Kinderhook Early Learning Center Llc

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: It was observed during naptime in Room 1, that one staff person was seated with her back to a napping child she was supervising. Another napping child was not able to be seen due to being obstructed by a table. A third napping child was not able to be seen due to being obstructed by a classroom shelf. (corrected during inspection).

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: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: The parents of the children enrolled did not receive, in writing, the facility's supervision policy. (corrected during inspection)

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: In Room 2, the children's emergency contact information was not present in the child care space (corrected during inspection)

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: 3270.151(a)

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

Noncompliance Area: Staff person #1's TB results on file were not conducted within 12 months prior to providing initial service in a child care setting as evidenced by the 6/18/18 TB results on record (see code sheet).

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff person #1's record did not include verification of child care experience. Staff person #2's record did not contain proof of high school graduation

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The time between staff person #4's fire safety training exceeded the permitted annual timeframe (11/22/24, 3/30/26).

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff person #2 did not complete training in pediatric first-aid and CPR within 90 days of hire as evidenced by the date on record of 9/25/25 (see code sheet).

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff person #3 file did not contain an annual staff evaluation (see code sheet).

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Four toxic plants (Flaming Katy) were accessible to children in Room 1 (corrected during inspection).

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

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: In Room 2, it was observed that the first-aid kit could not be accessed by the staff (lock was jammed on backpack binder was stored in) (corrected during inspection).

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

Regulation: 3270.78/3270.113(a)

Description: Lighting/Supervised at all times

Noncompliance Area: It was observed that Room 2 was too dark during naptime to properly supervise the children. (corrected during inspection)

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: There was no proof of purchase for the interconnected fire detection system on record. (corrected during inspection with attestation form).

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: 3270.21

Description: General Health and Safety

Noncompliance Area: Staff person #1 released child #1 to a release person without verifying their identify.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/12/21.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2-, staff person #2 may not work in a child-care position at the facility

Regulation: 3270.94(a)(1)/3270.94(a)(9)

Description: Every 60 days/Written record

Noncompliance Area: During a review of the fire drill log on 8/27/25, it was observed that the last entry for a fire drill was dated 6/16/25, exceeding the requirement that fire drills be conducted at least every 60 days. Program staff reported that drills had been conducted, but documentation of the drill had not been recorded on the fire drill log.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During a review of the fire testing log on 8/27/25, it was observed that the last documented test of the fire system was conducted on 6/16/25, exceeding the requirement that tests if the fire detection system be conducted at least every 30 days. Program staff stated that test had been conducted but not documented.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of inspection, a phone number for an emergency release person was not available for child #2.

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(b)(1)/3270.182(1)

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

Noncompliance Area: At the time of inspection, a 6-month health assessment for child #1 (young toddler- see LIS for DOB) was not available. The most recent health assessment is dated 8/29/24.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of inspection, a specific policy addressing the identification and prevention of shaken baby syndrome, abusive head trauma, and child maltreatment was not available. At the time of inspection, a plan to address continuity of operations was not available in the program's emergency plan.

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: 3270.152

Description: Adult Hygiene

Noncompliance Area: During the inspection, infant rooms staff were observed feeding bottles to infants without washing their hands prior to feeding.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: At the time of inspection, a statement about accommodations for infants, toddlers, children with special needs and chronic medical conditions was not available in the letter to parents about the emergency plan.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the older toddler room, one of the under-counter cabinet child-proof locks was loose, providing access to the cabinet to children. Staff personal purses/personal items were accessible in this cabinet. CORRECTED ON SITE - purses were moved to an above counter cabinet. In the Four's classroom, an under-counter teacher supply drawer was accessible to children, containing items such as markers that were not labeled non-toxic (Sharpie) and batteries.

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: Staff #2 did not have documentation on file of a TB test results.

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

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

Noncompliance Area: Staff #1 and #2 did not have documentation of education on file. Staff #2 did not have documentation of experience working with children 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. 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(5)

Description: Two written references

Noncompliance Area: Staff #1 was missing documentation of one nonfamily reference. Staff #2 was missing documentation of 2 nonfamily 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: Staff #1 and #2 did not have documentation of a completed child abuse clearance as required for provisional hiring. Staff #1 provided the clearance document during the inspection. Staff #2 did not have documentation of a completed FBI clearance. Staff #2 provided the documentation during inspection. Staff # 1 and #2 did not have documentation of NSOR clearance.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: previously cited on 4/3/24 staff #2 left a child unsupervised on the playground for approximately 1-2 minutes. During a renewal inspection on 4/19/24, while on the playground, staff #2 was observed to be looking at their phone. A child was observed to come up to talk to staff #2 and staff #2 continued to look at their phone while talking to the child. Staff #2 lined up the children to walk inside and continued to look at their phone while walking towards the door with the children following behind them.

