Kindercare Learning Center/norwin Ave

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The rest equipment in Classroom #1 and #6 were not labeled for use of a specific child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The files for Children #1, #2, #3, #4, #5, and #6 were observed to contain the original agreements.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for Child #7 lacked the enrolling parent work address and telephone number information.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form for Child #7 lacked the policy number for the child's health insurance.

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 forms for Children #4 and #7 lacked the complete address for the release persons listed.

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(a)

Description: Health information

Noncompliance Area: The file for Child #5 lacked an initial health report within 60 days of starting at the facility (refer to LIS code sheet).

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.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The updates to the health reports on file for Child #6, a young toddler, exceeded 6 months between examinations dated 6.12.25 and 1.13.26.

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.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The updates to the health reports on file for Child #4, a preschool age child, exceeded 12 months between health reports dated 7.10.24 and 8.1.25.

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

Regulation: 3270.133(1)

Description: Original container

Noncompliance Area: Small bottles, reported to contain Benadryl, were observed in a medication kit intended for child in care in Classroom 5. The child has a severe allergy and the parent reportedly pre-dosed the Benadryl into the small bottles to use if needed in the event of an allergic reaction. The Benadryl was not maintained in the original container.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: An expired Albuterol Inhaler was observed in the medication bin in Classroom #1.

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: The file for Staff Person #8 lacked an initial health report that had been completed within 12 months prior to starting in a child care taking position. The initial health report on file was dated 852 days prior to starting.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for Staff Person #7 lacked a tuberculosis screening within 12 months prior to starting at the facility. The health tuberculosis screening was completed 13 days after starting 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.

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The initial health report on file for Staff Person #12 lacked information that they had been examined for communicable diseases and the results of that examination and the physician's assessment of their suitability to provide child care.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The updated to the emergency contact form and financial agreements on file for children #1, #2 and #6 exceeded 6 months between reviews completed in August 2025 and March 2026.

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(5)

Description: Two written references

Noncompliance Area: The files for Staff Persons #1, #2 and #8 lacked two written, nonfamily references attesting to their suitability to provide child care.

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

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

Description: Age and Training

Noncompliance Area: The current Pediatric First Aid and CPR trainings on file for Staff Persons #6 and #11 were not completed on or prior to the expiration of the prior certification. This is evidenced by trainings dated 2.15.24-26 and 3.18.26-28.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The updates to the annual fire safety trainings on file for Staff Person #9 exceeded 12 months between trainings dated 6.17.24 and 3.31.26.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: The Pediatric First Aid and CPR training on file for Staff Person #10 was not completed by a PQAS approved trainer. Staff Person #10 has been in their position in excess of 90 days (refer to 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. Staff Person #10 will be supervised by a staff person with all required health and safety trainings until they have completed an approved pediatric first aid and CPR course.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The files for Staff Person's #1, #3 and #5 lacked FBI clearances that had been completed through Identogo for DHS purposes. The FBI clearance on file for Staff Person #1 was completed through CJIS, the FBI clearance on file for #3 was completed for the Department of Aging, and the FBI clearance on file for Staff person #5 was completed for the Department of Education. The file for Staff Person #2 lacked a complete PA State Police and/or FBI clearance prior to observing a classroom of children. The updates to the PA State Clearance, PA Child Abuse and FBI Clearances and mandated reporter trainings on file for Staff Person #4 exceeded 60 months. This is evidenced by PA State Police clearances being dated 4.30.20 and 6.16.25, PA Child Abuse clearances being dated 6.11.20 and 8.27.25, FBI clearances being dated 5.4.20 and 6.20.25, and mandated reporter trainings dated 6.10.20 and 8.19.25. The updates to the PA Child Abuse and FBI clearances and mandated reporter trainings on file for Staff Person #6 exceeded 60 months between updates. This is evidenced by PA Child Abuse clearances being dated 6.15.20 and 9.16.26, FBI clearances being dated 6.24.20 and 8.17.25, and mandated reporter trainings being dated 6.17.20 and 8.6.25. The file for Staff Person #7 lacked a current disclosure statement that had been signed at the time of employment. The disclosure statement on file was a prior version and did not include all required language required by the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1, #2, #3, #5 and #7 may not work in a child care position at the facility.

