KINDERCARE LEARNING CENTER 3023
Quick Facts
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Contact Information
📞 (610) 376-6152Reviews
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About the Provider
Our experts designed our classrooms - and every activity and lesson - to help prepare your child for success in school and beyond. With designated learning centers such as dramatic play and blocks in every classroom, children have the opportunity for rich social play and child-initiated discovery.
You’ll also find that our classrooms feature a print-rich environment full of carefully selected materials, written charts and labels, and children’s literature. By helping your child connect spoken words and print, we’re helping develop early literacy and writing skills.
Whether your child has first words or first grade on the horizon, we’re excited to show you how everything in our center is designed for learning!
Cindy Troche, Center Director
Hours of Operation
- Monday6:30 AM - 6:00 PM
- Tuesday6:30 AM - 6:00 PM
- Wednesday6:30 AM - 6:00 PM
- Thursday6:30 AM - 6:00 PM
- Friday6:30 AM - 6:00 PM
- Saturday Closed
- Sunday Closed
Inspection/Report History
Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.
| Inspection Date | Reason | Description | Status |
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| 2026-05-06 | Renewal | 3270.103 - Small Toys and Objects | Compliant - Finalized |
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Regulation: 3270.103 Description: Small Toys and Objects Noncompliance Area: During the Renewal Inspection on 5/6/2026, the following items were observed to be accessible to children in the preschool classroom: Plastic Ziploc bags in a drawer, plastic wrapping from construction paper on a shelf and plastic gloves on a table. The staff in the preschool classroom disclosed that some of the children in the classroom are still placing objects in their mouths. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The plastic Ziploc bags, plastic wrapping from construction paper, and plastic gloves were immediately removed from areas accessible to children in the preschool classroom and placed in secured storage inaccessible to children. Staff were reminded that plastic bags, plastic wrapping, small objects, and other potentially hazardous materials must not be accessible to children, particularly in classrooms where children may still place objects in their mouths. The classroom environment was reviewed to ensure all potentially hazardous items were properly stored. |
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| 2026-05-06 | Renewal | 3270.121(a) - Review policies and procedures | Compliant - Finalized |
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Regulation: 3270.121(a) Description: Review policies and procedures Noncompliance Area: On 5/6/2026, the parent handbook that is provided to the parents at the time of enrollment did not include the following: Written information about the facility's general daily schedule, the hours of operation and the supervision policy. Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. |
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Provider Response: (Contact the State Licensing Office for more information.) The facility updated the parent handbook to include all required information regarding the facility's general daily schedule, hours of operation, supervision policies, dismissal policies, transportation and pick-up arrangements, responsibilities for meals and clothing, health policies, and any applicable night care policies. The updated handbook was reviewed and implemented to ensure all parents receive complete information at the time of enrollment. |
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| 2026-05-06 | Renewal | 3270.123(a)(3)/3270.123(a)(6) - Services proceeded/Admission date | Compliant - Finalized |
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Regulation: 3270.123(a)(3)/3270.123(a)(6) Description: Services proceeded/Admission date Noncompliance Area: During the Renewal Inspection on 5/6/2026, the most recent child service report on file for Child #5 was dated 10/2/2025. The agreement on file for Child #5 did not specify the date of the child's admission. 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). An agreement shall specify the date of the child's admission. |
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Provider Response: (Contact the State Licensing Office for more information.) The facility reviewed and updated Child #5's file to ensure the child service report was current and the agreement included the child's admission date as required. All required documentation regarding services provided to the child and family, including the department-approved child service report form, was completed, updated, and provided to the family in accordance with regulation 3270.123(a). |
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| 2026-05-06 | Renewal | 3270.124(b)(2)/3270.124(b)(3) - Physician name, address, phone/Parent home/work address, phone | Compliant - Finalized |
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Regulation: 3270.124(b)(2)/3270.124(b)(3) Description: Physician name, address, phone/Parent home/work address, phone Noncompliance Area: During the Renewal Inspection on 5/6/2026, the emergency contact information on file for Child #1 did not include the address and the telephone number of the child's physician or source of medical care and also did not include the work telephone number of the enrolling parent. The emergency contact information for Child #3 did not include the name, address and telephone number of the child's physician or source of medical care. The emergency contact information for Child #6 did not include the telephone 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. Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. |
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Provider Response: (Contact the State Licensing Office for more information.) The facility reviewed and updated the files for Child #1, Child #3 and Child #6 to ensure all required emergency contact information was complete and in compliance with regulation 3270.124(b). |
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| 2026-05-06 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: On 5/6/2026, the emergency contact information on file for Child #5 did not include the phone number for the listed individual designated by the parent to whom the child may be released. Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. |
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Provider Response: (Contact the State Licensing Office for more information.) The facility reviewed and updated Child #5's emergency contact information to include the telephone number of the individual designated by the parent to whom the child may be released. The child's file was updated to ensure all required emergency contact information was complete and in compliance with regulation 3270.124(b). |
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| 2026-05-06 | Renewal | 3270.131(d)(7) - Free from contagious/communicable disease | Compliant - Finalized |
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Regulation: 3270.131(d)(7) Description: Free from contagious/communicable disease Noncompliance Area: During the Renewal Inspection on 5/6/2026, the health reports on file for Child #3 and Child #6 did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease. Correction Required: A health report shall include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease. |
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Provider Response: (Contact the State Licensing Office for more information.) The facility reviewed and updated the health reports for Child #3 and Child #6 to ensure the reports included a statement from the health care provider indicating that the child is able to participate in child care and appears to be free from contagious or communicable disease. The children's files were updated to comply with regulation 3270.131(d). |
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| 2026-05-06 | Renewal | 3270.134(a) - Child's hands washed | Compliant - Finalized |
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Regulation: 3270.134(a) Description: Child's hands washed Noncompliance Area: During naptime on 5/6/2026, a child in the pre-k classroom was observed on their rest mat eating goldfish crackers. When asked, the child stated that they did not wash their hands before eating this snack. Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. |
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Provider Response: (Contact the State Licensing Office for more information.) The facility reviewed proper handwashing procedures with staff to ensure children's hands are washed before meals and snacks, after toileting, and before diapering as required by regulation 3270.134. Staff were reminded to actively supervise and verify that handwashing occurs prior to children receiving food or snacks. |
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| 2026-05-06 | Renewal | 3270.27(e) - Letter to parents | Compliant - Finalized |
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Regulation: 3270.27(e) Description: Letter to parents Noncompliance Area: During the Renewal Inspection on 5/6/2026, the letter on file that is provided to the parents explaining the emergency procedures for the facility emergency plan did not include the following: Lockdown procedures, the method to inform parents that the emergency has ended, and accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions. Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. |
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Provider Response: (Contact the State Licensing Office for more information.) The center has updated the parent emergency procedures letter to include all required components of the facility emergency plan, including lockdown procedures, the method used to inform parents when an emergency has ended, and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. The updated emergency procedures letter will be distributed to all currently enrolled families and will also be provided to all newly enrolled families moving forward. A copy of the revised letter will be maintained on file at the center. |
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| 2026-05-06 | Renewal | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: On 5/6/2026, a container of lice repellent spray was observed to be in a child's cubby accessible to children in the pre-k classroom. The lice repellent spray was labeled keep out of reach out children. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) The lice repellent spray was immediately removed from the child's cubby and placed in a locked area inaccessible to children. Staff were reminded that all cleaning products, toxic materials, and any items labeled "Keep out of reach of children" must be stored in locked storage or otherwise made inaccessible to children at all times. Classroom areas were reviewed to ensure compliance with storage requirements. |
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| 2026-05-06 | Renewal | 3270.74 - Emergency Numbers Posted | Compliant - Finalized |
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Regulation: 3270.74 Description: Emergency Numbers Posted Noncompliance Area: On 5/6/2026, the emergency number of the nearest hospital, police department, fire department, ambulance and poison control center was not posted by the telephones in the discovery preschool classroom and the kitchen. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The required emergency telephone numbers for the nearest hospital, police department, fire department, ambulance service, and poison control center were immediately posted by the telephones in the Discovery Preschool classroom and the kitchen. All classrooms and facility telephones were reviewed to ensure that emergency contact information is properly posted in each required location. |
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| 2026-05-06 | Renewal | 3270.75(b) - Inaccessible to children | Compliant - Finalized |
