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Child Care Center ✓ Licensed

Live n Learn SMILE Center

Birdsboro, PA · Berks County
326 W MAIN ST, Birdsboro, PA 19508
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Quick Facts

Capacity
137 children
Languages
English, English
Subsidized Program
Participates
State Rating
4

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Contact Information

📞 (610) 582-2755
326 W MAIN ST
Birdsboro, PA 19508
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✓ Licensed Child Care Center
Active License
License Number
CER-00258949
License Issued
Oct 9, 2026
Active Through
Oct 9, 2027
Issued By
Pennsylvania Department of Education and Public Welfare
District Office
Early Learning Resource Center for Region 13

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About the Provider

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Live n Learn SMILE Center is a Child Care Center in BIRDSBORO PA, with a maximum capacity of 137 children. It is open Monday - Friday, 7:00 AM - 5:00 PM. The provider also participates in a subsidized child care program.

Hours of Operation

  • Monday7:00 AM - 5:00 PM
  • Tuesday7:00 AM - 5:00 PM
  • Wednesday7:00 AM - 5:00 PM
  • Thursday7:00 AM - 5:00 PM
  • Friday7:00 AM - 5:00 PM
  • Saturday Closed
  • Sunday Closed

Inspection/Report History

Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.

Inspection Date Reason Description Status
2026-07-20 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During renewal inspection on 7/20/26, Certification Representative observed the toilet tank lid to be missing in Toddler 2 room.

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.

Provider Response: (Contact the State Licensing Office for more information.)
We will contact the owner to have the toilet tank cover replaced.
2025-07-09 Renewal 3270.123(a)(6) - Admission date Compliant - Finalized

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: During renewal inspection on 7/9/2025, fee agreement for child #2 did not contain child's date of admission.

Correction Required: An agreement shall specify the date of the child's admission.

Provider Response: (Contact the State Licensing Office for more information.)
Date of admission was added to child #2's fee agreement. All incoming students will have a start date written on the Fee Agreement form. Each form will be double checked by another office employee.
2025-07-09 Renewal 3270.131(b)(1) - Infant: updated health report every 6 months Compliant - Finalized

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: During renewal inspection on 7/9/2025, most recent health assessment on file for child #1 is dated 8/28/2024. Child #1 is a young toddler (see LIS code sheet for date of birth).

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.

Provider Response: (Contact the State Licensing Office for more information.)
Child #1 will have an updated health assessment prior to 7/31/2025 or the child will be denied care until a physical examination is completed. Once physical examination is completed it will scanned and sent to our DHS inspector.
2025-07-09 Renewal 3270.131(d)(5)/3270.131(e)(3) - Immunization record/Dismissal policy Compliant - Finalized

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

Description: Immunization record/Dismissal policy

Noncompliance Area: During renewal inspection conducted 7/9/2025, immunization schedule on file for child #1 does not indicate that child has received the Hepatitis A vaccine. There is no exemption on file. Child #1 is a young toddler (see LIS code sheet for date of birth).

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 must be dismissed from care by close of business 7/9/2025 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Provider Response: (Contact the State Licensing Office for more information.)
The parent of Child #1 was asked to write an exemption letter for her child. Child #1 came back to school on 7/14/2025. The parent of Child #1 emailed over a letter. The parent of Child #1 will be getting a letter from the child's doctor when the child goes for her health assessment on July 24, 2025.
2025-07-09 Renewal 3270.135(b) - Surfaces cleaned Compliant - Finalized

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: During the renewal inspection on 7/9/2025, it was observed that the diapering pad in the infant room was covered with a cloth material, which prevented proper cleaning and sanitization of the surface 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.

