The Home Away From Home Childrens Learning Center

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 6/5/24, cert rep and supervisor observed several damaged toys that were accessible to children. A stuffed animal with hard eyes, less than 1 inch in diameter, a broken piece of toy with springs exposed, a wooden block with sharp corners-that could cause splinters and pinch points, and a plastic toy that had batteries covered with tape that could be easily exposed. Cert rep observed a pack and play with holes in the mesh.

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

Regulation: 3270.106(a)/3270.106(f)

Description: Clean, age appropriate/2 feet apart

Noncompliance Area: On 3/20/24, cert rep observed during nap time, that the pack n plays and children in sleeping bags did not have 2 feet of space on three sides. The pack n plays were not labeled with the specific children's names. An acceptable plan of correction was received on 4/16/24 with a correction date of 5/01/24. On 5/2/24, the pack n plays were not labeled with the specific children's names. An acceptable plan of correction was received on 6/5/24 with a correction date of 5/20/24. On 6/5/24, cert rep and supervisor arrived for a complaint investigation. Cert rep observed 3 pack and plays not labeled. Rest equipment was spaced 2 feet apart on three sides during naptime.

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

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

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

Noncompliance Area: On 6/5/24, cert rep and supervisor arrived for a complaint investigation. Staff #4 identified six young toddlers being assigned to her, staff #2 was unable to name the children assigned to and pointed to two infants and two young toddlers, and staff #3 identified a mixed age group of six children consisting of a range of older toddlers to school aged children. Two older toddlers were not identified. Cert rep and supervisor reviewed video surveillance that showed enrolled child #1 along with two of staff #1's children playing in a busy parking lot while cars are seen driving past. No staff were present and the children were unattended.

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

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

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

Noncompliance Area: On 6/5/24, cert rep and supervisor arrived for a complaint investigation. Staff #4 identified six young toddlers being assigned to her, staff #2 was unable to name the children assigned to and pointed to two infants and two young toddlers, and staff #3 identified a mixed age group of six children consisting of a range of older toddlers to school aged children. Two older toddlers were not identified. Cert rep and supervisor reviewed video surveillance that showed enrolled child #1 along with two of staff #1's children playing in a busy parking lot while cars are seen driving past. No staff were present and the children were unattended.

Correction Required: Over the course of 3 months the facility will demonstrate compliance on unannounced visits that each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: On 6/5/24, cert rep and supervisor arrived for a complaint investigation. Cert rep observed empty infant car seat in a pack & play. When asked staff #18 reported that the infant child came in asleep and parent requested child not be removed from the car seat and woken. Staff #18 reported that the car seat was placed in pack & play and the infant was allowed to sleep in it.

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.

Regulation: 3270.123(a)(5)/3270.123(a)(6)

Description: Designated release persons/Admission date

Noncompliance Area: On 3/20/24, child(ren) #1-3's fee agreements did not list a date of admissions or a release person. An acceptable plan of correction was received on 4/16/24 with a correction date of 5/01/24. On 5/2/24, child(ren) #1-6's fee agreements did not list a date of admissions or a release person. An acceptable plan of correction was received on 06/05/24 with a correction date of 06/03/24. On 6/5/24, cert rep and supervisor arrived for a complaint investigation. Cert rep observed child(ren) #1-6's fee agreement to not contain a release person. Child #2's fee agreement did not contain date of admission.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: On 6/5/24, cert rep and supervisor arrived for a complaint investigation. Cert rep and supervisor observed a staff person discard a soiled diaper into a diaper genie by raising the lid using their hands.

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

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: On 6/5/24, Cert rep and supervisor observed staff change a diaper and not sanitize the diapering surface following the changing of the child's diaper.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.165

Description: Menus

Noncompliance Area: On 6/5/24, cert rep and supervisor arrived for a complaint investigation. The facility provides meals to the children. The menu posted was the menu from the previous week. Staff #17 reported the menu is not given to the parents and is posted in the facility.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: On 6/5/24, cert rep observed three infant bottles in the refrigerator that were not labeled and one infant bottle on the ledge near the infant area that was not labeled.

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

Regulation: 3270.21/3270.105

Description: General Health and Safety/High Chairs

Noncompliance Area: On 6/5/24, cert rep observed 5 young toddlers sitting in drop in seats in the toddler feeding table. The seats are equipped with safety straps and none of the children were buckled into their safety straps.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. High chairs shall have a wide base and a T-shaped safety strap.