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Regulation: 3270.75(b) Description: Inaccessible to children Noncompliance Area: During the Renewal Inspection on 5/6/2026, the first-aid kit in the school age classroom was hanging on the wall near the exit door. It was not up high enough on the wall to be inaccessible to the children. Correction Required: A first-aid kit must be inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) The first aid kit in the school-age classroom was immediately relocated to an area that is inaccessible to children while remaining accessible to staff in the event of an emergency. All classrooms and program areas were reviewed to ensure that first aid kits are properly stored in accordance with licensing regulations. |
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| 2026-03-18 | Unannounced Monitoring | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: During an unannounced monitoring of the facility on 3/18/2026, the state police clearance on file for Staff #1 was a clearance for volunteer purposes, which is not acceptable for childcare staff. Staff #1 was observed working directly with children on 3/18/2026. The facility did request and immediately receive the employment state police clearance for Staff #1 on 3/18/2026. See LIS code sheet for date of hire. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. All clearances used for hiring staff must be for employment purposes only. |
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Provider Response: (Contact the State Licensing Office for more information.) Ongoing, center management will comply with CPSL and Chapter 3490. Center management will verify clearances of new hires that they state for employment before working with children. |
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| 2025-11-12 | Unannounced Monitoring | 20.71(a)(4) - Failure to comply with POC | Compliant - Finalized |
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Regulation: 20.71(a)(4) Description: Failure to comply with POC Noncompliance Area: During an unannounced inspection on 11/12/2025, the facility was not in compliance with Paragraph 7 and Paragraph 8 of the agreed-upon Settlement Agreement. Paragraph 7 requires that as children arrive for the day, name-to-face recognition cards must be used to identify the children assigned to each staff person. On 11/12/2025, Staff #1. #2 and #3 did not have their cards in place to identify the children for which they were responsible. Paragraph 8 requires that an additional floater staff be instituted in each classroom. On 11/12/2025, neither the young toddler-older toddler classroom or the preschool-pre-k classroom had the additional floater in place at the time of the inspection. Correction Required: The Department may deny, refuse to renew or revoke a certificate of compliance for failure to comply with the acceptable plan to correct noncompliance items. The operator shall meet the terms of the Settlement Agreement at all times. |
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Provider Response: (Contact the State Licensing Office for more information.) As per the settlement agreement, as the children arrive for the day, the corresponding card will be placed on a lanyard of the staff that is responsible for supervision of that child. If the staff member leaves, the staff member taking over will receive those cards of children in their supervision. As per the settlement agreement, a floater will be in every classroom at all times. |
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| 2025-11-12 | Unannounced Monitoring | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)/3270.113(a)(1) Description: Supervised at all times /Staff assigned to specific children Noncompliance Area: During an unannounced inspection on 11/12/2025 at 8:10 AM, Staff #1, #2 and #3 were providing care for a mixed age group of 13 young toddlers and older toddlers. At this time, staff did not have their name-to-face recognition cards in place to identify the children that each staff were responsible for. The names of the children were written on the white board in the classroom. However, the white board did not specify the staff member that any of the children were assigned to at this time. 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. 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. TIERED LIS: 1. Children must be supervised by a staff person at all times, which includes assigning a staff person the responsibility for supervision of specific children at all times. This portion of the plan shall have an immediate correction date. 2. The facility shall have no instances of non-compliance relating to supervision of children for a period of 4 months, monitored by unannounced visits to the facility. The correction date for this portion of the plan shall be at minimum 4 months from the date the regional office receives acceptable plans of correction. |
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Provider Response: (Contact the State Licensing Office for more information.) 1. Ongoing, children will be supervised by a staff person at all times, which includes assigning a staff person the responsibility for supervision of specific children at all times, by using the name to face recognition cards. Correction Date: 11/12/2025 2. The facility will have no instances of non-compliance relating to supervision of children for a period of 4 months, monitored by unannounced visits to the facility. Correction Date: 4/12/2026 As per the settlement agreement, as the children arrive for the day, a name to face recognition card for that child will be placed on a lanyard for the staff member that is responsible for supervision. When a staff member leaves, the classroom, they will give the name to face cards to the staff member taking over the supervision. |
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| 2025-09-04 | Renewal | Renewal | Compliant - Finalized |
| 2025-07-11 | Appeals - Unannounced Monitoring | Appeals - Unannounced Monitoring | Compliant - Finalized |
| 2025-06-11 | Appeals - Unannounced Monitoring | Appeals - Unannounced Monitoring | Compliant - Finalized |
| 2025-05-08 | Appeals - Unannounced Monitoring | Appeals - Unannounced Monitoring | Compliant - Finalized |
| 2025-04-16 | Complaints- Legal Location | 3270.103 - Small Toys and Objects | Compliant - Finalized |
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Regulation: 3270.103 Description: Small Toys and Objects Noncompliance Area: During an Unannounced Inspection on 4/16/2025, the staff in preschool classroom showed the Certification Representative a container of toy magnets that are used by the children in the preschool classroom. Some of the magnets had a diameter of less than 1 inch. Staff in the preschool classroom disclosed that some of the children in the classroom are still placing objects in their mouths. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Center management went through the classroom and removed all toys that had a diameter of less than 1 inch that were considered a choking hazards. |
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| 2025-04-16 | Appeals - Unannounced Monitoring | 3270.113(b) - No physical punishment | Compliant - Finalized |
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Regulation: 3270.113(b) Description: No physical punishment Noncompliance Area: Through staff interviews and written statements, it was determined that on 4/16/2025, Staff #1 grabbed Child #1, a young toddler, by the forearm and moved the child several feet away using only one arm. This incident occurred when Child #1 was in need of quickly being moved away from another child in the classroom, and Staff #1 was sweeping the floor with a broom, which was in the staff's other than when the child was lifted inappropriately by the forearm. Correction Required: A facility person may not use any form of physical punishment, including spanking a child. TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. This portion of the plan shall have an immediate correction date. 2. The Legal Entity/Director will create a written policy regarding appropriate discipline techniques while working with young children. The written policy must specifically address appropriate methods for staff to safely pick up young children, and methods they should not use to pick up children. The Legal Entity/Director will submit the policy to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must review and sign acknowledgment of the policy, and documentation must be maintained at the facility. The operator shall provide a date for when this will be completed. |
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Provider Response: (Contact the State Licensing Office for more information.) It was observed that child #1 put their arm around the neck of another child and out of extreme caution staff #1 corrected that behavior. We formerly coached staff #1 to ensure appropriate redirection for appropriate behaviors moving forward. After leadership investigated the incident with Staff #1, it was determined that in order to keep all children safe, staff #1 acted swiftly. Staff #1 was placed on a corrective coaching and immediately retrained on correct techniques when handling challenging situations. Attached is our written policy regarding appropriate discipline techniques which have been reviewed with staff #1. Weekly check-ins and monthly SET observations will happen in all classrooms, specifically honing in on all safety practices. Correction Date: 4/18/2025 |
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| 2025-03-28 | Complaints- Legal Location | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)/3270.113(a)(1) Description: Supervised at all times /Staff assigned to specific children Noncompliance Area: During an unannounced inspection on 3/28/2025, it was verified through staff interviews that Staff #1, the cook has been responsible at times for supervising children in the hallway of the facility due to the facility being short staffed. Staff #1 has been responsible for the supervision of children while preparing food, and also while being inside of the kitchen when the children were in the hallway. Staff disclosed on 3/28/2025 that this has been happening 2 to 3 times per week for up to 30 minutes in the morning between the hours of 8:30 AM and 9:00 AM. Staff reported that they usually have 2 to 3 children when this occurs. Staff also disclosed that they previously have cared for up to 7 children at one time in the hallway while being in the kitchen preparing food. 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) 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. 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. |
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| 2025-03-28 | Complaints- Legal Location | 3270.61(e) - Halls, etc. not included | Compliant - Finalized |
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Regulation: 3270.61(e) Description: Halls, etc. not included Noncompliance Area: During an unannounced inspection on 3/28/2025, it was verified through staff interviews that Staff #1, the cook has been responsible at times for supervising children in the hallway of the facility due to the facility being short staffed. Staff disclosed on 3/28/2025 that this has been happening 2 to 3 times per week for up to 30 minutes in the morning between the hours of 8:30 AM and 9:00 AM. Staff reported that they usually have 2 to 3 children when this occurs. Staff also disclosed that they previously have cared for up to 7 children at one time in the hallway. Correction Required: Indoor childcare space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40. Measured indoor space excludes space occupied by halls, bathrooms, offices, kitchens and locker rooms. TIERED LIS: 1. Children must be cared for in measured indoor childcare space only. This portion of the plan shall have an immediate correction date. 2. The legal entity/Director will create a policy indicating that childcare will not be provided in non-measured childcare spaces at any time. Care will not be provided in any of the following areas: halls, bathrooms, offices, kitchens and locker rooms. The Legal Entity/Director will submit the policy to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must review and sign acknowledgment of the policy, and documentation must be maintained at the facility. The operator shall provide a date for when this will be completed. 3. The facility shall have no instances of non-compliance relating to childcare being provided outside of measured childcare spaces for a period of 3 months, monitoring by unannounced visits to the facility. The correction date for this portion of the plan shall be at minimum 3 months from the date the regional office receives acceptable plans of correction. |
