Kindercare Learning Center/commerce Dr

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: In the office, the locked medication cabinet contained Children's Benadryl, for an infant, which expired on 6/2025.

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)/3270.192(3)

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

Noncompliance Area: The file for Staff #14 (see IS Code Sheet) contained a Health Assessment completed after initial service in a child care setting.

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

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for Staff #15 did not contain a tuberculosis test dated within 12 months of initial employment.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

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

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

Noncompliance Area: The file for Staff #11 contained documentation of Emergency Plan training on 5.22.24 and none in 2025, which exceeded the annual requirement.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: As confirmed by the operator, a copy of the Emergency Plan was not sent 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: The file for Staff #14 (see IS Code Sheet) did not contain documentation of Health and Safety Training, Part 2, which exceeded 90 days of hire.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: The file for Staff #1, Staff #15, Staff #16 and Staff #17 (see IS Code Sheet) contained Pediatric First-Aid/CPR training on 12.18.25, which exceeded 90 days of hire.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #2 contained FBI Clearances dated 8.28.20 and 12.29.25, which exceeded the 60-month renewal requirement. The file for Staff #3 contained Mandated Reporter training on 3.1.20, and none thereafter.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff #2 contained a written evaluation dated 5.28.24 and none in 2025, which exceeded the 12-month requirement. The file for Staff #4 contained a written evaluation dated 1.15.24 and none in 2025, which exceeded the 12-month requirement. The file for Staff #5 contained a written evaluation dated 8.1.24 and none in 2025, which exceeded the 12-month requirement. The file for Staff #6 contained a written evaluation dated 11.15.24 and none in 2025, which exceeded the 12-month requirement. The file for Staff #7 contained a written evaluation dated 6.25.24 and none in 2025, which exceeded the 12-month requirement. The file for Staff #8 contained a written evaluation dated 7.15.24 and none in 2025, which exceeded the 12-month requirement. The file for Staff #9 (see IS Code Sheet) did not contain a written evaluation, which exceeded the 12-month requirement. The file for Staff #10 contained a written evaluation dated 6.5.24 and none in 2025, which exceeded the 12-month requirement. The file for Staff #11 contained a written evaluation dated 5.22.24 and none in 2025, which exceeded the 12-month requirement. The file for Staff #12 (see IS Code Sheet) did not contain a written evaluation, which exceeded the 12-month requirement. The file for Staff #13 contained a written evaluation dated 7.9.24 and none in 2025, which exceeded the 12-month requirement.

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

Regulation: 3270.72(c)

Description: Good repair

Noncompliance Area: In the Toddler B room, the window on the purple wall contained a screen which was torn on the bottom, right section, approximately 1" x 1", and was not in good repair.

Correction Required: Screens shall be in good repair.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The Fire System Testing Log contained documentation of testing which exceeded the 30-day requirement: 1.3.25 to 2.3.25, 5.1.25 to 6.2.25, 8.1.25 to 9.2.25, and 10.2.25 to 11.3.25.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The Health Assessment, in the file for Child #1, a PS child, contained Health Assessments dated 11.13.23 and 12.16.24, which exceeded the 12-month requirement.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The Health Assessment, in the file for Staff #3 (see IS Code Sheet), was dated 9.19.24, following initial service with children. The two (2) most recent Health Assessments in the file for Staff #6 exceeded the 24-month renewal requirement.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: The file for Staff #2 (see IS Code Sheet) and Staff #4 (see IS Code Sheet), did not contain any documentation of Pediatric First-Aid/CPR within 90 days of hire.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff #2 and Staff #4 will have until January 10, 2025, to complete the required training. Until such time as the required training has been completed, Staff #2 and Staff #4 must be supervised when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise Staff #2 and Staff #4, Staff #2 and Staff #4 may not work in a child care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #4 contained documentation of Mandated Reporter training on 11.5.19 and 11.11.24, which exceeded the 60-month renewal requirement. The file for Staff #5 contained documentation of Mandated Reporter training on 12.5.17 and 12.8.22, which exceeded the 60-month renewal requirement.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff #1 contained documentation of written evaluations dated 1.10.22 and 6.5.24, but none in 2023, which exceeded the 12-month requirement.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In Toddler A, outlet covers were missing from three (3) outlets on the surge protector on the floor in front of the refrigerator, which would be accessible to children 5 years of age or younger.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Upon review of the facility's 30-day fire testing documentation, more than 30 days has passed since the last test which was conducted on 4/12/24.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The Mandated Reporter trainings, in the file for Staff #1, were dated 4.14.16 and 5.14.21, which exceeded the 60-month renewal requirement.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact form, in the files for Child #2 and Child #3, did not contain the phone number of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The Emergency Contact form, in the file for Child #1, did not contain the enrolling parent's work phone number.