Regulation: 3270.21/3270.62(b)

Description: General Health and Safety/Play space - 65 square feet/child

Noncompliance Area: On 6/5/24, cert rep and supervisor arrived for a complaint investigation. Cert rep and supervisor reviewed video surveillance that showed an enrolled child#1 along with two of staff #1's children playing in a busy parking lot while cars are seen driving past. No staff were present and the children were unattended. The facility does not have an outdoor play space.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Outdoor or indoor play space shall be measured at 65 square feet per child.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: On 6/5/24, staff person #4 and #11 has not completed the following required pre-service training: Health and Safety Center Based 10-hour training and Pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum within 90 days of hire.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. center based health and safety training, and Pediatric First Aid/CPR, respectively. Staff person #4, and #11 will have until 7/5/24 to complete the required training. Until such time as the required training has been completed, staff person #4 &#11 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 3/20/24, cert rep observed staff person's #1-5 staff files. Cert rep observed staff #1-4 caring for children at the facility. All staff are currently new hires. Staff #1 had their child abuse clearance on file. Staff #1 did not have a signed disclosure statement, PSP, FBI or NSOR clearances on file and no request receipts for the clearances. Staff person #2 had their child abuse, FBI, and NSOR clearance on file. Staff #2 did not have a signed disclosure statement, PSP clearance or out of state clearances on file and no request receipts for the clearances. Staff #3 had their PSP, child abuse and FBI clearance on file. Staff #3 did not have a signed disclosure statement, or NSOR clearance and no request receipt for the clearance. Staff #4 did not have any clearances on file and did not have a signed disclosure statement on file. Staff #4 had no receipts of requests for the clearances on file. Staff #5 had their PSP and child abuse clearances on file. Staff #5 did not have a signed a disclosure statement, FBI or NSOR clearance on file. Staff #5 had no receipts of requests for the clearances. Staff #1-5 were hired provisionally. On 3/27/24, cert rep observed the following staff's files that are missing the following: Staff #7-PSP, FBI, NSOR and disclosure statement and no request receipts for the clearances; Staff #8 Disclosure statement; Staff #9 FBI clearances, disclosure statement and no request receipts for the clearances; Staff #10-PSP, Child Abuse clearance, FBI, NSOR, Disclosure statement, and no request receipts for the clearances; Staff # 12 NSOR clearance and no request receipts for the clearances. Cert rep observed staff #10 caring for children at the facility with no clearances on file. Cert rep reviewed a staff sign in that was confirmed for 3/27/24. Staff #2 was at the facility earlier that day, staff #2 was suspended on 3/20/24, due to not having clearances on file. Cert Rep also reviewed staff clock ins from 3/21/24- 3/26/24 on Lillio app. The app indicated staff #2 and #3, that were previously suspended for lack of clearances had clocked in since 3/20/24. An acceptable plan of correction was received on 4/16/24 with a correction date of 3/27/24. On 5/2/24, facility person #14, who is a volunteer did not have any clearances on file and was providing transportation or in the car while children are being transported. The operator acknowledged that facility person #14 does not have any clearances on file. Staff #15 has a PSP clearance dated 8/7/23, child abuse clearance dated 8/7/23, a request receipt for the NSOR dated 4/7/24 and no FBI clearance or request receipt for the clearance. Staff #15 was providing childcare unsupervised when the morning staff arrived. The operator acknowledged that staff #15 was left alone with the children. Staff #3 does have a signed disclosure statement and NSOR clearance on file. An acceptable plan of correction was received on 6/5/24 with a correction date of 5/20/24. On 6/5/24, cert rep and supervisor were conducting a complaint investigation. Staff person #4 arrived at the facility to prepare lunch. Staff #4 was suspended on 3/20/24, and still does not have an NSOR on file. Staff #17 confirmed that staff #4 has been working and at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A staff person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #1,2,4,5, 7-9 & #14 may not be present in a childcare position at the facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 6/5/24, cert rep and supervisor arrived at the facility for a complaint investigation. Staff #4 identified six young toddlers being assigned to her, staff #2 was unable to name the children assigned to and pointed to two infants and two young toddlers, and staff #3 identified a mixed age group of six children ranging from older toddlers to school aged. Two children were not identified. Once the two children consisting of older toddlers were identified they were out of ratio and had to call another staff person to come the facility.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 6/5/24, cert rep and supervisor arrived at the facility for a complaint investigation. Staff #4 identified six young toddlers being assigned to her, staff #2 was unable to name the children assigned to and pointed to two infants and two young toddlers, and staff #3 identified a mixed age group of six children ranging from older toddlers to school aged. Two children were not identified. Once the two children consisting of older toddlers were identified they were out of ratio and had to call another staff person to come the facility.

Correction Required: Staff/child ratios for single and mixed aged groups must be posted in each group area.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On 3/20/24, cert rep observed uncovered accessible outlets near the changing table, on the purple wall, grey wall, yellow wall, in the bathroom, and in the play space room. An acceptable plan of correction was received on 4/16/24 with a correction date of 5/01/24. On 5/2/24, cert rep observed uncovered accessible outlets near the orange wall, behind the pack n plays on the wall and in the bathroom. An acceptable plan of correction was received on 06/05/24 with a correction date of 5/02/24. On 6/5/24, cert rep observed an uncovered accessible outlet in the indoor play space.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: On 3/20/24, cert rep observed two diaper changing tables with no handwashing signs present. A staff person reported to cert rep they wash their hands in the bathroom sink located towards the back of the facility. A staff person also stated that after changing the children's diapers they wipe their hands with wipes instead of washing their hands in the sink. The youngest child present was over 6 months of age. On 3/27/24, cert rep observed three young toddlers sitting on the floor eating puffed corn off the floor and sharing the bag without handwashing. On 6/5/24, cert rep and sup observed staff not washing their hands or the children's during snack and mealtimes and after diapering.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.106(a)/3270.106(f)

Description: Clean, age appropriate/2 feet apart

Noncompliance Area: On 3/20/24, cert rep observed during nap time, that the pack n plays and children in sleeping bags did not have 2 feet of space on three sides. The pack n plays were not labeled with the specific children's names. An acceptable plan of correction was received on 4/16/24 with a correction date of 5/01/24. On 5/2/24, the pack n plays were not labeled with the specific children's names.

