KINDERCARE LEARNING CENTER 301628

Regulation: 3270.151(a)

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

Noncompliance Area: On 8/7/26, it was observed that staff person 1 was currently working in a childcare position and did not have record of a completed health assessment on file.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 8/7/26, it was observed that staff person 1 did not have two written, nonfamily references on file.

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: 3270.77(a)/3270.102(a)

Description: No peeling paint or plaster/Clean and good repair

Noncompliance Area: On 6/12/26, it was observed that there was peeling paint on both wooden playground structures (slide and hedgehog climber) on the toddler playground. CORRECTED ON SITE.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. 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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The child file for child #1 did not contain information about health insurance coverage and 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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: Operator was unable to provide documentation to verify that the facility issues annual, written, notification to traffic safety authorities of location of facility & program's use of pedestrian and vehicular routes around the facility.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: Operator was unable to provide documentation to verify that the facility's emergency plan is renewed annually. Date of previous emergency plan review was not on file.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The staff files for Staff # 1 and Staff # 2 did not contain documentation to verify that either staff member has completed Emergency Plan Training on an annual basis. The file for Staff #1 indicates the last emergency plan training was completed 12/16/24 and the file for Staff # 2 indicates the last emergency plan training was completed 8/30/24.

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)

Description: Age and Training

Noncompliance Area: The staff files for Staff # 1 and Staff # 2 did not contain documentation to verify that either staff person obtained an annual minimum of 12 clock hours of childcare training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The staff files for Staff #1 and Staff #2 did not contain documentation to verify either staff member has had an evaluation completed at least once every twelve 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.

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: The staff file for Staff # 1 did not include documentation to verify 2 years of childcare experience working with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: In the Toddler 1 room, Cert Rep observed that there was no first aid kit present while children were in care.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #3 did not include an FBI clearance or verification that this clearance has been requested

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 3 may not work in a child care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1 resided in Alaska for 4 months over the past 2 years. Staff #1 has been employed over 45 days and does not have clearances from Alaska on file.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The rest mats in the 2's A. Room were not labeled for individual child use.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff Person #1 contained clearances with a criminal record that included a misdemeanor and the clearances with accompanying rap sheets had not been sent to our office for review and approval, prior to working at the facility (corrected on-site).

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The trash cans in the Preschool 3's classroom and bathroom were dirty.

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for Staff Person 1 did not include verification of education. The high school documentation was from India and was not translated to verify the equivalence of education with the US Dept. of Education.

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

Regulation: 3270.27(d)/3270.27(e)

Description: Plan posted/Letter to parents

Noncompliance Area: The Emergency Plan was not posted in a conspicuous location and the facility did not have a Parent Letter explaining the emergency plan procedures.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location. The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: There were 2 unlined trashcans in the School Age Room that contained food trash debris.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Infant Room did not contain scissors, tweezers and soap (corrected on-site). The first aid kit in the Twos B. Room did not contain tweezers (corrected on-site).

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Floors, walls and other surfaces were dirty in the following facility areas: Kitchen: The drain under the sink had black residue and there was rust on the metal shelf under the single sink. Twos B.: There was dirt and residue on the floor near the bathroom and diaper changing table. PreK: The handrail and metal exit door panel in the boy's bathroom were rusty.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: Continued non-compliance from 9/19/23 and 11/29/23; On 1/18/24, stained ceiling tiles were observed in the Toddler 1 classroom and in the Preschool 3's Room bathroom.

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: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: The fire drill log did not have documentation showing that the fire alarm system was tested every 30 days or less as required. On 1/18/24, the last system testing was documented on 12/4/24.

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)).

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Continued non-compliance from 9/19/23; On 11/29/23, stained and missing ceiling tiles were observed in the Toddler classroom and in the hallway outside of the Toddler classroom.

