KINDERCARE LEARN CNT 073043

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #3 did not include the results of their Child Abuse Clearance prior to their first day caring for children (see LIS code sheet. On 06/02/2026 staff person #3 was observed caring for children in the Preschool Readiness classroom with staff person #4, an aide. *Corrected on the date of the inspection, a copy of the Child Abuse Clearance dated 05/21/2024 was emailed to the Certification Representative on 06/02/2026.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 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: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: On 05/21/2026, staff person #1, an aide, was working alone in the preschool classroom for approximately 4 - 8 minutes when staff person #2 left the room to take trash to the dumpster.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 05/21/2026, staff person #1 was working alone in the preschool classroom caring for a group of 19 preschool age children during naptime. Due to at least once preschool age child being awake and off their cot, naptime ratios were no longer in effect.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 06/02/2026, observed staff in the preschool classroom place a bottle of window cleaner on the table during naptime and walk away from the table to complete another task. The bottle on the table was accessible to the 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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: On 06/02/2026, observed the lunch cart was placed in front of the classroom door in the preschool classroom obstructing the means of egress from the classroom into the hallway.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed tricycles on the preschool playground with a crack in the seat. *Corrected at the time of the inspection.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: Observed the file for staff person #1 did not include two written, nonfamily references attesting to the person's suitability to serve as a facility person. The 2 references on file were from individuals related to the staff person.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for staff person #1 did not include documentation of emergency plan training within 90 days of initial hire (see LIS code sheet).

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter provided to the parent of each enrolled child explaining the emergency procedures did not include a statement for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

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

Description: Age and Training

Noncompliance Area: The file for staff person #4 included pediatric first aid and CPR which was not updated before the expiration of the previous certification. The current certification on file was completed on 12/29/2025 with the previous training completed on 08/22/2023 which expired on 08/2025

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #2 included mandated reporter training which was not updated within 60 months of the previous training. The current mandated reporter training was completed on 01/02/2026 with the previous training completed on 12/04/2020.

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

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

Noncompliance Area: The file for staff person #3 did not include verification of child care experience and education to qualify as an assistant group supervisor prior to initial employment (see LIS code sheet). Staff person #3 was observed working alone in the Transitional PreK classroom during naptime with a group of 9 preschoolers.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: Observed a trashcan in the Transitional PreK classroom which contained cups and plates with leftover food items which did not have a lid.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The sink in the infant classroom used for handwashing had a hot water temperature of 118° F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: On 9/11/25, it was observed that the refrigerator in the Ones classroom 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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: On 9/11/25, it was observed that the emergency contact information for child 2 did not include a parent work address and phone number.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: On 9/11/25, it was observed that the emergency contact information for children 2 and 3 did not include information regarding the child's special needs.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 9/11/25, it was observed that the emergency contact information for child 2 did not include addresses for their release persons.

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

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

Description: ACIP recommended immunization record /Dismissal policy

Noncompliance Area: On 9/11/25, it was observed that the immunization record for child 5 did not meet the ACIP recommendations for their age. The immunization record for child 5 did not include a Hepatitis B, Rotovirus, DTAP, or Polio vaccine.

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. 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(a)

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

Noncompliance Area: On 9/11/25, it was observed that staff health assessments were not updated every 24 months. Staff person 1 had a health assessment on file that expired on 10/13/24 that was not updated until 11/4/24. Staff person 2 had a health assessment on file that expired on 12/7/24 that was not updated until 9/2/25.

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

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: On 9/11/25, it was observed that the emergency contact information for child 2 did not include a parent signature for emergency medical care or 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 9/11/25, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 1 had a state police clearance on file that expired on 10/21/24 that was not updated until 11/1/24. Staff person 1 had a FBI clearance on file that expired on 10/10/24 that was not updated until 11/4/24.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 9/11/25, it was observed that the vents, by the playground exit door, in the One year old classroom had a visible layer of dust.

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: 3270.151(a)

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

Noncompliance Area: On 9/20/24 it was observed that staff health assessments were not updated every 24 months. Staff person 1 had a health assessment on file that expired on 12/18/23. Staff person 4 had a health assessment on file that expired on 3/21/24 that was not updated until 9/5/24.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: On 9/20/24, it was observed that there were bottles/sippy cups in the one year old classroom refrigerator that were not labeled. CORRECTED ON SITE.

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

Regulation: 3270.182(5)

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

Noncompliance Area: On 9/20/24, it was observed that child 3 did not have signed parental consent on file for minor first aid.

