KINDERCARE LEARNING CENTER 300222

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: During a complaint investigation on 5/18/2026, it was found that on 4/30/2026 staff person #1 grabbed child #1 by the shirt and shoved the child backwards.

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

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: During the complaint investigation on 5/18/2026, it was found that staff #1 was observed on 4/30/2026 screaming at children in the classroom.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During the complaint investigation on 5/18/2026, it was found that staff person # 1 and # 2 were in the Multi Room B classroom with 22 children, the youngest child was an older toddler two-year-old child.

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 § 3270.52 (relating to multiple age level).

Regulation: 3270.61(h)

Description: Exceeding Capacity

Noncompliance Area: During the complaint investigation on 5/18/2026, it was found that on previous occasions the multi--Room B exceeded its capacity of 19 by having 22 children in the space at one time.

Correction Required: The capacity established for an indoor space may not be exceeded except in situations described in § 3270.61(h)(1-3)

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During the renewal inspection on 4/16/2026, it was observed that 10 mats in the Multi A Room had styrofoam exposed, and there were 3 mats in Discovery Pre-School B room that were split open.

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: During the renewal inspection on 4/16/2026, it was observed that in Toddler B room, 2s A Room, Multi C Room, and Multi Room B that the rest equipment was not labeled for the use of a specific child.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: During the renewal inspection on 4/16/2026, the files for child #1, child #6, and child #8 were viewed and the financial agreement for child #1 was not signed by the parent, and the Financial Agreement for child #8 did not have the operator's signature.

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

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: During the renewal inspection on 4/16/2026, the files for child #4, child #5, child #6, child #7, child #8, child #9 and child #10 were viewed and the Financial Agreement did not include an admission date.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: During the renewal inspection on 4/16/2026, the file for child #2 was viewed and did not include an Emergency Contact Form.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the renewal inspection on 4/16/2026, the file for child #8 was viewed and the Emergency Contact Form did not include the name, address and telephone number of the child's physician.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During the renewal inspection on 4/16/2026, the files for child #1, child #4, and child #10 were viewed and the Emergency Contact Form did not include the enrolling parent information.

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

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

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

Noncompliance Area: During the renewal inspection on 4/16/2026, the files for child #6, child #7, child #8, and child #9 were viewed and the Emergency Contact Form did not include written consent signed by the parent for the facility to administer emergency medical care.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection on 4/16/2026, the files for child #7, and child #8 were viewed and the Emergency Contact Form did not include the health insurance coverage and the policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection on 4/16/2026, the files for child #1, child #3, child #6, and child #7 were viewed and the release person's information on the Emergency Contact Form did not include the addresses of the release persons.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: During the renewal inspection on 4/16/2026, the file for child #1 was viewed and the Emergency Contact Form and the Financial Agreement were not updated within a 6-month period. The most recent Emergency Contact Form was dated 9/19/25, and the Financial Agreement was dated 10/12/25.

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: During the renewal inspection on 4/16/2026, the files for child #5, child #6, child #8, child #9, and child #10 were viewed and did not include a health assessment and the children have been enrolled for more than 60 days. (See code sheet for start date.)

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. 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: During the renewal inspection on 4/16/2026, the files for child #6, child #7, and child #8 were viewed and the Emergency Contact Form did not include a signed parental consent for the facility to administer minor first aid.

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

Regulation: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: During the renewal inspection on 4/16/2026, the files for child #1, child #4, child #5, child #6, child #8, and child #10 were viewed and did not contain parental consent signatures for transportation, walking excursions, swimming and wading.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 4/16/2026, there were two electrical outlets in the center room and in the Discovery preschool B room that did not have a protective cover on them and they were accessible to the children.

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

Regulation: 3270.79

Description: Firearms

Noncompliance Area: During a complaint investigation on 3/25/2026, it was found that staff #1 carried a firearm into the facility in her personal handbag.

Correction Required: Weapons, firearms and ammunition are prohibited in a child care center.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: During the unannounced inspection on 3/25/2026, it was observed that the exit from room 2A was obstructed by a trash bag.

