Little Hands Curious Minds Childcare Llc

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: During a renewal inspection on 3/16/26 Cert rep observed wipes labeled "keep bag out of reach of children to prevent choking" in the accessible drawers of the toddler area of the upper Level Front room, and the accessible shelves of the infant area of the upper Level Front room. The children with access to these areas are infants and toddlers who may be still putting things 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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: During a renewal inspection on 3/16/26 Cert rep observed that the Lower level Back room did not have the daily schedule posted.

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

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

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

Noncompliance Area: Duringa renewal inspection on 3/16/26 Cert rep observed the following: Staff 3 and Staff 9 were present in the Lower Level Back Room with 23 children who were napping or on their cots (8 older toddlers, and 15 preschool children). Staff 3 named and identified 8 children(older toddlers) as being in their assigned group. Staff 9 named and identified 14 children(preschool) as being in their assigned group. When Cert rep asked about the un-named child, Cert rep was told the child was in Staff 8's group, but Staff 8 was in the bathroom with another child. Cert rep went to the bathroom which was outside of the lower level back room, and asked Staff 8 who was in their group. Staff 8 named and identified the child who was present with her(older toddler) and the child who was in Lower Level Back room. Cert rep observed that from the bathroom, Staff 8 was not physically present with one of the children in their assigned group and was not able to see, hear, direct or assess that child from the bathroom.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. This portion of the plan shall have an immediate correction date. 2. The legal entity must update their supervision 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 shall address the need for staff to be physically present with the children they are supervising. This policy must address supervision during transition times, such as visiting the bathroom and supervision when transition to different rooms. This policy must include the use of name-to-face checks as a means of maintaining proper supervision. 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 provider will provide a date for when this portion of the plan will be completed.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During a renewal inspection on 3/16/26-3/23/26 Cert rep observed the facility's emergency medical transportation plan was not present in the vans, nor was it in the binders taken with staff during transportation. It was reported this plan was not otherwise taken with staff when staff left the facility with children for transportation or other excursions.

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(c)/3270.131(d)(7)

Description: Completed or signed by physician, PA, or CRNP/Free from contagious/communicable disease

Noncompliance Area: During a renewal inspection on 3/16/26-3/23/26 Child 1's health report dated 3/2/26 was not signed by the physician, physician's assistant or a CRNP and did not include a statement that the child was is able to participate in child care and appears to be free from contagious or communicable disease.

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 the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: During renewal inspection on 3/16/26 Cert rep observed the School aged children eating snack. The school age children reported to Cert rep at this time that they did not wash their hands before their afternoon snack.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During a renewal inspection 3/16/26-3/23/26 the facility did not have a written policy which addressed the prevention and identification of child maltreatment.

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. Announcement C-22-03: Updates to Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment Requirements states To maintain compliance with 45 CFR 98.41(a)(1)(vi), in addition to the training requirements, child care providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; Strategies for coping with a crying, fussing, or distraught child; and Address the prevention and identification of child maltreatment.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During renewal inspection on 3/16/26-3/23/26 Staff 1 had 1 reference in their staff file and Staff 2 had 0 references written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Staff 2 had 1 written, references from individuals attesting to the person's suitability to serve as a facility person, however it was determined that the person whom wrote the reference was Staff 2's spouse, and therefore can not count as a non-family reference.

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

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: During a renewal inspection dated 3/16/26-3/23/26 Staff 6 had fire safety training dated 11/18/25, which is more than 12 months after their date of hire. See LIS code sheet for DOH.

Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During a renewal inspection 3/16/26-3/23/26 Staff person 4 did not complete the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR. This is evidenced by Pediatric First Aid and CPR training dated 1/21/26 in the staffs file. Staff 4 was reported to have worked as Staff between their 90th day of hire and 1/21/26.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection 3/16/26-3/23/26 the following violations of the CPSL were noted: Staff 1 had PSP clearances dated 7/1/20 and 8/15/25, and Child abuse clearances 7/6/20, and 8/23/25. This is more than 60 months between clearance dates. Staff 1 worked as Staff 7/11/25-7/24/25, 7/30/25-8/1/25, and 8/5/25-8/23/25. Staff 2 had PSP clearances dated 7/1/20 and 8/15/25, and NSOR clearances dated 8/5/20 and 8/21/25. This is more than 60 months between clearance dates. Staff 2 worked as Staff 7/11/25-7/24/25, 7/30/25-8/1/25, and 8/5/25-8/21/25. Staff 5 had a PSP request dated 7/29/25, but did not have a PSP clearance on file and it is beyond Staff 5's 45 day provisional hire window. Staff 5 was observed to be present at the facility around children on 3/13/26.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff 5 may not work in a child care position or have direct contact with children at the facility until such time as the PSP clearance is obtained and on file. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (related to protective Services. Staff 5 may not work in a child care position or have direct contact with children at the facility until such time as the PSP clearance is obtained and on file. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a checklist for staff and facility persons files that addresses all necessary staff and facility persons file paperwork and time frames for renewals of paperwork as appropriate. The staff and facility persons file paperwork that must be addressed in this checklist includes but is not limited to PA clearances, Out of State clearances and trainings as required by the CPSL and all documents required for staff and facility persons to be hired. The checklist must be submitted to the Regional Office for approval. Once approved this checklist shall be used by the person responsible for hiring and maintaining facility persons records. The provider shall provide a date for when this portion of the plan shall be completed.

