Lehigh Valley Childrens Centers/chase Elc

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff 1 was missing one letter of reference.

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

Regulation: 3270.113(b)/3270.162(c)

Description: No physical punishment /Not withheld as discipline

Noncompliance Area: During the course of the investigation from 3/31/2026 to 4/9/2026, it was found that staff 1 did take food out of child 1's mouth after child 1 took it without permission. It was also determined that staff 1 did smack the bottom of child 1 after taking the food. This was determined through interviews and written statements.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. Food may not be withheld from a child for purposes of discipline. TIERED IS: 1. LVCC will have staff sign off on a policy stating that they are aware that food can not be withheld from children as a means of discipline. Provider will provided a date on when this will be completed. 2. A facility person may not use any form of physical punishment, including spanking a child. This portion of the plan shall have an immediate correction date. 3. Staff 1 will complete two trainings on Better Kid Care. The first training is called Building Relationships with Children and Youth Who Challenge Us. The second training is called Stress: Seeing With Optimism. The provider will provide a date on when these trainings will be completed.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: There was one cot in the extended care room that was not labeled with the child's name.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child 2 did not have health insurance coverage information on file.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child 3 had more than six months between updates on the emergency form. One update occurred 9/10/2024 and did not get updated again until 8/21/2025, making it more than 6 months between updates.

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: 3270.182(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: Child 1 did not have consent for emergency medical care and minor first aid on the most recent emergency contact form.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff 1 did not have emergency plan training on file. Please see LIS for date of hire.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: In the boys and girls bathroom on the childcare floor, there was rust visible on the vents that are directly across from the entrance to the bathroom.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person 1 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 2/20/2020. 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 7/7/2020. Staff 1 also had a Department of Education FBI clearance on file. There was no proof of a DHS FBI clearance on file. Please see LIS for date of hire for staff 1.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). staff person 2- must be supervised, when interacting with children, by at least an AGS who has completed the required mandated reporter training related to this citation. 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. Facility Person #1 may not work in a child care position at the facility until the DHS FBI clearance is obtained. 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 may not work in a child care position at the facility until the required DHS FBI clearance is obtained.

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

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

Noncompliance Area: During an early dismissal on 8/27/2025, it was found that child 1 ran out of the classroom and down the hallway into the lobby. Child 1 was found in the lobby by child 1's parent. During this time, staff 1, who was responsible for child 1, was addressing other parents of the daycare and did not know that child 1 ran out of the classroom. During the investigation, it was found that child 1 was unsupervised for approximately one minute.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. Legal entity must review updated dismissal policy with all staff to ensure consistency with dismissal procedures and supervision of children during that time. The legal entity shall forward certification representative a sign in sheet with all staff signatures. The sign in sheet shall state that a review of dismissal procedures was conducted. The legal entity shall provide a date of when the review with staff will take place.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: Child 1 had a health assessment that was dated 9/27/2023, making it more than a year old. Child 1 is a preschooler. Please see LIS for date of birth and date of admission.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: An infant bottle was not labeled with the child's name.

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

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The emergency plan was not posted in a conspicuous location.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The hot water temperature in the boys and girls bathrooms measured at 117 degrees.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: During unannounced monitoring conducted 2/26/2024, facility's fire drill log reflected that last drill was conducted on 12/4/2023.

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: 3270.107

Description: Refrigerator

Noncompliance Area: During renewal inspection conducted 10/31/2023, refrigerator in PKC1 room was observed to be dirty. It appeared as if something had spilled in the refrigerator. Refrigerator in Infant room was observed to be moldy. Infant room is not being utilized at this time.

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

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

Noncompliance Area: During renewal inspection conducted 10/31/2023, there were 17 total preschool-aged children in PKC1 room. When asked to name individual groups, staff person #1 first named 7 children and staff person #2 first named 9 children. Certification representative asked staff persons to review all children in the room, split their groups, and rename their children. Staff person #1 then named 8 children and staff person #2 stated that they had 7 children, but named 8. Certification representative had all of the children sit on the floor so that groups could be split appropriately and all children could be accounted for. Prior to certification representative leaving the room, it was determined that staff person #1 was responsible for 8 children and staff person #2 was responsible for 9 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must arrange for all staff to receive a minimum of three (3) 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. The trainings may not be counted towards the 12 hours of training required by regulation.