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

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: During the complaint investigation on 3/19/2026, it was found that staff #1 used harsh and demeaning language towards child #1

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the unannounced inspection on 3/2/2026, it was observed that the toxic substance Aquaphor cream was on top the changing table in the Toddler B room and multi-purpose cleaning solution was on the cabinet in Multiroom B. The toxic substances were accessible to the 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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: During an unannounced inspection on 3/2/2026, it was observed that a curled up poster board project was blocking the 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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: During an announced inspection on 9/10/25, it was observed that a corner shelf, a bookshelf, and a cubby shelf in the center room were not attached to the floor or the wall, and they were a tipping hazard.

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

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: During an announced inspection on 9/10/25, it was observed that there was not a first aid kit in the center room.

Correction Required: A first-aid kit shall be in a child care space.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During the Allocated Unannounced monitoring inspection on 6/25/2025, it was observed that there were 8 resting mats in Multi Age room B that were split at the seams, there was a rolled-up rug on the floor in the walkway in the center room that was a tripping hazard.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the Allocated Unannounced monitoring inspection on 6/25/2025, it was observed in Multi Age Room A that there was TB Disinfectant cleaner on top of a bookcase and there was Aveeno lotion on the staff desk. In the hallway bathroom near the office there was Colvent Cleaner solution on the floor, and Vaseline Lotions, and Energy Air Freshener and the toxics were accessible to the 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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: During the Allocated Unannounced monitoring inspection on 6/25/2025, it was observed that a utility cart was blocking the outdoor exit in the center room near the kitchen.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During the renewal inspection on 4/23/2025, it was observed that in the Toddler B room there were two mats ripping at the seams being used to block the sunlight coming in the windows, in 2B room the top of a bookcase near the door had spillage stains on it, in Multi A room there were six resting mats peeling at the seams and the wooden square reading block was missing screws and the wooden sides were detaching from each other making it a safety hazard and the play couch is peeling and the Styrofoam interior is exposed, and in Multi B room, nine resting mats were splitting at the seams.

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: During the renewal inspection on 4/23/2025, it was observed that in Toddler B room the resting mats numbers list was blank and had no children's names to identify individual usage of mats.

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: During the renewal inspection on 4/23/2025, it was observed that the refrigerator in the infant room did not have an operating thermometer in it.

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(b)

Description: No physical punishment

Noncompliance Area: On 4/23/2025 a complaint was investigated and it was found that staff #1 used physical punishment on child #1 by grabbing the child's arm and pushing the child back into the student line.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: During the renewal inspection on 4/23/25, the file for child #2 and child #8 did not designate a person to whom the facility can release the children to, nor did it have the designee address and phone numbers.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the renewal inspection on 4/23/25, the files for child #2, and child #8 were viewed and did not have a physician's name documented on the Emergency Contact Form.

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

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

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

Noncompliance Area: During the renewal inspection on 4/23/25, the file for child #2 was viewed and there was no parental written consent authorizing the facility to administer 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(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection on 4/23/25, the file for child #2 was viewed and the Emergency Contact Form did not include the telephone numbers and addresses of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.124(d)

Description: Excursions

Noncompliance Area: During the renewal inspection on 4/23/2025, it was observed that in 2B room when the children went outside, the staff did not take the Emergency Contact Forms with them.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: During the renewal inspection on 4/23/25, the files for child #3, child #4, child #6, child #7, child #9, and child #10 were viewed and the emergency contact information and the financial agreement were not updated at least once in a 6-month period. The information for child #3 was last updated on 9/30/24, for child #4 it was updated on 5/23/24, for child #6 it was updated on 6/3/24, for child #7 the documentation was last updated on 6/3/24, child #9 was updated on 9/10/24, and child #10 was last updated on 7/23/24.

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: During the renewal inspection on 4/23/25, the files for child #9 was viewed and did not have an initial Health Assessment obtained within 60 days of the child's start date. The start date for child #9 was 9/10/24.

