The Learning Train Academy

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 01/09/26, during the unannounced monitoring, the changing pad on the changing table in the 1 year old room was observed to be ripped and in disrepair. In addition, a water damaged ceiling tile in the hallway was observed.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: On 01/09/26, during the inspection, child #1 was observed sleeping on an unlabeled cot. When asked, a staff member confirmed that this was not the child's usual cot.

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: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: On 01/09/26, during the unannounced monitoring, the file of staff person #1 did not contain a health assessment, including the results of a tuberculin skin test.

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 01/09/26, during the unannounced monitoring, the file of staff person #1 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: On 01/09/26, during the inspection, an unlabeled pink sippy cup was found in the 1-year-old classroom.

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

Regulation: 3270.24(a)

Description: Immediate access

Noncompliance Area: On 01/09/26, during the unannounced monitoring, the file of staff person #3 was requested by the Certification Representative, the file was not presented at the time of the monitoring.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: On 01/09/26, during unannounced monitoring, the trash can in the 5-year-old room was not lined with a plastic liner.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: On 01/09/26, during the unannounced monitoring, the last logged fire drill was dated 10/30/25.

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

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: On 01/09/26, during the unannounced monitoring, the last recorded testing of the fire detection system was dated 09/05/25.

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)).

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: On 09/23/25, during the renewal inspection, the file of staff person #4 did not contain proof of obtaining an annual minimum of 12 clock hours of childcare training.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: On 09/23/25, during the renewal inspection, the file of staff person #4 did not contain an updated fire safety training, the last completed training was dated 10/24/23.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 09/23/25, during the renewal inspection, staff person #3 did not contain a completed NSOR certificate or an FBI clearance.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On 09/23/25, during the renewal inspection, the outlets near the TV and the circle time center in the pre-school classroom did not contain protective receptacle covers.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: On 09/23/25, during the renewal inspection, the first-aid kit in the pre-school classroom did not contain tape.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection conducted 10/29/2024, upon request there was no continuity of operations available for review.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection conducted 10/29/2024, The FBI fingerprint reviewed for staff #1 was expired. There was no updated FBI fingerprint available for review.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person 1 -- may not work in a childcare position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.36(b)(3)/3270.192(2)(iii)

Description: HS/GED, 15 credits + 1 yr/Exp, educ., training at facility

Noncompliance Area: During the renewal inspection conducted 10/29/2024, the record reviewed for staff #2 did not contain verification of experience to qualify them for the position performing. (Assistant Group Supervisor).

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.61(b)

Description: Care space not play space at same time

Noncompliance Area: During the renewal inspection conducted 10/29/2024, the school age childcare space with a capacity of 11 was not set up as childcare space and was being used as play space.

Correction Required: Indoor child care space may not be used simultaneously as play space.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the renewal inspection conducted 10/29/2024, Lysol, cleaning solution and sanitizer spray was observed in an unlocked cabinet under the sink in the toddler bathroom 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: During the renewal inspection conducted 10/29/2024, the water temperature tested via a thermometer in the toddler bathroom and back bathroom near the kitchen exceeded 110° F. The toddler bathroom read 117° F and the back bathroom near the kitchen read 114° F.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection conducted 10/29/2024, chip paint was observed in the 2-year-old room near the cots and along the edges of the gray desk.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the renewal inspection, staff persons #4 and #7, employed more than a year did not provide documented verification of annual 12 hours of professional development.

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: During the renewal inspection, clearances or copies of request were not provided for the following staff persons: Staff #1- FBI and Disclosure statement; Staff #2- Child Abuse and FBI and out of state clearances (N.Y residency); Staff #6- Disclosure statement and Mandated reporter training.

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

Regulation: 3270.33(b)

Description: No more than 50% aides

Noncompliance Area: During the renewal inspection, a total of (7) staff files were reviewed and (5) of the staff were aide qualified level. The two additional staff consisted of an assistant group supervisor and a director.

Correction Required: At least 50% of the staff persons in a facility shall be individuals qualified and functioning as directors, group supervisors and assistant group supervisors. No more than 50% of the staff persons may be of aide qualification level.

Regulation: 3270.36(b)(5)/3270.192(2)(iv)

Description: HS/GED + 2 yrs/Transcript, diploma and letters

Noncompliance Area: During the renewal inspection, staff persons #1, #2, #5 and staff person #6 lacked documented verification of experience on file to qualify for the position for which they were hired/ performing. Staff person #3 file contained a copied unverified diploma.

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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: On 11/7/23 on-site inspection, staff persons #1, #5, and #6 were observed working alone with children.

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: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: During the renewal inspection, the Fire Drill and Fire Detection Log reflected fire drills on: 8/2/23, 9/11/23, 10/17/23 and 11/18/23 were conducted by staff person #7 whom was the only participating staff with 17- 23 children.

