Little Learners Child Care Center

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: A brown shelf in the Preschool/School Age Room had chipped wood that posed a potential scratching hazard.

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

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: A review of staff files was conducted during the renewal inspection. On the health assessment for Staff #2, the doctor indicated a "YES" answer for question #2, indicating that the staff person had communicable diseases, and no additional information was provided, as required.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: Staff #4 (see code sheet for first day with children) had two disclosure statements on file, dated 5/13/24 and 2/9/26, neither of which were within the 6 months prior to this staff's first day working with children. Staff #7 acknowledged that Staff #4 had direct contact and routine interaction with children during the time period where they did not have the required disclosure on file.

Correction Required: A staff 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: 3270.76/3270.102(a)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: The blue wall next to the exit door in the Preschool/School Age Room had chipping wood. Also, in the same room, there were rusted, jagged pieces of metal near each bottom corner of the exit door. An orange wooden play garage in the Large Outdoor Play Area had siding with multiple exposed, rusted staple ends. Also, near the top of this same play garage, there were two protruding staples. These posed a potential scratch hazard.

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. 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: 3270.176(f)

Description: Prohibition using an 11-15 passenger vans

Noncompliance Area: Upon inspection on 10/16/25, 12 seats were observed in the 2002 Ford E-150 van, that was observed to transport children on this day. Although the van was originally manufactured as an 8-passenger vehicle, according to a letter from Ford, the operator admitted to installing an additional third row with 4 seats, increasing the total seating capacity to 12.

Correction Required: In accordance with the requirements of 67 Pa. Code Chapter 171 (relating to school buses and school vehicles), the facility may not transport a child in an 11-15 passenger van. TIERED LIS: 1. Children may not be transported in an 11-15 passenger van. This portion of the plan shall have an immediate correction date. 2. The facility shall demonstrate continued compliance with the prohibition of using an 11-15 passenger van to transport children through unannounced monitoring visits over the course of 3 months. This portion of the plan shall have a date of correction that is at least 3 months after a plan of correction is provided.

Regulation: 3270.102(a)/3270.104(a)

Description: Clean and good repair/Clean, good repair, proper size

Noncompliance Area: A blue pack n play in the Infant Room was observed to have two holes in its mesh. Another blue pack n play in the same room was observed to have 5 holes in its mesh. Also, a blue pack n play in the Young Toddler Room was observed to have three holes in its mesh. Additionally, a toilet in the Older Toddler Room Restroom was observed to have one rusted, exposed bolt near its base. The Younger Child Play Area was observed to have a ripped blue tarp. Trash (i.e. empty plastic containers, decaying fruit, empty snack wrappers, food crumbs) was observed on the floor of the 2002 Ford van. Also, the bench seat at the back of the van had torn fabric and exposed foam. Additionally, a plastic blue and white rocking chair in the Preschool Room and a plastic blue chair in the Older Child Play Area were observed to have a crack in the seat.

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

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: A pink container, containing cut strawberries and cheese, was observed on a shelf, near the sink, in the Young Toddler Room. On that same shelf, was a white container which had chicken nuggets. Also, Clover Farms Milk, which was labeled, "keep refrigerated," was observed on a wooden shelf in the Preschool Room. These potentially hazardous food items were not refrigerated.

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

Regulation: 3270.176(f)

Description: Prohibition using an 11-15 passenger vans

Noncompliance Area: Upon inspection on 3/3/2025, 12 seats were observed in the 2002 Ford E-150 van which is used for transporting children. The vehicle was originally manufactured as an 8-passenger van. However, the operator admitted that, after purchasing the vehicle, they added a third row. This row contained 4 seats, making the vehicle a 12-passenger van, which is not allowed to be used for transporting children in childcare.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Two brown stained ceiling tiles were observed at the entranceway of the facility. The kitchen was observed to have one brown stained ceiling tile, and a ceiling light cover with brown residue on it. Also, the Preschool Room had a hole in the wall by the blackboard.

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: The fire detection system was not tested at least once every thirty days as evidenced by the following fire detection system logs that were on file: 7/19/24 to 8/19/24, 8/19/24 to 9/19/24, and 1/3/25 to 2/11/25.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Volunteer #1 (see code sheet for first day with children) only had a Department of Education FBI clearance on file which is not suitable for child care, and not the required DHS FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A volunteer'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. Volunteer #1 may not volunteer in a child care position until the completed clearance is on file at the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection was conducted on 3/14/24. Located in the back of the preschool/school age classroom is a wooden playhouse that has an exposed screw sticking out that is accessible to the children.

