Kids Campus Nursery And Daycare

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: At the time of the inspection, the child service report on file for child #2, child #3, and child #4 did not contain a date as to when the assessment was completed and there was no indication that a copy was provided to the parents. The operator acknowledged that they were unaware the assessments were to be completed every 6 months, as additional previous assessments were not in children's files.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of the inspection, the work address and phone number of the enrolling parent was not on the emergency contact form for child #3.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of the inspection, the address of the individual designated by the parent to whom the child may be released was missing from the emergency contact form for child #3 and child #4.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: At the time of the inspection, there was no emergency contact form for child #6 in the space where the child was receiving care.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: At the time of the inspection, the initial health reports for child #3 and child #4 were not provided within 60 days of the child's first day of attendance. This is evidenced by the initial health reports on file dated 3/19/25 and 3/3/25 (see LIS code sheet for date of admission).

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

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: At the time of the inspection, staff person #2 did not wash their hands or the hands of the child #7 after the child was diapered.

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 the time of the inspection, staff person #2 did not clean the diaper changing surface after each use with a sanitizing solution.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: At the time of the inspection, the emergency contact form and agreement on file for child #3 was last updated on 9/25/23 and not every 6 months, as required.

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

Regulation: 3270.182(7)

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

Noncompliance Area: At the time of the inspection, staff acknowledged that they do not have a facility file for incident reports.

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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: At the time of the inspection, the operator acknowledged that a letter explaining the emergency procedures is not provided to parents of each enrolled child.

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

Regulation: 3270.35(b)(3)

Description: Associate's + 2 yrs

Noncompliance Area: At the time of the inspection, staff person #2 did not have two years (2,500 hours) of prior childcare experience to accompany the associate's degree on file and therefore could not qualify as a group supervisor.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: At the time of the inspection, the operator could not locate the proof of installation for the interconnected fire detection system.

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)/3270.135(b)

Description: Clean and good repair/Surfaces cleaned

Noncompliance Area: At the time of the inspection, the changing table pad was torn and the inside foam was exposed. This prevents the changing table pad from being properly cleaned after each use.

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. 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: 3270.111(a)/3270.111(b)

Description: Written plan/Posted in group space

Noncompliance Area: At the time of the inspection, there was no daily schedule posted for the school age group in the classroom. There was no daily plans or routines for the school age children and the classroom lacked structure whereas children were yelling and running around in the classroom with no directive from staff.

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.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At the time of the inspection, it was acknowledged by multiple staff that during a previous incident, child #1 had access to adult scissors which were inside an unlocked cabinet in the preschool room. Staff acknowledged that child #1 opened the cabinet doors, stood on a ledge in the cabinet, reached for the scissors which were located on the third shelf, and then proceeded towards staff person #3 with them. Staff observed child #1 doing this and no staff person who was present did anything to prevent the child from accessing the scissors.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: 1.) Children must be supervised at all times. This portion of the plan requires an immediate correction date. 2.) The legal entity must develop or update their written supervision policies and procedures to be implemented in the facility. The written policy must address situations where staff are supervising children and a possible safety concern arises, including the need for immediate intervention. Procedures for staff being able to know how to properly direct and assess the child to prevent injury, either to the child themself or to others must be included. The legal entity will submit their policies and procedures to the Northeast Regional Office for approval. Once approved, all existing staff and any new hires must be trained on the approved policy and procedures, and it must be documented in their files. This correction date will be when all requirements have been met.

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: At the time of the inspection, staff person #3 acknowledged that they did state, while in the classroom in the presence of children, that they were afraid of child #1 and if the child returned to care, staff person #3 would quit.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. Tiered LIS: 1.) A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. This portion of the plan requires an immediate correction date. 2.) The legal entity must develop or update their written supervision policies and procedures to be implemented in the facility. The written policy must address that a facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. It must include the policy for appropriate interactions with children and families. The legal entity will submit their policies and procedures to the Northeast Regional Office for approval. Once approved, all existing staff and any new hires must be trained on the approved policy and procedure, and it must be documented in their files. This date of correction will be when all requirements have been met.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: At the time of the inspection, a lunch box was observed hanging on the hook in the classroom. Inside, there was a Lunchable with meat and cheese. This is required to be refrigerated.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.21/3270.102(a)

