New Star Child Care Center

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Complaint investigation 4/2/26-5/13/26 verified that on 3/31/26 around 3:26 PM Child 1 had pinched two of their fingers in a pinch point on the door jam to the single bathroom used by the children in the school aged room(Room 4).

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

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

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

Noncompliance Area: Complaint investigation 4/2/26-5/13/26 verified that on 3/31/26 around 3:26 PM the following incident regarding supervision occurred: Staff 1 was standing in Room 4 by the door to Room 3. From where Staff 1 was standing they were unable to see the children who were playing in area where the bathrooms were located in Room 4 including the doorway to the single bathroom in room 4. Children who frequent this room report they regularly play in the bathrooms and in this area because Staff are unable to see them. Staff 1 reported they were not able to see the children who were playing at the doorway to the bathroom when an injury occurred to Child 1 on 3/31/26.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for the legal entity, the director and all staff to receive a minimum of three hours of training regarding Supervision and Ratios. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a correction date for when this training will be completed. 3. The Legal entity, the director, and all staff will demonstrate compliance with with these regulations as they relate to supervision during unannounced monitoring visits over the course of the next 3 months. The correction date for this portion of the plan shall be at minimum 3 months from the date an acceptable plan is received.

Regulation: 3270.132(a)

Description: Contact parent/keep record

Noncompliance Area: Complaint investigation 4/2/26-5/13/26 verified that on 3/31/26 around 3:26 PM Child 1 had his fingers injured to the point that Staff 1 felt the child needed medical attention. Child 1's parent was not notified of the injury until they arrived to pick the child up around 4:30PM. It was reported that there was about 20 minutes of time between when first aid was done, and the parent arrived in which Staff 2 was going to notify the parent but did not.

Correction Required: If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was reported to be caring for children unsupervised on 3/31/26. Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first- aid/CPR training expiration date of 2/28/26.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: Complaint investigation 4/2/26-5/13/26 verified that on 3/31/26 around 3:26 PM Child 1 received an injury at the facility. It was reported that a written report regarding the injury was not provided to the parents as no written report was made for the injury. Child's file and Facility accident, injury illness folder also did not contain a written report of the injury.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.20(a)(1)/3270.20(b)

Description: Inpatient hospitalization or ER treatment of child/Mail or deliver written report to regional office within 72 hours

Noncompliance Area: Complaint investigation 4/2/26-5/13/26 verified that on 3/31/26 at 7:42 PM the legal entity became aware that Child 1 was taken to the emergency room regarding an injury that occurred at the facility. As of 4/9/26 at 2:05PM the Northeast Regional Office did not receive telephone notice or a written report of this incident from the operator. On 4/9/26 at 9:21PM an incident report was submitted regarding this incident, however this is more than 72 hours after the operator became aware the child went to the emergency room due to the injury.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department.

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

Description: Age and Training

Noncompliance Area: Staff person #1 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 2/28/26. Documentation of updated Pediatric first aid and CPR training is not on file.

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. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.66(a)/3270.103

Description: Locked or inaccessible/Small Toys and Objects

Noncompliance Area: Continued Non-Compliance: During a renewal inspection on 10/6/25 Cert rep observed curl cream, styling gel, Glade air spray, and hair detangler in the unlocked cabinet under the changing table in the men's bathroom, and Airwick air spray, hand sanitizer, and Lysol wipes in unlocked the gray drawers in the nurse area of Room 2. These items were all labeled keep out of reach of children." These locations/items were accessible to children. Cert rep also observed plastic bags and gloves in the changing table in the women's bathroom, plastic bags in a bin on a chair in the men's bathroom, and plastic bags in unlocked the gray drawers in the nurse area of Room 2. Room 2 and both bathrooms are used by young toddlers and older toddlers. These plastic bags and gloves were accessible to children who may still be placing objects in their mouths. The facility's acceptable plan of correction received 11/4/25, indicated Toxics and Small Toys and Objects would be inaccessible to children by 10/10/25. Additionally, the facility's acceptable plan of correction indicated the facility would demonstrate compliance with these regulations during 3 unannounced monitoring visits over the course of 3 months ending 2/4/26. On 1/9/26 during an unannounced inspection Cert rep observed a bottle of Clorox bleach on the floor of the closet in Room 1. Cert rep observed the door to the closet was open about 8 inches, and there were no barriers that would prevent the mobile infant children in this room from accessing the bleach bottle. The Clorox Bleach was labeled keep out of reach of children. The facility's acceptable plan of correction received 1/27/26, indicated Toxics and Small Toys and Objects would be inaccessible to children by 1/9/26. Additionally, the facility's acceptable plan of correction indicated the facility would demonstrate compliance with these regulations during 3 unannounced monitoring visits over the course of 3 months ending 4/27/26. On 4/1/26 during an unannounced inspection Cert rep observed an open bag of Calcium Citrate pellets on the floor of the entrance to the facility which is a part of Room 2. The bag of Calcium Citrate was labeled keep out of reach of children. Additionally, Cert rep observed zip lock bags, and bagged wipes labeled, "To avoid suffocation please keep bag out of reach of children" on shelves that were accessible to the older toddlers who were present on the older toddler side of Room 2. Staff reported the children who were observed to be on this side of the room were known to still be placing toys and items in their mouths.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. 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. TIERED LIS: 1. Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for technical assistance regarding Health & Safety- Healthy Environments to be provided to the facility, facility persons, director, and legal entity by a PQAS-approved trainer. The technical assistance must be in-person and completed onsite at the facility. The legal entity must receive DHS approval of the technical assistance trainer prior to scheduling the technical assistance. The operator shall provide a correction date for this technical assistance will be received by. 3. The Legal entity, the director, and all staff will demonstrate compliance with the regulations related to Toxics (§3270.66) and Small Toys and Objects (§3270.103) during 3 unannounced monitoring visits over the course of the next 3 months. The operator shall provide a correction date for this portion of the plan that is at minimum 3 months from the date the Regional Office receives the acceptable Plan of Correction.