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: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the Infant A classroom did not have a 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: 3270.111(c)

Description: Promote development

Noncompliance Area: Facility director confirmed that video Staff #1 took of Child #1 during Water Play Day, showed Child #1 crossing her legs and was told by Staff Person #2 to hold it, when the child asked to use the bathroom.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: On 8/30/23, Staff 4 and 8 were heard yelling at children in their care. Staff 4 was in the Infant Room and repeatedly yelled, "That's enough!" to crying infant children. Staff 8 was in the Preschool Room and repeatedly yelled for the children to be quiet and lay down for nap.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. The facility director will develop and implement a written staff observation plan when staff 4 and 8 are present with a group of children on the facility's premises. The legal entity must receive DHS approval of the observation plan before it is implemented. Documentation of completed observations must be submitted on a weekly basis to the Central Regional Office of Child Development and Early Learning for a period of 3-months. Documentation of completed observations must also be kept on file at the facility.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: On 8/30/23, Staff 4 and 8 were heard yelling at children in their care. Staff 4 was in the Infant Room and repeatedly yelled, "That's enough!" to crying infant children. Staff 8 was in the Preschool Room and repeatedly yelled for the children to be quiet and lay down for nap.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. Staff 4 are 8 must take the following training on positive interactions and tone of voice titled 'interactions Matter: Positive Teacher-Child Interaction Strategies (2 hours)' from Better Kid Care. Document of completed training must be submitted to DHS and be kept on file at the facility.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: On 8/30/23, Staff 4 and 8 were heard yelling at children in their care. Staff 4 was in the Infant Room and repeatedly yelled, "That's enough!" to crying infant children. Staff 8 was in the Preschool Room and repeatedly yelled for the children to be quiet and lay down for nap.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 8/30/23, Staff 8 did not know the specific children assigned to her responsibility at naptime in the preschool classroom.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: (Continued non-compliance) On 9/19/2023, child 1, 2, 3, and 4 in the Pre-K childcare space did not have accompanying emergency contact information in the space.

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

Regulation: 3270.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: On 9/19/2023, health assessment for Child 5 was not signed by a physician, physician's assistant or a CRNP.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 8/30/2023 the following staff did not have the required pre-service training completed: Staff 9 was observed working alone with children and had not completed the PA Health and Safety 10 hr updated training, Mandated Reporter Training or Pediatric First Aid and CPR training. On 9/19/23, Staff 10 and 11 were observed working alone with children (covering breaks) and have not completed Pediatric First Aid/CPR training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, Staff 9, 10 and 11 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff persons available to supervise staff persons 9, 10 and 11, they may not work in a childcare position at the facility.

Regulation: 3270.151(a)

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

Noncompliance Area: On 8/30/2023, the file for staff 7 and 9 did not contain a health assessment. (Continued non-compliance) On 9/19/2023, the file for staff 2 did not contain a health assessment.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: On 8/30/2023, the file for staff 7 and 9 did not contain documentation of tuberculosis screening.

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

Regulation: 3270.182(1)

Description: Initial and subsequent health reports

Noncompliance Area: (Continued non-compliance) On 9/19/2023, child 6 had a health assessment dated 2/25/22.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: (Continued non-compliance) On 9/19/2023, Staff 3 and 4 did not have documentation of hours of childcare experience on file. Staff 9, 10, and 7 did not have documentation of education or hours of childcare experience on file.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: (Continued non-compliance) Staff 3, 5, 7, 9, 10 and 12 did not have two written nonfamily references on file.

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

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

Description: Age and Training

Noncompliance Area: (Continued non-compliance) On 8/30/2023, Staff 1 did not have documented Pediatric 1st aid/CPR training.

