The Childrens Garden Early Education Center

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: Daily schedule was not posted in the school-age classroom.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: File for Child # 1 did not contain an updated health assessment, last one in files is dated 5/15/24

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.

Regulation: 3270.178

Description: Transportation First Aid Kit

Noncompliance Area: Two facility vehicles did not contain first-aid kits.

Correction Required: A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person # 4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First aid/CPR.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Pediatric First aid/CPR. Staff person # 4 will have until 3/25/26 to complete the required training. Until such time as the required training has been completed, staff person # 4 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person # 4, staff person # 4 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Files for Staff # 1, # 2, # 3 and # 4 were not in compliance with CPSL regulations. File for Staff # 1 did not contain an updated FBI clearance, last one in file is dated 1/23/21. File for Staff # 1 contained clearances renewed past 60 months. State Police clearances dated 12/11/20 and 1/28/26, Child Abuse clearances dated 12/29/20 and 1/15/26 and Mandated Reporter Training dated 6/29/20 and 1/16/26. File for Staff # 2 contains child abuse clearances renewed past 60 months, dates 2/10/21 and 2/12/26. File for Staff # 3 contained clearances renewed past 60 months. Child abuse dated 7/5/17 and 10/2/22, FBI dated 7/16/17 and 9/23/22. Mandated reporter training dated 4/23/15 and 12/19/23. File for Staff # 4 contained a late FBI clearance dated on 10/9/25, past 45 days of hire.

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 may not work in a childcare position at the facility. The CPSL was revised on 9/18/2018 to include a requirement that all clearances be updated and on file at least every 60 months. The Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) Clearance effective 9/30/2019. The CPSL also states that anyone hired after 9/30/19 was required to have the NSOR clearance to work in childcare. The legal entity must arrange for the director and anyone responsible for hiring new staff to register for and attend the existing provider orientation conducted by the NE Regional Office on 5/13/26.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: First-aid kit in the infant room was missing soap.

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

Regulation: 3270.76/3270.102(a)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: Wood fencing in the outdoor play area had areas of rotting wood, causing sharp edges. Blue play truck in the outdoor play area contained a rubber tire that was rotting.

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. 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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Play equipment that contained tires were observed with peeling tires.

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: 3270.119

Description: Infant sleep position

Noncompliance Area: Infant was observed sleeping in a crib with a pacifier strap attached.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency Contact Forms for Children # 2 and # 3 did not contain address of release persons.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: Child # 1 did not contain a health assessment every 6 months. Last one on file is dated 6/4/24.

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.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: Facility does not have a current copy of the liability insurance on file.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

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

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

Noncompliance Area: File for Staff # 1 did not contain verification of education and childcare experience. File for Child # 1 did not contain 2 non-family references.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: File for Staff # 1 was not in compliance with CPSL regulations. File for Staff # 1 did not contain an FBI clearance.

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 may not work in a childcare position at the facility. The Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) Clearance effective 9/30/2019. The CPSL also states that anyone hired after 9/30/19 was required to have the NSOR clearance to work in child care. Current staff must have the NSOR clearance no later 7/1/20. The CPSL was revised on 9/18/2018 to include a requirement that all clearances be updated and on file at least every 60 months. The legal entity must arrange for the director and anyone responsible for hiring new staff to register for and attend the existing provider orientation conducted by the NE Regional Office on 5/13/26.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: First aid kit in the school age room was missing soap. First aid kit in the summer school age room was missing tweezers.

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

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: Tile floor in the school age room was observed with broken tiles. Closet door in the school age room was observed with peeling laminate.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: Children's bathroom in the older toddler room did not have a lidded trash can.

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

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

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

Noncompliance Area: It has been confirmed that Staff # 1 would be on Facebook and Snapchat while supervising children.

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: It has been confirmed that Staff # 1 would be on Facebook and Snapchat while supervising children.

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. Legal Entity will update the Supervision policy including use of phone, electronics and staff positioning. This updated supervision policy must be submitted to DHS prior to implementation for approval. Once approved by DHS, the director will ensure that all current employees sign off on this policy, as well as any new hires.