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)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: On 9/20/24, it was observed that staff 2 and 3 had verification of education on file from a foreign country which had not been evaluated for United States equivalency.

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: On 9/20/24, it was observed that staff persons 1, 4, 5, 6, and 7 did not have documentation of fire safety training in the previous 12 months.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 9/20/24, it was observed that staff person 8 and 9 did not have a completed NSOR (National Sex Offender Registry) clearance on file. Staff person 8 was beyond their 45 day provisional hire period and NSOR had been applied for on 6/20/24. Staff person 9 was beyond their 45 day provisional hire period and NSOR had been applied for on 6/3/24. Staff person 8 and 9 may not return to work until NSOR is on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -8 and 9- may not work in a child care position at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 9/20/24, it was observed that the vent by the outside exit door in the Pre K room had a visible layer of dirt on it.

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

Regulation: 3270.182(7)

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

Noncompliance Area: A child was hit in the eye and nose with a book by another child and the parent did not receive an incident report on the same day as 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: 3270.192(2)(ii)/3270.192(2)(iv)

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

Noncompliance Area: On 4/4/24, it was observed that staff person 1 had education documentation on file from a foreign country that had not been verified for equivalency in the United States. Staff person 1 No Longer Employed on 9/20/24.

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.

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: On 4/4/24, it was observed that staff person 2 was present and working in the facility and did not have a signed disclosure statement on file. CORRECTED ON SITE.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 9/29/23, it was observed that there were torn nap mats in the TK classroom.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: On 9/29/23, it was observed that small items (stuffing and plastic flower beads) were accessible to children in the unlocked cabinet behind the changing table. CORRECTED ON SITE.

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: On 9/29/23, it was observed that the daily classroom schedule was not posted in the DPS Older Toddler classroom.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: On 9/29/23. it was observed that the agreement form for child 4 did not include the date of admission.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: On 9/29/23, it was observed that child 4 did not have a work address on file for their enrolling parent.

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

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: On 9/29/23, it was observed that staff and children did not wash their hands after 4 consecutive diaper changes in the infant classroom.

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: 3270.182(3)/3270.182(5)

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

Noncompliance Area: On 9/29/23, it was observed that child 6, 7, and 8 did not have signed parental consent on file for minor first aid or 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. 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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 9/29/23, it was observed that toxics were accessible to children. Lotions and diaper creams were accessible to children in the infant classroom on the bottom shelf of the unlocked changing table cabinet. CORRECTED ON SITE Cleaning sprays were accessible to children in the unlocked cabinet behind the changing table in the rear classroom of the DPS toddler room. CORRECTED ON SITE

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: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: On 9/29/23, it was observed that emergency telephone numbers were not posted at the phone in the infant classroom. CORRECTED ON SITE.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: On 9/29/23, it was observed that the first aid kit was accessible to children in the DPS toddler room on the front side. The first aid kit was stored on the floor under the teacher's chair. CORRECTED ON SITE.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 9/29/23, it was observed that the vent by the playground door in the DPS toddler room - younger side had a visible layer of dirt on it that could be scraped off with a finger.

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: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: On 9/29/23, it was observed that there was peeling paint in the facility. Peeling paint was observed in the DPS toddler room on the front side on the trim around the bathroom and coat room doors. Peeling paint was observed in the DPS toddler room on the back side on the playground door and janitors closet door trim. Peeling paint was observed in the TK classroom on the trim around the exit, bathroom, and janitors closet doors.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 5/12/23, it was observed that staff person 1 was using their personal cell phone on 2 occasions in the play area while they were the only staff person supervising 6 preschool and school age children.

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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 5/12/23, it was observed that staff person 4 and 5 did not have the Health and Safety update training on file.

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

Regulation: 3270.151(a)

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

Noncompliance Area: On 5/12/23, it was observed that staff person 4 had a health assessment on file that expired on 4/8/23.

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.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: On 5/12/23, it was observed that staff person 3 did not have proof of education on file.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 5/12/23, it was observed that CPSL (Child Protective Services Law) was not followed. Provider has been cited for CPSL violations on 9/9/22, 9/20/22, and 10/15/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Provider will attend Existing Provider Orientation on July 13, 2023.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 5/12/23, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 2 had been employed for longer than 90 days and did not have Mandated Reporter Training on file. CPSL requires that Mandated Reporter Training be completed in the first 90 days of employment.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 5/12/23, it was observed that the heater vent outside the infant room door was coming loose from the wall.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On 5/12/23, it was observed that the fire detection system was not tested every 30 days. Test log indicated tests on 3/1/23, 4/4/23, and 5/9/23 which were more than 30 days apart.

