KINDERCARE LEARNING CENTER 303034

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During a renewal inspection on 3/13/26-3/19/26 Child 4 did not have a child service report. It has been more than 6 months since Child 4's date of admission(See LIS code sheet for date of admission). Child 7's most recent child service report was signed by the parent on 3/25/25, which is more than 6 months ago.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(a)/3270.124(b)(3)

Description: Each child emergency contact person/Parent home/work address, phone

Noncompliance Area: During a renewal inspection on 3/13/26-3/19/26 Child 1's emergency contact form did not include the phone numbers for all emergency contacts. Children 2, 4, 6, 7, & 8's emergency contact forms did not include parents' work address, and Children 2, 5, 6, 7, & 8's emergency contact forms did not include parents' work phone numbers

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During a renewal inspection on 3/13/26-3/19/26 Children 1 2, & 3's emergency contact form did not include the address for all listed release persons, and Child 1's emergency contact form did not include the phone numbers for all listed release persons.

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

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

Description: Infant: updated health report every 6 months/Toddler/preschool: updated health report every 12 months

Noncompliance Area: During a renewal inspection on 3/13/26-3/19/26 Young Toddler Child 2's most recent Health report was dated 6/27/25, which is more than 6 months ago. Preschool Children 2 and 8's most recent Health reports were dated 6/4/25, and 6/6/25 respectively. These are more than 12 months ago. (See LIS code sheet for all DOBs).

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.151(a)

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

Noncompliance Area: During a renewal inspection on 3/13/26-3/19/26 Staff 1, 3, and 5 had more than 24 months between health assessments. Staff 1's health assessments were dated 7/26/23 and 8/12/25, Staff 3's health assessments were dated 11/27/23 and 1/5/26, and Staff 5's health assessments were dated 8/14/23 and 9/23/25. It was reported Staff 1, 3, and 5 worked as staff between the expiration of their previous Health assessment and the receipt of their current health assessment.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During a renewal inspection on 3/13/26-3/19/26 Children 4, 5, 6, and 8's fee agreements were most recently reviewed with the parents on 7/25/25, 8/27/25, 8/28/25, and 8/28/25 respectively. These dates are more than 6 months ago.

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

Regulation: 3270.182(2)

Description: Application, admission, withdrawal dates

Noncompliance Area: During a renewal inspection on 3/13/26-3/19/26 Child 10's file did not include the child's withdrawal date. It was reported that Child 10 was withdrawn within the past 12 months.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During renewal inspection 3/13/26-3/19/26 the facility's most recent emergency drills on file were 7/17/24, and 2/26/26, which is more than 12 months between emergency drills. It was reported that the facility completed an emergency drill sometime in 2025 however documentation of this drill was not available for review.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection on 3/13/26-3/19/26 Staff 2 and Staff 4 had more than 60 months between clearances as required by the CPSL. Staff 2 had PSP clearances dated 10/16/20, and 10/31/25, and Child abuse clearances dated 10/16/20 and 10/31/25. Staff 4 had a previous DHS FBI clearance dated 9/18/20 and the current DHS FBI clearance dated 2/21/26. Staff 4 had a DOJ FBI clearance dated 9/2/25, however this is not acceptable for work in a child care facility. It was reported the Staff 2 worked as staff between 10/17/25-10/31/25, and Staff 4 worked as Staff between 9/19/25-2/21/26.

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. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (related to protective Services. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a checklist for staff and facility persons files that addresses all necessary staff and facility persons file paperwork and time frames for renewals of paperwork as appropriate. The staff and facility persons file paperwork that must be addressed in this checklist includes but is not limited to PA clearances, Out of State clearances and trainings as required by the CPSL and all documents required for staff and facility persons to be hired. The checklist must be submitted to the Regional Office for approval. Once approved this checklist shall be used by the person responsible for hiring and maintaining facility persons records. The provider shall provide a date for when this portion of the plan shall be completed.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: During renewal inspection on 3/19/26 Cert rep observed the first aid kit in the School aged room was on an accessible shelf which made the first aid kit accessible to the children who would be in this room.

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.76/3270.102(c)

Description: Building Surfaces/Outdoor equip.- protective surfacing

Noncompliance Area: During a renewal inspection on 3/19/26 Cert rep observed holes and cracks in the "No Fault Safety Surface" protective surface covering in the toddler playground playspace (not in good repair). The cracks and holes in the protective surfacing were next to the embedded equipment with a fall height of 3 feet. Per the manufacturer damage to the protective surfacing can effect the the effectiveness of the product.

