written record

Noncompliance Area: At the time of renewal inspection, fire drill log did not include the hypothetical locations of the fire, start time of the drill and the names of the facility persons who participate in the fire drill.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of inspection on 12/2/25, the flooring throughout the facility had crumbs, paper pieces, toy parts, and what appeared to be dirt/dust.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: At the time of inspection on 5/13/25, file of staff person #1 staff health assessment from 4/24/23 that is no longer valid.

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: At the time of inspection on 5/13/25, file of staff person #1 did not include current PA state police, PA child abuse, DHS required FBI clearances and NSOR certificate. PA state police on file was from 11/22/19, PA child abuse on file was from 11/27/19, DHS required FBI was from 11/25/19, NSOR was from 11/21/19.

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. Staff Person #1 may not work in a child care position at the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of the renewal inspection, it was observed that the cars and dolls in Preschool were dirty and need of cleaning.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: At the time of renewal inspection, blue child armchair in Preschool area was ripped and foam exposure was observed.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: At the time of renewal inspection, an operating thermometer were not observed in refrigerators located in pre-K area, preschool area, and discovery preschool area.

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: 3270.108(c)

Description: No styrofoam

Noncompliance Area: At the time of renewal inspection observed that provider was using Styrofoam plates to serve food.

Correction Required: Styrofoam cups and plates may not be used.

Regulation: 3270.123(a)/3270.181(c)

Description: Signed /Emergency info/agreement updated 6 mos

Noncompliance Area: At the time of renewal inspection, agreement of child #1 was not reviewed and signed by the operator and the parent.

Correction Required: An agreement shall be signed by the operator and the parent. 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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of renewal inspection, emergency contact information of child #1 did not include the work telephone numbers of the enrolling parent.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of renewal inspection observed Staff person #3 caring for children unsupervised in Infant room. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric firs aid/CPR. At the time of renewal inspection emergency plan did not include statement regarding volunteers.

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: 3270.166(1)

Description: Written statement

Noncompliance Area: At the time of inspection, written statements giving the formula and feeding schedule for an infant was not obtained from the parents of infants observed in the infant room.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: At the time of renewal inspection observed that bottles in infant room and Discovery preschool room were not labeled with the child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.181(e)

Description: Emergency master file updated

Noncompliance Area: At the time of renewal inspection observed that emergency information was not updated in each child care space. Each classroom had emergency contact forms that were updated by parents more than 6 months ago.

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

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: At the time of renewal inspection, emergency contact from of child #2 did not contain signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff. Both written consent are required prior to admission.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: At the time of renewal inspection observed that emergency plan doesn't provides for accommodation for toddlers. Seven toddlers were present on the day of inspection.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

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

Noncompliance Area: At the time of renewal inspection observed that staff person #3 has completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum.

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

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: At the time of renewal inspection, file of staff person #2 did not include an acceptable verification of education required for the position of an aide. Non-compliance continues since 7/3/24.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

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

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

Noncompliance Area: At the time of renewal inspection, file of staff person #1 and #3 did not include an acceptable verification of experience required for the position of an assistant group supervisor.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: At the time of renewal inspection observed that a first aid kit in Infant A room didn't contain soap, tweezers, medical tape and gloves, first aid kit in Discovery Preschool did not contain tweezers, first aid kit in Preschool area did not include tweezers and scissors.

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: At the time of renewal inspection, a sign on which requirements to wash hands after toileting, diapering and before eating is written was not posted at each sink in the bathroom located in the Pre-K 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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: At the time of renewal inspection, verification that fire drill is conducted at least every 60 days was not observed. The last fire drill logged on file was dated 10/30/24.

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

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

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

Noncompliance Area: At the time of the unannounced monitoring inspection on 11/15/2024, file of staff person #1 did not include verification of education required for the position of an aide. Non-compliance continues since 7/3/24.

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: 3270.31(f)(10)

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

Noncompliance Area: At the time of allocated unannounced inspection, staff person #1 had first aid training conducted by PQAS-certified trainer by the approved provider but not in the approved course.