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. Staff 1 will have until 10/10/23 to complete the required pediatric first aid/CPR training. Until such time as the required training has been completed, staff 1 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff 8 did not contain documentation of completion of the 1-hr Pennsylvania Health and Safety Update 2022 training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff 8 will have until 10/10/23 to complete the required 1-hr Pennsylvania Health and Safety Update 2022 training. Until such time as the required training has been completed, staff 8 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: (Continued non-compliance) On 8/30/2023, the file for staff 6 did not contain documentation of completed FBI clearance and NSOR verification. On 8/30/2023, the file for staff 7 did not have documentation of child abuse clearance, submission of NSOR verification, and submission of FBI Clearance as required to begin working as a provisional hire. On 8/30/2023, the file for staff 9 did not contain a child abuse clearance as required to begin working as a provisional hire. Staff 9 was observed working alone on 8/30/2023. On 9/19/23, the file for staff 11 did not contain an FBI Clearance and staff 11 was observed working alone in a classroom for break coverage.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 6, 7 may not work in at the facility until complete clearances are obtained. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: (Continued non-compliance) On 8/30/2023, the file for staff 6 did not contain documentation of completed FBI clearance and NSOR verification. On 8/30/2023, the file for staff 7 did not have documentation of child abuse clearance, submission of NSOR verification, and submission of FBI Clearance as required to begin working as a provisional hire. On 8/30/2023, the file for staff 9 did not contain a child abuse clearance as required to begin working as a provisional hire. Staff 9 was observed working alone on 8/30/2023. On 9/19/23, the file for staff 11 did not contain an FBI Clearance and staff 11 was observed working alone in a classroom for break coverage.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The facility director and facility management (Regional Director) must attend the next Existing Provider Training offered by the Central Region Office of Child Development and Early Learning. Documentation of completed training must be submitted to the Regional Office and be kept in the facility person's file.

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

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

Noncompliance Area: On 8/30/2023, staff 7 was observed working as an aide and staff 9 was observed working alone as an AGS. On 9/19/2023, staff 10 was working in a classroom. The file for staff 7, 9, 10 did not contain documentation of education or experience to support the position in which they were working.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 9/19/23, 2 ceiling tiles by the air vent in the Toddler Room were stained and sagging.

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: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: (Continued non-compliance) On 8/30/2023, the facility had documentation of fire system testing on 7/21/2023 and 8/21/2023. Fire system testing was not completed every 30-days as required.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed soiled LEGO in the Pre-K and Preschool classrooms. Observed a soiled toy bus in the Young Toddler child care space.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed the slide outside of the infant room had pealing paint and deteriorating wood exposed.

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: 3270.102(b)

Description: Soiled- clean, rinse, sanitize

Noncompliance Area: Stated toy cleaning procedure at the facility is to spray with sanitizer only.

Correction Required: Toys soiled by secretion or excretion shall be cleaned with soap and water, rinsed and sanitized before being used by a child.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Observed Child 6 with an easel in line of sight of Staff 7 during nap in the Pre-K childcare space.

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(c)

Description: No ridicule or threaten harm

Noncompliance Area: Observed staff 11 clapping, yelling "OH MY GOD" at a crying child, Yelling a child's name and yelling "I'm coming with your bottle!" in the infant room.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Observed child 7 and 8 in the school age childcare space and child 9 and 10 in the preschool childcare space did not have accompanying emergency contact information in the space.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Observed staff in the Older Toddler childcare space leave a soiled diaper on the changing table until diapering was completed.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.151(a)

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

Noncompliance Area: Staff 5 did not have a health assessment on file. Staff 7 had a TB test dated 7/18/22 but not a health assessment on file. Staff 16 had a health assessment on file dated 2/9/23 for the occupation of "Packer" that did not include information regarding suitability for working in childcare.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child 2 had emergency contact information dated 6/22/22. Child 3 had emergency contact information dated 6/27/22.

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.

Regulation: 3270.182(1)

Description: Initial and subsequent health reports

Noncompliance Area: Child 1 had a health assessment dated 2/25/22. Child 3 had a health assessment dated 6/17/22. Child 4 did not have a dated health assessment.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff 3, 7, 13 did not have documentation of experience hours on file.

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

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: Staff 3 had an undated disclosure statement on file.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3 may not work in a child care position at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff 3, and 10 did not have two written nonfamily references on file.

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

Regulation: 3270.27(a)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: The facility's Emergency Plan did not provide a method for contacting parents.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff person 1, 2, 3, 5, 6, 7, 11, 14, and 15 did not have documented training regarding the facility emergency plan at the time of initial employment.

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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility emergency plan had not been sent to the Cumberland Co. Emergency Management Agency.

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

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

Description: Age and Training

Noncompliance Area: Staff 1, 2, 15 and 16 did not have documented Pediatric 1st aide/CPR training.

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: Staff 6 had fire safety training dated 6/15/22. Staff 8 had fire safety training dated 5/19/22. Staff 9 had fire safety training dated 6/14/22. Staff 10 had fire safety training dated 6/17/22. Staff 13 and 16 did not have fire safety training documented.