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

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

Noncompliance Area: The files for Staff Person's #2, #3, #8 lacked verification of education and experience to qualify them for a position at the facility. Staff Person's #2, #3 and #8 were identified as AGSs. The files for Staff Persons #1 and #7 lacked verification of experience to qualify them for the position of AGS that they were identified to be performing. Without verification of experience or additional education Staff Person's #1 and #7 qualify as Aides.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for Staff Person's #6, #9 and #11 lacked a written staff evaluation that had been completed by the Director within the last 12 months.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A spray bottle containing a glass cleaner was observed on the counter in classroom #1. The glass cleaner was accessible to preschool age children receiving care in the classroom.

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: 3270.66(b)

Description: Original container

Noncompliance Area: One unlabeled spray bottle, reported to contain a bleach water solution, was observed in both Classroom 3 and Classroom 5.

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: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: The back restroom in Classroom 6 was observed to have dried urine on the toilet seat, on the floor and around the toilet base bolt covers.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: According to staff statements, it was determined that Staff Person #1 removed Child #1 off of a bicycle by picking the child up from the bicycle by one arm. Staff Person #1 removed Child #1 to allow another child to ride the bicycle.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: The file for Staff Person #1 lacked Pediatric First Aid and CPR training in an approved curriculum with a PQAS instructor within 90 days of their hire date with the Legal Entity. The Pediatric First Aid and CPR training on file for Staff Person #1 was not completed in an approved curriculum or with a PQAS instructor.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The mandated reporter trainings on file for Staff Persons #2 and #3 exceeded 60 months between updates. This is evidenced by mandated reporter trainings for Staff Person #2 being dated 6.10.20 and 8.19.25 and mandated reporter trainings for Staff Person #3 being dated 6.17.20 and 8.6.25.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log on file indicated that the last fire drill had occurred on 7.1.25.

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 fire detection system testing log on file for the facility indicated that the last alarm testing had occurred on 7.1.25. Fire detection devices and systems are required to be tested at least once 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: 3270.123(a)

Description: Signed

Noncompliance Area: The most recent agreements on file for Children #1, #3, #4, #5, #6, #7 and #8 lacked 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 most recent agreement on file for Child #2 lacked the fee amount to be charged per day or per week.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The most recent agreement on file for Child #7 lacked the designated release persons to who the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The most recent agreement on file for Children #1, #2, #3, #4, #5, #6, #7 and #8 lacked the admission/start date for the child.

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

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The most recent agreements on file for Children #1, #2, #3 and #4 were observed to include original parent signatures.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: The most recent emergency contact form on file for Child #3 lacked the information as to who should be contacted in an emergency.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The most recent emergency contact form for Child #1 lacked the telephone number of the child's physician. The most recent emergency contact form for Child #3 lacked the 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)(6)

Description: Insurance coverage information

Noncompliance Area: The most recent emergency contact form for Child #1 lacked the policy number for the health insurance coverage.

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 most recent emergency contact form on file for Children #1, #2, #4, #6 and #7 lacked the complete addresses for each of the release persons listed.

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(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The files for Children #6 and #7 lacked an initial health assessment and the child has exceeded 60 days since their first day of attendance at the facility.

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: 3270.131(b)(2)

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

Noncompliance Area: The files for Children #1 and #3, preschool age children, lacked updated health reports that had been completed within the last 12 months. The most recent health report on file for Child #1 was dated 5.2.2023 and the most recent health report on file for Child #3 was dated 3.1.2023. The updates to the health reports on file for Child #2 exceeded 12 months between examinations on 6.12.2023 and 4.8.2025.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for Child #7 lacked verification that they had received their 4 and 6 month DTAP, HIB, and Pneumococcal vaccinations and their 4 month Polio vaccination. A written exemption was not on file at that time of the inspection.