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: 3270.113(d)

Description: No harsh language

Noncompliance Area: Prior to nap time, staff #7 and #8 were heard yelling at children and using a harsh tone of voice with children who were not laying down for nap. Staff #7 and #8 could be heard from multiple doors down.

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

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: Medication log for child #1 was missing the times to administer the medication Medication log for child #2 was missing the times to administer medication and the dates for administration of the medication.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Staff #6 was observed to conduct 2 diaper changes. After each diaper change the staff did not wash the child's hands.

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

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

Description: Age and Training

Noncompliance Area: Staff number 3 had CPR dated 11/15/21 and updated on 4/13/24, which was not renewed before the expiration date. Pediatric CPR is now on file and valid for staff #3

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff person #2 had Pediatric CPR dated 11/11/23, which was not completed within 90 days of hire. Staff person #5 had pediatric CPR training dated 11/11/23, which was not completed within 90 days of hire.

Correction Required: Staff persons shall complete professional development in 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: Staff #1 had a child abuse clearance dated 3/21/19 and updated on 4/3/24, which is greater than 60 months. Staff #4 had a state police clearance dated 4/5/24, which was not completed at the time of hire.

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

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

Noncompliance Area: A child was left outside on the playground unsupervised for approximately 1-2 minutes

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: Two staff were supervising a mixed age group of 17 school aged children and preschool children. Staff #1 was observed to walk out of the class for approximately 1 minute to get something, leaving the other teacher supervising the children out of ratio for approximately 1 minute. Corrected on the day of the incident after the facility reached out to the certification representative for clarification on the regulation relating to ratios.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Sea Turtles Room, cardboard building blocks were observed to be torn, tattered, and in general disrepair. On the outdoor playground, 3 cracked plastic pieces in the shape of # were observed to be cracked and in disrepair.

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)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact form for child #2 was missing the work address for the mother. Emergency contact form for child #3 was missing the work address for the father Emergency contact form for child #4 did not contain any information for the father and spaces were left blank. Emergency contact form for child #5 did not include a complete address for the father. Work address did not include the number, street name, zip code, or state. Emergency contact form for child #6 did not include the work address for the father.

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

Regulation: 3270.124(d)

Description: Excursions

Noncompliance Area: Emergency contact forms were observed to be missing from the vehicle as children were being transported.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3270.161(a)

Description: Wholesome

Noncompliance Area: During the inspection on 4/14/23 in the Guppies room, milk was observed in the fridge with an expiration date of 4/12/23.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Regulation: 3270.172(a)

Description: Written parental consent

Noncompliance Area: Written consent for transportation of the children was not present with the children during transportation.

Correction Required: Transportation by the facility requires written parental consent, except for transportation of school-age children who are transported to or from a child care facility in vehicles owned or operated by the school district.

Regulation: 3270.176(f)

Description: Prohibition using an 11-15 passenger vans

Noncompliance Area: Facility was observed to be transporting children in a 12 passenger van. The sticker on the door jamb of the vehicle confirmed that the vehicle was a 12 passenger vehicle.

Correction Required: In accordance with the requirements of 67 Pa. Code Chapter 171 (relating to school buses and school vehicles), the facility may not transport a child in an 11-15 passenger van.

Regulation: 3270.178

Description: Transportation First Aid Kit

Noncompliance Area: The first aid kit in the van used for transportation was observed to be missing soap, water, scissors, and tweezers.

Correction Required: A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: Emergency plan on file did not contain accommodations for infants or toddlers.

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

Regulation: 3270.31(f)/3270.31(h)

Description: Health and Safety Training/Health and Safety Training

Noncompliance Area: Staff person #1 completed the 6 hour health and safety training on 9/8/16, which is not an approved health and safety training. Staff person #2 completed the 6 hour health and safety training on 8/22/16, which is not an approved health and safety training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. All staff persons shall complete the professional development under subsection (f). Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #1 and 2 will have until 5/17/23 to complete the required training. Until such time as the required training has been completed, staff person #1 and 2 must be supervised, when interacting with children, by an (AGS, primary staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 and 2, staff person #1 and 2 may not work in a child-care position at the facility

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the Guppies room, an outlet cover was observed to be missing on the end of a stand of Christmas lights.

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 the playground, a hole was observed in the middle of the play space that posed a hazard to children playing in the area.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Fire drills were documented as completed on 9/30/22 and again on 11/30/22, which is greater than 60 days.

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.

Noncompliance Area: It was observed in both the Preschool classroom and Pre-K classroom that the thermometers in the refrigerators were registering at 48 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.

Noncompliance Area: It was observed in the preschool classroom that there was not a written plan of daily activities posted in the group space.

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

Noncompliance Area: It was observed that parents did not receive original agreements. Original agreements were in child files.

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

Noncompliance Area: The emergency contact form for Child #1 did not include information on the child's special needs or disabilities.

Correction Required: This information is now included on the form for Child #1. 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.

Noncompliance Area: The emergency contact form for Child #2 did not include health insurance coverage or policy number information.

