Our Guardian Angel Child Care Center Llc

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: At the time of the follow up visit to verify corrections for SIN-00288967 (from 6/23/26), it was observed that the plan of corrections for the violation citing 3270.102(c) had not been fully implemented. On 8/25/26, the large climber still was not anchored firmly / embedded into the ground despite having anchoring points on the equipment.

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: 3270.25(b)

Description: Post the inspection summary

Noncompliance Area: The open inspection summary from the renewal inspection (SIN-00288967) was not posted at the facility at the time of the follow up visit to verify corrections. (CORRECTED ON SITE)

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: The following outdoor equipment was not anchored firmly / embedded into the ground despite having anchoring points on the equipment: the large climber, yellow slide ("small tree house and slide"), orange "merry go cycle", multicolor "spyder ryder spring bouncer", blue and yellow "tiny tots spinner", red "merry go cycle".

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: Preschool/pre-k room - Rubber bands, small toy fruit, connector blocks, small wooden blocks, and other small fine motor connectors (all less than 1 inch in diameter) were observed within reach of toddlers receiving care in the space.

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

Regulation: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: The information given to parents at enrollment does not include supervision policies.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child #1 began attending the program in September of 2025. The first Child Service Report was dated more than 6 months after the child's start date, in May of 2026.

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: 3270.131(e)(1)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The immunization record on file for child #2 was not in accordance with the schedule recommended by the ACIP. Immunizations from 2 specific visits were on file, but the documentation was incomplete.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by 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).

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Toddler room - Diapers were being disposed of into a trash can with a swinging lid, instead of a hands-free trash can.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The most health assessments on file for staff person #3 were dated in August of 2022, and subsequently more than 24 months later in March of 2026.

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)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The health assessment on file for staff person #2 did not include an examination for communicable diseases and the results of that examination. The health assessment also did not include the physician's or CRNP's assessment of the person's suitability to provide child care. The health assessment on file for staff person #3 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 an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff person #4 completed fire safety training in April of 2025 and subsequently more than 12 months later in May of 2026. Staff person #5 completed fire safety training in April of 2025 and subsequently more than 12 months later in May of 2026.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: According to the documentation on file at the time of inspection, staff person #7 did not complete the following required pre- service training within 90 days of their date of hire (part 2 of the health and safety training). The training was completed 338 days after the employee's date of hire.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Upon beginning work in the facility, the record for staff person #2 did not contain a completed NSOR, and a DHS FBI clearance as required under the CPSL. The record also did not include documentation the facility person has requested the outstanding clearance as required for provisional hiring under the CPSL. The NSOR was obtained 127 days after the staff person's start date working with children. The DHS FBI clearance was obtained 188 days after the staff person's start date working with children. A PDE FBI clearance was on file at start date. Staff person #5 worked at the facility with expired clearances on file during the past year. The Child Abuse clearances on file were dated July 22, 2020 and subsequently more than 60 months later on February 24, 2026. The DHS FBI clearances on file were dated July 22, 2020 and subsequently more than 60 months later on 2/19/26. The NSOR certificates on file were dated May 27, 2020 and subsequently more than 60 months later on 4/15/26. The staff person was on leave from 11/14/25 until 1/12/26, but worked for periods of time when the clearances were expired. In addition, the staff person's mandated reporter trainings were dated 7/25/2020, and subsequently more than 60 months later on 2/27/26. The initial mandated reporter training on file for staff person #7 was dated more than 60 days after the employees start date (307 days later). The mandated reporter trainings on file for staff person #8 were dated 8/6/2020, and subsequently more than 60 months later on 8/20/25. The mandated reporter trainings on file for staff person #9 were dated 7/23/2020, and subsequently more than 60 months later on 4/14/26.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The most recent staff evaluation on file for staff person #6 was more than 12 months old (dated 1/2025).

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

Description: Aide qualifications/Exp, educ., training prior to facility

Noncompliance Area: Staff person #1 was serving as an aide at the facility at the time of inspection. The staff record included documentation of at least an 8th grade education, but not high school graduation. The record did not include documentation of 2 years of child care experience.