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: 3270.111(a)

Description: Written plan

Noncompliance Area: On 10/12/22, it was observed that a daily schedule was not posted in the school age classroom.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 10/12/22, it was observed that child 2 did not have addresses on file for their 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: 3270.151(a)/3270.151(c)(2)

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

Noncompliance Area: On 10/12/22, it was observed that staff Health Assessments and TB tests were not obtained in a timely manner. Staff person 2 was observed working in the Infant classroom and did not have record of a Health Assessment on file. Staff person 2 had a TB test on file that was older than 12 months at the time of their starting employment. Staff person 6 had a health assessment on file that expired on 8/7/22. An updated health assessment was not available. Staff person 7 was observed working in the Preschool classroom and did not have record of a Health Assessment or TB test on file. Staff person 8 was observed working in the Older Toddler classroom and did not have record of a Heath Assessment on file. Staff person 9 had a health assessment on file that expired on 10/31/21. An updated health assessment was not available. Staff person 10 had a health assessment on file that expired on 2/12/21. An updated health assessment was not available.

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

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: On 10/12/22, it was observed that feeding schedules for infants were not obtained from the parent.

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

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: On 10/12/22, it was observed that child 6 and 7 did not have signed parental consent on file 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. 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: On 10/12/22, it was observed that staff person 12 did not have 2 written, nonfamily references on file. Staff person 12 had 1 reference on file and 1 additional reference is needed.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: On 10/12/22, it was observed that professional development (Health and Safety) was not completed in the first 90 days of hire for staff persons 5, 7, and 12. Staff person 5 had been employed for longer than 90 days and did not have Health and Safety training on file. CORRECTED 11/29/22 Staff person 7 had been employed for longer than 90 days and did not have Health and Safety training on file. CORRECTED 11/18/22 Staff person 12 had been employed for longer than 90 days and did not have Health and Safety training on file. CORRECTED 12/17/22

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 10/12/22, it was observed that CPSL (Child Protective Services Law) was not followed. Staff persons 1, 5, 9, and 12 did not have Mandated Reporter training completed. Staff person 1 had a Mandated Reporter training on file that expired on 6/18/20. No updated training was available. Mandated Reporter training must be updated every 60 months. CORRECTED 11/18/22) Staff person 5 had been employed longer than 90 days and did not have a completed Mandated Reporter training on file. Mandated Reporter training must be completed within 90 days of starting employment with children. CORRECTED 11/29/22 Staff person 9 had a Mandated Reporter training on file that expired on 6/17/20. An updated training was not on file. Mandated Reporter training must be updated every 60 months. CORRECTED 11/18/22 Staff person 12 had been employed longer than 90 days and did not have a completed Mandated Reporter training on file. Mandated Reporter training must be completed within 90 days of starting employment with children. CORRECTED 11/18/22 Staff persons 1 and 9 had clearances on file that were not updated within 60 months. All clearances must be updated every 60 months. CORRECTED 11/18/22. Staff person 1 had a child abuse clearance on file that expired on 6/16/20. An updated clearance was not available. CORRECTED ON SITE. Staff Person 9 had a child abuse clearance on file that expired on 6/16/15 that was not updated until 9/22/21 which is longer than 60 months. Staff persons 7, 8, and 9 did not have clearances on file in a timely manner at the start of employment with children. Staff person 7 was observed working in the Preschool classroom and did not have a FBI clearance on file. Provisional paperwork was dated 3/18/22. Staff had been working longer than 45 days from the date of FBI fingerprint submission. Staff person 7 may not work with children until FBI clearance is on file. Staff person 7 has lived in a state outside of Pennsylvania in the last 5 years and did not have clearances from that state or proof that clearances had been applied for. Staff person 7 may not work with children until Out of State clearances are on file. Staff person 8 was observed working in the Older Toddler classroom and did not have a PA State Police clearance on file. CORRECTED ON SITE. Staff person 9 was observed working as the cook in the facility and did not have a NSOR certificate on file. Provisional paperwork was dated 8/18/22 which was more than 45 days. Staff person 9 may not work with children until NSOR clearance is on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #7 and 9 may not work in a child care position at the facility.