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(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: A renewal inspection was conducted on 3/14/24. On the preschool playground, the mulch under the swings, slide, and climber on the embedded swing set measured 2 inches deep. The required depth of mulch is 9 inches.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A renewal inspection was conducted on 3/14/24. The diaper changing table in the older toddler classroom had a roll of plastic bags on top of the table and underneath the table. The plastic bags were accessible to children.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection was conducted on 3/14/24. The emergency plan does not address continuity of operations.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.175(c)

Description: Manufacturer's instructions used

Noncompliance Area: A renewal inspection was conducted on 3/14/24. In the transportation van, the operator did not have the car seat manufacturer's instructions. The operator admitted she did not keep the manufacturer's instructions and threw them away.

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

Regulation: 3270.63/3270.76

Description: Unsafe Areas in Outdoor Space/Building Surfaces

Noncompliance Area: A renewal inspection was conducted on 3/14/24. In the preschool playground, to the left of the gate, there is a hole in the fence near the ground, that children could easily crawl out of. To the right of the gate, the fence is not attached to the metal poles and was able to be easily pushed out allowing a child to crawl underneath.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. 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: 3270.75(c)

Description: Has all items

Noncompliance Area: A renewal inspection was conducted on 3/14/24. The infant/toddler first aid kit in the emergency bag did not contain soap. The older toddler first aid kit in the emergency bag did not contain scissors.

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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A renewal inspection was conducted on 3/14/24. The preschool/school age classroom have water damaged ceiling tiles.

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: 3270.101(a)/3270.111(c)

Description: Age appropriate/Promote development

Noncompliance Area: During an investigation conducted at the facility on 3/21/23, the shelves in the big preschool room were empty. During the investigation, children were offered play-doh or television, but no other toys or activities were available. It was found that the preschool classrooms do not follow the schedule throughout the day. Children are not engaged in activities and do not have toys to play with and instead are offered television or an ipad for the day.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. The legal entity must arrange for all staff to receive a minimum of two hours of training regarding Developmentally Appropriate Practices. 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: 3270.101(a)/3270.111(c)

Description: Age appropriate/Promote development

Noncompliance Area: During an investigation conducted at the facility on 3/21/23, the shelves in the big preschool room were empty. During the investigation, children were offered play-doh or television, but no other toys or activities were available. It was found that the preschool classrooms do not follow the schedule throughout the day. Children are not engaged in activities and do not have toys to play with and instead are offered television or an ipad for the day.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During an investigation conducted at the facility on 3/21/23, the playhouse on the playground was broken and cracked, presenting pinching hazards.

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

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

Noncompliance Area: A complaint investigation was conducted on 3/21/23. At 11:15am, Staff Person #2, an assistant group supervisor, and Staff Person #4, an aide, had a combined group of twelve preschool children. Staff Person #4 was seen leaving the building at 11:19 and returning at 11:20am. Staff Person #4 was seen yelling out the back door of the building to Staff Person #2, who was seen leaving the building at 11:22 am, before Staff Person #2 returned to the building a minute later. At 11:25am, Staff Person #4 was the only staff observed in the preschool room with the twelve children. Staff Person #2 returned to the room a minute later and was with the twelve children while Staff Person #4 had entered the kitchen area to prepare lunches with headphones in where she could not see or hear all of the children in the classroom. During naptime, the lights of the facility are turned off and staff are unable to see the children and properly supervise them.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. 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 hours of training regarding Supervision and Ratios. 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: A complaint investigation was conducted on 3/21/23. At 11:15am, Staff Person #2, an assistant group supervisor, and Staff Person #4, an aide, had a combined group of twelve preschool children. Staff Person #4 was seen leaving the building at 11:19 and returning at 11:20am. Staff Person #4 was seen yelling out the back door of the building to Staff Person #2, who was seen leaving the building at 11:22 am, before Staff Person #2 returned to the building a minute later. At 11:25am, Staff Person #4 was the only staff observed in the preschool room with the twelve children. Staff Person #2 returned to the room a minute later and was with the twelve children while Staff Person #4 had entered the kitchen area to prepare lunches with headphones in where she could not see or hear all of the children in the classroom. During naptime, the lights of the facility are turned off and staff are unable to see the children and properly supervise them.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. 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: A complaint investigation was conducted on 3/21/23. At 11:15am, Staff Person #2, an assistant group supervisor, and Staff Person #4, an aide, had a combined group of twelve preschool children. Staff Person #4 was seen leaving the building at 11:19 and returning at 11:20am. Staff Person #4 was seen yelling out the back door of the building to Staff Person #2, who was seen leaving the building at 11:22 am, before Staff Person #2 returned to the building a minute later. At 11:25am, Staff Person #4 was the only staff observed in the preschool room with the twelve children. Staff Person #2 returned to the room a minute later and was with the twelve children while Staff Person #4 had entered the kitchen area to prepare lunches with headphones in where she could not see or hear all of the children in the classroom. During naptime, the lights of the facility are turned off and staff are unable to see the children and properly supervise them.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. 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 policy must address how the staff will maintain compliance with subsections 3270.113a, 3270.113b, 3270.113c, and 3270.113d. 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. All future hires must be trained on the policy and sign that they understand and will follow the policy. Acknowledgements must be kept on file.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: A complaint investigation was conducted on 3/21/23. At that time, it was found that staff yell harshly at the children, including yelling "Get away from there!" and that staff swear in front of children saying "What the f***!" "F***" and "D***"