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

Regulation: 3270.131(e)(1)/3270.182(1)

Description: Exemption documentation from parent/guardian/Initial and subsequent health reports

Noncompliance Area: The Vaccination Record, in the file for Child #4, did not contain documentation of the influenza vaccination in accordance with the schedule recommended by the ACIP

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The Health Assessment, in the file for Staff #1, was dated 9.27.21, and the Mantoux test was dated 9.8.21, which was after providing initial service in the child care facility.

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

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The Health Assessments, in the file for Staff #7, dated 4.16.21, did not address the physician's or CRNP's assessment of the staff person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

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

Description: Age and Training

Noncompliance Area: The Pediatric First-Aid/CPR trainings, in the files for Staff #4, Staff #7, and Staff #9, were dated 10.25.18 and 11.24.20, which exceeded the expiration of the previous certification.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The Fire Safety trainings, in the file for Staff #2, were conducted on 11.18.20 and 11.23.21, which exceeded the 12-month renewal requirement. The Fire Safety trainings, in the file for Staff #4, were conducted on 1.23.21 and 2.1.22, which exceeded the 12-month renewal requirement.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The Child Abuse Clearance, in the file for Staff #3 (see IS Code Sheet), was dated 10.24.22, which was required prior to the first day working with children. The FBI Clearance, in the file for Staff #5 (see IS Code Sheet), was dated 3.24.21, and no application was available, which was required prior to the first day working with children. The State Police Clearances, in the file for Staff #6, were dated 1.24.17 and 3.3.22, which exceeded the 60-month renewal requirement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff #2 (see IS Code Sheet) contained no written evaluation in 2021. The file for Staff #4 (see IS Code Sheet) contained no written evaluation in 2021. The file for Staff #5 (see IS Code Sheet) contained no written evaluation in 2022. The file for Staff #6 (see IS Code Sheet) contained no written evaluation in 2021. The file for Staff #8 (see IS Code Sheet) contained no written evaluations in 2020 or 2021. The file for Staff #9 (see IS Code Sheet) contained no written evaluations in 2021 or 2022. The file for Staff #10 (see IS Code Sheet) contained no written evaluations in 2020, 2021, or 2022. The file for Staff #12 (see IS Code Sheet) contained no written evaluation in 2022. The file for Staff #13 (see IS Code Sheet) contained no written evaluations in 2021 or 2022. The file for Staff #14 (see IS Code Sheet) contained no written evaluation in 2022. The file for Staff #15 (see IS Code Sheet) contained no written evaluations in 2021 or 2022. The file for Staff #16 (see IS Code Sheet) contained no written evaluation in 2022. The file for Staff #17 (see IS Code Sheet) contained no written evaluation in 2022.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Peeling scotch tape was present on the right wall in the PK room, where "My Community" was displayed, and was accessible to children in care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files for Child #1 and Child #2 did not include the work addresses and telephone numbers of the enrolling parents.

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

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessment for Staff #3 incorrectly stated, "Yes," for "May have communicable disease."

