Jardin De Dios Day Care Center Llc

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During renewal inspection conducted 6/4/2025, exposed bolts were observed on the metal gate of the outdoor play area.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: During renewal inspection conducted 6/4/2025, initial health assessment on file for child #2 is dated 5/16/2025, which was more than 60 days following the first day of attendance at the facility (see LIS code sheet for start date).

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.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: During renewal inspection conducted on 6/4/2025, immunization record on file for child #1 does not reflect that child is immunized according to the recommendations of the ACIP. Child #1's record indicates that child has received 1 of 2 doses of Hep B vaccine. Child #1 does not have Rotavirus, DTAP, HIB, Pneumococcal, or IPV vaccines on file. There is no exemption on file. Child #1 is an infant (see LIS code sheet for DOB).

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 6/4/2025 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.151(a)

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

Noncompliance Area: During renewal inspection conducted 6/4/2025, health assessments on file for staff person #3 are dated 1/27/2023 and 5/19/2025, which is past 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.

Regulation: 3270.151(c)(3)/3270.151(c)(4)

Description: Exam communicable disease/Information re: medical problems

Noncompliance Area: During renewal inspection conducted 6/4/2025, most recent health assessment on file for staff person #1 does not include an examination for communicable diseases and the results of that examination or information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

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 information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: During renewal inspection conducted 6/4/2025, an unlabeled bottle was observed in the infant room (room 1).

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

Regulation: 3270.172(a)

Description: Written parental consent

Noncompliance Area: During renewal inspection conducted 6/4/2025, emergency contact form for child #4, which was located in the facility's bus, did not include signed parental consent for transportation by the facility. Child #4 receives transportation from school.

Correction Required: Transportation by the facility requires written parental consent, except for transportation of school-age children who are transported to or from a child care facility in vehicles owned or operated by the school district.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During renewal inspection conducted 6/4/2025, emergency contact form for child #3 does not include signed parental 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.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During renewal inspection conducted 6/4/2025, letter given to parents which outlines the facility's emergency plan does not include accommodations for infants, toddlers, children with disabilities and children with chronical medical conditions.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection conducted 6/4/2025, PSP clearances on file for staff person #2 are dated 3/11/2020 and 5/13/2025. Child abuse clearances on file for staff person #2 are dated 3/26/2020 and 5/17/2025. These dates are past 60 months. PSP record on file for staff person #4 states "PSP record for control" but no RAP sheet is attached.

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 Person #4 may not work in a child care position at the facility until complete PSP clearance is on file.

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: During renewal inspection conducted on 6/4/2025, staff person #4 was listed as being an AGS. High school transcript for staff person #4 does not indicate that this staff member graduated. There is no high school equivalency on file. Staff person #4 cannot function as an AGS unless high school diploma or GED is presented.

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

Regulation: 3270.92(a)

Description: No portable space heaters

Noncompliance Area: During allocated unannounced monitoring conducted on 1/28/2025, a portable space heater was observed in the director's office on the second floor.

Correction Required: Portable space heaters are not permitted.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During allocated unannounced monitoring conducted 1/28/2025, facility's fire drill log reflected that smoke alarms were tested past 30 days on the following occasions: 7/19/2024-8/19/2024, 8/19/2024-9/20/2024, 10/18/2024-11/19/2024. Additionally, facility's last documented testing of smoke alarms was on 12/16/2024, which is over 30 days ago.

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: 3270.124(b)(3)/3270.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

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

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During renewal inspection, emergency transportation plan was not posted in the infant room.

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(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: During renewal inspection, the following children's health assessments for child #2, child #3, child #4, and child #5 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.

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.

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: During renewal inspection, medication for child #1 was stored in the child's cubby in the young toddler (purple) room, which was accessible to children.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: During renewal inspection, diapering trash can in the young toddler classroom (pink & teal room) did not contain a plastic liner and hands-free pedal was broken.

