Lehigh Valley Childrens Center At Campus

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 5/26/26 during a complaint inspection, it was reported that Staff # 1 shoved Child # 1 during snack and hit Child # 1 in the back with a stick. This was reported by Staff # 2 and Child # 1.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. Tiered LIS: 1. A facility person may not use any form of physical punishment, including spanking. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all staff to receive a minimum of three hours of training regarding Supervision. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. This portion of the plan shall have a correction date of when the training will be completed.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Emergency contact form for child # 1 did not contain telephone number for child's physician.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Emergency contact form for child # 1 did not contain health insurance policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Facility has not conducted an emergency drill annually. Last one was conducted on 12/18/24.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: File for Staff # 1 was not in compliance with CPSL regulations. File for Staff # 1 contained FBI and NSOR clearances dated several months after hire. Date of FBI clearance, 12/17/25 and date of NSOR clearance, 12/12/25.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: on 4/22/25 staff # 1 was observed by two staff persons roughly grabbing child # 1 from under the arms and dropping Child # 1 on the ground. Child # 1 then fell backwards and hit head on the concrete.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. Tiered LIS: 1. Facility person may not use any form of physical punishment, including spanking a child. This portion of the plan must have an immediate correction date. 2. Staff # 1 must take a PQAS approved training related to handling children with difficult behaviors. It does not matter if the PQAS approved training is done through ELRC. The Legal Entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date when this training will be completed.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The emergency transportation plan was not posted in the Infant room, Toddler Room, Mixed Toddler Room, School-Age Room, Pre-K Counts # 1 and # 2 rooms.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: File for Staff # 1 was not in compliance with CPSL regulations. File for Staff # 1 contained late clearances. FBI Clearances dated 12/30/19 and 1/24/25, NSOR Clearances dated 12/19/19 and 1/2/25.

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

Regulation: 3270.113(b)/3270.113(e)

Description: No physical punishment /Restraints prohibited

Noncompliance Area: A complaint investigation was conducted on 1/3 and 1/24/25. During staff interviews it was determined that on 12/20/24 Staff # 1 grabbed Child # 1 by the wrist and drug him across the room. Earlier in the day, Staff # 1 was also observed with Child # 1's arm across child's chest, while carrying child.

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

Regulation: 3270.113(b)/3270.113(e)

Description: No physical punishment /Restraints prohibited

Noncompliance Area: A complaint investigation was conducted on 1/3 and 1/24/25. During staff interviews it was determined that on 12/20/24 Staff # 1 grabbed Child # 1 by the wrist and drug him across the room. Earlier in the day, Staff # 1 was also observed with Child # 1's arm across child's chest, while carrying child.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. The legal entity must create a policy on not using physical discipline. 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 they understand and will follow the supervision policy.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: There is a used diaper in the PKC 1 classroom in a hand free, lidded, UNLINED garbage can in the toileting area of the classroom.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Facility staff # 1 does not have PQAS approved Pediatric First Aid and CPR. Facility staff # 1 has Basic Life Support, Child CPR, AED and Infant CPR.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The 2nd floor children's bathroom used by the children has 4 stained tiles. There are 2 stained tiles in the SA classroom on the 3rd floor on the left-hand side of the entrance of the classroom. There is a nail sticking out of the paneling on the right wall panel above the sink accessible to the children in the children's bathroom on the 1st floor. In the same bathroom there re sharp screw holes to the left entrance on the wall accessible to the children. The lock on the drawer labeled "teachers" on the counter in the ITCS classroom is broken and there are 4 lights closest to the changing table area that are broken or need to be replaced as they blink constantly. The lock on the mixed toddler pull out drawer of the counter is broken. The changing pad in the infant room on the first floor is ripped.

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

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: The school aged classroom on the third floor does not have a daily schedule.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.131(d)(5)/3270.131(e)(2)(i)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: Child # 1 has not had a flu shot in over 12 months since 12/16/19, nor do they have a written note on file signed and dated by a parent or guardian for exemption for religious beliefs or a strong personal objection.