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

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

Noncompliance Area: During renewal inspection conducted 10/31/2023, there were 17 total preschool-aged children in PKC1 room. When asked to name individual groups, staff person #1 first named 7 children and staff person #2 first named 9 children. Certification representative asked staff persons to review all children in the room, split their groups, and rename their children. Staff person #1 then named 8 children and staff person #2 stated that they had 7 children, but named 8. Certification representative had all of the children sit on the floor so that groups could be split appropriately and all children could be accounted for. Prior to certification representative leaving the room, it was determined that staff person #1 was responsible for 8 children and staff person #2 was responsible for 9 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. 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: 3270.124(b)(2)/3270.124(b)(6)

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

Noncompliance Area: During renewal inspection conducted 10/31/2023, the following was missing from children's emergency contact forms: Child #2: Health insurance policy number. Child #3: Address of physician. Child #7: Health insurance policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During renewal inspection conducted 10/31/2023, the following was missing from children's emergency contact forms: Child #2: Last name of release person. Child #5: Release person(s) address(es). Child #7: Release person(s) address(es).

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(a)

Description: Health information

Noncompliance Area: During renewal inspection conducted 10/31/2023, there was no initial health assessment on file for child #3 or child #4. Child #3 and child #4 have been enrolled for over 60 days (see LIS code sheet).

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: During renewal inspection conducted 10/31/2023, the following children were not immunized according to the schedule of the ACIP: Child #3: 1 of 2 doses of Hep A vaccine. Child #3 is preschool aged (see LIS code sheet). There is no exemption on file. Child #4: 1 of 2 doses of Hep A vaccine. Child #4 is preschool aged (see LIS code sheet). There is no exemption on file. Child #5: Influenza vaccine. There is no exemption on file. Child #6: Influenza vaccine. There is no exemption on file.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #3, child #4, child #5, and child #6 will be dismissed from care by close of business October 31, 2023 until either the immunization record is updated, or a parent provides a written, signed exemption letter.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: During renewal inspection conducted 10/31/2023, a lunchbox containing a cheese stick and a yogurt was observed in the cubby area of PKC4 room. Two lunchboxes containing chicken nuggets and mozzarella sticks were observed in the cubby area of the PKC1 room. A lunchbox containing a wrap with cheese was observed in the cubby area of the PKC2 room.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: During renewal inspection conducted 10/31/2023, a written feeding schedule was not on file for child #1. Child #1 is an infant (see LIS code sheet).

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

Regulation: 3270.182(5)

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

Noncompliance Area: During renewal inspection conducted 10/31/2023, consent for minor first-aid was missing from child #3's emergency contact forms.

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: 3270.182(7)

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

Noncompliance Area: During renewal inspection conducted 10/31/2023, facility reports that there is no accident file at the facility. Incident reports are only kept on file in children's individual files.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During renewal inspection conducted 10/31/2023, staff person #3 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer. Staff person #3 had first-aid/CPR card dated 10/18/2021; however, trainer was not a PQAS approved trainer.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During renewal inspection conducted 10/31/2023, a Swiffer Wet Jets with cleaning solution labeled "Keep out of reach of children" were observed in areas accessible to children in PKC4 and Wrap Care rooms. Cleaning supplies labeled "Keep out of reach of children" were observed in a cabinet under the sink in the School-Age room. Child lock was not secured on the cabinet.

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

Regulation: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: During renewal inspection conducted 10/31/2023, adaptations to the window in the Toddler room (not in use at this time) were broken, allowing the window to be open more than 6 inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3270.74/3270.111(b)

Description: Emergency Numbers Posted/Posted in group space

Noncompliance Area: During renewal inspection conducted 10/31/2023, the following postings were missing in the following rooms: Toddler Room (currently not in use): Emergency telephone numbers and daily activities. Infant Room (currently not in use): Emergency telephone numbers.

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

Regulation: 3270.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: During renewal inspection conducted 10/31/2023, evacuation route was not posted on the bottom floor of the facility. Bottom floor of the facility is used for indoor play space (Gym).

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: During unannounced monitoring conducted on 9/20/2023, an infant, identified by staff members as being 2 months old, was observed to be asleep in a swing.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During unannounced monitoring conducted on 9/20/2023, staff person #1 has not completed the mandated reporter training within 90 days of their date of hire. Mandated reporter training was completed on 9/21/2023 (see LIS code sheet).

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. The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services).

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

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

Noncompliance Area: DuringDuring renewal inspection conducted 10/17/2022-11/1/2022, the following information was missing from emergency contact forms: Child #1: health insurance policy number. Child #3: Address and phone number of physician/medical care. Health insurance coverage and policy number. Child #4: Address and phone number of physician/medical care.

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

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

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

Noncompliance Area: During renewal inspection conducted 10/17/2022-11/1/2022, the following information was missing from emergency contact forms: Child #1: Parents' work address and work phone number. Release person's address. Child #2: Release person's address. Child #3: Parents' work address and work phone number. Child #4: Parents' work address and work phone number. Child #5: Parents' work address and work phone number. Child #6: Parents' work address and work phone number. Release person's address.

