Northwest Childrens Centre

Regulation: 3270.192(2)(i)

Description: Age

Noncompliance Area: On 7/27/26 an unannounced inspection was conducted at the Northern Lehigh swimming pool and facility person #4 was present and did not have verification of age on file.

Correction Required: A facility person's record shall include verification of age.

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: On 7/27/26 an unannounced inspection was conducted at the Northern Lehigh swimming pool and facility person #4 was present and did not have a health assessment on file.

Correction Required: 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: On 7/27/26 an unannounced inspection was conducted at the Northern Lehigh swimming pool and facility person #4 was present and did not have two written, non-family references on file.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Continued non-compliance: A renewal inspection was conducted at the facility on 7/13/26, a review of staff files was conducted at that time and found that staff person #1 did not have a completed NSOR verification on file prior to direct and routine contact with children as is required. NSOR was dated 6/8/26. Also, staff person #1's PA State Police clearance was not requested until 6/22/26. Staff person #2 did not have a completed NSOR verification on file prior to direct and routine contact with children as is required. NSOR was dated 10/17/25. Staff person #2's PA State Police clearance was still in pending status at the time of the renewal inspection. Staff person #3 did not sign a disclosure statement until 10/15/25 and their PA Child Abuse History clearance was dated 9/15/25, NSOR was dated 9/11/25, and FBI was requested 9/10/26. See code sheets for first day in direct childcare position. The facility's acceptable plan of correction indicated the operator of the facility will immediately comply with the requirements of the Child Protective Services Law (CPSL) and 55 Pa. Code Chapter 3490, relating to protective services. On 7/27/26 an unannounced inspection was conducted at the Northern Lehigh swimming pool and facility person #4 was present and did not have a signed and dated disclosure on file. did not have an FBI or NSOR verification on file or proof that they had requested those clearances.

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 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 #4 may not work in a child care position at the facility.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: A renewal inspection was conducted at the facility on 7/13/26, at the time of the inspection there was no documentation at the facility of an emergency drill being conducted in the last 12 months.

Correction Required: 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: A renewal inspection was conducted at the facility on 7/13/26, a review of staff files was conducted at that time and found that staff person #1 did not have a completed NSOR verification on file prior to direct and routine contact with children as is required. NSOR was dated 6/8/26. Also, staff person #1's PA State Police clearance was not requested until 6/22/26. Staff person #2 did not have a completed NSOR verification on file prior to direct and routine contact with children as is required. NSOR was dated 10/17/25. Staff person #2's PA State Police clearance was still in pending status at the time of the renewal inspection. Staff person #3 did not sign a disclosure statement until 10/15/25 and their PA Child Abuse History clearance was dated 9/15/25, NSOR was dated 9/11/25, and FBI was requested 9/10/26. See code sheets for first day in direct childcare position.

Correction Required: As of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL. TIERED LIS 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The correction date for this portion of the plan must be immediate. 2. The facility director and any other persons involved in the hiring of staff must register and attend an Existing Provider Orientation at a Regional Office. The provider must provide a correction date for when this portion of the plan will be completed. 3. The facility must develop a hiring policy that includes a review of the completed file by a second person that has attended existing provider training before the new hire may begin to have direct contact or routine interaction with children.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection was conducted at the facility on 7/13/26, at the time of the inspection and the facility's fire drill and detection log was reviewed and found more than 30 days between manual testing of the system during the periods of January 30,2026 to March 15, 2026, March 15, 2026 to April 17, 2026, April 17, 2026 to May 29, 2026, June 9, 2026 to July 13, 2026.