Regulation: 3270.66(a)/3270.103

Description: Locked or inaccessible/Small Toys and Objects

Noncompliance Area: Continued Non-Compliance: During a renewal inspection on 10/6/25 Cert rep observed curl cream, styling gel, Glade air spray, and hair detangler in the unlocked cabinet under the changing table in the men's bathroom, and Airwick air spray, hand sanitizer, and Lysol wipes in unlocked the gray drawers in the nurse area of Room 2. These items were all labeled keep out of reach of children." These locations/items were accessible to children. Cert rep also observed plastic bags and gloves in the changing table in the women's bathroom, plastic bags in a bin on a chair in the men's bathroom, and plastic bags in unlocked the gray drawers in the nurse area of Room 2. Room 2 and both bathrooms are used by young toddlers and older toddlers. These plastic bags and gloves were accessible to children who may still be placing objects in their mouths. The facility's acceptable plan of correction indicated the correction related to related to Toxics(§3270.66) and Small Toys and Objects(§3270.103) inaccessible to children would be implemented by 10/10/25. Additionally, the facility's acceptable plan of correction indicated the facility would demonstrate compliance with the regulations related to Toxics(§3270.66) and Small Toys and Objects(§3270.103) during 3 unannounced monitoring visits over the course of 3 months ending 2/4/26. On 1/9/26 during an unannounced inspection Cert rep observed a bottle of Clorox bleach on the floor of the closet in Room 1. Cert rep observed the door to the closet was open about 8 inches, and there were no barriers that would prevent the mobile infant children in this room from accessing the bleach bottle. The Clorox Bleach was 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. 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. TIERED LIS: 1. Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a policy and procedures regarding storage of toxic, other cleaning materials. This policy must address the specific steps and procedures the legal entity, director and staff will take to ensure that all toxics and cleaning materials used daily in the classrooms/bathrooms will be inaccessible to children. The policy must include that toxics and cleaning materials other than those needed for daily use in the classrooms/bathrooms will be stored in areas that are not used by children and indicate how those areas will be kept inaccessible. The legal entity must submit the policy & procedures to Regional Office for approval. Once approved by the Regional Office, the legal entity must train all staff and new hires on the policy and procedures. Staff must sign an acknowledgement which will be kept on file. The operator will provide a date for when this portion of the plan will be completed. 3. The Legal entity, the director, and all staff will demonstrate compliance with the regulations related to Toxics (§3270.66) and Small Toys and Objects (§3270.103) during 3 unannounced monitoring visits over the course of the next 3 months. The operator shall provide a correction date for this portion of the plan that is at minimum 3 months from the date the Regional Office receives the acceptable Plan of Correction.

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: During a renewal inspection on 10/6/25 Cert rep observed a young toddler in a highchair seat however the child was not secured in the highchair with the seat's T-shape safety straps.

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

Regulation: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: During a renewal inspection on 10/6/25-10/9/25 it was noted the facility's supervision policies were not being provided to the parents in writing at the time of enrollment.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: During a renewal inspection on 10/6/25 Child 6's fee agreement was not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During a renewal inspection on 10/6/25 the most recent child service reports for Child 2 and 3 were more than 6 months ago. This was evidenced by child service reports in the files dated 8/28/24(Child 2), and 3/19/25(Child 3).

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During a renewal inspection on 10/6/25 Children 1, 2, 4, and 5 were missing the following information on their respective emergency contact forms: Parent's home address(Child 1), parent's home phone number(Child 1), parent's work address (Children 1, 2, 4, and 5), and parent's work phone number(Children 1 and 4).