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

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: During an investigation conducted at the facility on 3/21/23, ibuprofen was observed in an unzipped backpack hanging in the hallway and was accessible to the children. Children's pain and fever reliever was observed on top of the cubbies in the big preschool room and was accessible to the children. XtraCare Oatmeal Lotion with Cooling Action was observed on the desk in the big preschool room and was accessible to the 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.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: During an investigation conducted at the facility on 3/21/23, Staff Person #1 was observed changing a child's diaper. The trash can used for diapering next to the changing table was not lidded nor plastic lined. Staff Person #1 was observed washing both children's hands before walking the diaper to the front of the building and handing the soiled diaper to Staff Person #6 to disposed of.

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: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: A renewal inspection was conducted on 3/15/23. At that time, the diaper changing pad outside the bathrooms was observed to be ripped in two places and was unable to be sanitized properly after being used. An acceptable plan of correction was received on 3/15/23 with a correction date of 3/15/23. During an investigation conducted at the facility on 3/21/23, the changing pad used for diapering was cloth and not able to be properly sanitized in between uses. When informed of this, Staff Person #1 used a ripped changing pad for diaper changes, which is not able to be properly sanitized between uses.

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: 3270.21/3270.71

Description: General Health and Safety/Heat Source

Noncompliance Area: A renewal inspection was conducted on 3/15/23. At that time, the gate to the kitchen was observed to be open. The stovetop in the kitchen measured a temperature of 144° F. The children had access to the stove with the gate open. The gate was closed. Later during the inspection, a child was observed pushing the gate open. Staff attempted to fix the gate, but it was not able to latch properly and did not prevent access to the kitchen. An acceptable plan of correction was received on 3/15/23 with a correction date of 3/15/23. A complaint investigation was conducted on 3/21/23. At that time, the gate preventing access to the kitchen was left open three separate times allowing children access to the stove and the toxic cleaning products in an unlocked cabinet under the sink.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. 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: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: A complaint investigation was conducted on 3/21/23. At 8:30am, Staff Person #1 had two infants and two young toddlers in their primary group. Staff Person #3 had seven young toddlers and two preschool children in their group. Staff Person #2 had three older toddlers and nine preschool children in their group. Two additional staff were needed to maintain ratio at that time. At 11:15am, Staff Person #2, an assistant group supervisor, and Staff Person #4, an aide, had a combined group of twelve preschool children. Staff Person #4 was seen leaving the building at 11:19 and returning at 11:20am. Staff Person #4 was seen yelling out the back door of the building to Staff Person #2, who was seen leaving the building at 11:22 am, before Staff Person #2 returned to the building a minute later. At 11:25am, Staff Person #4 was the only staff observed in the preschool room with the twelve children. Staff Person #2 returned to the room a minute later and was with the twelve children while Staff Person #4 had entered the kitchen area to prepare lunches leaving Staff Person #2 with twelve preschool children.

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. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times. The legal entity must arrange for all staff to receive a minimum of three hours of training regarding Supervision and Ratios. 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: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: A complaint investigation was conducted on 3/21/23. At 8:30am, Staff Person #1 had two infants and two young toddlers in their primary group. Staff Person #3 had seven young toddlers and two preschool children in their group. Staff Person #2 had three older toddlers and nine preschool children in their group. Two additional staff were needed to maintain ratio at that time. At 11:15am, Staff Person #2, an assistant group supervisor, and Staff Person #4, an aide, had a combined group of twelve preschool children. Staff Person #4 was seen leaving the building at 11:19 and returning at 11:20am. Staff Person #4 was seen yelling out the back door of the building to Staff Person #2, who was seen leaving the building at 11:22 am, before Staff Person #2 returned to the building a minute later. At 11:25am, Staff Person #4 was the only staff observed in the preschool room with the twelve children. Staff Person #2 returned to the room a minute later and was with the twelve children while Staff Person #4 had entered the kitchen area to prepare lunches leaving Staff Person #2 with twelve preschool children.