Provider Response: (Contact the State Licensing Office for more information.)
The covering on the changing pad was removed when the inspector pointed it out on 7/9/2025.
2025-07-09 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection on 7/9/2025, mandated reporter certificates on file for staff person #1 were dated 5/15/2020 and 5/21/2025, which is past 60 months. Mandated reporter certificates on file for staff person #2 were dated 5/11/2020 and 5/21/2025, which is past 60 months. NSOR clearance on file for staff person #3 is dated 2/18/2025, which was after this person's start date (see LIS code sheet for start date).

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.

Provider Response: (Contact the State Licensing Office for more information.)
Mandated reporter training certificate for staff person #1 and staff person #2 are current. All employees who need a mandated reporter training renewal will have to have it completed a month prior to the due date starting on 7/11/2025. NSOR clearance on file for staff person #3 is current. All new hires must have ALL DHS required clearances in hand prior to starting work in the center.
2025-02-05 Allocated Unannounced Monitoring 3270.106(j) - Prohibit items in crib Compliant - Finalized

Regulation: 3270.106(j)

Description: Prohibit items in crib

Noncompliance Area: During allocated unannounced monitoring conducted on 2/5/2025, a stuffed animal toy was observed in the crib with a sleeping infant.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Provider Response: (Contact the State Licensing Office for more information.)
All toys, stuffed animals, pillows or any other object shall not be in a child's crib. We will be going over this at our staff meeting on Monday 2/10/2025
2025-02-05 Allocated Unannounced Monitoring 3270.119 - Infant sleep position Compliant - Finalized

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: During allocated unannounced monitoring conducted on 2/5/2025, child #1 was observed to be sleeping in a portable infant bouncer. Staff members reported that child ate approximately 10-15 minutes prior and cannot be laid down flat after eating for at least 20-30 minutes. There was not a note signed by a physician in the child's file. Child #1 is an infant.

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

Provider Response: (Contact the State Licensing Office for more information.)
The child's doctor faxed over during our inspection, the paperwork stating that the child must sit up for a certain amount of time after feeding.
2025-02-05 Allocated Unannounced Monitoring 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During allocated unannounced monitoring conducted on 2/5/2025, file for staff person #1 indicates that they have lived outside of PA within the past 5 years. File contained criminal history check from NY; however, did not contain child abuse or SOR check from NY for staff person #1.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Once our inspector sent the website to obtain out of state clearances, the documents were printed and given to the employee to fill out and get notarized.
2024-07-09 Renewal 3270.124(b)(3) - Parent home/work address, phone Compliant - Finalized

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During renewal inspection, the following information was missing from children's emergency contact forms: Child #1: Both parents' work addresses and work telephone numbers. Child #2: Both parents' work addresses and work telephone numbers. Child #3: Both parents' work addresses and work telephone numbers. Child #4: Father's work address and work telephone number. Child #5: Both parents' work addresses and work telephone numbers. Child #6: Both parents' work addresses and work telephone numbers. Child #7: Both parents' work addresses and work telephone numbers. Father's home telephone number.

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

Provider Response: (Contact the State Licensing Office for more information.)
Each parent that is missing any information on their emergency contact will be asked to fill in the missing information. If they are unemployed, they will be asked to write in unemployed.
2024-07-09 Renewal 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During renewal inspection, one-hour update to health and safety training on file for staff person #2 is dated 2/22/2023. All staff were supposed to complete training no later than 12/30/2022 (see LIS code sheet for start date).

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.

Provider Response: (Contact the State Licensing Office for more information.)
Going forward all new employees must complete the (10 hour) Get Started with Center-Based Care: Building Blocks for Quality training prior to working in a classroom. If any updates to this training are required by DHS/OCDEL they must be completed prior to the due date.
2024-07-09 Renewal 3270.151(c)(3)/3270.151(c)(5) - Exam communicable disease/Physician/CRNP assessment Compliant - Finalized

Regulation: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: During renewal inspection, health assessment for staff person #1 did not contain results of examination for communicable diseases or the physician's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Provider Response: (Contact the State Licensing Office for more information.)
The health assessment on Krista Chafin was not completed in its entirety by her physician. The form was faxed over to her doctor's office for them to check off the necessary boxes on the form. Once the form was looked over and completed the doctors office then faxed it back to the center. It was then sent to our state inspector.
2024-04-04 Complaints- Legal Location 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children Compliant - Finalized

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

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

Noncompliance Area: On 3/25/24, staff #1 left an infant asleep in the crib in the classroom unattended.