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

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

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

Noncompliance Area: During the renewal inspection on 4/23/25, the files for child #1, child #5, child #7, were viewed and an updated Health Assessment was not completed within a 12-month period. The last assessment for child #1 was dated 2/26/24, for child #5 the assessment was dated 12/22/23, and the assessment for child #7 was dated 3/18/24.

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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: During the renewal inspection on 4/23/2025, it was observed that staff #11 did not wash child #11 after a diaper change.

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

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

Description: Physical examination/Health assessment, TB test

Noncompliance Area: During the renewal inspection on 4/23/2025, the files were viewed for staff #1, staff #2, and staff #5 and the most up to date Health Assessment for each staff was dated past 24 months. Staff #1 was dated 8/19/22, staff #2 was dated 3/31/23, and staff #5 was dated 10/9/21.

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: 3270.182(4)

Description: Consent for administration of medications or special dietary needs

Noncompliance Area: During the renewal inspection on 4/23/2025, the file for child #2 was viewed and there was no parental consent signature authorizing the facility to administer medications on the Emergency Contact Form.

Correction Required: A child's record shall contain signed parental consent for administration of medications or special dietary needs.

Regulation: 3270.182(5)

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

Noncompliance Area: During the renewal inspection on 4/23/2025, the files for child #3, child #7, and child #10 were viewed and there was no signature on the Emergency Contact Form giving parental consent for the facility to administer minor first aid.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the renewal inspection on 4/23/2025, the files for staff #1, staff #3, staff #6, staff #7 were viewed, and the file for staff #1 did not have the CPR/First aid training completed. Staff #3 did not complete the Health and Safety Training, and the CPR/First Aid training, staff #6 did not complete the Health and Safety Training, and staff #7 did not complete CPR/First Aid Training

Correction Required: Staff persons shall complete professional development within 45 days of hire as listed in subsections (f)1-10. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Until such time as the required training has been completed, Staff person #1, staff #3, staff #6, and staff #7 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 person(s) available to supervise staff #1, staff #3, staff #6, and staff #7, then staff #1, staff #3, staff #6, and staff #7 may not work in a childcare position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection on 4/23/25, the files for staff #3, staff #4, staff #5, staff #6, staff #7, staff #8, Staff #9, and staff #10 were viewed and the file for staff #3 did not include Mandated Reporter Training and the National Sex Offender Registry (NSOR) clearances. The file for staff #4 had a PA State Police Criminal Background Clearance dated 1/24/20, a Child Abuse Clearance dated 3/11/20, and a Mandated Reporter Training that was dated 2/9/20. These clearances and Mandated Reporter trainings have not been updated within the 60-month period. The file for staff #5 had a PA State Police Criminal Background Clearance dated 10/16/19, a Child Abuse Clearance dated 10/28/19, an FBI Fingerprinting Clearance dated 6/18/19, an NSOR dated 1/15/20, and a Mandated Reporter training dated 88888. The file for staff #6 does not include either a PA State Criminal Background Clearance or an FBI Fingerprinting Clearance which is required on hire date, as required at by the regulations. The file for staff #7 does not include a National Sex Offender Registry Clearance (NSOR), and an FBI Fingerprinting Clearance. The file for staff #8 has a PA State Criminal Background Clearance and a Child Abuse Clearance dated 2/26/20, an NSOR dated 1/16/20, and an FBI Fingerprinting Clearance dated 3/4/20. These clearances have not been updated within a 60-month period. (ss code sheet for hire date)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #3, staff #4, staff #5, staff #6, staff #7, staff #8, Staff #9, and staff #10 may not work in a childcare position at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 4/23/2025, it was observed that in Toddler room B there was an uncovered plug near the doorway, in room 2A there was an outlet near the orange cabinet, in 2B Room there was an outlet near the storage bins, in the school age Kindergarten room there were four outlets uncovered. The electrical outlets were uncovered and accessible to the children.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the renewal inspection on 4/23/2025, it was observed that in Toddler B room there was Industrial Bathroom Cleaner and Desitin in the basket on the floor in the bathroom and they were accessible to the 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(b)

