Pre-k Kids Learning Center Inc

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: Based on staff statements, the facility director is present at the facility site less than 30 hours per week.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Both arms of the brown play couch in Room 101 were 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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for Child #1, 2, 4, 5, and 8 lacked current information about the child's growth and development. The most recent growth and development updates were completed in May 2025, more than 6 months ago.

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: The emergency contact forms for Child #1, 2, 3, 4, 6, 7, 8, 9, and 10 lacked the enrolling parent's work phone number.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file for Staff #1 contained a current health assessment dated 6/21/24 which was obtained more than 24 months from the previous health assessment dated 5/20/22.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff #1 lacked 6 of the 12 required annual training hours for review window May 2024-May 2025. The file for Staff #5 lacked 12 of the 12 required annual training hours for review window March 2024-March 2025.

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 #2 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid and CPR training dated 1/11/25.

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 Staff #1 contained current PA Child Abuse clearance dated 7/8/22 which was obtained after the employee started working in a child care position (See LIS Code Sheet). The file for Staff #3 contained current PA Criminal clearance and PA Child Abuse clearance dated 7/10/23 which were obtained after the employee started working in a child care position (See LIS Code Sheet). The file for Staff #4 lacked required out of state child abuse and sex offender registry clearances.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff #5 contained a current written evaluation dated 3/1/25 which was completed more than 12 months from the prior evaluation dated 9/1/23.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In classroom 204C, there were cleaning materials labeled "keep out of reach of children" in an unlocked closet 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: 3270.71

Description: Heat Source

Noncompliance Area: Observed the door to the kitchen standing open with no staff present in the area where appliances (stove/warming units) were accessible to children.

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

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: Room 204C lacked a first aid kit.

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

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

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

Noncompliance Area: On 8/14/25 at approximately 12:55pm, CR observed Staff #3 in Room 204B with 15 preschoolers. There were no other staff in the room at that time. At approximately 12:57pm, Staff #4 came over from Room 204C and identified 7 preschool children in Room 204B she was assigned to be supervising. Staff #3 identified 8 preschool children she was supervising. Both staff identified the same child. CR questioned which group the child was in and both staff stated the child was in their group. Staff #4 failed to correctly identify the children in their supervision group. Upon review, Staff #4 realized she had incorrectly identified the child in her group and corrected the situation by identifying the child who was not accounted for during the initial ratio and supervision review.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: In Room 204C adult scissors were on the counter accessible to children.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff Person #1 lacked documentation of emergency plan training at initial time of hire. (See LIS Code Sheet)

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: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: On 8/14/25 at approximately 11:30am, Staff #2, an aide, was observed caring for 4 infants in Room 106. There were no other staff in the room at the time.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 8/14/25 at approximately 12:55pm, CR observed Staff #3 in Room 204B with 15 preschoolers. There were no other staff in the room at that time. Ratios for preschool children is 1:10; Staff #3 had more than 10 preschool children and was out of ratio. At approximately 12:57pm, Staff #4 came over from Room 204C and identified 7 preschool children in Room 204B they were assigned to be supervising. Staff #3 identified 8 preschool children they were supervising. Both staff identified the same child. CR questioned which group the child was in and both staff stated the child was in their group. Upon review, Staff #4 realized she had incorrectly identified the child in her group and corrected the situation by identifying the child who was not accounted for during the initial ratio and supervision review. Staff #4 failed to correctly identify the children in their supervision group.

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

Regulation: 3270.61(h)

Description: Exceeding Capacity

Noncompliance Area: At approximately 12:55pm, CR conducted ratio and supervision checks. There were 15 preschool age children in Room 204B which has a capacity of 13. The group was not napping the day of the monitoring and the daily schedule did not refelect a scheduled program activity for that time or space.

Correction Required: The capacity established for an indoor space may not be exceeded.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There were broken outlet cover plates in Room 102 and Room 103 creating pinch points and sharp edges.