Regulation: 3270.34(b)(2)/3270.192(2)(iv)

Description: Bachelor's, 30 credits + 2 yrs/Transcript, diploma and letters

Noncompliance Area: During a renewal inspection on 3/16/26-3/23/26 staff 3 had a bachelor's degree in modern language and 10911 hours of experience working with children on file. Staff 3 did not have transcripts on file to determine if Staff 3 had 30 credits in Human Services. It was reported that the copy of Staff 3's transcripts were sent for evaluation to determine the United States equivalence of the credits.

Correction Required: A director shall have attained a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.35(b)

Description: Group sup qualifications

Noncompliance Area: During a renewal inspection on 3/16/26-3/23/26 Staff 6 had a high school diploma and 9093 hours of experience working with children, and Staff 7 had a high school diploma and 215 hours of experience working with children on file. It was reported the Staff 6 and Staff 7 did not obtain bachelor's or associate's degree. Staff 6 and 7 have been working as group supervisors.

Correction Required: A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4).

Regulation: 3270.76/3270.102(a)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: During a renewal inspection on 3/16/26 Cert rep observed splintering wood on the wood fencing on the right side of the inside fencing around outdoor playground. The splintering wood created rough edges on the fencing, and was a visible hazard due to being easily picked off.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During a renewal inspection on 3/16/26 Cert rep observed peeling paint the wood fencing in multiple places around outdoor playground.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: During a renewal inspection on 3/16/26-3/23/26 there was more than 60 days between fire drills on the following incidents: 7/16/25-9/15/25, and 11/14/25-1/14/26. Cert rep notes there was Fire drills noted on the log for 8/16/25, and 12/14/25, which are weekends when care is not provided. When Cert rep questioned this the legal entity reported the drills did take place however the dates were not written down correctly. The legal entity was unable to provide other documentation which show when these fire drills took place, therefore these documented drills on 8/16/25 and 12/14/25 are not valid.

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: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: During a renewal inspection on 3/16/26-3/23/26 the hypothetical location of the fire was the same("Rooms 1,2, 3, inf") for consecutive fire drills 11/14/25, 12/14/25 and 1/14/26. Cert rep notes there was Fire drills noted on the log for 12/14/25, which is a weekend day when care is not provided. When Cert rep questioned this the legal entity reported the drill did take place however the date was not written down correctly. The legal entity was unable to provide other documentation which show when these fire drills took place, therefore the documented drill on 12/14/25 is not valid.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During renewal inspection on 3/16/26-3/23/26 there was more than 30 days between fire detection testing on the following incidents: 5/16/25-6/16/25, 7/16/25-9/15/25, and 11/14/25-1/14/26. Cert rep notes there was Fire detection testing noted on the log for 8/16/25, and 12/14/25, however after discussion with the legal entity it was determined this was not the accurate date of the testing because the legal entity had written the wrong date. The legal entity was unable to provide other documentation which show when this testing took place.