Regulation: 3270.33(a)/3270.36(b)(5)

Description: Each staff person meets quals/HS/GED + 2 yrs

Noncompliance Area: On 10/12/22, it was observed that staff persons 2, 5, and 8 were working as an AGS (Assistant Group Supervisors) without the required documentation of education or experience on file. Staff person 2 was observed working in the infant classroom as an AGS/Aide without documentation of education or experience to be AGS qualified. Staff person 2 may only be a volunteer. Staff person 5 was observed working in the Young Toddler classroom as an AGS without documentation of education or experience to be AGS qualified. Staff person 5 may only be a volunteer. Staff person 12 was observed working in the older toddler room as an AGS without documentation of education on file to be AGS qualified. Staff person 12 may only be a volunteer.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: On 10/12/22, it was observed that staff persons 1, 3, 4, 5, 6, 10, and 11 had been employed longer than 12 months and did not have a written evaluation on file.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 10/12/22, it was observed that ratio was not met in the infant and combined younger and older toddler room. In the infant classroom, 1 AGS (Assistant Group Supervisor) and 1 volunteer were observed with 4 infants and 1 young toddler. Ratio for this classroom would have been 1 for every 4 children. Volunteers may not couth towards staff to child ratio. In the combined younger and older toddler classroom, 5 younger toddlers and 8 older toddlers were observed with 1 AGS and 2 volunteers. The ratio for this room would have been 1 staff for every 5 children. Volunteers may not count towards staff to child ratio.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On 10/12/22, it was observed that an outlet was uncovered in the Preschool Classroom. CORRECTED ON SITE.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 10/12/22, it was observed that the the building surfaces were not clean and good repair. The vent covers near the exit doors to the playground in the Preschool and Young Toddler classrooms had a visible layer of dirt and dust on them that could be scraped off with a finger. The base of the bathroom door in the school age classroom was observed to be splintering.

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: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: On 10/12/22, peeling paint was observed at the facility. The exterior wall of the facility was observed to have numerous spots of peeling and chipping paint accessible to the children on the preschool and toddler playground areas.

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

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: On 10/12/22, it was observed that the proof of purchase for the fire detections system was not available.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: On 8/15/2022, it was observed that fire drills were not held every 60 days. The most recent fire drill was held on 5/6/22. No additional fire drills were recoded.

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: On 8/15/22, it was observed that the fire detections system had not been tested every 30 days. The most recent test was 5/6/22.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 10/14/21, it was observed that toys and equipment were not clean and in good repair. In the infant classroom, the track for the sliding doors of the storage cabinet was observed to have a visible layer of lint and dust accumulated in it. CORRECTED ON SITE. In the infant classroom, the trim at the base of the changing table was observed to be peeling. On the toddler playground it was observed that there were 2 broken trucks present. CORRECTED ON SITE.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 10/14/21, it was observed that child 4 did not have addresses and phone numbers on file for their 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: 3270.151(a)/3270.151(c)(2)

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

Noncompliance Area: On 10/14/21, it was observed that staff health assessment were not obtained or updated in a timely manner. Staff person 2 had a health assessment on file that expired on 9/27/20. A new health assessment was not on file until 10/22/20. Staff person 3 (start date 8/9/21) did not have a health assessment on file. Health assessments are required to be on file before starting with children. CORRCTED 11/24/21. Staff person 4 (start date 10/4/21) did not have a health assessment or TB test on file. Health assessments and TB tests are required to be on file before starting with children. Staff person 6 had a health assessment on file that expired on 10/1/21. An updated health assessment was not on file. Corrected 12/6/21. Staff person 8 had a health assessment on file that expired on 10/4/21. An updated health assessment was not on file.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: On 10/14/21, it was observed that staff person 4 did not have emergency plan training at the time of hire. Staff person 4 started on 10/4/21 and did not have emergency plan training on file at the time of the visit.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 10/14/21, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 1 (start date 9/15/21) did not have an FBI clearance or provisional paperwork on file. Staff person 1 may not work until provisional paperwork or clearance is on file. Staff person 3 (start date 8/9/21) did not have a NSOR (National Sex Offender Registry) on file. Provisional Paperwork was dated 8/9/21, but more than 45 days have passed since submission. Provisional employees have 45 days to have their clearance on file. Staff person may not work until clearance is on file. Staff person 4 (start date 10/4/21) had a FBI clearance on file for the Department of Education. Childcare employees must have a FBI Clearance on file for the Department of Public Welfare. Staff person may not work until proper clearance is on file. Staff person 4 (start date 10/4/21) did not have a NSOR (National Sex Offender Registry) or provisional paperwork on file. Staff person may not work until clearance or provisional paperwork is on file. Staff person 5 had a FBI clearance on file that expired on 6/15/20. No updated clearance was available. Staff person 5 may not work until FBI clearance has been updated. CORRECTED ON SITE. Staff person 7 had a Child Abuse Clearance on file that expired on 11/2/20. An updated clearance was not on file until 10/5/21. Clearances must be updated every 60 months. Staff person 2 had a Mandated Reporter training on file that expired on 6/18/20. No updated training was available. Mandated Reporter Training must be updated every 60 months.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1, 3, 4, and 5 may not work in a child care position at the facility.