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: The board books in Room 101 had bite marks on them. The cardboard blocks in Room 102 were ripped and had bite marks on the edges. The burners on the play stove in Room 102 were peeling and flaking off the surface. The foam stepping stones in Room 101 had bite marks in them and several were missing pieces around the edges.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for Child #4, Child #5, and Child #7 lacked current child growth and development forms. The file for Child #4 contained a child growth and development form dated 9/1/23. The file for Child #5 contained a child growth and development form dated 5/8/22. The file for Child #7 contained a child growth and development form 12/6/23.

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(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The files for Child #1, Child #2, Child #3, Child #4, Child #5, Child #6, Child #7, Child #8, and Child #9 contained the original fee agreement forms.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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.

Regulation: 3270.131(a)/3270.131(e)(3)

Description: Health information/Dismissal policy

Noncompliance Area: The file for Child #2, a toddler, enrolled for more than 60 days, lacked a health report.

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. 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). The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.. Child #2 must be dismissed from care by close of business February 10, 2025, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

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 file for Staff Person #1 contained a health assessment dated 6/21/24 which was obtained more than 24 months from the previous health assessment dated 5/20/22. The file for Staff Person #2 (See LIS Code Sheet) contained a health assessment dated 5/18/23 and TB screening results dated 5/20/23 which were more than 12 months old when hired.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The file for Child #2 lacked a current financial agreement. The last agreement was dated 5/6/24.

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: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff Person #3 lacked 1 of the 12 required annual child care training hours for the most recent review period October 2023 to October 2024.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #4 lacked a current PA State Criminal Clearance; the PA State Criminal Clearance in the file for Staff Person #4 was dated 1/14/20.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff Person #4 contained a written evaluation dated 12/20/24 more than 12 months after the previous evaluation dated 3/20/23.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was an unlabeled spray bottle in the restroom off of Room 204C identified by staff to be a disinfectant that was accessible to children. In room 204C a spray bottle labeled "disinfectant" was on the counter near the sink 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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: In Room 101, the sink next to the diaper changing station had a hot water temperature of 122 °F.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in Room 106 lacked scissors.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was damaged paint in the following areas of the facility: Room 101 under the windows; Room 108 above the bulletin board; Room 204B under the bulletin board.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The bathrooms in Rooms 101 and 103 lacked handwashing signs above the toilet.

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: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The bathroom off Room 204 C lacked 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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log on file included fire drills conducted more than 60 days apart: 7/11/24 and 9/10/24

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Documentation of the fire alarm system test showed more than 30 days between testing: 7/11/24 and 8/11/24.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: An infant feeding bottle containing milk/formula was present on a shelf above the sink (later moved to shelf on top of cubbies) in Room 101 and was not labeled with the child's name.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: **At approximately 6:50am, it was observed that Staff person #1 and Staff person #2 were in the main childcare room with 14 children (1 infant, 4 young toddlers, 3 older toddlers, 6 preschoolers, and 1 young school ager). When interviewed, Staff person #1 reported that they were responsible for supervising 6 of the 14 children and the youngest child in their group was an infant. Staff person #2 reported that they were responsible for supervising 8 of the 14 children and the youngest child in their group was a young toddler.

Correction Required: **The legal entity will ensure that all staff receive a minimum of 2 hours of on-line training for staff child ratio.  The legal entity will submit the training for approval prior to scheduling the training.  Certificates of completion for each staff member will be submitted to the Regional Office within 5 days of completion.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: *At approximately 6:50am, it was observed that Staff person #1 and Staff person #2 were in the main childcare room with 14 children (1 infant, 4 young toddlers, 3 older toddlers, 6 preschoolers, and 1 young school ager). When interviewed, Staff person #1 reported that they were responsible for supervising 6 of the 14 children and the youngest child in their group was an infant. Staff person #2 reported that they were responsible for supervising 8 of the 14 children and the youngest child in their group was a young toddler.

Correction Required: *Staff child ratios will be posted in each classroom in a conspicuous location.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: ***At approximately 6:50am, it was observed that Staff person #1 and Staff person #2 were in the main childcare room with 14 children (1 infant, 4 young toddlers, 3 older toddlers, 6 preschoolers, and 1 young school ager). When interviewed, Staff person #1 reported that they were responsible for supervising 6 of the 14 children and the youngest child in their group was an infant. Staff person #2 reported that they were responsible for supervising 8 of the 14 children and the youngest child in their group was a young toddler.

