Kindercare Learning Center

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: Continued non-compliance: A renewal inspection was conducted from 05/13/2026 through 05/28/2026. At that time, staff files were reviewed. Initial health assessment on file for Staff Person #2 does not include the physician's or CRNP's assessment of the person's suitability to provide child care. On 7/14/26, unannounced monitoring visit was conducted after an acceptable plan of correction was received on 6/15/26 and during the unannounced monitoring, staff person #2 health assessment does not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Continued non-compliance: renewal inspection was conducted from 05/13/2026 through 05/28/2026. At the time of the inspection, a cabinet containing cleaning products labeled "Keep Out of Reach of Children" was observed with the child safety lock disengaged. The cleaning products were accessible to children. Facility acceptable plan was to lock the cabinet containing toxic materials was and was reengaged during that inspection. On 7/14/26, unannounced monitoring visit was conducted after an acceptable plan of correction was received on 6/15/26 and during unannounced monitoring the cabinet in Toddler A room was unlocked and multisurface cleaner was in the cabinet. Also, the cabinet in Infant B room was unlocked and lysol and mulitsurface cleaner was in the cabinet.

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: 3270.107

Description: Refrigerator

Noncompliance Area: A renewal inspection was conducted from 05/13/2026 through 05/28/2026. At that time, the refrigerator in the Infant B room did not have 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(b)

Description: Posted in group space

Noncompliance Area: A renewal inspection was conducted from 05/13/2026 through 05/28/2026. At that time, daily activities were not posted in the School-Age Room, Infant A Room, or Discovery Preschool Room.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: A renewal inspection was conducted from 05/13/2026 through 05/28/2026. At that time, a sample of children's files was reviewed. Fee agreement on file for Child #1 did not specify the amount of the fee 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: 3270.124(c)

Description: Each child care space

Noncompliance Area: A renewal inspection was conducted from 05/13/2026 through 05/28/2026. At that time, emergency contact information for Child #1 and Child #2 was not present in the Infant A room, where both Child #1 and Child #2 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)

Description: Health information

Noncompliance Area: A renewal inspection was conducted from 05/13/2026 through 05/28/2026. At that time, a sample of children's files was reviewed. Review of the files indicated that the initial health assessments for Child #1 and Child #4 were completed more than 60 days after each child's first day of attendance at the facility. The health assessment on file for Child #1 was dated 03/06/2026, and the health assessment on file for Child #4 was dated 01/27/2026 (see LIS code sheet for start dates).

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)(2)

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

Noncompliance Area: A renewal inspection was conducted from 05/13/2026 through 05/28/2026. At that time, a sample of children's files was reviewed. The most recent health assessment on file for Child #3 was dated 12/11/2024. As of the date of the inspection, Child #3, a preschool-aged child (see LIS code sheet for date of birth), did not have a health assessment completed within the previous 12 months.

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: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: A renewal inspection was conducted from 05/13/2026 through 05/28/2026. At that time, staff files were reviewed. Initial health assessment on file for Staff Person #2 does not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: A renewal inspection was conducted from 05/13/2026 through 05/28/2026. At the time of the inspection, bottles stored in individual children's cubbies were observed without the children's names labeled on them.

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

Regulation: 3270.182(7)

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

Noncompliance Area: A renewal inspection was conducted from 05/13/2026 through 05/28/2026. At that time, a sample of children's files was reviewed. Review of facility documentation indicated that the incident report for Child #2, dated 03/24/2026, was not provided to the parent until 03/31/2026. Additionally, the incident report for Child #5, dated 03/03/2026, was not provided to the parent until 03/05/2026.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.27(c)/3270.31(e)(4)(ii)

Description: Training regarding plan/Fire safety - 1 yr.

Noncompliance Area: A renewal inspection was conducted from 05/13/2026 through 05/28/2026. At that time, staff files were reviewed. Documentation in Staff Person #1's file indicated that fire safety training and emergency plan training were not completed at least once every 12 months. Fire safety training was completed on 01/09/2025 and 05/12/2026. Emergency plan training was completed on 12/24/2024 and 01/02/2026.