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. Staff #1 is required to receive 2 hours of supervision training.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 will be taking 2 hours of supervision training.
2024-04-04 Complaints- Legal Location 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children Compliant - Finalized

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

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

Noncompliance Area: On 3/25/24, staff #1 left an infant asleep in the crib in the classroom unattended.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Children will be supervised at all times.
2024-04-04 Complaints- Legal Location 3270.113(a)/3270.113(a)(1) - Supervised at all times /Staff assigned to specific children Compliant - Finalized

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

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

Noncompliance Area: On 3/25/24, staff #1 left an infant asleep in the crib in the classroom unattended.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must review and update their written supervision policy and procedures to be implemented in the facility in both the staff handbook and parent handbook. The legal entity will submit policy/procedures to the Northeast Regional Office for approval. All existing staff and new hires must be trained on the approved policy and procedure and it must be documented in their files. Policies relating to supervision at pick up and drop off must also be shared with parents.

Provider Response: (Contact the State Licensing Office for more information.)
Staff and parent handbooks have been reviewed and revised as of 4/22/24. Once OCDEL approves the updates, each parent and employee will receive a copy. All new staff receive a copy of the handbook.
2023-09-06 Complaints- Legal Location 3270.113(b) - No physical punishment Compliant - Finalized

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 9/6/23, staff person #1 slapped child #1 in the face after the child bit staff person #1.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 was immediately terminated.
2023-07-25 Renewal 3270.131(e)/3270.131(e)(2)(i) - ACIP recommended immunization record /Exemption documentation from parent/guardian Compliant - Finalized

Regulation: 3270.131(e)/3270.131(e)(2)(i)

Description: ACIP recommended immunization record /Exemption documentation from parent/guardian

Noncompliance Area: During the renewal inspection on 7/25/23, Child #1 did not have documentation of influenza vaccine, MMR, Varicella, or Hep A as recommended by the ACIP. No exemption letter is on file. Child #1 may not return for care until documentation of the vaccines or an exemption letter are on file.

Correction Required: 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. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Provider Response: (Contact the State Licensing Office for more information.)
Child will not return until the parent submits an exemption letter.
2023-07-25 Renewal 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: As of the renewal inspection on 7/25/23, the facility did not have a continuity of operations plan as required.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Continuity of operations plan will be added to the emergency plan.
2023-03-13 Change in Location Capacity Change in Location Capacity Compliant - Finalized
2023-02-22 Renewal 3270.27(a)(5) - Emergency plan Compliant - Finalized

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, there was no accommodations for infants and toddlers in the emergency plan.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Provider Response: (Contact the State Licensing Office for more information.)
Plan was updated to include accommodations for infants and toddlers.
2023-02-22 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 3/13/23 during the renewal inspection, the rubber moulding under the window in the school age room was coming 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.

Provider Response: (Contact the State Licensing Office for more information.)
Maintenance man will repair rubber moulding.
2022-02-16 Renewal 3270.106(a) - Clean, age appropriate Compliant - Finalized

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: On 2/16/22 during the renewal inspection, the cribs being used by infants were not labeled with their name.

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

Provider Response: (Contact the State Licensing Office for more information.)
Cribs were labeled.
2022-02-16 Renewal 3270.166(4) - Bottles labeled Compliant - Finalized

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: On 2/16/22 during the renewal inspection, there were bottles for child #1 and #2 that were not labeled.