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: During renewal inspection, health assessments on file for staff person #4 are dated 9/9/2021 and 5/24/2024, which is past 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.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During renewal inspection, staff person #2 obtained 2 hours of annual child care training for training year 11/19/2022-11/19/2023.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person #2 must take 10 hours of professional development to fulfill requirement for training year 11/19/2022-11/19/2023.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: During renewal inspection, the following staff persons did not renew pediatric first-aid/CPR certification on or before the expiration date: Staff person #1: Previous pediatric first-aid/CPR certificate expired on 2/5/2024 and was not renewed until 3/9/2024. Staff person #2: Previous pediatric first-aid/CPR certificate expired on 2/5/2024 and was not renewed until 3/9/2024. Staff person #3: Previous pediatric first-aid/CPR certificate expired on 2/5/2024 and was not renewed until 3/9/2024. Staff person #4: Previous pediatric first-aid/CPR certificate expired on 2/5/2024 and was not renewed until 3/9/2024. Staff person #5: Previous pediatric first-aid/CPR certificate expired on 2/5/2024 and was not renewed until 3/9/2024.

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: During renewal inspection, staff person #6 has PSP clearance request on file dated 3/30/2023, which is not an acceptable clearance. Staff person #5 obtained PSP clearances dated 2/20/2018 and 5/10/2023, child abuse clearances dated 2/27/2023 and 5/12/2023, and FBI clearances dated 2/13/2018 and 5/11/2023, which are all past 60 months.

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 Person #6 may not work in a child care position or be present in the facility until acceptable PSP clearance is on file.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During renewal inspection, Lysol and an air freshener labeled "keep out of reach of children" were observed on a shelf that was accessible to children in the school age area (basement).

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During an unannounced inspection on 9/25/23, children were sleeping in cribs that did not have 2 feet of space on three sides.

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: 3270.61(i)

Description: Measurement and use of indoor child care space

Noncompliance Area: During the week of 8/1/23 and 8/7/23, the facility recorded serving meals to more children than they have a capacity to serve. On 8/2 there were 31 children served at breakfast and snack and 33 served at lunch. On 8/3/23 there were 30 children served at breakfast and snack, and 33 served at lunch. On 8/4 there were 32 children served lunch. On 8/9 there were 32 children served breakfast, snack and lunch. On 8/10 there were 31 children served breakfast, snack and lunch. The licensed capacity for the program is 29.

Correction Required: The total number of children receiving child care services at the facility at any one time may not exceed the facility's maximum capacity.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an unannounced inspection on 9/25/23, the most recent fire alarm test was on 7/31/23 which does not meet the requirement for every 30 days.

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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: As of the renewal inspection on 6/21/23, the emergency contact information for child #1 did not include the address of the physician. The emergency contact information for child #3 did not include the phone number of the 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: As of the renewal inspection on 6/21/23, the emergency contact information for child #1 and child #2 did not include health insurance information.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: As of the renewal inspection on 6/21/23, the emergency contact information for child #2 and child #4 did not include the address of the individual designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

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

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

Noncompliance Area: As of the renewal inspection on 6/21/23, there was no documentation of immunizations, or exemption from immunization for religious belief or strong personal objection equated to a religious belief documented by a written, signed and dated statement from the child's parent or guardian for child #2. Child #2 must be removed from care until proper immunization documentation is 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.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: during the renewal inspection, staff #1 changed the diaper of child #5, and did not wash the child's hands after the diaper change.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 1/9/23 during an unannounced inspection, 12 children ages 2-5 were observed in a classroom with no staff present. Staff #1 and Staff #2 were assigned to this classroom, but left the room when the certification representative arrived. Staff #3 was going in and out of the classroom to get lunch in the kitchen. This amount of children, given the ages present, would require two staff at all times. An approved plan of correction was received stating that, as of 1/9/23, the provider will make sure child ratio will be maintained at all times. Provider will review child ratio with all staff periodically as part of regular staff meetings. On 2/2/23, 7 infants and toddlers were observed with one staff.

