Lehigh Valley Learning Center Inc

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection was conducted 4/14/26. At that time, the Step2 Clubhouse Climber on the playground was only partially assembled as it had been blown apart during a recent storm. The toddler table with insert chairs that was observed in the Infant Room was missing the safety straps for each of the four insert chairs. The high chair in the Infant Room was ripped on the padded covering, exposing the inner foam.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A renewal inspection was conducted 4/14/26. At that time, plastic bags were observed on the floor level shelf of the bathroom and in an unlocked cabinet to a changing table in the Older Toddler Room where they were accessible to the toddlers in the room.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: A renewal inspection was conducted 4/14/26. At that time, the child files were reviewed. The fee agreement for Child #1 did not include the release persons.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: A renewal inspection was conducted 4/14/26. At that time, the child files were reviewed. The emergency contact information for Child #1 did not include the work name, address, and phone number of the child's mother. The emergency contact information for Child #5 did not include the work name, address, and phone number of the child's parents.

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

Regulation: 3270.124(b)(4)/3270.182(3)

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

Noncompliance Area: A renewal inspection was conducted 4/14/26. At that time, the child files were reviewed. The emergency contact forms for Child #1, Child #3, and Child #5 did not include signed parental consent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: A renewal inspection was conducted 4/14/26. At that time, the child files were reviewed. The emergency contact form for Child #5 did not include if the child has any special needs.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: A renewal inspection was conducted 4/14/26. At that time, the emergency contact forms for the children were not present in the classrooms where the children were receiving care.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: A renewal inspection was conducted 4/14/26. At that time, the child files were reviewed. The fee agreement for Child #2 had not been updated since 8/1/25, more than six months prior to the inspection. The emergency contact form for Child #4 had not been updated since 5/2/25, more than six months prior to the inspection. The fee agreement for Child #4 had not been updated since 7/23/25, more than six months prior to the inspection.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: A renewal inspection was conducted 4/14/26. At that time, the trash can used for diapering in the Older Toddler Room was 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.

Regulation: 3270.151(a)/3270.151(c)(2)

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

Noncompliance Area: A renewal inspection was conducted 4/14/26. At that time, the staff files were reviewed. The file for Staff Person #1 contained a health assessment dated 3/24/26 and TB test results dated 2/10/26. The health assessment and TB test results were conducted after the staff started working with children.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: A renewal inspection was conducted 4/14/26. At that time, breast milk was observed in the freezer in the Infant Room. The breast milk was not labeled with the child's name.

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

Regulation: 3270.182(5)

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

Noncompliance Area: A renewal inspection was conducted 4/14/26. At that time, the child files were reviewed. The following child files did not include signed parental consent for administration of minor first-aid procedures by staff: Child #1, Child #3, and Child #5.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: A renewal inspection was conducted 4/14/26. At that time, the staff files were reviewed. The file for Staff Person #1 contained only one written letter of reference. The file for Staff Person #6 contained only one written 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: A renewal inspection was conducted 4/14/26. At that time, the staff files were reviewed. The file for Staff Person #4 did not include emergency plan training conducted within the past twelve months. The most recent emergency plan training on file was dated 1/30/24.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted 4/14/26. At that time, the staff files were reviewed. Staff Person #3, who has lived in NY in the past five years, did not have a Child Abuse Clearance or Sex Offender Check on file for NY. The PA State Police Clearance for Staff Person #3 was dated 7/28/25, after their start date of working with children. The PA Child Abuse Clearance for Staff Person #3 was dated 7/27/25, after their start date of working with children. The NSOR Certificate for Staff Person #3 was dated 7/30/25, after their start date of working with children. The PA State Police Clearance for Staff Person #6 was dated 3/9/26, after their start date of working with children. The NSOR Certificate for Staff Person #6 was dated 3/19/26, after their start date of working with children.