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: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: Continued Non-compliance: During a renewal inspection on 3/19/25 Cert rep noted parents were not being provided with information regarding hours for which care is provided, and night care policies at the time of enrollment. The facility's acceptable plan of correction indicated the correction would be implemented by 4/30/25. On 5/2/25 an unannounced inspection was conducted. Cert rep noted parents were not being provided with information regarding night care policies at the time of enrollment. Parents are now being given information regarding the hours for which care is provided.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Continued Non-compliance: During a renewal inspection on 3/14/25 cert rep observed the following cleaners and toxics in accessible locations at the facility: Sanitizing cleaners and diaper creams (labeled keep out of reach of children) in an unlocked cabinet under the changing table in the infant side of the Upper level 1, and Clorox cleaning wipes on an accessible shelf next to the bathrooms of Upper level 2. The facility's acceptable plan of correction indicated the correction would be implemented by 3/14/25. On 5/2/25 an unannounced inspection was conducted. Cert rep observed Sanitizing cleaners and diaper creams (labeled keep out of reach of children) in an unlocked accessible cabinet under the changing table in the infant side of the Upper level 1

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: During a renewal inspection on 3/14/25 cert rep observed a plastic bag in a child's cubie in the toddler section of the Upper level 1. The cubie was accessible to children and children in this room may still be 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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: During a Renewal inspection on 3/14/25 Cert rep observed the Lower Level Room 1 did not have a daily schedule posted.

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

Regulation: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: During a renewal inspection on 3/19/25 Cert rep noted parents were not being provided with information regarding hours for which care is provided, and night care policies at the time of enrollment.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: During renewal inspection 3/19/25 Children 2, 3 and 4 did not have the date which the fee is to be paid on the fee agreement.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During renewal inspection 3/19/25 Cert rep noted Children 1-10 did not have the services to be provided listed on the fee agreements. Child 10 had one Child service report in the file which was not dated. Staff reported child service reports were being completed once annually.

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

Regulation: 3270.123(a)/3270.123(a)(6)

Description: Signed /Admission date

Noncompliance Area: During renewal inspection 3/19/25 Cert rep noted Child 2's fee agreement was not signed by the operator.Child 2's fee agreement did not have the child's date of admission.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During renewal inspection 3/19/25 Cert rep noted Children 1, 2, 5, 6, and 7's emergency contact forms did not have the parent's home and work phone numbers and addresses. Child 3's emergency contact form did not have the parent's work address.

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

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

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

Noncompliance Area: During renewal inspection 3/19/25 Cert rep noted Child 2's health assessment (dated 5/1/24) was not received within 60 days of the child's date of enrollment (see LIS code sheet). Child 6's Health assessment (dated 7/19/24) has not been updated within the past 6 months. Child 6 is a young toddler (see LIS code sheet).

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: During a renewal inspection on 3/19/25 Child 4's immunization record showed the Child did not have the 2nd of the following vaccines in accordance with the ACIP schedule: Rotavirus, DTaP, Hib, Pneumococcal, and polio. Child 6's immunization record showed the Child did not have the first dose of the following vaccines in accordance with the ACIP schedule: MMR, Hepatitis A, and Varicella. Neither Child 4 nor Child 6 had an exemption letter on file(see LIS code sheet for DOBs).

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 4 and Child 6 must be dismissed from care by close of business on 3/19/25 until the immunization record on file is updated in accordance with the ACIP schedule or a parent provides a written, signed exemption letter.

Regulation: 3270.131(d)(7)/3270.131(d)(8)

Description: Free from contagious/communicable disease/Age appropriate screenings complete

Noncompliance Area: During renewal inspection 3/19/25 Cert rep noted Child 8 had a school physical which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease or statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted. Child 8 is not a school aged child(see LIS code sheet).

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. 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.

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

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

Noncompliance Area: During a renewal inspection 3/14/25-3/19/25 Cert rep noted Staff 4 had an initial Health assessment and TB test dated 2/6/24, and Staff 2 had an initial TB test dated 10/17/24. These are after their dates of hire(See LIS code sheet). Staff 1 had health assessments dated 12/3/22 and 2/18/25, and Staff 3 had health assessments dated 10/19/22 and 12/11/24. This is more than 24 months between health assessments.

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: 3270.178

Description: Transportation First Aid Kit

Noncompliance Area: During a renewal inspection on 3/14/25 Cert rep observed the White Ford E250 which is used to transport children did not have a first aid kit in it.

Correction Required: A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During a renewal inspection 3/19/25 Cert rep noted more than 6 months between emergency contact reviews for the following Children: Child 2 (1/19/24, and 10/30/24), Child 6 (1/29/24 and 10/28/24), Child 9 (12/19/23 and 11/12/24), and Child 10 (2/12/24 and 11/14/24). Cert rep noted more than 6 months between financial agreement reviews for the following Children: Child 2 (most recent 1/19/24), Child 6 (8/21/23 and 10/25/24), Child 9 (12/19/23 and 11/12/24), and Child 10 (2/12/24 and 11/14/24).