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. Child Care Centers shall maintain compliance by manually testing all fire detection devices or systems at least once every thirty days and maintain a written record of testing with the facility's fire drill logs (62 P.S. § 1016(c)(1), 55 Pa. Code § 3270.95

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A complaint inspection was conducted at the facility between 10/9/25 and 10/14/25. It was observed that Staff #1 did not have a NSOR on file prior to employment and at present as is required. Staff Person #1 was observed working in a childcare position at the facility on 10/9/25 and per documents on file, Staff Person #1 applied for the NSOR on 10/13/25.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. TIERED LIS: 1. Staff #1 must be removed from a childcare position with direct contact and routine interaction with children until all missing clearances are completed and on file at the facility. This portion of the plan requires an immediate date of correction. 2. In order to demonstrate compliance in this area, the director or legal entity representative will send completed staff files for all new hires for the next three months to the Northeast Regional Office for review. The staff files must include all clearance requests, completed clearances, (including out of state clearances and requests if necessary) signed and dated disclosure statement. The correction date for this portion of the plan must be three months from the acceptance of the plan by The Northeast Regional Office.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: A renewal inspection was conducted on July 28, 2025, a review of staff files found that Staff Person #1 had a Pennsylvania Department of Education (PDE) FBI clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a childcare position with direct contact with children at the facility. An FBI clearance obtained pursuant to the Pennsylvania Department of Education (PDE) requirements is not valid when working or residing in a certified child care facility. To work or reside in a certified child care facility, the only acceptable FBI clearance must be obtained pursuant to the Department of Human Services (DHS).

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Per the facility fire drill log, the last fire drill was conducted on 12/5/24.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Per the facility's fire drill and detection log, the last test of the fire detection system was conducted on 12/5/24.

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. Child care facilities in a commercial space (center and group) must manually test its alarm at least once every 30 days and shall maintain a written record of testing with the facility's fire drill logs.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: Child #1, a preschool aged child, most recent health assessment on file was dated and signed 6/13/23.

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: 3270.133(5)

Description: Original label

Noncompliance Area: A bottle of children's Motrin in the toddler room had expired 10/2023.

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: During renewal inspection on 7/8/24, the facility's emergency plan does 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 OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff Person #1 did not have proof of education on file.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #1 has been employed in a child care position for more than 45 days and does not have a National Sex Offender Registry (NSOR) certification on file. Staff Person #2 does not have a signed and dated disclosure statement on file.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed a bottle of Clorox bleach cleaner under the sink in the school age bathroom.

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: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: During renewal inspection on 7/19/23, the rubber mulch under the swings, curly slide, small climber and embedded teeter totter on the preschool/school age playground measured between 2 inches and 4 inches deep. Required depth of rubber mulch is 6 inches.

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: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: During the renewal inspection on 07/19/23 the parent handbook did not contain general daily schedule or supervision policy. Director acknowledged that this not given to the parents in writing.

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(e)

Description: Written emergency plan posted

Noncompliance Area: During the renewal inspection on 07/19/23 a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the toddler 2 child care space.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: During the renewal inspection on 07/20/23 the child #1's immunization record indicates the child does not have the flu vaccine and no exemption letter is in child's file. The child is over six months of age.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 must be dismissed from care by close of business on 07/21/23 and may only return to care when the immunization record is updated or when a parent provides written, signed exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During renewal inspection on 7/19/23, facility emergency plan does 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.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: During the renewal inspection on 07/19/23, facility person #1 did not receive a health assessment and tb screening at initial hire.

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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

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: During the renewal inspection on 07/19/23 the director acknowledged that a copy of accidents, injuries and illnesses reports are not kept in the individual child's files.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: During the renewal inspection on 07/19/23, facility person #1 did not have two non-family references non in staff 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)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During the renewal inspection on 07/19/23 operator did not provide parents with procedures for accessing the regulations electronically.

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.

Regulation: 3270.27(a)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: During the renewal inspection on 07/19/23 the facility's emergency plan did not include methods to contact parents or inform parents that the emergency has ended.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During the renewal inspection on 07/19/23 the emergency plan does not provide information for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 07/19/23 an uncovered accessible outlet was observed in the Wobbler room near the door.