Correction Required: An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3). (1) A high school diploma or a general educational development certificate. (2) A minimum of an 8th grade education and enrollment in a training curriculum described at § 3270.31(c) (relating to age and training). The classroom training portion of the curriculum shall be completed. Documentation of completion of classroom training and continuing enrollment in the training curriculum shall be included in the staff person's file. (3) 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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Hand sanitizer was observed in areas accessible to the children in the front lobby, the hallway, and in the school-age room.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the school-age space did not include soap.

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: Toddler room - An electrical outlet wall plate was cracked, creating a sharp edge. (CORRECTED ON SITE) A metal gate was leaning against the entrance to the playground and was not properly secured.

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: 3270.78/3270.113(a)

Description: Lighting/Supervised at all times

Noncompliance Area: The school-age room was not lit by artificial or natural light during naptime. In addition, children were resting in areas that the staff person in the room was unable to see them from where they were sitting in the room. Between the room being dark and placement of the children, staff were unable to supervise (see) some of the children in the room. (CORRECTED ON SITE)

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light. 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.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A school-age child was observed using hand-sanitizer instead of washing hands after using the restroom.

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: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: The proof and date of purchase of the interconnected fire detection system was not on file with the facility's fire drill logs.

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)). A child care center shall keep the proof and date of purchase of an interconnected fire detection device or system with the facility's fire drill logs.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Facility person #1 did not test for the operability of the fire/smoke detection devices every 30 days. Testing was documented to have lapsed between 7.16.25 - 8.18.25 [ 33 d] , and again on 10.10.25 to 11.12.2025 [33d] .

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: 3270.107

Description: Refrigerator

Noncompliance Area: It was observed that an operating thermometer was missing in the older toddler room refrigerator. (CORRECTED ONSITE)

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Facility persons #4 and #6 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented pediatric first aid and CPR training on file expiring 4/06/25. Documentation of updated Pediatric first aid and CPR training is not on file.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, facility persons #4 and #6 must be supervised, when interacting with children at a minimum by, an (AGS,) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise facility persons #4 and #6, facility persons/volunteer #4 and #6 may not work in a child care position at the facility.

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff fire safety training was not conducted annually. The file for facility persons #5 and #9 did not include documentation of fire safety training.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Facility person #2 (DOH see LIS code sheet) did not complete professional development with 90 days of hire as listed in subsections (f)1-10. This is evidenced by the health and safety training certificate, Get Started with Center-Building blocks for Quality being dated 10/7/2021.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Facility Person #13 did not include Child Abuse clearance results. Facility Person #13 was observed caring for children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #13 may not work in a child care position at the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: It was observed that the first aid kit in the preschool room and school age room did not include soap (CORRECTED ONSITE). The first aid kit in the older toddler room did not include medical tape. (CORRECTED ON SITE)

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: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: It was observed that the bathroom/sink area by the Pre-School room was not equipped with a lidded waste receptacle.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Upon inspection of the facility fire safety records, it was found that the following smoke alarm test dates exceeded the maximum of 30-days between required tests: 3.11.25/4.13.25 [34d].

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: 3270.105

Description: High Chairs

Noncompliance Area: In the infant room, it was observed that the Middle seat of the high chair sectional was missing a safety strap and did not adhere to manufactory specifications.

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

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: In the older toddler room, it was observed that there was no daily activity schedule 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.

Regulation: 3270.112

Description: Infant/Toddler Stimulation

Noncompliance Area: In the young toddler room, it was observed that toddler had very limited toys and soft items and carpeting areas for stimulation. Young toddlers were running around the teacher for 20 minutes without the use of engaging toys.

Correction Required: Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: In the older toddler room, it was observed that children did not wash their hands prior to eating lunch.