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 submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Northeast Region Office on a weekly basis for a period of three months after DHS approves the documentation format. Documentation must be submitting by the close of business on Monday for the previous week.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 1/9/23 during an unannounced inspection, 12 children ages 2-5 were observed in a classroom with no staff present. Staff #1 and Staff #2 were assigned to this classroom, but left the room when the certification representative arrived. Staff #3 was going in and out of the classroom to get lunch in the kitchen. This amount of children, given the ages present, would require two staff at all times. An approved plan of correction was received stating that, as of 1/9/23, the provider will make sure child ratio will be maintained at all times. Provider will review child ratio with all staff periodically as part of regular staff meetings. On 2/2/23, 7 infants and toddlers were observed with one staff.

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).

Regulation: 3270.61(h)(2)(iii)

Description: Space may not be occupied by infant or young toddler

Noncompliance Area: On 1/9/23 during an unannounced inspection, there were 12 children, ages 2-5 years old, eating lunch in a room that measures for 4 children. An acceptable plan of corrections was submitted stating that, as of 1/9/23, the issue was corrected right away. Children were distributed in the other rooms. The administrator or director will ensure child ratios and room capacities are met properly on a daily basis. On 2/2/23, there were 7 infants and toddlers in a room with a capacity of 4.

Correction Required: When the number of older toddler, preschool or school-age children participating in a program activity exceeds the capacity of the child care space the space may not be occupied by children of the infant or young toddler age levels.

Regulation: 3270.61(h)(2)(iii)

Description: Space may not be occupied by infant or young toddler

Noncompliance Area: On 1/9/23 during an unannounced inspection, there were 12 children, ages 2-5 years old, eating lunch in a room that measures for 4 children. An acceptable plan of corrections was submitted stating that, as of 1/9/23, the issue was corrected right away. Children were distributed in the other rooms. The administrator or director will ensure child ratios and room capacities are met properly on a daily basis. On 2/2/23, there were 7 infants and toddlers in a room with a capacity of 4.

Correction Required: When the number of older toddler, preschool or school-age children participating in a program activity exceeds the capacity of the child care space the space may not be occupied by children of the infant or young toddler age levels. The legal entity must develop a written policy and procedure to be implemented in the facility. The written policy must address all subsections of 3270.61(h). The legal entity will submit policy/procedure 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.

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

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

Noncompliance Area: On 1/9/23 during an unannounced inspection, 12 children ages 2-5 were observed in a classroom with no staff present. Staff #1 and Staff #2 were assigned to this classroom, but left the room when the certification representative arrived. Staff #3 was going in and out of the classroom to get lunch in the kitchen.

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. 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: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 1/9/23 during an unannounced inspection, 12 children ages 2-5 were observed in a classroom with no staff present. Staff #1 and Staff #2 were assigned to this classroom, but left the room when the certification representative arrived. Staff #3 was going in and out of the classroom to get lunch in the kitchen. This amount of children, given the ages present, would require two staff at all times.

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).

Regulation: 3270.61(h)(2)(iv)/3270.61(h)(3)

Description: No more than twice measured space/Measurement and use of indoor child care space

Noncompliance Area: On 1/9/23 during an unannounced inspection, there were 12 children, ages 2-5 years old, eating lunch in a room that measures for 4 children.

Correction Required: When the number of older toddler, preschool or school-age children participating in a program activity exceeds the capacity of the child care space the number of children present in the space may not be more than twice the measured capacity of the space. The capacity established for indoor space may not be exceeded except when a meal is served in a space designated and measured as indoor child care space.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On 1/9/23 during an unannounced inspection, there was an extension cord with outlets that did not have protective covers located in the main entrance room on the floor next to the entrance to the infant room.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: On 1/9/23 during an unannounced inspection, the fire drill log listed a fire drill on 7/5/22 and the next one on 10/6/22.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: On 6/28/22 during the renewal inspection, the emergency contact information for Child #1 and Child #2 was not present in the room where the child was receiving care.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: On 6/28/22 during the renewal inspection, the only health assessment on file for child #1 (start date 9/17/21) was dated 4/7/22.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: On 6/28/22 during the renewal inspection, Staff #1 did not wash the hands of child #3 after changing a diaper. The child was placed immediately in a rocker.