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 child care group settings). Child #7 will be dismissed from care at the close of business 4.8.2025.

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The file for Child #6 lacked written verification that the child was administered immunizations in accordance with the recommendations of the ACIP. The child has exceeded 60 days since their first day of attendance in 8.2023. A written exemption was not on file at the time of the renewal.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Child #6 will be dismissed from care at the close of business on 4.8.2025.

Regulation: 3270.151(a)

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

Noncompliance Area: The file for Staff Person #4 lacked a current health assessment that had been completed within the last 24 months. The most recent health assessment on file for Staff Person #4 was dated 1.20.23. The update to the health assessments on file for Staff Person #5 exceeded 24 months between examinations on 3.4.22 and 6.26.24. The update to the health assessment on file for Staff Person #8 exceeded 24 months between examinations on 10.15.22 and 2.19.25. The initial health assessment on file for Staff Person #7 was not completed within 12 months prior to starting. A current health assessment for Staff Person #7 was not completed until 114 days after starting at the facility.

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

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: In Classroom #5 a lunchbox was observed on the counter to contain 2 cheese sticks. The cheese sticks required refrigeration.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: Written feeding schedules were missing for 2 of the infants receiving care in Classroom #3 (the Infant Classroom).

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

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: The insurance policy on file lacked the facility address to allow for verification of coverage at the facility location.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The updates to the emergency contact forms and financial agreements on file for Children #2 and #3 exceeded 6 months between 8.2024 and 3.2025. The updates to the emergency contact form for Child #5 exceeded 6 months between updates on 8.2024 and 4.2025. The most recent update to the financial agreement for Child #5 was completed in 8.2024. The most recent updates to the emergency contact forms and financial agreements for Children #4 and #6 were completed in 8.2024 and in 9.2024 (emergency contact form) and 8.2024 (financial agreement) for Child #7.

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: The most recent emergency contact form on file for Children #3, #4 and #6 lacked signed parental consent for obtaining emergency medical care and administration of minor first aid 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(e)(4)(i)

Description: Age and Training

Noncompliance Area: The Pediatric First Aid and CPR trainings on file for Staff Person's #2 and #8 were not completed prior to the expiration of the prior certification. This is evidenced by a current certification of 2.17.25 and prior expiration of 12.2024 for Staff Person #8 and a current certification of 10.16.24 and prior expiration of 9.2024 for Staff Person #2.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff Person #3 lacked a completed NSOR Certificate prior to starting in a child care taking position. The updates to the Mandated Reporter trainings on file for Staff Person #5 exceeded 60 months between 11.14.19 and 1.27.25.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #3 may not work in a child care position at the facility.

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: The staff worksheet indicated that Staff Person #6 was qualified as a Group Supervisor. The file for Staff Person #6 lacked verification of education to qualify them as a Group Supervisor as they have not completed their current education program to obtain their Associates. Without the education qualifications, Staff Person #6 qualifies as an Assistant Group Supervisor. The file for Staff Person #9 lacked verification that their education had been evaluated by a NACES or AICE certified evaluator.

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.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff Person #6 lacked a staff evaluation that had been completed within the last 12 months. The most recent staff evaluation was completed on 3.12.2024.

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: 3270.35(b)(3)

Description: Associate's + 2 yrs

Noncompliance Area: The file for Staff Person #6, who had been identified as a Group Supervisor, lacked completion of an associate's degree to qualify them for the position. At the time of the inspection it was reported they are in the process of earning their associate's degree.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 9:25am Staff Person's #1 and #2 were observed to be caring for 11 young toddlers in Classroom #4. The staff:child ratio for young toddlers is 1:5, which resulted in noncompliance with the ratio requirements as Staff Person #2 had 6 young toddlers.