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. 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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A renewal inspection was conducted from 05/13/2026 through 05/28/2026. At the time of the inspection, a cabinet containing cleaning products labeled "Keep Out of Reach of Children" was observed with the child safety lock disengaged. The cleaning products were accessible to children

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: A renewal inspection was conducted from 05/13/2026 through 05/28/2026. At that time, the first-aid kit in the Toddler A room was missing tweezers.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the renewal inspection, cots in use in the Pre-K and Preschool rooms were not labeled with the name of the child assigned to each cot.

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During the renewal inspection, at least one cot in use in the Discovery Preschool room did not have a minimum of two feet of space on three sides.

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: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: During the renewal inspection, a sample of children's files was reviewed. At that time, the fee agreement for child #6 did not include date of admission.

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

Regulation: 3270.124(b)(3)/3270.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During the renewal inspection, a sample of children's files was reviewed. The following information was missing from children's emergency contact forms: Child #1: Father's work address and work telephone number. Release persons' addresses. Child #2: Release person's address. Child #4: Father's home and work addresses and home and work telephone numbers. Mother's work address. Release persons' addresses. Child #5: Release persons' phone numbers and addresses. Child #8: Release persons' addresses.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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: During the renewal inspection, the following emergency contact forms were missing from the designated rooms: Preschool room: Emergency contact form for Child #4. Discovery Preschool room: Emergency contact form for Child #8.

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(b)(1)/3270.131(b)(2)

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

Noncompliance Area: During renewal inspection, a sample of children's files was reviewed. The following children's files contained health assessments that were not renewed within the required timeframes: Child #4: Health assessment on file for child #4 is dated 8/12/2024, which is more than 12 months old. Child #4 is preschool-aged (see LIS code sheet for date of birth). Child #5: Most recent health assessment on file for child #5 is dated 4/26/2024, which is more than 12 months old. Child #5 is an older toddler (see LIS code sheet for date of birth). Child #6: Most recent health assessment on file for child #6 is dated 5/12/2025, which is more than 6 months old. Child #6 is a young toddler (see LIS code sheet for date of birth).

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

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: During renewal inspection, a sample of children's files was reviewed. File for child #4 did not include immunization history. Child #4 is preschool-aged and has been attending the facility for more than 60 days (see LIS code sheet for date of admission).

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 #4 must be dismissed from care by close of business 10/30/2025 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: During the renewal inspection, several children in the Discovery Preschool room were observed using the toilet and returning directly to their cots without washing their hands. Staff did not instruct the children to wash their hands after using the bathroom.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During renewal inspection, staff person #1 and staff person #2 were observed to be caring for children unsupervised in the Toddler room on 12/3/2025. staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric first-aid/CPR from PQAS trainer. Staff person #2 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first- aid/CPR training expiration date of 11/30/2025.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #1 and staff person #2 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 and staff person #2, staff person #1 and staff person #2 may not work in a child-care position at the facility.

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

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

Noncompliance Area: During the renewal inspection, a sample of staff files was reviewed. The following staff persons did not obtain a health assessment and/or tuberculosis (TB) screening prior to providing initial service (see LIS code sheet): Staff Person #4: The file did not contain an initial health assessment. Staff Person #5: The initial health assessment on file is dated 3/30/2025, which is after the staff person's start date. Staff Person #7: The file did not contain an initial health assessment or TB screening. Staff Person #8: The initial health assessment on file dated 7/11/2025 did not include documentation of TB screening.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection, a sample of children's files was reviewed. The following documents were not updated within 6 months: Child #1: Emergency contact form and fee agreement were both last updated on 10/5/2024. Child #2: Emergency contact form and fee agreement were both last updated on 9/30/2024. Child #3: Emergency contact form and fee agreement were both last updated on 9/13/2024. Child #5: Fee agreement last updated on 9/4/2024. Child #7: Emergency contact form last updated 4/1/2025.

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. TIERED LIS: 1. 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. The operator shall provide a date in which all emergency contact forms/fee agreements will be reviewed and updated by the parents. 2. The operator will schedule a technical assistance appointment with the certification representative to review requirements for child files and view the DHS vodcast related to children's files. The operator and the certification representative shall mutually agree on a correction date for completing the session that is acceptable to both parties.