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

Regulation: 3270.75(a)/3270.75(d)

Description: In child care spaces/On excursions

Noncompliance Area: During the renewal inspection on 07/19/23 a first aid kit was not present in the young preschool room and the toddler 2 room. The first aid kit in the toddler 1 room did not contain a bottle of water. Staff acknowledged that this kit was taken outside.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection was conducted on 7/8/22. At that time, exposed bolts were observed on the toddler playground fencing. Bird excrement was observed covering the toddler bench on the toddler 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.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: A renewal inspection was conducted on 7/8/22. At that time, the rubber mulch under the swings and embedded teeter totter on the preschool/school age playground had been scattered through use and the dirt ground was visible.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A renewal inspection was conducted on 7/8/22. At that time, diapers in plastic packaging was observed in the low cubbies, approximately one foot high, in the toddler 2 room and was accessible to the toddlers in care.

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)(6)

Description: Insurance coverage information

Noncompliance Area: A renewal inspection was conducted on 7/8/22. At that time, the emergency contact forms in the school age room for Child #3, Child #4, and Child #5 did not contain health insurance information or policy numbers.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A renewal inspection was conducted on 7/8/22. At that time, a written plan identifying the means of transporting a child in the event of an emergency was not found posted in the facility or in the emergency bags that accompany staff on field trips.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: A renewal inspection was conducted on 7/8/22. At that time, the emergency contact form and financial agreement for Child #2 was last updated 12/1/21.

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: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: A renewal inspection was conducted on 7/8/22. At that time, the file for Child #2, a young toddler, was reviewed. The date of the last health assessment on file for Child #2 was 8/17/21.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: A renewal inspection was conducted on 7/8/22. At that time, the file for Staff Person #1 was reviewed. The file contained a health assessment dated 5/11/22, after the date of hire for Staff Person #1. The file contained TB test results 2/3/17, more than 12 months prior to the date of hire for Staff Person #1.

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.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: A renewal inspection was conducted on 7/8/22. At that time, the file for Child #1 was reviewed. The emergency contact information did not contain signed parental consent for emergency medical care or administration of minor first-aid by staff.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: A renewal inspection was conducted on 7/8/22. At that time, the files for Staff Person #3, Staff Person #4, and Staff Person #5 were reviewed. The files did not contain any written, nonfamily references.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted on 7/8/22. At that time, the staff files were reviewed. The file for Staff Person #2 contained a Child Abuse Clearance for employment dated 6/24/22 that had been requested 6/24/22, after the date of hire for Staff Person #2.

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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: A renewal inspection was conducted on 7/8/22. At that time, the water in the handwashing sink in the Wobbler Room reached a temperature of 120° F and the water in the handwashing sink in the Infant Room reached a temperature of 115° F.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A renewal inspection was conducted on 7/8/22. At that time, water stained ceiling tiles were observed in the young school age bathroom. Holes were observed in the first and second seat of the driver's side of the facility bus.

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: 3270.31(f)/3270.31(h)

Description: Health and Safety Training/Health and Safety Training

Noncompliance Area: An unannounced inspection was conducted on 6/10/22. At that time, the staff files were reviewed for required preservice training for those staff present during the inspection. Staff Person #1 completed preservice training on 9/10/18 using the 6 hour course which is no longer acceptable.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: All staff persons shall complete the professional development under subsection (f). Staff Persons #1 will have 15 days to complete the required preservice professional development from the date of the request for plans of correction. Until such time that the required training has been completed, the above staff must be supervised by an assistant group supervisor that has completed the required preservice professional development.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: An unannounced visit was conducted on 2.16.22. Fire drill was not conducted every 60 days. The last fire drill documented is dated 12.13.21

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A unannounced inspection was conducted on 2.16.22. Fire detection devices are in non-compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).Provider is not testing fire detection devices every 30 days. Last fire detection device check that was documented is dated 12.13.21.

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: At time of renewal inspection, in the pre-k room, inspector observed toddlers mixed in with the preschoolers. Inspector observed match box cars with small tires and other small toys that were accessible to children who are still placing objects in their mouths. Provider removed items immediately.

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: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: At time of renewal inspection, inspector observed staff 2 changing diapers in the toddler room but staff 2 did not wash staff 2's hands after diapering each child nor did staff 2 wash the children's hands after diapering.