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: Staff 2 did not have Health and Safety training on file. Staff 7, 12, and 16 had Health and Safety Training dated prior to September of 2022 that did not include training regarding the prevention of shaken baby syndrome and abusive head trauma. Staff 11 had the 1 hr. Health and Safety Training update dated 12/16/22, but did not have training on the topics listed in subsections (f)1-5 or 7-10.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff 2 did not have a Child Abuse Registry Clearance or an NSOR on file. Nor did they have Mandated Reporter training on file. Staff 11 had a Pennsylvania State Police clearance dated 11/21/22 for the purpose of "Access and Review" Staff 13 did not have an FBI clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2, 11, and 13 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff 4, 6, and 7 did not have a staff evaluation in documented in the previous 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.

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: Observed a toilet in the School Age childcare space soiled with excrement.

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

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: The facility had no documentation of fire detection system testing.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of facility person #1 does not contain out of state clearances [NJ].

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility person #1 must be removed from a child care position by the close of business [12.21.22].

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Health & Safety training topics training, Pediatric First Aid/CPR training and Facility Emergency Plan training. Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Health & Safety training topics training, Pediatric First Aid/CPR training and Facility Emergency Plan training. In addition, staff person #2 file did not contain a valid National Sexual Offender Registry or the required out-of-state child abuse and criminal clearances [NJ] prior to working unsupervised with children. Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR training . Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR training . Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre-service training required prior to caring for children unsupervised: Health & Safety training topics training, Pediatric First Aid/CPR training and Mandated Reporter training. Staff person #6 was observed to be caring for children unsupervised. Staff person #6 has not completed the following pre-service training required prior to caring for children unsupervised: Updated Health and Safety Training topics [expired 6 hour training dated 9.29.16].

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1-#6 must be supervised by a (AGS, primary staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1-#6, staff person #1-#6 may not work in a child-care position at the facility [effective by close of business on October 31, 2022].

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR. Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR. Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health & Safety Training Topics and Pediatric First Aid/CPR.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #3 will have until 11.15.22 to complete the required training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an (AGS, primary staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #4 will have until 11.15.22 to complete the required training. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by an (AGS, primary staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #5 will have until 11.15.22 to complete the required training. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children, by an (AGS, primary staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #5 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff person #7 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated [10.7.17].

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #5 will have until 11.15.22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children, by an (AGS, primary staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility. The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #7 will have until 11.15.22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #7 must be supervised, when interacting with children, by an (AGS, primary staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #7, staff person #7 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of facility person # 8 does not contain a valid PA child abuse clearance [volunteer on file], DHS required FBI clearance or a signed disclosure statement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility person #8 must be removed from a child care position by the close of business on 10.31.22.

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: In the course of the complaint investigation, Acting Facility Director confirmed that a properly qualified facility director was not employed at that site since approximately the end of September 2022 when the previous director had suddenly resigned.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Regulation: 3270.51/3270.113(a)(1)

Description: Similar Age Level/Staff assigned to specific children

Noncompliance Area: In the course of a complaint investigation, it was found that staff person #1 did leave the physical childcare space where she was in ratio for a period of approximately 1-2 minutes.

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 required staff:child ratios must be maintained at all times.

Regulation: 3270.51/3270.113(a)(1)

Description: Similar Age Level/Staff assigned to specific children

Noncompliance Area: In the course of a complaint investigation, it was found that staff person #1 did leave the physical childcare space where she was in ratio for a period of approximately 1-2 minutes.

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 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 Central Region Office on a weekly basis for a period of three months after DHS approves the documentation format. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: Staff #1 singled out child #1 using a demeaning tone.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed peeling paint and deteriorating wood on a slide on the playground meant for younger children.

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

Regulation: 3270.102(b)

Description: Soiled- clean, rinse, sanitize

Noncompliance Area: Observed soiled LEGO as well as dirty toy bins in the School Age and Pre-Kindergarten child care space. Observed soiled toy bus in Pre-school room.

