KINDERCARE LEARNING CENTERS 704

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: On 7/24/26, Staff #1 file did not contain an initial health assessment, including results of tuberculosis testing.

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: 3270.166(1)

Description: Written statement

Noncompliance Area: On 7/24/26, at time of inspection, a written feeding statement obtained by Child #1 parent was not on file 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(4)

Description: Bottles labeled

Noncompliance Area: On 7/24/26, at time of inspection, three bottles observed in the infant refrigerator were not labeled with the child's name.

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: On 7/21/26, an incident/accident report was not given to parent after Child #1 choked on a blueberry muffin. (Parent was notified by phone)

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: On 7/24/26, Staff #2 file did not contain two letters of written 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: On 7/24/26, Staff #2 file did not contain evidence of training in the facility's emergency plan.

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(f)/3270.31(f)(10)

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

Noncompliance Area: On 7/24/26, Staff #2 not completed the following required pre-service training within 90 days of their date of hire: Health & Safety Training Part 1/Part 2 and Pediatric First Aid/CPR.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. 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)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 7/24/26, Staff #2 was observed working with children in the young school age room. Staff #2 file did not contain results of PA Criminal Clearance, NSOR Clearance and FBI Clearance as required by CPSL. Staff #2 file did not contain out of state clearances as required by CPSL. Additionally, Staff #2 has not completed required Mandated Reporter Training within 90 days of hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 7/24/26, at time of inspection, diaper cream instructing to keep out of reach of children was observed accessible to children in an unlocked cabinet under the diaper changing table.

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: 3270.115(c)

Description: Water play table

Noncompliance Area: On 3/25/26, approximately 3 inches of unfiltered water was observed in a water play table on the ground in the toddler outdoor play space.

Correction Required: A water play table or a container used for water play that contains unfiltered water shall be emptied daily.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: On 3/25/26, Staff #1 and Staff #2 files did not contain an initial health assessment, including results of tuberculosis testing.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 3/25/26, Staff #1 file did not have results of Child Abuse Clearance as required by CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1-- may not work in a child care position at the facility.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: On 3/25/26, lidded waste receptacles were not observed in the toilet area and sink located in the school age room.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: On 2/24/26, Child #1 and Child #3 files did not contain an agreement.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On 2/24/26, Child #3 file emergency contact information did not contain a health insurance policy number.

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(f)/3270.181(e)

Description: Updated every 6 months/Emergency master file updated

Noncompliance Area: On 2/24/26, emergency contact information observed in the childcare spaces were not updated at least every 6 months.

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

Regulation: 3270.131(a)(4)/3270.131(b)(2)

Description: Initial health report for school age; accordance with school attendance/Toddler/preschool: updated health report every 12 months

Noncompliance Area: On 2/24/26, Child #2 health report was dated more than 12 months (4/18/24). Child #3 file did not contain an initial health report (only immunization record was observed on file).

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: On 2/24/26, Staff #1 and Staff #6 file did not contain an initial health assessment, including results of tuberculosis testing. Staff #7 and Staff #11 files contained health assessments dated more than 24 months. Staff #7 health assessment was dated 11/2/23. Staff #11 health assessment was dated 10/21/23.

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)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: On 2/24/26, Staff #3, #4, #5, #7, #8, #9, #10, #11, and #12 have not completed annual fire safety training.

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: On 2/24/26, Staff #5 file did not contain the required one-hour Health & Safety Update. Staff #8 file did complete the required Center/Group Childcare Health & Safety Part 1 and Part 2 trainings. (Staff #8 file contained Health & Safety training Part 1 and Part 2 intended for Family Home Childcare).