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. 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. TIERED LIS: 1. Embedded equipment will be made inaccessible to children until such time as the protective surfacing can be repaired or replaced. This shall have an immediate correction date. 2. 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. 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. Provider shall provide a date for this portion of the plan to be completed.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During an allocated unannounced monitoring on 10/24/25 Cert rep observed a broke plastic tub lid with rough edges in Room 1(Pre K) on top of a bin with children's play equipment.

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

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: During an allocated unannounced monitoring on 10/24/25 Cert rep observed a diaper cream that did not have the child's name present on the container in Room 6(Toddler Front).

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: During an allocated unannounced monitoring on 10/24/25 Cert rep observed Aquaphor with an expiration date of 4/2025 in Room 6(Toddler Front).

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

Regulation: 3270.151(a)

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

Noncompliance Area: During an allocated unannounced monitoring on 10/24/25 Staff 4 had a health assessment dated 5/30/25, which is after their first day with children. See LIS code sheet for first day with children(1Dw/C).

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

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: During an allocated unannounced monitoring on 10/24/25 Staff 2 had a disclosure statement dated 8/19/25, which is after their first day with children. See LIS code sheet for first day with children(1Dw/C). Staff 2 was not provisionally hired.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During an allocated unannounced monitoring on 10/24/25 Staff 3 and 4 had emergency plan training dated 10/13/25. This is more than 90 days after their date of hire. See LIS code sheet for dates of hire.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an allocated unannounced monitoring on 10/24/25 Staff 4 had a FBI clearance request dated 5/27/25 but did not have the FBI clearance certificate on file. Staff 4 is beyond their 45 day provisional hire window (See LIS code sheet for first day with children(1Dw/C). Staff 4 was observed to be providing care.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff 4 may not work in a child care position or have direct contact with children at the facility until such time as the FBI clearance certificate is obtained and documented in the staff's file. .

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

Description: HS/GED + 2 yrs/Transcript, diploma and letters

Noncompliance Area: During an allocated unannounced monitoring on 10/24/25 Staff 2 had 2704 hours of experience working with children verified on file. It was reported that Staff 2 graduated from high school but their was no acceptable verification of Staff 2's education on file. Staff 2 has been working as a AGS.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an allocated unannounced monitoring on 10/24/25 it was noted there was one incident of more than 30 days between fire detection testing: 9/2/25-10/3/25.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During a renewal inspection on 3/17/25 Cert rep observed broken pieces with rough edges on the outdoor fencing trim in the back left corner of the back playground.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: During a renewal inspection on 3/17/25 Cert rep observed gloves in an unlocked cabinet under the sink in Room 4(front infant room). Children in this room may still be placing things 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.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During a renewal inspection on 3/17/25 Cert rep observed 2 nap mats in Room 3 (preschool) did not have 2 feet of space on at least 3 sides. Cert rep measured that one nap mat had 10.5 inches of space on 1 side, 3 inches of space on the 2nd side and over 2 feet of space on sides 3 and 4. Cert rep measured that a second nap mat had 4 inches of space on 1 side, 7 inches of space on a second side and over 2 feet of space on sides 3 and 4.

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

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

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

Noncompliance Area: During a renewal inspection on 3/17/25 Cert rep observed Child 1 in Room 2 with a service provider. No staff from the facility were observed to be present with the child, supervising the interactions between the child and service provider. Staff 4 who had Child 1 in their assigned group was outside on the playground. Child's file did not have any documentation to support that the child was signed out or that parents had given consent for the child to be alone with the service provider while receiving these services. The child's IEP did not note the requirement for the child to be alone with the service provider and not supervised by facility staff.

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. TIERED LIS: 1. Children must be supervised at all times. This portion shall have an immediate correction date. 2. The LE will develop a supervision policy which must be reviewed and approved by the Northeast Region Office of Child Development and Early Learning. In addition, the supervision policy must address outside providers who work with children in relation to supervision. The LE will review this policy with all staff who will sign an acknowledgement of the policy which shall be maintained in their staff files. The operator shall provide a date for when this portion of the plan will be completed.

Regulation: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: During a renewal inspection on 3/17/25 Cert rep observed parents were not being provide a general daily schedule, supervision policies, or pick-up arrangements in writing at the time of enrollment.