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

Regulation: 3270.135(e)

Description: 2 hour diaper check

Noncompliance Area: Staff Person #1, and Staff person #2 in infant and young toddler room indicated that diaper changes occur every 3 hours.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: It was observed that the facility's general liability insurance expired on 2.28.24.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed that in the preschool classroom bathroom, diaper cream labeled as keeping out of reach of children was accessible to children.

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

Regulation: 3270.182(7)

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

Noncompliance Area: The staff person #2 confirmed that they did not provide an injury/incident report dated 1.17.24 on the day of the injury as the staff forgot to give the report to parents.

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: 3270.23

Description: Parent Access & Participation

Noncompliance Area: It was determined that the center does not allow parents or release persons beyond the general entrance area of the facility.

Correction Required: A parent of a child in care shall be permitted free access, without prior notice, throughout the center whenever children are in care, unless a court of competent jurisdiction has limited the parental right of access to the child and a copy of the order is on file at the facility. Opportunity shall be provided for parents to participate in the facility's program. The operator shall maintain a yearly file which documents general announcements to promote parent participation. The file shall be updated annually.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Cert rep observed that the file for facility person #1 contained an outdated Mandated reporter training certificate. The certificate has a date of 7.1.2015 and did not contain an update. The training is no longer valid after 60 months..

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.

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: It was observed that teachers in the preschool classroom took close to 20 minutes with minimal instruction and activities to transition children from nap time to proceed to outdoor playtime.

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

Regulation: 3270.113(a)/3270.182(7)

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

Noncompliance Area: Complaint investigation revealed that Child #1 had scratches on her arms and shoulder when picked-up from care. Facility staff were not aware the child was injured and could not explain the injuries. Child #1 was injured in care and an injury report was not provided to the parent on the day of the incident.

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. 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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire drill log did not include manual smoke detection system testing dates every 30 days.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed that the red seat cushion in the dramatic play area of the large Preschool room was torn and in need of repair. (CORRECTED ON SITE)

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: 3270.111(a)

Description: Written plan

Noncompliance Area: It was observed that there was no written plan of daily activities and routines for the infant room.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan did not contain a Continuity Of Operations. The files for facility persons #1, #3, #4, #5, #6, #7,and #9 contained PA Health and Safety Update 2022 that were not completed training update within the prescribed timeframe of December 30, 2022, as outlined in Announcement C-22-06. It was observed that facility person #11 did not complete pre-service training and was working in the same classroom as an Aide. Facility person #11 and was not properly supervised by an AGS or higher as required.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required trainings are completed, staff person #11 must be supervised, when interacting with children, by a (AGS) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #11, staff person #11 may not work in a childcare position at the facility.

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: The health assessment record on file for facility person#12 did not contain Mantoux Test read/results at the time of initial hire.

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: It was observed that the file for facility person#12 did not include 1 additional non-family reference.

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

Regulation: 3270.27(a)(4)

Description: Contact when ended

Noncompliance Area: The facility's emergency plan does not include 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 inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff evaluations were not completed on a regular basis at a minimum annually. Facility person #7 did not have an evaluation on file.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Infant room and young toddler room changing pads were visibly torn. Preschool room seat cushions on bench seats were previously repaired with tape and were observed to be in disrepair. The brown, red, and purple cushioned seats in the library area were visibly torn.

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(b)

Description: Soiled- clean, rinse, sanitize

Noncompliance Area: It was observed in the toddler room that the toys and play areas were soiled and in need of cleaning.

Correction Required: Toys soiled by secretion or excretion shall be cleaned with soap and water, rinsed and sanitized before being used by a child.

Regulation: 3270.102(g)

Description: Hazardous toys and equipment

Noncompliance Area: It was observed that the infant room rest equipment being used were labeled from the manufacturer as not suitable for sleeping purposes. (Corrected on-site)

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: It was observed in the infant and toddler rooms that televisions were on, and children were watching the televisions for at least a 90-minute timeframe.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: It was observed in the infant and toddler rooms that televisions were on, and children were watching the televisions for at least a 90-minute timeframe.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding appropriate daily activities. The legal entity must receive DHS approval of the training content prior to scheduling the training. The training may not count toward the annual 12 hours of training required by regulations. Documentation of completed training must be submitted to DHS and be maintained on file at the facility.

