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Child Care Center ✓ Licensed

Tender Care Learning Centers-meadowlands

Washington, PA · Washington County
2000 Park Place Dr STE 201, Washington, PA 15301
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Quick Facts

Capacity
143 children
Languages
English, American Sign Language, English
Subsidized Program
Participates
State Rating
4

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Contact Information

📞 (724) 222-2600
2000 Park Place Dr, STE 201
Washington, PA 15301
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✓ Licensed Child Care Center
Active License
License Number
CER-00255476
License Issued
Apr 13, 2026
Active Through
Oct 13, 2026
Issued By
Pennsylvania Department of Education and Public Welfare
District Office
Early Learning Resource Center for Region 4

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About the Provider

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TENDER CARE LEARNING CENTERS-MEADOWLANDS is a Child Care Center in WASHINGTON PA, with a maximum capacity of 143 children. The provider also participates in a subsidized child care program.

Hours of Operation

  • Monday6:00 AM - 5:30 PM
  • Tuesday6:00 AM - 5:30 PM
  • Wednesday6:00 AM - 6:30 PM
  • Thursday6:00 AM - 5:30 PM
  • Friday6:00 AM - 5:30 PM
  • Saturday Closed
  • Sunday Closed

Inspection/Report History

Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.

Inspection Date Reason Description Status
2026-03-20 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A sticky brown substance was observed on the tray area of an exersaucer in the Newborn room. In Toddler 4 a broken white plastic basket was observed in the kitchen area and the changing pad in the restroom had split seams. In Toddler 1, holes were observed on a green floor pillow.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The tray was immediately cleaned by the infant room teacher.
2026-03-20 Renewal 3270.103 - Small Toys and Objects Compliant - Finalized

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A stuffed unicorn with sewn on sequins was observed in Toddler 1. The label stated the toy was intended for children 3 years of age and over. A green floor pillow with holes the exposed the inner foam filling was also observed in Toddler 1. In Toddler 2 a green beaded necklace was accessible in a low cubby drawer and toddlers were observed participating in an activity using plastic Easter grass. Both are choking hazards. In Toddler 4, the changing pad used in the restroom was observed to have split seams which left the inner foam filling accessible.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The objects in question were immediately removed from the classroom. The changing pad was replaced with a new one.
2026-03-20 Renewal 3270.131(b)(2)/3270.182(1) - Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports Compliant - Finalized

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The file for child #2 does not contain a current health report. The most recent health report on file is dated more than 12 months ago. The file for child #1 contained consecutive health reports dated more than 12 months apart, but is now current.

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. A child's record shall contain initial and subsequent health reports.

Provider Response: (Contact the State Licensing Office for more information.)
The parent of child #2 was contacted that same night and asked to provide a copy or their child's most recent health assessment. The parent brought it in the following day.
2026-03-20 Renewal 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test Compliant - Finalized

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 files for staff #1-4 contained consecutive health assessments dated more than 24 months apart. The most recent health assessments on file for staff #1-4 are now current.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Going forward all staff health assessments will be completed and returned to school office before or on their due date.
2026-03-20 Renewal 3270.66(e) - Arts and crafts non-toxic Compliant - Finalized

Regulation: 3270.66(e)

Description: Arts and crafts non-toxic

Noncompliance Area: A can of Barbasol shaving foam, labeled keep out of reach of children, was observed in Toddler 2. Based on statements made by staff, the shaving foam has been used with children during art activities.

Correction Required: Arts and crafts materials shall be nontoxic.

Provider Response: (Contact the State Licensing Office for more information.)
The Barbasol shaving foam was immediately discarded, and all staff will be reminded not to bring anything into the school unless it is approved by the management team.
2026-03-20 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Stained celling tiles were observed in the following areas; Toddler 3 above the cubbies, Toddler 4 above the sink area, and in the rear hallway leading to the outdoor play space.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The ceiling tiles were repaired by the director, and the stains can no longer be seen on the ceilings.
2026-02-05 Self-Reported Non Compliance 3270.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 2/04/26, at approximately 9:05AM, child #1 was left alone in a crib in the newborn room when the facility evacuated due to the fire alarm.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity will conduct mandatory staff meetings at least once per month for a period of 3 months following the approval of this plan. At each staff meeting, time will be set aside to review and discuss the facility's previous regulatory non-compliance items documented on inspection summaries issued in the last year, as well as the Department of Human Services' regulations related to staff:child ratios and supervision of children. An agenda will be prepared for each staff meeting and a log identifying the date, time and persons attending each meeting will be maintained. The staff meeting agendas and logs will be made available to OCDEL-DHS representatives upon request. The correction date for this portion of the plan shall be 3 months from the approval of this plan. 3.The legal entity will require all facility staff to participate in technical assistance visits provided by the ELRC focused on review of the facility's current emergency procedures and evaluation of their implementation during evacuation. The legal entity will ensure staff participate in a minimum of 3, in-person technical assistance visits provided by ELRC 4. The technical assistance visits must be completed within 6 months of the approval of this plan of correction. Upon completion of the visits, documentation will be provided to the OCDEL-DHS representative by email. The operator shall provide a date for when the technical assistance visits will be complete.

Provider Response: (Contact the State Licensing Office for more information.)
1. 2/4/2026- Effective immediately all children will be supervised by a facility person at all times including the outdoor childcare space. The TCLC supervision policy will be reviewed with each facility person at the school. The school managers will complete the TCLC Supervision Tool for each facility person within the next 4 weeks. Implemented 7/22/26 2. 7/31/26- Staff meetings will be held to address staff: child ratios, supervision, emergency procedures and fire drill protocols. The agenda will be reviewed by a representative of the legal entity and will be made available to all OCEL/DHS representatives upon request. Implemented 7/22/26 3. 7/31/26 The first of at least three ELRC Technical Assistance visits has been scheduled for Friday April 17th at 10:30 am to review the emergency procedures and implementation during evacuations. Future visits will be used to address supervision and staff: child ratios. Implemented 6/10/26
2026-02-05 Self-Reported Non Compliance 3270.113(a)(1) - Staff assigned to specific children Compliant - Finalized