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. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A renewal inspection was conducted on 3/15/23. At that time, Odo-ban was observed in an unlocked cabinet in the furthest bathroom from the front entrance. The Odo-ban was labeled "keep out of reach of children" and was accessible to the children in care. An acceptable plan of correction was received on 3/15/23 with a correction date of 3/15/23. During an investigation conducted at the facility on 3/21/23, Red Bull, labeled "not recommended for children" was observed on the desk in the big preschool room. Glade Pumpkin Spice Things Up Room refresher was observed on the desk in the big preschool room. Glade Fall Night Long room refresher and Barbasol Shaving Foam were observed on low shelves in the unlocked tall storage cabinet in the big preschool room. Lysol disinfectant spray, Lemon Fresh Disinfectant Cleaner, and Clorox cleaner were observed in an unlocked cupboard under the sink in the kitchen area. The gate to the kitchen area was open on three separate occasions during the inspection. Odo-ban was observed in an unlocked cabinet in the furthest bathroom from the front entrance. All items listed above were labeled "keep out of reach of children" and were accessible to the children in care during the inspection.

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

Regulation: 3270.67(a)

Description: Trash removed once a day

Noncompliance Area: During an investigation conducted at the facility on 3/21/23, two trash cans in the big preschool room were observed to have food in them at 9:00am. Neither were plastic lined. One trash can had peas and other food from a previous day's lunch. The other trash can had an overwhelming odor similar to that of a soiled diaper, but was observed to have food in it.

Correction Required: Trash shall be removed from the facility at least once per day.

Regulation: 3270.67(c)

Description: No insects or rodents

Noncompliance Area: A complaint investigation was conducted on 3/21/23. At that time, rodent feces was observed in the cabinet under the sink in the kitchen.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: During an investigation conducted at the facility on 3/21/23, two trash cans in the big preschool room were observed to have leftover food in them at 9:00am. Neither were plastic lined. One trash can had peas and other food from a previous day. The other trash can had an overwhelming odor similar to that of a soiled diaper, but was observed to have leftover food in it. The trash can in the kitchen was not lidded and a discarded tampon was observed in it.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: During an investigation conducted at the facility on 3/21/23, a first aid kit was observed on a cabinet in the hallway approximately 30 inches high and was accessible to the children.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During an investigation conducted at the facility on 3/21/23, Staff Person #1 was observed changing a child's diaper while another child used the bathroom next to the changing table. The child came out of the bathroom and was seen touching the toy box and changing table before their hands were washed. Staff Person #1 was observed washing both children's hands before walking the soiled diaper to the front of the building and handing the soiled diaper to Staff Person #6 to disposed of. Staff Person #6 did not wash their hands after handling the soiled diaper. Staff Person #1 then returned to the changing table and cleaned and sanitized the changing table. Staff Person #1 did not wash their hands before changing the next child.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection was conducted on 3/15/23. At that time, small nails were exposed on the top of the cubbies in the young preschool room. A supply cabinet was not secured to the wall and posed a tipping hazard as it was placed on an unlevel floor. The vanity in the bathroom further from the entrance was disintegrating upon touch.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: A renewal inspection was conducted on 3/15/23. At that time, the child files were reviewed. The emergency contact form and financial agreements had not been updated in the past 6 months for the following children: Child #1 (3/29/22); Child #2 (7/21/22); Child #3 (1/20/22).

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

Description: Immunization record/Dismissal policy

Noncompliance Area: A renewal inspection was conducted on 3/15/23. At that time, the child files were reviewed. The immunization records for Child #1 and Child #3 did not contain documentation of administration of the flu vaccine. The date of the most recent flu vaccine administered for Child #2 was dated 12/2/21.

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 #1, Child #2, and Child #3 must be dismissed from care by close of business 3/15/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: A renewal inspection was conducted on 3/15/23. At that time, the diaper changing pad outside the bathrooms was observed to be ripped in two places and was unable to be sanitized properly after being used.

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: 3270.151(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 on 3/15/23. At that time, the file for Staff Person #5 did not contain a health assessment.

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: A renewal inspection was conducted on 3/15/23. At that time, the staff files were reviewed. The following staff files did not contain two written letters of reference: Staff Person #1, Staff Person #2, Staff Person #3, Staff Person #4, and Staff Person #5.