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Provider Response: (Contact the State Licensing Office for more information.) The legal entity/Director will create a policy indicating that childcare will not be provided in non-measured childcare spaces at any time. Care will not be provided in any of the following areas: halls, bathrooms, offices, kitchens and locker rooms. The Legal Entity/Director will submit the policy to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must review and sign acknowledgment of the policy, and documentation must be maintained at the facility. The operator shall provide a date for when this will be completed. Policy is attached. 1. Children must be cared for in measured indoor childcare space only. Correction Date: 3/28/2025 2. The legal entity/Director will create a policy indicating that childcare will not be provided in non-measured childcare spaces at any time. Once approved, all existing staff and new hires must review and sign acknowledgment of the policy, and documentation must be maintained at the facility. Correction Date: 5/2/2025 3. No instances of non-compliance relating to childcare being provided outside of measured childcare spaces for a period of 3 months, monitoring by unannounced visits to the facility. Correction Date: 7/25/2025 |
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| 2025-03-06 | Appeals - Unannounced Monitoring | 3270.151(c)(2)/3270.192(3) - Mantoux TB/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(c)(2)/3270.192(3) Description: Mantoux TB/Health assessment, TB test Noncompliance Area: On 3/6/2025, the current health assessment on file for Staff #1 did not include a tuberculosis screening by the Mantoux method at required at initial employment. See LIS code sheet. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Now that center management knows it's within in first year of employment for their tuberculosis screening, 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. |
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| 2025-03-06 | Appeals - Unannounced Monitoring | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: On 3/6/2025, Staff #2 only had one written, nonfamily reference on file. See LIS code sheet. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Center management requiring everything while they are in the hiring process before their first day/ better communication to have each facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. |
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| 2025-03-06 | Appeals - Unannounced Monitoring | 3270.76/3270.103 - Building Surfaces/Small Toys and Objects | Compliant - Finalized |
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Regulation: 3270.76/3270.103 Description: Building Surfaces/Small Toys and Objects Noncompliance Area: During an unannounced inspection on 3/6/2025, the pour-in-place rubber surfacing on the infant/toddler playground was observed to be torn and in poor repair in two spots, which exposes the small rubber pieces underneath the surfacing and poses a choking 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) A work order was put in to have the torn areas of the pour-in-place surfacing repaired. We will notify the Certification Representative when we are informed of the date that the repairs will be made. |
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| 2025-02-04 | Complaints- Legal Location | 3270.135(e) - 2 hour diaper check | Compliant - Finalized |
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Regulation: 3270.135(e) Description: 2 hour diaper check Noncompliance Area: During an unannounced inspection on 2/4/2025, it was verified through staff interviews that Child #2 went several hours without having his pull-up checked on 1/15/2025 because staff in the pre-k classroom did not know that the child was in a pull-up. Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled. |
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Provider Response: (Contact the State Licensing Office for more information.) Ongoing all staff are committed to changing diapers every 2 hours to comply with state regulations and whenever the child indicates discomfort or exhibits behavior that suggest a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled. |
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| 2025-02-04 | Complaints- Legal Location | 3270.21/3270.104(a) - General Health and Safety/Clean, good repair, proper size | Compliant - Finalized |
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Regulation: 3270.21/3270.104(a) Description: General Health and Safety/Clean, good repair, proper size Noncompliance Area: During an unannounced inspection on 2/4/2025, it was verified through staff interviews that Child #1, age 1, was placed in a toddler chair without a strap on 1/16/2025. Child #1 fell out of the chair and cut her lip. Staff also verified that Child #1 currently uses the toddler chair with a strap for safety. Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) Ongoing all staff will place children in chairs that are developmentally appropriate for each individual child and their individual needs. |
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| 2025-02-04 | Appeals - Unannounced Monitoring | Appeals - Unannounced Monitoring | Compliant - Finalized |
| 2025-01-09 | Appeals - Unannounced Monitoring | 3270.133(5) - Original label | Compliant - Finalized |
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Regulation: 3270.133(5) Description: Original label Noncompliance Area: During an unannounced inspection on 1/9/2025, an expired EpiPen was seen in the medication lockbox at the facility. The EpiPen was labeled with an expiration date of 12/31/2024. Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. |
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Provider Response: (Contact the State Licensing Office for more information.) The EpiPen will be sent home with the child's parent. |
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| 2025-01-09 | Appeals - Unannounced Monitoring | 3270.151(a)/3270.151(c)(2) - 12 months prior to service and every 24 months thereafter/Mantoux TB | Compliant - Finalized |
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Regulation: 3270.151(a)/3270.151(c)(2) Description: 12 months prior to service and every 24 months thereafter/Mantoux TB Noncompliance Area: On 1/9/2025, Staff #1 did not have a completed health assessment or tuberculosis screening on file. See LIS code sheet. 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 will have a health assessment and tuberculosis screening completed within the next week. |
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| 2024-12-19 | Appeals - Unannounced Monitoring | Appeals - Unannounced Monitoring | Compliant - Finalized |
| 2024-11-26 | Appeals - Unannounced Monitoring | Appeals - Unannounced Monitoring | Compliant - Finalized |
| 2024-10-24 | Appeals - Unannounced Monitoring | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: During an unannounced inspection on 10/24/2024, the pour-in-place rubber surfacing on the infant/toddler playground was observed to be torn and in poor repair in one spot, which exposes the small rubber pieces underneath the surfacing and poses a choking 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. |
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Provider Response: (Contact the State Licensing Office for more information.) A work order was put in to have the torn area of the pour-in-place surfacing repaired. We will notify the Certification Representative when we are informed of the date that the repairs will be made. |
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| 2024-09-25 | Appeals - Unannounced Monitoring | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: During an unannounced inspection on 9/25/2024, cleaning spray was observed to be on a shelf accessible to children in the preschool classroom. The cleaning spray was labeled keep out of reach of children. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) The cleaning spray was immediately moved to an area that is inaccessible to the children. |
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| 2024-08-28 | Appeals - Unannounced Monitoring | 3270.133(5) - Original label | Compliant - Finalized |
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Regulation: 3270.133(5) Description: Original label Noncompliance Area: During an unannounced inspection on 8/28/2024, a container of expired Diphenhydramine medication was found in the medication lockbox in the facility. The medication was labeled with an expiration date of July 2024. Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. |
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Provider Response: (Contact the State Licensing Office for more information.) The expired medication was immediately disposed of. |
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| 2024-08-28 | Appeals - Unannounced Monitoring | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: On 8/28/2024, Staff #1 did not any written, nonfamily references on file. Staff #2 only had one written, nonfamily on file. See LIS code sheet. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 now has the required two references on file. Staff #2 is no longer employed here. |
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| 2024-07-31 | Appeals - Unannounced Monitoring | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: During an unannounced inspection on 7/31/2024, the pour-in-place rubber surfacing on the infant/toddler playground was observed to be torn and in poor repair in two spots, which exposes the small rubber pieces underneath the surfacing and poses a choking 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. |
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Provider Response: (Contact the State Licensing Office for more information.) A work order was put in today to have the torn areas of the pour-in-place surfacing repaired. We will notify the Certification Representative when we are informed of the date that the repairs will be made. |
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| 2024-07-31 | Appeals - Unannounced Monitoring | 3270.82(g) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.82(g) Description: Clean and good repair Noncompliance Area: On 7/31/2024, the one of the toilet seats in the bathroom of the school age classroom had a large piece broken off, which exposed sharp edges. Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair. |
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Provider Response: (Contact the State Licensing Office for more information.) A work order was put in last to replace the broken toilet seat. |
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| 2024-05-31 | Complaints- Legal Location | 3270.182(7) - Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file | Compliant - Finalized |
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Regulation: 3270.182(7) Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file Noncompliance Area: On 5/31/2024, accident/injury reports for the preschool classroom were reviewed. The Director reported that parents sign the reports when received. Four of these reports were not signed on the same dates of the incidents, indicating the original report was not given to the parents on the dates of the incidents. Injury report on 5/15/2024 was signed by staff on 5/15/2024. This report was not signed by the parent until 5/28/2024. Injury report on 4/26/2024 was signed by staff on 4/26/2024. This report was not signed by the parent. Injury report on 4/19/2024 was signed by staff on 4/19/2024, but this report was not signed by the parent until 4/24/2024. Injury report on 2/28/2024 was signed by staff on 2/28/2024, but this report was not signed by the parent. Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff will give incident reports to parents to sign on date the incident occurs. The parent will get the 1st copy (original) for them, and 2nd copy goes in center accident file, and 3rd copy in child's file. |
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| 2024-04-17 | Complaints- Legal Location | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)/3270.113(a)(1) Description: Supervised at all times /Staff assigned to specific children Noncompliance Area: During an unannounced inspection on 4/17/2024 Staff #1 was not able to identify the children in their assigned primary care group. This happened while Staff #1 was covering for another staff person in the young toddler 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Ongoing, center staff will know the children in their caregiver groups. Current staff will help new/covering staff members to know the children in their care group with the help of name cards or written down on paper. |
