Precious Ones Child Care Ii

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: An unannounced inspection was conducted 4/22/26. At that time, Child #1, an infant, was observed sleeping in a bouncer with a pacifier attached their clothing by a strap clasped to the child's clothing. A soft toy was on top of the child as they slept. Child #2, an infant, was observed sleeping in a pack-n-play propped up by two c-shaped pillows behind the child's head and one c-shaped pillow under the child's feet. Neither child had any medical documentation on file stating that the infant should be placed in a sleeping position other than what is recommended by the American Academy of Pediatrics.

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. TIERED LIS 1. 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. This portion of the plan shall have an immediate correction date. 2.The legal entity must arrange for all staff to complete the Better Kid Care trainings entitled "Reduce the Risk of SUID Through Safe Sleep Practices". The operator shall provide a correction date for when the training will be completed.

Regulation: 3270.103/3270.133(4)

Description: Small Toys and Objects/Locked

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, diapers in plastic packaging sleeves were observed on the bottom portion of the changing table, where they were accessible to the infant and toddlers in the classroom who are still placing objects in their mouths. Aquaphor labeled "keep out of reach of children" was observed on the changing table where it was accessible to the children in the room.

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. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children. TIERED LIS 1. 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. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all staff to receive a minimum of two hours of training regarding Health & Safety -- Healthy Environment. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a correction date for when the training will be completed.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, a young toddler was observed sleeping in a pack-n-play. The pack-n-play was against the wall on one side and had a bouncer and baby toys up against it on the three other sides.

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

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

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

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. Upon arrival to the child care facility, Staff Person #1 was observed getting into their car. Staff Person #1 stated that they were moving their car from a handicap parking spot to another spot in the parking lot. Facility Person #2, a volunteer, was inside the facility with one infant, one young toddler, three older toddlers, and one preschool child. No other staff were at the facility. No staff person was present with the children during this time.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. This portion of the plan shall have an immediate correction date. 2.The legal entity must update the center's policy to maintain proper supervision. The update to the policy must include the role of an aide, volunteer, and facility person. The policy must address how staffing will work when only two facility persons are present at the center and one of them is an aide or facility person. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy. The director must review the supervision policy with new staff within one week of their date of hire. The operator shall provide a correction date for when the supervision policy will be updated and reviewed with all staff.

Regulation: 3270.134(b)

Description: Towels labeled and laundered

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, two cloth towels were observed hanging in the bathroom. No paper towels were in the bathroom. The director stated that the cloth towels are used for handwashing.

Correction Required: Cloth towels and washcloths shall be labeled with the child's name, used by only the named child and laundered weekly. The director shall arrange a laundry schedule with the parent.

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, Staff Person #1 was observed changing a child's diaper, going across the room to the bathroom to wash the child's hands and their own hands, and then sitting down in a chair. When asked how the changing table is sanitized, Staff Person #1 stated either baby wipes or Lysol is used to sanitize the changing table. Staff Person #1 then got up and used Lysol to sanitize the changing table.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, the emergency plan did not include the role of a volunteer or facility person during an emergency. The facility now has volunteers and facility persons at the facility.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include procedures for evacuation, relocation, shelter-in-place and lock down, staff and volunteer emergency preparedness training and practice drills, communication and reunification with families, continuity of operations, and accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

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

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

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, the files for the new facility persons were reviewed. The file for Facility Person #2, a volunteer, did not include a health assessment or TB test results. Facility Person #2 was holding an infant at the onset of the inspection and was observed playing and interacting with the children throughout the inspection.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, an unlabeled bottle filled with milk was observed on a highchair in the facility.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, the files for the new facility persons were reviewed. The file for Facility Person #2 did not include any written references. The file for Staff Person #4 only included one written, nonfamily reference.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, the emergency plan had not been reviewed since 12/2024.

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. TIERED LIS 1. 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. The operator shall provide a correction date for when the emergency plan will be updated. 2. The legal entity must arrange for the legal entity, the director, and anyone responsible for maintaining the facility emergency plan to complete the Better Kid Care training entitled "Center and Group Emergency Plans and Preparation." The operator shall provide a correction date for when the training will be completed.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, the files for the new facility persons were reviewed. Staff Person #3, who has been employed longer than 90 days, did not have emergency plan training on file at the facility.

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(a)

Description: Age and Training

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. Upon arrival to the child care facility, Staff Person #1 was observed getting into their car. Staff Person #1 stated that they were moving their car from a handicap parking spot to another spot in the parking lot. Facility Person #2, a volunteer, was inside the facility with one infant, one young toddler, three older toddlers, and one preschool child. No other staff were at the facility.

Correction Required: A volunteer shall be 16 years of age or older and shall be directly supervised at all times by a staff person.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. Upon arrival to the child care facility, Facility Person #2, a volunteer, was inside the facility with one infant, one young toddler, three older toddlers, and one preschool child. No other staff were inside the facility at that time. Facility Person #2 had a volunteer PA State Police Clearance, a volunteer PA Child Abuse Clearance, and an NSOR certificate on file. Facility Person #2, who resides in NJ, did not have an FBI Clearance, a NJ CARI, or a signed disclosure statement on file. Staff Person #4 had a PA Child Abuse Clearance and an NSOR certificate on file. A PA State Police Clearance was not on file. The request for the PA State Police Clearance was not on file. An illegible FBI Clearance was in the staff's file, but the name and date were not clear enough to determine any identifying information. Staff Person #1 stated that Facility Person #1 has been volunteering occasionally and Staff Person #4 helped out as a staff person twice.

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 volunteer or work at the child care until an FBI Clearance, NJ CARI, and a signed disclosure statement are on file at the facility. Staff Person #4 may not work at the child care until an FBI Clearance and a PA State Police Clearance are on file at the facility. TIERED LIS 1. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for the director and anyone responsible for hiring new staff to register for and attend the existing provider orientation conducted by a Regional Office. The operator shall provide a correction date for when the training will be completed.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: An allocated unannounced inspection was conducted 2/3/26. At that time, Staff Person #1 was at the facility with one infant, one young toddler, three older toddlers, and one preschool child. Staff Person #1 cannot have more than four children in their group. The only other person at the facility was Facility Person #2, a volunteer. A volunteer is a person 16 years of age or older who is not included in the staff:child ratio and who assists in implementing daily program activities under the supervision of a staff person.

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.