Noncompliance Area: On 10/15/20, it was observed that there were broken toys in the toddler play areas. A broken truck was observed in the lower toddler play area and broken bins were observed in the upper play area. CORRECTED ON SITE.

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.

Noncompliance Area: On 10/15/20, it was observed that staff physicals were not conducted in timely manner for staff person 1, 6, and 10. Staff person 1 (hire date 8/24/20) did not have a physical on file. Staff person 1 must have a physical completed before they may return to work. Staff person 6 (hire date 7/27/20) did not have a physical and TB test on file until 9/28/20. Staff must have a physical and TB test on file before starting employment. Staff person worked for 2 months without a physical and TB test on file. Staff person 10 had a physical on file dated 5/18/18 which expired on 5/18/20. A new physical was not on file. Staff person may not return to work until updated physical is completed.

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.

Noncompliance Area: On 10/15/20, it was observed that vehicle insurance was not current in both of the busses used for transportation by the facility.

Correction Required: A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

Noncompliance Area: On 10/15/20, it was observed that child 1 and 2 did not have signed parental consent for first aid and CPR.

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

Noncompliance Area: On 10/15/2020, it was observed that Child Protective Services Law (CPSL) was not followed for staff persons 1, 2, 3, 4, 5, 6, 8, 9, 11, and 12. Staff person 1 (hire date 8/24/20) has state police and child abuse clearances on file for a volunteer. Volunteer clearances are not acceptable. Staff person 1 also had a FBI clearance on file for the Department of Education. DOE clearances are not acceptable. Staff person 2 (hire date 6/1/20) did not have a National Sex Offender Registry (NSOR) clearance on file. No provisional paperwork was available. Staff person 2 also should have completed Mandated Reporter Training before 9/1/20 and it was not on file. Staff person 3 (hire date 7/21/20) had a FBI clearance on file for the Department of Education. DOE clearances are not acceptable. Staff person 4 (hire date 10/8/19) should have completed Mandated Reporter Training by 1/8/20 and it was not on file. Staff person 5 should have had a NSOR clearance on file by 7/1/20. NSOR clearance was dated 10/2/20. Staff person 5 also had a Mandated Reporter Training on file dated 4/13/15, which expired on 4/13/20. An updated Mandated Reporter Training was not on file. Staff person 6 (hire date 7/27/20) did not have a Child Abuse Clearance on file and no provisional paperwork was available. Staff person 6 did not have a FBI clearance on file and no provisional paperwork was available. Staff person 8 (hire date 10/20/19) did not have a NSOR clearance on file. Provisional paperwork on file indicated that the NSOR application had not been sent until 10/18/20. Provisional paperwork must be on file before a person begins working with children. Staff person 9 had a Child Abuse Clearance on file dated 6/16/15, which expired on 6/16/20. A new child abuse clearance was not on file until 9/25/20. Staff person 9 had a FBI clearance on file dated 6/23/15, which expired on 6/23/20. A new FBI clearance was not on file until 10/5/20. Staff person 9 had a Mandated Reporter Training on file dated 6/16/15, which expired on 6/16/20. No updated Mandated Reporter training was on file. Staff person 11 (hire date 2/21/20) did not have a NSOR clearance on file. Provisional paperwork indicated that the application for the NSOR clearance was completed on 1/28/20. Clearance was required to be on file by 7/1/20 and was not present. Staff person 11 was required to complete Mandated Reporter Training by 5/21/20 and training was not on file. Staff person 12 (hire date 9/15/20) did not have a FBI clearance on file and no provisional paperwork was available. Staff persons 8 and 11 were observed working together in the Preschool Classroom. Neither staff has a NSOR clearance on file, and they were not supervised by a permanent employee.

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, 6, 12 -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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, 6, and 12 may not work in a child care position at the facility.