Description: General Health and Safety/Clean and good repair

Noncompliance Area: At the time of the inspection, it was acknowledged by staff that during a previous incident, child #1 had access to adult scissors which were inside an unlocked cabinet in the preschool room. Staff person #2 and #3 acknowledged that child #1 opened the cabinet doors, stood on a ledge in the cabinet, reached for the scissors which were located on the third shelf, and then proceeded towards staff person #3 with them. During the inspection, the scissors were observed inside an unlocked cabinet and were still accessible to children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. 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: 3270.52

Description: Mixed Age Level

Noncompliance Area: At the time of the inspection between 9:26-9:45am, staff person #2 had eleven children (4 preschool aged and 7 school-aged children) present. This number and age of children requires there to be 2 staff present at all times.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). TIERED LIS: 1.) The required staff:child ratios must be maintained at all times. This plan of correction requires an immediate correction date. 2.) The legal entity must arrange for all facility staff hired as of the date of the training to receive a minimum of three hours of PQAS-approved in-person training, including technical assistance, regarding ratios and supervision of children. This training must be completed as in-person training. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when this training will be completed.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: At the time of the inspection, inside a child's bag that was hanging in the classroom on a hook which was accessible to children, there was sunscreen and diaper cream that read "keep out of reach of children."

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of the inspection, the television wires were dangling and not secured to a surface.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of the inspection, a black trash can was observed with a hole in the side of the can exposing sharp plastic corners. The cozy coupe car on the playground had a broken wheel which resulted in the plastic cracking and exposing sharp edges. In the infant/young toddler side, the molded yellow seats that were the inserts for the feeding table were cracked and posed pinch points for children using the seats.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: At the time of the inspection, there was only one child service report on file for child #2 and child #5. The child service reports were not dated, and the children have been enrolled for more than 6 months (see LIS code sheet for date of admission).

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

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

Description: Signed /Admission date

Noncompliance Area: At the time of the inspection, the agreement for child #4 and child #5 did not contain a date of admission. The agreement for child #4 was not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: The records for Child #5 also contained information on the emergency contact and/or agreement forms for siblings of this child. The families were using shared forms, instead of utilizing individual forms for each child in the family.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Regulation: 3270.124(b)(6)/3270.124(b)(7)

Description: Insurance coverage information/Name/address/phone release person

Noncompliance Area: At the time of the inspection, the emergency contact form for child #3 did not include the addresses of the individual designated by the parent to whom the child may be released. The emergency contact form for child #4 did not include the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: At the time of the inspection, in the infant and older toddler childcare space, there were no emergency contact forms present for the children receiving care in the space. Emergency contact forms were not taken outside to the playground with the preschool class.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: At the time of the inspection, the only health report on file for child #1 was dated 2/4/25. This was not provided within 60 days following the first day of attendance at the facility (see LIS code sheet for date of admission).

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

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: At the time of the inspection, staff person #3 admitted that the hands of the young toddlers were not washed prior to sitting down for 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: 3270.166(1)

Description: Written statement

Noncompliance Area: At the time of the inspection, the was no infant feeding schedule for child #4.

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

Regulation: 3270.181(c)/3270.181(d)

Description: Emergency info/agreement updated 6 mos/Dated signature affixed

Noncompliance Area: At the time of the inspection, the emergency contact form and agreement for child #3 and child #5 were not updated every 6 months as required. This is evidenced by the last review date of 4/1/24 and 3/1/24, respectively. There was no signature or review date on the emergency contact form for child #4.

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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of the inspection, staff person #4 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person 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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, the operator did not have any documentation showing that emergency drills are being conducted annually.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: At the time of the inspection, staff person #1 only completed 5.5 hours of child care training during the 2/24-2/25 training period. Staff person #2 only completed 4.5 clock hours of child care training during the 7/23-7/24 training period.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #4 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: At the time of the inspection, a bottle of hand sanitizer and a pack of Germ Out wipes both reading "Keep out of Reach of Children" were observed on the table in the preschool room and accessible to children. A bottle of hand sanitizer was observed on the railing of the deck leading the playground and was accessible to children present in that space.

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: 3270.67(c)

Description: No insects or rodents

Noncompliance Area: At the time of the inspection, there was evidence of rodent feces under the sink in the kitchen.

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

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: At the time of the inspection, there was no first aid kit for the infant room. A first aid kit was not taken outside to the playground when the toddlers and preschool were utilizing these areas.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of the inspection, the handle to the door of the bathroom was missing. An "Out of Order" sign was observed on the door.