Correction Required: A health report shall include a review of the child's immunized status according to 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.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: There is Children's Acetaminophen and Baby Cough Medicaine that expired on 12/2021 in the infant room medication box.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: There is an unlabeled infant bottle in the Mixed Toddler classroom.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child # 1 has not had their emergency contact form updated in over 6 months from 6/6/22 to 1/9/23. Emergency contact forms in all classroom emergency bags have not been updated in over 6 months for child # 2 and child # 3. Child # 2 last update in emergency classroom bag on 6/15/22 and child # 3 last update in emergency classroom bag on 5/31/22.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility staff # 1 hired and working in childcare over 45 days does not have a DHS FBI clearance on 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 #1 may not work in a child care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There is toxic hand sanitizer on a shelf on top of the microwave in the Pre-K Counts 1 classroom accessible to the children.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid tackle box kit located in the Infant classroom on the shelf with the first aid sign above the first aid kit, does not have scissors, tape or gloves in the kit.

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

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: There are 2 stained ceiling tiles in the school aged bathroom on the 3rd floor. The tiles are to the left of the entrance. The 3rd floor school aged classroom has a broken drawer on a cabinet in the classroom. There is chipped cracked plaster on the top of the back wall in the third-floor school age bathroom.

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

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: The infant classroom high chairs do not have t shaped safety straps. The highchairs only have a buckle from the left to right, missing the middle ring piece and connector of the t strap. The ITCS classroom has a feeding chair for the children that is missing a buckle strap. Only one strap was attached to the chair.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Child # 6 was napping in the left corner of the ICTS classroom from the classroom entrance. Child # 6 did not have 2 feet of space on 3 sides of mat bumped up to the corner of the classroom walls.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: Facility Pre K counts 1 classroom refrigerator is not cleaned and has liquid spilled and dried on the inside base of the fridge. Facility School age classroom refrigerator is not cleaned and has liquid spilled and dried on the inside base of the fridge.

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

Regulation: 3270.121(a)/3270.121(b)

Description: Review policies and procedures/Given parents in writing

Noncompliance Area: Child # 1 enrolled and attending child care since 9/3/21 did not have a financial agreement form on file at time of enrollment until 1/31/22. Child # 3 enrolled and attending child care since 1/3/22 does not have a financial agreement form on file. Child # 4 does not have a fee agreement on file .(emergency contact form for child #4 was completed on 2/4/22).

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. 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)(6)

Description: Admission date

Noncompliance Area: Child # 4 does not have a date of admission on file.

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

Regulation: 3270.131(d)(5)/3270.131(e)(2)(i)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: Child # 2 enrolled and attending facility since 7/29/20 does not have a medical policy number on file. Child #2 (DOB 6/25/19) does not have proof of the influenza vaccination on file or a letter of strong personal objection or religious belief objection written by a parent or guardian of child # 2. Child # 4 has no immunizations on file with health assessment that states "see attached".

Correction Required: A health report shall include a review of the child's immunized status according to 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.

Regulation: 3270.133(1)/3270.133(5)

Description: Original container/Original label

Noncompliance Area: Child # 5 has an albuterol sulfate inhaler on file with no prescription or original label.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The facility diapering can in the second floor children's bathroom has a broken lid at the diapering area. The diapering can is not hands free because of the broken lid.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.151(a)

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

Noncompliance Area: Facility person # 3 did not have a health assessment on file in over 24 months from 9/15/19 to 2/9/22.

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

Regulation: 3270.161(a)

Description: Wholesome

Noncompliance Area: The facility school aged classroom refrigerator has grape jelly that expired on 8/11/21.

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

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: Facility person # 2 does not have proof of a high school diploma or GED on file . Facility person # 2 only has college transcripts and proof of higher education on file.

Correction Required: 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Facility person # 4 has not had emergency plan training in over 12 months since 1/16/21.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Facility person # 1 has Pediatric First Aid and CPR that expired in 2021.

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: 3270.31(f)(10)

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

Noncompliance Area: Facility person # 2 hired and working in child care over 90 days since 11/8/21 does not have Pediatric First aid and CPR on file.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Facility director has not completed a staff evaluation in over 12 months for facility staff # 3 from December 2019 to January 2022.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There is toxic hand sanitizer on a shelf in the pre k counts 3 classroom accessible to the children.

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

Regulation: 3270.75(b)/3270.75(c)

Description: Inaccessible to children/Has all items

Noncompliance Area: The first aid kit in the school age classroom emergency bag is on a shelf accessible to the children. The first aid kit in the pre k counts 1 classroom emergency bag is on a shelf accessible to the children. The first aid kit in the school age classroom emergency bag is on a shelf accessible to the children. The first aid kit in the pre k counts 3 classroom emergency bag is on the classroom floor assessible to the children. The first aid kit in the ICTS classroom has no soap in the first aid kit.