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During a renewal inspection on 10/6/25 Cert rep observed that emergency contact information for the preschool children receiving care in Room 4(the school aged room) were not present in Room 4 with the children.

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: 3270.124(d)

Description: Excursions

Noncompliance Area: During a renewal inspection 10/6/25 Cert rep observed that the emergency contact forms for all of the children who are transported to and from the facility in the 2015 Dodge SW van and the 2004 Nissan SW van were not present in the vehicles. It was reported no other emergency contact forms or documents were taken when children are transported.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During a renewal inspection 10/6/25 Cert rep observed that the facility's emergency medical transportation plan was not posted in Room 4(the school Age 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(b)(2)

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

Noncompliance Area: During a renewal inspection on 10/6/25 preschool Child 2's most recent health assessment was dated 9/23/24, which is more than 12 months ago. See LIS code sheet for DOB.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: During a renewal inspection on 10/6/25 Child 2, a preschool child, was missing DTAP/DTP/TD dose 4, Child 3, an older toddler who has been enrolled for more than 60 days did not have an immunization record on file and Child 4, a school aged child who has been enrolled for more than 60 days did not have an immunization record on file (See LIS code sheet for DOBs and DOAs). At time of inspection there was no documentation on file for Children 2, 3, or 4 that the children are exempt from these vaccines due to strongly held personal beliefs, religious beliefs, or medical reasons. This is not in accordance with the ACIP recommended schedule of immunizations.

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). Children 2 and 3 must be dismissed from care by close of business 10/6/25 and may only return to care when the immunization record that is in accordance with the ACIP recommendations is provided or when a parent provides a written, signed exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During a renewal inspection 10/6/25-10/9/25 the facility's emergency plan did not address continuity of operations.

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

Regulation: 3270.151(a)/3270.151(b)

Description: 12 months prior to service and every 24 months thereafter/Conducted by physician, PA or CRNP

Noncompliance Area: During a renewal inspection on 10/6/25-10/9/25, Cert Rep observed a health assessment on file for facility person 7 dated 9/5/2025. The date appeared to be altered. Cert Rep spoke with the physician's office and the office confirmed that facility person 7 has not been seen as a patient since 2021. This health assessment for facility person 7 is fraudulent and not valid. Facility person 7 did not have another valid health assessment on file. Additionally the following staff had more then 24 months between their staff health assessments: Staff 2(10/13/22 & 12/26/24), Staff 3(8/29/22 & 9/30/24), and Staff 6(7/28/21 & 3/17/25).

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. A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Regulation: 3270.165

Description: Menus

Noncompliance Area: During a renewal inspection 10/6/25-10/9/25 Cert rep observed the menu that was posted was from the first week of August 2025. It was reported that the parents were not otherwise provided information regarding the facility menu.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Regulation: 3270.178

Description: Transportation First Aid Kit

Noncompliance Area: During a renewal inspection 10/6/25 Cert rep observed that the facility's 2015 Dodge SW van did not have a first aid kit present. This van is used for transportation and it was reported staff do not take any other first aid kits with them.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During a renewal inspection on 10/6/25 Child 3's emergency contact form and fee agreement was most recently reviewed by the parent on 12/13/24, which is more than 6 months ago.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: During a renewal inspection 10/6/25-10/9/25 Staff 8 has one reference in their 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.

Regulation: 3270.25(a)/3270.25(b)

Description: Availability of certificate of compliance and applicable regulations/Post the inspection summary

Noncompliance Area: During a renewal inspection 10/6/25-10/9/25 it was reported the operator was not providing the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the Northeast regional child care office. Cert rep observed the inspection summary dated 07/16/2025 was not posted in a conspicuous location used by and viewable to the parents. The inspection summary dated 7/16/25 has non-compliance that has not yet been verified by the department as corrected.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: During a renewal inspection on 10/6/25-10/9/25 it was reported that parents of enrolled children were not being provided a letter explaining the emergency procedures.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During a renewal inspection on 10/6/25-10/9/25 the facility did not have documentation to support that the emergency plan was sent to the local municipality.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During a renewal inspection on 10/6/25-10/9/25 Staff 2 had 0 hours of annual training on file (Training year 5/2024-5/2025), and Staff 6 had 4.5 hours of annual training on file(Training year 12/2023-12/2024). This does not meet the required 12 hours of annual childcare training. See code sheets for DOH.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person 2 must take 12 hours of professional development to fulfill requirement for training year5/2024-5/2025. Hours used to fulfill training year 5/2024-5/2025 cannot be used to fulfill current training year. Staff person 6 must take 7.5 hours of professional development to fulfill requirement for training year12/2023-12/2024. Hours used to fulfill training year 12/2023-12/2024 cannot be used to fulfill current training year.