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During a renewal inspection on 3/14/25-3/19/25 Cert rep noted Staff 5, 6, and 7 did not recieve emergency plan training within 90 days of their date of hire(See LIS code sheet). This is evidenced by initial emergency plan trainings dated 10/20/24, 1/2/25, and 1/10/25 respectively.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During a renewal inspection on 3/14/25-3/19/25 Cert rep noted Staff 4 had one Staff evaluation for review dated 2/18/25. This is more than 12 months since her date of hire(See LIS code sheet).

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.35(b)

Description: Group sup qualifications

Noncompliance Area: During a renewal inspection 3/14/25-3/19/25 Cert rep noted Staff 8 does not meet the qualifications for a group supervisor. Staff 8 has 12 years of childcare experience, a high school diploma, and CDA on file. Staff reported not having an associate degree or bachelor's degree. Staff 8 has been working as a group supervisor.

Correction Required: A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4).

Regulation: 3270.37(b)(1)/3270.37(b)(3)

Description: HS/GED/8th grade + 2 yrs

Noncompliance Area: During a renewal inspection 3/14/25-3/19/25 Cert rep noted Staff 2 had 7 years of child care experience and a transcript for a school in Mexico on file that was not translated with the U.S Equivalence. It's unclear if this education would be equivalent to completion of 8th grade education. Staff 7 had 1.246 years (1558 hours) of childcare experience and no proof of education on file. Staff 7 reported having graduated from high school. Staff 2 and 7 have been working has Aides.

Correction Required: An aide shall have a high school diploma or a general educational development certificate. An aide shall have a minimum of an 8th grade education and 2 years of experience with children.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During a renewal inspection on 3/14/25 cert rep observed the following cleaners and toxics in accessible locations at the facility: Sanitizing cleaners and diaper creams (labeled keep out of reach of children) in an unlocked cabinet under the changing table in the infant side of the Upper level 1, and Clorox cleaning wipes on an accessible shelf next to the bathrooms of Upper level 2.

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: 3270.66(a)/3270.66(d)

Description: Locked or inaccessible/Toxic plants not permitted

Noncompliance Area: During a renewal inspection on 3/14/25 Cert rep observed a potted Peace Lilly on the floor of the school aged area of Upper level 1. This plant is toxic to humans and would be accessible to children in this childcare space.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toxic plants are not permitted in a child care space.

Regulation: 3270.76/3270.102(a)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: During a renewal inspection on 3/14/25 Cert rep observed the carpeting in the outdoor PlaySpace was loose and raised, creating a tripping hazard. Cert rep observed tears in the children's seats of the white Ford E250, and a cracked mirror with sharp edges in the toddler section of Upper level 2.

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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: During renewal inspection on 3/14/25 Cert rep observed the door to an area where children are receiving care to be locked. This door was the only exit from this space and this lock obstructed this exit

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: During a renewal inspection on 3/14/25 Cert rep noted the hypothetical location of the fire was "Rooms 1, 2, 3, 4, 5" for consecutive fire drills 5/20/24, and 6/20/24 and hypothetical location of fire was "Rooms 1, 2, 3, 4, 5" for consecutive fire drills 12/26/24, 1/26/25, and 2/26/25."

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During a renewal inspection on 3/14/25 Cert Rep noted 7 incidents where the fire detection testing was more than 30 days: 2/28/24-3/30/24, 5/20/24-6/20/24, 6/20/24-7/22/24, 8/20/24-9/36/24, 10/25/24-11/26/24, 12/26/24-1/26/25, and 1/26/25-2/26/25.

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: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: On 3/27/2024, Child #1 and Child #2 had current health reports with verification that the child was administered immunizations in accordance with the recommendations of the ACIP. However, the current health reports and current immunizations reports were not provided within 60 days of the child's first day of attendance. The health and immunization reports were received on 2/21/2024 for Child #1 and 1/9/2024 for Child #2. See LIS code sheet.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: On 3/27/2024, the initial health report on file for Child #3 was not signed by a physician, physician's assistant or a CRNP. The report also did not include the individual's professional title. See LIS code sheet.

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.

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: On 3/20/2024, the diaper changing pad used for diapering in the infant area was ripped with foam exposed. The diaper changing pad could not be completely sanitized properly.