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: 3270.131(a)/3270.131(b)(1)

Description: Health information/Infant: updated health report every 6 months

Noncompliance Area: During renewal inspection conducted 10/17/2022-11/1/2022, there is no initial health assessment on file for Child #4. Child has been attending care for more than 60 days (see LIS code sheet for date of admission). Last health assessment on file for Child #6 is dated 3/25/2022, which is past 6 months. Child #6 is a young toddler (see LIS code sheet for age).

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During renewal inspection conducted 10/17/2022, Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First-Aid/CPR from a PQAS trainer.

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 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: During renewal inspection conducted 10/17/2022-11/1/2022, the following information was missing from emergency contact form: Child #4: Signed parental consent for administration of minor first-aid by facility staff and signed parental consent for 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: 3270.24(a)/3270.94(a)(9)

Description: Immediate access/Written record

Noncompliance Area: During renewal inspection conducted on 10/17/2022-11/1/2022, facility's fire drill log was not available for review. Staff report that the facility does practice fire drills; however, the log was unable to be located.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records. 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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During renewal inspection conducted on 10/17/2022-11/1/2022, facility's emergency drill log was not available for review. Staff report that the facility does practice emergency drills; however, the log was unable to be located.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During renewal inspection on 10/17/2022, the following staff have not received training on the emergency plan within the past 12 months: Staff #1, Staff #2, Staff #4, Staff #5, Staff #6, Staff #7.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During renewal inspection conducted 10/17/2022, Staff person #3 and Staff person #8 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First-Aid/CPR from a PQAS trainer.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #3 and Staff person #8 will have until 11/19/2022 to complete the required training. Until such time as the required training has been completed, staff person #3 and staff person #8 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3 and staff person #8, staff person #3 and staff person #8 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection conducted on 10/17/2022, Staff #1 and Staff #2 did not have NSOR clearance on file. No proof of mandated reporter training provided for Staff #4. The following clearances/mandated reporter trainings were not updated within 60 months: Staff #1: Mandated reporter training completed on 6/11/2015-11/17/2020 Staff #3: Mandated reporter training completed on 1/22/2015-2/20/2020 Staff #4: PSP clearance obtained 10/7/2014-10/7/2020

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. Staff #1 and Staff #2 may not work in a child care position at the facility until appropriate clearances are on file.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During renewal inspection conducted 10/17/2022, staff evaluations completed within the past 12 months were not provided for the following staff members: Staff #1, Staff #3, Staff #4, Staff #9. Staff have all been employed at the facility for more than one year.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency Contact Form for Children # 1 and # 2 did not contain address of 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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: Facility did not have a posted in each child care space written plan identifying the means of transporting a child to emergency care and staffing provisions in case of an emergency. Pre K Counts rooms, School-Age room, Pre K # 1, Pre K # 3 an # 4 rooms were missing the Emergency Transportation plan.

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.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During renewal inspection on 1/4/22 a spray bottle of disinfectant was observed on a counter in the Pre K Counts room, in reach of 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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: At the time of the inspection, facility was unable to provide proof of date of purchase and installation of fire detection system as required by section 1016(c) of the act (62 P.S. §¿1016(c)).

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.

Noncompliance Area: Child # 1 has no medical insurance policy or number listed on file.

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: Child # 1 has Infant Saline Spray Drops that are not labeled for Child # 1.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: Child # 5 has expired Cetirizine HCL medication. It expired 4/18/19.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: The older toddler classroom has a diapering can with a broken lid, making it not hands free. The infant room diapering can is not hands free.

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: There is an unlabeled bottle for a child in the infant room.

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

Noncompliance Area: Child # 3 has not had their emergency contact forms updated in over 6 months since 4/11/17. Child # 4 has not had their emergency contact forms updated in over 6 months since 7/5/18.

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.

Noncompliance Area: Child # 1 enrolled and attending facility since 9/3/19 does not have signed consent for emergency medical care or minor first aid. Child # 2 enrolled and attending facility since 6/24/19 does not have signed consent 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.

Noncompliance Area: Child # 1 enrolled and attending facility since 9/3/19 does not have signed administration of meds or special dietary needs or transportation, walking excursions, swimming and wading. Child # 2 enrolled and attending facility since 6/24/19 does not have signed consent for administration of meds or special dietary needs or transportation, walking excursions, swimming and wading.

Correction Required: A child's record shall contain signed parental consent for administration of medications or special dietary needs.A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: Facility person # 1 did not have updated clearances in over 60 months . State Police clearance 7/30/14 to 9/27/19. Child Abuse Clearance 8/18/14 to 10/7/19 and FBI clearance from 8/4/14 to 10/4/19.