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 Person #3 may not work in at the child care facility until a NY Child Abuse Clearance and a NY Sex Offender Registry Check are on file at the facility. TIERED LIS 1. 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 Person #3 may not work in at the child care facility until a NY Child Abuse Clearance and a NY Sex Offender Registry Check are on file at the facility. This portion of the plan shall have an immediate correction date. 2.The legal entity must create a hiring checklist. The checklist should include an outline of what needs to be in a staff file and by when. The checklist must include a section for staff requiring out-of-state clearances. The hiring checklist must be submitted to Northeast Regional Office for approval. Once approved, the child care center must use the hiring checklist whenever a new staff is hired. The operator shall provide a correction date for when the checklist will be implemented.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: A renewal inspection was conducted 4/14/26. At that time, the staff files were reviewed. The file for Staff Person #1, an assistant group supervisor, contained verification of high school education, but did not include verification of two years' experience. The file for Staff Person #3, an assistant group supervisor, contained verification of high school education, but did not include verification of two years' experience. The file for Staff Person #5, an assistant group supervisor, contained verification of high school education, but did not include verification of two years' experience.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A renewal inspection was conducted 4/14/26. At that time, Lysol wipes were observed in the bathroom vanity cabinet under the sink in the Pre-K Room. The child lock on the cabinet was faulty and not properly working, allowing the cabinet door to be pulled open and the Lysol wipes to be accessible to the preschool children in the room. The Lysol wipes were labeled "keep out of 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. TIERED LIS 1. Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. This portion of the plan shall have an immediate correction date. 2.The legal entity/director must submit a plan to review toxic accessibility at next staff meeting. The legal entity/director must submit a detailed plan of how to prevent toxic accessibility to the Northeast Regional Office for approval prior to review with staff. The operator shall provide a correction date for when the review at the staff meeting will be conducted.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection was conducted on 4/15/25. At that time, exposed bolts were observed on the fence entrance of the playground. A cracked sandbox was observed on the playground.

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: 3270.102(f)

Description: Indoor climbing- protective surface

Noncompliance Area: A renewal inspection was conducted on 4/15/25. At that time, a Dixie Dozer climbing equipment was observed in the playroom and was not installed over any protective surface covering.

Correction Required: Indoor play equipment for climbing shall be installed or used over a protective surface covering which does not interfere with the stability of the equipment.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: A renewal inspection was conducted on 4/15/25. At that time, the child files were reviewed. The fee agreements for Child #1, Child #3, Child #4, Child #5, and Child #6 did not include the services provided by the facility.

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: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: A renewal inspection was conducted on 4/15/25. At that time, the child files were reviewed. The fee agreements for Child #2, Child #4, and Child #5 did not include the designated release persons.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: A renewal inspection was conducted on 4/15/25. At that time, the child files were reviewed. The emergency contact form for Child #3 did not include the name, address, and phone number of the child's physician. The emergency contact forms for Child #4 and Child #6 did not include the address of the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: A renewal inspection was conducted on 4/15/25. At that time, the child files were reviewed. The emergency contact forms for Child #2, Child #4, and Child #6 did not include the business address and phone number of the parents.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: A renewal inspection was conducted on 4/15/25. At that time, the child files were reviewed. The emergency contact forms for Child #2, Child #3 and Child #5 did not include the address of the 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(c)/3270.124(d)

Description: Each child care space/Excursions

Noncompliance Area: A renewal inspection was conducted on 4/15/25. At that time, the emergency contact forms in the classroom and on the vans used for transportation were reviewed. The forms only included the child's name, date of birth, address, parents' names and addresses, emergency contact's name and number, and release person's name and number.

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. 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: 3270.131(b)(1)/3270.182(1)

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

Noncompliance Area: A renewal inspection was conducted on 4/15/25. At that time, the child files were reviewed. The most recent health report on file for Child #2, a young toddler, was dated 9/19/24, more than 6 months old.

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: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: A renewal inspection was conducted on 4/15/25. At that time, the child files were reviewed. The immunization record for Child #2, a young toddler, was reviewed. The record showed only 2 doses of Hep B, DTAP, pneumococcal, and polio. There was no record that the child received an immunization for MMR or varicella. The child's file did not include a letter of exemption for immunizations.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. Child #2 must be dismissed from care by close of business 4/15/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: A renewal inspection was conducted on 4/15/25. At that time, medication, including Neosporin and itch cream, was observed in the first aid kit in the Ford Van and in the Young Toddler Room.