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

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The Health Assessment for Staff #1 did not address the suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

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

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

Noncompliance Area: The file for Staff #5 contained fire safety training dates of 2.1.20 and 2.17.21, which exceeded the annual renewal requirement.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #2 contained FBI clearance dated 6.21.14 and 8.28.20, which exceeded the 60 month renewal requirement. The file for Staff #4, with a hire date of 9.27.21, did not contain a valid FBI clearance, which was reported to be located at the Wexford facility.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In an unlocked closet off the PS-A room, the following items which stated, "Keep out of reach of children," were accessible to children in care: Kay Click San Disinfectant/Sanitizer (2, gallon jugs), Kay Neutral Floor Cleaner (5, gallon jugs), Kay Multipurpose Glass Cleaner (4, gallon jugs), Ecolab TB Disinfectant (11, 32 oz. bottles), Kay Restroom Cleaner (4, 32 oz. bottles), Austin's A-1 Bleach (1, gallon jug), and Kay Super Contact Cleaner (1, 32 oz. bottle).

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: One (1) ceiling register in the PK room was unattached on one (1) side, causing it to hang from the ceiling, which created a falling hazard.

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: Peeling paint was present on the back, green wall below the chair rail, in the PK room, which was accessible to children in care.

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

Noncompliance Area: In the 2 year old room, observed that the children's table had a loose leg causing it to wobble when touched. In the Preschool room, observed that the Vocabulary Word right wooden cabinet door was falling off. The handles of the cabinet are at child level.

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.

Noncompliance Area: The last child service report on file for child #1 was not completed within the past six months. Child service report was completed on 5/3/2019.

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).

Noncompliance Area: The most current emergency contact information on file for child #2 lacked the address of all individuals 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.

Noncompliance Area: The file for staff #11, lacked a health assessment which was conducted within 12 months prior to providing initial service in a child care setting. There is now a current health assessment on file. There was more than 24 months in between the previous and most current and updated health assessment on file for staff #18 and 19.

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.

Noncompliance Area: The file for staff #9, lacks the results of the TB skin test which was conducted at initial hire.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: The files for staff #1, 2, 3, 4, 5, 6, 7, 8, 10, 15, 16, 17, 18, 19, 20, and 21 lack verification of emergency plan training within the past year. Last emergency plan training date for staff #1 was 3/4/2019, staff #2, 4, 5, 7, 8, 10, 15, 19, and 20 was 3/21/2018, staff #3 was 1/30/2019, staff #6 was 9/11/2018, staff #16 and 17 was 1/14/2019, staff #18 was 4/4/2018, and staff #21 was 6/18/2018. The file for staff #9, with hire date of 9/23/2019, lacked verification of emergency plan training within one week of hire. There is current emergency plan training on file and dated 2/24/2020.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: There was more than one year in between the previous fire safety training and the most current fire safety training for staff #20. Previous fire safety training date is 10/25/2018. Most current fire safety training date is 2/1/2020.

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

Noncompliance Area: The file for staff #11, with provisional hire date of 7/17/2019, lacked verification of FBI fingerprinting on or before initial date in a child care position. FBI fingerprinting date was 7/24/2019. There is an FBI clearance on file and dated 7/24/2019. The file for staff #12, with hire date of 9/24/2019, lacked a Child Abuse and FBI clearance on or before initial date in a child care position. There is now a Child Abuse clearance on file and dated 10/3/2019 and FBI clearance on file and dated 9/27/2019. The file for staff #13, with provisional hire date of 4/22/2019, contained a criminal history clearance with a rap sheet. The rap sheet did not include a disposition date and staff #13 was not suspended after 90 day provisional hire and additional 30 days allowed by the CPSL. The file for staff #14, with provisional hire date of 9/24/2019, lacked an application for Child Abuse and FBI fingerprinting on or before initial date in a child care position. FBI fingerprint date was 9/26/2019. No application for Child Abuse was on file. There is now a Child Abuse clearance on file and dated 10/3/2019 and FBI clearance on file and dated 9/27/2019. The file for staff #16, with provisional hire date of 1/14/2019, lacked verification of FBI fingerprinting on or before initial date in a child care position. FBI fingerprint date was 1/15/2019. FBI clearance is now on file and dated 1/15/2019. There was more than 60 months in between the previous State Police clearance and the most current State Police clearance on file for staff #20. Previous State Police clearance date is 2/23/2015. Most current State Police clearance date is 3/9/2020.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #13 -- 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. .

