Lehigh Valley Childrens Centers Fowler

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: An unannounced inspection was conducted 3/6/26. At that time, the fire drill log was reviewed. The last recorded fire drill on the fire drill log was conducted 1/2/26, 63 days prior to the inspection.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: An inspection was conducted 1/13/26 as a result of self-reported noncompliance by the facility. On 1/7/26, Child #1 found a "BC Watermelon Zlush vape pen" in the PreK Classroom. Staff immediately turned the vape pen in to the director of the facility. All vape products are considered toxics.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A renewal inspection was conducted 11/14/25. At that time, plastic bags were observed on the changing table in the right annex room, where they were accessible to the toddlers. Plastic bags were observed on the changing table in the left annex room. Diapers in plastic packaging were observed on a shelf approximately 18 inches high in the left annex room. Ladybug push pins, less than 1 inch in diameter, were observed in an unlocked drawer approximately 24 inches high in the left annex room. Dress up clothes in a plastic bag were observed on a sensory table approximately 12 inches high in the left annex room. All of these items 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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: A renewal inspection was conducted 11/14/25. At that time, a daily schedule could not be located in the preschool room upstairs.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: A renewal inspection was conducted 11/14/25. At that time, the emergency contact information for Child #2 did not include the name of the child's physician. The emergency contact information for Child #3 did not include the phone number 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 11/14/25. At that time, the child files were reviewed. The emergency contact form for Child #1 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)(6)

Description: Insurance coverage information

Noncompliance Area: A renewal inspection was conducted 11/14/25. At that time, the child files were reviewed. The emergency contact form for Child #3 did not include the health insurance policy number.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: A renewal inspection was conducted 11/14/25. At that time, the child files were reviewed. The emergency contact forms for Child #1, Child #2, and Child #3 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(e)

Description: Written emergency plan posted

Noncompliance Area: A renewal inspection was conducted 11/14/25. At that time, an emergency transportation plan could not be located in any room at the child care center.

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: 3270.131(b)(2)

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

Noncompliance Area: A renewal inspection was conducted 11/14/25. At that time, the child files were reviewed. The most recent health report on file for Child #3, a preschool child, was more than 12 months old. This was evidenced by the health report on file being dated 4/10/24.

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: 3270.134(c)

Description: Paper towels discarded

Noncompliance Area: A renewal inspection was conducted 11/14/25. At that time, the bathroom was not supplied with paper towels for handwashing after toileting and diapering.

Correction Required: Paper towels may be used as towels and washcloths. Paper towels shall be discarded after each use.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: A renewal inspection was conducted 11/14/25. At that time, Staff Person #3 stated that a soiled diaper is discarded in the kitchen area. The room is a U-shape, with the bathroom at one end and the kitchen area at the other end. The bathroom is not equipped with a trash 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.

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: A renewal inspection was conducted 11/14/25. At that time, the staff files were reviewed. The file for Staff Person #1 did not include the results of a tuberculosis screening by the Mantoux method at initial employment.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: A renewal inspection was conducted 11/14/25. At that time, there was no written feeding schedule provided by the parents for the infants enrolled at the facility.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted 11/14/25. At that time, the staff files were reviewed. The file for Staff Person #2 included NSOR certificates that were not updated within 60 months. This was evidenced by the NSOR certificates on file being dated 3/6/20 and 4/8/25. The PA Child Abuse Clearance on file for Staff Person #3 was dated 3/31/25, after their date of hire. As of 2/1/25, all staff are required to have a PA Child Abuse Clearance on file prior to beginning employment at the child care center.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A renewal inspection was conducted 11/14/25. At that time, Bowl Bryte cleaner, labeled "keep out of reach of children" was observed on the floor of the staff bathroom upstairs. The children must walk past the open door of the staff bathroom to reach the children's bathroom. The cleaner was accessible to the children.

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

Regulation: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: A renewal inspection was conducted 11/14/25. At that time, the window in the bathroom upstairs was not modified to prevent it from opening 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

Description: Emergency Numbers Posted

Noncompliance Area: A renewal inspection was conducted 11/14/25. At that time, the telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center were not posted by the telephone upstairs.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: A renewal inspection was conducted 11/14/25. At that time, Staff Person #3 stated that children would discard their paper towels in the kitchen area after using the bathroom. The room is a U-shape, with the bathroom at one end and the kitchen area at the other end. The bathroom was not equipped with a trash can.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: A renewal inspection was conducted 11/14/25. At that time, the evacuation routes were not posted upstairs or in the right annex room.

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

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 11/14/25. At that time, the 30 day testing log of the fire detection system was reviewed. The fire detection system was not tested since 6/6/25 according to the testing log, with the exception of the alarm sounding unplanned on 8/2/25, 57 days later. At the time of the inspection, the system had not sounded since 8/2/25, 105 days prior.