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 2/04/26, at approximately 9:05AM, child #1 was left alone in a crib in the newborn room when the facility evacuated due to the fire alarm.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The teacher that was responsible for the child was removed from the infant program permanently as well as formally written up. They were also required to complete 3 supervision trainings and 1 supervision vodcast by March 6, 2026. The other teachers present were also formally written up and had to complete all the supervision trainings and vodcast as well. All of these trainings by all parties involved were completed by the due date. The managers of the school have been conducting surprise documented walkthroughs at different times of the day to make sure that all staff in all classrooms are implementing the systems that are in place to ensure that no child is left behind. These systems include the use of tags and transfer of care sheets correctly completed as the children come and go for the day. The staff are also required to tell us the number of children they are in charge of. This documentation can be found in the school office upon request. We have also been conducting surprise fire drills using a bull horn so that our staff and children get more familiar with sound of an alarm, which due to the nature of our building's set-up the alarm only sounds in an emergency and at our yearly alarm check. I have also been giving the school's assistant director extensive hands-on training for completing emergency drills. So that they feel confident in any emergency situation and can confidently complete the tasks involved in making sure the children are out of the building. Documentation of our fire drills can be accessed in the school office upon request. We will also make "supervision" a part or our monthly staff meeting agenda which all staff will participate and sign-off that they understand our policies and procedures pertaining to supervision of children in a childcare setting.
2026-02-03 Allocated Unannounced Monitoring 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A broken dustpan with sharp plastic was accessible to children in a corner of Toddler 3. A broken green plastic connecting tube was observed in PreK-1. A hole was observed on a multicolored reading pillow in Toddler 4.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The dustpan, plastic connecting tube and torn pillow were immediately removed and discarded from the childcare spaces.
2026-02-03 Allocated Unannounced Monitoring 3270.103 - Small Toys and Objects Compliant - Finalized

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Disposable gloves were accessible to toddlers in Toddler 3. The box of gloves was observed sitting on a footstool in the attached restroom. A hole which exposed the inner foam filling was observed on a multicolored reading pillow in Toddler 4.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The teacher in the toddler 3 room immediately moved the gloves out of their children's reach. The toddler 4 teacher placed pillow in a locked closet until repairs could be made. The following day the director threw the pillow away as it could not be safely repaired.
2026-02-03 Allocated Unannounced Monitoring 3270.106(f) - 2 feet apart Compliant - Finalized

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In the Newborn room, an infant was observed in a crib which lacked two feet of space on 3 sides. The crib was blocked by other cribs and a pillar.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The Newborn infant teacher present in the room immediately moved the crib to a position that adhered to the 2- foot guideline as well as into a position that was visible by all caregivers in the room.
2026-02-03 Allocated Unannounced Monitoring 3270.133(1) - Original container Compliant - Finalized

Regulation: 3270.133(1)

Description: Original container

Noncompliance Area: An inhaler intended for child #3 lacked the original packaging including the prescription label.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Provider Response: (Contact the State Licensing Office for more information.)
The inhaler was sent home with family that evening and they were notified that they must keep the inhaler in the original box. The family has not returned the inhaler.
2026-02-03 Allocated Unannounced Monitoring 3270.133(6) - Written consent Compliant - Finalized

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: The following medications observed onsite lacked written parental consent for administration - an Epi Pen for child #1, diazepam for child #2, and an inhaler for child #3.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Provider Response: (Contact the State Licensing Office for more information.)
The appropriate medication permission forms were given to child 1, 2 and child 3's parents upon pickup by the director. They signed the forms before leaving for the evening. Forms were placed in our medication logbook for future use, and copies were sent to OCDEL representative for approval.
2026-02-03 Allocated Unannounced Monitoring 3270.161(d) - Potentially hazardous food refrigerated Compliant - Finalized

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: Two lunch boxes containing cheese slices and cheese sticks were observed in PreK-1. Based on statements made by staff, the boxes were not refrigerated because they contained ice packs.

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

Provider Response: (Contact the State Licensing Office for more information.)
The lunch boxes were immediately placed in refrigerator, and the parents were notified at pick up to make sure that if any food in their child's lunchbox needs to be refrigerated, they must leave it in the bin at the entrance of the school for the director or assistant director to be place in kitchen refrigerator. They were also told that cold packs are not acceptable.
2026-02-03 Allocated Unannounced Monitoring 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 contained an FBI clearance that was applied for after their first documented day having direct contact with children. The application was dated 11/03/25. The file stated staff #1 began observing in classrooms on 10/25/25.The file for staff #3 contained a WV CPS clearance dated after their first documented day having direct contact with children. The clearance was dated 1/28/26. The file stated staff #3 began observing in classrooms on 1/27/26.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Current clearances are on file. Going forward all new staff will have all appropriate clearances before entering the childcare space and having contact with our children.
2026-02-03 Allocated Unannounced Monitoring 3270.33(a)/3270.192(2)(ii) - Each staff person meets quals/Exp, educ., training prior to facility Compliant - Finalized

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 #2, designated as an AGS by the director, did not include documentation of the qualifications required for the position. The file contained a HS diploma and a CDA, but lacked verified experience with children.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Director obtained missing documentation from our company recruiting director the following day, which verified staff #2's years of experience with children. The document was copied and placed into staff #2's file and sent to our OCDEL representative for approval on 2/9/26.
2026-02-03 Allocated Unannounced Monitoring 3270.65 - Protective Outlet Covers 5 yrs. or less Compliant - Finalized

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: One electrical outlet on a power strip was in PreK-2 lacked a protective cover. The power strip was plugged into the wall and was accessible to children 5 years of age or younger.

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

Provider Response: (Contact the State Licensing Office for more information.)
After the director was notified that the outlet cover was missing from the PreK 2 power strip by our OCDEL representative, it was immediately replaced by the director.
2026-02-03 Allocated Unannounced Monitoring 3270.66(a) - Locked or inaccessible Compliant - Finalized

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Multiple bottles of sunscreen, labeled keep out of reach of children, were observed to be accessible to children in the cubbies in Toddler 4.

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

Provider Response: (Contact the State Licensing Office for more information.)
The sunscreen was immediately removed to a locked closet by the teacher present in the childcare space until it could be given to the families to take home at pick-up time.
2026-02-03 Allocated Unannounced Monitoring 3270.66(d) - Toxic plants not permitted Compliant - Finalized

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: The following toxic plants were observed at the facility; one arrowhead plant in Toddler 4, one pothos plant in Toddler 2, and one pothos plant in Prek-1.