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

Provider Response: (Contact the State Licensing Office for more information.)
The bottles were labeled.
2022-02-16 Renewal 3270.31(g) - Professional development certificate Compliant - Finalized

Regulation: 3270.31(g)

Description: Professional development certificate

Noncompliance Area: On 2/16/22 during the renewal inspection, the health and safety training for staff #1 was dated 7/22/16, for staff #2 it was dated 8/18/16 and for staff #3 it was dated 7/30/16, all prior to the acceptable date of 9/30/16.

Correction Required: Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Provider Response: (Contact the State Licensing Office for more information.)
Staff will take updated health and safety training.
2020-02-04 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Noncompliance Area: A renewal inspection was conducted on 2/4/2020. At that time, a cracked plastic tote lid was observed in the School Age classroom. A large roll of butcher paper was observed in the bathroom of Room 6, posing a crushing hazard. A cracked toy playhouse was observed on the playground. A ripped seat was observed on the school bus.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Director immediately disposed of tote lid and playhouse. Butcher paper was immediately moved to the supply closet. Director covered the ripped seat with duct tape. In the future, the bus will be checked daily to make sure it is in good repair. The classrooms will be checked monthly to make sure the equipment is in good repair and there are no visible hazards.
2020-02-04 Renewal 3270.119 - Infant sleep position Compliant - Finalized

Noncompliance Area: A renewal inspection was conducted on 2/4/2020. At that time, a infant was observed sleeping in a crib with a pacifier that had a toy elephant attached to it.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff immediately removed the pacifier with the attached toy from the crib. In the future, staff will make sure to follow the safe sleep recommendations made by the AAP.
2020-02-04 Renewal 3270.27(c) - Training regarding plan Compliant - Finalized

Noncompliance Area: A renewal inspection was conducted on 2/4/2020. At that time, the file for Facility Person #3 did not contain documentation of emergency plan training conducted at onset of employment. (Facility Person #3 date of hire: 8/26/19; emergency plan training on file: 11/19/19)

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.

Provider Response: (Contact the State Licensing Office for more information.)
In the future, provider will train all staff on emergency plan within one week of hire and annually thereafter. Provider will keep all emergency plan training documents in staff files.
2020-02-04 Renewal 3270.33(a)/3270.36(b)(5) - Each staff person meets quals/HS/GED + 2 yrs Compliant - Finalized

Noncompliance Area: A renewal inspection was conducted on 2/4/2020. At that time, Facility Person #1 and Facility Person #2, assistant group supervisors, had high school diplomas on file but did not have verification of experience on file at the facility.Provider will obtain verification of two years' experience for Facility Person #1 and Facility Person #2 and keep on file at the facility. In the future, provider will make sure each staff have on file verifications of education or experience for the position that they qualify for.

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

Provider Response: (Contact the State Licensing Office for more information.)
Provider will obtain verification of two years' experience for Facility Person #1 and Facility Person #2 and keep on file at the facility. In the future, provider will make sure each staff have on file verifications of education or experience for the position that they qualify for.
2020-02-04 Renewal 3270.66(a) - Locked or inaccessible Compliant - Finalized

Noncompliance Area: A renewal inspection was conducted on 2/4/2020. At that time, hand sanitizer and Eucerin hand lotion were observed in a child's backpack hanging from a cubby in the Pre K Counts Yellow Room where they were accessible to the children in care. Both were labeled "Keep out of reach of children."