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)

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

Noncompliance Area: On 3/20/2024, Staff #6 had a current health assessment on file dated 3/8/2024. However, the previous health assessment on file for Staff #6 was dated 2/10/2022.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: On 3/27/2024, the emergency contact information and financial agreement for Child #2 had not been signed by the parent to review and update during the previous 6 months.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: On 3/20/2024, the following staff all had current certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on file. However, Staff #1, Staff #2 and Staff #3 renewed their certification on 9/22/2023. The previous certification on file for Staff #1, #2 and #3 expired on 7/31/2023. Staff #4, #5, #6, #7 all renewed their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on 2/24/2024. The previous certification on file for Staff #4, #5, #6 and #7 expired on 1/31/2024.

Correction Required: Competence is the completion of training by a professional in the field of first aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 3/20/2024, it was discovered that Staff #8 has resided in New Jersey during the previous five years. Staff #8 did not have the completed request for the required New Jersey child abuse clearance on file. See LIS code sheet.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a childcare position at the facility until the completed New Jersey child abuse clearance is on file.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 3/20/2024, several areas of the fence on the outdoor playground had cracked wood with sharp edges exposed.

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

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

Noncompliance Area: During the review of child files on 3/28/2023 and 3/31/2023, the following was observed: The most recent health report on file for Child #1, a young toddler was dated 5/10/2022, The most recent health report on file for Child #2, a young toddler was dated 6/14/2022, and the most recent health report on file for Child #3, a preschool child was dated 1/27/2022.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: On 3/28/2023 and 3/31/2023, the files for Child #3, Child #4, Child #5 and Child #6 did not have documentation of the up-to-date annual influenza immunization as recommended by the ACIP. The files for Child#3, Child #4, Child #5 and Child #6 did not include an exemption from immunization for religious belief or strong personal objection equated to a religious belief written, signed and dated statement by the child's parent.

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).

Regulation: 3270.151(a)

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

Noncompliance Area: On 3/28/2023, the most recent health assessment on file for Staff #2 was dated 3/15/2021. The most recent health assessment on file for Staff #4 was dated 3/8/2021.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): The required pre-service health and safety training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-9. Staff person #3 will have until 4/12/2023 to complete the required training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff persons #1 and #2 have not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter trainings on file being dated as follows: 10/25/2017 for Staff #1 and 6/21/2017 for Staff #2.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff persons #1 and #2 will have until 4/12/2023 to complete the mandated reporter training. Until such time as the required training has been completed, staff persons #1 and #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person available to supervise staff persons #1 and #2 staff persons #1 and #2 may not work in a child-care position at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the Renewal Inspection on 3/28/2023, one of the wooden fence posts on the outdoor playground had a piece hanging off of it causing sharp edges to be exposed.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): The required pre-service health and safety training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-9. Staff person #1 will have until 9/28/2022 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.117(a)

Description: Released only to parent or designee

Noncompliance Area: The operator reported that Child #2 was being released to a transportation service at the verbal request of the parent when Child #2 previously attended the facility. The file for Child #2 did not contain anything in writing to designate that the child was to be released to any individual from the transportation service.

Correction Required: A child shall be released only to the child's parent or to an individual designated in writing by the enrolling parent. A child shall be released to either parent unless a court order on file at the facility states otherwise.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: On 3/23/2022, the most recent health report on file for Child #1, a young toddler was dated 8/20/2021.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: During the Renewal Inspection on 3/23/2022, the inhaler for Child #3 had a listed expiration date of January 2022.

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

Regulation: 3270.151(a)

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

Noncompliance Area: During the Renewal Inspection on 3/23/2022, Staff #2 and Staff #3 both had updated health assessments on file. However, the file indicated that Staff #2 began working on 1/25/2022, but did not have an initial health assessment conducted until 3/17/2022. The file indicated that Staff #3 began working on 1/17/2022, but did not have an initial health assessment conducted until 2/2/2022.

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: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: Staff #1 was hired on 3/18/2021. Staff #1 has not yet completed professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR). The operator reported that Staff #1 has this training scheduled for 3/29/2022. Staff #5 completed professional development in pediatric first aid and pediatric cardiopulmonary resuscitation on 1/20/2022. Staff #1 was hired on 9/1/2021.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During the Renewal Inspection on 3/23/2022, the files that were reviewed all had up to date clearances on file and up to date mandated training on file, but they went more than 60 months in between being renewed in some cases. Staff #1 was hired on 3/18/2021. Staff #1 completed mandated reporter training on 3/18/2022. The previous mandated reporter on file for Staff #1 was dated 3/28/2016. Staff #4 updated the child abuse clearance on 1/24/2022. The previous child abuse clearance on file for Staff #4 was dated 9/30/2016. Staff #7 has been employed at the facility since 5/18/2015. The National Sex Offender Registry (NSOR) clearance on file for Staff #7 is dated 3/4/2021. The CPSL required that all staff that had already been working in child care complete the NSOR clearance by 7/1/2020.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). All required staff clearances must be updated at least every 60 months. An approved mandated reporter training must also be completed by all staff at least every 60 months.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: During the Renewal Inspection on 3/23/2022, Staff #8 was observed working alone with a group of 4 infants. Staff #8 qualifies as an aide.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During the Renewal Inspection on 3/23/2022, the hot water temperature for the sinks in both bathrooms in the downstairs of the building measured 117° F.