Correction Required: Toxic plants are not permitted in a child care space.

Provider Response: (Contact the State Licensing Office for more information.)
The director immediately removed the poisonous plants from the childcare spaces when told by our OCDEL representative.
2026-02-03 Allocated Unannounced Monitoring 3270.75(b) - Inaccessible to children Compliant - Finalized

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: A bag containing a first aid kit was accessible to children on a low hook in Toddler 4. The bag was not locked.

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

Provider Response: (Contact the State Licensing Office for more information.)
The outside excursion bag containing their first aid kit was immediately placed in the locked Toddler 4 childcare space closet so that no child could access it.
2026-02-03 Allocated Unannounced Monitoring 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A stained ceiling tile was observed in PS-2. A protruding bolt was observed on the base of a toilet in a PreK-2 restroom.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The ceiling tiles was spray painted by the director the following day, The protruding toilet bolt was temporarily fixed by the director who taped a small cup over the bolt to protect the children until a bolt cover could be purchased to permanently cover the bolt.
2026-02-03 Allocated Unannounced Monitoring 3270.82(g) - Clean and good repair Compliant - Finalized

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: Built up debris was observed on and around toilet bases in the PreK-1 and PreK-2 and PS-2 restrooms.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Provider Response: (Contact the State Licensing Office for more information.)
The director cleaned the build-up and debris from toilet bases after the school closed for the day in all affected restrooms. The cleaning company was also notified that they need to do a better job of cleaning these areas when they clean at days end.
2026-02-03 Allocated Unannounced Monitoring 3270.82(i) - Lidded waste receptacles Compliant - Finalized

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: A restroom connected to PreK-1 lacked a lidded waste receptacle. The lid was present in the room but was not attached to the can.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Provider Response: (Contact the State Licensing Office for more information.)
The director determined that the garbage can was broken where the lid connects to the can and could not be fixed. The director sat the lid on top until a replacement could be purchased the following day.
2026-01-27 Self-Reported Non Compliance 3270.113(c) - No ridicule or threaten harm Compliant - Finalized

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: Based on statements made by witnesses during the investigation, on 1/22/26 staff #1 ridiculed child #1 by saying "You can't stay a baby your whole life" and "Its time to grow up."

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 was removed from classroom on 1/23/26 until an investigation could take place. After the investigation Staff person #1 was terminated and removed from premises. Staff person #1 was also reported to Child Line. That same day.
2026-01-27 Self-Reported Non Compliance 3270.113(e) - Restraints prohibited Compliant - Finalized

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: On 1/22/26 at approximately 4PM, staff #1 restrained child #1 by holding child #1 on their lap and preventing child #1 from moving. Based on statement made by witnesses and video footage viewed during the investigation, staff #1 placed 1 leg over the child's legs, placed 1 arm over the child's arms and across the child's stomach area, and placed the other arm over the child's chest area.

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 was removed from the childcare space on 1/23/26 pending investigation. Upon completion of the investigation staff person #1 was terminated as it was found that she did restrain child #1 and our company does not allow any form of physical discipline. Staff person #1 was also Child-Lined and the family of child #1 was notified of the incident.
2025-10-06 Unannounced Monitoring 3270.119 - Infant sleep position Compliant - Finalized

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: In the newborn room, there were 2 infants observed sleeping in baby bouncers, which is not the safe sleep position 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.

Provider Response: (Contact the State Licensing Office for more information.)
The teachers present in the classroom were given a verbal warning to remove sleeping babies from bouncy chairs and to place them in their cribs. Our infant sleeping policy was reviewed at our October 7th staff meeting. (The meeting agenda, staff sign-in sheet and handouts were provided to DHS representative upon request) The Daily documented walk-throughs began on Wednesday 10/8/2025 the day after our staff meeting and completed supervision forms are kept in school office as well as documentation of staff supervision trainings.
2025-10-06 Unannounced Monitoring 3270.51 - Similar Age Level Compliant - Finalized

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 10/6/2025 at 3:10 pm, staff #1 was observed supervising a group of 10 older toddlers alone without another staff person present in the toddler 3 room for approximately 1 minute until staff #2 returned from answering the door.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The staff person was given a formal verbal warning to never leave the classroom when in ratio. The staff person will complete 4 hours of supervision training by 10/17/25. If the staff person is in ratio and leaves the room again a formal written warning will be given. After the third written warning the staff person will be terminated. Supervision was also addressed at our October 7th staff meeting (documentation of this meeting was sent to DHS Rep upon request). All current staff not listed above will have to complete 4 hours or Supervision training before our next annual DHS visit in 2026. Documentation will be kept in staff PDR located in their file for verification by DHS representative. Beginning October 8th two documented daily supervision checks will be conducted by school director or assistant director at varying times of the day. Completed checks will be located in the school office and can be accessed by any DHS representative upon request.
2025-08-12 Complaints- Legal Location 3270.20(a)(1) - Inpatient hospitalization or ER treatment of child Compliant - Finalized

Regulation: 3270.20(a)(1)

Description: Inpatient hospitalization or ER treatment of child

Noncompliance Area: An incident at the facility on 8/11/2025 required inpatient hospitalization of child #1 to be monitored for the night. The facility did not notify the appropriate regional office by telephone within 24 hours of the child being admitted to the hospital.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

Provider Response: (Contact the State Licensing Office for more information.)
Going forward I will continually try and contact family to follow-up on child's condition. If he or she needs emergency care at the hospital or needs hospitalized, I will notify the regional office within 24 hours by telephone of the child's admittance. I will not wait for the family to contact us.
2025-08-12 Complaints- Legal Location 3270.20(b) - Mail or deliver written report to regional office within 72 hours Compliant - Finalized

Regulation: 3270.20(b)

Description: Mail or deliver written report to regional office within 72 hours

Noncompliance Area: An incident at the facility on 8/11/2025 required inpatient hospitalization of child #1 to be monitored for the night. The facility did not notify the appropriate regional office in writing within 72 hours of the child being admitted to the hospital.

Correction Required: The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department.

