Lehigh Valley Cc At Spring Garden Early Lrng Ctr

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: File for Staff # 1 was not in compliance with CPSL regulations. File for Staff # 1 contained a State Police clearance past 60 months. Date of State Police clearances were 9/28/20 and 10/7/25.

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. The CPSL was revised on 9/18/2018 to include a requirement that all clearances be updated and on file at least every 60 months. Tiered LIS: 1. CPSL regulations will be followed. This portion of the plan shall have an immediate correction date. 2. Facility will create a written policy to show how staff clearances will be tracked. The Regional Office must approve of policy. This portion of the plan shall have a correction date when the policy will be completed and approved by the Regional Office.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: Refrigerator in the Infant/Toddler room did not contain an operating thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The emergency transportation plan was not posted in the Preschool room and the Pre K Couts # 2 room.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Infant bottles were not labeled with child's name.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On 12/9/25 during an allocated unannounced monitoring, facility did not have an updated annual fire inspection report. Last one was dated 7/8/24. Facility is located in the basement of a personal care home, facility is unable to test the fire system monthly.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: School Age # 1 room did not have a daily schedule posted.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: Facility classrooms did not have an emergency transportation plan posted.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Infant room did not have a hands-free diaper can.

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

Regulation: 3270.151(a)

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

Noncompliance Area: Files for Staff # 1 and # 4 contain health assessments not updated every 24 months. File for Staff # 1 contained health assessments dated 9/22/22 and 5/23/25. File for Staff # 4 contained health assessments dated 7/5/22 and 3/20/25.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Infant bottle in the Infant Room was not labeled for specific child.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Files for Staff # 1, # 2, # 3 and # 4 did not contain verification of a 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Files for Staff # 1 and # 4 did not comply with CPSL regulations. File for Staff # 1 contained an expired NSOR clearance dated 6/12/20. File for Staff # 1 contained mandated reporter trainings dated 5/16/20 and 6/6/25. File for Staff # 5 contained NSOR clearances dated 3/6/20 and 4/9/25. File for Staff # 2 contained mandated reporter trainings dated 5/18/20 and 6/18/25.

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. The CPSL was revised on 9/18/2018 to include a requirement that all clearances be updated and on file at least every 60 months.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Ceiling tile in the Infant # 2 room was observed to be water stained.

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

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

Noncompliance Area: Facility person stated that on April 7.2025 Staff # 1 left children unsupervised for approximately 5 minutes to escort another child to the director's office.

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: 3270.113(b)/3270.113(e)

Description: No physical punishment /Restraints prohibited

Noncompliance Area: During a complaint inspection Staff # 1 admitted that on April 7, 2025, she picked a child up by the back of shirt and pants to carry Child # 1out of the classroom.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. Tiered LIS: 1. Facility person must not use any form of physical discipline, including spanking a child. A facility person may not restrain a child or restrict their movements. This portion of the plan must have an immediate correction date. 2. Staff # 1 must take a PQAS approved training related to handling children with difficult behaviors. It does not matter if the PQAS approved training is done through ELRC. The Legal Entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date when this training will be completed.

Regulation: 3270.113(b)/3270.113(c)

Description: No physical punishment /No ridicule or threaten harm

Noncompliance Area: On 10/28/24 a complaint inspection was conducted. It was alleged that on 10/8/24 Staff # 1 was observed grabbing and pushing Child # 1 on the bus. It was also stated that Staff # 1 was heard speaking harshly to children. During the complaint inspection staff and children were interviewed. Based on those interviews it was determined that these allegations were true.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. Staff # 1 must take 2 hours of PQAS approved training relating to positive interactions with children. It does not matter if the PQAS approved training is done through ELRC. The Legal Entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.113(b)/3270.113(c)

Description: No physical punishment /No ridicule or threaten harm

Noncompliance Area: On 10/28/24 a complaint inspection was conducted. It was alleged that on 10/8/24 Staff # 1 was observed grabbing and pushing Child # 1 on the bus. It was also stated that Staff # 1 was heard speaking harshly to children. During the complaint inspection staff and children were interviewed. Based on those interviews it was determined that these allegations were true.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Rest mats in the Infant room were ripped, causing exposed stuffing.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Emergency Contact Form for Child # 3 did not contain child's health insurance name and policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency Contact Form for Children # 1 and # 3 did not contain address of release persons.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: Preschool room and School Age # 1 room did not have an emergency transportation plan posted.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: File for Child # 2 did not contain an initial health assessment and immunization record.

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 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.

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: File for Child # 1 does not contain a health assessment.