Correction Required: ***When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility file lacked documentation that an emergency drill was completed within the past 12 months.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff #1 lacked health and safety training within 90 days of hire. SEE IS CODE SHEET. There is now health and safety training on file and dated 10/9/23.

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 staff #1 lacked a Child Abuse clearance on or before initial start date in a child care position. SEE IS CODE SHEET. There is now a Child Abuse clearance on file and dated 7/10/23.

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: 3270.192(3)/3270.192(3)

Description: Health assessment, TB test/Health assessment, TB test

Noncompliance Area: There was more than 24 months between health assessments on file for staff #7 which were dated 4/8/21 and 10/9/23.

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. 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: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: There was more than 12 months between emergency plan trainings on file for staff #4, 5 and 9. There are current emergency plan trainings now on file.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: There was more than 12 months between fire safety trainings on file for staff #7 which are dated 2/7/22 and 12/27/23. SEE IS CODE SHEET.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff #2 and 8 lacked health and safety training within 90 days of hire. SEE IS CODE SHEET. There is now health and safety training on file and dated Staff #2 - 10/17/23 and staff #8 - 6/22/23. The file for staff #7 lacked the correct health and safety training required by 12/30/22. There is now a revised health and safety training on file and dated 7/23/23.

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: The file for facility person #3 lacked mandated reporter training within 90 days of hire. SEE IS CODE SHEET. There is now mandated reporter training on file and dated 8/30/23. There was more than 60 months between mandated reporter trainings on file for staff #6 and 7. There are now current mandated reporter trainings on file.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The PA State Police clearance on file for staff #1 contains a "request under review" and not the correct clearance . The file for facility person #3 contains a RAP sheet without a disposition for the charge and an unacceptable DHS FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and 3-- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for staff #8, who holds the title of group supervisor, lacks the qualifications for the position in which the person is performing.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.115(a)(6)

Description: Lifeguard training/supervision

Noncompliance Area: According to the statements of the staff and operator. there was no lifeguard employed by the facility present while children in care were swimming as a part of a field trip to a public pool on 7/27/23.

Correction Required: When children are swimming, supervision shall include one person certified in lifeguard training, as described in § 3270.31(e)(4)(iii) (relating to age and training).

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 1:10 PM in the Older Toddler room, Facility Person #3 was supervising 5 older toddlers, 2 preschoolers and one young schoolager. Operator states they were following naptime ratio under 3270.55(a) as the toddlers and preschoolers were napping. Naptime ratio does not apply due to the presence of the schoolage child.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.54(b)

Description: Two facility persons on excursions

Noncompliance Area: According to staff statements, on 7/27/23, a group of schoolagers were taken on an excursion to a park near the facility. At approximately 9:30 AM, Facility Person #1 dropped off Facility Person #2 and 5 schoolagers at the park and return to the center to pick up another staff person and more children to bring them to the park. Facility Person #2 was the only staff person at the park from approximately 9:30-9:50 AM supervising 4 young schoolagers and an older schoolager. The process was later repeated to return the children to the center. Facility Person #2 was the only staff person at the park from approximately 1:20-1:40 PM supervising 4 young schoolagers and an older schoolager.

Correction Required: At least two facility persons shall be present when children are on an excursion away from the facility. At a minimum, one of the facility persons shall be a staff person.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for Staff #4 lacked completion of Health and Safety Basics training before the requirement of compliance on 6/13/21. Although the files for Staff #1 and #3 had Health and Safety Basics at the time of Inspection it was observed that Staff #1 and #3 had not completed Health and Safety Basics within 90 days of hire. Although the file for Staff #2 had Health and Safety Basics and Pediatric First Aid and CPR at the time of Inspection it was observed that Staff #2 had not completed Health and Safety Basics and Pediatric First Aid and CPR within 90 days of hire.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #4 will have until 7/28/23 to complete the required training. Until such time as the required training has been completed, staff person 4 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Based on Fire Drill documentation, fire drills are not being held at least every 60 days; 12/7/22 and 2/15/23, 4/14/23 and 6/15/23.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Based on Smoke Detection Log Testing documentation, smoke detectors are not being tested at least 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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff #6 contained only 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.