Provider Response: (Contact the State Licensing Office for more information.)
Going forward the director will send a written report either by mail or email to the appropriate regional office with regard to any child having to go to the emergency room or hospital after suffering a medical incident or accident while the child is in our care.
2025-08-12 Unannounced Monitoring 3270.94(a)(1) - Every 60 days Compliant - Finalized

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Based on the fire drill log and a conversation with staff #1, the last fire drill conducted was dated 6/11/2025, which was more than 60 days from the date of the inspection.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Going forward I will conduct a fire drill every 60 days as required by DHS licensing.
2025-07-03 Complaints- Legal Location 3270.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Based on interviews with staff and review of video footage, it was determined that on 6/16/25, Staff #1 and Staff #2 were responsible for supervising a group of 7 older toddlers during naptime in the toddler 3 classroom. The video footage showed Staff #1 continuously looking at their cell phone while Staff #2 was sleeping on the floor. At approximately 2:58 p.m., Staff #1 left the room for approximately 4 minutes, leaving the children unsupervised with Staff #2, who had remained asleep. At 3:05 p.m., Staff #1 left the room again. At 3:07 p.m., Staff #3 entered the room and observed that Staff #2 was still sleeping and left without waking up Staff #2. At 3:08 p.m., Staff #3 returned to the room with Staff #4 and woke up Staff #2. Staff #3 and Staff #4 left the room. Staff #1 returned to the room at approximately 3:10 p.m.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 and Staff #2 were given a written warning with regards to the incident noted above. Staff #3 is no longer employed at our company. Staff #1 and Staff #2 must complete 4 hours of supervision training by October 31st, 2025, in order to remain employed at our childcare facility.
2025-07-03 Complaints- Legal Location 3270.113(a)(1) - Staff assigned to specific children Compliant - Finalized

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Based on interviews with staff and review of video footage, it was determined that on 6/16/25, Staff #1 and Staff #2 were responsible for supervising a group of 7 older toddlers during naptime in the toddler 3 classroom. The video footage showed Staff #1 continuously looking at their cell phone while Staff #2 was sleeping on the floor. At approximately 2:58 p.m., Staff #1 left the room for approximately 4 minutes, leaving the children unsupervised with Staff #2, who had remained asleep. At 3:05 p.m., Staff #1 left the room again. At 3:07 p.m., Staff #3 entered the room and observed that Staff #2 was still sleeping and left without waking up Staff #2. At 3:08 p.m., Staff #3 returned to the room with Staff #4 and woke up Staff #2. Staff #3 and Staff #4 left the room. Staff #1 returned to the room at approximately 3:10 p.m.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The Staff must have their child identification cards on their person at all times so that they can name the children in their care upon request at any time of the day. Staff may not leave their classroom for any reason unless the number of children in the classroom meet the DHS ratio for the age group they are caring for. If they need to leave the room, they must use the intercom system to contact director or assistant director to relieve them.
2025-07-03 Complaints- Legal Location 3270.137 - Children with Symptoms of Disease Compliant - Finalized

Regulation: 3270.137

Description: Children with Symptoms of Disease

Noncompliance Area: During an outbreak of Hand, Foot and Mouth disease at the facility, the operator allowed children with symptoms, including visible blisters, to return to care without written notification from a physician or CRNP verifying they were no longer a threat to the health of others.

Correction Required: An operator who observes an enrolled child with symptoms of a communicable disease or infection that can be transmitted directly or indirectly and which may threaten the health of children in care shall exclude the child from attendance until the operator receives notification from a physician or a CRNP that the child is no longer considered a threat to the health of others. The notification shall be retained in the child's file. Diseases and conditions which require exclusion are specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases).

Provider Response: (Contact the State Licensing Office for more information.)
Going forward all children must have note from their doctor before returning to school after being diagnosed with a contagious illness.
2025-03-18 Renewal 3270.102(a)/3270.103 - Clean and good repair/Small Toys and Objects Compliant - Finalized

Regulation: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: In Toddler 3, multiple split seams were observed on the plastic covered mat used for diaper/pull up changes in the restroom. The inner foam filling was accessible to children.

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. 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.

Provider Response: (Contact the State Licensing Office for more information.)
The mat was immediately replaced with a new one.
2025-03-18 Renewal 3270.106(a) - Clean, age appropriate Compliant - Finalized

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: In Toddler 2, two children were observed sleeping on mats labeled for other children based on the nap mat assignment chart posted in the room.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The director, once informed, immediately went to the classroom to remove the child from the incorrect mat. The children were removed from the mats, the mats were disinfected, and the children were returned to the mats that were designated to them.
2025-03-18 Renewal 3270.123(a)(6) - Admission date Compliant - Finalized

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement for child #1 included an inaccurate date of admission. The recorded date was prior to the child's date of birth.

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

Provider Response: (Contact the State Licensing Office for more information.)
The date was corrected on child #1's agreement form, and a new copy was given to the family with the corrected date.
2025-03-18 Renewal 3270.131(b)(2)/3270.182(1) - Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports Compliant - Finalized

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The file for child #2 did not contain a current health report. The most recent health report on file was dated 2/20/24.

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. A child's record shall contain initial and subsequent health reports.

Provider Response: (Contact the State Licensing Office for more information.)
Child #2's parent was called and asked to provide an updated health assessment. The parent immediately emailed child #2's most updated assessment, and it was placed in the child's file and a copy was sent to our DHS representative for approval.
2025-03-18 Renewal 3270.151(b) - Conducted by physician, PA or CRNP Compliant - Finalized

Regulation: 3270.151(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The health assessment on file for staff #2 did not include the professional title of the signing individual.

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
The teacher was asked to take her current assessment back to her Dr.'s office to have the professional title designation placed after the CRNP's name.
2025-03-18 Renewal 3270.33(a)/3270.192(2)(ii) - Each staff person meets quals/Exp, educ., training prior to facility Compliant - Finalized

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 #1, designated as a director on the staff data sheet, lacked documentation of the hours of experience required for the position. The file for staff #3, designated as an AGS on the staff data sheet, did not contain documentation of the qualifications required for the position.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 obtained a letter from previous employer stating that she had at least one year of experience in a managerial position. This would make her eligible to have the title of assistant director. The letter was sent to our DHS representative for final approval. Staff person #3's childcare employment verification form was obtained from Tender Care Learning Centers recruiting/hiring director stating that she had at least 2 years of childcare experience, making her eligible to be an assistant group supervisor. The form was sent to our DHS Representative for final approval.
2025-03-18 Renewal 3270.75(b) - Inaccessible to children Compliant - Finalized

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: A first aid kit was accessible to children in the emergency bag in Pre-k 1. The bag was observed hanging on a low hook on the back of a toy storage shelf.