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

Description: Fire safety - 1 yr.

Noncompliance Area: During a renewal inspection on 10/6/25-10/9/25 Staff 4 and Staff 5 did not complete fire safety training within 12 months of the previous training. This is evidence by fire safety trainings documented in Staff 4's (9/28/23 & 7/14/25) and in Staff 5's file(2/7/24 & 10/8/25).

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection 10/6/25-10/9/25 Staff 1 had NSOR certificates dated 1/14/20 & 8/27/25, Staff 3 had NSOR certificates dated 11/6/19 & 9/12/25, Staff 4 had NSOR certificates dated 11/6/19 & 9/12/25, and Staff 6 had NSOR certificates dated 11/6/19 & 9/12/25. This is more than 60 months between NSOR certificates and is a violation of the CPSL. Staff 1, 3, 4, and 6 were documented to have worked as staff between the expiration of the previous NSOR certificate, and the current NSOR certificate.

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: 3270.66(a)/3270.103

Description: Locked or inaccessible/Small Toys and Objects

Noncompliance Area: During a renewal inspection on 10/6/25 Cert rep observed curl cream, styling gel, Glade air spray, and hair detangler in the unlocked cabinet under the changing table in the men's bathroom, and Airwick air spray, hand sanitizer, and Lysol wipes in unlocked the gray drawers in the nurse area of Room 2. These items were all labeled keep out of reach of children." These locations/items were accessible to children. Cert rep also observed plastic bags and gloves in the changing table in the women's bathroom, plastic bags in a bin on a chair in the men's bathroom, and plastic bags in unlocked the gray drawers in the nurse area of Room 2. Room 2 and both bathrooms are used by young toddlers and older toddlers. These plastic bags and gloves were accessible to children who may still be placing objects in their mouths.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. 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. TIERED LIS: 1. Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff hired as of the date of the training to receive a minimum of 2 hours of PQAS-approved training regarding Health & Safety- Healthy Environments. The training must be in-person and completed outside of child care hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a correction date for this training will be completed by. 3. The Legal entity, the director, and all staff will demonstrate compliance with the regulations related to Toxics(§3270.66) and Small Toys and Objects(§3270.103) during 3 unannounced monitoring visits over the course of the next 3 months. The operator shall provide a correction date for this portion of the plan.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During a renewal inspection on 10/6/25 Cert rep observed stacked chairs(tipping hazard) in the library area of Room 4(the school age room) . Cert rep also observed a broken wooden fence with exposed sharp nails(impaling hazard and rough edges from the broken wood) in the playground.

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

Regulation: 3270.52/3270.55(a)

Description: Mixed Age Level/Toddler and preschool children

Noncompliance Area: Continued Non-Compliance: During an announced inspection on 5/5/25 Cert rep observed 17 preschool aged children were assigned the Staff 2 during naptime. One preschool child in this group was observed to be sitting at a table, away from her nap mat. Two other preschool children were observed to be running around the classroom for at least 3 minutes before staff redirected them to the nap mat. Naptime ratios were not able to be used due to 3 of the preschool children were not located on or near their nap mats during this time. Cert rep also observed that these same 17 preschool children remained assigned to only staff 1 as all the children woke from nap time. Staff 2 was out of ratio until another staff arrived at least 5 minutes later. The facility's acceptable plan of correction indicated the correction that staff:child ratios must be maintained at all times would be implemented by 5/27/25. On 7/16/25 an unannounced inspection was conducted during nap time where cert rep observed the following: Staff 3 named and reported having 11 children (7 young toddlers, and 4 older toddlers) in their assigned group. The Children were all napping or on their rest mats. Staff 3 reported she took over the care group from Staff 4. Staff 4 reported she had been covering the same group of 11 children while another staff was on lunch.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children. TIERED LIS: 1. The required staff:child ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for the legal entity, the director and all staff to receive a minimum of three hours of training regarding Supervision and Ratios. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a correction date for when this training will be completed. 3. The Legal entity, the director, and all staff will demonstrate compliance with the regulations related to ratios (§3270.51 - §3270.55) during unannounced monitoring visits over the course of the next 3 months. The operator shall provide a correction date for when this training will be completed.

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

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

Noncompliance Area: During an unannounced inspection on 5/5/25 Cert rep observed Staff 1 was seated at the front desk. From this location Staff 1 was not able to see, hear, direct and assess her assigned group of children who were on the other side of the room napping because pieces of furniture and half walls blocked Staff 1's view. Staff 1 also reported that video cameras are used to supervise her assigned children while Staff 1 is in the office which is located on the 2nd floor of the facility.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1.Children must be supervised at all times. 2.The legal entity must create a policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during transition times, such as visiting the bathroom and staff transitions. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy. The operator shall provide a correction date for when this portion of the plan will be completed.

