Kindercare Learning Center/bethel Park

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the Toddler A classroom did not contain a thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: SECOND CITATION (FROM 3.12.2026 SIN-00284879): At approximately 2:05 pm, 10 children were observed to be resting on their cots in the older two-year-old classroom. Staff #15 was asked to identify the group of children in their primary supervisory group. Staff #15 identified 5 of the 10 children present. Staff #15 was asked a second time and again identified the same 5 children. When asked who had the group of 5 children not identified, Staff #15 stated Staff #3 did, and they were on break and not in classroom.

Correction Required: TIERS 1. 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. This portion of the plan must have an immediate correction date. 2. The legal entity must contact the ELRC #5 to receive onsite/in-person technical assistance training regarding the development and/ or review of the hands-free, tangible identification system. All staff will utilize the identification method appropriately while supervising children. The operator will provide a date for when this training will be completed. 3. The director will create a log with which to document random assessments of supervision in each classroom. The log shall include the date, time, staff person's, name, number and ages of children in each staff's supervision group. The log should also indicate whether or not the staff was successful in naming their children and knowing their whereabouts. The log must first be submitted to the DHS representative for review. The director may consult with the ELRC #5 for assistance with creation of the log. The operator will provide a date for when the completed log will be submitted. 4. The director will conduct random assessments of each classroom at least 3 times per week, at various times of the day, for the next two months. During the assessment, the director will ask each staff person in every classroom to identify the children in their respective groups for who they assume responsibility. The director will document all assessments on the log created in tier 3. The log should also note whether or not the staff was successful in naming their children and knowing their whereabouts. The completed logs will be made available to DHS representatives upon request. The operator will provide a date for when the assessments will be completed.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The financial agreements for Child #7 and #8 did not contain the operator's signature.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The financial agreements for Child #1, #2, #3 and #7 did not specify the amount of the fee to be charged by day or week.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file of Child #1, #8 and #9. all enrolled for more than 6 months, did not contain documentation of any child service reports. The file of Child #3 and #4, enrolled for more than 12 months (see LIS code sheet), contained documentation of a child service report being completed in 5/2026, but did not contain any prior reports. The file of Child #5, #6 and #7 enrolled for more than 12 months (see LIS code sheet), contained documentation of a child service report being completed in 4/2026, but did not contain any prior reports.

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: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The financial agreements for Child #2, #4 and #6 did not specify the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The financial agreement for Child #1, #2, #3, #4, #5, #6, #7, #8 and #9 did not specify the child's date of admission.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information for Child #1 did not include the name, address and telephone number of the child's physician.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information for Child #1, #4, #5, #6 and #8 did not include the work address and work telephone number of the enrolling parent.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact information for Child #1, #2 and #8 did not include information on the child's special needs in an emergency situation or documentation this is not applicable to the child.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information for Child #1 and #4 did not contain the health insurance name and policy number. The emergency contact information for Child #2 did not contain the health insurance name.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for Child #2 and #8 did not contain addresses of the persons designated by the parents to whom the child may be released.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact forms for Child #10, #11 and #12 were not present in the Discovery Preschool A classroom where the children were 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.

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

Description: Initial health report for young toddler no more than 6 months/Initial and subsequent health reports

Noncompliance Area: The file of Child #1, who enrolled as a young toddler (see LIS code sheet), contained an initial health assessment which the date was cut off, making it unable to determine when the exam was conducted.

Correction Required: The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

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

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The file for Child #9, now identified as a preschool age child (see LIS code sheet), contained consecutive health assessments (6/11/2024 and 9/25/2025) dated more than 6 months apart as an infant to young toddler.

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

Regulation: 3270.131(b)(2)/3270.192(3)

Description: Toddler/preschool: updated health report every 12 months/Health assessment, TB test

Noncompliance Area: The file for Child #3, identified as a preschool age child (see LIS code sheet), contained consecutive health assessments dated more than 12 months apart (3/21/2026 and 4/24/2026).

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The initial health assessment on file for Staff #1 was dated 4/30/2026, after their start date with children (see LIS code sheet). The health assessment on file for Staff #3 was dated 7/31/2024, more than 12 months prior to their start date with children (see LIS code sheet). The file of Staff #11 did not contain an initial health assessment (see LIS code sheet). The file of Staff #12 contained consecutive health assessments dated 1/24/2024 and 5/5/2026, more than 24 months apart. The file of Staff #14 contained a health assessment dated 6/26/2023 but did not contain documentation of a health assessment within the past 24 months.