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

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: At the time of allocated unannounced inspection, a written record of fire drills was not provided.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: At the time of unannounced monitoring inspection on 9/9/24, file of staff person #1 did not include 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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: At the time of unannounced monitoring inspection on 9/9/24, file of staff person #1 did not include verification of education required prior to service at the facility.

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

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

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

Noncompliance Area: At the time of the unannounced monitoring inspection on 9/9/2024, file of staff person #1 did not include verification of education required for the position of an aide. Non-compliance continues since 7/3/24.

Correction Required: An aide is responsible for assisting in the implementation of daily program activities. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: At the time of the unannounced monitoring inspection on 7/3/2024, two feet from three sides of two cribs that were in use were not observed in Infant room.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At the time of the unannounced monitoring inspection on 7/3/2024, staff person #1 was observed cleaning bathroom near preschool area while children in her assigned area were napping unsupervised.

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: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: At the time of the unannounced monitoring inspection on 7/3/2024, file of staff person #1 did not include staff health assessment and the results of TB test.

Correction Required: An adult health assessment must include a physical examination. 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: 3270.185

Description: Record Retention for One Year

Noncompliance Area: At the time of the unannounced monitoring inspection on 7/3/2024, record of child #1 was not provided during. Child's last day at the facility was 6/18/24.

Correction Required: A copy of the child's record shall be retained at the facility for at least 1 year after termination of service, unless the entire record is transferred by the operator to the parent or guardian or to another agency at the request of the parent or guardian.

Regulation: 3270.192(2)(i)

Description: Age

Noncompliance Area: At the time of the unannounced monitoring inspection on 7/3/2024, file of staff person #2 did not include verification of age.

Correction Required: A facility person's record shall include verification of age.

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

Description: Fire safety - 1 yr.

Noncompliance Area: At the time of the unannounced monitoring inspection on 7/3/2024, file of staff person #4 did not include verification that staff person #4 participated in fire safety training at least annually. Last fire safety training on file was from 2/8/22.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the unannounced monitoring inspection on 7/3/2024, file of staff persons #1, #2, #3 did not have Disclosure statement on file. File of staff person #1, who is not a provisional hire, did not have PA state police clearance, PA child abuse clearance and NSOR. File of staff person #3, who is not a provisional hire, did not include NSOR, PA state police record was not complete and was in "request still pending" status. File of staff person #4 included FBI clearance from 4/17/17 that was more than 60 months old.

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. Staff person #1, #3, and #4 cannot work with children until clearances will be provided.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: At the time of the unannounced monitoring inspection on 7/3/2024, file of staff person #4 did not include written staff evaluation conducted by the director at least every 12 months. Last staff evaluation on file was from 12/8/21.

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

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

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

Noncompliance Area: At the time of the unannounced monitoring inspection on 7/3/2024, file of staff person #2 did not include verification of education required for the position of an aide.

Correction Required: An aide is responsible for assisting in the implementation of daily program activities. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At the time of the inspection on 7/3/24, it was discussed that child #1 received a second degree burn on his left foot while being taken to the playground without a shoe when temperature outside was in the 90's Fahrenheit on 6/18/24.

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: At the time of the inspection on 7/3/24, it was discussed that child #1 received a second degree burn on his left foot while being taken to the playground without a shoe when temperature outside was in the 90's Fahrenheit on 6/18/24.

Correction Required: The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At the time of the inspection on 7/3/24, it was discussed that child #1 received a second degree burn on his left foot while being taken to the playground without a shoe when temperature outside was in the 90's Fahrenheit on 6/18/24.

Correction Required: The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At the time of the inspection on 7/3/24, staff #1, #2, #3, #4 stated they were not responsible for child #1, when he was put on the ground without a shoe and received a second degree burn on his left foot on 6/18/24.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: At the time of unannounced monitoring inspection, file of staff person #1 did not include current health assessment. Health assessment on file was from 10/27/21 and was not valid.

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: At the time of unannounced monitoring inspection, file of staff person #2 did not include PA state police clearance. Non-compliance continues from 3/7/24.