Regulation: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file for Staff #2 contained documentation of the completion of emergency plan training; however, said training was completed more than 90 days after her first date in a childcare position. The file for Staff #3 did not contain documentation of the completion of emergency plan training.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire: Health and Safety Basics. The files for Staff #2 and #4 contained documentation of the completion of Health and Safety Basics training; however, said trainings were completed more than 90 days after her start date in a childcare position. The file for Staff #6 contained documentation of the completion of pediatric CPR/First Aid; however, said training was completed after 90 days of her first date in a childcare position.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 02/10/23 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #2 did not contain clearances to work in a childcare position in the state of Georgia, where Staff #2 resided within the past five years. Staff #2 cannot work at the facility until said clearances are obtained and placed on file. The file for Staff #5 contained a National Sex Offender Registry Verification that was completed following Staff #5's first date in a childcare position.

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 #2 may not work in a childcare position at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Facility person #1 stated that she wrapped the doorknob to/from a childcare space to prevent a child, who was consider a risk to abscond, from opening 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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: Facility person #1 stated that she wrapped the doorknob to/from a childcare space to prevent a child, who was consider a risk to abscond, from opening the door.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Neither Staff #1 nor Staff #2 was able to identify by name four of the 21 children within their supervisory group.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Staff #1 and #2 were observed supervising a group of 21 Preschool-aged children. Staff #1 was able to identify eight of the children by name and Staff #2 was able to name nine children by name. Both staff members indicated that they believed that there were 17 children in the room, but there were actually 21 children present in the space.

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

Regulation: 3270.61(h)(1)

Description: Measurement and use of indoor child care space

Noncompliance Area: Staff #1 and #2 were observed supervising 21 children in the Preschool room. Based upon the minimum requirement of 40 square feet per child in a child care space, the space was approved for no more than 20 children.

Correction Required: The capacity established for an indoor space may not be exceeded except at naptime, when toddler or preschool children are resting on rest equipment described in §3270.106

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: The foam letters in the Pre-K Counts #1 classroom contained bite marks which can cause a choking hazard.

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: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The file for Child #1 contained a Health Assessment that was lacking a statement that the child is unable to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility was lacking documentation of an annual emergency drill.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff #2 contained initial emergency plan training that was more than 7 days after hire.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: The file for Staff #1, 2, 3, 4, 6, 7, 8, and 9 were all lacking Pediatric first aid/CPR within 90 days of hire. All staff mentioned were hired after 12/19/2020.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #2 contained an FBI clearance that was obtained thru the Department of Education and not the Department of Human Services as required. The file for Staff #3 and #4 contained an NSOR that was obtained more than 45 days after the staff's start date. The file for Staff #4 contained Mandated Reporter Training that was obtained more than 90 days after the staff's start date. The file for Staff #6 contained proof of applying for NSOR after staff's start date.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The first aid kits in the young toddler and the Pre-K Counts kitchen areas were accessible to the children.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The ITCS restroom was lacking a handwashing sign above the toilet. The young toddler restroom was lacking handwashing signs above two of the toilets.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 1:20pm Facility Person #1 was observed to be caring for 5 infants. The staff:child ratio for infants is 1:4.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 1:25pm Facility Person #2 was observed in the ITCS to be caring for 3 infants and 5 older toddlers. The mixed age staff:child ratio when infants are present is 1:4.

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).

Noncompliance Area: There were foam letter blocks and foam blocks observed in the preschool area with bite marks in them.

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.

Noncompliance Area: The daily schedule where school agers go after school was lacking time allocated for homework.

Correction Required: When a facility serves a school-age child, homework supervision shall be provided in accordance with arrangements determined by the parent and the operator.

Noncompliance Area: The file for Child #1, #2, and #3 all contained an immunization record that was lacking the annual influenza vaccine. The file for Child #4 contained an immunization record that was lacking 1 dose of DTaP, 1 dose HIB, 1 dose PVC, and 2 doses of Hepatitis A.