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

Provider Response: (Contact the State Licensing Office for more information.)
The bookbag containing the first aid kit was immediately removed and placed in locked cupboard where it will be kept going forward when not in use.
2025-03-18 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Three areas of water staining were observed in Pre-K 2 in the rear left of the 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.

Provider Response: (Contact the State Licensing Office for more information.)
The stained areas were painted with ceiling tile paint to eliminate the stains on 3/21/25 by the director.
2025-03-18 Renewal 3270.82(e) - Toilet and sinks proper height Compliant - Finalized

Regulation: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: The handwashing sink in Toddler 1 lacked a platform or steps to allow children to easily approach the sink. Based on statements made by staff, staff currently hold the toddlers at the sink for handwashing after diapering.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Provider Response: (Contact the State Licensing Office for more information.)
A toddler step stool was purchased and placed in the classroom so that the toddlers can safely wash their hands without having to be lifted by the classroom teacher. A picture of the step stool was sent to our DHS representative for final approval.
2025-03-18 Renewal 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The annual fire alarm inspection reports on file were dated more than 12 months apart. 11/02/23 and 12/18/24.

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.

Provider Response: (Contact the State Licensing Office for more information.)
A current report is now on file. The director will speak with the building manager to make sure that the alarm is tested no more than 12 months apart.
2024-03-12 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A loose knob was observed on a play kitchen set in PS1. The knob was no longer attached to the screw intended to hold it in place. The knob came off when opening the door leaving a protruding screw exposed. Multiple broken plastic cups were observed in a sand table in the outdoor play space.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The knob and screw were removed from the play kitchen set in the PS1 classroom. The hole in the door was covered with tape. The broken cups in the outside sand table were removed and thrown away.
2024-03-12 Renewal 3270.102(a)/3270.103 - Clean and good repair/Small Toys and Objects Compliant - Finalized

Regulation: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: Mats #4, 5, and 6, which based on a posted nap mat chart were assigned to children in care, were observed to have spilt seams resulting in the inner foam pad being exposed and accessible to children.

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. 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.

Provider Response: (Contact the State Licensing Office for more information.)
Mats #4, 5 and 6 were taped to close the split in the seam and to cover the exposed inner foam pad.
2024-03-12 Renewal 3270.106(f) - 2 feet apart Compliant - Finalized

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Two cribs in use by infants in the Newborn room lacked 2 feet of space on 3 sides. Cribs which were not in use were observed blocking 1-2 sides of each crib.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Cribs with sleeping infants in the Newborn classroom were moved and to meet the regulation of 2 feet on 3 sides of the crib.
2024-03-12 Renewal 3270.107 - Refrigerator Compliant - Finalized

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in Toddler 1 lacked a 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.

Provider Response: (Contact the State Licensing Office for more information.)
We put a new thermometer in the Toddler 1 refrigerator.
2024-03-12 Renewal 3270.123(a)(3) - Services proceeded Compliant - Finalized

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for children #1-#9 lacked documentation of sharing a service report with the parents in over 6 months.

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).

Provider Response: (Contact the State Licensing Office for more information.)
Parents for children #1 - #9 will be given a new copy of their child¿s assessment (service report) and they will sign that they received the report. The parent¿s signature and report will be placed in the child¿s file.
2024-03-12 Renewal 3270.123(a)(4) - Arrival/departure times Compliant - Finalized

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement for child #10 did not specify the child's arrival and departure times.

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

Provider Response: (Contact the State Licensing Office for more information.)
We had the parents of child #10 update the agreement with the child's arrival and departure times and it was placed in their file.
2024-03-12 Renewal 3270.131(b)(1)/3270.182(1) - Infant: updated health report every 6 months/Initial and subsequent health reports Compliant - Finalized

Regulation: 3270.131(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The file for child #7, a young toddler, contained consecutive health reports dated more than 6 months apart. The most recent health report on file is now current.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

Provider Response: (Contact the State Licensing Office for more information.)
The file for child #7 (a young toddler) contains their most recent health report and their file is now current.
2024-03-12 Renewal 3270.131(b)(2)/3270.182(1) - Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports Compliant - Finalized

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The file for child #2 contained consecutive health reports dated more than 12 moths apart. The most recent health report on file is now current.

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. A child's record shall contain initial and subsequent health reports.

Provider Response: (Contact the State Licensing Office for more information.)
The file for child #2 contains their most recent health report and their file is now current.
2024-03-12 Renewal 3270.21 - General Health and Safety Compliant - Finalized

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Approximately 0.5 to 1 inch of standing water was observed in a lidded sand table located in the outdoor play space while children were present.

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

Provider Response: (Contact the State Licensing Office for more information.)
Water was removed from the lidded sand table located in the outdoor playspace.
2024-03-12 Renewal 3270.27(a)(3)/3270.27(a)(4) - Contact when arises/Contact when ended Compliant - Finalized

Regulation: 3270.27(a)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: Based on statements made by staff, communication with parent in an emergency would occur via the communication application Kaymbu, however the emergency plan does not include that information.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Provider Response: (Contact the State Licensing Office for more information.)
We added a statement to our Emergency Plan that communication with parents in an emergency would occur via Phone, text, email and/or the Kaymbu app. Our emergency plan will be resent to local authorities and Washington County Emergency Management.
2024-03-12 Renewal 3270.27(e) - Letter to parents Compliant - Finalized

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: Based on statements made by staff, communication with parents in an emergency would occur via the communication application Kaymbu, however the letter for parents explaining the emergency procedures does not include that information.

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

Provider Response: (Contact the State Licensing Office for more information.)
We added a statement to our Parent Letter that communication with parents in an emergency would occur via Phone, text, email and/or the Kaymbu app. Our Parent letter will be resent to the families, local authorities, and Washington County Emergency Management.
2024-03-12 Renewal 3270.31(e) - Age and Training Compliant - Finalized

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for staff #7 contained documentation of 10 hours of annual training completed on time between 12/2022 and 12/2023. The file also contained 2 additional hours of training completed late.