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

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: The 3rd floor school age classroom has 2 ceiling tiles in the left hand back corner that are stained. The school age classroom back wall window to the right has peeling chipped paint on the window trim base. The back right hand side wall of the school age classroom has peeling chipped paint in the right corner of the wall. The school aged classroom back wall floor base has peeling chipped paint in the center arear of the wall base. Facility 3rd floor children's bathroom has stained ceiling tiles. Facility school aged classroom cabinet drawer on the right of the facility entrance facing the back wall is missing the bottom cabinet outside drawer cover and handle.

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: 3270.82(h)/3270.134(d)

Description: Handwashing signs/Liquid or powdered soap

Noncompliance Area: The Pre K Counts 1 classroom sink used by the children for hand washing outside the toilet area does not have a hand washing sign. The ICTS toileting sink in the classroom has no soap for handwashing.

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

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

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

Noncompliance Area: Facility self reported a complaint to the regional office on 12/30/21 that child # 1 was left alone outside the door on the playground and reportedly unsupervised for approximately 10 minutes. Staff reported coming in, removing coats, washing hands, and sitting down to eat before staff #3 noticed the child outside and took child back to the classroom. Facility staff # 1 & # 2 were assigned to be supervising child # 1 when it was observed by facility staff #3 that child was still outside alone.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The facility will develop written policy regarding supervision during transitional periods, specifically addressing children going outside. The policy will be approved by OCDEL. All employees will sign off that they have reviewed the supervision policy.

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

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

Noncompliance Area: Facility self reported a complaint to the regional office on 12/30/21 that child # 1 was left alone outside the door on the playground and reportedly unsupervised for approximately 10 minutes.. Staff reported coming in, removing coats, washing hands, and sitting down to eat before staff #3 noticed the child outside and took child back to the classroom. Facility staff # 1 & # 2 were assigned to be supervising child # 1 when it was observed by facility staff #3 that child was still outside alone.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours PQAS approved training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

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

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

Noncompliance Area: Facility self reported a complaint to the regional office on 12/30/21 that child # 1 was left alone outside the door on the playground and reportedly unsupervised for approximately 10 minutes.. Staff reported coming in, removing coats, washing hands, and sitting down to eat before staff #3 noticed the child outside and took child back to the classroom. Facility staff # 1 & # 2 were assigned to be supervising child # 1 when it was observed by facility staff #3 that child was still outside alone.

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

Noncompliance Area: During the Renewal Inspection on 1/28/2020, the immunizations attached to the updated health report for Child #1, DOB-3/14/2017 showed that not all of the immunizations recommended by the ACIP between the age of 12-15 months were given to the child. The file for Child #1 did not include an exemption from immunization for religious belief or strong personal objection equated to a religious belief written, signed and dated 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.

Noncompliance Area: During the Renewal Inspection on 1/28/2020, a container of bleach and sanitizer tablets were seen in an unlocked cabinet in the Pre-K Counts 1 classroom. Both items read keep out of reach of children on the container.

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: During the Renewal Inspection on 1/28/2020, the hot water temperature for the sink in the Pre-K Counts 2 classroom was measured and reached 114 F.

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

Noncompliance Area: During the Renewal Inspection on 1/28/2020, a cracked outlet cover case with sharp edges exposed was seen in the school age classroom. A cracked lattice with sharp edges exposed was also seen on the fence outside in the toddler play area.

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

Noncompliance Area: The facility self-reported that on the afternoon of 08/15/2019, Staff #1 was subbing at the LVCC Campus location in the preschool classroom. Upon entering the building from the outside playground area, Staff #1 conducted a supervision check of her group. However, once inside Child #1, age 3 remained outside the door unsupervised. A teacher within the building observed the child outside of the door and brought the child inside. Written statements from staff verified this incident. Video surveillance showed that Child #1 was unsupervised outside for nearly 2 minutes on the afternoon of 8/15/2019.

Correction Required: The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: It was verified through written and verbal statements from staff that on 7/16/2019, Child #1 was throwing rocks outside near Staff #1. Child #1 ignored several redirections from Staff #1 to stop throwing rocks. Staff #1 then told Child #1 that he would punch him if he were hit with the rocks. Staff #1 quoted himself in writing, "I will punch you if you hit me with the rocks."

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children.

Noncompliance Area: During a pool visit on 7/18/2019, Facility Person #2 was identified as the lifeguard for this location. However, Facility person #2 left the pool area while the children were still in the water.