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

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: During the Renewal Inspection on 3/23/2022, peeling paint was seen on the wall near the window behind one of the cribs in the infant room. Peeling paint along with cracked and rotting wood, which poses a risk of splinters was also seen on the fence outside on 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.136(d)

Description: Communicate report to DOH

Noncompliance Area: On 12/13/2021, Staff #1, the owner notified this Certification Representative that Staff #2 and Staff #3 had previously tested positive for COVID-19. Staff #1 admitted that these positive cases at the facility had not been reported to the Department of Health.

Correction Required: A facility person who knows of a communicable disease for which 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases) requires reporting, or who knows of a group expression of an illness which may be of public concern, whether or not it is known to be of a communicable nature, shall report it promptly to the appropriate division of the Department of Health as specified in Chapter 27, or to a local department of health.

Noncompliance Area: A renewal inspection was conducted on 7/6/2020. At this time, a pack-n-play was not labeled with the child's name that uses it.

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.

Noncompliance Area: A renewal inspection was conducted on 7/6/2020. At this time, the school age girls bathroom had run out of soap. The school age children present were not able to properly was their hands after toileting.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. Liquid or powdered soap shall be used for handwashing.

Noncompliance Area: At the time the renewal inspection was conducted, the files for Facility Person #2 and Facility Person #3 did not contain the National Sex Offender Registry clearance. Facility Person #2 began working on 1/17/2020 and Facility Person #3 began working on 1/20/2020. Neither staff had the clearance or the request of the clearance in their staff file.

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 #2 and #3 may not work in a child care position at the facility until the National Sex Offender Registry clearance is on file.

Noncompliance Area: A renewal inspection was conducted on 7/6/2020. At this time, Facility Person #1, the operator, admitted to using a parking lot area for outdoor play space. This area was not measured or approved by the Regional Office. Also there was no fencing or natural barriers to keep the children safe from vehicles in the parking lot.

Correction Required: Outdoor or indoor play space shall be measured at 65 square feet per child. 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.

Noncompliance Area: A renewal inspection was conducted on 7/6/2020. At this time, two containers of disinfectant wipes were observed in an unlocked desk drawer in the school age section. The drawer was approximately one foot high and accessible to the children in care. Room freshener was observed on a changing table approximately four feet high in the basement bathroom. Lysol spray was observed in a cabinet drawer approximately three feet high in the lunch area of the basement. The disinfectant wipes, room freshener, and Lysol were all labeled "Keep out of reach of children" and were 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.

Noncompliance Area: A renewal inspection was conducted on 7/6/2020. At this time, the first-aid kits in the preschool area and in the basement did not contain tape.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: A renewal inspection was conducted on 7/6/2020. At this time, peeling paint was observed on the door leading to the basement and outside play area.

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

Noncompliance Area: On the date of this renewal inspection, a review of staff files was conducted. Staff file # 2 was missing documentation that the staff member was free from communicable diseases and able to work in a child care role at the facility.

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

Noncompliance Area: On the date of this renewal inspection, a review of staff files was conducted. Staff # 1's annual hire date is December 13th. Staff file # 1 did not contain complete documentation of the annual 6 hours of child care training completed by 12/13/18.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: On the date of this renewal inspection, a review of staff files was conducted. Staff file # 3 and Staff file # 4 contain a document that needs to be translated for the appropriate qualification of these staff roles within the facility.

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.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: A small toy in a plastic bag was observed in a child's backpack in the first classroom, accessible to children 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.

Noncompliance Area: Records for Child #1, #2, #3, #5, #6, #7, and #8 did not contain child service reports that have been completed within the last 6 months, and all children have been enrolled at the facility for at least 6 months.