Description: Original container

Noncompliance Area: During the renewal inspection on 4/23/2025, it was observed that in Multi B room that there was a mop bucket with a unidentified dirty substance that was not labeled and it was accessible to the children.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.75(d)

Description: On excursions

Noncompliance Area: During the renewal inspection on 4/23/2025, it was observed that room 2B staff did not take a first aid kit or the additional items specified in 3270.75(c) when they went outside with them when they went to the outside play space.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection on 4/23/2025, it was observed that in the School Age room bathroom there were many pieces of toilet paper on the floor and the toilet bowl was very dirty and unsanitary.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection on 4/23/2025, it was observed that there was chipped paint on the doorway of the 2B room, and there was a hole in the wall near the cot list in Multi A room.

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

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: During the renewal inspection on 4/23/2025, the assistant director could not provide annual documentation that stated that the fire detection system was tested and was operable, and staff was unable to perform an onsite test of the fire detection system.

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)).

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During a follow up inspection on 11/20/2024 it was observed that in the bathroom outside the office there was Clorox wipes on the back of the toilet, and it was accessible to the children. (Continued non-compliance from the unannounced inspection conducted 10/9/2024.)

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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: During a follow up inspection on 11/20/2024, it was observed that the outside exits in every room except Multi A room, were obstructed by toys, and mop and buckets, and art supplies. (Continued non-compliance from the unannounced monitoring inspection conducted on 10/9/2024).

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: During the unannounced monitoring inspection on 10/9/2024, it was observed that a shelf in the School Age A room was not secure to the wall and was a tipping hazard.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the unannounced monitoring inspection on 10/9/2024, it was observed that the cots in the Discovery Preschool room, and the Multi Age B room were not labeled with each child's name or number for use by each child, and there was no number list posted.

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: During the unannounced monitoring inspection on 10/9/2024, it was observed that a crib in the infant room only had 2 feet of space on two sides while child #1 was sleeping in it.

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: During the complaint investigation on 10/9/2024 it was found that staff #1 was not properly supervising the children. A child injury that occurred could not be explained.

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(d)

Description: No harsh language

Noncompliance Area: During the complaint investigation on 10/9/2024 it was found that staff #1 spoke in a harsh and demeaning manner to child #1.

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

Regulation: 3270.20(a)(1)

Description: Inpatient hospitalization or ER treatment of child

Noncompliance Area: During the complaint investigation on 10/9/2024, it was found that staff #1 did not immediately notify the regional office within 24 that a child had been hospitalized.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the unannounced monitoring inspection on 10/9/2024, it was observed that one electrical outlet was not covered in the School Age A room.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the unannounced monitoring inspection on 10/9/2024, it was observed that toxic substances were accessible to children in the School Age A room, the Toddler A room, and the Infant room. In the School Age A room there was a disinfectant restroom cleaner on top of the bookcase, in the Toddler A room there was Vaseline on the changing table, and in the Infant room there was Aquaphor and CVS ointments on the changing table.

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: During the unannounced monitoring inspection on 10/9/2024, it was observed that there is wood chipping near the back door trim in the Toddler B 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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: During the unannounced monitoring inspection on 10/9/2024, it was observed that the exit was obstructed by a chair in the Multi A room, and a bucket in the Toddler A room.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the unannounced monitoring inspection on 7/24/2024, Certification Representative reviewed the files of staff persons #1, #2, #3, #4, #5, #7. Staff persons #2, #4, and #7 have not completed the 10 hour Health and Safety Training. Staff persons #1, #2, #4, and #5 have not completed the Pediatric CPR/First Aid Training. The Pediatric CPR/First Aid for staff person #3 expired on 3/1/2024. The staff persons have been employed for more than 90 days.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #1, #2, #3, #4, #5, and #7 will have until 8/8/2024 to complete the required pre-service Trainings. ). Until such time as the required trainings have been completed, Staff person #1, #2, #3, #4, #5 and #7 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 person(s) available to supervise any of the 6 staff persons, then that particular staff person may not work in a childcare position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the unannounced monitoring inspection dated 7/24/2024, Certification Representative reviewed the files for staff persons #1, #2, #4, #5, #6, and #7 (hire date see code sheets), did not include a National Sex offender Certificate. Staff persons #1, #2, #4, and #5 (hire date see code sheets), have not completed the Mandated reporter Training. T