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

Provider Response: (Contact the State Licensing Office for more information.)
Director immediately removed the hand sanitizer and lotion from the classroom. In the future, facility will check daily for any toxics. Facility will have a no back pack rule effective immediately. Staff will check the backpacks of the school age children each day for any toxics.
2019-07-31 Allocated Unannounced Monitoring 3270.66(a) - Locked or inaccessible Compliant - Finalized

Noncompliance Area: An unannounced inspection was conducted on 7/31/19. At that time, Radiant disinfectant wipes were observed on the bottom shelf of an unlocked closet in the bathroom. They were labeled, "keep out of reach of children" and were accessible to the children in the classroom.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff immediately moved the disinfectant wipes so they were on a high shelf inaccessible to the children in care. In the future, staff will check daily for any toxics or cleaning materials that are accessible to children in care.
2019-07-31 Allocated Unannounced Monitoring 3270.76 - Building Surfaces Compliant - Finalized

Noncompliance Area: An unannounced inspection was conducted on 7/31/19. At that time, the outdoor carpeting was ripped on the young playground. A hole where a piece of hardware is missing was observed on the equipment on the older 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.

Provider Response: (Contact the State Licensing Office for more information.)
Provider duct tape the hole and the ripped carpeting so they are no longer a hazard. In the future, provider will check monthly to make sure the facility is in good repair and free of visible hazards.
2018-11-26 Unannounced Monitoring 3270.113(a)(1) - Staff assigned to specific children Compliant - Finalized

Noncompliance Area: During an unannounced inspection on 11/26/18, a supervision check was conducted in each classroom. Staff #1 and Staff #2 in the School-Age classroom, as well as Staff #3 and Staff #4 in the combined Preschool classroom had difficulty identifying the children who were specifically assigned to each person's primary group. In the School-Age classroom, two children were not identified by either staff present, and neither staff knew which specific primary group they were assigned on that day. In the Preschool combined classroom, the staff had not taken responsibility for an assigned primary group until the inspector asked for each staff person's group. At that time, the staff had a conversation and decided how the children would be assigned to each staff person.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Immediately corrected by reinforcing use of color coded dry erase to track children whenever present. A review was done to be sure all lists are current with enrollment and what is done for new children. Staff will always stay with and be able to identify the children in their currently assigned group as well as be able to locate each one. If the staff must be replaced for any amount of time, break or absence, it needs to be clear to the replacement staff who their current group is.
2018-02-12 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 2/12/18. AT THAT TIME, A LARGE PILLOW WAS RIPPED WITH EXPOSED STUFFING IN THE YOUNG TODDLER ROOM. THE TOP OF THE QUIET AREA, WHICH IS A PIECE OF EQUIPMENT IN THE OLDER TODDLER ROOM, WAS RUSTING.

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.

Provider Response: (Contact the State Licensing Office for more information.)
PROVIDER IMMEDIATELY REMOVED LARGE PILLOW AND QUIET AREA FROM CLASSROOMS. IN THE FUTURE, PROVIDER WILL CHECK MONTHLY TO MAKE SURE EQUIPMENT USED BY THE CHILDREN IS IN GOOD REPAIR.
2018-02-12 Renewal 3270.103 - Small Toys and Objects Compliant - Finalized

Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 2/12/18. AT THAT TIME, SMALL DOLL CLOTHES LESS THAN ONE INCH IN DIAMETER WERE OBSERVED IN THE YOUNG TODDLER CLASSROOM. SMALL DOLL SHOES AND SMALL PIECES OF CHALK WERE OBSERVED IN THE OLDER TODDLER CLASSROOM. ALL OF THESE ITEMS WERE ACCESSIBLE TO THE CHILDREN IN THE CLASSROOMS.

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.

Provider Response: (Contact the State Licensing Office for more information.)
STAFF IMMEDIATELY REMOVED THE DOLLS CLOTHES, DOLL SHOES, AND CHALK. IN THE FUTURE, STAFF WILL CHECK CLASSROOMS DAILY FOR ANY ITEMS THAT ARE LESS THAN ONE INCH IN DIAMETER THAT ARE ACCESSIBLE TO THE CHILDREN WHO ARE STILL PLACING ITEMS IN THEIR MOUTHS.
2018-02-12 Complaints- Legal Location 3270.121(a) - Review policies and procedures Compliant - Finalized

Noncompliance Area: A COMPLAINT INVESTIGATION WAS CONDUCTED ON 2/12/18, AT THAT TIME FACILITY HANDBOOK THAT WAS GIVEN TO THE PARENT STATES JUICE IS SERVED WITH SNACK BUT FACILITY DOES NOT SERVE JUICE.