Regulation: 3270.51/3270.55(a)

Description: Similar Age Level/Toddler and preschool children

Noncompliance Area: During an announced inspection on 5/5/25 Cert rep observed 17 preschool aged children were assigned the Staff 2 during naptime. One preschool child in this group was observed to be sitting at a table, away from her nap mat. Two other preschool children were observed to be running around the classroom for at least 3 minutes before staff redirected them to the nap mat. Naptime ratios were not able to be used due to 3 of the preschool children were not located on or near their nap mats during this time. Cert rep also observed that these same 17 preschool children remained assigned to only staff 1 as all the children woke from nap time. Staff 2 was out of ratio until another staff arrived at least 5 minutes later.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children. TIERED LIS: 1. The required staff:child ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2. The operator shall create a Ratio Policy that must include the requirement for children to be resting or on their nap mat for naptime ratios to be used. This policy will be submitted to the Northeast regional office for approval and will be reviewed with all staff once approved by the Northeast regional office. Staff will sign acknowledgement of the updated policy which will be kept in their staff files. The operator shall provide a correction date for when this portion of the plan will be completed.

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 5/5/25 the facility's most recent annual fire detection system testing inspection took place on 4/9/24. This is more that 12 months since the most recent inspection.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: On 10/10/24 during a renewal inspection certification rep observed an accessible wooden cabinet area to the right of the nurse's desk in Room 2 on the Older toddler side of the room. In this cabinet area was plastic bags which were accessible to children who may still be putting objects in their mouths. On the changing table in the girl's bathroom and the changing table in the infant classroom/room 1 certification rep observed plastic bags and gloves being stored in an area that would be accessible to children who may still be putting objects in their mouths while they are being changed. Cert rep returned on 11/19/24 for unannounced verification visit and observed that plastic bags were still accessible in the wooden cabinet area to the right of the nurse's desk in Room 2 on the Older toddler side of the room and in the changing table in the infant room. Plastic bags were no longer accessible in the changing table in the girls bathroom.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: On 10/10/24 during a renewal inspection certification rep observed that child 1's father's home and work addresses and telephone numbers were not present. Father of child 1 was known as father was listed as an emergency contact for child 1. Cert rep returned on 11/19/24 for unannounced verification visit and noted that child 1's father's home and work addresses still were not present on the emergency contact form for child 1. Child 1's father's work phone number was also not present. Child 1's father's home phone number was listed on the emergency contact form.

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

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: On 10/10/24 during a renewal inspection after diapering a child a staff person did not wash the first child's hands, or her hands before changing another child. Cert rep returned on 11/19/24 for unannounced verification visit and it was observed that the staff person changing the diapers of multiple children but did not wash the individual children's hands after changing individual diapers but allowed children to wait to wash hands until all diapers had been changed. The staff person did wash the staff's hands after changing each child's diaper. Additionally, the children were observed to not wash their hands before having snack.

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

Regulation: 3270.175(a)

Description: Age appropriate restraints

Noncompliance Area: On 10/10/24 during a renewal inspection facility staff reported that only preschool children, not all children under the age of 7 were utilizing appropriate safety restraints, i.e. booster seats, while being transported in the facility van. Staff report they do not transport infants or toddlers. Cert rep returned on 11/19/24 for unannounced verification visit and 4 children 7 years of age or younger were transported in one trip in the facility van. The facility van was observed to have only 2 booster seats for the children. Additionally a child under the age of 7 years old reported that when transported at daycare they "do not sit in a special seat"(ie booster seat) in the van, but they are using a "special seat" when transported by the parents.

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).

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 10/10/24 during a renewal inspection the following staff persons had less than two written references from non family members attesting to their suitability to serve as a staff person: Staff 1(0 references present), Staff 4(1 references present), Staff 5(1 references present), and Staff 6(1 references present). Cert rep returned on 11/19/24 for unannounced verification visit and noted that the following staff persons still had less than two written references from non family members attesting to their suitability to serve as a staff person: Staff 1(0 references present), and Staff 5(1 references present). Staff 4 and Staff 6 did have 2 written references on file at the time of the verification visit.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 10/10/24 during a renewal inspection certification rep observed a teal play kitchen in which the plastic oven window was broken and cracked on the older toddler room of room 2. The cracks in plastic contained rough edges.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: On 10/10/24 during a renewal inspection certification rep observed an accessible wooden cabinet area to the right of the nurse's desk in Room 2 on the Older toddler side of the room. In this cabinet area was plastic bags which were accessible to children who may still be putting objects in their mouths. On the changing table in the girl's bathroom and the changing table in the infant classroom/room 1 certification rep observed plastic bags and gloves being stored in an area that would be accessible to children who may still be putting objects in their mouths while they are being changed.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: On 10/10/24 during a renewal inspection it was noted that parents were not being provided in writing information in regards to the facilities supervision policies.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: On 10/10/24 during a renewal inspection certification rep observed that child 1's father's home and work addresses and telephone numbers were not present. Father of child 1 was known as father was listed as an emergency contact for child 1.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: On 10/10/24 during a renewal inspection child 4's emergency contact information and financial agreement were dated 3/9/24 without a 6 month review/update.