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: At time of renewal inspection, inspector observed staff 2 changing diapers. Staff 2 did not clean after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

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(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: Staff 3 - DOH - 3.1.21 - did not receive a health assessment and tb screening at initial hire. Staff 3 has a health assessment and tb screening on file dated 6.14.21.

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.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.27(a)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: The emergency plan does not provide a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises nor does the emergency plan provide a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The emergency plan does not provide accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.31(f)/3270.31(h)

Description: Health and Safety Training/Health and Safety Training

Noncompliance Area: Staff 1 does not have valid health and safety training on file. Staff 1 has basic health and safety training on file from the state of Georgia.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: All staff persons shall complete the professional development under subsection (f).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff 1 - DOH 2.2.2000 - does not have updated mandated reporter training on file. Staff 1 has mandated reporter training on file dated 5.8.15. Staff 2 - DOH - 8.9.21 did not have a fbi clearance at initial hire. Staff 2 has an fbi clearance on file dated 8.27.21.

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)/3270.66(b)

Description: Locked or inaccessible/Original container

Noncompliance Area: At time of renewal, inspector observed toxics (Zep antibacterial and disinfectant, disinfectant wipes) on the same shelf as the oatmeal. Inspector also observed syrup on the shelf below the toxics.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. 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: 3270.75(a)

Description: In child care spaces

Noncompliance Area: The young preschool room does not have a first-aid kit within the room.

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: At time of renewal, the toilet in the school age room is broken and unable to be used. Provider stated it would be fixed immediately.

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

Noncompliance Area: The bucket seat table in the 1 year old room has 2 chairs with no straps used by the children.

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

Noncompliance Area: Facility person # 1 was observed and heard by certification rep during renewal inspection yelling at the children in their group. Facility person # 1 was making demands and using a harsh tone with the children to get them over to her to line up from the outdoor playground.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Noncompliance Area: Child # 2 did not have a child service report completed in over 6 months from 10/28/17 to 11/29/18.

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

Noncompliance Area: The Pre K/Older Preschool classroom bathroom has a garbage can for pull ups that is broke. It is not hands free or lidded. The older toddler diapering can lid is broke, it is not hands free.

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: Child # 1 did not have emergency contact forms or fee agreements updated in over 6 months from 12/27/18 to 7/31/19.

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

Noncompliance Area: Facility person # 4 has no proof of high school diploma or college transcripts of file and is listed as a group supervisor at facility.

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.

Noncompliance Area: Facility person # 1 did not have a FBI clearance in over 60 months from 12/5/13 to 10/1/19.

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: Facility person # 2 was alone with 6 infants. Facility person # 3 was alone with 7 two year old children.

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.

Noncompliance Area: There is toxic hand sanitizer on a desk entering the facility accessible to the children. There is toxic engine oil on the ground in the cubby area between the pre k and preschool classrooms accessible to the children. The 2 year old toddler room has toxic Color My Bath Crayons for the children that say " Keep Out Of Reach Of Children, 3 +."

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

Noncompliance Area: There is toxic Abreva and Lice Repelant Hair Spray in a locked cabinet with children's food products in the 1 year old room.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Noncompliance Area: The kitchen stove, exceeds 110 degrees F, has no guards and is accessible to the children.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: The older toddlers outdoor emergency bag with the first aid kit is on the bathroom floor and accessible to the children. The school age room back sink has the emergency outdoor bag on the floor with the first aid kit inside accessible to the children.

Correction Required: A first-aid kit must be inaccessible to children.

Noncompliance Area: A toilet is broke in the young preschool bathroom. The school age room wall outside the bathroom has damage to the sheetrock due to a water leak and 2 toilets are broke.

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

Noncompliance Area: The toddler 2 room does not have a written plan of daily activities and routines, including a time for free play shall be established for each group posted.

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

Noncompliance Area: Child 2's fee agreement and emergency contact form was not updated within 6 months. The fee agreement and emergency contact form for child 2 was updated 8/2/17 and again on 6/29/18.