Noncompliance Area: The file for staff #9, who holds the title of assistant group supervisor, lacked 1250 hours of child care experience. There is a CDA on file. The file for staff #14, who holds the title of aide, lacked verification of an 8th grade education. There is 2500 hours of child care experience on file.

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

Noncompliance Area: The files for staff #1, with hire date of 2/4/2019, staff #3, with hire date of 1/24/2019, staff # 15, with hire date of 1/2/2018 and staff #16, with hire date of 1/14/2019, lack verification of a staff evaluation within the past 12 months.

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

Noncompliance Area: In the Toddler 2 room, observed that a screen used for ventilation and in reach of children, had three areas the size of a dime, that were ripped.

Correction Required: Screens shall be in good repair.

Noncompliance Area: It was observed that there were 2 baskets and toys on floor in front of the rear exit door of the infant room which was obstructing 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.

Noncompliance Area: **The director of the facility self reported that on June 20, 2019 at 9:35am Staff person #1, Staff person #2, and Staff person #3 left Child #1 alone in the infant room sleeping in a crib while the others evacuated the building during a planned fire drill. The director also self reported that Staff person #4 completed a check of each childcare room, including the infant room, after the facility had been evacuated and Staff person #4 did not see Child #1 who had been left alone in the infant room. Staff person #1, Staff person #2 and Staff person #3 did not know that Child #1 had been left behind until the director completed a check outside of the facility.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. The legal entity will be required to conduct a fire drill in the presence of a fire protection professional. The legal entity will have the fire protection professional sign off on the facility's fire drill log proving that the fire drill was observed by the fire protection professional. The legal entity will submit signed fire drill log to the Department.

Noncompliance Area: **The director of the facility self reported that on June 20, 2019 at 9:35am Staff person #1, Staff person #2, and Staff person #3 left Child #1 alone in the infant room sleeping in a crib while the others evacuated the building during a planned fire drill. The director also self reported that Staff person #4 completed a check of each childcare room, including the infant room, after the facility had been evacuated and Staff person #4 did not see Child #1 who had been left alone in the infant room. Staff person #1, Staff person #2 and Staff person #3 did not know that Child #1 had been left behind until the director completed a check outside of the facility.

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. The legal entity must maintain documentation in a format approved by DHS proving that the facility director and/or assistant director is completing daily supervision checks of each classroom. The legal entity will confirm continuing compliance by maintaining copies of the documentation on the premises for a period of four months after DHS approves the documentation format. The facility director and/or assistant director will provide the documentation to a representative of the Department of Human Services during multiple unannounced visits.

Noncompliance Area: **The director of the facility self reported that on June 20, 2019 at 9:35am Staff person #1, Staff person #2, and Staff person #3 left Child #1 alone in the infant room sleeping in a crib while the others evacuated the building during a planned fire drill. The director also self reported that Staff person #4 completed a check of each childcare room, including the infant room, after the facility had been evacuated and Staff person #4 did not see Child #1 who had been left alone in the infant room. Staff person #1, Staff person #2 and Staff person #3 did not know that Child #1 had been left behind until the director completed a check outside of the facility.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The legal entity will arrange for all facility staff to receive a minimum of 2 hours of training regarding maintaining proper staff child ratios. The legal entity will receive approval from the Department prior to scheduling the training. For a period of 4 months, the legal entity will arrange for all new facility staff to receive the same approved training regarding maintaining proper staff child ratios at the time of hire.

Noncompliance Area: There was a crack on the bottom corner of a mirror that was installed on the wall in the toddler room causing a sharp edge to be accessible to the 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.