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| 2024-03-19 | Complaints- Legal Location | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)/3270.113(a)(1) Description: Supervised at all times /Staff assigned to specific children Noncompliance Area: The following was verified through staff and parent interviews and written statements from staff: On the afternoon of 3/18/2024, Child #1, age 4 walked out of the pre-k classroom without Staff#1, Staff #2 and Staff #3 seeing the child leave. The child was found to be outside unsupervised in the area near the front door close to the parking lot by a parent as the parent was leaving with their children. The parent walked the child back into the building to Staff #4. Staff #1, Staff #2 and Staff #3 did not know that Child #1 had left the classroom until Staff #4 returned the child to the classroom. It was determined that the child was unsupervised for a minimum period of at least 1 minute. 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff members #1, #2, #3 were put on a plan of correction within 24 hours of this incident occurring. Staff #1, #2, #3 were interviewed about what took place during the incident. All staff were retrained on supervision of children expectations/our child supervision report. Ongoing children will be supervised and assigned to staff members caregiver groups. Center management will hold all staff accountable. |
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| 2024-03-19 | Complaints- Legal Location | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)/3270.113(a)(1) Description: Supervised at all times /Staff assigned to specific children Noncompliance Area: The following was verified through staff and parent interviews and written statements from staff: On the afternoon of 3/18/2024, Child #1, age 4 walked out of the pre-k classroom without Staff#1, Staff #2 and Staff #3 seeing the child leave. The child was found to be outside unsupervised in the area near the front door close to the parking lot by a parent as the parent was leaving with their children. The parent walked the child back into the building to Staff #4. Staff #1, Staff #2 and Staff #3 did not know that Child #1 had left the classroom until Staff #4 returned the child to the classroom. It was determined that the child was unsupervised for a minimum period of at least 1 minute. 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. 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 develop or update their written supervision policies and procedures to be implemented in the facility. The written policies must address procedures for ensuring that children are supervised at all times, including supervision during all transition times and procedures for floating/substitute staff. The written policies must specifically address transitions from the classroom to the playground and back, including a procedure to ensure that all children in their assigned group are present and with their assigned staff person before transitioning, during the transition and upon completion of the transition to and from the classroom at all times. This procedure will include counting the children and/or completing a face-to-name recognition. Due to ongoing supervision issues in the classrooms, the written policies and procedures must also address and describe the specific monitoring roles of the director and assistant director for supervision of children on a continuous basis throughout the day while children are in care at the facility. The legal entity will submit policy/procedure to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies and procedures, and it must be documented at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Created a staff expectations/commitments for supervision of children for all staff members/ongoing any new staff member. Attached is Kindercare's child supervision record and Kindercare's supervision policy as well as our staff expectations/commitments for supervision which is attached and waiting on approval. |
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| 2024-03-19 | Complaints- Legal Location | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)/3270.113(a)(1) Description: Supervised at all times /Staff assigned to specific children Noncompliance Area: The following was verified through staff and parent interviews and written statements from staff: On the afternoon of 3/18/2024, Child #1, age 4 walked out of the pre-k classroom without Staff#1, Staff #2 and Staff #3 seeing the child leave. The child was found to be outside unsupervised in the area near the front door close to the parking lot by a parent as the parent was leaving with their children. The parent walked the child back into the building to Staff #4. Staff #1, Staff #2 and Staff #3 did not know that Child #1 had left the classroom until Staff #4 returned the child to the classroom. It was determined that the child was unsupervised for a minimum period of at least 1 minute. 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. 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 arrange for all facility staff, who are employed as of the date of the training, to receive a minimum of 3 hours of PQAS-approved training regarding supervision of children, including technical assistance. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1, #2 and #3 were all interviewed about what took place during the incident. They were put on a plan of correction. All staff were retrained on supervision of children expectations/our child supervision report. Ongoing children will be supervised and will be assigned staff members care giver group. The PQAS initial meeting with center management and the date of the training is still TBD. |
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| 2024-03-19 | Complaints- Legal Location | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)/3270.113(a)(1) Description: Supervised at all times /Staff assigned to specific children Noncompliance Area: The following was verified through staff and parent interviews and written statements from staff: On the afternoon of 3/18/2024, Child #1, age 4 walked out of the pre-k classroom without Staff#1, Staff #2 and Staff #3 seeing the child leave. The child was found to be outside unsupervised in the area near the front door close to the parking lot by a parent as the parent was leaving with their children. The parent walked the child back into the building to Staff #4. Staff #1, Staff #2 and Staff #3 did not know that Child #1 had left the classroom until Staff #4 returned the child to the classroom. It was determined that the child was unsupervised for a minimum period of at least 1 minute. 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. 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 submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. |
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Provider Response: (Contact the State Licensing Office for more information.) Created a staff expectations/commitments for supervision of children for all staff members/ongoing any new staff member. Attached is Kindercare's child supervision record and Kindercare's supervision policy. We will submit the child supervision record to DHS on a weekly basis for three months. |
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| 2024-03-19 | Complaints- Legal Location | 3270.182(7) - Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file | Compliant - Finalized |
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Regulation: 3270.182(7) Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file Noncompliance Area: On 3/18/2024, there was an incident at the facility where Child #1, age 4 was found to be outside unsupervised in the area near the front door close to the parking lot by a parent as the parent was leaving with their children. The parent of Child #1 verified on 3/19/2024 that they did not receive a written report of this incident. Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1, #2 and #3 on that when a supervision incident happens that a parent needs to be given a written report of what happened at the time of pick up. |
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| 2024-02-28 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Compliant - Finalized |
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Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: On 2/28/2024, the most recent health assessment on file for Staff #1 was dated 2/18/2022. However, the health assessment form documented that this health assessment was conducted on 5/26/2021. See LIS code sheet. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 has provided an updated health assessment. |
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| 2024-02-28 | Renewal | 3270.37(b)(3)/3270.192(2)(ii) - 8th grade + 2 yrs/Exp, educ., training prior to facility | Compliant - Finalized |
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Regulation: 3270.37(b)(3)/3270.192(2)(ii) Description: 8th grade + 2 yrs/Exp, educ., training prior to facility Noncompliance Area: On 3/5/2024, Staff #2 was identified as an aide on the staff data sheets. Staff #2 did not have verification of a minimum of an 8th grade education on file. See LIS code sheet. Correction Required: An aide shall have a minimum of an 8th grade education and 2 years 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #2 is in the process of getting transcripts from the school that she attended. |
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| 2024-02-28 | Renewal | 3270.63 - Unsafe Areas in Outdoor Space | Compliant - Finalized |
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Regulation: 3270.63 Description: Unsafe Areas in Outdoor Space Noncompliance Area: On 3/5/2024, a large area of standing water was observed outside on the preschool playground. The area of standing water that was observed is a drowning hazard for children. Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. |
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Provider Response: (Contact the State Licensing Office for more information.) Maintenance has already come out to do an estimate to be put a draining system in place to prevent standing water from appearing on the playground when it rains. The preschool playground will not be used by the children when standing water is present in the area. |
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| 2024-02-28 | Renewal | 3270.72(c) - Good repair | Compliant - Finalized |
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Regulation: 3270.72(c) Description: Good repair Noncompliance Area: On 3/5/2024, the window screen from the discovery preschool classroom facing the outside play area in the back of the building had two small holes in the screen. Correction Required: Screens shall be in good repair. |
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Provider Response: (Contact the State Licensing Office for more information.) We have already put in a maintenance request to have the screen replaced. |
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| 2024-02-21 | NS- Unannounced Monitoring | NS- Unannounced Monitoring | Compliant - Finalized |
| 2024-02-16 | NS- Unannounced Monitoring | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: During a verification visit on 2/16/2024, a container of surface cleaner was observed on a toy shelf accessible to children in the Pre-K classroom. The surface cleaner was labeled keep out of reach of children. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff in the classroom placed the surface cleaner in a locked cabinet after it was brought to their attention that it had been accessible to the children. |
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| 2023-11-13 | Unannounced Monitoring | 3270.113(a)(1) - Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)(1) Description: Staff assigned to specific children Noncompliance Area: During an unannounced inspection on 11/21/2023, Staff # 1 was asked to name the 6 children in her care group that she was responsible for supervision of in the older toddler classroom. Staff #1 stated that she just recently started working at the facility and admitted that she did not know the names of all 6 children in her care group at this time. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Ongoing, center staff will know the children in their caregiver groups. Current staff will help new staff know the children in their group with the help of name cards or written down on paper. |