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

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: On 10/10/24 during a renewal inspection after diapering a child a staff person did not wash the first child's hands, or her hands before changing another child.

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

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: On 10/10/24 during a renewal inspection certification rep observed staff person change the diaper of two children one right after the other. The diapering surface was not cleaned or sanitized between each child.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.166(3)

Description: Disposable nursers or parents

Noncompliance Area: On 10/10/24 during a renewal inspection staff person in the infant room reported washing infant feeding bottles by hand and reusing these bottles. The facility does not have/does not use a commercial dishwasher for cleaning infant feeding bottles.

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

Regulation: 3270.173(b)

Description: Driver not counted in ratio - I, T, PS

Noncompliance Area: On 10/10/24 during a renewal inspection staff person reported that a preschool child had been transported without an additional staff person to meet staff-child ratios. The driver of the van was being counted in staff-child ratio while the preschool child was being transported.

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.

Regulation: 3270.175(a)

Description: Age appropriate restraints

Noncompliance Area: On 10/10/24 during a renewal inspection facility staff reported that only preschool children, not all children under the age of 7 were utilizing appropriate safety restraints, i.e. booster seats, while being transported in the facility van. Staff report they do not transport infants or toddlers.

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).

Regulation: 3270.175(c)

Description: Manufacturer's instructions used

Noncompliance Area: On 10/10/24 during a renewal inspection certification rep observed safety restraints-booster seats in the facility van that did not have the booster seat's manufactures' instructions in the vehicle.

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

Regulation: 3270.182(1)

Description: Initial and subsequent health reports

Noncompliance Area: On 10/10/24 during a renewal inspection certification rep observed that Child 1, 2, 3 and 4 were missing their initial and subsequent Health assessments until the most current assessment. Health assessments that were present were dated 10/3/24, 9/5/24, 1/30/24, and 10/3/24 respectively. Staff person reported the facility had removed initial and previous health assessments from Child files.

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

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During a renewal inspection on 10/10/24 Staff 5 and 6 did not have verification of experience with children in their staff files.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. 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: 3270.192(5)

Description: Two written references

Noncompliance Area: On 10/10/24 during a renewal inspection the following staff persons had less than two written references from non family members attesting to their suitability to serve as a staff person: Staff 1(0 references present), Staff 4(1 references present), Staff 5(1 references present), and Staff 6(1 references present).

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

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

Description: Age and Training

Noncompliance Area: On 10/10/24 during a renewal inspection certification rep noted Staff 1' did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Previous pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) expired 1/2024. Renewal was completed on 2/29/24.

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(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: On 10/10/24 during a renewal inspection certification rep noted that Staff 1, Staff 2, Staff 3 did not complete annual fire safety training. Staff 1's previous fire safety training was dated 6/17/23, 9/29/23, and 9/28/23 respectively.

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.

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: During a renewal inspection on 10/10/24 in was noted that Staff 5 and 6 have high school diplomas but do not have at least 2 years(2500 hours) of experience with children on file. They have 0 years and 1.10 years(1385.6 hours) of experience with children respectfully. Both staff were noted as being assistant group supervisors.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On 10/10/24 during a renewal inspection certification rep observed an accessible outlet without a protective receptacle cover on the outlet in the middle of the left side wall in Room 1/Infant room.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 10/10/24 during a renewal inspection certification rep observed hand sanitizer (which is labeled keep out of reach of children) on the nurse's desk in Room 2 on the Older toddler side of the room. This area is accessible to 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: 3270.66(a)/3270.66(d)

Description: Locked or inaccessible/Toxic plants not permitted

Noncompliance Area: On 10/10/24 during a renewal inspection certification rep observed Winterberry trees(Scientific name: Ilex verticillata) growing along the back fence of the outdoor playspace/playground. The leaves, branches and berries of these trees were coming through the fence into the playspace and were accessible to children. These plants are considered toxic.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: On 10/10/24 during a renewal inspection certification rep observed a bottle of sanitizer was not stored in an original labeled container nor in a container that specifies the content at the changing table in the infant room/room 1.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: On 10/10/24 during a renewal the emergency numbers posted in all child care rooms did not include the number for the nearest hospital.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: On 10/10/24 during a renewal inspection certification rep observed the follow first kits were missing the following components: The young toddler side of room 2 (missing tweezers). The older toddler side of room 2(missing tape). The infant classroom/room 1(missing tape). The preschool room/room 3 (missing tape).