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

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

Description: Physical examination/Health assessment, TB test

Noncompliance Area: The file of Staff #16 contained a health assessment which did not state a physical exam was conducted.

Correction Required: An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The files of Staff #2 and #11 did not have documentation a tuberculosis screening was completed prior to working at the facility.

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

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

Description: Exam communicable disease/Health assessment, TB test

Noncompliance Area: The file of Staff #1 contained a health assessment with documentation of "yes" to having an examination for communicable diseases but did not include an explanation of the result. The file of Staff #16 contained a health assessment which did not include documentation an examination for communicable disease was conducted and the results of the exam.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(c)(4)/3270.192(3)

Description: Information re: medical problems/Health assessment, TB test

Noncompliance Area: The file of Staff #16 contained a health assessment which did not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children or documentation they are suitable to provide child care.

Correction Required: An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: A bottle in the Toddler B classroom was not labeled with the child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Based on dated documentation, consecutive emergency contact forms for Child #1, #3, #4, #5, #6, #8 and #9 were reviewed and/or updated more than 6 months apart. The financial agreement on file for Child #3 was dated 10/17/2022 and did not contain documentation of a review and/or update since that date. Financial agreements on file for Child #5 were dated 8/1/2024 and 5/11/2026, more than 6 months apart.

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: 3270.181(d)

Description: Dated signature affixed

Noncompliance Area: The financial agreement for Child #1 did not contain a date with the signature of the parent.

Correction Required: Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Regulation: 3270.182(8)

Description: Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The files of Child #4, #6, #8 and #9, all enrolled for more than 6 months (see LIS code sheet), contained current financial agreements dated 5/2026 but did not contain any prior agreements.

Correction Required: 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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The files of Staff #3 and #5 did not contain 2, and the file of Staff #11 lacked 1 written, nonfamily reference attesting to the person's suitability as a staff person.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file of Staff #16 contained documentation of emergency plan training dated 7/12/2024 but did not contain documentation of the training being completed in the past 12 months.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The "Documentaiton of Emergency Plan Delivery" stated the emergency plan was sent to the Allegheny County Office Building on Forbes Avenue and not the Allegheny County Emergency Management Agency on Hookstown Road.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Documentation of part 1 and part 2 of the acceptable health and safety training for Staff #1 were both dated 4/26/2026, more than 90 days from their start date at the facility (see LIS code sheet). Documentation of part 1 of the acceptable health and safety training for Staff #5 was dated 12/29/2025, more than 90 days from their start date at the facility (see LIS code sheet). Documentation of part 2 of the acceptable health and safety training for Staff #9 was dated 4/1/2026, more than 90 days from their start date at the facility (see LIS code sheet). Documentation of part 1 of the acceptable health and safety training on file for Staff #16 was dated 2/1/2026 and part #2 was dated 2/2/2026, more than 90 days from their start date at the facility (see LIS code sheet).

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Pediatric first aid and CPR for Staff #7 was dated 1/20/2026 and Staff #16 was dated 7/3/2025, both more than 90 days from their start date at the facility (see LIS code sheet).

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Mandated reporter training for Staff #5 was dated 4/26/2026, more than 90 from their start date at the facility (see LIS code Sheet). The file of Staff #14 contained consecutive mandated reporter trainings dated 9/17/2020 and 5/2/2026, more than 60 months apart.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Staff #7 contained a volunteer PA state criminal history clearance. The file of Staff #13 contained consecutive PA criminal history clearances dated 5/31/2020 and 4/27/2026, child abuse clearances dated 6/1/2020 and 4/29/2026 and FBI clearances dated 7/12/2020 and 4/27/2026, all more than 60 months apart. The file of Staff #14 contained consecutive PA criminal history clearances dated 3/10/2020 and 5/11/2026, more than 60 months apart. The file of Staff #15 contained consecutive child abuse clearances dated 6/1/2020 and 5/11/2026 and FBI clearances dated 7/11/2020 and 7/16/2025, both more than 60 months apart. The file of Staff #18 contained consecutive PA criminal history clearances dated 1/8/2020 and 1/15/2025 and child abuse clearances dated 3/5/2021 and 4/21/2026, both more thank 60 months apart. A completed disclosure statement was not on file for Staff #1. The file of Staff #2, #4, #5, #6 contained a disclosure statement which did not have a witness signature. The file of Staff #7, #9, #10, #11 contained a completed disclosure statement, but it was on an old version of the form dated 11/8/2024 and not the current with the date of 1/1/2025. The file of Staff #8 contained a completed disclosure statement on the old version of the form, and it was dated more than 6 months from their rehire date at the facility. The only disclosure statement on file for Staff #12 was dated 4/27/2026 which was after their start date at the facility (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 7 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #7 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The facility did not contain documentation of an annual evaluation completed by the director for Staff #12 and #18, who have been employed at the facility for more than 12 months (see LIS code sheet).