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| 2023-11-13 | Complaints- Legal Location | 3270.51 - Similar Age Level | Compliant - Finalized |
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Regulation: 3270.51 Description: Similar Age Level Noncompliance Area: During an unannounced inspection on 11/29/2023, multiple staff admitted that classrooms have been out of ratio between 7:40 AM and 8:00 AM recently when staff are late to work. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Ongoing we re-evaluated staff schedules to staff the reliable ones early to maintain ratios. If a classroom does go over they (staff) know to inform us (management) so we can figure of how to cover the ratio. |
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| 2023-10-03 | Self-Reported Non Compliance | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)/3270.113(a)(1) Description: Supervised at all times /Staff assigned to specific children Noncompliance Area: The facility self-reported the following incident: At approximately 10:00 a.m. on 9/29/2023, Staff #2 was outside on the playground with the Pre-K class. Staff #1 came outside with the Preschool class. Staff #2 saw Child #1 inside the classroom by himself through the window. Staff #2 went inside the building through the Pre-K classroom door to get the child because the classroom door was locked from the outside. According to interviews with the staff and written statements that were reviewed on 10/3/2023, Child #1 was left in the classroom unsupervised for a period of time of 4 to 5 minutes. 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. 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 arrange for all facility staff, who are employed as of the date of the training, to receive a minimum of 3 hours of PQAS-approved training regarding supervision of children, including technical assistance. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 and Staff #2 were both interviewed about what took place during the incident. Staff #1 never returned from incident to do a final coaching moment. Staff #2 resigned for personal reasons. All staff were retrained on supervision of children expectations/our child supervision report. Our Quality Leader and our District Leader were October 17th for a supervision training as well to set the expectations. Ongoing children will be supervised and will be assigned staff members care giver group. The PQAS initial meeting/training is to TBD. |
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| 2023-10-03 | Self-Reported Non Compliance | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)/3270.113(a)(1) Description: Supervised at all times /Staff assigned to specific children Noncompliance Area: The facility self-reported the following incident: At approximately 10:00 a.m. on 9/29/2023, Staff #2 was outside on the playground with the Pre-K class. Staff #1 came outside with the Preschool class. Staff #2 saw Child #1 inside the classroom by himself through the window. Staff #2 went inside the building through the Pre-K classroom door to get the child because the classroom door was locked from the outside. According to interviews with the staff and written statements that were reviewed on 10/3/2023, Child #1 was left in the classroom unsupervised for a period of time of 4 to 5 minutes. 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. 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 continue to develop written supervision policies and procedures to be implemented in the facility. The written policies must address procedures for ensuring that children are supervised at all times, including supervision during all transition times and procedures for floating/substitute staff. The written policies must specifically address transitions from the classroom to the playground and back, including a procedure to ensure that all children in their assigned group are present and with their assigned staff person before transitioning, during the transition and upon completion of the transition to and from the classroom at all times. This procedure will include counting the children and/or completing a face-to-name recognition. The policies and procedures must also address the program administrator's role in implementing and continued compliance with these policies. The legal entity will submit the policies/procedures to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies and procedures and the documentation must be kept at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Created a staff expectation/commitment for supervision for supervision of children for all staff members/ongoing any new staff member. Attached is Kindercare's child supervision record and KIndercare's supervision policy. |
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| 2023-10-03 | Self-Reported Non Compliance | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)/3270.113(a)(1) Description: Supervised at all times /Staff assigned to specific children Noncompliance Area: The facility self-reported the following incident: At approximately 10:00 a.m. on 9/29/2023, Staff #2 was outside on the playground with the Pre-K class. Staff #1 came outside with the Preschool class. Staff #2 saw Child #1 inside the classroom by himself through the window. Staff #2 went inside the building through the Pre-K classroom door to get the child because the classroom door was locked from the outside. According to interviews with the staff and written statements that were reviewed on 10/3/2023, Child #1 was left in the classroom unsupervised for a period of time of 4 to 5 minutes. 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. 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 submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. |
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Provider Response: (Contact the State Licensing Office for more information.) We will submit a copy of our child supervision record for approval through DHS. |
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| 2023-10-03 | Self-Reported Non Compliance | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)/3270.113(a)(1) Description: Supervised at all times /Staff assigned to specific children Noncompliance Area: The facility self-reported the following incident: At approximately 10:00 a.m. on 9/29/2023, Staff #2 was outside on the playground with the Pre-K class. Staff #1 came outside with the Preschool class. Staff #2 saw Child #1 inside the classroom by himself through the window. Staff #2 went inside the building through the Pre-K classroom door to get the child because the preschool classroom door was locked from the outside. According to interviews with the staff and written statements that were reviewed on 10/3/2023, Child #1 was left in the classroom unsupervised for a period of time of 4 to 5 minutes. 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 and Staff #2 were both interviewed about what both took place during the incident. Staff #1 never returned from incident to do a final coaching. Staff #2 resigned due to personal reasons. All staff were retrained. All staff were retrained on supervision of children expectations/our child supervision report. |
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| 2023-02-10 | Renewal | 3270.151(a)/3270.151(c)(2) - 12 months prior to service and every 24 months thereafter/Mantoux TB | Compliant - Finalized |
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Regulation: 3270.151(a)/3270.151(c)(2) Description: 12 months prior to service and every 24 months thereafter/Mantoux TB Noncompliance Area: During the Renewal Inspection on 2/10/2023, the file for Staff #3 did not include a current health assessment with a tuberculosis screening required at initial employment. See LIS code sheet. 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #3 will not return to work until when she has a current health assessment and tuberculosis screening on file. |
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| 2023-02-10 | Renewal | 3270.192(2)(ii) - Exp, educ., training prior to facility | Compliant - Finalized |
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Regulation: 3270.192(2)(ii) Description: Exp, educ., training prior to facility Noncompliance Area: During the Renewal Inspection on 2/10/2023, the file for Staff #1 did not include proof of education prior to service at the facility. See LIS code sheet. Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 requested a copy of her high school transcript. A copy of her high school transcript is now on file. |
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| 2023-02-10 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: During the Renewal Inspection on 2/10/2023, the file for Staff #2 did not include two written, nonfamily references. See LIS code sheet. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #2 now has two written, nonfamily references on file. |
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| 2023-02-10 | Renewal | 3270.72(c)/3270.76 - Good repair/Building Surfaces | Compliant - Finalized |
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Regulation: 3270.72(c)/3270.76 Description: Good repair/Building Surfaces Noncompliance Area: During the Renewal Inspection on 2/10/2023, the following was observed: One of the screens on the outside of the building facing the Pre-K playground was ripped leaving sharp edges exposed, and the toilet paper dispensers in the Preschool and the Pre-K bathrooms were missing a middle piece leaving sharp edges exposed. Correction Required: Screens shall be in good repair. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) A work order was put in 2/10/2023. The ripped screen outside has already been replaced with a new screen. The missing piece for toilet paper dispensers should arrive by the end of this week. |
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| 2022-10-13 | Self-Reported Non Compliance | 3270.113(a) - Supervised at all times | Compliant - Finalized |
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Regulation: 3270.113(a) Description: Supervised at all times Noncompliance Area: The facility self-reported the following: Staff #1 was working alone in the 2-3-year-old classroom covering naptime on 10/7/2022. Staff #1 fell asleep sometime after 2:10 p.m. A parent came in to pick up her child at 2:35 p.m., noticed that Staff #1 was asleep in the classroom and notified center management. Staff #2 went to the classroom and woke up Staff #1. Staff #1 and Staff #2 confirmed this incident to the Certification Representative 10/13/2022. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility Person #1 is not allowed to be alone during nap time for a probation period of 90 days. All children on going will be supervised by a staff member at all times, considering outdoor space a part of the supervision as well. |
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| 2022-10-13 | Self-Reported Non Compliance | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)/3270.113(a)(1) Description: Supervised at all times /Staff assigned to specific children Noncompliance Area: The facility self-reported the following incident: At approximately 4:45 p.m. on 10/11/2022, Staff #1 and Staff #2 came inside from the playground with 20 children in the 3- to 4-year-old classroom. The mother of Child #1 came in the classroom to pick up her child, and Child #1 was not inside the classroom. Child #1 was found on the playground unsupervised by the mother at this time. According to interview with the staff, the child was left on the playground unsupervised for a period of time between 1 and 5 minutes. 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 and Staff #2 were both interviewed about what took place during the incident. They were both final coached as well as placed on a 90 day probation period. All staff were retrained on a supervision of children expectations/our child supervision report. Ongoing children will be supervised and will be assigned to staff members caregiver group. |
