North Penn Ymca-lansdale Branch

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: 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 (1/25/26).

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the inspection on 5/11/2026 the file records for staff person#1 did not include two written, non-family references from individuals attesting to the person's suitability to serve as a facility person.

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(c)

Description: Training regarding plan

Noncompliance Area: During the inspection on 5/11/26 the file record for staff person #1 did not include emergency plan training.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the inspection 5/11/26 the file record for staff person # 1 did not include annual minimum of 12 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

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

Description: Fire safety - 1 yr.

Noncompliance Area: During the inspection on 5/11/26 the file record for staff person #1 did not include current fire safety training

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: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: During the inspection on 5/11/2026 the file records for staff person #2 did not include verification of education prior to service at the facility.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During the inspection on 5/11/26 staff person #3 was observed with 7 children alone in Room 5-6, the youngest child was a young toddler.

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: 3270.119

Description: Infant sleep position

Noncompliance Area: During the inspection on 12/1/2025 child #3(infant) was observed sleeping in an apparatus (swing).

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: During the inspection on 12/1/25 the file record for child # 2 did not include an agreement that specified the amount of the fee to be charged per day or per week.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: During the inspection on 12/1/25 the file records for child # 1 did not include a health assessment that included a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: During the inspection on 12/1/2025 staff person #3 was observed conducting a diaper series of 1 child, child #4 and did not wash the child's hands after being diapered. Staff person #3 did not wash their hands after diapering a 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. Staff person# 1 and 3 will obtain Better Kid Care training: "Your #1 Priority: Keeping Children Healthy and Safe" training is due by 12/15/25.

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: During the inspection on 12/1/25 staff person #3 was observed conducting a diaper change and did not clean the surfaces after 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: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: During the inspection on 12/1/25 staff person #1 was observed providing direct child care and their file included a health assessment that did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.35(b)(2)/3270.192(2)(ii)

Description: Bachelor's, 30 credits + 1 yrs/Exp, educ., training prior to facility

Noncompliance Area: During the inspection on 12/1/2025 the file record for staff person #2 did not include a degree in human services field to qualify for the position.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During the inspection on 12/1/25 Room #6 did not have a handwashing sign near the sink. Room #10 did not have an appropriate (a sign of the requirement of when to wash hands: facility person and an able child shall wash his hands after toileting and before eating) handwashing sign near the sink.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1--- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health & Safety training). Staff person #2--- does not have acceptable pediatric first aid/CPR training in an approved curriculum (Staff person #2 had Basic First Aid and CPR).

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)(3)

Description: Exam communicable disease

Noncompliance Area: During the inspection on 7/24/25 staff person #3 was observed providing direct child care and their file included a health assessment that did not include an examination for communicable diseases and the results of that examination.

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

Regulation: 20.71(a)(7)

Description: Fraud or deceit in obtaining or attempting to obtain a certificate of compliance

Noncompliance Area: During the inspection on 6/23/25 the file for staff person#1 included health and safety training dated 5/18/2022 and April 19,2023 that confirmed to be fraudulent. Review of PD registry report of staff person# 1 did not include a record of health and safety trainings on 5/18/22 or 4/19/23. Review of Better Kid Care Trainings completed courses did not include a record health and safety trainings on 5/18/22 or 4/19/23.

Correction Required: The Department may deny, refuse to renew or revoke a certificate of compliance for fraud or deceit in obtaining or attempting to obtain a certificate of compliance.

Regulation: 3270.101(a)

Description: Age appropriate

Noncompliance Area: During the inspection on 6/23/25 Rooms # 1,2, 8, and 10 did not have any play equipment and materials appropriate to the developmental needs, individual interests and ages of the children. Rooms # 1,2,8 and 10 were observed having only tables and chairs and other furniture (shelves/ cubbies).

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Regulation: 3270.101(c)(1)

Description: Dramatic role playing

Noncompliance Area: During the inspection on 6/26/25 Rooms # 1,2, 8 and 10 did not include play equipment and materials for dramatic role playing.