Noncompliance Area: On 10/15/20, it was observed that staff persons 2, 6, and 7 did not have qualifications on file to be functioning in the position they were observed in. Staff person 1 was operating as an Assistant Group Supervisor and did not have varication of 2 years or 2500 hours of experience on file. Staff person 2 was operating as an Assistant Group Supervisor and did not have proof of education on file. Staff person 6 was operating as an Assistant Group Supervisor and did not have proof of education or experience on file. Staff person 7 was operating as an Assistant Group Supervisor and did not have proof of education or experience on file. Staff person 12 was operating as an Assistant Group Supervisor and did not have proof of 2500 hours of experience on file. Staff person 12 had 1080 documented hours on file. 1420 additional hours will need to be documented to be Assistant Group Supervisor qualified.

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.

Noncompliance Area: On 10/15/20 it was observed that first aid kits are incomplete. The Young Toddler room was missing tape in their first aid kit. The Preschool room was missing tape. The School age room was missing tape and scissors.

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

Noncompliance Area: On 10/15/20 it was observed that surfaces were not clean or in good repair on the school age/preschool playground, Toddler Classroom, and the School Age Classroom. The Kick Board on the lower wall of the school age/preschool classroom was observed to have peeling paint and splintering. The heater vent near the exit doors in the toddler and school age classroom were observe to be dirty and or in need of repainting.

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

Noncompliance Area: Facility director admitted that they struggled with a mouse problem from October 2019 through the COVID shutdown in March 2020. The facility has contracted with an exterminator and upon walk through on 06/11/20 DHS representative did not observe any signs of a current mouse infestation.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Noncompliance Area: Violation was originally cited on SIN-00165526 but continued noncompliance was observed during DHS return visit to verify corrections on 12/06/19. The file for child #7 does not include complete addresses for release persons designated by the parent.

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.

Noncompliance Area: Violation was originally cited on SIN-00165526 but continued noncompliance was observed during DHS return visit to verify corrections on 12/06/19. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency were not available on the vans for staff who take the children on excursions.

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

Noncompliance Area: Violation was originally cited on SIN-00165526 but continued noncompliance was observed during DHS return visit to verify corrections on 12/06/19. Child #2 is not immunized according to the ACIP schedule and there is not documentation of a medical, religious or personal exemption.

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

Noncompliance Area: The facility uses an app to track the meals and diaper changes of their infants and toddlers. There were concerns that a child's diaper/pull up was not being checked at least every two hours. Management pulled the app on the day in question and no diaper checks or changes were logged for child #1 in the 9.5 hours the child was in care. The teacher responsible for the child that day could not recall if the child's diaper had been changed.

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.

Noncompliance Area: Violation was originally cited on SIN-00165526 but continued noncompliance was observed during DHS return visit to verify corrections on 12/06/19. Staff person #8 does not have a health assessment or TB test on file at time of employment. During DHS return visit on 12/06/19 employee #8 was observed working with children and she did not have a completed TB test on file.

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

Noncompliance Area: Violation was originally cited on SIN-00165526 but continued noncompliance was observed during DHS return visit to verify corrections on 12/06/19. Written notification of safe routes is not posted by the operator at a conspicuous location in the child care facility.

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

Noncompliance Area: Violation was originally cited on SIN-00165526 but continued noncompliance was observed during DHS return visit to verify corrections on 12/06/19. Instructions for contacting the appropriate regional day care office are not posted in the parent area.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: Violation was originally cited on SIN-00165526 but continued noncompliance was observed during DHS return visit to verify corrections on 12/06/19. The file of facility person #9, hired 7/20197, does not contain mandated reporter training as required under the CPSL.

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.

Noncompliance Area: Violation was originally cited on SIN-00165526 but continued noncompliance was observed during DHS return visit to verify corrections on 12/06/19. The first aid kit in the school age old room did not contain 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.

Noncompliance Area: Play equipment and materials in the young toddler room were not provided in sufficient amount and variety to preclude long waits for use. Five books, several stuffed animals, blocks and a wooden kitchen were the only play materials observed for a group of nine toddlers.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Noncompliance Area: Bins used to store toys in the two year old room were dusty and had a sticky residue in them. The white plastic sink in the young toddler room was covered with a layer of surface dirt and dust.

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.

Noncompliance Area: Neither of the outdoor climbers were mounted over nine inches of mulch as required under the CPSC.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: A daily schedule is not posted in the school age room.

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

Noncompliance Area: During the annual renewal inspection staff in the two year old room stated they do not go outside daily and they couldn't recall the last time they took their children outside.

Correction Required: Weather permitting, children shall be taken out doors daily.

Noncompliance Area: The agreements for children #2,3,4 were not signed by the operator.

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