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff persons #1, #4, #5, #6, and #7 must not work in a childcare position until CPSL clearances are obtained. Staff person #1, #2, #4, and #5 will complete the required Mandated reporter training.

Regulation: 3270.34(a)(2)

Description: Objective and activities

Noncompliance Area: During a complaint investigation on 7/24/2024 it was found that the director does not offer assistance to staff dealing with children with difficult behaviors in the classroom.

Correction Required: A director is responsible for administering the facility's program objectives and activities.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During the renewal inspection on 4/4/2024, Certification Representative observed that two mirrors on back wall in Toddler B room, and the top of cubby in Toddler A Room were soiled, the rug in Room 2A near the sink was curled up from one corner and was a tripping hazard.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: During the renewal inspection on 4/4/2024, Certification Representative observed that the bookcase in the School Age Room was a tipping hazard.

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

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

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

Noncompliance Area: During the renewal inspection on 4/4/2024, Certification Representative viewed the file for child #4 and the Emergency Contact Form did not include written consent signed by a parent for emergency medical care.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection on 4/4/2024, Certification Representative viewed the files for child #2 and child #3 and there was no health insurance Coverage and policy number listed on the Emergency Contact Forms.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: During the renewal inspection on 4/4/2024, Certification Representative viewed the files for child #1 and child #2 and the record reviewed did not include an initial health report. and both children have been enrolled for more than 60 days. (See code sheet for St. dates).

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: During the renewal inspection on 4/4/2024, Certification Representative viewed the file for staff person #4 did not include a current Health Assessment dated within the last 24 months. The previous Health Assessment was dated 4/5/21.

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: 3270.182(5)

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

Noncompliance Area: During the renewal inspection on 4/4/2024, Certification Representative viewed the file for child #4 and there was no 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: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: During the renewal inspection on 4/4/2024, Certification Representative viewed the file for child #4 and the child's emergency contact form did not contain signed parental consent for transportation, walking excursions, swimming and wading.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the renewal inspection on 4/4/2024, Certification Representative viewed the file for staff #5 and it did not include two non-family references.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection on 4/4/2024, Certification Representative reviewed the file for staff #8, and there was no evidence that staff person #8 received any training for emergency planning.

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: During the renewal inspection on 4/4/2024, Certification Representative viewed the staff files for staff person #2, #3, #4, #5, #7. There was no evidence produced, upon request, that staff person # 2, #3, #4, #5, #7 received fire safety training within a 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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the renewal inspection on 4/4/2024, Certification Representative viewed the files for staff #7, #5, and #6, and the 1-hour Health and Safety Update Training was not produced upon request for staff person #7. Verification that the CPR/ First Aid Training had been completed was not produced upon request, for staff #5, and #6, (See code sheet for St date.)

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: During the renewal inspection on 4/4/2024, the file of staff person #1 was viewed and an updated Child Abuse Clearance was not present. The Child Abuse Clearance in the file was dated 3/22/18 which is past the 60 month requirement to renew it.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility person #1 must not work in a childcare position until CPSL clearances are obtained.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 4/4/2024, Certification Representative observed that two electrical outlets in the School Age room did not have a protective receptacle cover on them.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During renewal inspection on 4/4/2024, Certification Representative observed Restroom cleaner on the back of toilet in the hallway near the office, and glass and multipurpose cleaners next to the changing table in the toddler B room. The toxics were accessible to children.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During the renewal inspection on 4/4/2024, Certification Representative observed that the proper handwashing signs were not at each changing table in the facility as required.