Regulation: 3270.123(a)(7)

Description: Services considered extra

Noncompliance Area: It was confirmed that staff person #1 completed an unauthorized rectal temperature check of child in care.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Toddler room protective gate was not securely fastened and loose to the touch. Protective gate was being used in an open exit door that led to the facility's driveway.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed that the Toddler and young toddler room floor and activity carpets were soiled and in need of cleaning.

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

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: Activities are not planned for school-age children when they arrive at the facility after school.

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

Regulation: 3270.21/3270.31(f)(10)

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

Noncompliance Area: Staff person #1 and Staff person #2 were observed to be caring for children unsupervised. Staff person #1 and Staff person #2 have not completed the following pre-service training within 90 days of hire (see LIS code sheet): Pediatric First Aid and Pediatric Cardiopulmonary Resuscitation (CPR).

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #1 and Staff person #2 will have until 3/28/2023 to complete the required training. Until such time as the required pre-service trainings are completed, staff person #1 and staff person #2 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1 and staff person #2, staff person #1 and staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.17(b)

Description: Permit specialized services

Noncompliance Area: The center director (staff person #1) did not permit a behavioral therapist who provides behavioral support services to a child with special needs to provide those services on the facility premises.

Correction Required: The operator shall permit an adult individual who provides specialized services to a child with special needs to provide those services on the facility premises as specified in the child's IEP, IFSP or written behavioral plan.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: It was observed that the center's emergency plan did not contain 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: 3270.113(a)/3270.113(a)(1)

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

Noncompliance Area: On 11/17/2021 at 5:44 pm, video footage shows child #1 and #2 run out of the open door of the classroom into the hallway, the children opened the door to the lobby and ran through the lobby and opened the main entrance door and went outside. The children were heading toward the parking lot when they were stopped by facility person #2, who was already outside. Video footage of the classroom shows, staff person #1 was not immediately aware the children left the room until another child walked over to her and pointed to the door. Staff person #1 ran out of the classroom after them and was approximately 14 seconds behind the children and retrieved them at the entrance door from facility person #2 and brought them back inside the lobby and back to the classroom. Staff person #1 was unable to see, hear, direct or assess the children after they ran out of the classroom. On 11/19/2021, at approximately 11:45 am, staff in the preschool classroom were unable to identify the number of children in their groups during naptime. There were a total of 5 staff and a mixed group with 2 older toddlers, 19 preschoolers and 1 school-age child in the room. Staff person #3 and #4 were responsible for a group of 12 preschool age children and initially identified 11 children in their group. Staff person #5 was responsible for a group of 7 preschool age children and initially identified 6 children in their group. Staff person #6 was responsible for 2 older toddlers and staff person #1 was responsible for the 1 school-age child who was not napping.

Correction Required: Children must be supervised at all times. 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.

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

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

Noncompliance Area: On 11/17/2021 at 5:44 pm, video footage shows child #1 and #2 run out of the open door of the classroom into the hallway, the children opened the door to the lobby and ran through the lobby and opened the main entrance door and went outside. The children were heading toward the parking lot when they were stopped by facility person #2, who was already outside. Video footage of the classroom shows, staff person #1 was not immediately aware the children left the room until another child walked over to her and pointed to the door. Staff person #1 ran out of the classroom after them and was approximately 14 seconds behind the children and retrieved them at the entrance door from facility person #2 and brought them back inside the lobby and back to the classroom. Staff person #1 was unable to see, hear, direct or assess the children after they ran out of the classroom. On 11/19/2021, at approximately 11:45 am, staff in the preschool classroom were unable to identify the number of children in their groups during naptime. There were a total of 5 staff and a mixed group with 2 older toddlers, 19 preschoolers and 1 school-age child in the room. Staff person #3 and #4 were responsible for a group of 12 preschool age children and initially identified 11 children in their group. Staff person #5 was responsible for a group of 7 preschool age children and initially identified 6 children in their group. Staff person #6 was responsible for 2 older toddlers and staff person #1 was responsible for the 1 school-age child who was not napping

Correction Required: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The training will not count toward the annual 12 hour training requirement. The legal entity must submit documentation of completed training for all facility staff to the regional office.