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

Regulation: 3270.81

Description: Glass

Noncompliance Area: At the time of the inspection, there was no visual identification strips on the glass windows and sliding doors of the facility.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: At the time of the inspection, the operator could not provide proof of installation for the interconnected fire detection system.

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: At the time of the inspection on 11/18/24, the seats on the yellow teeter-totter were both cracked exposing sharp corners and pinch points. The floor of the bridge of the large plastic climber in the toddler playground was severely cracked and posed a hazard to children standing on this area.

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

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: At the time of the inspection, in the infant and toddler areas, the hands of both the children being diapered and the staff person conducting the diapering were not washed. The hands of the preschool children were not washed before lunch time.

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 the time of the inspection, the changing table in the young toddler area was not cleaned with a sanitizing solution after being used for diapering a child.

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

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

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

Noncompliance Area: At the time of the inspection on 11/18/24, the health assessment and TB screening for staff person #2 was not conducted until 10/25/24, which was after staff person #2's hire date (see LIS code sheet for date of 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: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: At the time of the inspection on 11/18/24, staff person #1's health assessment dated 10/27/24 did not include an examination for communicable diseases and the results of that examination.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: At the time of the inspection on 11/18/24, there was no documentation in the files for staff person #1, staff person #2 and staff person #3 showing they were trained in the emergency plan when it was updated October 1, 2024.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection on 11/18/24, staff person #1 did not have a date of signature on the disclosure statement and did not have a PA State Police clearance with a dissemination date making this an incomplete clearance. Staff person #2 did not have a signed disclosure statement at time of hire and did not have a request for or completed FBI clearance on file. Both of these staff people are past their 45-day provisional hiring period, did not have completed clearances and were not supervised by an AGS. (see LIS code sheet for date of hire).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #1 and staff person #2 may not work in a child care position at the facility until all clearances are received.

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: At the time of the inspection of 11/18/24, staff person #4, the Director, acknowledged that she is not meeting the 30 hours a week of physical presence at the facility. She admitted to only being physically present at the facility on Tuesdays and Thursdays from 9:30am-6:00pm.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At the time of the inspection on 11/18/24 at 9:15am, staff person #1 had 8 children (2 infants and 6 preschool children) in her care. This number and ages of children requires there to be 2 staff present at all times.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At the time of the inspection on 11/18/24 at 9:15am, staff person #1 had 8 children (2 infants and 6 preschool children) in her care. This number and ages of children requires there to be 2 staff present at all times.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The Legal Entity/Director must update existing supervision and ratio policies/procedures. The policies and procedures must include the requirement for staff to be able to see, hear, direct and assess children at all times. The procedures and policies must include requirement that staff know the names and whereabouts of children in their assigned group, and be physically present with the children in the assigned group at all times. The updates must also include procedures for situations of staffing, including staff lunches, bathroom breaks, staff call-offs and late arrivals while being able to maintain appropriate supervision and ratio requirements. The plan must include a policy to either turn children away or have parents remain at the facility until ratios are in compliance. The Legal Entity/Director will submit the updated policies to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies and procedures, and it must be documented in their files. The legal entity must also print and post the required ratios in each measured child care space.

Regulation: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: At the time of the inspection on 11/18/24, there was no source of handwashing present in both the infant and toddler diapering areas.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: During the renewal inspection conducted on 4/17/2024 observed the wood mulch where the swing is embedded measured at one inch.

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: 3270.105

Description: High Chairs

Noncompliance Area: During the renewal inspection conducted on 4/17/2024 observed the highchair activity table in the Toddler room was missing safety straps.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the renewal inspection conducted on 4/17/2024 observed the bassinet in the infant room was not labeled and the pack and play in the toddler room was not labeled.

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.

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: During the renewal inspection conducted on 4/17/2024 observed child #2 and #3's emergency contact information did not include written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection conducted on 4/17/2024 observed child #1's emergency contact information did not include health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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(c)/3270.124(d)

Description: Each child care space/Excursions

Noncompliance Area: During the renewal inspection conducted on 4/17/2024 observed that the only room with emergency contact information was the preschool room and it only included 6 emergency contact forms when there were 7 children present in the room.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection conducted on 4/17/2024 observed the facility's emergency plan did not address continuity of operations.

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

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During the renewal inspection conducted on 4/17/2024 observed child #2's record did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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

Description: Name, address, and phone/Age

Noncompliance Area: During the renewal inspection conducted on 4/17/2024 observed staff person #1's record did not include verification of address and age.