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: There is no outlet cover in a receptacle in the infant/ toddler indoor play space.

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

Noncompliance Area: There is toxic hand sanitizer on a shelf accessible to the children in the the PKC 4 classroom.

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: There is no local fire or ambulance number on the emergency phone lists.

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.

Noncompliance Area: In pre-k 2 room, inspector observed ventolin in the medication box that is not in it's original container. The medication does not have the name of the child for whom the medication is intended.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: In pre-k 3 room, inspector observed Systane Lubricant Eye Drops visible in a staff's bag inside an unlocked gray storage cabinet. Systane Lubricant Eye Drops are labeled "keep out of reach of children and are in reach of children.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: In the toddler room, inspector observed a trash can being used for diaper changing that is not hands-fee covered can.

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: In pre-k 2 room, inspector observed a bundle of wire hanging from the promethean board projector that is hanging from the ceiling. Wire is accessible to children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.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: Staff 1 - DOH - 5/18/17 does not have a written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months 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.

Noncompliance Area: In pre-k 2 room, inspector observed 2 outlets in a power plug that do not have protective receptacle covers. The exposed electrical outlets are accessible to children 5 years of age or younger.

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

Noncompliance Area: The first-aid kit in pre-k 3 room is accessible to children.

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

Noncompliance Area: First-aid kit in the toddler room and pre-k 2 room does not contain tape.

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: The last toilet in the girls bathroom is broken. Inspector observed tape around the toilet. Inspector was informed by director that a work order was placed to fix the toilet approx. two weeks ago.

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

Noncompliance Area: THE REFRIGERATOR IN THE SCHOOL AGE 2 CLASSROOM WAS MISSING AN OPERABLE THERMOMETER DURING THE INSPECTION.

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: A REVIEW OF THE EMERGENCY CONTACT FORMS IN EACH OF THE CLASSROOMS SHOWED THAT NOT ALL OF THE FORMS WERE NOT UPDATED IN THE CLASSROOMS WHEN THEY WERE UPDATED IN OCTOBER IN THE MASTER FILE IN THE OFFICE.

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

Noncompliance Area: RECORD FOR STAFF #2, WHO BEGAN WORKING ON 12/18/17, DOES NOT CONTAIN COMPLETED TB TEST RESULTS. THE PAPERWORK ON FILE SHOWS THAT THE TEST WAS PLACED, BUT DOES NOT SHOW THE READ RESULTS. RECORD FOR STAFF #3, WHO BEGAN WORKING ON 10/6/17, HAS NEGATIVE CHEST X-RAY RESULTS ON FILE FROM 6/7/14, BUT NOT UPDATED RESULTS FROM WITHIN 1 YEAR OF THE HIRE DATE.

Correction Required: 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: STAFF #1 BEGAN WORKING ON 10/2/17 WITH A STATE POLICE CLEARANCE ON FILE FOR THE STAFF PERSON THAT IS A VOLUNTEER STATE POLICE CLEARANCE, AND NOT A CLEARANCE FOR EMPLOYMENT PURPOSES.

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 Person #1 may not work in a child care position at the facility.

Noncompliance Area: THERE WAS A SMALL HOLE OBSERVED IN A WALL IN THE PRE-K COUNTS 2 CLASSROOM, IN THE BACK LEFT CORNER OF THE CLASSROOM, ACCESSIBLE TO CHILDREN. TWO PIECES OF MOLDING ON OPPOSITE WALLS OF THE GYM WERE OBSERVED TO BE BROKEN AND PEELING AWAY 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.

Noncompliance Area: In the infant room, inspector observed a book shelf in the middle of the room. Inspector observed staff 1 sitting with her back against the bookshelf bouncing two (2) infants in bouncy seats. Staff 1 was facing away from the baby sleeping in the crib.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. Provider must develop a supervision policy for the staff. It needs to be submitted to DHS for approval and once approved signed off on by all staff members.

Noncompliance Area: Chapter 3270 regulations with phone number to DHS is not posted on the parent bulletin board and was not made accessible to parents.

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: IN THE PRE K COUNTS 1 ROOM, INSPECTOR OBSERVED A CHILD PLAYING IN AN AREA BETWEEN 2 BOOK SHELVES ALONE. STAFF WAS SITTING ON THE FLOOR IN THE FRONT OF THE CLASSROOM HAVING CIRCLE TIME. INSPECTOR WALKED OVER TO THE AREA WHERE CHILD WAS PLAYING ON THE FLOOR AND WAS ABLE TO DETERMINE THAT CHILD WAS UNABLE TO BE SEEN BY STAFF.

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