Regulation: 3270.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: During renewal inspection, a sample of children's files was reviewed. The following information was missing from children's emergency contact forms: Child #2: Signed parental consent for minor first-aid. Child #3: Signed parental consent for minor first-aid and emergency medical care. Child #5: Signed parental consent for minor first-aid and emergency medical care.

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.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: During renewal inspection, a sample of staff files was reviewed. File for staff person #8 does not include verification of child care experience, education and training 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: 3270.192(5)

Description: Two written references

Noncompliance Area: During the renewal inspection, a sample of staff files was reviewed. Staff Persons #4 and #8: Files did not contain two written, nonfamily references from individuals attesting to each person's suitability to serve as a facility person. Staff Person #11: File contained only one written, nonfamily reference.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection, a sample of staff files was reviewed. The files for Staff Persons #4, #6, #7, #8, and #11 did not contain documentation verifying completion of emergency plan training within 90 days of their date of hire (see LIS code sheet). The file for Staff Person #9 contained documentation showing emergency plan training completed on 1/5/2023 and 1/9/2025, which exceeds the required 12-month training interval. The file for Staff Person #10 contained documentation showing emergency plan training completed on 1/25/2023 and 1/9/2025, which also exceeds the required 12-month training interval. The file for Staff Person #13 contained documentation showing emergency plan training completed on 5/1/2023 and 1/9/2025, which also exceeds the required 12-month training interval.

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: During the renewal inspection, a sample of staff files was reviewed. The following pediatric first aid and CPR training certifications were not updated on or before their expiration dates: Staff Person #2: Did not complete pediatric first aid and CPR training on or before the expiration of their previous certification, which expired 11/30/2025. Documentation of updated training is not on file. Staff Person #13: Did not complete pediatric first aid and CPR training on or before the expiration of their previous certification, which expired 5/31/2025. Documentation of updated training is on file dated 9/16/2025. The certification representative confirmed that Staff Person #13 worked as a substitute until being employed full-time at the beginning of 2025.

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: During the renewal inspection, a sample of staff files was reviewed. The most recent fire safety training on file for Staff Person #12 was dated 11/13/2024, which exceeds the required 12-month training interval.

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)

Description: Health and Safety Training

Noncompliance Area: During the renewal inspection, a sample of staff files was reviewed. The following staff persons did not complete required pre-service training within 90 days of their hire dates (see LIS code sheet): Staff Person #4: Health and Safety training Staff Person #6: Health and Safety training Staff Person #7: Health and Safety training and pediatric first-aid/CPR training from a PQAS instructor Staff Person #8: Health and Safety training and pediatric first-aid/CPR training from a PQAS instructor Staff Person #11: Health and Safety training

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Until such time as the required training has been completed, staff person #4, staff person #6, staff person #7, staff person #8 and staff person #11 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 #4, staff person #6, staff person #7, staff person #8 and staff person #11, they may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During renewal inspection, a sample of staff files was reviewed. Staff person #4, staff person #7, and staff person #8 have not completed mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff person #10 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 7/7/2020.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #4, staff person #7, staff person #8, and staff person #10 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 person(s) available to supervise staff person #4, staff person #7, staff person #8, and staff person #10, staff person #4, staff person #7, staff person #8, and staff person #10 may not work in a child care position with direct contact and routine interaction with children until updated mandated reporter training certificates are on file at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, a sample of staff files was reviewed. The following staff files did not contain clearances as required by the Child Protective Services Law (CPSL) and 55 Pa. Code Chapter 3290: Staff Person #1: The file indicated that Staff Person #1 resided in Florida within the past five years. The Florida child abuse clearance on file is dated 10/31/2025, which was obtained after the staff person's start date (see LIS code sheet). Staff Person #3: The file did not contain a child abuse clearance (see LIS code sheet). Staff Person #7: The file did not contain a signed and dated disclosure statement, FBI clearance, or NSOR certificate. The director reported that Staff Person #7 worked from the start date and has not worked since 8/18/2025 (see LIS code sheet). Staff Person #7 is currently listed in substitute status. Staff Person #8: The file did not contain a signed and dated disclosure statement. The director reported that Staff Person #8 worked from the start date and has not worked since 9/17/2025 (see LIS code sheet). Staff Person #8 is currently listed in substitute status. Staff Person #9: The PSP clearances on file are dated 2/18/2020 and 6/9/2025, which exceeds the 60-month validity period. Staff Person #11: The file did not contain a signed and dated disclosure statement. A PSP record request, which is not an acceptable clearance, was on file dated 10/14/2024. The director obtained an acceptable PSP clearance prior to the certification representative's departure.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff person #3, staff person #7, staff person #8, and staff person #11 may not work in a child care position with direct contact and routine interaction with children until all completed clearances and signed/dated disclosure statements are on file at the facility. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff person #3, staff person #7, staff person #8, and staff person #11 may not work in a child care position with direct contact and routine interaction with children until all completed clearances and signed/dated disclosure statements are on file at the facility. This portion of the plan shall have an immediate correction date. 2. The Legal Entity, Director or any facility persons responsible for hiring and maintaining staff files must register for and attend the Existing Provider Orientation presented by the Northeast Regional Office on 3/3/2026. Registration must be completed by calling: 1-800-222-2108. The operator shall provide a date for when this training will be completed. 3. For a period of three (3) months, the legal entity must send a complete file to the Northeast Regional Office for all new hires. New hires may not begin to work in childcare until the file has been approved by the Northeast Regional Office. Files received by the regional office will be reviewed within 5 days of receipt. The correction date for this portion of the plan shall be a minimum of 3 months from the date the Regional Office receives an acceptable plan of correction.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During the renewal inspection, a sample of staff files was reviewed. The most recent staff evaluation on file for Staff Person #13 is dated 11/11/2024, which exceeds the requirement that evaluations be completed at least once every 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: 3270.74/3270.124(e)