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: 3270.21/3270.71

Description: General Health and Safety/Heat Source

Noncompliance Area: A renewal inspection was conducted on 3/15/23. At that time, the gate to the kitchen was observed to be open. The stovetop in the kitchen measured a temperature of 144° F. The children had access to the stove with the gate open. The gate was closed. Later during the inspection, a child was observed pushing the gate open. Staff attempted to fix the gate, but it was not able to latch properly and did not prevent access to the kitchen.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. 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: 3270.21/3270.71

Description: General Health and Safety/Heat Source

Noncompliance Area: A renewal inspection was conducted on 3/15/23. At that time, the gate to the kitchen was observed to be open. The stovetop in the kitchen measured a temperature of 144° F. The children had access to the stove with the gate open. The gate was closed. Later during the inspection, a child was observed pushing the gate open. Staff attempted to fix the gate, but it was not able to latch properly and did not prevent access to the kitchen.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. 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. The provider must install a gate/door with self-latching mechanism that closes and latches automatically preventing children access to the kitchen area.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: A renewal inspection was conducted on 3/15/23. At that time, the director stated that an emergency drill had not been conducted in the past year.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection was conducted on 3/15/23. At that time, Staff person #6 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #6 shall complete the required one-hour 2022 update to the health and safety training by 3/3/23.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted on 3/15/23. At that time, the file for Staff Person #4 was reviewed. The file contained a PA Child Abuse Clearance dated 2/22/23 which was after they began working at the facility.

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

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

Noncompliance Area: A renewal inspection was conducted on 3/15/23. At that time, the file for Staff Person #5, an assistant group supervisor, did not contain verification of 2 years' experience working with children.

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: 3270.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: A renewal inspection was conducted on 3/15/23. At that time, the fence on the preschool playground opposite the road did not extend to the ground and was able to be easily pushed out allowing a child to crawl underneath.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A renewal inspection was conducted on 3/15/23. At that time, Odo-ban was observed in an unlocked cabinet in the further bathroom from the entrance. The Odo-ban was labeled "keep out of reach of children" and was accessible to the children in care.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: A renewal inspection was conducted on 3/15/23. At that time, ceiling tiles in the kitchen were observed to be water damaged. Ceiling tiles in the older preschool (purple) room were observed to be water damaged. Toilet paper was observed scattered on the floor of 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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: An unannounced inspection was conducted on 11/7/22. At that time, a plastic garbage bag was observed on the floor of the infant room, with the top of the bag hung from the changing table. This bag was accessible to the mobile infants in care.

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: 3270.133(4)

Description: Locked

Noncompliance Area: An unannounced inspection was conducted on 11/7/22. At that time, albuterol was observed on the shelf of a child's cubby approximately 24 inches high. A mobile infant was observed reaching into the cubby during the inspection. The medication was accessible to the mobile infants and young toddlers in care.

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.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: An unannounced inspection was conducted on 11/7/22. At that time, a soiled diaper in a plastic garbage bag was observed on the floor of the infant room, with the top of the bag hung from the changing table. The plastic garbage bag was not contained in a hands-free 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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: An unannounced inspection was conducted on 11/7/22. At that time, Staff Person #1 was working unsupervised in the first room to the right upon entering the building. Staff person #1 has not completed the pediatric first aid and cpr training or the health and safety training required prior to caring for children unsupervised. Staff Person #4 was working unsupervised in the first room to the left upon entering the building. Staff person #4 has not completed the pediatric first aid and cpr training or the health and safety training required prior to caring for children unsupervised. Staff Person #2 and Staff Person #3 were working together unsupervised in the second room to the left upon entering the building. Staff person #2 has not completed the pediatric first aid and cpr training or the health and safety training required prior to caring for children unsupervised. Staff person #3 has not completed the health and safety training required prior to caring for children unsupervised.

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, Staff Person #2, Staff Person #3, and Staff Person #4 must be supervised, when interacting with children, by an assistant group supervisor who has completed the required training related to this citation. If there are no staff person(s) available to supervise Staff Person #1, Staff Person #2, Staff Person #3, and Staff Person #4, then Staff Person #1, Staff Person #2, Staff Person #3, and Staff Person #4 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: An unannounced inspection was conducted on 11/7/22. At that time, Staff Person #3, has not completed the health and safety training within 90 days of their date of hire. Staff Person #4 has not completed the pediatric first aid and cpr training or the health and safety training within 90 days of their date of hire.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff Person #3 and Staff Person #4 will have until 12/1/22 to complete the required training. Until such time as the required training has been completed, Staff Person #3 and Staff Person #4 must be supervised, when interacting with children, by an assistant group supervisor who has completed the required training related to this citation. If there are no staff available to supervise Staff Person #3 and Staff Person #4, then Staff Person #3 and Staff Person #4 may not work in a child-care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: An unannounced inspection was conducted on 11/7/22. At that time, baby powder labeled "keep out of reach of children" was observed in an open diaper bag in a cubby at floor level and was accessible to the infants and young toddlers in care.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: A complaint inspection was conducted on 11/7/22. At that time, a soiled diaper and a crushed plastic water bottle were observed on the preschool playground. A sticky residue was observed on the floor just inside the door when entering the facility from the playground.