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

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

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

Noncompliance Area: On 3/20/24, cert rep and supervisor observed a staff person sitting at a desk near the front doors with two other people, staff person #1 in the front area near the doors on her phone with her back to the children, and staff person #2 in the very back of the facility in the kitchen area with their back to the children. All 10 children including infants through preschool age were in the gated area and not being supervised properly. Cert rep asked both staff members to identify the children assigned to them for supervision. Staff person #2 identified four children as being assigned to her and Staff person #1 identified four children being assigned to her. Two children were unaccounted for. When cert rep and supervisor brought to the staff's attention that two children were unaccounted for, staff person #2 stated, "those two children are mine and I didn't see them over there." Cert rep conducted afternoon ratio and supervision. Staff persons #1-4 could not identify which children were assigned to them and were naming each other's children. Two children were not identified at all. There were 15 children now present at the facility. On 3/27/24, cert rep arrived for a second visit. Cert rep observed a 4-year-old child sleeping in the darkened indoor play space alone and no staff were present. Staff #17 did not identify the child sleeping in the play space. Staff #17 left the children unattended while answering the front door several times. An acceptable plan of correction was received on 4/16/24 with a correction date of 5/01/24. On 5/2/24, the legal entity has not submitted a supervision policy to the Regional Office for approval.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The Legal Entity will establish a supervision policy. The policy will include how the facility will demonstrate their knowledge and ability to adequately supervise children at all times. The policy must focus on ensuring that each child is seen, heard, assessed and able to be directed at all times. The policy must include how the facility will ensure appropriate supervision during transition times and while in the outdoor play area. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in their assigned group and be physically present with the children in their group on the facility premises and on facility excursions off the facility premises. The legal entity must submit the policy to regional office for approval. All existing staff and new hires must be trained on the policy and sign an acknowledgment that must be kept on file.

Regulation: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: On 5/2/24, staff #17 acknowledged that the parent handbook is not given to the parents in writing. Staff #17 acknowledged that nothing is given to the parents in writing and everything is verbally discussed at enrollment.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.123(a)(5)/3270.123(a)(6)

Description: Designated release persons/Admission date

Noncompliance Area: On 3/20/24, child(ren) #1-3's fee agreements did not list a date of admissions or a release person. An acceptable plan of correction was received on 4/16/24 with a correction date of 5/01/24. On 5/2/24, child(ren) #1-6's fee agreements did not list a date of admissions or a release person

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

Regulation: 3270.123(a)/3270.123(a)(4)

Description: Signed /Arrival/departure times

Noncompliance Area: On 5/2/24, child #6's fee agreement was not signed by the operator and the parent. Child #6's fee agreement did not specify the child's arrival and departure times.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the child's arrival and departure times.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On 5/2/24, child(ren) #4 & #5's emergency contact forms did not list health insurance coverage and policy numbers.

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

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: On 5/2/24, a child's lunchbox brought from home was found and observed to have yogurt. The yogurt was not refrigerated but found in the child's cubby in the facility.

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

Regulation: 3270.172(a)

Description: Written parental consent

Noncompliance Area: On 5/2/24, child(ren) #1-3's emergency contact was reviewed and there was no written parental consent for transportation.

Correction Required: Transportation by the facility requires written parental consent, except for transportation of school-age children who are transported to or from a child care facility in vehicles owned or operated by the school district.

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: On 5/2/24, the operator reported that facility person #14 is in the vehicle with the operator while transporting children to school and does not have a facility file.

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

Regulation: 3270.25(b)