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 10/10/24 during a renewal inspection certification rep observed a tripping/fall hazard in the outdoor playspace/playground. There was observed to be multiple areas of hard weeds/cut small trees growing about 2-3 inches above the ground. Due to the hardness on the plant and distance from the ground these pose a tripping hazard from children.

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: 3270.133(7)/3270.133(7)(vii)

Description: Medication log/Staff initials

Noncompliance Area: On 8/15/24 a complaint investigation was conducted. The allegation was that children were not receiving the medication they were supposed to. After completing staff and child interviews it was determined that medication has not been given. Also, the facility has not been maintaining medication logs to document when the medicine was given.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. A medication log shall include the initials of the staff person who administered the medication.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff #3 did not have the 10hr health and safety training within the file.

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

Regulation: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: Staff #4 did not obtain a health assessment prior to working within the facility.

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

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: Staff #1 and #2 did not have a file and were observed working with children.

Correction Required: An individual record is required for each facility person.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 7/2/24 Staff #1 and #2 were observed working within the facility and assigned supervision groups. Staff #1 and #2 did not have a file at the facility. Staff #3 is being utilized for ratios. Staff #3 has not completed the mandated reporter training within 90 days of their date of hire. On 7/25/24 it was observed during file reviews that Staff #5 and #6 did not have the NSOR clearance on file and also did not request for the NSOR clearance prior to working with children. This excludes both Staff #5 & #6 from the 45-day provisional hire privilege. (See code sheet for date of hire).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 & #2 may not work in a childcare position at the facility. Staff #5 and #6 may not return to working at the facility until the NSOR clearance has been received.

Regulation: 3270.37(b)/3270.192(2)(iv)

Description: Aide qualifications/Transcript, diploma and letters

Noncompliance Area: Staff #3 only has a 7th grade education and does not qualify to be an aide. Staff #3 cannot be utilized to cover ratios or assist with caring for children.

Correction Required: An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3). 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: 3270.51

Description: Similar Age Level

Noncompliance Area: It was observed during an unannounced visit that the young toddler room was out of ratio. There was a total of 16 children under two years of age and two staff. Rep informed director that people without clearances and a file cannot be in facility and around the children. Rep stayed until parents were called for children to go home. Director decided to close the facility until she was able to get staff.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: On 1/31/2024 and 2/8/2024, the last fire drill documented on the facility fire drill log was conducted on 11/7/2023.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the renewal inspection on 12/8/2023, a container of disinfectant wipes was seen on the floor in the school age classroom. The disinfectant wipes 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.

Regulation: 3270.76/3270.102(a)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: During the renewal inspection on 12/8/2023, cracks with sharp edges exposed were seen on the plastic diapering changing table in the bathroom table where young toddlers are changed. Also, the grass in the outdoor play area was too high. This made length of grass too high for children to play safely in.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 12/14/2022, Staff person #1 and Staff person #2 were observed to be caring for children unsupervised. Staff person # 1 and Staff person #2 have not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 4/28/2015 for Staff person #1 and 12/3/2017 for Staff person #2.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required trainings are completed, staff persons #1 and #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility.

Regulation: 3270.178

Description: Transportation First Aid Kit

Noncompliance Area: During the Renewal Inspection on 12/14/2022, the first-aid kit in the van at the facility used to transport children was missing gloves, soap, scissors and tweezers.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the Renewal Inspection on 12/14/2022, Staff #1, Staff #3 and Facility person #4 did not have any written, nonfamily references on file. See LIS code sheet.

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

Regulation: 3270.27(a)(5)/3270.27(a)(6)

Description: Emergency plan/Emergency plan

Noncompliance Area: During the Renewal Inspection on 12/14/2022, the emergency at the facility did not have accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions. On 12/14/2022, a documented emergency drill had not been conducted at the facility during the previous 12 months.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 12/3/2017. See LIS code sheet.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 12/14/2022, Facility person #4 was observed cleaning at the facility. Facility person #4 did not have the completed National Sex Offender Registry (NSOR) clearance or clearance request on file on 12/14/2022. See LIS code sheet.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #4 may not work in a childcare position at the facility. 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 #4 may not work in a childcare position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the Renewal Inspection on 12/14/2022, a small container of Sanis Air Freshener was observed in the bathroom stall of the bathroom near the infant room. This bathroom is used by children in the classroom next to the infant room. The Sanis Air Freshener was 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.