Description: Emergency Numbers Posted/Written emergency plan posted

Noncompliance Area: During the renewal inspection, the following postings were missing from the designated rooms: Preschool room: Emergency telephone numbers. Toddler room: Emergency telephone numbers. Infant room: Emergency telephone numbers. School-Age room: Emergency telephone numbers and the emergency transportation plan.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the renewal inspection, required first-aid supplies were not fully present in the following first-aid kits: Pre-K Room: Tweezers were not present. Discovery Preschool Room: Tape, tweezers, and scissors were not present. Toddler Room: Soap was not present.

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: During the renewal inspection, the certification representative observed a missing ceiling tile in the Toddler Room. Staff reported that the ceiling leaks during rainfall and stated that electronics in the affected area are unplugged when it rains. Staff further reported that a bucket was placed under the missing ceiling tile the evening prior to the inspection in anticipation of potential leaks. The certification representative observed that it was raining on the day of the inspection. Staff also reported that multiple maintenance requests have been submitted regarding the ceiling condition and stated that ceiling tiles have previously fallen in the Toddler Room on a day when children were not 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: 3270.113(a)/3270.113(a)(1)

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

Noncompliance Area: Complaint investigation conducted on 6/12/2025 verified that child #1 was found by his parent to be inside the classroom playing with toys while the rest of the class, including all children and staff person #1 and staff person #2, were outside on the playground. This incident occurred on 6/3/2025 at about 4:58PM. Staff interviews determined that child was unattended in the classroom for approximately 10 minutes. During complaint investigation, conducted on 6/12/2025, staff in the Pre-K room initially reported having 16 preschool-aged children in the room. Certification representative conducted a headcount and determined that there were actually 17 children in the room. Staff person #3 and staff person #4 were unable to accurately identify the children in their individual groups. An acceptable plan of correction was received with last correction date being 9/26/2025. As of 9/30/2025, several staff members employed by the facility have not received the required two-hour PQAS-approved supervision training on December 12, 2024 or July 11, 2025.

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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children on the facility premises and on facility excursions off the premises will continue to be supervised by a staff person at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for any facility staff who have not previously attended the supervision training on December 12, 2024 or July 11, 2025 to receive a minimum of two hours of training regarding supervision of children. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when this training will be conducted.

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

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

Noncompliance Area: Complaint investigation conducted on 6/12/2025 verified that child #1 was found by his parent to be inside the classroom playing with toys while the rest of the class, including all children and staff person #1 and staff person #2, were outside on the playground. This incident occurred on 6/3/2025 at about 4:58PM. Staff interviews determined that child was unattended in the classroom for approximately 10 minutes. During complaint investigation, conducted on 6/12/2025, staff in the Pre-K room initially reported having 16 preschool-aged children in the room. Certification representative conducted a headcount and determined that there were actually 17 children in the room. Staff person #3 and staff person #4 were unable to accurately identify the children in their individual groups.