Correction Required: Play equipment and materials shall include materials for dramatic role playing.

Regulation: 3270.101(c)(4)

Description: Auditory development

Noncompliance Area: During the inspection on 6/26/25 Rooms # 1,2, 8 and 10 did not include play equipment and materials for auditory development.

Correction Required: Play equipment and materials shall include toys and materials for auditory development.

Regulation: 3270.101(c)(6)

Description: Large muscle development

Noncompliance Area: During the inspection on 6/26/25 Rooms # 1,2 and 10 did not include play equipment and materials for large muscle development.

Correction Required: Play equipment and materials shall include toys and equipment for large muscle development.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During the inspection on 6/23/25 the refrigerator in the Room#6 did not have a thermometer. The refrigerator in Room#3 was observed having dark red/brown stains and other stains.

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: During the inspection on 6/23/25 Rooms # 1,2,8 and 10 did not have a daily schedule posted.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Ongoing non-compliance- On 2/26/25 the legal entity was required to arrange for all facility staff to receive a minimum of two hours of Better Kid training regarding supervision of children: Supervision: What is Required? & Supervision: Moving Children. Staff persons #1, 14,15,16 and 17 did not complete the required training. During the inspection on 6/23/25 at 9:49am staff persons# 6 and 10 were observed with 10 children outside of the bathroom. child #1 and 2 were observed in the bathroom alone unsupervised. Where staff persons #6 and 10 were positioned they could not direct, assist or see the children. At 1:30pm staff person#7 was observed in the stall with the door closed, while 4 children were in the bathroom alone unsupervised. During the inspection on 6/26/25 at approximately 9:40 am Staff person #19 was observed in the hallway with 6 children lined on the wall and 1 student in the bathroom unsupervised. Additionally at 10:33 am staff person #3 was observed taking children to the bathroom alone, 3 children were in the hallway and 3 students were in the bathroom alone unsupervised. Where staff persons # 3 and 19 were standing, they could only properly supervise the children in the hallway, they could not see, direct or assess the children that were in the bathroom.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times.--- Due by 6/26/25 The legal entity must arrange for all facility staff to receive a minimum of two hours of referred training regarding supervision of children. --Due by 9/26/25 The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. --Due by 6/26/25

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During the inspection on 6/23/25 staff persons# 7 and 8 were observed in Room# 8 with 13 children, staff person #7 knew the names of 10 children, staff person #8 knew the names of 8 children. In Room #2 staff persons# 6 and 10 were observed with 12 children, staff persons #6 and 10 did not know any of the names of the children in their care. In Room #4 staff persons #5 and 16 were observed with 12 children. Staff person #16 knew the names of the 12 children., staff person# 5 did not know name of child #3. In Room #10 staff persons #12, and 18 were observed with 16 children, Staff person#12 knew the names of 9 children, staff person# 18 knew the names of 3 children. Additionally; Rooms # 2,4,8 and 10 staff did not have assignments of specific children. During the inspection on 6/26/25 in Rooms #2,4, and 10 the staff did not have specific assignment of supervision of children. In Room #10 staff persons #11 & 12 were observed with 19 children, staff person#11 knew the names of all 19 children, staff person#10 knew the knows of 5 of the 19 children,

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: During the electronic inspection on 6/24/25 the file records for child #4,5, 8 and 9 did not include a financial agreement form signed by the operator and parent.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the electronic inspection on 6/24/25 the files for child #4,5,7,8 and 9 did not include the services to be provided to the family and the child

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

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: During the electronic inspection on 6/24/25 the file record for child # 4 did not include an agreement that specified the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.123(a)(5)/3270.123(a)(6)

Description: Designated release persons/Admission date

Noncompliance Area: During the electronic inspection on 6/24/25 the file record for child # 7,8, and 9 did not include an agreement that specified the persons designated by a parent to whom the child may be released. The file records for child # 4,5,7,8 and 9 did not include an agreement that specified the date of the child's admission.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. An agreement shall specify the date of the child's admission.