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

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: During the renewal inspection conducted on 4/17/2024 observed the emergency plan was not posted at a conspicuous location.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection conducted on 4/17/2024 observed staff person #1's file did not include verification of the state police clearance (receipt of payment on file), child abuse clearance (corrected on site 4/172024) and FBI clearance was not obtained from Identigo.

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

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

Noncompliance Area: During the renewal inspection conducted on 4/17/2024 observed staff person #1's file did not include verification of child care experience prior to service at the facility.

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

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

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

Noncompliance Area: During the renewal inspection conducted on 4/17/2024 observed staff person #2's file did not include verification of education prior to service at the facility.

Correction Required: An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During the renewal inspection conducted on 4/17/2024 observed the hot water in the preschool, toddler and infant room bathroom sinks measured at 120° F.

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

Regulation: 3270.72(b)

Description: Screened

Noncompliance Area: During the renewal inspection conducted on 4/17/2024 observed an open window without a screen in the Toddler room.

Correction Required: Windows or doors used for ventilation shall be screened when open.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection conducted on 4/17/2024 observed a loose outlet cover in the toddler room.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection conducted on 4/17/2024 observed damaged paint in the Toddler room bathroom.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During renewal inspection on 4/12/23 cert rep observed 2 cribs and a Pack & Play in the infant/toddler room that were not labeled.

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.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: During renewal inspection on 4/12/23 cert rep reviewed several children's files. CHILD #1 emergency contact form was updated on 8/14/22 and financial agreement was updated on 8/15/22. Both dates are more than 6 months ago.

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During renewal inspection on 4/12/23 provider was not able to provide verification that local traffic safety authorities were notified annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: During renewal inspection on 4/12/23 cert rep reviewed all staff files. Provider indicated on Worksheet 1/Staff Data that STAFF # 1, 2, 3 participated in fire safety training on 4/2/23. Provider did not have documentation of the training for any of the staff.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During renewal inspection on 4/12/23 cert rep observed Clorox wipes, a cleaning spray, and sunscreen in an unlocked closet next to the kitchen entrance. These items were on shelves that could be accessible to children. CR observed a closet in the bathroom in the toddler area that was not locked. This closet contained various types of cleaning supplies and hand sanitizer that were on shelves within children's reach.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During renewal inspection on 4/12/23, cert rep reviewed facility's fire drill and alarm test logs. Record of fire drills was compliant. Provider has a copy of an annual inspection, but it only includes the fire extinguishers. There is no record of testing of the alarm system by a fire safety professional. There is no documentation of manual testing of the alarm system 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)/3270.104(a)

Description: Clean and good repair/Clean, good repair, proper size

Noncompliance Area: During unannounced complaint investigation on 11/7/22 CR observed a table in the preschool room that had 3 wooden blocks supporting one of the table legs which could be hazardous to the children if the blocks collapsed. CR asked STAFF 1 why the blocks were under the table leg. STAFF 1 said the leg was broken and the blocks were propping the table up. 4 children were sitting at the table at the time.

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. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: On 11/7/22 I conducted an unannounced complaint investigation at the facility. At 9:50 am I entered the facility. STAFF 1 was in the preschool area and was caring for 7 preschool children and 2 older toddlers. The ratio for older toddlers is 1:6. STAFF 1 was over ratio by 3 children at the time of inspection. I went to the infant area. STAFF 2 was caring for 3 infants and 1 young toddler. The infant room was in ratio. Next I went to the toddler area. STAFF 3 was caring for 7 older toddlers. STAFF 3 was over ratio by 1 child. STAFF 1 told me that the school agers had early dismissal (which the staff had forgotten about) and would be arriving around 12:15 pm. I asked who was going to supervise them and STAFF 1 said they would join her group. I told her that was not acceptable, and we discussed several options including calling the parents to pick children up so that the staff would be in ratio or calling the other location to see if they had extra staff available. The LE has a second location and STAFF 1 called STAFF 4 who was in charge of that location. STAFF 4 had extra staff available and sent STAFF 5 to help with the older toddlers. The older toddlers from the PS room joined the older toddler room. STAFF 5 arrived at 10:42 am. STAFF 4 arrived at 12:05 pm to help with the school agers. Facility person 6, a 16-year-old student/volunteer who is enrolled in the Early Childhood program at Career Institute of Technology, was volunteering with the preschool group. She was not left alone with children and is not counted in the ratio. Facilty person 6 file was complete. When I left the facility at 12:35 pm every group was in ratio. STAFF 1 had 7 Preschoolers. STAFF 2 had 3 infants and 1 young toddler. STAFF 3 & 5 had 9 older toddlers. STAFF 4 had 11 young school agers.