Correction Required: At the time of enrollment, a parent shall receive in writing 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.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During a renewal inspection on 3/17/25 Children 4, 5 and 6 did not have parent's work address and phone on the emergency contact form. Child 5 did not have the parent's home address and phone number.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During a renewal inspection on 3/17/25 Cert rep observed that the excursion bags and emergency contact binders taken with staff when leaving the facility with children did not contain the emergency medical transportation plan.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: During a renewal inspection on 3/17/25 Cert rep observed an albuterol inhaler in an open bag on the floor on the children's cubie area of Room 6(front toddlers). This area would be accessible to children.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: During a renewal inspection on 3/17/24 Cert rep observed that non hands-free trash can was being used for the disposal of diapers in Room 6 (front toddlers) and Room 7(back toddlers).

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During a renewal inspection on 3/17/25 Staff 4 was observed to be caring for children unsupervised. Staff 4 has not completed the following pre-service training required prior to caring for children unsupervised: PA Require Health and Safety Training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings(PA Required Health and Safety for Family Child Care Part 1(3 hours)). is completed, staff 4 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person 4, staff person 4 may not work in a child-care position or have direct contact with children at the facility.

Regulation: 3270.151(a)

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

Noncompliance Area: During a renewal inspection on 3/17/25 Cert rep noted the following staff had more than 24 months between health assessments: Staff 1(11/18/22 and 2/6/25), and Staff 2(1/19/23 and 3/12/25).

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

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: During a renewal inspection on 3/17/25 Cert rep observed that the safe routes/pick up and drop off procedures was not posted in a conspicuous location at the facility.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During a renewal inspection on 3/17/25 Child 2's fee agreement was reviewed with the parent on 8/26/24. This is more than 6 months since parental review.

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

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: During a renewal inspection on 3/17/25 Child 2 and 3 did not have signed consent for emergency medical care or the administration of minor first aid.

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

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: During a renewal inspection on 3/17/25 Staff reported that the facility was not maintaining a copy of all reports of accidents, injuries and illnesses at the facility in a facility wide accident, injuries and illness file.

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During a renewal inspection on 3/17/25 Staff 6 had 0 references on file.

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

Regulation: 3270.25(a)/3270.27(d)

Description: Availability of certificate of compliance and applicable regulations/Plan posted

Noncompliance Area: During a renewal inspection on 3/17/25 Cert rep observed the facility did not have a means for the parents to access the regulations electronically. Cert rep observed the facility did not have the emergency plan posted in a conspicuous location accessible to the parents.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. The operator shall post the emergency plan in the facility at a conspicuous location.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During a renewal inspection on 3/17/25 Staff 4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): PA Require Health and Safety Training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Until such time as the required pre-service trainings(PA Required Health and Safety for Family Child Care Part 1(3 hours)). is completed, staff 4 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person 4, staff person 4 may not work in a child-care position or have direct contact with children at the facility. Staff 4 must complete both PA Required Health and Safety for Family Child Care Part 1(3 hours) and PA Required Health and Safety for Family Child Care Part 2.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection on 3/17/25 Cert rep noted Staff 3 and Staff 6 did not have disclosure statements that were signed, witnessed and dated. See 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. Staff 3 and 6 may not work in a child care position or have direct contact with children at the facility until such time as the disclosure statement is signed, witnessed and dated.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During a renewal inspection on 3/17/25 the following staff had more than 12 months between staff evaluations: Staff 2(3/6/23 and 9/24/24), Staff 4 (8/28/23 and 9/3/24), and Staff 5 (3/12/23 and 11/23/24).

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During a renewal inspection on 3/17/25 Cert rep observed spray cleaner in an unlocked cabinet under the sink in Room 4(front infant room). Cert rep observed Glyerin and goo gone (both labeled "keep out of reach of children") in an unlocked cabinet (lower art supplies cabinet) in Room 8(Discovery Pre-school). Cert Rep observed a sprayer mop with sprayer cleaner and Eucerin lotion (labeled "keep out of reach of children") in an opened storage closet in Room 2(school Aged).

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During a renewal inspection on 3/17/25 Cert rep observed the first aid kit in Room 6(Front Toddlers) did not have tweezers or scissors.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During a renewal inspection on 3/17/25 Cert rep observed peeling plaster in Room 3(Preschool) below the middle of the large yellow reuseable calendar.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During a renewal inspection on 3/17/25, Cert rep observed the most recent Fire detection testing was 2/14/25. This is more than 30 days between fire detection testing.