Noncompliance Area: There was only 5 inches of loose fill under the embedded equipment on the preschool playground.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: There were 2 wooden chairs in the older toddler room and one wooden chair in the Preschool A room on which there was a missing cap on the foot of one of the legs of the chair causing the chairs to be unstable.

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

Noncompliance Area: There was no operable thermometer in one of the refrigerators in the kitchen.

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.

Noncompliance Area: Child #4 had an agreement that lacked the operator's signature.

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

Noncompliance Area: Child #2, child #3 and child #4 had agreements that lacked the child's date of admission.

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

Noncompliance Area: Child #4, enrolled 1-8-19, lacked an initial health report.

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.

Noncompliance Area: Child #1, child 4, child #5 and child #6 had immunization records that did not include annual influenza vaccinations as recommended by the ACIP.

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

Noncompliance Area: There was a child's saline spray and diaper rash ointment in the infant room that were not labeled with the child's name.

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

Noncompliance Area: There was no written parental consent for staff to administer a child's Benedryl medication.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: Staff person #3 had a health assessment that did not include the physician or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: Child #4 had an emergency contact form that lacked signed parental consent for administration of 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.

Noncompliance Area: Staff person #2's record contained only 1 written 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

Noncompliance Area: Staff person #1 had a disclosure statement that was not signed by a witnessed or dated.

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

Noncompliance Area: There were loose wires on the side of the building accessible to children on the preschool playground.

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.

Noncompliance Area: There was damaged paint on the corner of the wall near the play refrigerator in Preschool A. There was damaged paint on the wall by the bookshelf, on the far wall behind the children's desk, and on the wall by the sand table in the Pre-K room.

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

Noncompliance Area: The facility director reported that on 6-20-18 at approximately 11:00am, Staff person #1 and Staff person #2 transitioned a group of preschool children from the preschool classroom, through the learning adventures room, and into the stairwell. Once in the stairwell, Staff person #1 and Staff person #2 counted the children and realized that Child #1, whom they were responsible for supervising, was not with the group. It was discovered that Child #1 had wandered over to the adjacent preschool classroom where Staff person #3 found the child and notified the director. At approximately 11:45am, Staff person #1 and Staff person #2 were back in their preschool room with their group of children. Staff person #4 walked through that preschool classroom and entered the adjacent preschool classroom where she found Child #1 standing alone in the back corner of the empty classroom. Staff person #4 returned Child #1 to Staff person #1 and Staff person #2 who were responsible for supervising Child #1. Staff person #1 and Staff person #2 reported that they were no aware that Child #1 had left the room. The facility was required for all staff to complete an on site supervision training approved by the Department. The facility submitted an acceptable plan of correction that all staff would have the on site supervision training completed by 11-21-18. On 1-9-19 it was observed that there were three staff persons who had yet to complete the on site supervision training.

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 in person training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: At 11:40am it was observed that Staff person #1, Staff person #2 and Staff person #3 were in the older toddler room with 16 older toddlers. When interviewed, Staff person #1 identified and named 5 children as being assigned to their group. When interviewed, Staff person #2 identified and named 5 children as being assigned to their group. When interviewed, Staff person #3 identified and named 5 children as being assigned to their group. There was one child not accounted for. Given a second attempt, Staff person #1 identified 5 children; Staff person #2 identified 5 children; Staff person #3 named and identified 6 children as being in their group. After the second attempt, all children were accounted for and assigned to a specific staff person.

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.