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: Staff #2 began working in child care on 1/10/18, but did not complete a tuberculosis screening until 3/8/18. Staff #3 began working in child care on 3/14/18, but did not get tuberculosis results read until 3/15/18. Staff #4 began working on 3/27/18, but did not get a health assessment or tuberculosis screening completed until 4/2/18. Staff #7 had a health assessment completed on 5/11/15, and not again until 3/2/18, which extends longer than the required 24 months. Staff #8 had a health assessment completed on 8/13/15, and not again until 3/2/18, which extends longer than the required 24 months.

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.

Noncompliance Area: Per information from the staff and administrator at the facility, infant bottles are being handwashed and kept at the facility, and not provided by parents daily or washed in a commercial dishwasher.

Correction Required: Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

Noncompliance Area: One Cosco pink toddler booster chair with a back was observed in Bus 1 to have expired in 2014. Another similar Cosco pink toddler booster chair with a back did not have the manufacturer's instructions present in the vehicle. A Harmony booster seat was observed in Van 8, but the vehicle did not have the manufacturer's instructions present in the vehicle.

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

Noncompliance Area: Emergency contact information for many children in many classroom has not been updated in the classroom binders when the forms were updated with the main facility file.

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

Noncompliance Area: Record for staff #6 is missing one written letter of reference. Record for facility person #5 is missing two written letters of reference.

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

Noncompliance Area: Staff #6 has not completed emergency plan training in the last year, or at the last emergency plan update. Date of last emergency plan training: 9/28/16. Date of last emergency plan update: 10/29/17.

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

Noncompliance Area: Olive oil hair sheen, labeled 'Keep Out of Reach of Children' was observed in a cubby upstairs by the bathrooms, accessible to children. Pomada de Arnica, labeled 'Keep Out of Reach of Children' was observed in a low drawer in the downstairs preschool classroom, accessible to children. Two first-aid kits were in low drawers in the school-age classroom accessible to children, and one of them had Neosporin ointment, labeled 'Keep Out of Reach of Children.'

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

Noncompliance Area: The first-aid kit in Van 8 was missing tape. The first-aid kit in Bus 1 was missing water.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.A first-aid kit, including the contents as specified in 3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Noncompliance Area: Mounting equipment for a shelf in the school-age classroom was observed to have been pulled out of the wall, exposing damaged wall surfacing and a sharp screw. Chipping/splintering wood was observed in multiple spots on the fence on the playground. The pink roof of the playhouse and a piece on the side of the purple dinosaur see-saw were observed to have cracks, creating pinch points. The backseat of Bus 7 was observed to be torn, with the inner foam of the seat exposed. Peeling paint was observed upstairs in the main lobby under the Spongebob and near the large girls' bathroom upstairs.. Multiple ceiling tiles in the small boys' bathroom upstairs were observed to have water stains.

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.

Noncompliance Area: DURING AN UNANNOUNCED MONITORING VISIT CONDUCTED ON 2/5/18, STAFF #2 AND STAFF #3 WERE OBSERVED TO BE RESPONSIBLE FOR TWO GROUPS OF SCHOOL-AGE CHILDREN DOWNSTAIRS. NEITHER STAFF WAS ABLE TO IDENTIFY BY NAME ALL CHILDREN IN THEIR GROUPS. STAFF #3 STATED THAT HE DID NOT KNOW THE NAMES OF ALL THE CHILDREN IN HIS GROUP BECAUSE HE WAS NEW.

Correction Required: 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 facility staff to receive a minimum of 4 hours of PQAS approved training regarding supervision of children. It does not matter if the PQAS approved training is through the Regional Key. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: RECORD FOR STAFF PERSON #3 DID NOT CONTAIN PROOF OF TB TESTING COMPLETED WITHIN 12 MONTHS OF START DATE IN CHILD CARE. STAFF BEGAN WORKING IN CHILD CARE ON 1/2/18, BUT THE TB TEST ON FILE FOR THE STAFF WAS DATED 9/2/16.

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: RECORD FOR STAFF #3 DID NOT CONTAIN TWO WRITTEN NON-FAMILY REFERENCES.

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

Noncompliance Area: THE STATE POLICE CLEARANCE FOR STAFF #3, WHO BEGAN WORKING IN CHILD CARE ON 1/2/8, WAS DATED 10/4/16, BUT ONLY STATED THAT THE REQUEST WAS UNDER REVIEW. A COMPLETED CLEARANCE WAS NOT PRESENT IN THE FILE, AND UNABLE TO BE OBTAINED FROM THE INITIAL REQUEST.

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: THE RECORD FOR STAFF #3, WHO WAS OBSERVED TO BE WORKING WITH CHILDREN IN A STAFF POSITION ON 2/5/18, DID NOT CONTAIN PROOF OF EDUCATION OR EXPERIENCE PRIOR TO WORKING IN CHILD CARE TO QUALIFY AT ANY STAFF POSITION.