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

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: On 3/12/2024, the emergency contact information forms for Child #1 and Child #2 did not include signed parental consent for emergency medical care for the child and also did not include signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff #2 did not complete the required pre-service health and safety training within 90 days of their date of hire. It was completed on 2/23/2024. See LIS code sheet.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-9.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire: Pediatric first aid/CPR training from a PQAS approved trainer and a PQAS approved curriculum. See LIS code sheet.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #1 will have until 3/27/2024 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a childcare position at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the Renewal Inspection on 3/12/2024, a cracked piece of wood with sharp edges exposed was observed on one of the windowsills in the Discovery Preschool classroom.

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

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

Description: Infant: updated health report every 6 months/Toddler/preschool: updated health report every 12 months

Noncompliance Area: On 3/9/2023, the most recent health report on file for Child #1, an infant was dated 8/9/2022. The most recent health report on file for Child #2, a young toddler was dated 6/13/2022. The most recent health report on file for Child #4, a preschool child was dated 6/14/2021.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: On 3/9/2023, the files for Child #3 and Child #4 did not have documentation of the up-to-date annual influenza immunization as recommended by the ACIP. The files for Child #3 and Child #4 did not include an exemption from immunization for religious belief or strong personal objection equated to a religious belief written, signed and dated statement by the child's parent.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in childcare group settings). Child #3 and Child #4 must be dismissed from care by close of business 3/9/2023 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 3/9/2023, Staff #5 and Staff #6 did not have two written, nonfamily references 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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #1 and #2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): The required pre-service health and safety training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-9. Staff persons #1 and #2 will have until 3/28/2023 to complete the required training. Until such time as the required training has been completed, staff persons #1 and #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff persons #1 and #3 have not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff persons #1 and #3 will have until 3/28/2023 to complete the mandated reporter training. Until such time as the required training has been completed, staff persons #1 and #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff persons available to supervise staff persons #1 and #3, staff persons #1 and #3 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 3/9/2023, Staff #4 had current clearances on file. However, the updated state police clearance for Staff #4 was dated 12/6/2022 and the updated child abuse clearance was dated 12/9/2022. The previous state police clearance on file for Staff #4 was dated 11/21/2017 and the previous child abuse clearance on file was dated 11/27/2017. Staff #5 did not have the completed National Sex Offender Registry (NSOR) clearance on file on 3/9/2023. See LIS code sheet.

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 staff clearances must be updated at least every 60 months. Staff #5 may not work in a childcare position at the facility.

Regulation: 3270.94(a)(1)/3270.95(a)

Description: Every 60 days/Devices must be compliant

Noncompliance Area: On 3/9/2023, the fire drill and fire detection log was up to date. However, the fire drill and fire detection log showed during the previous 12 months, that fire drills were not conducted at least once every 60 days and that the fire detection system was not manually tested at least once every 30 days.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: Staff #3 was hired on 6/21/2021, but did not complete have an initial health assessment conducted until 1/12/2022. In addition, the initial health assessment did not include a tuberculosis screening that is required at initial employment. The tuberculosis screening that was on file was documented on a health assessment from 10/19/2018.

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.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff #4 was hired on 11/8/2021, but did not complete the required professional development in pediatric first aid and pediatric cardiopulmonary resuscitation until 3/11/2022.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff #1 and Staff #2 have current clearances on file. However, some of the clearance went more than 60 months in between being renewed. The current state police and child abuse clearances that are on file for Staff #1 are dated 10/16/2020. The previous state police and child abuse clearances on file for Staff #1 were dated 9/10/2015 and 9/15/2015. The current state police, FBI and child abuse clearances on file for Staff #2 are dated 9/19/2019, 10/3/2019 and 9/20/2019. The previous state police, FBI and child abuse clearances on file for Staff #2 were dated 9/16/2014, 9/22/2014 and 9/4/2014.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). All staff clearances must be renewed at least every 60 months.