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 2/24/26, Staff #1 file contained an FBI clearance and NSOR clearance dated more than 60 months. The FBI clearance was dated 11/3/20, the NSOR clearance was dated 12/23/20. Staff #2 file contained a Child Abuse clearance dated more than 60 months. The Child Abuse clearance was dated 11/9/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 and #2-- may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.64/3270.91(a)

Description: Outside Walkways/Stairs, exits, etc. unobstructed

Noncompliance Area: On 2/24/26, the outside walkway directly outside of the exit door located in the infant room was obstructed by snow, preventing a clear passageway in the event of an emergency.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards. Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.66(a)/3270.71

Description: Locked or inaccessible/Heat Source

Noncompliance Area: On 2/24/26, swifter floor cleaner was observed accessible to children in an unlocked cabinet in the front toddler/PS room. Additionally, the kitchen door located in the front childcare space was observed open while the stove was in operation and toxic materials 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. Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 2/24/26, the sink used for handwashing in the school age room was dirty.

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: 3270.82(i)/3270.135(a)(4)

Description: Lidded waste receptacles/No tied bag, no unlined container

Noncompliance Area: On 2/24/26, soiled pull up was observed in an unlined waste receptacle located in the school age room. An unlidded waste receptacle was observed by the diaper area in the middle toddler room and in the toilet area of the preschool room.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle. A soiled diaper that is not in a tied bag may not be placed in an unlined outdoor trash container.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: On 9/24/25, at time of unannounced inspection, Staff #1, Staff #2, Staff #3 and Staff #4 files did not contain initial health assessments, including results of tuberculosis testing.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 9/24/25, at time of unannounced inspection, Staff #1 and Staff #2 files did not contain results of NSOR clearance required by CPSL. Staff #4 file did not contain results of Child Abuse Clearance, FBI Clearance and NSOR clearance required by CPSL. Staff #4 file did not contain requests for Child Abuse and FBI Clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, #2 and #4 -- may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1, #2 and #4 may not work in a child care position at the facility.

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

Description: Each staff person meets quals/Transcript, diploma and letters

Noncompliance Area: On 9/24/25, at time of unannounced inspection, Staff #4 was observed working in the infant room. Staff #4 file did not contain verification of education.

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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 9/22/25 at approx. 4:00pm, Facility Persons #1 and #2 witnessed Child #1 run to the classroom door from the playground. Upon reaching the door, Facility Persons #1 and #2 witnessed Facility Person #3 roughly pick up Child #1 under their arms and stomach area and roughly put Child #3 on the ground.

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

Regulation: 3270.135(e)

Description: 2 hour diaper check

Noncompliance Area: On 7/11/25, Child #1 diaper was not checked at least every 2 hours. Child #1 diaper was checked/changed at 10:31am and then not until 1:54pm. Additionally, on 7/17/25, during an unannounced inspection, certification representative reviewed facility diapering schedule. Child #2 diaper was checked/changed at 10:25am and not again until 1:52pm. Child #3 diaper was not checked/changed from 7am arrival time until 9:53am.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Regulation: 3270.182(7)

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

Noncompliance Area: On 6/18/25, during unannounced inspection, Staff #1 acknowledged that Child #1 obtained a bruise on knee from a plastic toy in the infant room. Staff #1 did not complete an injury report documenting the incident.

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

Regulation: 3270.31(f)/3270.31(f)(10)

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

Noncompliance Area: On 6/18/25, at time of unannounced inspection, Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire

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

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

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

Noncompliance Area: On 3/14/25, at approximately 11:40am, Staff #3 and #4 were observed in the preschool room with 17 children. While preparing for lunch, children were observed entering and leaving the preschool classroom bathroom independently and unsupervised by a staff person. As a result, children were observed washing their hands with only water because the soap dispenser was empty. Additionally, in the young toddler room, Child #1 was observed at lunch time walking around the room with a pizza crust in their hand while climbing on soft blocks located in the classroom. Staff #1 and Staff #2 had their backs to Child #1 and therefore could not properly supervise in order to prevent an injury.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.21/3270.111(c)