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

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

Noncompliance Area: An incident investigation was conducted 9/12/25. During the investigation, it was determined through interviews that a lack of supervision occurred sometime during July 2025. Staff Person #1 said that they realized they did not know where Child #1 and Child #2 were. This occurred in the Pre-K Counts Room, an L shaped back room of the first building of the facility which poses a blind spot depending on the position of the staff. Staff Person #1 found Child #1 and Child #2 around the corner of the room under a blanket together. Staff Person #1 said that the children may have been there for about five minutes.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. 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. TIERED LIS: 1. 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. This portion of the plan shall have an immediate correction date. 2. 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 in classrooms with blind spots, during transition times, such as visiting the bathroom and supervision on the playground and field trips. 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. The operator shall provide a correction date for when the supervision policy will be reviewed with all staff.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: An unannounced inspection was conducted 9/12/25. At that time, the preservice training was reviewed for all staff present at the facility. 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 6/9/2020. Staff Person #3 had not completed mandated reporter training within 90 days of their date of hire. The date of the mandated reporter training on file was dated 7/20/25.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: An unannounced inspection was conducted 9/12/25. At that time, the thirty day testing log for the facility's fire detection system was reviewed. The log showed that the system has not been tested within thirty days. The log showed the testing dates of 7/2/25, 8/2/25, and 9/2/25, which is 31 days between each test.

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: 3270.113(c)/3270.113(d)

Description: No ridicule or threaten harm/No harsh language

Noncompliance Area: A complaint inspection was conducted on 3/19/25. Through interviews, the investigation found that Staff Person #1 yells harshly at children and yells at staff in front of children. Staff Person #1 has yelled in a manner that has scared the children. Staff Person #1 has yelled at a child "Fix your skirt! Why haven't you fixed your skirt yet?" bringing the child to tears. Staff Person #1 has also yelled at the school age children: "Everybody needs to be quiet." "The toddlers act better than you guys." Why aren't you guys listening?" I don't get paid enough for this."

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children. TIERED LIS 1. A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children. This portion of the plan shall have an immediate correction date. 2.The legal entity must arrange for Staff Person #1 to complete the Better Kid Care trainings entitled "Preschool Foundations: Nurture Interactions and Guide Behavior" and "School-Age Youth Programs: Positive Interactions, Positive Outcomes". The operator shall provide a correction date for when the training will be completed.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A renewal inspection was conducted 11/12/24. At that time, plastic bags were observed in an unlocked drawer approximately 30" high, where they were accessible to the older toddlers in the Annex Room to the left. Plastic bags were observed on the floor next to the toilet used by the older toddlers in the Annex Room to the left. Staff in the room stated that the children are still placing objects in their mouths.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: A renewal inspection was conducted 11/12/24. At that time, the mats used for napping were identified with numbers, however there was no corresponding list to identify which child was assigned to each nap mat.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: A renewal inspection was conducted 11/12/24. At that time, there was no posted daily schedule in the Annex Room on the left where the older toddlers receive care.

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

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: A renewal inspection was conducted 11/12/24. At that time, blankets were observed under the fitted sheets of two cribs in the infant room. Staff Person #1 stated that Child #1 and Child #2 are propped while sleeping. Staff Person #1 stated that the infants have reflux and the parents have requested that the infants are propped while sleeping. There is no documentation of a medical reason by a physician on file for the infants for the alternative sleeping position.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: A renewal inspection was conducted 11/12/24. At that time, the child files were reviewed. The emergency contact form for Child #1 did not include the work phone number of the parents. The emergency contact form for Child #3 did not include the work phone number of the parents. The emergency contact form for Child #4 did not include the work phone number of the father.

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

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: A renewal inspection was conducted 11/12/24. At that time, Staff Person #1 stated that Child #2 has medication (Mommy Bliss baby gas relief) at the center that has been administered by staff. There is no corresponding medication log for the medications.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A renewal inspection was conducted 11/12/24. At that time, Home Defense, Fantastik, Shout, and Bleach were observed in an unlocked cabinet in the kitchen under the sink. All were labeled "keep out of reach of children." The cleaning products were accessible to the children as there was nothing preventing access to the kitchen.

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: 3270.71

Description: Heat Source

Noncompliance Area: A renewal inspection was conducted 11/12/24. At that time, both doors to the kitchen were open while the oven was warming at 150° F. There was nothing preventing children access to the kitchen and there were times throughout the inspection when no one was in the kitchen. The oven is not equipped with a lock to prevent it from being opened.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A renewal inspection was conducted 11/12/24. At that time, three water stained ceiling tiles were observed in the Annex Room on the right.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A renewal inspection was conducted 11/12/24. At that time, there was no handwashing sign in the Middle Room (preschool) bathroom.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: There is no thermometer in the Preschool classroom refrigerator.

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: 3270.133(5)

Description: Original label

Noncompliance Area: There are expired CVS Infant gas relief drops in the infant classroom medicine cabinet. The Gas drops expired in 7/2022. There is expired Coppertone kids' sunscreen in the school aged sunscreen cabinet. The sunscreen expired 12/2020.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child # 1 has not had their fee agreement reviewed and updated in over 6 months since 1/18/23.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: The single bathroom on the 2nd floor used by the school aged children does not have a working light.