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. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: On 11/7/22 I conducted an unannounced complaint investigation at the facility. At 9:50 am I entered the facility. STAFF 1 was in the preschool area and was caring for 7 preschool children and 2 older toddlers. The ratio for older toddlers is 1:6. STAFF 1 was over ratio by 3 children at the time of inspection. I went to the infant area. STAFF 2 was caring for 3 infants and 1 young toddler. The infant room was in ratio. Next I went to the toddler area. STAFF 3 was caring for 7 older toddlers. STAFF 3 was over ratio by 1 child. STAFF 1 told me that the school agers had early dismissal (which the staff had forgotten about) and would be arriving around 12:15 pm. I asked who was going to supervise them and STAFF 1 said they would join her group. I told her that was not acceptable, and we discussed several options including calling the parents to pick children up so that the staff would be in ratio or calling the other location to see if they had extra staff available. The LE has a second location and STAFF 1 called STAFF 4 who was in charge of that location. STAFF 4 had extra staff available and sent STAFF 5 to help with the older toddlers. The older toddlers from the PS room joined the older toddler room. STAFF 5 arrived at 10:42 am. STAFF 4 arrived at 12:05 pm to help with the school agers. Facility person 6, a 16-year-old student/volunteer who is enrolled in the Early Childhood program at Career Institute of Technology, was volunteering with the preschool group. She was not left alone with children and is not counted in the ratio. Facilty person 6 file was complete. When I left the facility at 12:35 pm every group was in ratio. STAFF 1 had 7 Preschoolers. STAFF 2 had 3 infants and 1 young toddler. STAFF 3 & 5 had 9 older toddlers. STAFF 4 had 11 young school agers.

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. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The legal entity must arrange for all facility staff to receive a minimum of 2 hours of training regarding ratios and supervision of children from a PQAS-approved instructor. The LE must receive DHS approval of the training content prior to scheduling the training. This training will not count towards staff annual 12 hour required training.

Regulation: 3270.67(c)

Description: No insects or rodents

Noncompliance Area: On 11/7/22 STAFF 1 & 3 stated that there are ants in the facility. CR observed ants along the front wall in the preschool room at 11:50 am on 11/7/22.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 11/7/22 at 11:45 am CR observed exposed wires hanging from the ceiling in the back part of the preschool room, large areas of the ceiling in which the ceiling tiles had been removed and not replaced leaving the bare ceiling exposed in the preschool and infant rooms, and corroded hardware on the toilet seat in the toddler bathroom.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During unannounced complaint investigation on 11/7/22 CR observed a dirty sink in the toddler room, dirty floors in the toddler room, loose baseboard molding in the toddler room, ceiling vents with numerous black spots on them in all rooms and a damaged wall in the preschool room above the baseboard molding.

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

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: During renewal inspection on 4/20/22 cert rep reviewed several children's files. CHILD # 1 emergency contact form did not include written parental consent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: During renewal inspection on 4/20/22 cert rep reviewed several children's files. CHILD # 2 had a health assessment dated 7/6/20. CHILD # 2 did not have documentation of the following immunizations according to the recommendations of the ACIP: Pneumococcal, Influenza, and Hep A. There was no exemption on file.

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

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

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

Noncompliance Area: During renewal inspection on 4/20/22 cert rep reviewed several staff files. STAFF # 1 health assessment & TB screening was more than 12 months prior to start date.

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.

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: During renewal inspection on 4/20/22 cert rep reviewed the facility emergency plan. The plan did not include accommodations for lock-down.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During renewal inspection on 4/20/22 cert rep reviewed the facility emergency plan. The emergency plan did not include 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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During renewal inspection on 4/20/22 cert rep asked to see the facility's emergency drill documentation. No drill has been conducted or documented.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: During renewal inspection on 4/20/22 cert rep reviewed the facility emergency plan. The plan was last reviewed on 1/4/20 according to the date on the plan.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During renewal inspection on 4/20/22 cert rep reviewed the facility emergency plan. The emergency plan was last sent to local and county emergency management agencies on 1/4/20.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During renewal inspection on 4/20/22 cert rep reviewed several staff files. STAFF # 2 did not have any written evaluation in 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.