Description: Post the inspection summary

Noncompliance Area: On 5/2/24, the inspection summary issued by the Department was not posted in a conspicuous location used by parents.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 3/20/24, cert rep observed staff person's #1-5 staff files. Cert rep observed staff #1-4 caring for children at the facility. All staff are currently new hires. Staff #1 had their child abuse clearance on file. Staff #1 did not have a signed disclosure statement, PSP, FBI or NSOR clearances on file and no request receipts for the clearances. Staff person #2 had their child abuse, FBI, and NSOR clearance on file. Staff #2 did not have a signed disclosure statement, PSP clearance or out of state clearances on file and no request receipts for the clearances. Staff #3 had their PSP, child abuse and FBI clearance on file. Staff #3 did not have a signed disclosure statement, or NSOR clearance and no request receipt for the clearance. Staff #4 did not have any clearances on file and did not have a signed disclosure statement on file. Staff #4 had no receipts of requests for the clearances on file. Staff #5 had their PSP and child abuse clearances on file. Staff #5 did not have a signed a disclosure statement, FBI or NSOR clearance on file. Staff #5 had no receipts of requests for the clearances. Staff #1-5 were hired provisionally. On 3/27/24, cert rep observed the following staff's files that are missing the following: Staff #7-PSP, FBI, NSOR and disclosure statement and no request receipts for the clearances; Staff #8 Disclosure statement; Staff #9 FBI clearances, disclosure statement and no request receipts for the clearances; Staff #10-PSP, Child Abuse clearance, FBI, NSOR, Disclosure statement, and no request receipts for the clearances; Staff # 12 NSOR clearance and no request receipts for the clearances. Cert rep observed staff #10 caring for children at the facility with no clearances on file. Cert rep reviewed a staff sign in that was confirmed for 3/27/24. Staff #2 was at the facility earlier that day, staff #2 was suspended on 3/20/24, due to not having clearances on file. Cert Rep also reviewed staff clock ins from 3/21/24- 3/26/24 on Lillio app. The app indicated staff #2 and #3, that were previously suspended for lack of clearances had clocked in since 3/20/24. An acceptable plan of correction was received on 4/16/24 with a correction date of 3/27/24. On 5/2/24, facility person #14, who is a volunteer did not have any clearances on file and was providing transportation or in the car while children are being transported. The operator acknowledged that facility person #14 does not have any clearances on file. Staff #15 has a PSP clearance dated 8/7/23, child abuse clearance dated 8/7/23, a request receipt for the NSOR dated 4/7/24 and no FBI clearance or request receipt for the clearance. Staff #15 was providing childcare unsupervised when the morning staff arrived. The operator acknowledged that staff #15 was left alone with the children. Staff #3 does have s signed disclosure statement and NSOR clearance on file. Staff person(s) #14-16 were providing childcare with incomplete staff files and without approval by the Northeast Regional Office.

Correction Required: For a period of 3 months, the legal entity must send a complete file to the Northeast Regional Office for any new hires. New hires may not begin to work in childcare until the file has been approved by the Northeast Regional Office.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 3/20/24, cert rep observed staff person's #1-5 staff files. Cert rep observed staff #1-4 caring for children at the facility. All staff are currently new hires. Staff #1 had their child abuse clearance on file. Staff #1 did not have a signed disclosure statement, PSP, FBI or NSOR clearances on file and no request receipts for the clearances. Staff person #2 had their child abuse, FBI, and NSOR clearance on file. Staff #2 did not have a signed disclosure statement, PSP clearance or out of state clearances on file and no request receipts for the clearances. Staff #3 had their PSP, child abuse and FBI clearance on file. Staff #3 did not have a signed disclosure statement, or NSOR clearance and no request receipt for the clearance. Staff #4 did not have any clearances on file and did not have a signed disclosure statement on file. Staff #4 had no receipts of requests for the clearances on file. Staff #5 had their PSP and child abuse clearances on file. Staff #5 did not have a signed a disclosure statement, FBI or NSOR clearance on file. Staff #5 had no receipts of requests for the clearances. Staff #1-5 were hired provisionally. On 3/27/24, cert rep observed the following staff's files that are missing the following: Staff #7-PSP, FBI, NSOR and disclosure statement and no request receipts for the clearances; Staff #8 Disclosure statement; Staff #9 FBI clearances, disclosure statement and no request receipts for the clearances; Staff #10-PSP, Child Abuse clearance, FBI, NSOR, Disclosure statement, and no request receipts for the clearances; Staff # 12 NSOR clearance and no request receipts for the clearances. Cert rep observed staff #10 caring for children at the facility with no clearances on file. Cert rep reviewed a staff sign in that was confirmed for 3/27/24. Staff #2 was at the facility earlier that day, staff #2 was suspended on 3/20/24, due to not having clearances on file. Cert Rep also reviewed staff clock ins from 3/21/24- 3/26/24 on Lillio app. The app indicated staff #2 and #3, that were previously suspended for lack of clearances had clocked in since 3/20/24. An acceptable plan of correction was received on 4/16/24 with a correction date of 3/27/24. On 5/2/24, facility person #14, who is a volunteer did not have any clearances on file and was providing transportation or in the car while children are being transported. The operator acknowledged that facility person #14 does not have any clearances on file. Staff #15 has a PSP clearance dated 8/7/23, child abuse clearance dated 8/7/23, a request receipt for the NSOR dated 4/7/24 and no FBI clearance or request receipt for the clearance. Staff #15 was providing childcare unsupervised when the morning staff arrived. The operator acknowledged that staff #15 was left alone with the children. Staff #3 does have a signed disclosure statement and NSOR clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A staff person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #1,2,4,5, 7-10, #12, #14-#15 may not be present in a childcare position at the facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 3/27/24, staff #17 was observed supervising a mixed age group of 14 children that included an 11-month-old infant, 4 young toddlers, 2 preschool children, and 7 school age. The required staff to child ratio for this mixed age group is 1 staff to 4 children. An acceptable plan of correction was received on 4/16/24 with a correction date of 5/01/24. On 5/2/24, the legal entity has not submitted a ratio policy to the Regional Office for approval.

Correction Required: The legal entity must create a policy regarding required staff/child ratio's which must include maintaining proper ratios at all times including when staff must leave the childcare space. The legal entity must submit the policy to Northeast regional office for approval. All current staff and new staff must be trained and sign an acknowledgment that must be kept on file at the facility.