Regulation: 3270.124(b)(3)/3270.124(b)(6)

Description: Parent home/work address, phone/Insurance coverage information

Noncompliance Area: During the electronic inspection on 6/24/25 the file records for child #4 did not include work address and work telephone number of the enrolling parent on the emergency contact form. The file records for child # 4 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits on the emergency contact form.

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

Description: Each child care space

Noncompliance Area: During the inspection on 6/23/2025 Rooms #2, 4 and 8 did not have emergency contact information present in a child care space for children receiving care in the spaces. During the inspection on 6/26/25 Rooms 1,2,3 and 8 did not have emergency contact information present in a child care space for children receiving care in the spaces.

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: 3270.133(4)

Description: Locked

Noncompliance Area: During the inspection on 6/23/25 the medication for child # 6 was observed on top of a cubby unit 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: 3270.133(5)

Description: Original label

Noncompliance Area: During the inspection on 6/23/25 an expired EPIpen (dated: EXP:8/24) was observed accessible to children in room #3 for child #6.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff persons #3,5,6,7,8,9,10,11,12, 13,18-- was observed to be caring for children unsupervised. Staff person #3,5,6,7,8,9,10,11,12, 13, 18-- has not completed the following pre-service training required prior to caring for children unsupervised: (Health & Safety Training). Staff persons 5,7,13, 18 #-- was observed to be caring for children unsupervised. Staff person #5,7,13, 18-- has not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid & CPR). Staff person #10--- does not have acceptable pediatric first aid/CPR training in an approved curriculum. Staff person #7,9,11, 18-- was observed to be caring for children unsupervised. Staff person #7,9,11,18-- has not completed the following pre-service training required prior to caring for children unsupervised: (mandated reporter training). Staff person #1--- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health & Safety Training). The file for staff person#1 included health and safety training dated 5/18/2022 and April 19,2023 that appeared to be fraudulent.

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(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: During the inspection on 6/23/25 the file for staff person#4 did not include an initial health assessment and Tb test results. Staff persons# 2 and 18 were observed providing direct child care and their file did not include an initial health assessment and Tb test results. During the inspection on 6/26/25 staff person#19 was observed providing direct child care and their file did not include an updated health assessment (the health assessment observed dated: 5/6/22).

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: During the inspection on 6/27/25 staff person #20 was observed providing direct child care and their file included a health assessment that did not include an examination for communicable diseases and the results of that examination.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: During the inspection on 6/23/2025 four bottles for child #4 in the Room#6 were observed not labeled.

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

Regulation: 3270.181(a)

Description: Each child

Noncompliance Area: During the inspection on 6/23/2025 the files for child #4,5,7,8 and 9 were not available.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Regulation: 3270.192(1)/3270.192(2)(i)

Description: Name, address, and phone/Age

Noncompliance Area: During the electronic inspection on 6/24/2025 the file record for staff person #18 did not include the name, address and telephone number of the facility person. The file record for staff person #18 did not include verification of age.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person. A facility person's record shall include verification of age.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the inspection on 6/23/2025 the file records for staff persons #2 and 4 did not include two written, non-family references from individuals attesting to the person's suitability to serve as a facility person. During the electronic inspection on 6/24/2025 the file records for staff person#18 did not include two written, non-family references from individuals attesting to the person's suitability to serve as a facility person.

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(c)

Description: Training regarding plan

Noncompliance Area: During the inspection on 6/26/25 the file record for staff person #19 did not include emergency plan training.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the inspection 6/26/25 the file record for staff person # 19 did not include annual minimum of 12 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.31(e)(4)(iii)

Description: Lifeguard

Noncompliance Area: During the inspection on 6/23/25 the file for staff person#4 identified as a facility lifeguard did not include completion of lifeguard training, including first-aid training and cardiopulmonary resuscitation (CPR) for child and infant.