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.

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: A renewal inspection was conducted on 4/15/25. At that time, the diaper changing pad in the young toddler room was ripped and unable to be properly cleaned and sanitized after use.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.175(c)

Description: Manufacturer's instructions used

Noncompliance Area: A renewal inspection was conducted on 4/15/25. At that time, the manufacturer's instructions for the booster seats used in the facility vans could not be found.

Correction Required: Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted on 4/15/25. At that time, the staff files were reviewed. The PA Child Abuse Clearance for Staff Person #1 was dated 8/7/24, after their date of hire. No other PA Child Abuse clearance was found in their file. The PA State Police Clearance for Staff Person #2 was in pending status. Staff Person #2 has been employed longer than 45 days and was working on 4/15/25. There was no NSOR certificate in the file of Staff Person #4. The request was dated 2/23/24, after their date of hire. Staff Person #4 has been employed longer than 45 days and was working on 4/15/25. The NSOR certificate for Staff Person #5 was dated 3/3/25. Staff Person #5 began working after 2/1/25.

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 Person #2 may not work in a child care position at the facility until a complete PA State Police Clearance is on file. Staff Person #4 may not work in a child care position at the facility until an NSOR certificate is on file at the facility.

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: A renewal inspection was conducted on 4/15/25. At that time, the staff files were reviewed. The file for Staff Person #3 included verification of high school education and only verification of 1.2 years' experience working with children. The file for Staff Person #5 included verification of high school education but did not include verification of any child care experience.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A renewal inspection was conducted on 4/15/25. At that time, hand sanitizer was observed in a drawer with a faulty child lock in the older toddler room.

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(c)/3270.178

Description: Has all items/Transportation First Aid Kit

Noncompliance Area: A renewal inspection was conducted on 4/15/25. At that time, the first aid kit on the Honda Van did not contain gloves.

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. 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: 3270.76

Description: Building Surfaces

Noncompliance Area: A renewal inspection was conducted on 4/15/25. At that time, fraying carpet was observed in the Pre-K Room. A ripped seat was observed in the Ford Van.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection was conducted on 4/15/25. At that time, the thirty day testing log of the fire detection system was reviewed. The system was not tested within 30 days on three occasions: 3/19/24 - 4/27/24, 8/15/24 - 9/19/24, and 11/18/24 - 12/30/24.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: An unannounced inspection was conducted 7/30/24. At that time, exposed bolts were observed along the gate of the playground fence.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: An unannounced inspection was conducted 7/30/24. At that time, the files for the new staff were reviewed. Staff Person #2 did not have two written, nonfamily references on file at the facility.

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: An unannounced inspection was conducted 7/30/24. At that time, the files for the new staff were reviewed. Staff Person #2 has lived in New Jersey in the past five years, but the file did not include the NJ Child Abuse Clearance or the request for the 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. Staff Person #2 may not work in a child care position at the facility until all required clearances, including the NJ Child Abuse Clearance are on file.

Regulation: 3270.37(b)(1)/3270.192(2)(ii)

Description: HS/GED/Exp, educ., training prior to facility

Noncompliance Area: An unannounced inspection was conducted 7/30/24. At that time, the files for the new staff were reviewed. Staff Person #1 had education on file from the Dominican Republic that had not been evaluated by a service that is a member of the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE).

Correction Required: An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: An unannounced inspection was conducted 7/30/24. At that time, OdoBan was observed in an unlocked cabinet under the sink in the School Age bathroom, where it was accessible to the children in the room. Windes was observed in an unlocked cabinet under the sink in the Older Toddler bathroom, where it was accessible to the children in the room. Both were labeled "keep out of 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: 3270.113(a)/3270.113(a)(1)

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

Noncompliance Area: An unannounced inspection was conducted on 5/7/24. At that time, Staff Person #1 identified their group of seven preschool children by name and location. Staff Person #2 was unable to identify their primary care group at that time. There were thirteen children in the classroom.