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

Regulation: 3270.94(a)(7)

Description: Participation

Noncompliance Area: During the renewal inspection, the Fire Drill and Fire Detection Log reflected fire drills on: 8/2/23, 9/11/23, 10/17/23 and 11/18/23 were conducted and staff person #7 was the only participating staff with 17- 23 children.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that facility persons and children in attendance participate in the fire drill.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the initial inspection on 05/19/23, Certification Representative observed a small area of the ceiling tiles in a childcare room that appeared to be water stains from a current or previous leak.

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

Noncompliance Area: The foam furniture in the play space is cracked and foam is exposed. The cubbies outside the preschool area are not secured and could tip over.This was cited at the renewal inspection of 7/12/19, not corrected at the follow up on 7/29/19, and remains uncorrected at the inspection today, 8/19/19.

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

Noncompliance Area: Staff person #1 was hired on 7/1/19 with a physical dated 7/7/17, more than 12 months old. This was cited at the renewal inspection of 7/12/19, not corrected at the follow up on 7/29/19, and remains uncorrected at the inspection today, 8/19/19.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: Staff persons # 2 & 3 & 4 do not have a file at the facility. Staff person #2 was observed supervising children. Staff person #3 was observed preparing lunch and supervising children. At the follow up inspection on 7/29/19, staff person #4 was observed working in the facility, but did not have a complete record. This was cited at the renewal inspection of 7/12/19, not corrected at the follow up on 7/29/19, and remains uncorrected at the inspection today, 8/19/19.

Correction Required: An individual record is required for each facility person.

Noncompliance Area: During the renewal inspection of 7/12/19 , Staff persons # 2 & 3 were observed working with children and have no clearances or receipts for application of clearances on file. At the follow up inspection on 7/29/19, Staff person #4 identified herself as the new director, hired on 7/16/19. She only had a child abuse clearance, no disclosure, no mandated reporter training, no State Police or FBI. Staff persons # 2 & 3 still did not have a file at the facility. On 8/19/19, another inspection was made. Staff person #4 was observed working with children. Required paperwork was not available. These violations remain uncorrected.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons 2, 3, & 4 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: The carpet throughout the facility is torn and frayed. This was cited at the renewal inspection of 7/12/19, not corrected at the follow up on 7/29/19, and remains uncorrected at the inspection today, 8/19/19.

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

Noncompliance Area: There is peeling and chipped paint throughout the facility. This was cited at the renewal inspection of 7/12/19, not corrected at the follow up on 7/29/19, and remains uncorrected at the inspection today, 8/19/19.

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

Noncompliance Area: The foam furniture in the play space is cracked and foam is exposed. The cubbies outside the preschool area are not secured and could tip over.

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

Noncompliance Area: Child #1 did not have the name of physician on emergency contact information. This was corrected during the inspection.

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

Noncompliance Area: Child #1 did not have the health insurance policy number on emergency contact information. This was corrected during the inspection.

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.

Noncompliance Area: Staff person #1 was hired on 7/1/19 with a physical dated 7/7/17, more than 12 months old.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: Staff persons # 2 & 3 & 4 do not have a file at the facility. Staff person #2 was observed supervising children. Staff person #3 was observed preparing lunch and supervising children. At the follow up inspection on 7/29/19, staff person #4 was observed working in the facility, but did not have a complete record.

Correction Required: An individual record is required for each facility person.

Noncompliance Area: Facility had regulations posted but did not provide OCDEL contact info. This was corrected during inspection.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: Staff person #1 was hired on 7/1/19 with all three clearances but did not sign a disclosure statement. It was signed during the inspection. Staff persons # 2 & 3 were observed working with children and have no clearances or receipts for application of clearances on file. At the follow up inspection on 7/29/19, Staff person #4 identified herself as the new director, hired on 7/16/19. She only had a child abuse clearance, no disclosure, no mandated reporter training, no State Police or FBI.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons # 2 & 3 & 4 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: The carpet throughout the facility is torn and frayed.

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

Noncompliance Area: There is peeling and chipped paint throughout the facility.

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

Noncompliance Area: Facility offers and provides transportation to and from school for school age children but did not provide this in writing on the agreement.

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

Noncompliance Area: On 12/20/18, during a visit to monitor compliance with ratios, I requested access to children's files. It was around 10:30 am. I was told the director was not yet at the facility and only he had a key. He arrived about 10 minutes later after he was called. It was discussed that there must be immediate access to files during all operating hours.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records

Noncompliance Area: On 11/29/18, in the Young Toddler room, 11 young toddlers were observed with 2 staff. In the Toddler Room, 7 older toddlers were observed with 1 staff person.