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.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: RECITE: DURING AN UNANNOUNCED MONITORING VISIT ON 11/20/17, A GROUP OF 15 SCHOOL-AGE CHILDREN WAS IDENTIFIED BY STAFF #1 AS THE PRIMARY GROUP FOR SUPERVISION, BUT 5 OF THOSE CHILDREN WERE IDENTIFIED TO BE IN THIRD GRADE. THIS IS A GROUP SIZE THAT WOULD REQUIRE A 1:12 RATIO, AND AN ADDITIONAL STAFF PERSON. A PLAN OF CORRECTION WAS RECEIVED FROM THE PROVIDER STATING THAT: ON THAT DAY, ANOTHER STAFF PERSON WAS ADDED TO THE GROUP AND CHILDREN WERE REGROUPED INTO THE PROPER RATIO. RATIOS ARE MONITORED EVERY DAY AND ALL SCHOOL-AGE GROUPS ARE GROUPS OF 1:12 RATIOS, TO MAKE SURE THAT RATIOS ARE MAINTAINED FOR SCHOOL-AGE CHILDREN AT ALL TIMES. ALL GROUPS OF CHILDREN WILL FOLLOW PROPER RATIOS AT ALL TIMES. ON 2/5/18, DURING AN UNANNOUNCED MONITORING VISIT, A GROUP OF 12 CHILDREN WAS OBSERVED WITH STAFF #1. CHILD #1 WAS IDENTIFIED TO BE A 3 YEAR OLD, AND THE REST WERE IDENTIFIED TO BE SCHOOL-AGE CHILDREN. THIS GROUPING OF CHILDREN WOULD REQUIRE A RATIO OF 1:10, AND TWO STAFF PERSONS MUST BE PRESENT WITH A GROUP THIS SIZE.

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. The legal entity must arrange for all facility staff to receive a minimum of 2 hours of PQAS approved training regarding maintaining proper ratios. It does not matter if the PQAS approved training is through the Regional Key. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: On 11/14/17 after school, Staff #1 left Child #1 unattended on a small school bus across the street from the daycare. Child #1 woke up, crossed the street and rang the doorbell for the daycare to be let in.

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 transportation staff to receive a PQAS training regarding supervision of children on the bus. The length of this training will be determined by the training organization. It does not matter if the PQAS approved training is through the Regional Key. The legal entity must receive DHS approval of the training content prior to scheduling the training. Children may not be left unattended in a vehicle.

Noncompliance Area: DURING AN UNANNOUNCED MONITORING VISIT ON 11/20/17, A GROUP OF 15 SCHOOL-AGE CHILDREN WAS IDENTIFIED BY STAFF #1 AS THE PRIMARY GROUP FOR SUPERVISION, BUT 5 OF THOSE CHILDREN WERE IDENTIFIED TO BE IN THIRD GRADE. THIS IS A GROUP SIZE THAT WOULD REQUIRE A 1:12 RATIO, AND AN ADDITIONAL STAFF PERSON. DURING AN UNANNOUNCED VISIT ON 7/24/17, A GROUP OF 8 INFANTS AND 2 YOUNG TODDLERS WERE PRESENT WITH TWO STAFF PERSONS IN THE INFANT CLASSROOM, A GROUP SIZE THAT REQUIRES AT LEAST 3 STAFF TO MAINTAIN THE RATIOS. A PLAN OF CORRECTION WAS RECEIVED THAT ' In the future, we will make sure that all classroom staff and children are in ratio. Also, we put a sign so parents understand that if classroom is in ratio, they have to drop the children in another classroom that is available.'

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: THE SMALLER WHITE REFRIGERATOR IN THE KITCHEN DID NOT HAVE AN OPERABLE THERMOMETER TO MONITOR THE TEMPERATURE OF THE FRIDGE. A THERMOMETER WAS PLACED IN THE FRIDGE DURING THE INSPECTION.

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

Noncompliance Area: FEE AGREEMENTS FOR CHILD #1, #2, #3, #4 AND #5 DO NOT CONTAIN FEE AMOUNT TO BE CHARGED OR THE DATE ON WHICH THE FEE IS TO BE PAID.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: THE EMERGENCY CONTACT FORMS FOR CHILD #4 AND #5 DO NOT CONTAIN INSURANCE POLICY NUMBERS FOR THE INSURANCE COVERAGE.

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.