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.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for Staff Person #1 lacked an initial tuberculosis screening with a valid date showing it had been completed within 12 months prior to starting.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff Person #2 lacked a PA Child Abuse Clearance prior to starting in a childcare taking position. A completed PA Child Abuse Clearance was not on file until 45 days after starting at the facility.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: *SECOND CITATION; CITED PREVIOUSLY ON 5/8/24: At approximately 12:00 PM, Facility Persons #1, #2 and #3 were supervising a total of 22 preschoolers in the Multi-age room. When each asked to identify which children they were supervising, Facility Person #1 claimed 6 children, Facility Person #2 claimed 6 children, and Facility Person #3 claimed 9 children, for a total of 21 children. One child was not identified by any of the staff present in the room.

Correction Required: *The legal entity shall ensure that all facility staff participate in a staff meeting, where supervision of children, specifically the proper distribution and use of the name to face cards, is included for discussion. Documentation of the meeting to include the date, agenda, and names and signatures of staff participating shall be retained on file and submitted to the certification representative upon request.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: SECOND CITATION; CITED PREVIOUSLY ON 5/8/24: At approximately 12:00 PM, Facility Persons #1, #2 and #3 were supervising a total of 22 preschoolers in the Multi-age room. When each asked to identify which children they were supervising, Facility Person #1 claimed 6 children, Facility Person #2 claimed 6 children, and Facility Person #3 claimed 9 children, for a total of 21 children. One child was not identified by any of the staff present in the room.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 4/22/24 at approximately 5:30, Facility Person #1 and #2 were supervising two younger toddlers and three older toddlers in the Toddler B room when two parents exited the room with three of the children through Discovery Preschool A. The parent of child #1, an older toddler, passed these families in Discovery Preschool A and came into Toddler B to pick up child #1 at which time it was realized child #1 was not in the room. Child #1 was found in Discovery Preschool A, where it can be concluded they were for approximately 20 seconds, unsupervised by any staff, after following the families out of Toddler B before the door closed and unseen by their parent as they walked through the classroom.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: **On 4/22/24 at approximately 5:30, Facility Person #1 and #2 were supervising two younger toddlers and three older toddlers in the Toddler B room when two parents exited the room with three of the children through Discovery Preschool A. The parent of child #1, an older toddler, passed these families in Discovery Preschool A and came into Toddler B to pick up child #1 at which time it was realized child #1 was not in the room. Child #1 was found in Discovery Preschool A, where it can be concluded they were for approximately 20 seconds, unsupervised by any staff, after following the families out of Toddler B before the door closed and unseen by their parent as they walked through the classroom.

Correction Required: **The legal entity shall ensure all facility staff complete training relating to the supervision of children. The training must be pre-approved by the certification representative. Documentation of training must be retained on file and submitted to the certification representative upon completion.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 4/22/24 at approximately 5:30, Facility Person #1 and #2 were supervising two younger toddlers and three older toddlers in the Toddler B room when two parents exited the room with three of the children through Discovery Preschool A. The parent of child #1, an older toddler, passed these families in Discovery Preschool A and came into Toddler B to pick up child #1 at which time it was realized child #1 was not in the room. Child #1 was found in Discovery Preschool A, where it can be concluded they were for approximately 20 seconds, unsupervised by any staff, after following the families out of Toddler B before the door closed and unseen by their parent as they walked through the classroom.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 4/22/24 at approximately 5:30, Facility Person #1 and #2 were supervising two younger toddlers and three older toddlers in the Toddler B room when two parents exited the room with three of the children through Discovery Preschool A. The parent of child #1, an older toddler, passed these families in Discovery Preschool A and came into Toddler B to pick up child #1 at which time it was realized child #1 was not in the room. Child #1 was found in Discovery Preschool A, where it can be concluded they were for approximately 20 seconds, unsupervised by any staff, after following the families out of Toddler B before the door closed and unseen by their parent as they walked through the classroom.