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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan must have an immediate correction date. 2. The legal entity must arrange for any facility staff who have not previously attended the supervision training on December 12, 2024, to receive a minimum of two hours of training regarding supervision of children. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when this training will be conducted. 3. The legal entity must amend the facility's supervision policy developed in October 2024 to include who is responsible for creating the name-face cards used for supervision groups. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all existing and new staff and have staff sign off that the understand and will follow the supervision policy. 4. The facility will maintain compliance with 3270.113(a) and 3270.113(a)(1) for a period of three months. There may be no instances of noncompliance during this time period during unannounced inspections.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During unannounced monitoring conducted on 6/12/2025, mandated reporter training certificates on file for staff person #1 are dated 2/20/2020 and 6/9/2025, which is past 60 months.

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

Regulation: 3270.111(a)/3270.111(c)

Description: Written plan/Promote development

Noncompliance Area: During an unannounced inspection on 4/7/25, the planned art activity observed did not accommodate the needs of individual children and the dynamics of the group. One child approached the art table on two separate occasions and threw the plate with paint, scattering paint all over, causing the other children to scream and cry. Another child sat on top of a table not engaged in any activity at all. The room was chaotic.

Correction Required: Tiered LIS: 1. 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. Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. 2. A written plan shall be established that outlines the process the facility will follow when there are children with disruptive behaviors without support in the classroom. The plan shall ensure that the needs of all children are being accommodated for taking into account the individual child and the dynamics of the group. The plan shall be approved by the Certification Representative at the Northeast Regional Office before being reviewed with all staff.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The most recent emergency plan training for Staff #1 was 2/6/24. Staff #1 was visiting from another KinderCare location.

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)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The most recent fire safety training for staff #1 was 3/19/24. Staff #1 was visiting from another KinderCare location.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The most recent written evaluation for staff #1 was dated 3/26/24. Staff #1 was visiting from another KinderCare location.

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

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

Noncompliance Area: The health assessment and TB screening on file for staff #1 were dated 8/19/23, greater than 1 year prior to initial service (see code sheet for hire date).

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: 3270.151(c)(1)/3270.151(c)(5)

Description: Physical examination/Physician/CRNP assessment

Noncompliance Area: Staff #2 had TB screening but no documentation that a physical exam was completed, or the physician's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include a physical examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: There were no written, nonfamily references on file for staff #2.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an unannounced inspection, staff #1 (see code sheet for hire date) did not have a disclosure statement on file.

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: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: Staff #1, identified as an assistant group supervisor did not have documentation on file to qualify for the position.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During renewal inspection, several preschool-aged children were observed using cots labeled for different children in the Pre-K classroom. Certification representative checked the cot list while staff were doing supervision/ratio.

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: 3270.107

Description: Refrigerator

Noncompliance Area: During renewal inspection, thermometers were not present in the refrigerators located in the Toddler A, Discovery Preschool, and Preschool classrooms.

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(b)/3270.124(e)

Description: Posted in group space/Written emergency plan posted

Noncompliance Area: During renewal inspection, the following postings were missing from the following rooms: Toddler A classroom: Emergency transportation plan. Toddler B classroom: Daily activities.

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

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: During renewal inspection, certification representative observed several children climbing on windows and shelves in the Pre-K classroom. Rep spoke with director about this, who reported that the facility has had several call-offs due to illness and that the group in the Pre-K classroom is typically split up between two rooms to minimize behaviors.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During renewal inspection, child service reports (CSRs) were not on file for child #1, child #3, or child #8.

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)/3270.123(a)(6)

Description: Arrival/departure times/Admission date

Noncompliance Area: During renewal inspection, the following information was missing from children's fee agreements: Child #3: Date of admission. Child #5: Arrival and departure times.