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: 3270.34(b)/3270.192(2)(ii)

Description: Director qualifications/Exp, educ., training prior to facility

Noncompliance Area: The file of Staff #17, identified as the interim director, did not contain documentation of education to qualify them for the position they are serving.

Correction Required: A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.36(a)/3270.192(2)(ii)

Description: Assistant Group Supervisor responsibilities/Exp, educ., training prior to facility

Noncompliance Area: The file of Staff #1, #3 and #11, all identified as assistant group supervisors, did not contain documentation of education and/or experience to qualify them for the position they are serving in. The file of Staff #2 and #5 contained documentation of education from another country but did not have the education evaluated to determine the US equivalency.

Correction Required: An assistant group supervisor is responsible for the minimum duties described at § 3270.36(a)(1 - 2). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.37(b)/3270.192(2)(iii)

Description: Aide qualifications/Exp, educ., training at facility

Noncompliance Area: The file of Staff #7, #8 and #10, identified as aides, did not contain documentation of education and/or experience to qualify them for the position which they are serving in.

Correction Required: An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: The trash can in the restroom by the Discovery Preschool A classroom, which contained human secretions, did not have a plastic liner.

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

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: The emergency telephone numbers for ambulance service and the nearest hospital were not posted by the telephones in the Infant, Pre-K, Discovery Preschool A, Discovery Preschool B and the Preschool classroom. The emergency numbers to the nearest hospital, police department, fire department, ambulance and poison control were not posted by the telephone in the Preschool classroom, at the telephone in the lobby and at the 2 cordless telephones which were taken to the outdoor play spaces by the Toddler B and Discovery Preschool A staff.

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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Fourteen wall anchors were visible in the metal wall by the play kitchen at child height in the Toddler A classroom. When touched, the sharp metal cut Cert Rep's. skin. The other areas were sharp and rough to the touch. Both the toddler and preschool outdoor play spaces had a ceramic drainpipe which the gutters drain into at the base of the building. The ceramic was broken on both drainpipes exposing sharp and rough edges to the children in care.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the Discovery Preschool B classroom, peeling paint was observed on the wall by the blocks, below the circle time calendar, to the right of the cabinet and a large area to the right of the door to the outdoor play space. In the Toddler B classroom, a small area of paint was peeling on the bottom of the window frame.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: A lidded trash can was not present in the restroom off the Discovery Preschool B classroom. The trash can in the restroom off the Pre-K classroom did not have a lid.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: The doors exiting to the "Jack and Jill" closet that connects the Discovery Preschool A, and the Pre-K classrooms were blocked by children's cots, mops and buckets.

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

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: The fire drill log did not contain documentation of a hypothetical location of the fire, evacuation time, time of day or the names of staff participating in the drill.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Testing the fire detection system exceeded 30 days based on documentation of the testing occurring on 4/3/2026 with the next test documented 42 days later on 5/15/2026,

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 3/12/26 at 8:47 am in the Infant Room, staff #9 and staff #10 were caring for 6 infants and 2 young toddlers. During the supervision and ratio check, the staff were asked to identify the specific children each staff was responsible for supervising. After several attempts, child #1, a young toddler, had not been identified in either staff's supervision group.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Per staff statements on 3/5/26 at approximately 11:30 a.m. in the Pre-K Classroom, Child #1 was upset and yelling. Staff #1 heard the yelling and entered the room. Staff #1, knelt down and restrained Child #1 in a "bear hug." The staff wrapped their arms around the child and the staff's hand was over the child's mouth and nose.