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

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

Noncompliance Area: On 11/17/2021 at 5:44 pm, video footage shows child #1 and #2 run out of the open door of the classroom into the hallway, the children opened the door to the lobby and ran through the lobby and opened the main entrance door and went outside. The children were heading toward the parking lot when they were stopped by facility person #2, who was already outside. Video footage of the classroom shows, staff person #1 was not immediately aware the children left the room until another child walked over to her and pointed to the door. Staff person #1 ran out of the classroom after them and was approximately 14 seconds behind the children and retrieved them at the entrance door from facility person #2 and brought them back inside the lobby and back to the classroom. Staff person #1 was unable to see, hear, direct or assess the children after they ran out of the classroom. On 11/19/2021, at approximately 11:45 am, staff in the preschool classroom were unable to identify the number of children in their groups during naptime. There were a total of 5 staff and a mixed group with 2 older toddlers, 19 preschoolers and 1 school-age child in the room. Staff person #3 and #4 were responsible for a group of 12 preschool age children and initially identified 11 children in their group. Staff person #5 was responsible for a group of 7 preschool age children and initially identified 6 children in their group. Staff person #6 was responsible for 2 older toddlers and staff person #1 was responsible for the 1 school-age child who was not napping

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

Noncompliance Area: It was observed that the School age room did not have a daily activity scheduled 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.

Noncompliance Area: The emergency contact information for child #1 did not include the phone number of child's physician/source of medical care.

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

Noncompliance Area: The emergency contact information for child #1 did not include written consent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care.

Noncompliance Area: It was observed in the Young Toddler room that a staff member did not wash a child's hands after changing child's diaper.

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

Noncompliance Area: The file for staff person #2 (hire date 7/14/17) did not include an updated health assessment, last one dated 7/13/17.

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.

Noncompliance Area: The file for staff person #1 included State police (6/20/19), Child Abuse (6/27/19) and FBI (6/21/19) clearances updated beyond the expiration date of the previous clearances (State police 2/17/14, Child abuse 2/24/14, FBI 2/18/14). The file for staff person #1 included expired mandated reporter training dated 6/1/15. The file for staff person #2 included a child abuse clearance dated 10/18/14 and an FBI clearance dated 9/29/14. Staff person #2 cannot work in a child care position at the facility. The file for staff person #3 included a State police clearance dated 1/23/15, a Child Abuse clearance dated 3/11/15 and an FBI clearance dated 1/23/15, and mandated reporter training dated 6/1/15, all expired. Staff person #3 cannot work in a child care position at the facility. The file for staff person #4 (hired 8/15/19) did not include documentation of mandated reporter training. The file for staff person #5 included an expired Child Abuse clearance dated 7/17/15. Staff person #5 cannot work in a child care position at the facility. The file for staff person #6 included a child abuse clearance dated 1/28/15 and an FBI clearance dated 1/24/15, both expired. Staff person #6 cannot work in a child care position at the facility. The file for staff person #7 included a State Police and FBI clearance dated 4/3/15, both expired. Staff person #7 cannot work in a child care position at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 #2, #3, #5, #6 and #7 may not work in a child care position at the facility.

Noncompliance Area: The file for staff person #1 (hire date 3/24/14) and #3 (hire date 3/13/15) did not include a written staff evaluation at least every 12 months, last one for staff person #1 dated 3/22/19, last one for staff person #3 dated 3/18/19.