Correction Required: When children are swimming, supervision shall include one person certified in lifeguard training, as described in 3270.31(e)(4)(iii) (relating to age and training).

Noncompliance Area: During a pool visit on 7/18/2019, Staff #1 was included in the staff to child swim ratio. It was later discovered that the state police clearance on file for Staff #1 was from 7/2/2014. This clearance was not within previous 5 years.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). All clearances must be updated at least every 5 years. 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 #1 may not work in a child care position at the facility until an updated state police clearance is requested and received.

Noncompliance Area: During a pool visit on 7/18/2019, the first-aid kit at the pool was missing scissors and gloves.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at 3270.75(c).

Noncompliance Area: On 1/23/2019, the most recent health report on file for Child #1, a Young Toddler was dated 4/6/2018. The health report for Child #1 documented that the parent has refused immunizations for the child. However, an exemption statement from the child's parent documenting exemption from immunizations for religious belief or strong personal objection equated to a religious belief was not on file. The most recent health report on file for Child #2, also a Young Toddler was dated 6/25/2018.

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. 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.

Noncompliance Area: On 1/23/2019, the mandated reporter training that was on file for Staff #1 was dated 2/21/2013.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). All staff must completed an approved mandated reporter training at least every 5 years, as required by the CPSL.

Noncompliance Area: On 1/23/2019, the hot water temperature for one of the sinks in the Pre-K Counts 2 classroom measured 117 F. The hot water temperature for one of the sinks in the Older Toddler classroom measured 113 F.

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

Noncompliance Area: On 1/23/2019, one of the windows in the Preschool classroom on the 2nd floor of the building was missing a bracket. This caused the window to open more than 6 inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Noncompliance Area: The following was observed on 1/23/2019: The lattice outside in the toddler play area was cracked and hanging off of the fence, cracks were on one of the sheds outside, and one of the toilets in the bathroom on the 2nd floor was missing a seat.

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.Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: On 1/23/2019, the fire drill log showed that the last documented fire drill at the facility was held on 11/3/2018.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting. A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.

Noncompliance Area: Staff #1 admitted that she forgot that the child's medications (Inhaler and an Epipen for bee stings and food allergies) were in the same classroom when the parent asked for them at pick-up on 8/24/2018, the last day of summer daycare.

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

Noncompliance Area: On 7/2/18 a complaint investigation was conducted. In the infant room, inspector observed an infant with her eyes closed sleeping in a swing for approx. 3 minutes. Inspector asked staff if child was sleeping and staff said yes. Inspector directed staff that child should be sleeping in a crib. Inspector remained in room for approx. 5 minutes and child remained in swing.

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

Noncompliance Area: On 7/2/18 a complaint investigation was conducted. Staff 1 does not have emergency plan training on file.

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: On 7/2/18 a complaint investigation was conducted. Staff 2 does not have updated mandated reporter training on file. Staff 2 is used in classrooms to cover breaks. Mandated reporter training on file for staff 2 is dated 2/21/13.

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.

Noncompliance Area: On 7/2/18 a complaint investigation was conducted. Staff 2 does not have proof of education and experience on file to qualify as an aide.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: On 7/2/18 a complaint investigation was conducted. Staff 1 qualifies as an aide and staff 2 does not have proof of education and experience on file and does not qualify as an aide. Both staff 1 and 2 were left alone together in the infant room.

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.

Noncompliance Area: Child #2, #3, #4 and #5 have all attended the facility for more than six months, but did not have any child service reports on file that were completed during the previous six 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: The most recent health report on file for Child #1, an older toddler is dated 1/5/2017. Child #1 recently advanced from the young toddler care level.

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.

Noncompliance Area: A missing outlet cover was observed in the Preschool classroom.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: In the Pre-K Counts 1 classroom, part of the surface covering the radiator is cracked.

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

Noncompliance Area: The fire drill log at the facility is currently in compliance, but showed that a fire drill was held on 4/10/2017 and then not again until 8/15/2017.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: The refrigerators in the PKC 3 and PKC 2 were missing a thermometer.

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

Noncompliance Area: Bolts were found exposed on the fence in the outdoor play areas.

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

Noncompliance Area: Peeling paint was found in the 3rd floor bathroom near the toilet.

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

Noncompliance Area: Several garbage cans throughout the facility were found that did not contain a lid.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle. If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.