Description: General Health and Safety/Promote development

Noncompliance Area: On 3/14/25, at approximately 11:50am, Staff #1 and Staff #2 were observed working in the young toddler room with 10 children. During mealtime, Staff #1 and Staff #2 did not foster a routine promoting developmental skills and social competence while ensuring the health & safety of the children. For example, children were observed walking, running, and climbing while eating and drinking from their cups, taking items off the food cart, and taking toys from each other while staff focused were on housekeeping chores. Staff #1 and Staff #2 did not engage with children to encourage appropriate developmental practices at mealtime in order to prevent an injury.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. 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: 3270.107

Description: Refrigerator

Noncompliance Area: On 2/27/25, at time of renewal, the refrigerator located in the school age room was not equipped with 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: 3270.124(c)

Description: Each child care space

Noncompliance Area: On 2/27/25, at time of inspection, emergency contact information was not present in the childcare spaces where Child #1, Child #2, Child #3, and Child #4 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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: On 2/27/25, at time of inspection, Child #6 file did not contain emergency contact information and financial agreement updated within 6 months. Child #6 emergency contact information was dated 10/16/23 and financial agreement was dated 7/18/24.

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)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: On 2/27/25, at time of inspection, Child #5, #7 and #8 have been enrolled at the facility for more than 60 days. Child #5 and Child #7 file did not contain initial health reports, including immunization records. Child #8 file did not contain an initial health report (only immunization record was on file).

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. 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: 3270.131(d)(6)/3270.133(5)

Description: Diagnosis and treatment for emergency/Original label

Noncompliance Area: On 2/27/25, at time of inspection, the EpiPen belonging to Child #5 was expired. Additionally, Child #5 medical plan providing information pertinent to treatment in case of an emergency was not on file at the facility.

Correction Required: A health report shall include a statement of the child's medical information pertinent to diagnosis and treatment in case of emergency. Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

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

Description: 12 months prior to service and every 24 months thereafter/Physician/CRNP assessment

Noncompliance Area: On 2/27/25, at time of inspection, Staff #3 file did not contain the date of initial health assessment. Additionally, the health assessment on file did not include the physician's assessment of suitability to provide childcare.

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 the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: On 2/27/25, at time of inspection, eight infants were present in the infant room. Written statements giving formula and feeding schedule obtained by the parent were not on file for the infants.

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

Regulation: 3270.181(d)/3270.181(e)

Description: Dated signature affixed/Emergency master file updated

Noncompliance Area: On 2/27/25, at time of inspection, emergency contact information in the childcare space was not updated at least once in a 6-month period.

Correction Required: Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 2/27/25, at time of inspection, Staff #1 file did not contain 2 letters of 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(a)(6)

Description: Emergency plan

Noncompliance Area: On 2/27/25, at time of inspection, an annual emergency drill was not conducted at the facility. The last emergency drill was conducted on 2/15/24.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: On 2/27/25, at time of inspection, Staff #2 file did not contain evidence of annual fire safety training. The last fire safety training was dated 5/24/23.

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: 3270.82(g)/3270.82(h)

Description: Clean and good repair/Handwashing signs

Noncompliance Area: On 2/27/25, at time of inspection, a cracked ceramic toilet cover was observed in the Older Toddler bathroom (middle childcare space). Additionally, a sign stating the requirement for handwashing was not posted at the sink in the Older Toddler bathroom.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair. A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: On 2/27/25, at time of renewal, the diapering station located in the Older Toddler middle childcare space was not equipped with a lidded waste receptacle.

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

Regulation: 3270.113(b)/3270.113(d)

Description: No physical punishment /No harsh language

Noncompliance Area: On 2/20/25, at approximately 2:45pm, Staff person #1 was sitting at the table with Child #1 standing on their left side. Child #1 let out a scream and began crying while holding their right forearm. When Child #1 was asked what happened, Child #1 pointed to Staff person #1 and stated Staff person #1 name. Staff person #2 stated that after the incident they observed red marks on Child #1 right forearm appearing to be 4 fingers. Additionally, during the inspection, Staff persons #2, #3 and #4 acknowledged that Staff person #1 was observed yelling at children when redirecting them.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 11/20/24, at time of unannounced inspection, a broken toddler plastic basketball playset containing sharp edges, a broken metal toy cart and cracked water table lids were observed on the toddler outdoor play space.