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: As of 6/28/22, the operator had not notified the local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 6/28/22 during the renewal inspection, Staff #1, who has been employed for over 45 days (see code sheet for hire date), was working alone with children and did not have clearances from a state in which she has lived in the previous 5 years.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a child care position at the facility. 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 child care position at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 6/28/22 during the renewal inspection, there was a broken wooden picket on the outdoor fence.

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: Staff 1 received the completed NSOR on 6/23/2020. This is after the DOH.

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: There is a broken rocking horse and cracked play lawn mower on the outdoor play space.

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.

Noncompliance Area: Child # 1 has been enrolled and attending facility since 3/24/17 and only has 1 child service report on file from 3/4/19. Child # 2 has been enrolled and attending facility since 10/16/17 and only has 1 child service report on file from 4/1/19 Child # 3 has been enrolled and attending facility since 10/17/16 , only has 2 child service reports completed on file that were completed more than 6 months apart from 4/2018 to 3/4/19. .

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: Facility person # 1 hired and working in child care since 7/1/16 did not have a health assessment conducted in over 24 months from 4/5/16 to 5/22/18. Facility person # 2 hired and working in child care since 4/23/16 did not have a health assessment conducted in over 24 months from 4/9/16 to 4/30/18.

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.

Noncompliance Area: Child 1 , 2 & 3 have not had emergency contact forms or fee agreements updated in over 6 months. Child # 1 updates were from 3/9/18 to 4/1/19. Child # 2 has been enrolled at facility since 10/16/17 and only has 1 on file from 4/1/19 and Child # 3 updates were from 4/17/18 to 4/1/19.

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

Noncompliance Area: The emergency plan was not reviewed in over 12 months from 5/8/18 to 5/17/19.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Noncompliance Area: Staff person # 5 hired and working in child care since 5/24/18, does not have fire safety training.

Correction Required: Staff persons shall participate, at least annually, in firesafety 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.

Noncompliance Area: Facility person # 3 hired and working in child care since 1/28/19 did not have a child abuse clearance on file at time of hire. Child abuse clearance dated 2/25/19. Facility person # 4 hired and working in child care since 3/15/19 did not have a child abuse clearance on file at time of hire. Child abuse clearance dated 2/28/19.

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: There is a toxic Purell hand sanitizer dispenser on the wall, in the school age basement 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.

Noncompliance Area: There are torn, ripped broken ropes on a little tykes climber on the school age play ground.

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.

Noncompliance Area: Child # 3 does not have a fee amount on the fee agreement form. Child 1,2 & 3 have not had child service reports completed in over 6 months since time of enrollment.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. 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 person # 1 did not have a health assessment conducted in more than 24 months from 4/9/16 to 4/30/18. Staff person # 2 hired 5/24/18 did not have a health assessment conducted and on file at time of hire until 6/1/18.

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.

Noncompliance Area: The are Gerber Lil Crunchies that expired 4/25/18 in the infant snacks.

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

Noncompliance Area: The facility has a White 04 Chevrolet Express van used to transport children with 12 seats.

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

Noncompliance Area: Child # 1 has not had the emergency contact form updated in over 6 months from 4/17/17 to 4/17/18.

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.

Noncompliance Area: Staff person # 2 only has 1 reference on file.

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 person number # 3 has not had annual fire safety training in over a year since 11/16/15.

Correction Required: Staff persons shall participate, at least annually, in firesafety 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.

Noncompliance Area: The first aid kit on the silver van used to transport kids and take on excursions does not contain a bottle of 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.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 May 3,2018 an investigation was conducted at facility, certification rep observed two preschool children being transported by the facility. Neither child was in a booster seat or buckled using the safety restraints in the vehicle. The facility driver was the only staff present with the two children.

Correction Required: The driver may not be considered part of the staff-child ratio when infant, young or older toddler or preschool children are transported.

Noncompliance Area: On May 3, 2018 an investigation was conducted at facility, certification rep observed two preschool children being transported by the facility. Neither child was in a booster seat or buckled using the safety restraints in the vehicle. The facility driver was the only staff present with the two children.