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: At the time of the inspection, at 10:00am when the cert. rep was waiting for someone to answer the door, child #5 could be seen in the front foyer without any teacher present. This same child ran out of the pre-k classroom, down the hallway and into the foyer in front of the school age classroom door at approximately 12:00pm without any teacher with him. Staff #3 then came and got him and walked him back to class.

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.

Noncompliance Area: At the time of the inspection, in the pre-k room, there were 21 children present. When the cert rep. asked staff #3 who was in her care, she replied the names of 7 children. When the cert. rep asked staff #8 who was in her care, she replied with the names of 9 children. This left 5 children unaccounted for.

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: At the time of the inspection, there was no amount of the fee to be charged per day or per week and no date on which the fee should be paid on the agreement of child #2, 3 and 6.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: At the time of the inspection, there was nothing specifying the child's arrival and departure times on the agreement of child #2, 3, 5 and 6.

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

Noncompliance Area: At the time of the inspection, there was nothing on the agreement of child #1 and 5 specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: At the time of the inspection, there was nothing on the agreement of child #3 and 5 specifying the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: At the time of the inspection, there was no work address and phone number of the enrolling parent on the emergency contact form for child #5 and 6.

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

Noncompliance Area: At the time of the inspection, there was no verification of health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits on the emergency contact form for child #3 and 6.

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.

Noncompliance Area: At the time of the inspection, there was no address and phone number of the individual designated by the parent to whom the child may be released on the emergency contact form for child #2 and 6.

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

Noncompliance Area: At the time of the inspection, there was no health report, only immunization record on file for child #6. There was no health report on file for child #5.

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

Noncompliance Area: At the time of the inspection, there was no updated health report on file for child #1 (date of birth 3-1-16). Last report was dated 8-13-17, there should have been another report at the child's 2 year old birthday.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: At the time of the inspection, there was no immunization record on file for child #5 (date of birth 5-12-13).

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

Noncompliance Area: At the time of the inspection, the health assessment on file for staff #11 was verified by the medical practitioner on the health assessment that it was a fraudulent health assessment and no physical examination was completed on that day.

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 health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Noncompliance Area: At the time of the inspection, there was no chest x-ray and evaluation for chemoprophylaxis on file for staff #4 and 12. #12's tuberculin test said pending chest x-ray.

Correction Required: A record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis.

Noncompliance Area: At the time of the inspection, there was no verification of question #3 (which states the physician's or CRNP's assessment of the person's suitability to provide child care) on the health assessment of staff #5.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: At the time of the inspection, there was no record on file for child #4.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: At the time of the inspection, there was no signed parental consent for emergency medical care for the child and no signed parental consent for administration of minor first-aid procedures by facility staff on file on the emergency contact form for child #3.

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

Noncompliance Area: At the time of the inspection, there was no verification of age in the record of staff #5 and 6.

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

Noncompliance Area: At the time of the inspection, there was no verification of education on file for staff #8.

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

Noncompliance Area: At the time of the inspection, there was no verification of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file for staff #7, 8, 9, 11 and 12.

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: At the time of the inspection, there was no annual training of emergency plan on file for staff #3. The one on file was dated July 5th, 2017.

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: At the time of the inspection, there was no verification of 6 clock hours of child care training for staff #1 and 4.

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

Noncompliance Area: At the time of the inspection, there was no verification of annual fire safety training on file for staff # 3 (last 7-5-17).

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

Noncompliance Area: At the time of the inspection, the clearances on file for staff #4 (Director) (date of hire 8-5-16) were expired. The State Police was dated as 3-4-13 and should have been renewed on 3-4-18, the Child Abuse Clearance was dated as 4-2-13 and should have been renewed on 4-2-18, and the FBi clearance was dated as 3-28-13 and should have been renewed on 3-28-18. There was no signed disclosure on file for staff #5. There were no requests and no completed clearances on file for staff #6 (date of hire 7-9-18). The Child Abuse clearance on file for staff #7 (date of hire 4-10-17) was of volunteer status and not employment.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 4 and 6may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #4 and 6 may not work in a child care position at the facility.

Noncompliance Area: At the time of the inspection, the Director was not on site and the "assistant Director" was on a field trip. There was no designated staff person who is responsible for compliance with this chapter in the Director's absence.

Correction Required: A director is responsible for designating a staff person who is responsible for compliance with this chapter in the Director's absence.

Noncompliance Area: At the time of the inspection, there was no verification of one year of experience on file for staff #4 (the Director) to accompany the Bachelor of Arts degree.

Correction Required: A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: At the time of the inspection, there was no verification of 2 years (2,500 hours ) of prior child care experience to accompany the Associate's of Applied Science in Human Services degree on file for staff #6.