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

Regulation: 3270.124(b)(2)/3270.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: During renewal inspection, the following information was missing from children's emergency contact forms: Child #1: Health insurance policy number. Child #3: Phone number of child's physician. Child #8: Name, phone number, and address of child's physician. Health insurance information and policy number.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(3)/3270.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During renewal inspection, the following information was missing from children's emergency contact forms: Child #1: Release persons' addresses. Child #3: Release persons' addresses. Child #7: Father's phone number. Father is also listed as a release person. Child #8: Release persons' addresses.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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: During renewal inspection, emergency contact form for child #1 was not present in the Toddler A classroom, where child #1 was observed to be napping. Emergency contact form for child #2 was not present in the Pre-K classroom, where child #2 was receiving care.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: During renewal inspection, the only health assessment in child #2's file is dated 12/13/2024, which is past 60 days following the first day of attendance at the facility (see LIS code sheet for date of admission). The only health assessment in child #8's file is dated 12/27/2024, which is past 60 days following the first day of attendance at the facility (see LIS code sheet for date of admission).

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: During renewal inspection, most recent health assessment on file for child #7 is dated 5/24/2024, which is over 6 months ago. Child #7 is an infant (see LIS code sheet for date of birth).

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

Description: Immunization record/Dismissal policy

Noncompliance Area: During renewal inspection, most recent health assessments on file for the following children indicate that they are not immunized according to the recommendations of the ACIP: Child #1: Received 1 of 2 doses of Hepatitis A vaccine, last dose administered 12/3/2023. There is no exemption on file. Child #1 is an older toddler (see LIS code sheet for date of birth). Child #4: Received 3 of 4 doses of DTAP vaccine and 1 of 2 doses of Hepatitis A vaccine, last dose administered on 8/22/2023. There is no exemption on file. Child #4 is an older toddler (see LIS code sheet for date of birth). Child #6: Received 1 of 2 doses of each Rotavirus, HIB, and IPV vaccines. Received 1 of 3 doses of each DTAP and Pneumococcal vaccines. There is no exemption on file. Child #6 is an infant (see LIS code sheet for date of birth). Child #7: Received 1 of 3 doses of Rotavirus vaccine and 1 of 2 doses of each DTAP, HIB, and IPV vaccines. There is no exemption on file. Child #7 is an infant (see LIS code sheet for date of birth).

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).

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: During renewal inspection, staff person #1 was observed to not wash an infant's hands after diapering them.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

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

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

Noncompliance Area: During renewal inspection, health assessments on file for staff person #2 are dated 10/19/2021 and 12/2/2024, which is past 24 months. Health assessments on file for staff person #6 are dated 4/5/2022 and 5/30/2024, which is past 24 months. Initial health assessment on file for staff person #3 is dated 9/13/2024 and TB test was read on 9/14/2024, which was after staff person #3 started providing direct care to children (see LIS code sheet for start date).

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(4)

Description: Bottles labeled

Noncompliance Area: During renewal inspection, unlabeled bottles were observed in the refrigerator of the Infant A room. Certification representative asked staff about them, and staff reported that they belong to a child in care.

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

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: During renewal inspection, emergency contact forms for child #1 and child #7 did not contain signed parental consent for emergency medical care and minor first-aid.

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

Regulation: 3270.182(7)

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

Noncompliance Area: During renewal inspection, an incident report in the binder in the Pre-K classroom dated 1/10/2025 was not signed/dated/received by the child's parent. Several incident reports in the binder in the Discovery Preschool classroom were not signed, dated, or received by parents. Additionally, director reports that one copy of an incident report is retained in the child's file. Facility does not have a facility accident file, only a log which describes the date/time that incidents have occurred in the facility.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During renewal inspection, there was only one written, nonfamily reference on file for staff person #4 (see LIS code sheet for start date).

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During renewal inspection, letter given to parents explaining facility's emergency plan did not account for accommodations for infants, toddlers, or children with disabilities/chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Description: Age and Training

Noncompliance Area: During renewal inspection, previous certificate for pediatric first-aid/CPR on file for staff person #2 expired on 7/31/2023 and was not renewed until 5/23/2024. Previous certificate for pediatric first-aid/CPR on file for staff person #7 expired on 1/31/2024 and was not renewed until 6/27/2024.

