Lehigh Valley Childrens Center On Union Blvd

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

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

Noncompliance Area: Complaint investigation verified that on 4/20/2026, Staff Person #1 and Staff Person #2 exited the facility at the end of the day with Child #1 remaining inside the facility. Child #1 was left alone and unsupervised in the facility for approximately three minutes until the child's parent arrived for pick-up.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children on the facility premises and on facility excursions off the premises 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. This portion of the plan shall have an immediate correction date. 2.The legal entity must arrange for all staff to receive a minimum of three hours of training regarding Supervision. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. Upon completion of the training, the legal entity must revise the existing supervision policy to include a closing procedure policy that ensures no child is left unattended in the facility at the end of the operating day. The policy must outline the specific steps staff are required to follow prior to closing the facility, including but not limited to conducting a physical walkthrough of all areas of the facility, verifying that all children have been signed out and released to an authorized individual, and confirming that no child remains in the building before staff leave for the evening. The policy must also identify staff responsibilities during closing procedures and how compliance with the procedure will be documented. The legal entity must receive approval of the revised policy from the Regional Office. Once approved by the Regional Office, the legal entity must review the policy with all staff and have staff sign off that they understand and will follow the policy. The operator shall provide a correction date for when the policy will be reviewed with all staff. 3. The legal entity must submit documentation, in a format approved by DHS, demonstrating that facility procedures for completing name-to-face checks are followed at all times (e.g., a checklist or tracking form). The documentation must verify that staff are conducting name-to-face checks throughout the day, including during transitions and at closing. The legal entity will confirm continuing compliance by submitting copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three (3) months after DHS approves the documentation format. The operator shall provide a correction date that is three (3) months following the submission of the plan of correction.

Regulation: 3270.106(a)/3270.106(j)

Description: Clean, age appropriate/Prohibit items in crib

Noncompliance Area: A renewal inspection was conducted 4/8/2026-4/28/2026. At that time, cribs in the ITCS room were not labeled. Additionally, a stuffed animal was observed in a crib with a sleeping infant.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child. Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: A renewal inspection was conducted 4/8/2026-4/28/2026. At that time, the refrigerator in the PKC 1 room was observed to have spilled residue and buildup on interior surfaces.

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: 3270.119

Description: Infant sleep position

Noncompliance Area: A renewal inspection was conducted 4/8/2026-4/28/2026. During visit on 4/28/2026, an infant was observed sleeping in an infant bouncer seat. Staff in the room indicated that there was no documented medical reason on file from a physician, physician's assistant, or CRNP authorizing the infant to sleep in a position other than that recommended by the American Academy of Pediatrics.

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. 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. TIERED LIS: 1. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must ensure that any staff member assigned to the infant room in any capacity (including, but not limited to, permanent assignment or coverage for breaks) completes the training titled "Reduce the Risk of SUID Through Safe Sleep Practices" through Better Kid Care. The operator shall provide a correction date for when the training will be completed.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: At that time, there was no Child Service Report (CSR) on file for Child #1, Child #2, or Child #5.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

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

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

Noncompliance Area: At that time, the following information was missing from children's emergency contact forms: Child #1: Both parents' work addresses and work telephone numbers. Release person's address. Child #2: Release person's address. Child #4: Release persons' addresses. Child #5: Both parents' work addresses and work telephone numbers. Child #6: Mother's work address and work telephone number.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: A renewal inspection was conducted 4/8/2026-4/28/2026. At that time, emergency contact forms for several children were not present in the ITCS room where care was being provided.

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

Regulation: 3270.131(b)(1)/3270.131(b)(2)

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

Noncompliance Area: A renewal inspection was conducted 4/8/2026-4/28/2026. At that time, Child #2 is preschool aged. The most recent health assessment on file for Child #2 is dated 3/14/2024 which is over 12 months ago. Child #5 is a young toddler. The most recent health assessment on file for Child #5 is dated 1/13/2025, which is over 6 months ago.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During renewal inspection on 4/28/2026, Staff Person #3 and Staff Person #6 observed to be caring for children unsupervised during naptime in the ITCS room. Staff Person #3 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric first-aid/CPR from PQAS instructor. Staff Person #6 has not completed the following pre- service training required prior to caring for children unsupervised: acceptable pediatric first-aid/CPR from PQAS instructor, CCDBG health and safety training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, Staff Person #3 and Staff Person #6 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 #3 and Staff Person #6, and Staff Person #3 and Staff Person #6 may not work in a child-care position at the facility

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: A renewal inspection was conducted 4/8/2026-4/28/2026. At that time, unlabeled bottles were observed in the ITCS room.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: A renewal inspection was conducted 4/8/2026-4/28/2026. At that time, the following documents were not updated within the past 6 months: Child #1: Emergency contact form last updated 5/2/2025. Child #2: Emergency contact form last updated 10/8/2024. Child #3: Emergency contact form last updated 3/21/2024. Fee agreement last updated 9/9/2025. Child #5: Emergency contact form last updated 2/18/2025. Child #6: Emergency contact form last updated 3/22/2024.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: A renewal inspection was conducted 4/8/2026-4/28/2026. At that time, staff files were reviewed. Files for Staff Person #2, Staff Person #3, and Staff Person #5 did not contain proof that they were trained on the facility's emergency plan. Staff Person #2, Staff Person #3, and Staff Person #5 have been employed at the facility for over 90 days (see LIS code sheet for start dates). The most recent emergency plan training on file for Staff Person #9 is dated 1/2/2025.

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

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

Description: Age and Training

Noncompliance Area: A renewal inspection was conducted 4/8/2026-4/28/2026. At that time, staff files were reviewed. Previous pediatric first-aid/CPR certificate on file for Staff Person #1 expired 8/31/2025 and was not renewed until 9/17/2025. Previous pediatric first-aid/CPR certificate on file for Staff Person #7 expired 9/30/2025 and was not renewed until 2/17/2026..

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.