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

Provider Response: (Contact the State Licensing Office for more information.)
The file for staff #7 contained 10 hours of training completed on time between 12/2022 and 12/2023. Two additional training hours were completed late. The file now contains the required 12 hour of annual training.
2024-03-12 Renewal 3270.31(f)(10)/3270.192(2)(iii) - Health and Safety Training - Pediatric First Aid and CPR/Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.31(f)(10)/3270.192(2)(iii)

Description: Health and Safety Training - Pediatric First Aid and CPR/Exp, educ., training at facility

Noncompliance Area: Staff #9 did not complete Pediatric CPR and First Aid training from an approved instructor within 90 days of hire. The file for staff #9 now contains documentation of completing an approved course from an approved instructor.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
The file for staff #9 now contains documentation of completing an approved Pediatric CPR and First Aid Course from an approved instructor.
2024-03-12 Renewal 3270.32(a)/3270.192(2)(iii) - Comply with CPSL/Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: Staff #11 did not renew mandated reporter training 60 months. This is evidenced by the documented mandated reporter trainings on file being dated 10/11/18 and 12/29/23. Current training is now on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #11 has a current Mandated Reporter training in her file.
2024-03-12 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for staff #1, #2, #4, #6, #10, #11, #12, and #13 contained clearances which were not renewed within 60 months. The dates for each staff person are as follows; staff #1 FBI dated 12/19/18 was renewed 12/21/23. SP dated 12/17/18 was renewed 12/20/23. Staff #2 FBI dated 10/21/18 was renewed 12/29/23, SP dated 12/17/18 was renewed 12/20/23, CA dated 12/24/18 was renewed 12/28/23. Staff #4 SP dated 12/17/18 was renewed 12/20/23, CA dated 12/21/18 was renewed 1/03/24. Staff #6 FBI dated 12/21/18 was renewed 12/30/23, SP dated 12/17/18 was renewed 12/20/23, CA dated 12/21/18 was renewed 1/03/24. Staff #10 CA dated 12/21/18 was renewed 12/28/23, SP dated 12/17/18 was renewed 12/20/23.Staff #11 FBI dated 10/08/18 was renewed 12/28/23, SP dated 10/08/18 was renewed 12/20/23, CA dated 10/12/18 was renewed 12/28/23. Staff #12 FBI dated 6/06/18 was renewed 12/20/23, SP dated 6/04/18 was renewed 12/20/23, CA dated 6/12/23 was renewed 12/28/23. Staff #13 SP dated 12/17/18 was renewed 12/20/23, CA dated 12/24/18 was renewed 1/03/24. Current clearances are now on file for all 8 of these staff members.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1, #2, #4, #6, #10, #11, #12, and #13 have Current clearances in their files.
2024-03-12 Renewal 3270.34(a)(6) - Staff evaluations Compliant - Finalized

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for staff #2, #3, #5, #6, #8, #10, #11, #12, and #13 contained consecutive annual evaluations dated more than 12 months apart. Current evaluations are now on file.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Provider Response: (Contact the State Licensing Office for more information.)
Current evaluations are now on file for staff #2, #3, #5, #6, #8, #10, #11, #12, and #13.
2024-03-12 Renewal 3270.65 - Protective Outlet Covers 5 yrs. or less Compliant - Finalized

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: One electrical outlet on a power strip lacked a protective cover. The power strip was located on top of a mini refrigerator in Toddler Room 1 and was accessible to children 5 years of age or younger.

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

Provider Response: (Contact the State Licensing Office for more information.)
An protective outlet cover was placed in the electrical outlet of the power strip in the Toddler 1 classroom.
2024-02-21 Unannounced Monitoring 3270.31(f)/3270.31(f)(10) - Health and Safety Training/Health and Safety Training - Pediatric First Aid and CPR Compliant - Finalized

Regulation: 3270.31(f)/3270.31(f)(10)

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

Noncompliance Area: Staff file #1 contained a certificate of completion of pediatric first aid and pediatric cardiopulmonary resuscitation dated 9/7/23 which was more than 90 days after hire date. (See LIS CODE SHEET)

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Provider Response: (Contact the State Licensing Office for more information.)
The file for staff #1 contains documentation of completing an approved Pediatric CPR and First Aid Course from an approved instructor.
2023-03-31 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Tears and holes were observed on a nylon fabric crawl through tunnel observed in the school age room.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The tunnel was removed from the classroom and thrown away on the day of the inspection.
2023-03-31 Renewal 3270.106(f) - 2 feet apart Compliant - Finalized

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: An infant was observed in a crib which lacked the required 2 feet of space on 3 sides. The crib was positioned with the head against a wall with 2 other cribs positioned flush against each side.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The cribs in the Infant classroom were rearranged to meet the regulation of 2 feet of space on 3 sides of the crib.
2023-03-31 Renewal 3270.123(a)(4) - Arrival/departure times Compliant - Finalized

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreements for children #1, #5, and #8 did not specify the child's arrival and departure times.

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

Provider Response: (Contact the State Licensing Office for more information.)
Arrival and departure times were added to the agreements for children #1, #5, and #8.
2023-03-31 Renewal 3270.123(a)(6) - Admission date Compliant - Finalized

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreements for children #5 and #7 did not specify the date of the child's admission.

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

Provider Response: (Contact the State Licensing Office for more information.)
The date of the child¿s admission to Tender Care was added to the agreements for children #5 and #7.
2023-03-31 Renewal 3270.124(b)(2) - Physician name, address, phone Compliant - Finalized

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information for child #8 did not include the name, address and telephone number of the child's physician or source of medical care.

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

Provider Response: (Contact the State Licensing Office for more information.)
The parent was contacted and the name, address and telephone number of the child¿s physician was added to the emergency contact form for child #8.
2023-03-31 Renewal 3270.124(b)(6) - Insurance coverage information Compliant - Finalized

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information for child #5 did not include the health insurance coverage 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.

Provider Response: (Contact the State Licensing Office for more information.)
The parent was contacted and the health insurance name and policy number was added to the file for child #5.
2023-03-31 Renewal 3270.124(b)(7) - Name/address/phone release person Compliant - Finalized

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for children #5 and #7 did not include complete addresses for the individuals designated by the parent to whom the child may be released.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The parents were contacted and the full address for the individual designated by the parent whom the child may be released was added to the files for children #5 and #7.
2023-03-31 Renewal 3270.124(e) - Written emergency plan posted Compliant - Finalized

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The medical emergency transportation plan was not posted in PS1.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The medical emergency transportation plan was posted in the PS1 classroom.
2023-03-31 Renewal 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos Compliant - Finalized

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The files for children #2, #3, #4, #6, #7, #8. and #9 contained emergency contact information and agreements which were not updated by 1/06/22, when the regulation was reinstated, or within 6 months of the previous update. Current documents are now on file for each child.