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| 2022-10-13 | Self-Reported Non Compliance | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)/3270.113(a)(1) Description: Supervised at all times /Staff assigned to specific children Noncompliance Area: The facility self-reported the following incident: At approximately 4:45 p.m. on 10/11/2022, Staff #1 and Staff #2 came inside from the playground with 20 children in the 3- to 4-year-old classroom. The mother of Child #1 came in the classroom to pick up her child, and Child #1 was not inside the classroom. Child #1 was found on the playground unsupervised by the mother at this time. According to interviews with the staff, the child was left on the playground unsupervised for a period of time between 1 and 5 minutes. Correction Required: Children on the facility premises and on facility excursions off the facility 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. 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 arrange for all facility staff, who are employed as of the date of the training, to receive a minimum of 3 hours of PQAS-approved training regarding supervision of children, including technical assistance. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 and Staff #2 were both interviewed about what took place during the incident. They were both final coached as well as placed on a 90 day probation period. All staff were retrained on a supervision of children expectations/our child supervision report. Ongoing children will be supervised and will be assigned to staff members caregiver group. The PQAS initial meeting with center management and STARS Quality Coach on 11/14/2022 at 12:00 PM to schedule the supervision training. |
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| 2022-10-13 | Self-Reported Non Compliance | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)/3270.113(a)(1) Description: Supervised at all times /Staff assigned to specific children Noncompliance Area: The facility self-reported the following incident: At approximately 4:45 p.m. on 10/11/2022, Staff #1 and Staff #2 came inside from the playground with 20 children in the 3- to 4-year-old classroom. The mother of Child #1 came in the classroom to pick up her child, and Child #1 was not inside the classroom. Child #1 was found on the playground unsupervised by the mother at this time. According to interview with the staff, the child was left on the playground unsupervised for a period of time between 1 and 5 minutes. 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. 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 develop written supervision policies and procedures to be implemented in the facility. The written policies must address nap time supervision, procedures for supervising children during all transition times, and procedures for floating/substitute staff. The written policies must specifically address transitions from the classroom to the playground and back, including a procedure to ensure that all children in their assigned group are present and with their assigned staff person before transitioning, during the transition and upon completion of the transition to and from the classroom at all times. This procedure may include counting the children or completing a face-to-name recognition. The legal entity will submit the policies/procedures to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies and procedures and the documentation must be kept at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Created a staff expectation/commitments for supervision of children for all staff members/ongoing any new staff member. Attached is Kindercare's child supervision record and Kindercare's supervision policy. |
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| 2021-12-08 | Renewal | 3270.104(a) - Clean, good repair, proper size | Compliant - Finalized |
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Regulation: 3270.104(a) Description: Clean, good repair, proper size Noncompliance Area: During the Renewal Inspection on 12/8/2021, there was a blue couch in the young toddler room that was ripped and had foamed exposed; thus the couch could not be sanitized properly. Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. |
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Provider Response: (Contact the State Licensing Office for more information.) The couch was removed from the classroom and will be placed in the trash. |
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| 2021-12-08 | Renewal | 3270.72(c) - Good repair | Compliant - Finalized |
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Regulation: 3270.72(c) Description: Good repair Noncompliance Area: During the Renewal Inspection on 12/8/2021, the outside screen for one of the windows facing the outdoor play area had two small holes in it. Correction Required: Screens shall be in good repair. |
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Provider Response: (Contact the State Licensing Office for more information.) A new screen will be ordered to replace the broken screen. |
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| 2021-12-01 | Self-Reported Non Compliance | 3270.136(d) - Communicate report to DOH | Compliant - Finalized |
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Regulation: 3270.136(d) Description: Communicate report to DOH Noncompliance Area: On 11/29/2021, the facility self-reported to the Regional OCDEL Certification Representative that a staff and a child at the facility tested positive for COVID-19 during the period of 11/9/2021 to 11/11/2021. This was not reported to Regional OCDEL office in a timely manner. Correction Required: A facility person who knows of a communicable disease for which 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases) requires reporting, or who knows of a group expression of an illness which may be of public concern, whether or not it is known to be of a communicable nature, shall report it promptly to the appropriate division of the Department of Health as specified in Chapter 27, or to a local department of health. |
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Provider Response: (Contact the State Licensing Office for more information.) Ongoing, we will immediately notify the Department of Human Services as well as the PA Department of Health of any communicable or noncommunicable diseases which requires reporting, or knows of a group expression of an illness which may be of public concern whether or not it is known to be of a communicable nature. |
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| 2021-07-20 | Complaints- Legal Location | 3270.21/3270.166(2) - General Health and Safety/New foods - parent's consent | Compliant - Finalized |
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Regulation: 3270.21/3270.166(2) Description: General Health and Safety/New foods - parent's consent Noncompliance Area: The facility self-reported on 7/12/2021 that Staff #1 mistakenly gave Child #1 two ounces of another child's breast milk. It was confirmed through staff interviews on 7/20/2021 that the incident occurred on 7/12/2021 when Staff #1 failed to do a bottle check. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. New foods shall be introduced to an infant only after consultation with the child's parent. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 was immediately removed from the infant classroom. All staff members were retrained on Kindercare's bottle check policy. |
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| 2020-10-16 | Renewal | 3270.102(a) - Clean and good repair | Needs Verification |
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Noncompliance Area: A small blue couch in the Pre-K classroom was observed to have a tear in the arm of the couch, exposing the inner foam of the couch. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) I patched the couch in Pre-K to make sure it was in good repair for the children to sit on/ use. In the future, we will all make sure all 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. |
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| 2020-10-16 | Renewal | 3270.102(c) - Outdoor equip.- protective surfacing | Needs Verification |
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Noncompliance Area: Loose fill on the preschool/school-age playground was measured to contain 7" of loose fill material around sliding boards and stairs of the climber, which requires a minimum of 9" of loose fill according to the United States Consumer Product Safety Commission standards for playgrounds. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) We put a work order in for KinderCare to fill in loose mulch areas. In the future, we will make sure our outdoor equipment 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. |
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| 2020-10-16 | Renewal | 3270.111(b) - Posted in group space | Needs Verification |
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Noncompliance Area: The written plan of daily activities was not posted in the Preschool classroom during the on-site portion of the blended inspection on 10/20/2020. Correction Required: The written plan of daily activities shall be posted in the group space. |
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Provider Response: (Contact the State Licensing Office for more information.) The written plan of daily activities will be posted inside and outside each classroom at all times. |
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| 2020-10-16 | Renewal | 3270.133(2) - Written instructions | Needs Verification |
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Noncompliance Area: Prescription Nystatin was observed in the Toddler classroom at the facility, but instructions for administration from either the individual who prescribed it or from a prescription label were not available at the facility during the on-site portion of the blended inspection on 10/20/2020. Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable. |
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Provider Response: (Contact the State Licensing Office for more information.) The Nystatin prescription medication form was properly completed to continue administration. We will obtain the doctor's instructions or remove the medication from the classroom. On going, we will make sure all prescriptions have written instructions to be administered and parental consent, and prescription label. |
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| 2020-10-16 | Renewal | 3270.133(5)/3270.133(6) - Original label/Written consent | Needs Verification |
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Noncompliance Area: Boudreaux's Butt Paste and Desitin were observed in the Infant classroom, labeled for use on individual children, but parental permission to administer this medication was not on file. A tube of Desitin was observed in the Toddlers classroom, labeled for use on a child, but parental permission to administer this medication was not on file. Honest Diaper Rash Cream, A&D Diaper Cream, Desitin, Up and Up Creamy Diaper Rash Ointment, and BeLoved Vitamin A&D Ointment were observed in the Discovery Preschool classroom, labeled for use on specific children, but parental permissions to administer these medications to the children intended were not on file. A box containing individual packets of Desitin was observed in the Discovery Preschool classroom for use on a child, but the packets showed expiration dates of 08/2020. Correction Required: A parent shall provide written consent for administration of medication or a special diet. Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. |
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Provider Response: (Contact the State Licensing Office for more information.) All the creams mentioned were properly labeled and each cream has a completed medication log form to continue administration. The expired medication was removed from the classroom. Medication will be labeled, stored and signed in properly going forward. On going, we will make sure all creams are labeled and have written instructions to be administered and parental consent. |
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| 2020-10-16 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Needs Verification |
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Noncompliance Area: The health assessment on file for Staff #1 was not updated within the required 24 months (Old:5/9/17; New:10/1/19); Staff #6 (Old:6/12/18; New:7/1/20); and Staff #13 (Old:2/1/17; New:3/13/19). 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. |
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Provider Response: (Contact the State Licensing Office for more information.) On going, Center Management will make sure we are maintaining health assessments within in the 24 month due date. |
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| 2020-10-16 | Renewal | 3270.192(5) - Two written references | Needs Verification |