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

Noncompliance Area: It was observed that in the Pre-K room, the rest equipment was not labeled for use by a specific child. (CORRECTED ON SITE)

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: The fee agreement for child #6 was not signed by the operator. (CORRECTED ON SITE)

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

Noncompliance Area: The fee agreement for child #2, #3, #4, #6, #7, #8 and #9 did not specify child's arrival and departure times. Child #5's agreement did not specify child's arrival time.

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

Noncompliance Area: The fee agreement for child #2, #3, #4, #5, #6, #7 and #9 did not specify release persons. The fee agreements for child #1 and #6 did not specify child's admission date.

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.

Noncompliance Area: The emergency contact information for child #3, #4 and #8 did not include enrolling parent's work address. The information for child #3 and #4 did not include enrolling parent's work phone number. The information for child's #9 did not include enrolling parent's home address.

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

Noncompliance Area: The emergency contact information for child #2, #3, #4, #8 and #9 did not include the complete addresses of the release persons.

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: The file for child #5 (start date of 1/16/18) did not contain an initial health assessment dated no later than 60 days following the first day of attendance. The only health assessment included in child's file is dated 7/25/18.

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

Noncompliance Area: The file for child #1 did not contain an immunization record. The file for child #8 did not contain an full immunization record.

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

Noncompliance Area: It was observed that the facility did not have written statements from parents, giving the feeding and formula schedule for each infant.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: It was observed that the safe routes were not posted in a conspicuous location in the child care facility. (CORRECTED ON SITE)

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: The fee agreements for child #8 and #9 were not updated within a 6 month period.

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 file for staff person #1 and #2, both with hire dates of 7/1/18, contained FBI clearances dated 6/14/19. Staff person #1 did not complete mandated reporter training until 11/28/18.

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

Noncompliance Area: It was observed that an outlet in the bathroom used by Pre-K (ages 3-5) was missing an outlet cover. (CORRECTED ON SITE)

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

Noncompliance Area: It was observed that the emergency transportation plan was not posted in any of the child care spaces. It was also observed that the 2 year old and Pre-K rooms did not have the emergency phone numbers posted. (CORRECTED ON SITE)

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

Noncompliance Area: There was peeling paint and exposed plaster observed on a wall, next to the kitchen door, in the Pre-K room. (CORRECTED ON SITE)

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

Noncompliance Area: During the complaint investigation, staff person 1 admitted to staff person 2 that the high school diploma she had on file had been altered, and she had not graduated from high school. Staff person 2 shared this information with the certification representative.

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: In the school-age classroom, it was observed that emergency contact information was not present for all children receiving care in the space. CORRECTED ON SITE

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.

Noncompliance Area: It was observed that the record of Child #1, four years of age, did not include an updated health report within 12 months of the previous health report on file dated 3-5-2016.

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.

Noncompliance Area: It was observed that the emergency contact information and financial agreements for Child #1 and #3 were reviewed and updated by a parent in a timeframe that exceeded the 6-month requirement.

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: It was observed that the record of Child #4 did not include a copy of the initial agreement.

Correction Required: A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: It was observed that the record of Staff #2 did not include a written report of initial tuberculin skin test.

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.

Noncompliance Area: It was observed that the record of Staff #2 only included one written, nonfamily reference.

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: It was observed that Staff #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15 and #16 receive updated annual fire safety training.

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

Noncompliance Area: It was observed that Staff #3 did not complete mandated reporter training within 90 days of initial start at the facility.

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

Noncompliance Area: It was observed that the records of Staff #3 and #4, both identified as AGS(s), included verification of a GED/high school diploma and competition of CDA(s) but did not include verification of one year of experience with children 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.

Noncompliance Area: It was observed that the record of Staff #1, identified as an Aide, included verification of at least an eighth grade education but did not include verification of two years of child care experience 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.

Noncompliance Area: In the school-age bathroom, it was observed that a bottle of Tilex cleaner was located under the bathroom sink and accessible to children. CORRECTED ON SITE

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: It was observed that Child #1 did not have a complete Child Service Report.

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).