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: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: During a walk thru of the facility conducted on 6/22/22 Cert. rep observed facility person #2 change child #1's diaper, an infant, and facility person #2 did not wash her hands or the infant's hands after she was finished diapering the child.

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

Regulation: 3270.166(5)

Description: Six-months-old held

Noncompliance Area: During a physical site walk thru of the facility conducted on 6/22/22 Cert rep observed child #1, an infant less than 6 mos. old, was laying in a carrier and drinking from a bottle that was propped up with a blanket. Facility person #1 was not holding child #1 while being bottle fed.

Correction Required: An infant 6 months of age or younger shall be held while being bottle fed.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During an unannounced complaint visit to the facility on 6/22/22 Cert rep. observed facility person #1 in the young toddler room supervising a group of seven children that included six young toddlers and one infant. The young toddler room was out of ratio and a second staff person was required. Children were immediately re-assigned to staff so the facility was able to come into compliance.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff/child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The Operator/ Legal Entity shall post a sign in each group space that list the ratios for similar age groups and mixed age groups of children. Also on the sign will be the naptime ratios. This sign shall be posted in each group space where parents and staff can see it.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During an unannounced complaint visit to the facility on 6/22/22 Cert rep. observed facility person #1 in the young toddler room supervising a group of seven children that included six young toddlers and one infant. The young toddler room was out of ratio and a second staff person was required. Children were immediately re-assigned to staff so the facility was able to come into compliance.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff/child ratios must be maintained at all times.

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: During a physical site walk thru of facility conducted on 6/22/22 Cert. rep observed staff use the kitchen area while children were present in the preschool room leaving the gate unlocked and the stove accessible. The stove does not have a stove guard.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The cots used by the toddlers in the young toddler room do not have the names of the children labeled on them. Facility person #1 had one young toddler and an one infant in her assigned group. Cert rep noticed that there were vinyl rest mats in the room but no cribs and asked where child #2, an infant, sleeps. Cert rep was told by facility person #1 that child #2 sleeps on a rest mat. A mat is not age-appropriate rest equipment for an infant. A sleeping infant must be placed in a crib that meets current ASTM standards.

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. Will make sure that all infants use pack n plays for nap time or anytime an infant falls asleep. Will wait until a child turns 1 yr. old before a mat is used for napping.

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: The vinyl diaper pad on the diapering table located outside of the bathrooms has a small hole and some worn areas and is not able to be properly sanitized after each 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: 3270.166(1)

Description: Written statement

Noncompliance Area: Child #1, 2 and 3 are infants and do not have written formula and feeding schedules provided by the parent

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Facility person #1 does not have 12 hours of annual child care training documented in her file

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: There is one area of fencing located in the outdoor play space where the fencing ends without connecting to the fence creating a gap (approximately 18 inches) large enough for a child to fit thru and possibly exit the play yard.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit located in the young toddler room is missing 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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: The tan deck that is located in the preschool / school-age room has areas of peeling paint on it. The white train table located in the same room also has peeling paint on it.

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

Regulation: 3270.113(b)/3270.113(d)

Description: No physical punishment /No harsh language

Noncompliance Area: A complaint investigation was conducted on site on 2/28/2022. Through staff interviews and review of video footage, it was confirmed that on 2/2/22, Staff #1 pulled the arm of Child #1 two times, causing a scratch to the child's left arm. Staff #1 was pulling the child's arm to force the child to sit down at a table. Staff #1 was also observed to be shouting at the child during this interaction. Staff #2 was observed coming over to the child to intervene in the situation.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.113(b)/3270.113(d)

Description: No physical punishment /No harsh language

Noncompliance Area: A complaint investigation was conducted on site on 2/28/2022. Through staff interviews and review of video footage, it was confirmed that on 2/2/22, Staff #1 pulled the arm of Child #1 two times, causing a scratch to the child's left arm. Staff #1 was pulling the child's arm to force the child to sit down at a table. Staff #1 was also observed to be shouting at the child during this interaction. Staff #2 was observed coming over to the child to intervene in the situation.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use harsh, demeaning or abusive language in the presence of children. The Legal Entity will schedule all facility staff, hired as of the date of the training, to attend the following training: Looking through the Lens of Stress as an Educator. Staff will participate in a minimum of 2 hours of this PQAS approved training. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.113(b)/3270.113(d)