Correction Required: Competence in lifeguard training is demonstrated by completion of lifeguard training, including first-aid training and cardiopulmonary resuscitation (CPR) for child and infant.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the inspection on 6/23/25 staff person#1 was observed providing direct child care and their file did not include a state police clearance and DHS FBI clearance. Staff person #13 was providing direct child care and their file did not include proof of fingerprinting or DHS FBI clearance and a disclosure statement. Staff person #18 was observed providing direct child care and their file did not include a state police, child abuse, DHS FBI clearance, and NSOR.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, 13, 18 -- may not work in a child care 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 #1, 13, 18--- may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During the inspection on 6/26/25 the file records for staff persons # 19 and 20 did not include a written evaluation.

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

Regulation: 3270.35(b)(1)/3270.192(2)(ii)

Description: Bachelor's/Exp, educ., training prior to facility

Noncompliance Area: During the inspection on 6/23/25 the file records for staff person #7 did not include verification of child care experience, education and training prior to service at the facility. The file record for staff person #8 did not include verification of childcare experience.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: During the inspection on 6/23/2025 the file records for staff person #2, 3,9,10, 11, 12 did not include verification of child care experience prior to service at the facility. The file records for staff persons #6, and 7 did not include verification of child care experience, and education prior to service at the facility. During the electronic inspection on 6/24/25 the file record for staff person #18 did not include verification of child care experience, and education prior to service at the facility.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.37(b)(3)/3270.192(2)(ii)

Description: 8th grade + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: During the inspection on 6/23/25 the file record for staff person #5 did not include verification of child care experience, and education prior to service at the facility.

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

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: During the inspection on 6/23/25 staff person#5 was observed in Room #4 with 6 toddlers alone unsupervised. During the inspection on 6/26/25 staff person #3 was observed taking 6 children to the Girls bathroom at 10:33 am.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the inspection on 6/23/2025 toxics (3 cans Clorox Disinfectant spray, pine sol cleaner, Resolve Urine destroyer spray, sun tan lotion) were observed in Room #3 in an open cabinet and hand sanitizer was on the table accessible to children. All toxics observed had a label that states "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: 3270.75(a)

Description: In child care spaces

Noncompliance Area: During the inspection on 6/23/25 Rooms# 1, 2 8 and 10 did not have a first aid kit.

Correction Required: A first-aid kit shall be in a child care space.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the inspection on 6/23/25 the first-aid kit in Room#4 was missing gloves and in Room#5 the first aid kit was missing tweezers. During the inspection on 6/26/125 the first aid kit Room#2 was missing soap, in Room #4 the first aid kit was missing gloves, in Room #5 was missing tweezers, in Room #6 the first aid kit was missing soap and tape, in Room #8 the first aid kit was missing tweezers and gloves and in Room #10 the first aid kit was tweezers.

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: During the inspection on 6/23/25 Room #1 was observed having 2 cracked tiles, and soiled ceiling tiles. Room #2 was observed having a wall that had a dried substance/liquid was visible on the wall.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the inspection on 6/23/25 Room#1 was observed having areas of peeling paint.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During the inspection on 6/23/25 the boy's bathroom did not have a handwashing sign near the sink.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: During the inspection on 6/23/25 an unopened box with a toy/equipment was observed stored in a hallway near Room#3.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the inspection on 2/26/25 staff person #2 was observed leaving four children alone unsupervised in Room #5 at 8:22 am to open the front door.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of Better Kid training regarding supervision of children: Supervision: What is Required? & Supervision: Moving Children

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Continued Non-Compliance: On (2/10/25) a complaint investigation was conducted at the facility. Staff person #1-- was observed to be caring for children unsupervised. Staff person #1-- had not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid &CPR). The facility's acceptable plan of correction indicated the correction would be implemented by 2/25/25. On 2/18/25 it was reported that Staff person #1-- still has not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid & CPR). The complaint investigation was conducted on 2/26/25.