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: On 3/27/24, cert rep observed staff person #17 working alone, supervising a mixed age group of 14 children ranging from infants to school age. An acceptable plan of correction was received on 4/16/24 with a correction date of 3/27/24. On 5/2/24, staff reported that when they arrived at 7 am, staff #15 was the only staff present with three children. This was confirmed by staff #15 and #17.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: On 3/27/24, cert rep observed staff person #17 working alone, supervising a mixed age group of 14 children ranging from infants to school age. An acceptable plan of correction was received on 4/16/24 with a correction date of 3/27/24. On 5/2/24, staff reported that when they arrived at 7 am, staff #15 was the only staff present with three children. This was confirmed by staff #15 and #17.

Correction Required: To demonstrate compliance, for a period of 3 months the legal entity must submit to the Regional Office weekly staffing schedules for all operating shifts. The schedule must be submitted by the close of business on Friday for the following week beginning on Sunday.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On 3/20/24, cert rep observed uncovered accessible outlets near the changing table, on the purple wall, grey wall, yellow wall, in the bathroom, and in the play space room. An acceptable plan of correction was received on 4/16/24 with a correction date of 5/01/24. On 5/2/24, cert rep observed uncovered accessible outlets near the orange wall, behind the pack n plays on the wall and in the bathroom.

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

Regulation: 3270.67(a)

Description: Trash removed once a day

Noncompliance Area: On 5/2/24, cert rep observed several garbage bags full of garbage located near the front entrance and in the rear area near the kitchen.

Correction Required: Trash shall be removed from the facility at least once per day.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: On 3/20/24, cert rep observed the bathroom and kitchen garbage cans did not have any plastic bags in them. Cert rep observed tissues and diapers in the cans. An acceptable plan of correction was received on 4/16/24 with a correction date of 5/01/24. On 5/2/24, cert rep observed a trash can in the bathroom that did not have a lid. The trash can contained tissues and paper towels that contained human secretions and excrement because the facility ran out of toilet paper.

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

Regulation: 3270.73

Description: Telephone

Noncompliance Area: On 5/2/24, staff #17 reported that the telephone was not working and this telephone number was the number provided to parents. Cert rep spoke with the staff present and they reported that the facility did not have a working telephone.

Correction Required: A facility shall have an operable telephone and a published telephone number.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On 5/2/24, the fire detection log indicates the alarms were tested more than 30 days apart. The fire detector was last tested on 3/3/24.

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

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Violation is cited on SIN-00240814.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Violation is cited on SIN-00240814.

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.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Violation is cited on SIN-00240814.

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

Regulation: 3270.133

Description: Child Medication and Special Diets

Noncompliance Area: Violation is cited on SIN-00240814.

Correction Required: The operator shall make reasonable accommodation in accordance with applicable federal and state laws to facilitate administration of medication or a special diet that is prescribed by a physician, physician's assistant or CRNP as treatment related to the child's special needs. Facility persons are not required to administer medication or special diets which are requested or required by a parent, a physician, a physician's assistant or a CRNP but are not treatment related to the child's special needs.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: Violation is cited on SIN-00240814.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: Violation is cited on SIN-00240814.

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

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: Violation is cited on SIN-00240814.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Violation is cited on SIN-00240814.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: On 3/20/24, cert rep observed on the two diaper changing tables shelves, plastic gloves, wipes, and plastic containing diapers. All items were accessible to children who are still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.106(a)/3270.106(f)

Description: Clean, age appropriate/2 feet apart

Noncompliance Area: On 3/20/24, cert rep observed during nap time, that the pack n plays and children in sleeping bags did not have 2 feet of space on three sides. The pack n plays were not labeled with the specific children's names.

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

Regulation: 3270.111(a)/3270.111(b)

Description: Written plan/Posted in group space

Noncompliance Area: On 3/20/24, the facility did not have a written plan of daily activities and routines and it was not posted in the group space.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: On 3/20/24 & 3/27/24, cert rep observed the children present at the facility were in mixed age groups and were not participating in any age-appropriate activities.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

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

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

Noncompliance Area: On 3/20/24, cert rep and supervisor observed a staff person sitting at a desk near the front doors with two other people, staff person #1 in the front area near the doors on her phone with her back to the children, and staff person #2 in the very back of the facility in the kitchen area with their back to the children. All 10 children including infants through preschool age were in the gated area and not being supervised properly. Cert rep asked both staff members to identify the children assigned to them for supervision. Staff person #2 identified four children as being assigned to her and Staff person #1 identified four children being assigned to her. Two children were unaccounted for. When cert rep and supervisor brought to the staff's attention that two children were unaccounted for, staff person #2 stated, "those two children are mine and I didn't see them over there." Cert rep conducted afternoon ratio and supervision. Staff persons #1-4 could not identify which children were assigned to them and were naming each other's children. Two children were not identified at all. There were 15 children now present at the facility. On On 3/27/24, cert rep arrived for a second visit. Cert rep observed a 4-year-old child sleeping in the darkened indoor play space alone and no staff were present. Staff #5 did not identify the child sleeping in the play space. Staff #5 left the children unattended while answering the front door several times.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The Legal Entity will establish a supervision policy. The policy will include how the facility will demonstrate their knowledge and ability to adequately supervise children at all times. The policy must focus on ensuring that each child is seen, heard, assessed and able to be directed at all times. The policy must include how the facility will ensure appropriate supervision during transition times and while in the outdoor play area. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in their assigned group and be physically present with the children in their group on the facility premises and on facility excursions off the facility premises. The legal entity must submit the policy to regional office for approval. All existing staff and new hires must be trained on the policy and sign an acknowledgment that must be kept on file.