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: On 11/20/24, at time of unannounced inspection, five young toddlers were observed asleep on rest mats. The mats were not at least 2 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: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: On 11/20/24, at time of unannounced inspection, Staff #1 was observed changing a diaper in the OT room. After diapering the child, Staff #1 did not wash the child's hands and did not wash their own hands. Additionally, children in the OT middle room were not instructed to wash hands prior to eating snack.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 11/20/24, at time of inspection, Staff person #2 was observed to be caring for children unsupervised in the school van. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated Reporter Training and Health & Safety Training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.21/3270.66(a)

Description: General Health and Safety/Locked or inaccessible

Noncompliance Area: On 11/20/24, during unannounced inspection, cleaning materials were observed in an unlocked cabinet accessible to children under the changing table located in the back young toddler room. Additionally, the kitchen door was propped open and accessible to children in the preschool room.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: On 11/20/24, at time of inspection, Staff person #3- has not completed the following required pre-service training within 90 days of their date of hire: Health & Safety Training

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

Regulation: 3270.76/3270.82(g)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: On 11/20/24, at time of unannounced inspection, the bathroom trim was pulled off the wall in the older toddler room. Dirty windowsills were observed in the toddler rooms.

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

Regulation: 3270.82(d)/3270.135(b)

Description: Training chair - sanitized/Surfaces cleaned

Noncompliance Area: On 11/20/24, at approximately 2:30pm, a training chair containing urine located in the OT bathroom (front) was not emptied and sanitized after use. Additionally, Staff #1 was observed changing a diaper. The diaper pad surface was not cleaned with a sanitizing solution prior to placing another child on the pad.

Correction Required: A training chair is not a flushing toilet. A training chair shall be emptied and sanitized after each use. An acceptable sanitizing solution is 1/4 cup of bleach combined with 1 gallon of water. A sanitizing solution shall be treated as a toxic. Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: On 11/20/24, at time of unannounced inspection, the OT front bathroom and the Diaper Area in the front room were not equipped with a lidded waste receptacle.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On 11/20/24, at time of unannounced inspection, the facility's fire detection system was not tested at least every 30 days. The last test date on the Fire Detection Log was 9/30/24.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 8/7/24, during unannounced inspection, Staff #2 and Staff #3 stated they witnessed Staff #1 smack Child #1 on the arm. On 8/1/24, at approximately 9:00am, Staff #1, #2 and #3 were working together in the front childcare space. Staff #2 stated Child #1 smacked Staff #2 leg in a playful manner. Staff #2 stated that within a few moments, Staff #1 approached and smacked Child #1 on the arm.

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

Regulation: 3270.115(c)

Description: Water play table

Noncompliance Area: On 8/7/24, during unannounced inspection, a water play table containing filled with dirty standing rainwater was observed on the outdoor play space.

Correction Required: A water play table or a container used for water play that contains unfiltered water shall be emptied daily.

Regulation: 3270.66(a)/3270.113(a)(1)

Description: Locked or inaccessible/Staff assigned to specific children

Noncompliance Area: On 8/7/24, at approximately 12:30pm, a PS child was observed unsupervised in the front bathroom while Staff #1 and Staff #2 were in the back part of the school age room. Diaper cream instructing to "keep out of reach of children" was observed on the floor while Child #1 was using the bathroom unsupervised (the diaper cream belonged to Child #1).

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. 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: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: On 8/7/24, during unannounced inspection, the waste receptacle observed by the sink located in the Preschool Room did not contain a lid.