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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility emergency plan does not contain a Continuity of Operations.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: First-aid kit in the School Age # 2 room was missing soap.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Facility has not conducted a fire drill every 60 days, last one is dated 12/13/23.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: There is a water-stained ceiling tile in the Older School Age Room.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There is a rip in the material on the bench in the corner of the Pre-K room, resulting in exposed foam

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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: There is no written plan identifying the means of transporting a child to emergency care & staffing provisions in the event of an emergency displayed in any child care space

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: The emergency contact forms for Child #1 & Child #2 have not been updated in more than 6 months

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There is a cabinet door off its hinges in the Preschool room. There is a water damaged ceiling tile in the Older School Age room

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There is peeling paint on the door to the bathroom in the Preschool room. There is damaged plaster on the bottom of the wall across from the door to the bathroom & on the bottom of the wall to the the left of the door to the bathroom in the ITCS room.

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

Noncompliance Area: Evacuation routes were not posted in the infant room and PKC 1 room.

Correction Required: Evacuation routes shall be posted.

Noncompliance Area: In the Kindergarten room there was a plastic bin containing Lincoln Logs which had a small hole in it where a child's finger could get pinched or scratched.

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.

Noncompliance Area: Children #1 through 4 did not have verification of 2018-2019 influenza vaccination on file.

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

Noncompliance Area: There was an outlet, near the desk, missing a protective cover in the Kindergarten room.

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

Noncompliance Area: In the school age room there was a cabinet which had a spray can of clear acrylic gloss coating, baby oil and Rid lice spray which all said "keep out of reach of children" on them. The cabinet was not locked and all items were within the reach of the children. On 8/19/19 at a verification visit there were still items in the cabinet that said keep out of reach of children and the cabinet was not locked. Staff reported there had been a lock placed there after the renewal inspection, but no one knew where it was.

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

Noncompliance Area: In the hallway leading to the school age room there was a chair and a bucket of gardening supplies which were blocking the exit door.

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

Noncompliance Area: Per interviews with staff and children it was verified that on April 18, 2109 staff person #1 told child #1 that she was going to have her son come and "beat him up". This was because child #1 was acting out and not listening. Child #1 threw a puppet at staff person #1 which caused her to get up and leave the room.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children. The legal entity must arrange for all school age staff to receive a minimum of two hours of in person training dealing with supervision policy with a focus on difficult behaviors in children. The legal entity must receive DHS approval of the training content prior to scheduling the training. This training must be conducted by a PQAS approved trainer. Further, this training will not be allowed to count towards the annual six hours of training required by regulation.

Noncompliance Area: There were 2 bins full of toys in the older school age room that were cracked causing sharp 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.

Noncompliance Area: There were 2 bottles in the infant room that were not labeled with the child's name.

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

Noncompliance Area: Child file #1 was missing the necessary infomation regarding insurance policy number.

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: Child file #2 had an outdated agreement on file at the facility.

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

Noncompliance Area: During an unannounced complaint visit on 03/02/17, Staff #1 admitted that he did grab child #1 by the arm and pulled the child towards the door of the adjoining room.

Correction Required: The director will conduct mandatory monthly face to face evaluations of each staff at the facility. The evaluations will include the review of the supervision policy previously approved by the Department due to a citation issued on the inspection summary dated 1/19/2017. Should the director or staff identify a need/desire for further training, the facility will see that the trainings occurs within 30 days of being identified. These mandatory monthly evaluations will be conducted for a period of 3 months and will be forwarded to the Northeast Regional Office of DHS on a weekly basis.

Noncompliance Area: Based on extensive interviews with staff at the facility, parents, a volunteer, and child #1 the inspector was able to verify that staff #1 did, in fact, grab child #1 by his ear and twist while in care at the facility.

Correction Required: The legal entity must arrange for all facility persons and staff to receive a minimum of two hours of in person training dealing with supervision policy with a focus on difficult behaviors in children. The legal entity must receive DHS approval of the training content prior to scheduling the training. This training must be conducted by a PQAS approved trainer. Further, this training will not be allowed to count towards the annual six hours of training required by regulation. The facility will demonstrate their knowledge and ability to deal with difficult behaviors by developing and implementing a supervision policy that will focus on dealing with difficult behaviors in children and positive outcomes. This supervision policy must be submitted to the Department prior to implementation for approval.

Noncompliance Area: The facility failed to report an incident of suspected child abuse to Childline that was initially reported by family to the facility director.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). All staff persons shall attend at least two hours of in person training on Mandated Reporting for all facility persons. This training must be conducted by a PQAS trainer and will not be allowed to count towards the annual six hours of required trainings.