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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: During the renewal inspection on 4/4/2024, Certification Representative observed that the exit in the Toddler A room was obstructed by a midsize toy truck that was being stored in the area. The toy could have easily been picked up and moved away from the door.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Certification representative completed an unannounced monitoring inspection on 1/18/2024 and observed that 14 mats outside Pre-K B room were splitting open and the mat was exposed.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: During complaint investigation on 1/18/2024, it was found that staff person #1 fed child #1 a milk bottle that contained breast milk that belonged to another child.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the unannounced monitoring inspection on 1/18/2024, certification representative reviewed staff person #1-5 files and pre-service trainings were not completed. Staff person #1 and staff person #3 had CPR training from the National CPR foundation and it is an online only course and is not acceptable per the 3270 regulations. Staff person #2 has not completed the 1 Hr. Health and Safety Update 2022 training, the Mandated Reporter Training and their Pediatric CPR/First Aid expired on 3/31/23. Staff person #4, and 5 have not completed the 10 Hr. Health and Safety Training, required per the 3270 regulations to be completed within 90 days of hire. (See code sheet for all start dates).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #1, #2, #3, #4, #5 will have until 2/1/2024 to complete the required pre-service Trainings. Until such time as the required trainings have been completed, Staff person #1, #2, #3, #4, #5 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 person(s) available to supervise any of the 5 staff persons, then that particular staff person may not work in a childcare position at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Certification representative completed an unannounced monitoring inspection on 1/18/2024 and observed that in the Pre-k B room, and the school age room had electrical outlets that did not have protective covers in them and the outlets were accessible to children.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Certification representative completed an unannounced monitoring inspection on 1/18/2024 and observed that in the Pre School 3yr old room, the Pre-K A room there were toxics cleaning substances on the shelf and they were accessible to children.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The toddler's outdoor play area ground surfaces were in disrepair, and the roof-overhead in the space was covered in tarp. The disrepair wood beam structures used to hold/ support the overhead roof was rotted and no longer stabilized within the ground's concrete.

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

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

Noncompliance Area: On date of inspection, the outdoor play yard contained 30 pre-school age children playing and using the entire play area. However, all the staff assigned to their groups were seated together and not supervising the children. CR observed children engaged in unsafe play while climbing and hanging off equipment with multiple children, as well as physically aggressive and intimidating peer play and bullying. These behaviors while in direct view of the assigned staff persons were completely ignored.

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. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: At the time of the renewal inspection, the following staff did not have the completed NSOR Clearance: Staff #1, staff #2, staff #3, and staff #4.

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

Regulation: 3270.33(a)/3270.35(b)

Description: Each staff person meets quals/Group sup qualifications

Noncompliance Area: Staff person #5 is employed as a Group Supervisor and she is not qualified to perform in the position.

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 group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4).

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: The toddler's outdoor play area ground surfaces were in disrepair, and the roof-overhead in the space was covered in tarp. The disrepair wood beam structures used to hold/ support the overhead roof was rotted and no longer stabilized within the ground's concrete. The hallway ceiling-light fixture was detaching from the ceiling and needs repair.

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

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: During the on-site renewal inspection the following conditions were observed: Peeling/ damaged paint on the walls, doors, and surfaces throughout the facility. The flooring tiles due to long term use contained cracks and dirt-stained appearance. The outside play yard contained trash, debris, overgrown weeds and ivy on the fencing and ground; During outside play a young toddler was observed pulling weeds off the fence attempting to put it in his mouth, director notified the supervising staff of the concern. Rest equipment mats were in disrepair.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces must be kept clean, in good repair and free from visible hazards. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: The school age classroom is operating regularly out of ratio. The classroom merges with the 5 year olds, reducing the ratio to 10:1. More than 3 days out of the week, the classroom exceeds 20 students at one given time. Mr. Andrew and Ms. Mariely are the staff in the room and are forced to supervise out of ratio. When they told the director Ms. Selina they were out of ratio, they were told the cook would come in when she was finished her kitchen duties.

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