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: 3270.132(a)

Description: Contact parent/keep record

Noncompliance Area: During a compliant investigation, facility staff # 1 wrote up an incident report on 8/11/23 stating child # 1 was running and fell down and hit their head on a brick wall and that child had a cut at 10:30 am. Facility staff # 1 did not contact Child # 1's parent until 12:30 pm after putting child down for a nap. Child # 1 had a cut on their head that required medical attention and to be glued by a medical professional.

Correction Required: If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Facility staff # 3 did not complete the required one-hour 2022 update to the health and safety training by 12/30/22. Facility staff # 3 completed the training on 1/25/23.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During a complaint investigation on 6/20/23, certification representative observed facility staff # 1 & # 2 in the Pre-K classroom with 23 children. Certification rep responded to facility 8/17/23 to verify violation corrections and certification representative observed facility staff # 1 answer the facility main door for a parent. Facility staff #2 was alone with 18 children in the Pre-K classroom when certification rep entered the facility Pre-K classroom.

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: 3270.107

Description: Refrigerator

Noncompliance Area: Facility refrigerator in the preschool classroom does not have a thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.134(c)/3270.134(d)

Description: Paper towels discarded/Liquid or powdered soap

Noncompliance Area: There are no paper towels, hand soap or toilet paper in the girl's pink bathroom used by the children on the second floor of the facility.

Correction Required: Paper towels may be used as towels and washcloths. Paper towels shall be discarded after each use. Liquid or powdered soap shall be used for handwashing.

Regulation: 3270.151(a)

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

Noncompliance Area: Facility staff #1 did not have a health assessment in over 24 months from 2/18/20 to 9/20/22.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Facility did not conduct a fire alarm test in over 30 days from 7/1/22 to 8/1/22.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: On 6/16/22 facility fire drill log was reviewed. Last facility fire drill was not conducted in over 60 days since 4/4/22.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On 6/16/22 facility alarm system testing log was reviewed, facility has not tested facility alarms in over 30 days since 5/4/22.

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

Regulation: 3270.21/3270.66(a)

Description: General Health and Safety/Locked or inaccessible

Noncompliance Area: A complaint investigation was conducted on 2/18/22 at facility. At the time of the investigation , Facility Staff #1 admitted to rep that Facility Staff # 1 sprayed Child # 1 with soapy water while Facility Staff # 1 was cleaning off the classroom lunch table. Child # 1 remained at the table because Child # 1 fell asleep. All the other children in Facility Staff # 1's group were told to go to the classroom carpet to play by Facility Staff # 1 while they cleaned the tables from lunch. Certification rep also noticed toxic hand sanitizer on a classroom shelf accessible to the children during the complaint investigation.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the preschool classroom does not have a thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.133(3)/3270.133(5)

Description: Name on bottle/Original label

Noncompliance Area: There is unlabeled Top Care Extra Strength Pain Relief tablets in the medicine box of the school age back room medicine cabinet. Child # 1 has Albuterol Sulfate Inhaler solution that expired 12/16/20 in the school age medicine cabinet. Child # 2 has Albuterol Sulfate Inhaler solution that expired 3/17/20 in the school age medicine cabinet.

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 accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.161(a)

Description: Wholesome

Noncompliance Area: There is expired milk in the kitchen area school age classroom refrigerator. The milk expired 8/12/21.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: There are 3 bottles in the ITCS classroom that are not labeled. There are 5 bottles in the Infant classroom that are not labeled.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The front cabinet drawer face fell off when rep pulled it from the handle to open in the mixed toddler classroom. The cabinet drawer had no screws or glue to attach it. The kitchen area school age room has holes in the wall and screws sticking out from an old phone system that was removed.

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: Facility has not conducted fire alarm testing in over 30 days from 7/9/21 to 8/12/21 to 9/23/21. Last fire alarm system test was conducted 12/3/21.

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: During the Renewal Inspection on 11/26/2019, the hot water temperature for the sink that is used by the children in the Older Toddler classroom measured 120 F.

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

Noncompliance Area: Peeling paint was seen on one of the window sills upstairs in the school age classroom.

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

Noncompliance Area: Staff #1 admitted on 6/6/2018 that she has smacked her child's hand while he was in care at the daycare. Staff #1 admitted using the word "Pela" at the daycare. Pela means spanking or a smack in Spanish.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Noncompliance Area: Expired diaper cream was observed in the young toddler classroom.

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

Noncompliance Area: The bottles in the infant room were not labeled with the child's name.

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

Noncompliance Area: The emergency contact information on file for Child #1 was last updated on 3/21/2017. The financial agreement was last updated on 4/18/2017.

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: The state police clearance on file for Staff #1 at the time of inspection was a volunteer state police clearance.

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

Noncompliance Area: The following was observed: Peeling paint/rust on the stalls in the preschool bathroom, a broken baseboard heater vent in the school age classroom, rotting wood with a risk of splinters by the door entering the school age classroom.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.