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Noncompliance Area: The staff files for Staff #14 and #15 were reviewed during the inspection on 10/20/2020. During this review, there were no written letters of reference observed on file for either staff. 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 |
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Provider Response: (Contact the State Licensing Office for more information.) Staff member #14 and #15 have brought their two written letters of reference in for their files. On going, Center Management will make sure any new employee will complete this requirement before working in their classroom. |
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| 2020-10-16 | Renewal | 3270.31(e)(4)(ii) - Fire safety - 1 yr. | Needs Verification |
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Noncompliance Area: The last annual firesafety training for staff who have been employed at the facility for at least one year was conducted on 4/16/19, but updated firesafety training has not yet been completed for any of the 24 staff persons who have been employed at the facility for at least one year, as of the date of the on-site portion of the blended inspection on 10/20/2020. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Each staff member will complete their annual fire safety training. by the correction date, 11/16/2020. On going we will comply with each staff member completing their annual fire safety training before our due date each year. |
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| 2020-10-16 | Renewal | 3270.32(a) - Comply with CPSL | Needs Verification |
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Noncompliance Area: The state police clearances for the following staff were not updated within the required 60 months of the CPSL: Staff #1 (Old:10/8/15; New:10/15/2020); Staff #2 (Old:10/8/15; New:10/21/2020); Staff #3 (Old:6/26/15; New:8/17/2020); Staff #5 (Old:9/17/15; New:10/15/2020); Staff #7 (Old:10/8/15; New:10/15/2020); Staff #8 (Old:10/8/15; New:10/15/2020); Staff #10 (Old:10/8/15; New:10/16/20); Staff #11 (Old:10/8/15; New:10/21/20); and Staff #13 (Old: 10/8/15; New:10/15/20). The Child Abuse clearances for the following staff were not updated within the required 60 months of the CPSL: Staff #1 (Old:10/14/15; New:10/16/2020); Staff #3 (Old:6/29/15; New:8/20/2020); Staff #5 (Old:9/17/15; No new clearance on file); and Staff #11 (Old:10/13/15; No new clearance on file). Mandated reporter training for the following staff was not updated within the 60 months required by the CPSL: Staff #1 (Old: 5/4/15; New:6/15/2020); Staff #2 (Old:4/28/15; New:10/1/2020); Staff #3 (Old:1/23/15; New:1/24/2020); Staff #7 (Old:5/1/15; New: 10/22/2020); Staff #8 (Old:4/17/15; New: 10/4/2020); Staff #9 (Old: 2/28/15; 6/25/2020); Staff #10 (Old: 4/16/15; New:6/14/2020); and Staff #13 (Old:5/7/15 New:10/2/20). Staff #6 did not obtain an NSOR certificate until 7/14/2020, which is after the required deadline of 7/1/2020 for existing staff per the CPSL. Staff #4 began working with the legal entity on 10/15/19, but did not complete mandated reporter training until 2/1/2020, which is beyond the 90-day requirement. Staff #4 began working at the facility on 10/15/19, but did not obtain an NSOR certificate until 1/28/2020, and the facility did not have an approved provisional hire waiver on file. All of these staff were working at the facility after it reopened on 6/8/2020 during the gaps in their paperwork. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The Director or person responsible for maintaining staff files is required to submit a copy of a completed staff file for any new hire at the facility to the Regional Office for review. New employees may not begin working at the facility until the file is reviewed and approved by the Regional Office. This practice must occur for 3 months from the date an acceptable plan of correction is received by the Regional Office. |
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Provider Response: (Contact the State Licensing Office for more information.) Director or Assistant Director will send off completed new hire files to the regional office to get approval before allowing any new employee to begin working at the facility for the next three months. |
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| 2020-10-16 | Renewal | 3270.33(a)/3270.192(2)(ii) - Each staff person meets quals/Exp, educ., training prior to facility | Needs Verification |
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Noncompliance Area: During a review of the facility staff files, there was no proof of education, experience or training on file for Staff #14 and #15. Due to a lack of documentation, these staff were unable to be qualified as staff persons at any level, but were identified on paperwork provided to the Regional Office to work in aide capacities at the facility. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #14 and Staff #15 sent home until they provided all the requirements for verification of child care experience, education, and training. In the future, Center Management will make sure each new employee has all the requirements for verification of child care experience, education, and training before they start working.. |
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| 2020-10-16 | Renewal | 3270.74 - Emergency Numbers Posted | Needs Verification |
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Noncompliance Area: The emergency telephone numbers of the nearest hospital, police, fire, ambulance and poison control center were not posted by the telephone in the Toddlers classroom during the on-site portion of the blended inspection on 10/20/2020. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Center Management posted the emergency telephone numbers next to the Toddler classroom phone. in the future, Center Management will make sure emergency telephone numbers are posted next to each classroom's telephone. |
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| 2020-10-16 | Renewal | 3270.76 - Building Surfaces | Needs Verification |
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Noncompliance Area: The small wooden stage in the school-age classroom was observed to have peeling carpet around the edges. The pour-in-place rubber surfacing on the infant/toddler playground was observed to be torn and in poor repair in multiple spots, which exposes the small rubber pieces underneath the surfacing and poses a choking 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. |
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Provider Response: (Contact the State Licensing Office for more information.) We will sand and stain the stage in the school-age classroom. The pour-in-place rubber surfacing will be covered as cracks develop by our facilities tech. In the future, center management will make sure floors, walls, ceilings and other surfaces including the outdoor play space shall be kept clean, in good repair and free from visible hazards. |
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| 2020-10-16 | Renewal | 3270.82(j) - Running water - diapering | Needs Verification |
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Noncompliance Area: A source of running water for handwashing was not observed to be present in the diapering area of the Discovery Preschool classroom during the on-site portion of the blended inspection. Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day. |
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Provider Response: (Contact the State Licensing Office for more information.) The Discovery Preschool classroom diapering area was moved closer to a source running water. for hand washing purposes. In the future, In Infants and Toddlers will always have their diapering area positioned near a source of running water for hand washing purposes. |
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| 2020-01-23 | Complaints- Legal Location | 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children | Compliant - Finalized |
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Noncompliance Area: At 4:20 p.m. on 1/10/19, Staff #1 unintentionally locked Child #1 in a closet unsupervised in the Discovery Preschool classroom for approximately 2-3 minutes. The staff were unaware the child was in the closet until they heard the child crying, which prompted them to open the door and find the child inside crying. This was confirmed through staff interviews and reported by the facility to DHS. 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. 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 arrange for all facility staff, who are employed as of the date of the training, to receive a minimum of 3 hours of PQAS-approved, in-person training regarding supervision of children and classroom ratios, as well as follow up with the trainer or STARs quality coach. It does not matter if the PQAS-approved training is done through the ELRC, but the legal entity must receive DHS approval of the training content prior to scheduling the training. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff are mandated to attend Thursday, April 9 for our supervision training from 6:00-9:00. |
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| 2019-11-18 | Unannounced Monitoring | 3270.113(a)(1) - Staff assigned to specific children | Compliant - Finalized |
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Noncompliance Area: During part of a renewal inspection conducted on 10/7/19, three staff were present in the Discovery Preschool classroom. There were 18 children present, but one child was not assigned to a staff person in the group. There were 2 staff in the Pre-K classroom with 12 children, but one child was not assigned to a staff person in the group. A plan of correction was received from the facility that by 10/8/19, "Center management will conduct frequent care giver group check-ins to make sure staff know who they are responsible for supervising." During an unannounced inspection conducted on 11/18/19, Staff #13 and #14 were present in the Discovery Preschool classroom with 13 children. When asked to identify their primary supervision groups, only 9 children were identified by the two staff, as the additional 4 children were assigned to a staff person who was not yet present in the classroom. The remaining four children were not assigned to a staff person who was physically present in the 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff member #13 and #14 were given instructions that when assigning groups that children are assigned to staff in room, not in primary care groups assigned for the day. In the future, as children enter room, they will be assigned to staff in room at the time. Center management will check classroom groups periodically throughout the day, especially in the a.m. and p.m. when staff are coming and leaving. |
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| 2019-11-18 | Unannounced Monitoring | 3270.131(e)(1) - Exemption documentation from parent/guardian | Compliant - Finalized |
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Noncompliance Area: During a renewal inspection that began on 10/8/19, the record for Child #3 shows proof of immunization against the flu on 9/29/16, but no updated immunization since in accordance with the ACIP, and no letter of exemption was observed in the file. A plan of correction was received from the facility that by 10/8/19, "Parents will bring in exemption letters or documentation of flu immunizations for Child #2, 3 and 4. Operators will report the parents to provide updated written verification from a physician of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP." An unannounced monitoring inspection was conducted on 11/18/19, and the record for Child #3 did not contain proof of an updated flu vaccination, nor did it contain a letter of exemption from the parent of this child. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Child #3 provided a written note of exemption from the parent. In the future, we will make sure a parent provides written verification of vaccines or letters of exemption as needed from a parent or health care provider. |
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| 2019-11-18 | Unannounced Monitoring | 3270.192(5) - Two written references | Compliant - Finalized |