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

Noncompliance Area: At the time of the inspection, there was no 2 years (2,500 hours) of prior child care experience to accompany the high school diplomas of staff #1, 5 and 9.

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

Noncompliance Area: At the time of the inspection, at 10:10am in the 2 year old room, there were 8 children (youngest was 2 years old) with staff #10. In the pre-K room, there 21 children with staff #3 and 8. The youngest child in this room was 3 years old.

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: At the time of the inspection, there were water damaged ceiling tiles throughout the building (infant room, front entrance, side hallway, classrooms, etc.)

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

Noncompliance Area: At the time of the inspection, in the hallway, the bathroom to the right did not have a light that turned on fully. It was very dim and flickered when on.

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

Noncompliance Area: Two children's records did not contain a child service report that had been completed within the past 6 months.(#1 and #3)

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). Complete and submit a current up-to-date child service report for the indicated children. Revise and submit written policies and procedures regarding the completion of child service reports to ensure ongoing compliance.

Noncompliance Area: Several children's emergency contact information did not include health insurance coverage and policy number information.(#1, #2 and #5)

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. Obtain and submit a written copy of the missing health insurance information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

Noncompliance Area: Several children were observed being cared for in three classrooms and their emergency contact information was not present in the classroom. (school-age room) (pre-k room) (Infant 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. Ensure that emergency contact information is present in all child care spaces in which children are receiving care.

Noncompliance Area: One staff person's record did not contain a health assessment completed within 12 months prior to the date of hire. (#1)

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. Obtain and submit a current up-to-date health assessment for the identified staff persons. Revise and submit written policies and procedures regarding staff health assessments to ensure that they are completed within the required timeframes.

Noncompliance Area: Two children's records did not contain emergency contact and financial agreement information that had been updated within the past 6-months. (#1, #2 and #3)

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. Obtain and submit a written copy of the current up-to date emergency contact and financial agreement information for the identified children. Ensure that this information is updated every 6 months for all enrolled children as specified.

Noncompliance Area: Several children's records did not contain signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff. (#2 and #5)

Correction Required: A child`s record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child`s record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Obtain and submit written verification of signed parental consents for the identified children as specified in the regulation. Ensure that all children's records contain the required parental consents prior to admission.

Noncompliance Area: One facility person's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#1)

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. Obtain and submit the required written references as specified for the identified staff person. Ensure that all facility staff records contain written references as specified.

Noncompliance Area: There was no written documentation indicating that the emergency plan had been reviewed and updated within the past 12 months.

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. Submit a written copy of the updated emergency plan. Ensure that the plan is reviewed and documented annually as specified.

Noncompliance Area: Two staff person's records did not contain written verification of initial emergency plan training. (#3 -none and #4-not upon 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. Obtain and submit written verification of initial emergency plan training for the identified staff person. Ensure that all facility staff/new hires receive emergency plan training at the time of initial employment and annually. Revise and submit written facility policies and procedures to ensure that emergency plan training is completed and documented annually.

Noncompliance Area: The emergency plan was not posted at a conspicuous location in the facility.

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

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff person's records did not contain the required CPSL hiring documents. (#1- hired 7/31/17-no CHILD ABUSE, no FBI) (#3-hired 7/13/17-no CHILD ABUSE, no STATE POLICE, no FBI) (#4-hired 11/15/16-no CHILD ABUSE, no mandated reporter training)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 #-1, #3 and #4 cannot work in a child care position at the facility until the required CPSL documents have been obtained and submitted as specified. Submit a copy of the completed CPSL clearance documents for the identified staff persons. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances and mandated reporter training in accordance with the CPSL. The facility director and administrative staff must receive DHS approved training in the CSPL hiring requirements. Submit written verification for the completed training.

Noncompliance Area: Seveal staff person's records did not contain written verification of education and experience for their assistant group supervisor position. (#1, #2 and #4)

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. Obtain and submit written verification of education and experience for the identified staff person.

Noncompliance Area: A bottle of hydrogen peroxide and a can of Ajax was observed on a the shelf and sink within the reach of children present in the school age and pre-k classrooms.

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

Noncompliance Area: Surfaces in the facility were in need of cleaning and/or repair: the counter in the Pre- K room wasin need of cleaning or painting, damamged dry wall in the Pre-K room was in need of repair.

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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Complete all cleaning/painting and repairs as specified. Develop and submit a written schedule for ongoing cleaning and maintenance to ensure compliance.

Noncompliance Area: On 3/29/17, at approximately 9:30am, staff person #1 was observed caring for a group of 8 older toddlers (2 year olds) in the older toddler classroom. Staff person #1 verified the ages of the children.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. Train all facility staff in proper staff/child ratios and hire additional staff to ensure that staff/child ratios are in compliance at all times. Submit written verification of completed training for all facility staff persons.