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)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection, mandated reporter training certificates on file for staff person #1 are dated 11/15/2017 and 4/14/2023, which is past 60 months.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During renewal inspection, staff evaluations on file for staff person #5 are dated 10/15/2022 and 10/2/2024, which is past 12 months. Staff evaluations on file for staff person #8 are dated 3/15/2022 and 9/12/2024, which is past 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: 3270.75(a)

Description: In child care spaces

Noncompliance Area: During renewal inspection, a first-aid kit was not present in the Toddler A classroom.

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

Regulation: 3270.21/3270.103

Description: General Health and Safety/Small Toys and Objects

Noncompliance Area: Incident investigation verified that an older toddler ingested two screws less than 1" in diameter after a play kitchen broke in the Discovery Preschool room on 12/9/2024. One screw was found in the child's vomit and the other was found in an x-ray of the child's stomach on 12/10/2024.

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

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

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

Noncompliance Area: Complaint investigation verified that on or around 11/6/24, a preschool-aged child was left unattended in the Preschool room for approximately 3-5 minutes while the rest of the class went outside to the playground.

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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must arrange for all staff to receive a minimum of three hours of training regarding Supervision. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training.

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

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

Noncompliance Area: Complaint investigation verified that on or around 11/6/24, a preschool-aged child was left unattended in the Preschool room for approximately 3-5 minutes while the rest of the class went outside to the playground.

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. 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)/3270.113(a)(1)

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

Noncompliance Area: During complaint investigation conducted 6/4/2024, there were 18 preschool and school-aged children present in the Pre-K room. Staff person #1 identified 9 children as being in their group and staff person #2 identified 6 children as being in their group. Rep advised that not all children are accounted for. Rep departed room and let staff figure out their groups. When rep returned, staff person #1 identified 10 children as being in their group and staff person #2 identified 8 children as being in their group. An acceptable plan of correction was received with a correction date of 6/28/2024. When certification representative returned for another complaint investigation on 7/22/2024, there were 6 infants present in the Infant room with two staff people. Staff person #2 identified 4 children as being in her group and staff person #3 stated that she was unsure of the names of the two children in her group. Staff person #2 was able to provide the names to staff person #3. It was also verified that a child eloped on 7/19/2024 while staff person #4 was helping another child on the potty. Child was brought back inside by another staff member who saw the child on the playground when she was coming in for her shift.

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. 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)/3270.113(a)(1)

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

Noncompliance Area: During complaint investigation conducted 6/4/2024, there were 18 preschool and school-aged children present in the Pre-K room. Staff person #1 identified 9 children as being in their group and staff person #2 identified 6 children as being in their group. Rep advised that not all children are accounted for. Rep departed room and let staff figure out their groups. When rep returned, staff person #1 identified 10 children as being in their group and staff person #2 identified 8 children as being in their group. An acceptable plan of correction was received with a correction date of 6/28/2024. When certification representative returned for another complaint investigation on 7/22/2024, there were 6 infants present in the Infant room with two staff people. Staff person #2 identified 4 children as being in her group and staff person #3 stated that she was unsure of the names of the two children in her group. Staff person #2 was able to provide the names to staff person #3. It was also verified that a child eloped on 7/19/2024 while staff person #4 was helping another child on the potty. Child was brought back inside by another staff member who saw the child on the playground when she was coming in for her shift.

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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must create a policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during transition times, such as visiting the bathroom and supervision on the playground. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy.

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: During unannounced monitoring conducted 7/22/2024, an infant identified by staff members as being four months old was observed to be asleep on his tummy on a play mat on the floor.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. The legal entity must arrange for all infant staff to complete the training entitled "Safe Sleep Practices for Caregivers: Reduce the risk of SUID" through Better Kid Care or similar training that has been approved by the Northeast Regional Office.

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: During unannounced monitoring conducted 7/22/2024, an infant identified by staff members as being four months old was observed to be asleep on his tummy on a play mat on the floor.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

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

Description: Age and Training/Health and Safety Training

Noncompliance Area: During unannounced monitoring conducted 6/4/2024, staff person #1 was observed to be caring for children unsupervised. Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 4/19/2024. An acceptable plan of correction was received with a correction date of 6/27/2024. When certification representative returned for unannounced monitoring on 7/22/2024, staff person #2 did not have acceptable pediatric first-aid/CPR training on file. Staff person #2 has been employed at the facility for over 90 days (see LIS code sheet for start date).