Noncompliance Area: An inspection was conducted on 8/7/2020. At this time, the lid to a sensory table was observed to be cracked posing a pinching hazard. A crab sand box being used as a water table was observed to have about two inches of dirty, standing water in it. A sensory table filled with sand was observed to have about an inch of dirty standing water, with small worms swimming in it. All three were observed on the rear playground.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: An inspection was conducted on 8/7/2020. At this time, used tissues, gloves, and band-aids were observed in an unlidded trash can on the toddler playground.

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

Noncompliance Area: An inspection was conducted on 8/7/2020. At this time, a carpet in the toddler room was observed having two rolled corners posing tripping hazards.

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

Noncompliance Area: Facility self-reported that on 10/1/19, Child #1, a three-year-old preschool child, choked on a small metal ball less than one inch in diameter that was accessible in the Pre-Kindergarten classroom. In the mornings at drop-off, classrooms are combined and children are dropped off in the Pre-Kindergarten classroom, where Child #1 had access to small objects. Center was aware that Child #1 frequently places objects in his mouth. The child took the magnet wands and small metal balls from the science area. Child #1 then placed a small metal ball in his mouth and began to choke. An acceptable plan was received on 10/15/2019. The correction date was 10/2/2019. An unannounced inspection was conducted on 10/22/19. At that time, small pom-poms (less than one inch in diameter) and plastic bags were observed in the Discovery Preschool Room (two to three year olds) where they were accessible to the children in care. Facility Person #1, who works in that classroom, admitted that some of the children in the class still place objects in their mouths. The Legal Entity was required to remove or make inaccessible from children who are still placing objects in their mouths, all 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. An acceptable plan was received on 11/7/2019. The correction date was 10/23/2019.. The Legal entity was also required to have all staff to receive a minimum of two hours of in person training regarding Health & Safety -- Healthy Environment. An acceptable plan was received on 11/7/2019. The correction date was 1/6/2020. An unannounced inspection was conducted on 2/3/2020. At that time, watercolor paints were observed in plastic bags on the floor level shelf in the Discovery Preschool room (two to three year olds). Resealable plastic bags containing books and flash cards were observed in storage containers on the floor in the quiet center of the Discovery Preschool Room. The plastic bags were accessible to the children in care.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths. The legal entity must arrange for ALL facility staff to receive a minimum of two hours of in person training on age appropriate toys and supplies for the classroom. The legal entity shall also receive technical assistance following the training to ensure that appropriate procedures have been implemented. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: An unannounced inspection was conducted on 2/3/2020. At that time, a lidded-trash can was observed in the preschool room that is not hands-free. Director and staff stated that the intended use of the trash can is for disposal of dirty diapers.

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

Noncompliance Area: A complaint investigation was conducted on 12/18/19. At that time, it was found that Child #1 was injured on two separate occasions at the facility on 12/16/19. Each time the child was injured, a lack of supervision had occurred. During the first injury, Facility Person #2 was diapering and washing hands in the bathroom, while Facility Person #3 was cleaning up from breakfast. Neither staff saw the child hit his head and it unknown how he was injured. During the second injury, Facility Person #3, did not see the child fall because she was cleaning up from lunch.

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.

Noncompliance Area: A complaint investigation was conducted on 12/18/19. During the investigation, it was found that Child #1 had sustained a head injury due to a fall at 9:15am on 12/16/19. Parents were not notified until 10:23am. At that time, the parent was not informed of the severity of the injury. Child #1 sustained a second head injury to the same spot due to another fall at 11:45am. Parent was notified immediately this time.

Correction Required: If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent.

Noncompliance Area: An unannounced inspection was conducted on 12/18/19. As a result of the inspection, Facility Person #1, the facility director, admitted that she instructed staff not to write a report of an injury of a child at the facility unless there is a mark.

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. The director and all administrators at the facility, including the assistant director, are required to attend Existing Provider Orientation conducted at the Northeast Regional Office. The legal entity representative must contact the Regional Office in order to schedule this training.

Noncompliance Area: A complaint investigation was conducted on 12/18/19. At that time, multiple staff admitted that they are out of ratio in the mornings by two to four children for up to fifteen minutes. Staff stated that they are instructed by director not to clock in until their scheduled time even though another staff is out of ratio. Staff stated they are occasionally out of ratio toward the end of naptime when children wake up early and get up from their cots.