Correction Required: The operator shall review with the parent, at the time of application, 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.

Provider Response: (Contact the State Licensing Office for more information.)
HANDBOOK HAS BEEN CORRECTED. IN THE FUTURE, WE WILL REVIEW THE HANDBOOK ANNUALLY AND UPDATE IT ANY TIME A CENTER POLICY CHANGES.
2018-02-12 Renewal 3270.124(b)(6) - Insurance coverage information Compliant - Finalized

Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 2/12/18. AT THAT TIME, CHILD #5 DID NOT HAVE HEALTH INSURANCE INFORMATION OR POLICY NUMBER ON FILE AT THE FACILITY. CHILD #6 DID NOT HAVE A HEALTH INSURANCE POLICY NUMBER ON FILE AT THE FACILITY.

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.

Provider Response: (Contact the State Licensing Office for more information.)
PROVIDER IMMEDIATELY OBTAINED HEALTH INSURANCE INFORMATION AND POLICY NUMBERS FOR CHILD #5 AND CHILD #6. IN THE FUTURE, PROVIDER WILL MAKE SURE THAT ALL CHILDREN HAVE HEALTH INSURANCE INFORMATION INCLUDING POLICY NUMBER ON FILE AT THE FACILITY AT THE TIME OF ADMISSION.
2018-02-12 Renewal 3270.131(a)/3270.131(d)(5) - Within 60 days/Immunization record Compliant - Finalized

Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 2/12/18. AT THAT TIME, CHILD #8 DID NOT HAVE A HEALTH REPORT WITH IMMUNIZATION RECORDS ON FILE AT THE FACILITY. (DATE OF ADMISSION: 2/27/17)

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 health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Provider Response: (Contact the State Licensing Office for more information.)
PROVIDER OBTAINED HEALTH REPORT WITH IMMUNIZATION RECORD FOR CHILD #8. IN THE FUTURE, PROVIDER WILL MAKE SURE THAT ALL CHILDREN HAVE A HEALTH REPORT WITH IMMUNIZATION RECORD ON FILE AT THE FACILITY WITHIN 60 DAYS OF THEIR DATE OF ADMISSION TO THE PROGRAM.
2018-02-12 Renewal 3270.131(d)(7) - Free from contagious/communicable disease Compliant - Finalized

Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 2/12/18. AT THAT TIME, CHILD #3 DID NOT HAVE A HEALTH REPORT STATING THAT THE CHILD IS ABLE TO PARTICIPATE IN CHILD CARE AND APPEARS TO BE FREE FROM CONTAGIOUS DISEASE.

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.

Provider Response: (Contact the State Licensing Office for more information.)
PROVIDER OBTAINED HEALTH REPORT FOR CHILD #3 STATING THAT THE CHILD IS FREE FROM CONTAGIOUS DISEASE AND IS ABLE TO PARTICIPATE IN CHILD CARE. IN THE FUTURE, PROVIDER WILL MAKE SURE THAT HEALTH REPORTS FOR CHILDREN INCLUDE IF THE CHILD IS ABLE TO PARTICIPATE IN CHILD CARE AND IF THEY ARE FREE FROM CONTAGIOUS DISEASES.
2018-02-12 Renewal 3270.181(c) - Emergency info/agreement updated 6 mos Compliant - Finalized

Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 2/12/18. AT THAT TIME, THE FEE AGREEMENT AND EMERGENCY CONTACT FORM FOR CHILD #2 HAD NOT BEEN UPDATED IN THE PAST 6 MONTHS. (CHILD #2 LAST UPDATE: 5/8/17) THE FEE AGREEMENT AND EMERGENCY CONTACT FORM FOR THE FOLLOWING CHILDREN HAD NOT BEEN UPDATED IN A 6 MONTH PERIOD; CHILD #1 UPDATES: 1/13/17, 1/29/18, CHILD #3 UPDATES: EMERGENCY CONTACT: 2/8/17, 2/5/18 FEE AGREEMENT: 9/13/16, CHILD #4 UPDATES: 2/23/17, 1/31/18, CHILD #5 UPDATES: 9/2/16, 1/26/18, CHILD #7 UPDATES: 1/31/17, 1/31/18, CHILD #8 UPDATES: 2/20/17, 1/26/18

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

Provider Response: (Contact the State Licensing Office for more information.)
PROVIDER HAD PARENTS REVIEW AND UPDATE FEE AGREEMENTS AND EMERGENCY CONTACT FOR CHILD #2 AND CHILD #3. IN THE FUTURE, PROVIDER WILL MAKE SURE THAT PARENTS REVIEW AND UPDATE FEE AGREEMENTS AND EMERGENCY CONTACT FORMS EVERY 6 MONTHS OR AS SOON AS THERE IS A CHANGE IN INFORMATION.
2018-02-12 Renewal 3270.77(a) - No peeling paint or plaster Compliant - Finalized

Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 2/12/18. AT THAT TIME, PEELING PAINT WAS OBSERVED ON THE WALL TO THE LEFT OF THE ENTRANCE TO THE PRESCHOOL CLASSROOM.

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

Provider Response: (Contact the State Licensing Office for more information.)
PROVIDER IMMEDIATELY TAPED OVER THE PEELING PAINT SO THAT IT WAS NOT ACCESSIBLE TO THE CHILDREN. IN THE FUTURE, PROVIDER WILL CHECK MONTHLY FOR PEELING PAINT.
2017-02-15 Renewal 3270.175(c) - Manufacturer's instructions used Compliant - Finalized

Noncompliance Area: Manufacturer's instructions were not present in the van for the booster seats present. Two of the booster seats were also observed to be expired.

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

Provider Response: (Contact the State Licensing Office for more information.)
Facility threw out the expired booster seats on site. Facility will print the manufacturer's instructions for the remaining booster seats and place them in the van. Any new booster seats purchased will be monitored for expiration and will always have the manufacturer's instructions in the van.
2017-02-15 Renewal 3270.181(c)/3270.181(e) - Emergency info/agreement updated 6 mos/Emergency master file updated Compliant - Finalized

Noncompliance Area: Emergency contact form and fee agreement for child #1 has not been updated within the last 6 months. The emergency contact forms for transportation have not all been updated when the master file was updated.

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

Provider Response: (Contact the State Licensing Office for more information.)
Facility will have the parent update and sign the emergency contact form and fee agreement for Child #1. All forms in the binder for transportation will be sorted and forms that are older than 6 months will be updated accordingly. All forms will be updated every 6 months for children, and all forms in the transportation binder will be updated when those forms are updated.
2017-02-15 Renewal 3270.182(3)/3270.182(5) - Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission Compliant - Finalized

Noncompliance Area: Emergency contact form for Child #2 does not contain written consent for emergency medical care or minor first aid.

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

Provider Response: (Contact the State Licensing Office for more information.)
Facility will have the parent or guardian sign for consent for emergency medical care and minor first aid. Facility has begun highlighting these boxes on the forms so that all children will have these consents signed prior to admission.
2017-02-15 Renewal 3270.32(a) - Comply with CPSL Compliant - Finalized

Noncompliance Area: Staff #2, a substitute at the facility, completed a mandated reporter training that was not from an approved DHS source.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff #2 will complete an approved mandated reporter training as soon as possible. Staff #2 will not work at the facility until an approved training is completed. Facility will comply with the CPSL at all times.

If you are a provider and believe any information is incorrect, please contact us. We will research your concern and make corrections accordingly.

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