Description: No physical punishment /No harsh language

Noncompliance Area: A complaint investigation was conducted on site on 2/28/2022. Through staff interviews and review of video footage, it was confirmed that on 2/2/22, Staff #1 pulled the arm of Child #1 two times, causing a scratch to the child's left arm. Staff #1 was pulling the child's arm to force the child to sit down at a table. Staff #1 was also observed to be shouting at the child during this interaction. Staff #2 was observed coming over to the child to intervene in the situation.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use harsh, demeaning or abusive language in the presence of children. The Legal Entity will create a Behavior Management policy. This will include policies and procedures regarding behavior management and staff's response to the challenging and stressful situation. The policy must include how other staff shall intervene to help each other when situations escalate. The policy must also include how the facility will work with the family in managing the children's challenging behavior. The legal entity will submit the policy to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policy and it must be documented in their files.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: A complaint investigation was conducted on site on 2/28/2022. Through staff interviews and review of video footage, it was confirmed that on 2/2/22, Staff #1 pulled the arm of Child #1 two times, causing a scratch to the child's left arm. Staff #1 was pulling the child's arm to force the child to sit down at a table. Staff #1 was also observed to be shouting at the child during this interaction. Staff #2 was observed coming over to the child to intervene in the situation.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. Staff file # 3 was reviewed and had a date of hire of 7/23/21. At the time of this inspection, the NSOR clearance for Staff # 3 was unable to be located by the director. Staff # 3 was working in child care without all appropriate clearances on file per the CPSL. Staff # 3 did not participate in mandated reporter training within 90 days of their hire date. Staff # 3 participated in mandated reporter training on 2/11/22.

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

Noncompliance Area: A renewal inspection occurred at the facility and a physical site inspection was conducted. The mulched outdoor play area contained a child's yellow and orange little tikes picnic table. This table had a bench that was broken and not attached on one side. This table also had a table top that was cracked and exposing 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. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: A renewal inspection occurred at the facility and a physical site review was conducted. The thermometer in the refrigerator was reading at 54 degrees.

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 renewal inspection occurred at the facility and a review of staff files was conducted. During September 2019 the CPSL was updated to include the need for the NSOR clearance. Any staff that was hired before 9/30/20 had until 7/1/20 to obtain this clearance. Staff # 1, # 2, # 3, and # 4 were all hired prior to 9/30/20 and at the time of this inspection, these listed staff did not have an NSOR clearance in their file. Staff # 2, # 3, and # 4 were working with children during this inspection.

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, # 2, # 3, and # 4 may not work in a child care position at the facility.

Noncompliance Area: A renewal inspection occurred at the facility and a physical site review was conducted. The small bathroom contained what looked to be water damage on the wall and the floor to the left of the toilet. The wall was bubbling and was wet to the touch. In the same area, the floor tiles also had marks of water damage and were also wet to the touch. The large bathroom had a toilet that was located on the door side that leaked at the bottom when flushed. The floor was wet after being flushed. Ceiling tiles in the kitchen and room that contains the office had also been damaged or showed signs of a current water leak. Ceiling tiles and the vent at the entrance to the large room that contains the kitchen had significant amounts of dust of them.

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: On the date of this renewal inspection, a physical site review was conducted. The toddler and preschool area did not have a daily activity schedule posted in each individual area.

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

Noncompliance Area: On the date of this renewal inspection, a review of children's files was conducted. Child file # 2 had an enrollment date of 10/25/18 but the file did not contain a signed agreement until 12/11/18.

Correction Required: An agreement shall be signed by the operator and the parent. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: On the date of this renewal inspection, physical site review was conducted. The infant and toddler sections did not contain the emergency contact information for the children in the space that were receiving care during this inspection.

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

Noncompliance Area: On the date of this renewal inspection, a review of children's files was conducted. Child file # 5 is a 7 year old child. The last child's health assessment in the file was dated for 7/6/16 but was missing documentation of the child's immunization record.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Noncompliance Area: On the date of this renewal inspection, a review of staff files was conducted. Staff file # 1 had a date of hire of 9/17/18 and the director was attempting to qualify this staff for an aide position within the facility. The file was missing proof of education and this staff was unable to be appropriately qualified. Staff # 1 has been working with children since their date of hire.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

Noncompliance Area: On the date of this renewal inspection, a review of staff files was conducted. Staff file # 1 had a date of hire of 9/17/18 and the director was attempting to qualify this staff for an aide position within the facility. The file was missing proof of education and this staff was unable to be appropriately qualified. Staff # 1 has been working with children since their date of hire.