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. Staff Person # 2 must be removed from child care position by close of business. PA state police clearance must be obtained before staff person #2 may resume a child care position.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At the time of unannounced monitoring inspection observed 21 children ranging in age from older toddler to preschool with only 2 staff persons present in Preschool Room. Preschool room became out of ratio when one older toddler was moved from toddler room to preschool room.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). Four staff would be required for a group of 21 children that ranged in age from older toddler to preschool.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of renewal inspection observed ripped mats with exposed foam in Preschool area. Foam was accessible to children.

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: At the time of renewal inspection observed that cribs are not labeled in infant rooms.

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: At the time of renewal inspection observed children sleeping in cribs in infant room that did not have at least 2 feet of space on three sides.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: At the time of the inspection, file of children #1 and #2 did not include current child service report/assessments that provides information to the family about the child's growth and development.

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

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

Noncompliance Area: At the time of renewal inspection, file of child #3 did not include an updated health report required at least every 12 months. Child health report on file was dated 1/27/23.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of renewal inspection, staff person #10 was observed to be caring for children unsupervised in Toddler B. Staff person #10 has not completed the following pre-service training required prior to caring for children unsupervised: Health and safety training, mandated reporter trainings, pediatric firs aid/CPR, mandated reporter training. The emergency plan did not contain a statement regarding volunteers participating in emergency plan training and emergency drills, continuity of operations in the event of an emergency that includes backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

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 #10 must be supervised, when interacting with children by an assistant group supervisor, who has completed the required training related to this citation. If there are no staff person's available to supervise, staff person #10 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: At the time of inspection, the file for staff person #6#10, #11 did not include an initial health assessment with TB results. File of staff person #8 included health assessment from 1/22/21 that was conducted more than 24 months ago and is no longer valid. Health assessment of facility person #9 was no longer valid since it was from 2/24/22.

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: At the time of renewal inspection, verification that local traffic safety authorities are notified annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was not observed.

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: 3270.181(e)

Description: Emergency master file updated

Noncompliance Area: At the time of renewal inspection observed that emergency information was not updated in each childcare space.

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

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: At the time of renewal inspection, a record of child #2 didn't contain signed parental consent for emergency medical care for the child and for administration of minor first-aid procedures by facility staff. Both consents are required prior to admission.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: At the time of renewal inspection, file of staff person #4, #6, #11 did not include verification of education/experience.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of renewal inspection record of staff person #3and #11 did not include two written nonfamily references from individuals attesting to the person's suitability to serve as a facility person. File of staff person #6 included only one non-family reference.

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)(5)

Description: Emergency plan

Noncompliance Area: At the time of renewal inspection, emergency plan did not include information about accommodations for toddlers.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: At the time of renewal inspection observed that the emergency plan was not reviewed or updated annually.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: At the time of renewal inspection, written verification that staff person #3, #4, #6, #10, #11, #12 received training regarding the emergency plan at the time of initial employment was not observed. File of staff persons #1, #2, #7, #8, #9 did not include verification that staff received emergency plan training on an annual basis.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: At the time of inspection, file for staff person #1, #7, #8 did not include verification that staff participated in fire safety training at least annually. Last training on file for staff person #1 was from 2/17/22, for staff person #7- 2/8/22, for staff person #8-2/12/22.

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

Regulation: 3270.31(f)/3270.31(g)

Description: Health and Safety Training/Professional development certificate

Noncompliance Area: At the time of the complaint investigation, file of staff person #6 did not include verification that staff person #6 has completed pre-service training that includes Health and Safety topic within 90 days of the date of hire (see LIS code sheet).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement. Staff person #6 will have until 03/22/2024 to complete the required training. Until such time as the required training has been completed, staff person #6 must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #6, staff person #6 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: At the time of renewal inspection, file of staff person #1 did not include a DHS required FBI clearance, File of staff person #2 did not include NSOR clearance, file of staff person #4 did not include NSOR and a complete PA state police certification form, only receipt. File of staff person #1 included FBI from Department of Education which is not acceptable. File of staff person #5 did not include FBI clearance and PA state police clearance was not complete since it is stated "Request Still Pending". Staff person #5 was hired for the position of the director. File of staff person #6, who is not a provisional hire, did not include PA state police clearance and Disclosure statement. File of facility person #9 did not include NSOR certificate while PA child abuse, and FBI clearances were more than 60 months old. File of staff persons #10 and #11 did not include Disclosure Statements, PA child abuse clearance and PA state police clearance or FBI clearance. Provisional hire period for staff person #10 and #12 ends on 3/9/24. File of staff person #12 did not include Disclosure statement. Staff person #10 was observed working unsupervised in Toddler B room.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #5 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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. Staff Person # 1, #2, #4, #5, #6, #10, and #11 must be removed from child care position by close of business. Clearances must be obtained before staff may resume a child care position.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: At the time of renewal inspection, files of staff persons #2, #3, #7, #8 did not include an annual staff evaluation.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of renewal inspection observed the vent on a wall in Discovery room being dusted and in need of cleaning. This vent was accessible to children.