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: 3270.52/3270.113(a)(2)

Description: Mixed Age Level/Supervision on and facility premises

Noncompliance Area: As a result of the complaint investigation on 2/26/25 staff person # 1 admitted that the facility was out of ratio on 2/18/25.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Continued Non-Compliance: On 1/23/25 an unannounced monitoring was conducted at the facility. Staff person #2-- was observed to be caring for children unsupervised. Staff persons #1 and 2-- had not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid & CPR training) The facility's acceptable plan of correction indicated the correction would be implemented by 2/7/25. On 2/10/25 an unannounced inspection was conducted. Staff persons #1 and 2-- still has not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid & CPR).

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(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: Ongoing non-compliance- During the inspection on 2/10/25 the file for staff person #2 did not include an acceptable initial health assessment.

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.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: Ongoing noncompliance - During the inspection on 2/10/25 the file records for staff persons # 1 did not include acceptable verification of education, the education observed needs to be evaluated for US. equivalency. Per staff statements staff #1 continued to work with children after 1/23/25.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Ongoing noncompliance- During the inspection on 2/10/25 the file record for staff person #1 did not include a NSOR. Per staff statements staff person #1 continued to provide direct child care after 1/23/25 inspection and POC indicated staff person #1 would not provide direct child care until all required clearances was obtained.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person # 2-- was observed to be caring for children unsupervised. Staff person #1 and 2-- has not completed the following pre-service training required prior to caring for children unsupervised: (mandated reporter training, pediatric first aid/CPR and Health and safety).

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(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: During the inspection on 1/23/2025 the file for staff persons #1 and 2 did not include an acceptable initial health assessment.

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.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: During the inspection on 1/23/25 the file records for staff persons # 1 did not include acceptable verification of education, the education observed needs to be evaluated for US. equivalency.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the inspection on 1/23/2025 the file records for staff person# 1 and 2 did not include two written, non-family references from individuals attesting to the person's suitability to serve as a facility person.

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(c)

Description: Training regarding plan

Noncompliance Area: During the inspection on 1/23/25 the file record for staff persons #1 and 2 did not include emergency plan training.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the inspection on 1/23/25 the file for staff person #1 did not include a child abuse clearance, and NSOR clearance, mandated reporter training. Staff person #2 was observed direct child care and their file did not include out of state clearances for Connecticut, and mandated reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and 2 -- may not work in a child care 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 #1 and 2--- may not work in a child care position at the facility.

Regulation: 3270.34(b)(1)/3270.192(2)(ii)

Description: Bachelor's + 1 yr/Exp, educ., training prior to facility

Noncompliance Area: During the inspection on 1/23/2025 the file records for staff person #1 did not include verification of child care experience prior to service at the facility.

Correction Required: A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: During the inspection on 1/23/2025 the file records for staff person #2 did not include verification of child care experience, education and training prior to service at the facility.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the inspection on 1/23/2025 toxics (Lysol wipes) were observed accessible to children in Kid's Corner.

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

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: During the inspection on 1/23/25 Room #5 & 6 did not have first-aid kit.

Correction Required: A first-aid kit shall be in a child care space.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During the inspection on 1/23/25 Room #6 and the bathroom in Room #5 did not have a handwashing sign near the sink.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During the inspection on 11/25/24 a playpen in Room#2 was observed not having 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.

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: 3270.192(1)/3270.192(2)(i)

Description: Name, address, and phone/Age

Noncompliance Area: During the inspection on 11/25/24 the file record for staff person #1 did not include the name, address and telephone number of the facility person and verification of age.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person. A facility person's record shall include verification of age.

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: During the inspection on 11/25/24 the file record for staff person #1 did not include a signed disclosure statement.

Correction Required: 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 #--- may not work in a child care position at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the inspection on 11/25/24 the file record for staff person #1 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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(c)

Description: Training regarding plan

Noncompliance Area: During the inspection on 11/25/24 the file record for staff person #1 did not include emergency plan training.