Noncompliance Area: The facility's current provisional certificate of compliance was not posted in a conspicuous location.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: The most recent inspection summaries issued by the Department were not posted in a conspicuous location at the facility.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Noncompliance Area: **The facility director reported that on 6-20-18 at approximately 11:00am, Staff person #1 and Staff person #2 transitioned a group of preschool children from the preschool classroom, through the learning adventures room, and into the stairwell. Once in the stairwell, Staff person #1 and Staff person #2 counted the children and realized that Child #1, whom they were responsible for supervising, was not with the group. It was discovered that Child #1 had wandered over to the adjacent preschool classroom where Staff person #3 found the child and notified the director. At approximately 11:45am, Staff person #1 and Staff person #2 were back in their preschool room with their group of children. Staff person #4 walked through that preschool classroom and entered the adjacent preschool classroom where she found Child #1 standing alone in the back corner of the empty classroom. Staff person #4 returned Child #1 to Staff person #1 and Staff person #2 who were responsible for supervising Child #1. Staff person #1 and Staff person #2 reported that they were no aware that Child #1 had left the room.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive an in person training from the PA KEYS regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: **The facility director reported that on 6-20-18 at approximately 11:00am, Staff person #1 and Staff person #2 transitioned a group of preschool children from the preschool classroom, through the learning adventures room, and into the stairwell. Once in the stairwell, Staff person #1 and Staff person #2 counted the children and realized that Child #1, whom they were responsible for supervising, was not with the group. It was discovered that Child #1 had wandered over to the adjacent preschool classroom where Staff person #3 found the child and notified the director. At approximately 11:45am, Staff person #1 and Staff person #2 were back in their preschool room with their group of children. Staff person #4 walked through that preschool classroom and entered the adjacent preschool classroom where she found Child #1 standing alone in the back corner of the empty classroom. Staff person #4 returned Child #1 to Staff person #1 and Staff person #2 who were responsible for supervising Child #1. Staff person #1 and Staff person #2 reported that they were no aware that Child #1 had left the room.

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. The legal entity must maintain documentation in a format approved by DHS proving that the facility director and/or assistant director is completing daily supervision checks of each classroom. The legal entity will confirm continuing compliance by maintaining copies of the documentation on the premises for a period of three months after DHS approves the documentation format. The facility director and/or assistant director will provide the documentation to a representative of the Department of Human Services during multiple unannounced visits.

Noncompliance Area: **The facility self reported that on 5-1-18, Staff person #1 and Staff person #2 left a preschool child unattended in the stairwell for less than a minute as they were transitioning a group of preschoolers from the outdoor playground to the Pre-K classroom.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. The legal entity must arrange for Staff person #1 and staff person #2 to receive a minimum of two hours of training regarding supervision of children from the PA Keys. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: There was a child sized wooden chair in the older toddler room on which the rubber stopper on one of the bottom of the legs was missing causing the chair to wobble and be unstable.

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

Noncompliance Area: Child #3 had an emergency contact form that lacked the name, address and phone 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.

Noncompliance Area: Child #3, with an enrollment date of 11-8-17, had an initial health assessment dated 2-5-18.

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.

Noncompliance Area: Child #1 had a most recent health assessment dated 10-23-15.

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: There was ointment labeled Aquafor in a container that was not its original container being used as diaper cream for one child in the older toddler room.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Noncompliance Area: There was an expired diaper cream in the older toddler room.

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

Noncompliance Area: Staff person #1 had a most recent health assessment dated 1-27-16.

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.

Noncompliance Area: Child #2 had an emergency contact form and an agreement that had not been updated within a 6 month time period.

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

Noncompliance Area: Staff person #2, functioning as an assistant group supervisor, had 24 credit hours in a human services field but had no childcare experience documented.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: There was a hole in the screens of each of the two windows in the young toddler room.

Correction Required: Screens shall be in good repair.

Noncompliance Area: The required emergency numbers were not posted by the phone in the Pre-K room.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: The first aid kit in the outdoors back pack in the preschool room lacked sterile gauze pads.

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.

Noncompliance Area: The first aid kit in the van # 17154 lacked tweezers.

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).

Noncompliance Area: A piece of the wooden frame around one of the windows in the toddler room that is positioned close to the floor was broken off causing splintered wood to be accessible to the 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.

Noncompliance Area: The facility's fire drill log lacked the hypothetical locations of the fires and the names of the facility persons participating in the drills dating back to June of 2017.

Correction Required: A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.