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

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

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

Noncompliance Area: An unannounced inspection was conducted on 5/7/24. At that time, Staff Person #1 identified their group of seven preschool children by name and location. Staff Person #2 was unable to identify their primary care group at that time. There were thirteen children in the classroom.

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. The legal entity must create a policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during transition times, such as visiting the bathroom and supervision on the playground. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: An unannounced inspection was conducted on 5/7/24. During the inspection, it was found that Staff Person #1 and Staff Person #2 were working together in the young toddler room with no other staff present. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: health and safety training. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/cpr training, health and safety training, and mandated reporter training. Neither staff have been employed more than 90 days.

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 #1 and staff person #2 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 #1 and staff person #2, then staff person #1 and staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Multiple children in the young toddler classroom have earrings, bracelets and necklaces on that are less than 1 inch in diameter.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: There are 2 standing lamps in the young toddler classroom, accessible to the children that are not sturdy and safe for the children. A young toddler was pulling and swinging on one of the lamps during the renewal inspection.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child # 1 does not have their health insurance policy name or number 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: 3270.133(3)/3270.133(4)

Description: Name on bottle/Locked

Noncompliance Area: There is unlabeled Vaseline and Balmex Triple Paste in a drawer on the changing table in the older toddler classroom that is unlocked and accessible to the children.

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

Regulation: 3270.151(a)

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

Noncompliance Area: Facility staff # 1 had a health assessment at time of hire on file that was over 12 months old.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact forms in each classrooms emergency first bag has emergency contact forms that have not been updated in over 6 months. These are the bags with the emergency contact form binders that staff report they exit the facility with during an emergency.

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 does not have signed parental 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.

Regulation: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: Child # 1 does not have signed parental consent for transportation or walks.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person # 2 has not completed the following required pre-service training within 90 days of their date of hire: 3-hour Mandated reporter training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person # 2 will have until 4/23/24 to complete the required training. Until such time as the required training has been completed, staff person # 2 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 # 2, staff person # 2 may not work in a childcare position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility staff # 3 has a volunteer state police clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 3may not work in a childcare position at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There is a stained ceiling tile in the young toddler classroom. The changing table pad in the young toddler classroom is ripped.

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: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: During an unannounced visit at facility on 2/6/24, certification representative observed facility staff person #1 alone in the young toddler room with 7 young and older toddlers. Certification representative also observed onsite the same day facility staff #2 & # 3 with 14 young and older toddlers in the older toddler room.

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

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: During an unannounced visit at facility on 2/6/24, certification representative observed facility staff person #1 alone in the young toddler room with 7 young and older toddlers. Certification representative also observed onsite the same day facility staff #2 & # 3 with 14 young and older toddlers in the older toddler room.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff: child ratios must be maintained at all times. The facility director and legal entity need to call the NE Regional office ASAP at 1-800-222-2108 and schedule to take the in person existing provider training at the NE regional office on 2/21/24 or on 5/15/24 whichever has room and is first available to attend.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There is a Little Tikes pink playcar in the indoor playroom with broken eyes that have sharp edges.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There are hot wheel cars in the facility Toddler room 1 that have small wheels that can be removed and are less than 1 inch in diameter. Children in the Toddler 1 room have bracelets on that have small chain links that are less than 1 inch in diameter.

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

Regulation: 3270.151(a)/3270.151(c)(2)

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

Noncompliance Area: Facility staff # 1 hired and working in childcare, has a Mantoux test on file that is more than 1 year old at the time of hire.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Facility staff # 1 only has 1 reference on file at time of hire.

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: 3270.61(h)

Description: Exceeding Capacity

Noncompliance Area: The indoor playroom capacity was exceeded at the time of the renewal inspection. The indoor playroom capacity is 8 and there were 13 preschool aged children in the playroom with their assigned staff.

Correction Required: The capacity established for an indoor space may not be exceeded.