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

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

Noncompliance Area: On 3/20/24, cert rep and supervisor observed a staff person sitting at a desk near the front doors with two other people, staff person #1 in the front area near the doors on her phone with her back to the children, and staff person #2 in the very back of the facility in the kitchen area with their back to the children. All 10 children including infants through preschool age were in the gated area and not being supervised properly. Cert rep asked both staff members to identify the children assigned to them for supervision. Staff person #2 identified four children as being assigned to her and Staff person #1 identified four children being assigned to her. Two children were unaccounted for. When cert rep and supervisor brought to the staff's attention that two children were unaccounted for, staff person #2 stated, "those two children are mine and I didn't see them over there." Cert rep conducted afternoon ratio and supervision. Staff persons #1-4 could not identify which children were assigned to them and were naming each other's children. Two children were not identified at all. There were 15 children now present at the facility. On 3/27/24, cert rep arrived for a second visit. Cert rep observed a 4-year-old child sleeping in the darkened indoor play space alone and no staff were present. Staff #5 did not identify the child sleeping in the play space. Staff #5 left the children unattended while answering the front door several times.

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

Regulation: 3270.123(a)(5)/3270.123(a)(6)

Description: Designated release persons/Admission date

Noncompliance Area: On 3/20/24, child(ren) #1-3's fee agreements did not list a date of admissions or a release person.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: On 3/20/24, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in every childcare space.

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

Regulation: 3270.133(6)/3270.133(7)(v)

Description: Written consent/Date of administration

Noncompliance Area: On 3/20/24, cert rep observed a medication log for child #1 that did not contain signed parental consent or the date of administration.

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

Regulation: 3270.133(7)(iii)/3270.133(7)(vii)

Description: Refrigeration required/Staff initials

Noncompliance Area: On 3/20/24, cert rep observed a medication log for child #1 that did not did not indicate if medication requires refrigeration or initials of staff person that administered it.

Correction Required: A medication log shall include a requirement for refrigeration of medication. A medication log shall include the initials of the staff person who administered the medication.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: On 3/20/24, the diaper genie garbage cans near both changing tables did not have plastic linings in them. Staff reported that they are throwing away diapers in the kitchen garbage can in the back of the facility that is not hands free.

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

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

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

Noncompliance Area: On 3/20/24 & 3/27/24, staff persons #1, #3, #5, #6, #7, #9-12, do not have a health assessment and tb screening at initial service in the file.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: On 3/27/24, cert rep reviewed child #1's file. Child #1's file did not contain a written infant feeding schedule.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.192(2)(i)

Description: Age

Noncompliance Area: On 3/20/24 & 3/27/24, staff person #5-6, and #12's file did not include documentation of age.

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

Regulation: 3270.192(2)(ii)/3270.192(5)

Description: Exp, educ., training prior to facility/Two written references

Noncompliance Area: On 3/20/24, staff persons #1-5 did not have two nonfamily references. Staff persons #2-5 was observed providing childcare and their staff file does not contain proof of education and experience with children. On 3/27/24, staff persons #6-8, #10-13, did not have two nonfamily references. Staff #6-7, #10 and #12's staff file does not contain proof of education and experience with children. Staff #9's staff file does not contain proof of education.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.21/3270.66(a)

Description: General Health and Safety/Locked or inaccessible

Noncompliance Area: On 3/20/24, cert rep observed a pair of sharp adult sized scissors laying on the accessible shelf under the diaper changing table. Cert rep observed the gate to the kitchenette area was open and gave the children access to the area. In the kitchenette area was wall paint cans labeled keep out of reach of children and filled sterno canisters on the floor.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 3/20/24, cert rep observed staff person's #1-5 staff files. Cert rep observed staff #1-4 caring for children at the facility. All staff are currently new hires. Staff #1 had their child abuse clearance on file. Staff #1 did not have a signed disclosure statement, PSP, FBI or NSOR clearances on file and no request receipts for the clearances. Staff person #2 had their child abuse, FBI, and NSOR clearance on file. Staff #2 did not have a signed disclosure statement, PSP clearance or out of state clearances on file and no request receipts for the clearances. Staff #3 had their PSP, child abuse and FBI clearance on file. Staff #3 did not have a signed disclosure statement, or NSOR clearance and no request receipt for the clearance. Staff #4 did not have any clearances on file and did not have a signed disclosure statement on file. Staff #4 had no receipts of requests for the clearances on file. Staff #5 had their PSP and child abuse clearances on file. Staff #5 did not have a signed a disclosure statement, FBI or NSOR clearance on file. Staff #5 had no receipts of requests for the clearances. Staff #1-5 were hired provisionally. On 3/27/24, cert rep observed the following staff's files that are missing the following: Staff #7-PSP, FBI, NSOR and disclosure statement and no request receipts for the clearances; Staff #8 Disclosure statement; Staff #9 FBI clearances, disclosure statement and no request receipts for the clearances; Staff #10-PSP, Child Abuse clearance, FBI, NSOR, Disclosure statement, and no request receipts for the clearances; Staff # 12 NSOR clearance and no request receipts for the clearances. Cert rep observed staff #10 caring for children at the facility with no clearances on file. Cert rep reviewed a staff sign in that was confirmed for 3/27/24. Staff #2 was at the facility earlier that day, staff #2 was suspended on 3/20/24, due to not having clearances on file. Cert Rep also reviewed staff clock ins from 3/21/24- 3/26/24 on Lillio app. The app indicated staff #2 and #3, that were previously suspended for lack of clearances had clocked in since 3/20/24.