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

Regulation: 3270.94(a)(1)/3270.94(a)(9)

Description: Every 60 days/Written record

Noncompliance Area: At the time of renewal inspection, written verification that fire drills were conducted at least once every 60 days were not observed.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.151(a)

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

Noncompliance Area: At the time of the inspection, Staff 3 and Staff 4 did not have proof of a current health assessment on file.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: At the time of the inspection, the facility did not have proof that the local traffic authority was notified of the location of the facility and the vehicular routes around the 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: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: The safe routes were not posted by the operator in a conspicuous location, at the time of the inspection.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: At the time of the inspection, Staff 1 did not have proof of education nor experience Staff 2 did not have proof of experience

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, the center did not have proof of having an Emergency Drill.

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: A copy of the Emergency Plan will be 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(f)

Description: Health and Safety Training

Noncompliance Area: At the time of the inspection, staff 2 and staff 6, employed more than 90 days, did not have the following pre-service training: Staff 2 missing the health and safety topics (3270.31(f)(1 -9)) Staff 6 missing the First Aid and Pediatric CPR (3270.31(f)(10))

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection the following staff did not have proof of the below clearances and were past their 45 day Provisional Hire period. Staff 1 missing state police criminal history, FBI clearance, NSOR, and all NJ clearances (NJ state criminal history, NJ sex offender registry check and NJ child abuse and neglect registry check Staff 2 missing FBI clearance Staff 3 missing Child Abuse and FBI clearances Staff 4 missing Child Abuse and FBI Clearances Staff 5 missing FBI clearances

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1, 2, 3, 4, and 5 -- may not work in a child care position at the facility. 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: Staff 1, 3, 4, and 5 did not have a current staff evaluation.

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: 3270.151(a)

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

Noncompliance Area: STAFF 1 AND STAFF 3 DID NOT HAVE A HEALTH REPORT ON FILE (START DATES 2/7/22 AND 12/31/2021) AND STAFF 2 HAD A HEALTH REPORT THAT WAS OVER 24 MONTHS (DATED 2/9/2019).

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: STAFF 1 DID NIOT HAVE PROOF OF THE TB RESULTS ON FILE AT THE TIME OF THE INSPECTION.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: STAFF PERSON 1, WHO WAS A PROVISIONAL HIRE AT THE TIME, WAS LEFT ALONE WITH THE CHILDREN AT NAPTIME.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Noncompliance Area: CHILD 1 (BIRTHDATE 2/18/2019) DID NOT HAVE PROOF OF A PHYSICAL EVERY 6 MONTHS OLD (LAST ONE DATED 4/22/2019).

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

Noncompliance Area: CHILD 2 AND CHILD 3 DID NOT HAVE PROOF OF A PHYSICAL LESS THAN A YEAR OLD ( LAST ONE FOR CHILD 1 - 1/14/2019 AND FOR CHILD 2 - 1/31/2019)

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.

Noncompliance Area: STAFF 1 WAS SITTING IN A SEAT WHERE A BOOKSELF WAS BLOCKING THE VIEW OF ONE OF THE CHILDREN, NOT ALLOWING THEM TO PROPERLY SUPERVISE THE CHILD.

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.

Noncompliance Area: STAFF 1 USED INAPPROPRIATE LANGUAGE IN FRONT OF CHILDREN

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