Correction Required: A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. 4581 (relating to restraint systems).

Noncompliance Area: PARENT OF CHILD # 1 WANTED TO REPORT A CHANGE AND UPDATE EMERGENCY CONTACT FORM WITH ANOTHER RELEASE PERSON. STAFF DID NOT PROVIDE PARENT WITH EMERGENCY CONTACT FORM TO MAKE UPDATE,STAFF TOLD PARENT TO MAKE THE UPDATE THE FOLLOWING DAY WHEN DIRECTOR WAS AVAILABLE. CHILD # 1'S FILE WAS REVIEWED AND NO UPDATES ON CHILD# 1'S EMERGENCY CONTACT FORM SINCE DATE OF ENROLLMENT 8/21/17. ALSO ON 10/6/17, CERTIFICATION REP. REVIEWED FILES OF CHILD # 2 & CHILD # 3 AND BOTH CHILD FILES EMERGENCY CONTACT FORMS AND FEE AGREEMENTS HAVE NOT BEEN UPDATED IN OVER 6 MONTHS. CHILD # 2 LAST UPDATE ON EMERGENCY CONTACT FORM AND FEE AGREEMENT WAS 3/24/17 AND CHILD # 3 LAST UPDATE OF EMERGENCY CONTACT FORM AND FEE AGREEMENT WAS 2/1/17.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Noncompliance Area: ON 10/6/17 CERT REP. CONDUCTED AN UNANNOUNCED INSPECTION. CERT. REP OBSERVED STAFF MEMBER # 1 ALONE WITH 5 MIXED AGE CHILDREN IN THE INFANT ROOM WITH THE YOUNGEST CHILD BEING 2 MONTHS OLD. CERT REP. ALSO OBSERVED 6 MIXED AGE CHILDREN ALONE WITH STAFF MEMBER # 2 IN THE 1 YEAR OLD ROOM AND THE YOUNGEST CHILD BEING 1 YEAR OLD.

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 submit proof of a minimum of 2 hours PQAS approved training for all staff in child/staff ratio's, and must maintain child / staff ratio's at all times.

Noncompliance Area: ON 10/6/17 CERTIFICATION REP. CONDUCTED AN UNANNOUNCED INSPECTION. CERTIFICATION REP. OBSERVED 5 MIXED AGE CHILDREN ALONE IN THE INFANT ROOM WITH STAFF MEMBER # 1, THE INFANT ROOM CAPACITY IS 4. CERTIFICATION REP ALSO OBSERVED 6 MIXED AGE CHILDREN ALONE WITH STAFF MEMBER # 2 IN THE 1 YEAR OLD ROOM, THE 1 YEAR OLD ROOM CAPACITY IS 4.

Correction Required: The capacity established for an indoor space may not be exceeded. THE FACILITY OWNERS WILL CONDUCT A STAFF MEETING ENSURING ALL STAFF KNOW AND FOLLOW CHILD/STAFF RATIO'S AND DO NOT EXCEED ROOM CAPACITY.

Noncompliance Area: There were two child care group spaces where the written plan of daily activities was not posted.

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

Noncompliance Area: Child #1 has been enrolled since 9/19/2016, but does not have an initial health report on file. The most recent health report on file for Child #2, an infant is 11/16/2016. The most recent health report on file for Child #3, a young toddler is 11/7/2016. Child #4 was enrolled on 9/19/2016, but the initial health report is dated 2/14/2017.

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.

Noncompliance Area: Staff #1 and Staff #2 do not have any written, nonfamily references on file.

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 #3 and Staff #4 have not received training regarding the facility emergency plan within the past 12 months.

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: Staff #1 began working with children at the facility on 10/3/2016, but was not FBI fingerprinted until 10/6/2016. In addition, the state police clearance for Staff #1 was requested on 10/4/2016 and the child abuse clearance was requested on 10/6/2016.

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

Noncompliance Area: Peeling paint was seen on the building in the outdoor play area.

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