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

Regulation: 3270.67(c)

Description: No insects or rodents

Noncompliance Area: As a result of the complaint investigation on 11/25/24 it was determined that the facility has evidence of infestation.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the inspection on 11/4/2024 the file records for child # 1 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits on the emergency contact form.

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: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: During the inspection on 11/4/24 the file records for staff person #1 did not include a health assessment.

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the inspection on 11/4/2024 the file records for staff person# 1 did not include two written, non-family references from individuals attesting to the person's suitability to serve as a facility person.

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(c)

Description: Training regarding plan

Noncompliance Area: During the inspection on 11/4/24 the file record for staff person #3 did not include emergency plan training.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the inspection 11/4/24 the file record for staff persons # 2 and 3 did not include annual minimum of 12 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: During the inspection on 11/4/2024 the file records for staff person #1 did not include verification of child care experience prior to service at the facility.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During renewal inspection on January 10, 2024, certification representative observed stained ceiling tiles in the hallway.

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: 3270.61/3270.101(a)

Description: Measurement and use of indoor child care space/Age appropriate

Noncompliance Area: During unannounced inspection on October 30, 2023, Certification representative observed room 10 empty and not set up for child care, without sufficient materials.

Correction Required: Measurement and use of inodoor child care space. Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During unannounced inspection on October 30, 2023, Certification representative observed stained ceiling tiles in the hallways outside of rooms 6 and 8.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During unannounced follow-up inspection on August 24, 2023, certification representative observed staff #1 and #2 in the gym with 24 young school age children. The record of staff #1 did not contain an acceptable mandated reporter training, and the record of staff #2 did not contain the completed Health and Safety training. Continued non-compliance.

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(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: During unannounced follow-up inspection on August 24, 2023, the record of facility person #1 contained a health assessment dated 10-25-21 and the health assessment of staff #5 was dated 5-9-22. At the time of inspections on 7-31-23, and 8-7-23, the provider indicated and confirmed their start dates as 6-19-23 which allowed them provisional periods for other trainings and CPSL requirements. Based on the start date of 6-19-23, the health assessments provided were not completed within 12 months of initial care. Continued non-compliance.

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.

Regulation: 3270.51/3270.113(a)(2)

Description: Similar Age Level/Supervision on and facility premises

Noncompliance Area: During unannounced follow-up inspection on August 24, 2023, certification representative observed staff #3 in room 4 with a total of 13 young school age children at approximately 1:38 pm, and observed staff #4 in room 2 with a total of 14 young school age children at approximately 1:55 pm.

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. IF USING TIERED LIS: 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 -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During unannounced follow-up inspection on August 24, 2023, certification representative observed areas of peeled/missing molding in the gym. Continued non-compliance.

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: 3270.124(c)

Description: Each child care space

Noncompliance Area: During unannounced inspection on August 7, 2023, the emergency contact information in room 6 did not contain emergency contact information for child #1, the emergency contact information in room 4 did not include information for child #2, and the emergency contact information for room 2 did not include information for children #3, 4, 5 or 6.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During unannounced inspection on August 7, 2023, cert rep observed staff #1 and 2 working together in room 10, observed staff #3, 4, 5 and 6 combined with their groups outside at 12:30 pm and then later observed #3, 4, and 5 separated and therefore alone in their classrooms with their groups. Staff #1, 2, 3, 4, 5 and 6 did not have documentation of completed pre-service trainings prior to working alone with children.

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: 3270.191

Description: Individual Records

Noncompliance Area: During unannounced inspection on August 7, 2023, the provider did not have files on site for staff #4 and #7.

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: During unannounced inspection on August 7, 2023, the record of staff #10 did not contain the NSOR verification, or receipt for submission. The records of staff #6 did not contain documentation of mandated reporter training and was observed working with children unsupervised.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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 #--- may not work in a child care position at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During unannounced inspection on August 7, 2023, certification representative observed 2 outlets without protective receptacle covers in room 1.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During unannounced inspection on July 31, 2023, the first-aid kit in room 8 did not contain tweezers or 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.