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

Noncompliance Area: Inspector observed an inhaler in the school age room that belongs to child 1. The inhaler is not in the original container.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Noncompliance Area: Inspector observed aquaphor in the toddler room that was not labeled with child's name.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: In toddler 1 room, inspector observed butt paste that expired 8/2018 and another diaper cream for child 2 that expired 11/2017. Inspector was unable to obtain the name of diaper cream due to director throwing expired cream in the trash can.

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

Noncompliance Area: Staff 3's file does 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

Noncompliance Area: Staff 1 - DOH - 8/25/15 does not have an annual minimum of 6 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: Staff 3 - DOH - 2/19/18 did not complete mandated reporter training within 90 days of hire. Staff 3 has completed mandated reporter training on file dated 6/4/18.

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: Staff 2 does not have proof of 15 credits and 1250 hours of experience on file to qualify as an assistant group supervisor.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours 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.

Noncompliance Area: The toddler 2 room does not have a first-aid kit.

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

Noncompliance Area: Inspector observed the carpet fraying in the school age room and in the pre-k room. Inspector showed both area's to the director.

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

Noncompliance Area: THERE WAS A TORN BLANKET IN THE SCHOOL AGE ROOM, A TORN CUSHION IN THE READING NOOK IN THE TODDLER ROOM, AND CLIMBING MATS IN THE YOUNG PRESCHOOL ROOM AND TODDLER ROOM THAT WERE TORN AROUND THE EDGES MAKING THEM UNABLE TO BE PROPERLY CLEANED.

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: THE EMERGENCY CONTACT FORM FOR CHILDREN # 1 AND # 2 DID NOT HAVE THE RELEASE PERSONS ADDRESS.

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

Noncompliance Area: STAFF PERSON # 1 WAS HIRED ON 6/19/17. THEIR INITIAL HEALTH ASSESSMENT IS DATED 7/15/17. THEIR INTIAIL MANTOUX TB TEST IS DATED 7/17/17.

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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: THE EMERGENCY CONTACT FORM ON FILE FOR CHILD # 3 WAS LAST REVIEWED AND UPDATED BY THE PARENT ON 2/28/17.

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

Noncompliance Area: THE EMERGENCY PLAN ON FILE AT THE FACILITY WAS DATED 9/1/17. NO STAFF WERE TRAINED ON THE CURRENT EMERGENCY PLAN AS OF 9/11/17.

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. Staff shall be trained on the emergency plan within one week of employment and within one week of annual plan updates.

Noncompliance Area: STAFF PERSON # 2 WAS HIRED ON 3/20/2017. THERE IS NO INTIIAL HEALTH ASSESSEMENT WITH TB TEST RESULTS ON FILE.

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: STAFF PERSON # 1 WAS QUALIFIED AS AN AIDE AT THE TIME OF HIRE. THERE IS NO PROOF OF EDUCATION OR EXPERIENCE IN THEIR FILE.

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

Noncompliance Area: STAFF PERSON # 1 WAS HIRED ON 1/30/2017 AND HAS NOT SIGNED OFF ON THE EMERGENCY PLAN YET.

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. All new staff will be trained in the emergency plan within one week of their intiial employement and within one week of all updates.

Noncompliance Area: STAFF PERSON # 1 STARTED ON 1/30/17 AND THERE IS NO CHILD LINE CLEARANCE ON FILE. STAFF PERSON # 2 STARTED ON 3/20/17 AND THERE IS NO FBI CLEARANCE ON FILE OR PROOF THAT THEY WERE FINGERPRINTED YET. STAFF PERSON # 3 STARTED ON 1/16/17; THERE IS NO CHILD LINE OR FBI CLEARANCE ON FILE. THERE WAS PROOF THAT THEY WERE FINGERPRINTED ON 2/20/2017.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staffs Persons # 1, 2, & 3 -- 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. Staff Persons #-1, 2, & 3-- may not work in a child care position at the facility.