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.

Noncompliance Area: Epi-Pen in the toddler area did not have written instructions from the doctor who prescribed it.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Noncompliance Area: The epi-pen in the toddler room was located in the first aid kit and it was not labeled with the child's name.

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

Noncompliance Area: In the Pre-K Counts room there was an expired bottle of Equate Children's Cough Liquid(6/19). In the toddler room there were two bottles of expired Tylenol.

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

Noncompliance Area: The file for Staff #5 contained two health assessments that were more than 24 months apart.

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 #2 contained a TB test that was done after the staff's start date.

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

Noncompliance Area: The files for Staff #4 and #8 were lacking 2 nonfamily reference letters.

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: The file for Staff #6 was lacking emergency plan training at the time of initial employment.

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.

Noncompliance Area: The file for Staff #1 and #9 was lacking the NSOR clearance at the time of hire. The file for Staff #2 contained a Department of Education FBI clearance, which is no longer accepted. The file for STaff #7 and #10 contained Mandated Reporter Training that was completed more than 90 days after hire date. The file for Staff #8 who has been employed for more than 90 days was lacking Mandated Reporter Training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, 2 and 9 -- may not work in a child care position at the facility.

Noncompliance Area: Staff #3 was acting as an Assistant Group Supervisor and is only qualified to work as an aide, with her High School Diploma.

Correction Required: An assistant group supervisor shall have a high school diploma or a general education development certificate and have completed a post-secondary training curriculum described in 3270.31(c).

Noncompliance Area: The file for Staff #7 was lacking proof of an 8th grade education.

Correction Required: An aide shall have a minimum of an 8th grade education and enrollment in a training curriculum described at 3270.31(c). 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.

Noncompliance Area: In the Pre-K Counts Classroom they were using shaving cream that is marked keep out of reach of children for an art project.

Correction Required: Arts and crafts materials shall be nontoxic.

Noncompliance Area: The first aid kit on the wall in the Preschool area was lacking gauze. The first aid kit used to take outside in the preschool area was lacking tweezers.

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

Noncompliance Area: The shed in the outdoor playspace off of the lower building contained peeling paint.

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

Noncompliance Area: At approximately 12:55 on 9/4/19, Cert. Rep witnessed cots in the toddler room that were not at least 2 feet apart on 3 sides during nap time when the children were using them.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: An unannounced complaint investigation was conducted on September 18, 2019 at approximately 10am. While assessing ratio and supervision in the toddler room, Staff #1 named 3 children and Staff #2 named 4 children. There were 8 children in the room. The staff were told by Cert. Rep that one was missing and were asked 2 more times to name the children they were responsible and still did not name the one child that was missed.

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

Noncompliance Area: On September 4, 2019 at approximately 12:55pm, Cert. Rep entered the toddler room to do ratio and supervision, the room is licensed for 20 and there were 25 children receiving care in the room

Correction Required: The capacity established for an indoor space may not be exceeded.

Noncompliance Area: After conversation with staff members it was told that there were not enough cribs for everyone enrolled in the infant room and they were sharing bedding as well as cribs.

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: On September 18 while assessing ratio and supervision, the two year old area Staff #3 named 4 children and Staff #4 named 3 children, when there were 8 children in the room. They were given 3 tries to correct this. Also on September 18 staff admitted to the refrigerator being broke and having to leave the room to get milk.

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

Noncompliance Area: After conversations with staff it was stated that the children are/were sometimes sleeping in swings because there were not enough cribs in the room and also because one child had the sniffles.

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

Noncompliance Area: While assessing ratio and supervision, in the toddler room, Staff #1 named 6 one and two year olds and Staff #2 named 5 1 year olds, and also said one additional child was with Shannon but Shannon had to go to the lower building to check on a child with a high fever.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: There was an inhaler observed that expired in 4/2018 in the lower building.

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

Noncompliance Area: Food on a plate and a sippy cup were observed in the fridge in the lower building that had already been served to children.

Correction Required: Food that has been previously served to a person or returned from a table shall be discarded.