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 must create a written policy regarding 3270.113(b), regarding the use of any form of physical discipline on a child. The policy must address 1) the use of physical discipline, 2) how staff are to report concerns regarding staff interactions with children to the Legal Entity, and 3) staff responsibilities as a mandated reporter. The policy must be reviewed and approved by the Department. A copy of the policy will be included in the staff handbook. The policy must be reviewed with each staff person. Each staff will sign and date a copy of the policy. Documentation of the signed policies will be emailed ([email protected]) to the Department within 3 months of the approval of the policy. The operator shall provide a date for when this tier will be complete.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Per staff statements on 3/5/26 at approximately 11:30 a.m. in the Pre-K Classroom, Child #1 was upset and yelling. Staff #1 heard the yelling and entered the room. Staff #1, knelt down and restrained Child #1 in a "bear hug." The staff wrapped their arms around the child and the staff's hand was over the child's mouth and nose.

Correction Required: 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.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for staff # 2 contained a TB form that lacked provider signature, date and result. The file for staff # 9 lacked TB test screening at the initial employment.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for staff #1 lacked proof of education and childcare experience.

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

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: The file for staff #1, #2, #4 & #9 lacked a complete disclosure statement.

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. Staff Person #2 may not work in a child care position at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for staff #5 lacked the emergency plan training at the time of initial employment.

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

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

Description: Age and Training

Noncompliance Area: Staff person #2 did not completed Pediatric first aid and CPR training on or before expiration of their previous certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring (8/30/23) and the most current training dated 9/17/25. Staff person #6 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring (2/15/24). Documentation of updated Pediatric first aid and CPR training is not on file. Staff person #7 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring (1/13/24). Documentation of updated Pediatric first aid and CPR training is not on file.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, staff person #6 & #7 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #6 & #7, staff person #6 & #7 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): The Health and Safety Trainings. Staff person #3 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): The Health and Safety Training part II. Staff person #8 did not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR. Staff #8 has a current training certificate dated 11/19/25.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #1 & #3 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1 & #3, staff person #1 & #3 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 has not completed 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). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person 1 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 contained a current Child Abuse clearance dated 11/14/25, an FBI clearance dated 11/13/25 and an NSOR dated 11/13/25. The clearances were obtained after the staff's first day working with children (see LIS code sheet). The file for staff #2 lacked a State Police, Child Abuse, FBI and NSOR clearance. The file for staff #9 contained a current NSOR clearance dated 2/26/26. The NSOR was obtained after the staff's first day working with children (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. Facility Person #2 may not work in a child care position at the facility.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: According to the Fire Drill Log, the last Fire Drill was conducted more than 60 days ago, on 9/16/25.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The operator was not maintaining a written log for testing the fire detection system every 30 days.

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: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Staff #1 was observed being aggressive with child #1 on 8/1/2025 in the infant room as a result of being frustrated with the child. The child was placed into a pit/pool aggressively by one arm.

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: A written plan of daily activities was not posted in the Infant A classroom.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The files for children #1 through #6 lack updated in writing emergency contact information once in a 6-month period. The last updates on files are dated 2024 and 2023. The files for children #2 and #3 lack an updated financial agreement at least once in a 6-month period. the last agreement update on file is 5/2024.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for child #2 contains an initial health report that was obtained later than 60 days following the first day of attendance at the facility. It was due 9/2023 and obtained 4/2024.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The following staff files lack an updated health assessment: #1 was due 7/2024; #2 was due 5/11/2025.Staff file #7 contained a late health assessment. It was due 7/2024 and obtained 1/2025.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The files for children #1, and #5 contain financial agreements that were not updated at least once in a 6month period. #1 due 2/2024 and obtained 2/2025; #5 due 10/2024 and obtained 2/2025.

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for staff #1 lacks verification of child care experience, education and training prior to service at the facility to qualify the staff as a director. this was previously cited and corrected, however, the documentation no longer exists in the file.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff #8 lacks two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

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

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

Noncompliance Area: The file for staff #4 lacks verification of emergency plan training that was due 4/2025.

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

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

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

Noncompliance Area: The file for staff #1 lacks verification of annual firesafety training conducted by a fire protection professional. The training was due 1/2025.