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

Noncompliance Area: The health report on file for Child #3, dated 6/4/2020, did not include a signature from a physician, physician's assistant or a CRNP.

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

Noncompliance Area: The health report on file for Child #3, dated 6/4/2020, did not include a review of the child's health history.

Correction Required: A health report shall include a review of the child's health history.

Noncompliance Area: The health report on file for Child #3, dated 6/4/2020, did not include a list of the child's allergies.

Correction Required: A health report shall include a list of the child's allergies.

Noncompliance Area: The health report on file for Child #3, dated 6/4/2020, did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: The health report on file for Child #3, dated 6/4/2020, did not include include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Noncompliance Area: It was observed that the facility did not have an individual record for each child enrolled at the facility.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: It was observed that the facility did not have written notification of safe routes posted in a conspicuous location. Corrected on site.

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

Noncompliance Area: It was observed in the Laundry Room that laundry detergents and cleaning materials were accessible to children. It was observed that the Art Supply Closet with toxic materials was 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.

Noncompliance Area: It was observed that the water temperature in Classroom #5 was reading at 129 degrees. Corrected on site.

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

Noncompliance Area: It was observed in Classroom #7 that a hanging cord and the electrical side of a refrigerator was accessible to children posing a visible hazard. Corrected on site

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: It was observed that Classroom #6 and Classroom #4 had space heaters accessible to children.

Correction Required: Portable space heaters are not permitted.

Noncompliance Area: It was observed that Classroom #7 did not have emergency evacuation routes posted. Corrected on site.

Correction Required: Evacuation routes shall be posted.

Noncompliance Area: Facility #1 has been named as a perpetrator in an indicated report of child abuse.

Correction Required: The Department may deny, refuse to renew or revoke a certificate of compliance for mistreatment or abuse of a child/children cared for in facility.

Noncompliance Area: It was observed in the preschool classroom that Staff Person #2 did not know the specific children in her assigned group.

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

Noncompliance Area: Multiple Staff Persons stated that they witnessed Staff Person #1 and Staff Person #2 mistreat Child #1. The Staff Persons that witnessed the mistreatment provided written statements.

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

Noncompliance Area: It was observed in the Infant classroom that a child was sleeping in a bouncy seat.

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

Noncompliance Area: It was observed in the Infant classroom that Staff Person #1 used her hand to open the hands-free trash can and dispose of a soiled diaper.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: It was observed that Staff Person #1 did not wash hands after diapering a child. The staff member placed a pacifier in an infants mouth before washing hands after a diaper change.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: Staff Persons who had knowledge of a preschool child being physically mistreated while in care failed to provide a timely notification to Child Line.

Correction Required: An operator or a staff person who has reason to believe that a child enrolled in the facility has been abused is required to report suspected child abuse to ChildLine as mandated by the CPSL.Within 48 hours, a written report regarding the suspected child abuse shall be submitted by the operator or designated staff person to the CPS unit which has responsibility for investigating the report. The Legal Entity must arrange for all facility staff to receive a minimum of 2 hours of in person training regarding the Child Protective Service Law. The Legal Entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: Facility failed to provided a written accident report about Child #1 falling while playing on the playground. It was later discovered that the child had a fracture of the left arm.

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.

Noncompliance Area: Staff person #1 was laying on the floor resting among the children at nap time and not properly supervising the children in his charge.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times.

Noncompliance Area: Staff #1 used physical punishment on a child by tapping the child's hand and saying no, after seeing the child pull the hair of another child in care.

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

Noncompliance Area: Provider did not have manufactures added safety straps attached to toddler multi-seat activity table in the infant/young toddler room. Indicated they were told to remove by childcare specialist.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: Staff person #1 hired 5/29/2018 did not have all receipts that required CPSL clearances was completed and attached to disclosure form . Staff #2 hired 6/4/2018 also lacked required receipt of clearances on file and attached with disclosure. Staff person #3 hired on 3/25/13 had a expired FBI. New clearance was not yet on file. Staff was fingerprinted on 6/11/2018.

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 #3 may not work in a child care position at the facility.

Noncompliance Area: First aid kit in the school age room was missing band aids.

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: Door moldings and walls near doors have visible dirt smudging by children placing hands on walls. Walls not being wiped and cleaned by staff on a regular basis.

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: Mulch material less than one inch washing in excess into the toddler playground. The barrier in place is damaged.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Noncompliance Area: On August 10,2017 Staff person #1 was supervising children. One child was able to gain unsupervised access into the building and went unsupervised for about one to two minutes.

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.

Noncompliance Area: On August 10,2017 Staff person #1 was supervising children. One child was able to gain unsupervised access into the building and went unsupervised for about one to two minutes.

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

Noncompliance Area: Staff person #1 use of harsh language towards children.

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

Noncompliance Area: Ratios not being maintained in mixed age group classroom. One staff person sometimes being left alone with 16 preschool and young school age children.

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).