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

Noncompliance Area: Facility self-reported that on 10/1/19, Child #1, a three-year-old preschool child, choked on a small metal ball less than one inch in diameter that was accessible in the Pre-Kindergarten classroom. In the mornings at drop-off, classrooms are combined and children are dropped off in the Pre-Kindergarten classroom, where Child #1 had access to small objects. Center was aware that Child #1 frequently places objects in his mouth. The child took the magnet wands and small metal balls from the science area. Child #1 then placed a small metal ball in his mouth and began to choke. An unannounced inspection was conducted on 10/22/19. At that time, small pom-poms (less than one inch in diameter) and plastic bags were observed in the Discovery Preschool Room (two to three year olds) where they were accessible to the children in care. Facility Person #1, who works in that classroom, admitted that some of the children in the class still place 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.

Noncompliance Area: Facility self-reported that on 10/1/19, Child #1, a three-year-old preschool child, choked on a small metal ball less than one inch in diameter that was accessible in the Pre-Kindergarten classroom. In the mornings at drop-off, classrooms are combined and children are dropped off in the Pre-Kindergarten classroom, where Child #1 had access to small objects. Center was aware that Child #1 frequently places objects in his mouth. The child took the magnet wands and small metal balls from the science area. Child #1 then placed a small metal ball in his mouth and began to choke.

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

Noncompliance Area: A renewal inspection was conducted on 7/15/19. At that time, Staff Person #1 identified ten children in her group. Staff Person #2 identified seven children in her group. Staff identified the children by naming them and pointing out their location in the classroom. There were eighteen children in the group; one child was unaccounted for.

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.

Noncompliance Area: A renewal inspection was conducted on 7/15/19. At that time, Child #1, enrolled 9/22/17, did not have a child service report on file. Child #2, enrolled 10/15/18, did not have a child service report on file. Child #4, enrolled 4/18/18, had only one child service report on file dated 6/27/19. Child #5, enrolled 11/14/18, had no child service report on file.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: A renewal inspection was conducted on 7/15/19. At that time, the file for Child #3, enrolled 8/2/18, did not contain initial fee agreements or emergency contact information. The fee agreement and emergency contact information on file was dated 4/13/19. The file for Child #5, enrolled 11/14/18, did not contain an initial fee agreement. The fee agreement was dated 4/12/19.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: A renewal inspection was conducted on 7/15/19. At that time, the file for Child #2, enrolled 10/15/18, did not contain an initial health report. The health report on file was dated 3/15/19. The file for Child #3, enrolled 8/2/18, did not contain an initial health report. The health report on file was dated 4/10/19.

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

Noncompliance Area: A renewal inspection was conducted on 7/15/19. At that time, a trash can was observed in the discovery preschool closet. The trash can contained soiled diapers and was not lidded.

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

Noncompliance Area: A renewal inspection was conducted on 7/22/19. At that time, the health report for Staff Person #3 had not been updated since 5/10/16. The health report for Staff Person #4 had not been updated since 10/24/16.

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

Noncompliance Area: A renewal inspection was conducted on 7/15/19. At that time, none of the emergency contact information in the classrooms had been updated when the master files were updated.

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

Noncompliance Area: A renewal inspection was conducted on 7/22/19. At that time, the file for Staff Person #7 did not contain two written , nonfamily references.

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

Noncompliance Area: A renewal inspection was conducted on 7/22/19. At that time, the following staff have been employed at the facility for longer than one year and did not have emergency plan training conducted within the past year: Staff Person #3, Staff Person #4, Staff Person #5, Staff Person #8. The following staff have been employed at the facility less than one year and have not yet been trained in the emergency plan: Staff Person #1, Staff Person #2, Staff Person #6, Staff Person #7, Staff Person #9

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

Noncompliance Area: A renewal inspection was conducted on 7/22/19. At that time, the following staff did not have 6 hours of child care training on file at the facility: Staff Person #3, Staff Person #5, Staff Person #8.

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

Noncompliance Area: A renewal inspection was conducted on 7/22/19. At that time, Staff Person #4, Staff Person #5 and Staff Person #8 did not have fire safety training on file at the facility that had been completed in the past year.

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.

Noncompliance Area: A renewal inspection was conducted on 7/15/19. At that time, the file for Staff Person #2, hired 8/27/18, did not contain a Child Abuse Clearance or the request for the clearance. The file for Staff Person #8 contained an FBI Clearance dated 3/6/13.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #2 may not work in a child care position at the facility until a Child Abuse Clearance is on file. Staff Person #8 may not work in a child care position at the facility until a new FBI Clearance is on file.