Correction Required: The legal entity must arrange for the director, as well as the legal entity, and anyone responsible for hiring staff to register for and attend the existing provider orientation conducted by the NE Regional Office on 5/15/24.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 3/20/24, cert rep observed staff person's #1-5 staff files. Cert rep observed staff #1-4 caring for children at the facility. All staff are currently new hires. Staff #1 had their child abuse clearance on file. Staff #1 did not have a signed disclosure statement, PSP, FBI or NSOR clearances on file and no request receipts for the clearances. Staff person #2 had their child abuse, FBI, and NSOR clearance on file. Staff #2 did not have a signed disclosure statement, PSP clearance or out of state clearances on file and no request receipts for the clearances. Staff #3 had their PSP, child abuse and FBI clearance on file. Staff #3 did not have a signed disclosure statement, or NSOR clearance and no request receipt for the clearance. Staff #4 did not have any clearances on file and did not have a signed disclosure statement on file. Staff #4 had no receipts of requests for the clearances on file. Staff #5 had their PSP and child abuse clearances on file. Staff #5 did not have a signed a disclosure statement, FBI or NSOR clearance on file. Staff #5 had no receipts of requests for the clearances. Staff #1-5 were hired provisionally. On 3/27/24, cert rep observed the following staff's files that are missing the following: Staff #7-PSP, FBI, NSOR and disclosure statement and no request receipts for the clearances; Staff #8 Disclosure statement; Staff #9 FBI clearances, disclosure statement and no request receipts for the clearances; Staff #10-PSP, Child Abuse clearance, FBI, NSOR, Disclosure statement, and no request receipts for the clearances; Staff # 12 NSOR clearance and no request receipts for the clearances. Cert rep observed staff #10 caring for children at the facility with no clearances on file. Cert rep reviewed a staff sign in that was confirmed for 3/27/24. Staff #2 was at the facility earlier that day, staff #2 was suspended on 3/20/24, due to not having clearances on file. Cert Rep also reviewed staff clock ins from 3/21/24- 3/26/24 on Lillio app. The app indicated staff #2 and #3, that were previously suspended for lack of clearances had clocked in since 3/20/24.

Correction Required: For a period of 3 months, the legal entity must send a complete file to the Northeast Regional Office for any new hires. New hires may not begin to work in childcare until the file has been approved by the Northeast Regional Office.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 3/20/24, cert rep observed staff person's #1-5 staff files. Cert rep observed staff #1-4 caring for children at the facility. All staff are currently new hires. Staff #1 had their child abuse clearance on file. Staff #1 did not have a signed disclosure statement, PSP, FBI or NSOR clearances on file and no request receipts for the clearances. Staff person #2 had their child abuse, FBI, and NSOR clearance on file. Staff #2 did not have a signed disclosure statement, PSP clearance or out of state clearances on file and no request receipts for the clearances. Staff #3 had their PSP, child abuse and FBI clearance on file. Staff #3 did not have a signed disclosure statement, or NSOR clearance and no request receipt for the clearance. Staff #4 did not have any clearances on file and did not have a signed disclosure statement on file. Staff #4 had no receipts of requests for the clearances on file. Staff #5 had their PSP and child abuse clearances on file. Staff #5 did not have a signed a disclosure statement, FBI or NSOR clearance on file. Staff #5 had no receipts of requests for the clearances. Staff #1-5 were hired provisionally. On 3/27/24, cert rep observed the following staff's files that are missing the following: Staff #7-PSP, FBI, NSOR and disclosure statement and no request receipts for the clearances; Staff #8 Disclosure statement; Staff #9 FBI clearances, disclosure statement and no request receipts for the clearances; Staff #10-PSP, Child Abuse clearance, FBI, NSOR, Disclosure statement, and no request receipts for the clearances; Staff # 12 NSOR clearance and no request receipts for the clearances. Cert rep observed staff #10 caring for children at the facility with no clearances on file. Cert rep reviewed a staff sign in that was confirmed for 3/27/24. Staff #2 was at the facility earlier that day, staff #2 was suspended on 3/20/24, due to not having clearances on file. Cert Rep also reviewed staff clock ins from 3/21/24- 3/26/24 on Lillio app. The app indicated staff #2 and #3, that were previously suspended for lack of clearances had clocked in since 3/20/24.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1-5, 7-10 and #12 may not be present in a childcare position at the facility.