Regulation: 3270.76/3270.102(a)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: During the Renewal Inspection on 12/14/2022, the following was observed on the outdoor playground: Nails protruding from loose boards at the bottom of the fence on both sides upon entering the playground, a loose board with nails protruding and splinters from cracked wood at the top of the smaller wooden fence, a cracked hole with sharp edges exposed at the top of the metal fence pole and a cracked playhouse with sharp edges exposed.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: During the Renewal Inspection on 12/14/2021, none of the equipment that requires embedded mounting in the outdoor play area had enough mulch surrounding the fall areas. Nine inches of mulch is required. The mulch only measured five inches on 12/14/2021.

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

Regulation: 3270.151(a)

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

Noncompliance Area: During the Renewal Inspection on 12/14/2021, the most recent health assessment on file for Staff #1 was dated 10/28/2019.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: During the Renewal Inspection on 12/14/2021, a hole in the wall was seen in the girls bathroom of the school age classroom. The hole was the size of the door handle on the inside part of the door.

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: 3270.76/3270.102(a)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: During the Renewal Inspection on 12/14/2021, the following was observed in the outdoor play area that is currently being used by children at the facility: A plastic slide was cracked at the bottom leaving sharp edges exposed and the wooden fence next to the new wooden fence was cracked at the bottom leaving sharp edges and splinters exposed.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. 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: A renewal inspection was conducted on 12/6/19. At that time, the insert bucket seats used by the young toddlers for meals and activities were observed to not have the required safety straps. The children were observed eating lunch while in the insert bucket chairs. Two cracked red toy bins were observed in the older toddler room presenting a pinching hazard. Two exposed bolts were observed on the playground fence upon entering the playground. The playground fence was observed to be broken. Two cracked slides were observed on the playground presenting pinching hazards. The Step 2 slide and swing observed on the playground was observed to have parts that should be embedded into the ground for safety. The instruction manual for the Step 2 equipment could not be located.

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: A renewal inspection was conducted on 12/6/19. At that time, three young toddlers were observed napping with toys up against their rest equipment on two sides. A third side was up against a wall preventing them from having two 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.

Noncompliance Area: A renewal inspection was conducted on 12/6/19. At that time, the file for Child #1 contained a health assessment dated 11/4/19. The most recent flu vaccine on the health assessment was 4/4/16. The immunization documentation for Child #2 did not contain any documentation that the child ever received the flu vaccine. The flu vaccine is recommended annually.

Correction Required: The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code 27.77.

Noncompliance Area: A renewal inspection was conducted on 12/6/19. At that time, Facility Person #4 was observed using her hand to open the trash can when disposing of a dirty diaper, instead of the foot pedal on the hands-free trash can.

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

Noncompliance Area: A renewal inspection was conducted on 12/6/19. At that time, the file for Facility Person #1 did not contain a health assessment and TB test results conducted prior to onset of employment. (Date of hire: 2/4/19, health assessment: 3/4/19) The file for Facility Person #2 did not contain health assessments conducted every 24 months. (Health assessments: 3/21/17, 9/19/19)

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

Noncompliance Area: A renewal inspection was conducted on 12/6/19. At that time, Facility Person #4 was observed changing an infant's diaper while wearing gloves. Facility Person #4 did not wash her hands after changing the child.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: A renewal inspection was conducted on 12/6/19. At that time, the file for Facility Person #3 contained the requests for clearances after the date of hire of 2/4/19. The disclosure statement was signed 2/11/19. The state police clearance was requested 2/7/19. The FBI clearance was requested 2/9/19. The PA Child Abuse Clearance was dated 3/8/19.

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: A renewal inspection was conducted on 12/6/19. At that time, three uncovered outlets were observed in the school age room while the preschool children, ages 3-5, were in the room to watch a movie.

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

Noncompliance Area: A renewal inspection was conducted on 12/6/19. At that time, dry erase cleaner labeled "Keep out of reach of children" was observed in a drawer with a faulty child safe lock. The drawer was about two feet high and able to be easily opened allowing the dry erase cleaner to be accessible to the preschool 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.

Noncompliance Area: A renewal inspection was conducted on 12/6/19. At that time, the emergency exit from the infant room was blocked with baby bouncers.

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

Noncompliance Area: An unannounced inspection was conducted on 8/16/19. At that time, the playground with embedded equipment only had 4 inches of mulch. (When equipment is embedded, at least 9 inches of wood mulch or 6 inches of rubber mulch is required.) The playhouses on the playground were filled with about 3 inches of small rocks. An unannounced inspection was conducted on 10/7/19. At that time, the playground with embedded equipment only had 7 inches of mulch under the climber. The overgrown weeds had been removed from the playground, revealing exposed bolts on the gates to the fence on the playground.

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: An unannounced inspection was conducted on 8/16/19. At that time, the playground with embedded equipment only had 4 inches of mulch. (When equipment is embedded, at least 9 inches of wood mulch or 6 inches of rubber mulch is required.) The playhouses on the playground were filled with about 3 inches of small rocks.

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.