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

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

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

Noncompliance Area: During complaint investigation conducted 6/4/2024, there were 18 preschool and school-aged children present in the Pre-K room. Staff person #1 identified 9 children as being in their group and staff person #2 identified 6 children as being in their group. Rep advised that not all children are accounted for. Rep departed room and let staff figure out their groups. When rep returned, staff person #1 identified 10 children as being in their group and staff person #2 identified 8 children as being in their group.

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. 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)/3270.113(a)(1)

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

Noncompliance Area: During complaint investigation conducted 6/4/2024, there were 18 preschool and school-aged children present in the Pre-K room. Staff person #1 identified 9 children as being in their group and staff person #2 identified 6 children as being in their group. Rep advised that not all children are accounted for. Rep departed room and let staff figure out their groups. When rep returned, staff person #1 identified 10 children as being in their group and staff person #2 identified 8 children as being in their group.

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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must arrange for staff person #1 and staff person #2 to complete four trainings entitled "Supervision: Moving Children", "Supervision: Counting Children", "Supervision: What's Required?", and "Supervision: Teamwork" through Better Kid Care.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During unannounced monitoring conducted 6/4/2024, staff person #1 was observed to be caring for children unsupervised. Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 4/19/2024.

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

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

Description: Age and Training/Health and Safety Training

Noncompliance Area: During unannounced monitoring conducted 6/4/2024, staff person #1 was observed to be caring for children unsupervised. Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 4/19/2024.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #1 will have until June 28, 2024 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: During unannounced monitoring conducted 6/4/2024, fire drill log reflected that last drill was conducted on 12/26/2023 which is past 60 days. Director reports that facility recently practiced a drill at the end of May 2024; however, it was not recorded.

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: During unannounced monitoring conducted 6/4/2024, fire detection testing log reflected that smoke alarms were tested 9/22/2023, 10/23/2023, 11/29/2023, and 12/26/2023 which are all past 30 days. Fire detection testing log had not been updated since 12/26/2023. Director reports that smoke alarms were recently tested at the end of May 2024; however, testing was not recorded.

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: 3270.108(c)

Description: No styrofoam

Noncompliance Area: During the renewal inspection on 1/8/24, lunch was served on Styrofoam plates.

Correction Required: Styrofoam cups and plates may not be used.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: As of the renewal inspection on 1/8/24, the fee agreement for child #4 was not signed by the parent.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: As of the renewal inspection on 1/8/24, there were no child service reports in the previous six months for child #1, #2, #3, and #5.

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)(5)

Description: Designated release persons

Noncompliance Area: As of the renewal inspection on 1/8/24, the fee agreement for child #4 did not specify 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: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: As of the renewal inspection on 1/8/24, the emergency contact information for child #4 did not include parental consent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: As of the renewal inspection on 1/8/24, the emergency contact information for child #3 did not include health insurance information.

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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: As of the renewal inspection on 1/8/24, the only health assessment on file for child #5 was dated 3/2/23, more than 60 days after the first day of attendance (see code sheet for date).

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(e)

Description: ACIP recommended immunization record

Noncompliance Area: As of the renewal inspection on 1/8/24, the most recent influenza vaccine for child #5 was 12/13/21, and there was only one of the two Hepatitis A vaccine given on 3/2/23. There were no exemption letters on file. Child #5 must be removed from care until proper documentation is on file.

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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: As of the renewal inspection on 1/8/24, there was no continuity of operations plan as required by 45 CFR 98.41(a)(1)(vii).

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection on 1/8/24, Staff person #8 was observed to be caring for children unsupervised. Staff person #8 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety topics.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #8 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #8, staff person #8 may not work in a child-care position at the facility.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: As of the renewal inspection on 1/8/24, there was no documentation that the operator notified local traffic safety authorities in the past year in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

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

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: As of the renewal inspection on 1/8/24, there was no signed parental consent for the administration of minor first aid for child #4.

Correction Required: 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: 3270.192(5)

Description: Two written references

Noncompliance Area: As of the renewal inspection on 1/8/24, there were no written, nonfamily references from individuals attesting to the staff person #1'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.