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

Provider Response: (Contact the State Licensing Office for more information.)
The updated and signed by parent emergency contact forms and agreements are in the files for children #2, #3, #4, #6, #7, #8 and #9.
2023-03-31 Renewal 3270.131(b)(2)/3270.182(1) - Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports Compliant - Finalized

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The files for children #6 and #7 contained health reports which were not updated by 1/06/22, the date the regulation was reinstated. The file for child #9 contained a health report which was not updated within 12 months. Current health reports are now on file for all 3 children.

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. A child's record shall contain initial and subsequent health reports.

Provider Response: (Contact the State Licensing Office for more information.)
Updated Child Health Reports are in the files for children #6, #7 and #9.
2023-03-31 Renewal 3270.131(d)(5)/3270.131(e)(3) - Immunization record/Dismissal policy Compliant - Finalized

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child #7, enrolled since 1/13/20, contained an immunization record which lacked documentation of receiving the influenza vaccine prior to 2/28/23. A written exemption was not on file. The file now contains current and complete immunization documentation.

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

Provider Response: (Contact the State Licensing Office for more information.)
Documentation of the influenza vaccine is in the file for child #7.
2023-03-31 Renewal 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test Compliant - Finalized

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 files for staff #2, #3, and #4 contained health assessments which were not updated within 24 months. Current health assessments are now on file for all 3 staff.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Updated health assessments are in the files for staff #2, #3, and #4.
2023-03-31 Renewal 3270.31(e)/3270.192(2)(iii) - Age and Training/Exp, educ., training at facility Compliant - Finalized

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

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: The file for staff #1 contained nine hours of training completed on time between 12/19/21 and 12/19/22. Three additional hours were completed late. The file now contains the required 12 hour of annual training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
3 additional training hours are in the file for staff #1. The file now includes 12 training hours.
2023-03-31 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 contained clearances which were not updated within 60 months. The documented dates were as follows; state police previously obtained 1/23/18 and renewed on 2/06/23, child abuse previously obtained 1/30/18 and renewed on 2/13/23, FBI previously obtained 1/26/18 and renewed on 2/10/23. Current clearances are now on file for staff #1.

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.

Provider Response: (Contact the State Licensing Office for more information.)
All clearances are updated and are in the file for staff # 1.
2023-03-31 Renewal 3270.74 - Emergency Numbers Posted Compliant - Finalized

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: Emergency telephone numbers were not posted near the phone in PS1.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Emergency telephone numbers were posted near the phone in the PS1 classroom.
2023-03-31 Renewal 3270.82(g) - Clean and good repair Compliant - Finalized

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: Heavily soiled toilet bases were observed in the restrooms of the Pre-K room, PS1, and PS2.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Provider Response: (Contact the State Licensing Office for more information.)
Toilet bases in the restrooms of the Pre-K room, PS1, and PS2 were cleaned and sanitized to remove the heavy soil.
2023-03-31 Renewal 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The annual fire alarm inspection/test reports were dated more than 12 months apart. The previous report was dated 4/13/21. The current report was dated 8/30/22.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Fire alarm inspection report is current and will be conducted every 12 months.
2022-03-15 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were 3 cracked bins In the pre-k room, and another cracked bin in the toddler 4 room. There was pink toy car with a rough edge on the right window of the toy in the preschool 2 room. There was a broken magnet tile in the school age room. There was a rug that was not in good repair in the Toddler 1 room, the rug was ripped on the border. There was a rough edge exposed on the bottom of the fence in the preschool playground.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The cracked bins were thrown away and replaced with new bins and broken toys were thrown away. The exposed playground fence was covered with black duct tape. The ripped edge of the carpet in Toddler 1 was covered and later replaced with a new carpet.
2022-03-15 Renewal 3270.107 - Refrigerator Compliant - Finalized

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The thermometer in the newborn room refrigerator was not working.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The thermometer in the newborn room refrigerator was replaced with a new thermometer.
2022-03-15 Renewal 3270.124(b)(3) - Parent home/work address, phone Compliant - Finalized

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files for child # 1and 3 lacked the work address and telephone number of the enrolling parent on the emergency contact form.

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

Provider Response: (Contact the State Licensing Office for more information.)
The parents of child # 1and child 3 completed the Emergency contact form with their work address and telephone number.
2022-03-15 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

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 12/17/2020. The staff person left on 10/12/20 and returned on 6/2/21. It was not obtained within 24 months of the previous assessment dated 9/18/2018 . The file for staff #2 contained a current health assessment dated 3/1/20. It was not obtained within 24 months of the previous assessment dated 3/22/17 .

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.

Provider Response: (Contact the State Licensing Office for more information.)
The 2 staff members had updated Staff Health Assessments in there files on the day of our inspection.
2022-03-15 Renewal 3270.182(6) - Signed parental consent for transportation, walking excursions, swimming and wading Compliant - Finalized

Regulation: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: The file for child #2 lacked the parent consent for transportation, walking excursions, swimming and wading.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Provider Response: (Contact the State Licensing Office for more information.)
Parent of child #2 signed the parent consent for transportation and walking excursions.
2022-03-15 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The door on the left bathroom in the preschool 2 room has a shipped by the door handle, exposing some splinters and creating a rough edge accessible to children.

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.

Provider Response: (Contact the State Licensing Office for more information.)
We covered the section of the bathroom door that was rough with tape. We will also have the door repaired by our maintance company.
2022-03-15 Renewal 3270.77(a) - No peeling paint or plaster Compliant - Finalized

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was peelings paint along the edge of the wall under the window on the left side of the room.

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

Provider Response: (Contact the State Licensing Office for more information.)
The wall and window ledge in the Toddler 1 classroom were repainted to cover the peeling paint.
2020-08-11 Renewal 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos Compliant - Finalized

Noncompliance Area: The files for Child(ren) #1, #2, #3, #5, and #6 contained documentation of emergency contact form and financial agreement reviews on 12/30/2019; more than six months have passed since the information was last reviewed by the parents.