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

Regulation: 3270.135(c)

Description: Diapering area not used for food prep

Noncompliance Area: On 7/9/24, at time of unannounced visit, the diapering table located in the older toddler room was being used for food service.

Correction Required: The diapering area may not be used for food preparation or food service.

Regulation: 3270.51/3270.113(a)(1)

Description: Similar Age Level/Staff assigned to specific children

Noncompliance Area: On 7/9/24, at time of unannounced visit, Staff #1 and Staff #2 were observed out of ratio with 11 young toddlers during lunch time while Staff #3 was in the office.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. 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: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: Continued non-compliance: On 7/9/24, at time of unannounced inspection, the toilet located in the PS bathroom was not functioning. The toilet is not able to be used by children.

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

Regulation: 3270.108(c)

Description: No styrofoam

Noncompliance Area: On 6/11/24, during unannounced inspection, Styrofoam bowls were observed at the facility.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: On 6/11/24, during unannounced inspection, Staff #2 file did not contain an initial health assessment, including results of tuberculosis testing.

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: 3270.33(a)/3270.192(2)(iv)

Description: Each staff person meets quals/Transcript, diploma and letters

Noncompliance Area: On 6/11/24, during unannounced inspection, Staff #2 and #3 were observed working in the PS classroom. Staff #2 and #3 file did not contain verification of education and childcare experience, if applicable, in order to qualify them for the position in which they were performing.

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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: On 6/11/24, during unannounced inspection, an unlabeled spray bottle containing disinfectant was observed in the PK classroom.

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: On 6/11/24, during unannounced inspection, the toilet located in the PK room was not functioning properly and in need of repair.

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

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

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

Noncompliance Area: On 4/18/24, at approximately 12:00pm, Staff #1 neglected to close and lock the half door leading into the front preschool classroom. Staff #1 did not notice Child #1 leave the classroom. Another child noticed that Child #1 was not in the room and began asking the whereabouts of Child #1. Staff #2 saw the classroom door open and ran to the exit door. Child #1 was found unsupervised by a staff person for approximately 1-2 minutes in the lobby of the facility in-between the door outside the office and the front exit door leading to the parking lot.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: On 5/1/24, at time of unannounced inspection, Staff #1 file contained a high school transcript as verification of education. The high school transcript did not indicate a graduation date.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.192(2)(iv)/3270.192(3)

Description: Transcript, diploma and letters/Health assessment, TB test

Noncompliance Area: On 5/1/24, at time of unannounced inspection, Staff #1 and #2 were present in the faciltiy caring for children. Staff #1 and Staff #2 file did not contain initial health assessments, including results of tuberculosis testing, prior to working with children.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. 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: 3270.192(5)

Description: Two written references

Noncompliance Area: On 5/1/24, at time of unannounced inspection, Staff #1 and #2 file did not contain two letters of written references.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 5/1/24, at time of unannounced inspection, Staff #1 file did not contain results of Child Abuse clearance required by CPSL. Additionally, Staff #2 resided in another state in the last 60 months. Staff #2 file did not contain results of out of state clearances as required by CPSL. (Staff #2 file did not contain requests for out of state clearances.)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 and #2 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 & 2 may not work in a child care position at the facility.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: On 3/4/24, at time of renewal, a thermometer was not observed in the refrigerator located on the left back childcare space in the facility.

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: 3270.123(a)

Description: Signed

Noncompliance Area: On 3/5/24, at time of renewal, Child #1 and #2 agreements were not signed by the operator.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 3/5/24, at time of renewal, Child #2 emergency contact information did not include the addresses of designated release persons.