Correction Required: Toys soiled by secretion or excretion shall be cleaned with soap and water, rinsed and sanitized before being used by a child.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff 1 in Pre-Kindergarten child care did not know their primary care group.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Children's Emergency Contact Information was not available in the Pre-School room.

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

Regulation: 3270.181(e)

Description: Emergency master file updated

Noncompliance Area: Emergency contact information in child care space had not been updated in any room at the time of inspection.

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

Regulation: 3270.182(1)

Description: Initial and subsequent health reports

Noncompliance Area: Child 1 did not have health assessment on file.

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

Regulation: 3270.27(b)/3270.27(f)

Description: Plan reviewed/updated annually/Emergency plan

Noncompliance Area: The Emergency Plan was last updated 8/18/20.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.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: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: Observed peeling paint on the walls in School age, Pre-kindergarten and older toddler classrooms as well as tape residue on walls and doors in the School Age, Pre-Kindergarten, and Older Toddler child care space.

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.

Noncompliance Area: On 9/4/2020, peeling paint was observed on the fences on the school-age, preschool, and toddler outdoor play spaces. Continued non-compliance: on 11/6/2020, peeling paint was again observed on the fences on the school-age, preschool, and toddler outdoor play spaces.

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

Noncompliance Area: A sticky substance was observed on a sink toy and broken magnet tiles were observed in the two's A classroom. Corrected on site.

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: Plastic bags were observed to be accessible to children in the Toddler A classroom. Small crayon pieces and small magnets in broken magnet tiles, both less than 1 inch in diameter, were observed in the Two's B classroom. Corrected on site.

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.

Noncompliance Area: It was observed that nap cots, while in use, did not have 2ft of space on 3 sides. Corrected as of 9/21/2020.

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.

Noncompliance Area: The file of child #2, enrolled since 7/10/17, did not include a health assessment at the time of inspection.

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: The most recent health assessment in the file of facility person #4 was dated 8/8/17.

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: There was not a written feeding schedule on file for child #1, an infant, at the time of inspection.

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

Noncompliance Area: The file of facility person #3 did not contain documentation that the facility person completed 6 clock hours of child care training within the past year.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: The file of facility person #1, hired 2/18/2020, did not contain a completed DHS FBI clearance, as required under the CPSL. The file contained a Department of Education FBI clearance, which does not fulfill the requirements of the CPSL. The file of facility person #2, hired 8/11/14, did not contain a completed NSOR verification certificate by the required date of 7/1/2020. A completed NSOR verification certificate was dated 9/9/2020, however facility person #2 was observed to be working in the facility on 9/4/2020. The file of facility person #5, hired 7/31/19, did not contain a completed NSOR verification certificate, as required under the CPSL. The file of facility person #6, hired 8/27/04, contains a state police clearance dated 6/17/15, which is more than 60 months old. An updated clearance was not on file at the time of inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility employees #1, #5, and #6 must be removed from childcare position by close of business. All required clearances must be obtained before facility person #1 may resume a child care position.

Noncompliance Area: On September 4th, facility person #1 was observed to be the single staff member caring for 11 children, which included a mix of Preschool and School- Age children. Also August 4th, facility person #2 was observed to be responsible for 11 children, which included a mix of Preschool and School-Age children while facility person #3, the second staff member, stepped out of the room. Facility person #3 returned to the classroom within a minute of the observation, correcting the staff child ratio.

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).

Noncompliance Area: Electrical outlets on a power strip in the Pre-K classroom and on the wall in the School- Age classroom, both accessible to children age 5 years of age or younger, were observed not to have receptacle covers at the time of inspection. Corrected on site.

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

Noncompliance Area: Disinfectant spray was observed to be accessible to children in the three year old classroom and cleaning products were observed to be accessible in the laundry closet outside of the Toddler A classroom. Corrected on site.

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

Noncompliance Area: Peeling paint was observed on the fences on the school-age, preschool, and toddler outdoor play spaces. Peeling paint was observed on the doors to the bathrooms in the Pre-K classroom. Damaged plaster and paint were observed on the wall in the girl's bathroom in the Kindergarten classroom.

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

Noncompliance Area: On 11/26/19, around 2:50 PM, facility person #1 put child #1 down roughly on a nap mat.

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