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

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

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: The file for staff #1 lacks verification of 12 hours of annual training for the 8/2023-8/2024 time period. The file for staff #4 lacks verification of 12 hours of annual training for the 1/2024-1/2025 time period.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #1and #4 have not completed the following required pre-service training within the prescribed renewal date (see LIS code sheet): first aid and cpr. Neither staff was observed to be working with children. The updated training was due 1/2025. Staff #5 renewed first and and cpr training late. It was due 1/14/2025 and renewed 1/22/2025.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for staff #1, #2, and #3 contain NSOR clearances that were renewed late. They were due 1/2025 and obtained 5/2025. Staff #6 obtained initial employment clearances late. They were due 8/2024 and obtained 5/2025.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #8 lacks proof of request for the FBI clearance for a provisional hire. Staff #8 was improperly provisionally hired. Staff file #8 lacks a valid FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 8 may not work in a child care position at the facility until all valid clearances are on file. 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #4 lacks a previously obtained disclosure statement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective service. Facility Person # 4 may not work in a child care position at the facility until a valid disclosure is on file. 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: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: The files for staff #6 and #8 lack a high school diploma or a general educational development certificate and 2 years experience with children to qualify the staff assistant group supervisors.

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.

Regulation: 3270.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: Observed a fallen tree on the playground fence that was protruding into the play space. The fallen tree had sharp branches that were broke and would be accessible to children when the play space was in use.

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.

Regulation: 3270.63/3270.102(a)

Description: Unsafe Areas in Outdoor Space/Clean and good repair

Noncompliance Area: Observed exposed cement at the base of the post for the blue canopy in the playground that is a tripping hazard.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: Observed cleaning products that were stored in a cabinet in the Preschool room with food products on the same shelf.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The 2s A room lacked soap in the first aid kit.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed damaged fencing along the back of the play space and behind the building. One area of the fence was falling away from the play space. Another area was lifting up from the bottom of the fence due to lacking a metal bar on the bottom of the fence to stabilize the mesh part of the fencing. The areas on the fence that were not rubber coated were also rusted and in need of repair.

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

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: The file for child #1lacks signed 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.

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

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

Noncompliance Area: The file for staff #1 contains emergency plan training that exceeded 12 months. The training was conducted 9/2022 and 12/2023.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #2, #3, #4 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet). They have completed the training however, it exceeded 90 days: pediatric first aid and cpr. #2 due 9/2023 and completed 1/2024; #3 due 12/2023 and completed 1/2024; #4 due 12/2023 and completed 1/2024. Current first aid and cpr training is now on file.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire.

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

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: The file for staff #4 lacks verification of a high school diploma or a general educational development certificate. The file for staff #5 lacks verification of 2 years of experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate 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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed the pour n play surfacing on the SA/PreK/ toddler playgrounds to be in poor repair. Observed the grass on the playgrounds to be in need of cutting. The grass had an abundance of clover in it which attracts bees.

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: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Based on staff statements and documentation, staff #1 has grabbed child #1 by the wrists when the child is not listening.

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

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: Based on staff statements and documentation, staff #1 has made inappropriate comments to children and in the presence of children.

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

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Based on staff statements and documentation, staff #1 has made inappropriate comments to children and in the presence of children.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Observed 2 children napping in cribs without 2 feet of space on 3 sides of the cribs in the infant room.

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: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the infant room lacked a thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: The infant room lacked a daily schedule.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Observed one unlabeled baby bottle in the infant room.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff #2 contained 2 written, non family references, however, one did not attest to the person's suitability to serve as a facility person.

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

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

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

Noncompliance Area: The file for staff #8 contains emergency plan training that was renewed late. The training was due 3/2023 and was conducted 4/2023.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety update.

Correction Required: Staff person shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #5 will have until 7/18/23 to complete the required training. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility. The facility did not provide verification of the 12/2022 training to OCDEL nor was the date on the submitted staff data sheet.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The files for staff #3 and #4 contain preservice training that was completed late. The health and safety update training was due 12/2022 and was completed 6/2023.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #7 lacks an NSOR clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #7 may not work in a child care position at the facility until a valid NSOR is on file. 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #6 contains clearances from West Virginia that are not the appropriate clearances for the state of West Virginia.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #6 may not work in a child care position at the facility until valid West Virginia clearances are on file. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.34(b)(1)/3270.192(2)(ii)

Description: Bachelor's + 1 yr/Exp, educ., training prior to facility

Noncompliance Area: The file for staff #1 lacks verification of the discipline of the degree to qualify the staff as a director.

Correction Required: A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.35(b)(1)/3270.192(2)(ii)

Description: Bachelor's/Exp, educ., training prior to facility

Noncompliance Area: The file for staff #7 lacks verification of the discipline of the degree to qualify the staff as a group supervisor.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

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

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: The file for staff #2 lacks verification of a high school diploma or a general educational development certificate and 2 years experience with children to qualify the staff as an 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 verification of child care experience, education and training prior to service at the facility.