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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a foam building block observed to have peeling edges in the 2's B classroom. In the Preschool and Pre-K classroom there were bins of magnetic tile blocks that were cracked and had exposed magnetics.

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: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The agreement on file for Child #6 is lacking the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement on file for Child #1 is lacking the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement on file for Child #3 and Child #7 is lacking the date of admission for the child.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #2 is lacking the phone number of the child's physician.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #1, Child #2, and Child #3 is lacking the enrolling parent's work 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(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact form for Child #1 is lacking 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.

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(f)/3270.181(c)

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

Noncompliance Area: The emergency contact form and the financial agreement on file for Child #4 are dated 8/3/23 and updated on 3/18/24 and Child #5 are dated 8/21/23 and updated on 4/2/24 which are both dated more than 6 months apart.

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 #4 who has been enrolled for more that 60 days (see LIS code sheet for enrollment date) did not contain a health report. .

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

Regulation: 3270.131(c)

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

Noncompliance Area: The most current health report on file for Child #2 lacked the date and signature by a physician, physician's assistant or a CRNP.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The two most recent health assessments on file for Staff Person #1 are dated 8/2/20 and 6/19/23 which are more than 24 months apart. The health assessment on file for Staff Person #7 is dated 11/14/23 which is after their date of hire (see LIS code sheet). The health assessment on file for Staff Person #8 is dated 3/30/24 which is after their date of hire (see LIS code sheet). The health assessment on file for Staff Person #9 contains a TB screening dated 6/30/21 which is more than 12 months before hired date (see LIS code sheet)

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

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

Description: Age and Training

Noncompliance Area: The two most recent First aid/CPR trainings on file for Staff Person #2 and Staff Person #3 are dated 1/15/22 and 2/15/24 which are more than 24 months apart.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The two most recent fire safety training certificates on file for Staff Person #5 and Staff Person #6 are dated 12/8/22 and 2/15/24 which are more than annually.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #4 contained state police clearances dated 2/7/19 and 2/11/24 and DHS FBI clearances dated 2/9/19 and 2/17/24, the file for Staff Person #5 contained Child Abuse clearances dated 8/17/18 and 8/19/23, which are all more than 60 months apart. The file for Staff Person #7 contained a State Police clearance dated 12/23/23 and a DHS FBI clearance dated 11/17/23 which are both after hire date (see LIS code sheet). The file for Staff Person #8 contained a DHS FBI clearance dated 12/7/23 which is after hire date (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.

Regulation: 3270.66(c)

Description: Toxic use- no contamination

Noncompliance Area: It was observed that a bottle of cleaning disinfectant solution was on the same shelf as the children's diapers in the bathroom of the 2's B classroom.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: The operator self-reported that on 8-7-23 between the time of 8:59am and 9:06am, preschool child #1 exited the classroom that they were assigned to and was observed alone outside in front of the facility by another parent without a staff person present.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: The operator self-reported that on 8-7-23 between the time of 8:59am and 9:06am, preschool child #1 exited the classroom that they were assigned to and was observed alone outside in front of the facility by another parent without a staff person present.

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: 3270.31(e)(4)(i)/3270.192(2)(iii)

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

Noncompliance Area: Staff person #1 file contained pediatric first-aid/CPR training with the expiration date of 3/11/23.

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. 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 #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality Revised and pediatric first-aid/CPR training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #2 will have until 15 days from POC requested date to complete the required training.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: The operator self-reported that on 8-7-23 between the time of 8:59am and 9:06am, preschool child #1 exited the classroom that they were assigned to and was observed alone outside in front of the facility by another parent without a staff person present.

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.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Fire drills were not conducted every 60 days with the last documented fire drill dated 6/2/23.

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.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire detection system testing log contained dates of 3-3-23 to 4-4-23 which are more than 30 days apart. The most current date for tests was 6-2-23.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: Child file #1 contained health assessments that were not conducted every 6 months as required for a 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.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: Child file #2 contained health assessments that were not conducted every 12 months as required for a preschool child.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 completed the Pennsylvania Health and Safety Update 2022 on 3/11/23 which was after the required date for completion of 12/30/22 per Announcement C-22-04.