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Noncompliance Area: During a renewal inspection completed on 10/10/19, the file for Staff #12 did not contain any written references. A plan of correction was received from the facility that by 10/31/19, "Staff provided written references for their files. Employees will supply two written references before their hire date." An unannounced monitoring visit was conducted on 11/18/19, and the file for Staff #12 only contained one 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 |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #12 provided a second letter of reference for their file. Ongoing, center management will have new hires provide 2 written references before their start date. |
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| 2019-11-18 | Unannounced Monitoring | 3270.34(a)(6) - Staff evaluations | Compliant - Finalized |
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Noncompliance Area: During a renewal inspection completed on 10/10/19, the following staff did not have a staff evaluation completed at least every 12 months:Staff #10 (not since 3/2/18), and Staff #11 (not since 3/13/18). A plan of correction was received from the facility that by 10/31/19, "Center Director completed evaluations on staff members who were missing them. The center director will make sure all staff, including seasonal, have an evaluation conducted annually." An unannounced inspection was conducted on 11/18/19, and Staff #10 and Staff #11 still did not have completed staff evaluations on file. Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff evaluations for #10 and #11 were completed. In the future, all current and seasonal employees will have an evaluation completed annually. |
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| 2019-11-18 | Unannounced Monitoring | 3270.52 - Mixed Age Level | Compliant - Finalized |
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Noncompliance Area: During an unannounced monitoring visit conducted on 11/18/19, Staff #13 and Staff #14 were observed in the Discovery Preschool classroom with a mixed group of 13 older toddlers and preschoolers. This amount of children at this age would require at least 3 staff persons. 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). |
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Provider Response: (Contact the State Licensing Office for more information.) Staff will ask parents to stay in room until another staff member comes in when they go over in ratio. In the future, staff members will notify management when they are over in ratio immediately while asking parents to please wait until another staff comes in or ask parent to take child to other room to remain in ratio at all times. |
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| 2019-11-18 | Unannounced Monitoring | 3270.76/3270.102(e) - Building Surfaces/Infant/toddler - no material less than 1 inch | Compliant - Finalized |
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Noncompliance Area: During a renewal inspection completed on 10/10/19, the poured-in-place rubber surfacing on the younger playground was observed to have multiple cracks and damaged spots, exposing the small inner rubber pieces to small children. A plan of correction was received from the facility that by 10/31/19, "Poured in place rubber was covered up. Floors, walls, ceilings and other surfaces, including the facility's outdoor play space, toys and play equipment shall be kept in good clean condition for the safety of the children." An unannounced inspection was conducted on 11/18/19, and though some spots of the poured-in-place surfacing were patched, there were still multiple spots around the infant/toddler playground where the surfacing was not patched and the small rubber pieces were still accessible to children. Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care. |
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Provider Response: (Contact the State Licensing Office for more information.) Facilities tech came and patched all surfaces that were cracked on poured-in-place surface on playground. In the future, we will make sure all floors, walls, ceilings and other surfaces, including outdoor surfaces are kept clean, in good repair and free from visible hazards. |
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| 2019-10-07 | Renewal | 3270.107 - Refrigerator | Non Compliant - Finalized |
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Noncompliance Area: A refrigerator was observed in the Toddlers classroom, but a thermometer was not placed inside. The thermometer in the refrigerator in the Infant classroom was reading at 50 degrees Fahrenheit during the inspection. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Thermometers were placed in infant room and a new put in Toddler refrigerator. We will make sure all refrigerators have an operating thermometer at the correct temperature. |
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| 2019-10-07 | Renewal | 3270.113(a)(1) - Staff assigned to specific children | Non Compliant - Finalized |
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Noncompliance Area: During the inspection, three staff were present in the Discovery Preschool classroom. There were 18 children present, but one child was not assigned to a staff person in the group. There were 2 staff in the Pre-K classroom with 12 children, but one child was not assigned to a staff person in the 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Center management will conduct frequent care giver group check-ins to make sure staff know who they are responsible for supervising. |
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| 2019-10-07 | Renewal | 3270.123(b) - Parent receives original | Non Compliant - Finalized |
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Noncompliance Area: Through a review of the child's files, it was observed that the facility was retaining the original copy of the fee agreement instead of the parents. Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. |
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Provider Response: (Contact the State Licensing Office for more information.) We will make sure the parents are keeping the original paperwork and we will keep the copied paperwork. |
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| 2019-10-07 | Renewal | 3270.124(c) - Each child care space | Non Compliant - Finalized |
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Noncompliance Area: A child was observed to transition to the Toddlers classroom from the Discovery Preschool classroom. This child's emergency contact form was not present in the Toddler room where he was receiving care. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Ongoing each classroom will have all emergency contact sheets with the children assigned to that classroom. |
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| 2019-10-07 | Renewal | 3270.124(f) - Updated every 6 months | Non Compliant - Finalized |
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Noncompliance Area: The emergency contact form for Child #1 has not been updated since 1/28/2019. Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information |
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Provider Response: (Contact the State Licensing Office for more information.) Child #1's parent signed and updated the paperwork. Ongoing, we will have parents/families review and sign off at the 6-month review time. |
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| 2019-10-07 | Renewal | 3270.131(a) - Within 60 days | Non Compliant - Finalized |
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Noncompliance Area: Child #3 enrolled at the facility on 11/7/17, but an initial health report was not provided to the facility from the parent until 4/4/18. The child remained enrolled and attending during this time. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Ongoing, Center management will require the parent of the enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility. |
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| 2019-10-07 | Renewal | 3270.131(e)(1) - Exemption documentation from parent/guardian | Non Compliant - Finalized |
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Noncompliance Area: The record for Child #1, a child who is between 3-4 months old, does not contain proof of immunization against Rotavirus, and a letter of exemption was not present in the child's file. The record for Child #2 does not contain any immunizations against the flu, and a letter of exemption was not present in the child's file. The record for Child #3 shows proof of immunization against the flu on 9/29/16, but no updated immunization since in accordance with the ACIP, and no letter of exemption was observed in the file. The record for Child #4 shows proof of immunization against the flu on 10/24/17, but no updated immunization since in accordance with 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Child #1 immunization record was updated. Parents will bring in exemption letters or documentation of flu immunizations for Child #2, 3 and 4. Operators will report the parents to provide updated written verification from a physician of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. |
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| 2019-10-07 | Renewal | 3270.133(5)/3270.133(6) - Original label/Written consent | Non Compliant - Finalized |
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Noncompliance Area: A tube of Desitin in the Toddlers classroom was observed to have expired in 9/2019. A Triple Paste ointment, Desitin diaper cream, and prescription Zinc Oxide were observed in the Toddlers classroom, but parental permission to administer any of these medications was not on file at the facility. Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.A parent shall provide written consent for administration of medication or a special diet. |
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Provider Response: (Contact the State Licensing Office for more information.) Desitin was discarded since it was expired. Parents signed documentation for diaper creams. Ongoing, medication will be stored in accordance with the manufacturer's or health professional's instructions on the original label. We will make sure the parent will provide written consent for administration of medication or a special diet. |
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| 2019-10-07 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Non Compliant - Finalized |
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Noncompliance Area: The following staff persons did not update their health assessments within the required 24-month period: Staff #3 (previous: 6/22/17), Staff #5 (5/22/17 and not again until 7/16/19), and Staff #9 (previous 3/21/17. Staff #7 began working at the facility on 4/25/19, but a health assessment wasn't obtained until 7/26/19. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff members brought in documentation showing staff physicals were given. Employees will be required to submit a health assessment every 2 years before the date of their previous health exam. |
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| 2019-10-07 | Renewal | 3270.178 - Transportation First Aid Kit | Non Compliant - Finalized |
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Noncompliance Area: The first-aid kit for Bus 19156 does not contain tweezers or soap. Correction Required: A first-aid kit, including the contents as specified in 3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported. |
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Provider Response: (Contact the State Licensing Office for more information.) Tweezers and soap were put in the bus that was missing them. Ongoing, we will have the correct supplies needed in the first-aid kits in the vehicles when children are being transported. |
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| 2019-10-07 | Renewal | 3270.181(e) - Emergency master file updated | Non Compliant - Finalized |
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Noncompliance Area: The emergency contact forms for children in the Toddlers, Discovery Preschool, Preschool and Pre-K classrooms had been updated in the master file, but all forms in the classroom were not updated accordingly. Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records. |
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Provider Response: (Contact the State Licensing Office for more information.) Expired forms were discarded when new forms were placed in classrooms. Emergency contacts in all classrooms will be given updated copies as soon as they are updated in the master file. |
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