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

Regulation: 3270.171(a)/3270.171(c)

Description: Pick-up and drop-off points/Safe routes posted

Noncompliance Area: On 3/5/24, at time of renewal, annual notification of the facility's safe routes and drop off/pick up procedures was not on file at the facility. Safe routes were not posted in a conspicuous area in the 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. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: On 3/5/24, at time of renewal, notification of delivery of the facility's emergency plan to local municipality and county emergency management agency were not on file at the facility.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 3/5/24, at time of inspection, diaper cream and baby powder instructing to "keep out of reach of children" were observed accessible to children under an unlocked diapering station.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: On 3/5/24, at time of renewal, the ledge around the children's classroom sink located in the PS room was dirty.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: On 3/5/24, at time of renewal, handwashing signs stating the requirement for when to wash hands were not posted at the sinks and diapering areas throughout the facility.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On 3/5/24, at time of renewal, fire alarms are not tested at least every 30 days. A 30 day fire detection log was not on file at the facility.

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: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: Continued non-compliance from 4-19-23, During renewal inspection certification rep reviewed fire inspection report. Fire alarm system failed inspection.

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)).

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During renewal inspection, certification rep saw a ripped mats used for sleeping Toddler B. Certification rep observed loose cabinet door in the Infant room

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During renewal inspection, certification rep observed the cribs to be less than 2 feet 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: 3270.107

Description: Refrigerator

Noncompliance Area: During renewal inspection, certification rep observed the temperature in the refrigerator in the infant room at 50° F

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: 3270.123(a)

Description: Signed

Noncompliance Area: During renewal inspection certification rep reviewed children's files. Fee agreement for child 2 and 6 were not signed by the operator

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

Regulation: 3270.123(a)(1)/3270.123(a)(3)

Description: Amount of fee/Services proceeded

Noncompliance Area: During renewal inspection certification rep reviewed children's files. Fee agreement for 5 and 6 were missing fee to be charged per day or per weekDuring renewal inspection certification rep reviewed children's files. Fee agreement for1 and 5 did not specify services to be provided. During renewal inspection certification rep reviewed children's files. Child 1, 2, 3, 4 and 5 were missing Child Service Reports in their file

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. 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)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: During renewal inspection certification rep reviewed children's files. The fee agreement for child 1, 4, 5 and 6 were missing child's date of admission

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)(4)/3270.182(3)

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

Noncompliance Area: During renewal inspection certification rep reviewed children's files. Emergency contact for child 4 was missing written consent signed by a parent 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: During renewal inspection certification rep reviewed children's files. Emergency contact for child 1 and 4 was missing health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits

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(f)/3270.181(c)

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

Noncompliance Area: During renewal inspection certification rep reviewed children's files. Fee agreement for child 1, 2, 4,5 were expired. Fee agreement for child 4 was missing. During renewal inspection certification rep reviewed emergency contacts. Emergency contact for child 3, 4 and 5 were expired.

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(b)(2)

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

Noncompliance Area: During renewal inspection certification rep reviewed child files. The physical for child 5 was expired.

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: During renewal inspection certification rep reviewed children's file. The file of child 1, and 3, enrolled more than 60 days at the facility, did not contain documentation of an influenza vaccination within the past year, as required per the ACIP recommended schedule.

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 2, 3, 6, were missing physicals and TB screening from their file. Physical for staff 10 was expired. Last date of physical was on 9-30-19. Physical for staff 11 was expired. Last date of physical was on 8-26-2020. Staff 4, 7, 9 and 12 were missing date TB was read.

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

Regulation: 3270.182(4)

Description: Consent for administration of medications or special dietary needs

Noncompliance Area: During renewal inspection certification rep reviewed children's file. Child 3 was missing parental consent for administration of medications or special dietary needs.

Correction Required: A child's record shall contain signed parental consent for administration of medications or special dietary needs.

Regulation: 3270.182(5)

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

Noncompliance Area: During renewal inspection certification rep reviewed children's files. Emergency contact for child 4 was missing signed parental consent for administration of minor first-aid procedures by facility staff

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

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 1, 2 and 3 were missing education. During renewal inspection certification rep reviewed staff files. Staff 1, 4, 5, 6, 8 and 9 were missing verification of two years of childcare experience.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.