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.

Regulation: 3270.151(a)

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

Noncompliance Area: Staff file #8 contained health assessments dated 6/5/20 and 3/23/23 which exceeded the 24 months as required. Staff file #11 contained health assessments dated 2/14/23 which was not conducted prior to hire. (See LIS CODE SHEET)

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

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

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

Noncompliance Area: Staff file #1 contained a health assessment with TB results dated 1/26/23 which was conducted after initial hire at the facility. (See LIS CODE SHEET)

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: The facility lacked written statements giving the formula and feeding schedule obtained from the parents for the enrolled infants at the facility.

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

Regulation: 3270.166(5)

Description: Six-months-old held

Noncompliance Area: A staff person was observed positioned in the center of two 4 month old infants who were laying on boppy pillows while they were being bottle fed simultaneously.

Correction Required: An infant 6 months of age or younger shall be held while being bottle fed.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff file #11 lacked documentation of verification of education prior to service at the facility.

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

Regulation: 3270.20(e)/3270.182(7)

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

Noncompliance Area: The facility lacked an accident incident file.

Correction Required: Copies of reports of injury, death or fire shall be kept in a file at the facility. 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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The log the operator used to document emergency drills did not include the following required information in compliance with Announcement C-22-04 Updated Emergency Preparedness and Response Planning Regulations and Requirements for Child Care Facilities: Special accommodations the facility used for any category of children (Infants, Toddlers, Children with Special Needs) and problems encountered or observations during the drill (For use in updating the Emergency Plan).

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Staff file #7 contained documentation for 7 of the 12 hours required of annual childcare trainings completed between 12/19/21 and 12/19/22.

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

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

Description: Age and Training

Noncompliance Area: Staff file #13 contained documentation of Pediatric First aid and Pediatric CPR training completed on 2/26/22 after the expiration of the PFA/PCPR training which was dated 9/26/19.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 completed the Get Started with Center-Based Care-Revised 2022 training on 2/6/23 which was not completed within 90 days of hire. (See LIS CODE SHEET) Staff person #4 completed the Get Started with Center-Based Care-Revised 2022 training on 3/31/23 which was not completed within 90 days of hire. (See LIS CODE SHEET) Staff person #10 completed the Get Started with Center-Based Care-Revised 2022 training on 4/26/23 which was not completed within 90 days of hire. (See LIS CODE SHEET) Staff person #11 completed the Get Started with Center-Based Care-Revised 2022 training on 3/31/23 which was not completed within 90 days of hire. (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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff file #2 contains Mandated Reporter training certificates dated 4/24/16 and 1/14/22 which exceeded the 60 months as required by CPSL. Staff file #7 contains Mandated Reporter training certificates dated 2/16/15 and 6/10/20 which exceeded the 60 months as required by CPSL. Staff file #8 contains Mandated Reporter training certificates dated 2/16/15 and 6/17/20 which exceeded the 60 months as required by CPSL.

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: Staff person #3, lacked a request for NSOR certificate prior to hire and contained a valid NSOR certificate dated 2/8/23. (See LIS CODE SHEET) Staff person #5, lacked a request for DHS FBI Clearance prior to hire, and contained a valid DHS FBI Clearance dated 1/25/23 and a valid NSOR certificate dated 3/17/23 which was received more than 45 days after hire. (See LIS CODE SHEET) Staff person #6, lacked a request for PA State Police Criminal Clearance prior to hire and contained a valid PA State Police Criminal Clearance dated 11/21/22. (See LIS CODE SHEET) Staff person #9, lacked the fingerprint receipt for request of DHS FBI Clearance prior to hire and contained a valid DHS FBI Clearance dated 12/30/22. (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.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kits in the preschool 4 room and the PreK room both lacked sterile gauze pads in each 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.