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.

Noncompliance Area: On 7/23/2018, a complaint investigation was conducted at this facility. A video was taken at the facility on 6/28/2018 and was sent to the regional office as part of the complaint allegations. A school-aged child was viewed on the video walking out of the outdoor play area with a child of the toddler age to the area of the back door to the facility. The staff were viewed with their backs to the gate area. The gate was also left open to the outdoor play area.

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/director will develop a supervision policy on how the facility will ensure supervision at all times of children per regulations. The policy must also include a plan of supervision during transition times such as children moving from the outdoor play area to the indoor facility, bathrooms, naps, and escorting to the school bus. This policy must work in conjunction with appropriate staff:child ratios being maintained also at all times. This policy will be submitted to the Northeast Daycare Office for approval. Once approved the policy will be discussed with staff and staff signatures will be obtained to indicate the policy has been reviewed with the staff and that staff understand children must be supervised at all times.

Noncompliance Area: On 7/23/2018, a complaint investigation was conducted at this facility. A video was taken at the facility on 6/28/2018 and was sent to the regional office as part of the complaint allegations. A carving knife was viewed on the video accessible to children on a countertop near the kitchen.

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: Refer to Inspection 00138233

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).

Noncompliance Area: On 7/23/2018, a complaint investigation was conducted at this facility. A video was taken at the facility on 6/28/2018 and was sent to the regional office as part of the complaint allegations. A staff person was viewed in the video as left in the main large room of the facility with 15 children. The youngest age of the children in the room was indicated by Staff # 1 as being 2-years old. This age would have required at least an additional staff person in the room. The video was shown to staff person #1 and she admits that she was the other staff person assigned to the group. Staff person #1 could not recall whether or not she was present with the group during the time of the video.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).

Noncompliance Area: Refer to Inspection 00138233

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: On the date of this inspection, a physical site review was conducted. The area that contained the infants/young toddler's on this date, contained a sink cabinet that was unlocked that allowed for plastic bags to be accessible to children.

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.

Noncompliance Area: On the date of this inspection, a review of children's files was conducted. Child file # 1 had a child service report dated 8/9/17 and was due for a review February 2018 and the file did not contain that review. Child file # 4 had a child service report dated 8/10/17 and was due for a review February 2018 and the file did not contain that review.

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).

Noncompliance Area: On the date of this inspection, a review of children's files was conducted. Child file # 1 emergency contact form was current for this inspection; however, it was not updated within 6 months (2/9/17-10/5/17). Child file # 3 emergency contact and agreement form were current for this inspection; however, they were not updated within 6 months (agreement 1/13/17-10/5/17, emergency contact 7/22/17.

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.

Noncompliance Area: On the date of this inspection, a review of children's files was conducted. Child file # 3 had an enrollment date of 9/15/17 and the facility did not receive an initial health report until 2/12/18.

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. A child's record shall contain initial and subsequent health reports.

Noncompliance Area: On the date of this inspection, a review of staff files was conducted. Staff file # 1 had a date of hire of 6/12/12 and at that time of hire a state police clearance dated 3/7/12 and an FBI clearance dated 3/19/12. Staff file # 1 did not updated the state police clearance until 2/28/18. Staff file # 1 registered/submitted for FBI finger prints on 7/9/15 but the official results were not in the file. Staff # 1 was working in ratio with children at the time of this inspection. Staff file # 3 had a date of hire of 4/26/17 and has worked with children since. Staff file # 3 only contained an application for a child abuse clearance but did not include a receipt of applied or paid for one. Staff file # 3 also contained an FBI fingerprint submission receipt from 5/4/17. Staff file # 3 did not include the completed child abuse clearance or FBI clearance at the time of this inspection. Staff file # 3 was also missing documentation of completion of mandated reporter training.

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

Noncompliance Area: ON 8/3/17 THREE CHILDREN ALL UNDER THE AGE OF THREE, WHO STILL PLACE OBJECTS IN THEIR MOUTHS, WERE PLAYING ON THE OUTDOOR SCHOOL AGE PLAYGROUND COVERED WITH MULCH THAT IS 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.

Noncompliance Area: ON 8/3/17 CHILDREN WERE PLAYING ON THE OUTDOOR PLAY AREA WITH NO STAFF/SUPERVISION AS STAFF MEMBER # 1 WAS ON HER PHONE NOT WATCHING THE 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. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: THERE ARE NO PAPERTOWELS IN THE BATHROOMS.

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