Regulation: 3270.34(c)

Description: Employed and present 30 hrs/wk

Noncompliance Area: On 3/20/24, the facility does not have a director employed. The operator reported that the initial director was terminated one week after opening and the facility has not had a qualified director since.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 3/27/24, staff #5 was observed supervising a mixed age group of 14 children that included an 11-month-old infant, 4 young toddlers, 2 preschool children, and 7 school age. The required staff to child ratio for this mixed age group is 1 staff to 4 children.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 3/27/24, staff #5 was observed supervising a mixed age group of 14 children that included an 11-month-old infant, 4 young toddlers, 2 preschool children, and 7 school age. The required staff to child ratio for this mixed age group is 1 staff to 4 children.

Correction Required: The legal entity must create a policy regarding required staff/child ratio's which must include maintaining proper ratios at all times including when staff must leave the childcare space. The legal entity must submit the policy to Northeast regional office for approval. All current staff and new staff must be trained and sign an acknowledgment that must be kept on file at the facility.

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: On 3/27/24, cert rep observed staff person #5 working alone, supervising a mixed age group of 14 children ranging from infants to school age.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Regulation: 3270.62(a)/3270.76

Description: Large muscle space provided/Building Surfaces

Noncompliance Area: On 3/20/24, cert rep observed the facilities indoor play space to be unsafe for play. There were plastic playground pieces thrown across the floor, rubber floor mats were torn apart and thrown on the floor, plastic cribs mattresses stacked against the walls, and plastic tables blocking the entrance. On 3/27/24, cert rep returned to facility and observed white spackle dust on the floor, cardboard boxes, trash and water bottles on the floor.

Correction Required: A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding. Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On 3/20/24, cert observed uncovered accessible outlets near the changing table, on the purple wall, grey wall, yellow wall, in the bathroom, and in the play space room.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: On 3/20/24, cert rep observed the bathroom and kitchen garbage cans did not have any plastic bags in them. Cert rep observed tissues and diapers in the cans.

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

Regulation: 3270.82(h)/3270.134(a)

Description: Handwashing signs/Child's hands washed

Noncompliance Area: On 3/20/24, cert rep observed two diaper changing tables with no handwashing signs present. A staff person reported to cert rep they wash their hands in the bathroom sink located towards the back of the facility. A staff person also stated that after changing the children's diapers they wipe their hands with wipes instead of washing their hands in the sink. The youngest child present was over 6 months of age. On 3/27/24, cert rep observed three young toddlers sitting on the floor eating puffed corn off the floor and sharing the bag without handwashing.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: On 3/20/24, cert rep observed two portable sinks near the changing tables that were not in working order. A staff person reported to cert rep they wash their hands in the bathroom sink located towards the back of the facility. A staff person also stated that after changing the children's diapers they wipe their hands with wipes instead of washing their hands in the sink. The youngest child present was over 6 months of age.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: On 3/20/24, cert observed the rear exit door to have a bar across it, which prevented the door from being opened. This is an emergency exit.

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

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: On 12/21/23, cert rep observed the highchairs in the center did not have straps.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: On 12/21/23, cert rep observed the refrigerator did not contain 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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 12/21/23, the facility's emergency plan does not address continuity of operations.

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

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: On 12/21/23, staff persons #1 and #3 did not have initial health assessments, including the results of tuberculin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis in the staff files.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 12/21/23, staff persons #1,2, and 3 did not have two non-family references in the staff files.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: On 12/21/23, the operator did not send the emergency plan to the local municipality and to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: At initial inspection on 12/21/23, the facility has 3 staff persons. Staff person #2 has not completed the following required pre-service training: Pediatric first aid/CPR training. Staff Person #3 has not completed the following required preservice training: Pediatric first aid/CPR training, Mandated Reporter training, and Health and Safety Training.

Correction Required: Until such time as the required training has been completed, staff persons #2 and #3 must be supervised, when interacting with children, by at least an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #2 & #3, staff persons #2 and #3 may not work in a child-care position at the facility. In order to begin operating, at least 2 staff persons who can work unsupervised must be employed.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 12/21/23, staff person #3 had only PSP clearance dated 6/20/23 and Child Abuse clearance dated 6/28/23. Staff person #3 did not have FBI clearance, NSOR clearance and disclosure statement in the staff file. Staff person #3 is identified as the director and cannot be hired provisional.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3 may not be present in a childcare position at the facility.

Regulation: 3270.34(b)(2)/3270.192(2)(ii)

Description: Bachelor's, 30 credits + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: On 12/21/23, staff person #3 did not have verification of childcare experience, and training prior to service at the facility. The operator identified staff person #3 as the Director.

Correction Required: A director shall have attained a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

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

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: On 12/21/23, staff person #1 and #2 did not have verification of childcare experience, and training prior to service at the facility.

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

Regulation: 3270.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: On 12/21/23, evacuation routes were not posted in the facility.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.