Noncompliance Area: A renewal inspection was conducted on 7/22/19. At that time, the file for Staff Person #1, an assistant group supervisor, contained a high school diploma, but did not contain proof of experience prior to working at the facility. The file for Staff Person #7, an assistant group supervisor, contained a high school diploma, but did not contain proof of experience prior to working at the facility.

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

Noncompliance Area: A renewal inspection was conducted on 7/15/19. At that time, the back infant room contained cleaning sprays on low refrigerator and Swiffer wet jet 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.

Noncompliance Area: A renewal inspection was conducted on 7/15/19. At that time, the back Infant Room was being used for storage and was not set up for child care. An 8 inch hole was observed on the older playground next to the grate in the corner, posing a tripping hazard. The door to the storage shed on the young playground was broken off of the shed. A water damaged ceiling tile was observed in the middle of the School Age Room.

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

Noncompliance Area: A complaint investigation was conducted on 4/5/19. Staff #1 and Staff #2 admitted to using their bodies to lay across children to get them to stay on their nap mat during naptime. Staff #1 also admitted to grabbing a child by their collarbone while attempting to redirect the child.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Noncompliance Area: A complaint investigation was conducted on 4/5/19. At that time, the following staff said they would report suspected child abuse to their supervisor and not call it into Childline directly: Staff #3, Staff #4, Staff #5, Staff #6, Staff #7, and Staff #8.

Correction Required: An operator or a staff person who has reason to believe that a child enrolled in the facility has been abused is required to report suspected child abuse to ChildLine as mandated by the CPSL.

Noncompliance Area: A renewal inspection was conducted on 7/9/18. At that time, plastic bags and gloves (less than 1 inch in diameter) were observed in the toileting area of the Discovery Preschool Classroom. This classroom is used by the two year olds and the plastic bags and gloves were accessible to the children in care.

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

Noncompliance Area: A renewal inspection was conducted on 7/9/18. At that time, the following children did not have child service reports conducted every 6 months: Child #1, Child #2, Child #3. (Date of last child service report: Child #1 5/24/17, Child #2 11/10/17, Child #3 5/30/17)

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: A renewal inspection was conducted on 7/9/18. At that time, the files for Child #1 and Child #2 did not contain health insurance coverage and policy number in the children's emergency contact information. The emergency contact information located in the classrooms did not contain health insurance coverage and policy number in the children's emergency contact information for Child #5 and Child #7.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: A renewal inspection was conducted on 7/9/18. At that time, the file for Child #1, an older toddler, contained immunization records that had not been updated since 4/25/17.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: A renewal inspection was conducted on 7/9/18. At that time, the health report for Child #1 did not include if the child is able to participate in child care 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 child care and appears to be free from contagious or communicable disease.

Noncompliance Area: A renewal inspection was conducted on 7/9/18. At that time, Staff Person #2 and Staff Person #6 did not have health reports on file conducted within the past 24 months. (Health Reports: Staff Person #2: 5/25/16, Staff Person #6: 6/9/16)

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

Noncompliance Area: A renewal inspection was conducted on 7/9/18. At that time, the classroom emergency contact form for Child #5 did not contain parental consent for administration of minor first-aid procedures by facility staff. The classroom emergency contact form for Child #6 did not contain parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

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

Noncompliance Area: A renewal inspection was conducted on 7/9/18. At that time, Staff Person #3 did not have emergency plan training on file at the facility. (Date of hire: 6/4/18)

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

Noncompliance Area: A renewal inspection was conducted on 7/9/18. At that time, the file for Staff Person #1, a group supervisor, did not contain any verification of education or experience prior to employment at the facility. (Date of hire: 4/2/18)

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A group supervisor shall have an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children.

Noncompliance Area: A renewal inspection was conducted on 7/9/18. At that time, the following staff had not received a staff evaluation within the past 12 months: Staff Person #2, Staff Person #4, Staff Person #5, and Staff Person #6. The most recent staff evaluations for each staff person was conducted in 6/2017.

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

Noncompliance Area: A renewal inspection was conducted on 7/9/18. At that time, the file for Staff Person #3, an assistant group supervisor, did not contain a high school diploma or verification of any education.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: A renewal inspection was conducted on 7/9/18. At that time, fire drills had not been conducted every 60 days. (last two fire drills were held on 12/27/17 and 6/5/18)

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.