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

Provider Response: (Contact the State Licensing Office for more information.)
The forms will be reviewed and signed by the parents. All emergency contact forms and financial agreements will be updated and reviewed by parents every six months.
2020-08-11 Renewal 3270.131(a) - Within 60 days Compliant - Finalized

Noncompliance Area: The file for Child #4, admission date 02/08/2017, contained one health assessment dated 06/25/2018; lacking documentation of a health assessment within 60 days following the first day of attendance at the facility.

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.

Provider Response: (Contact the State Licensing Office for more information.)
A current health assessment is in the file. All child files will have a health assessment within the first 60 days of enrollment.
2020-08-11 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

Noncompliance Area: The file for Facility Person #1 contained health assessments dated 04/2/2018 and 06/26/2020; more than 24 months passed between health assessments.

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.

Provider Response: (Contact the State Licensing Office for more information.)
A current health assessment is in the file. All staff health assessments will be completed within two years of previous health assessment.
2019-03-01 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Noncompliance Area: On 3/1/2019, one toy bin containing play kitchen supplies located in the preschool 2 classroom was observed to be cracked along the edges exposing the children to rough edges, sharp corners and pinch and crush points. Also, in the preschool 2 classroom a bolt was observed to be exposed on the door to the play oven.

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.

Provider Response: (Contact the State Licensing Office for more information.)
All equipment will in the classroom will be in good repair. Will check all classrooms for cracked bins and broken equipment daily.
2019-03-01 Renewal 3270.123(a)(5) - Designated release persons Compliant - Finalized

Noncompliance Area: On 3/1/2019 and 3/4/2019, the agreement form on file for children #3, #4 and #7 were observed not to contain complete documentation of the person's whom are designated by the parent for the child to be released to.

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

Provider Response: (Contact the State Licensing Office for more information.)
Release persons were added to the file. All files will have complete documentation of the person's whom are designated by the parent for the child to be released to.
2019-03-01 Renewal 3270.124(b)(3) - Parent home/work address, phone Compliant - Finalized

Noncompliance Area: On 3/4/2019, the emergency contact form on file for child #7 was observed not to contain complete work information for the child's enrolling parent/guardian.

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

Provider Response: (Contact the State Licensing Office for more information.)
Information was added to file. All children's files will have complete work information for the enrolling parent/ guardian.
2019-03-01 Renewal 3270.131(e)(1) - Exemption documentation from parent/guardian Compliant - Finalized

Noncompliance Area: On 3/1/2019 and 3/4/2019, the immunization records on file for children #2, #3, #5, #6 and #7 were observed not to contain documentation of the children receiving an influenza vaccine within the last 12 months as recommended by the ACIP.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Missing information was added to file. All children will have written verification in their file that contains documentation the child has received the flu shot.
2019-03-01 Renewal 3270.133(2) - Written instructions Compliant - Finalized

Noncompliance Area: On 3/1/2019, medication stored at the child care facility for child #1 was observed not to contain written instructions from the individual who prescribed the medicine.

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.

Provider Response: (Contact the State Licensing Office for more information.)
All medication will have a label with the child's name, dosage and who prescribed the medication.
2018-12-28 Allocated Unannounced Monitoring 3270.107 - Refrigerator Compliant - Finalized

Noncompliance Area: The refrigerator located in the toddler 1 classroom was observed not to contain an operable 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.

Provider Response: (Contact the State Licensing Office for more information.)
A thermometer was placed in the refrigerator. In the future, every Refrigerator will have an operable thermometer.
2018-12-28 Allocated Unannounced Monitoring 3270.151(c)(2)/3270.192(3) - Mantoux TB/Health assessment, TB test Compliant - Finalized

Noncompliance Area: The file for staff person #1 was observed not to contain documentation of a TB test being conducted within 12 months prior to the date of hire. This is evidenced by documentation of the TB test on file for staff person #1 being dated 9/2/2017 and the date of hire for staff person @1 being 9/18/2018.

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.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.

Provider Response: (Contact the State Licensing Office for more information.)
A TB test was obtained for staff person #1. All new teachers will have documentation of a TB test conducted within 12 months prior to the date of hire.
2018-12-28 Allocated Unannounced Monitoring 3270.77(a) - No peeling paint or plaster Compliant - Finalized

Noncompliance Area: Damaged plaster was observed in the following locations; preschool 2 classroom in the dramatic play and reading corners, in the preschool 1 classroom in the block center and underneath of the paper towel dispenser, in the pre k room in the reading corner, and in the school aged room outside of the left restroom door.

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

Provider Response: (Contact the State Licensing Office for more information.)
Now and in the future, all damaged plaster will be fixed and painted immediately.
2018-03-22 Renewal 3270.182(3)/3270.182(5) - Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission Compliant - Finalized

Noncompliance Area: The emergency contact form on file for children #1-#3 were observed not to have signed written consent for emergency medical care or administration of minor first aid. Parent initials were obtained in their place.

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.

Provider Response: (Contact the State Licensing Office for more information.)
All emergency contact forms on file for all children will have signed written consent for emergency medical care and administration of minor first aid.
2017-03-01 Renewal 3270.123(a)(3) - Services proceeded Compliant - Finalized

Noncompliance Area: The file for children #3 - #8 were observed to either not have on file documentation of a child service report or documentation of a chld service report being completed with in the last six months.

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).

Provider Response: (Contact the State Licensing Office for more information.)
Now and in the future all child file will include a Child Service Report every 6 months.
2017-03-01 Renewal 3270.123(a)(6) - Admission date Compliant - Finalized

Noncompliance Area: The agreement on file for children #2 and #6 were observed not to have on file documentation of the children's date of admission.

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

Provider Response: (Contact the State Licensing Office for more information.)
Now and in the future all child files and agreements will specify the child's start date.
2017-03-01 Renewal 3270.131(a)(3) - Initial health report for older toddler/preschool no more than 1 year Compliant - Finalized

Noncompliance Area: The initial health report on file for child #2 a preschool aged child in care was observed to have been completed more than 1 year prior to the child's first day of attendance at the facility.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Now and in the future initial health report for an older toddler or preschool child will be dated no more than 1 year prior to the first day of attendance at the facility.

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If you are a provider and believe any information is incorrect, please contact us. We will research your concern and make corrections accordingly.

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