Regulation: 3270.113(b)/3270.113(d)

Description: No physical punishment /No harsh language

Noncompliance Area: It was confirmed that on 6/13/24 Staff # 1 gripped and pulled Child # 1 by the arm and yelled at child.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.113(b)/3270.113(d)

Description: No physical punishment /No harsh language

Noncompliance Area: It was confirmed that on 6/13/24 Staff # 1 gripped and pulled Child # 1 by the arm and yelled at child.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use harsh, demeaning or abusive language in the presence of children. Legal Entity will update the Staff Handbook with a detailed Supervision Policy that clearly defines regulation 3270.113 and staff requirements around discipline of children. Discipline policy needs to include staff responsibility to report observed non-compliance. This updated supervision and discipline policy must be submitted to DHS prior to implementation for approval. Once approved by DHS, the director will ensure that all current employees sign off on this policy, as well as any new hires.

Regulation: 3270.113(b)/3270.113(d)

Description: No physical punishment /No harsh language

Noncompliance Area: It was confirmed that on 6/13/24 Staff # 1 gripped and pulled Child # 1 by the arm and yelled at child.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use harsh, demeaning or abusive language in the presence of children. All must take 2 hours of PQAS approved training related to Behavior Management. It does not matter if the PQAS approved training is done through ELRC. The Legal Entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.113(c)/3270.162(c)

Description: No ridicule or threaten harm/Not withheld as discipline

Noncompliance Area: It was confirmed that on 6/13/23 Staff # 1 threw Child # 1's lunch away, due to not liking the process in which Child # 1 eats.

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. Food may not be withheld from a child for purposes of discipline.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for Child #3 does not include the phone number for the child's physician.

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

Regulation: 3270.124(b)(3)/3270.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: The emergency contact forms for Child #2 & Child #3 do not include the parent's work address or work phone number. The emergency contact form for Child #2 does not include the address for the individuals to whom the child may be released.

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

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: The emergency contact forms in the Preschool & Older Toddler rooms have not been updated in over six months.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The initial health reports for Child #4 & Child #5 were not submitted within 60 days of starting at the facility. Child #4 started at the facility on 12-21-23 and did not submit a health assessment until 3-17-23. Child #5 started at the facility on 8-22-22 and did not submit a health assessment until 1-4-23.

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.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: An updated health report for Child #4, a young toddler, has not been updated since 3-7-23. An updated health report for Child #5, a young toddler, has not been updated since 1-4-23.

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.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: There is no medication log for Child #1's non-prescription medication.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan does not include a continuity plan for operations in times of an emergency.

Correction Required: The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Regulation: 3270.151(a)

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

Noncompliance Area: Staff person #1 started at the facility on 7-5-23 and does not have a health assessment Staff person #2 started at the facility on 12/14/23 and does not have a health assessment..

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact & financial agreement forms for Child #3 were not updated within 6 months. The original emergency contact & financial agreement forms were completed on 1-5-23; they were not updated until 2-21-24.

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

Regulation: 3270.182(6)

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

Noncompliance Area: Child #4 does not have signed parental consent for transportation.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff person #2 started at the facility on 12-14-23 and does not have any written, non-family references.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1- has not completed the following required pre-service training within 90 days of their date of hire: Pediatric First Aid & CPR and Health & Safety training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #1 will have until 3/13/24 (actual date- 15 days from POC requested date) to complete the required training. Until such time as the required training has been completed, staff person #-1 must be supervised, when interacting with children, by an (AGS, primary staff person, or family childcare home staff person) who has completed the required training related to this citation.  If there are no staff available to supervise staff person #--, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #1 started at the facility on 7-5-23. Her state police clearance isn't dated until 12-1-23, and her NSOR is dated 2-2-24. There is no proof that Staff person #1 applied for the state police or NSOR clearance prior to starting at the facility. Staff person #2 started at the facility on 12-14-23 and does not have a state police clearance; she has a volunteer state police clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons # 1 & #2 may not work in a childcare position at the facility. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 & #2 may not work in a childcare position at the facility. The CPSL was revised on 9/18/2018 to include a requirement that all clearances be updated and on file at least every 60 months. The Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) Clearance effective 9/30/2019. The CPSL also states that anyone hired after 9/30/19 was required to have the NSOR clearance to work in childcare. Current staff must have the NSOR clearance no later 7/1/20. CPSL was revised to include new hires that have resided out of Pennsylvania with in the 5 previous years must obtain State Police and Child abuse clearances from the state that they have resided

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: There is no tape in the first-aid kit in the Infant room.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There is a piece of rotted wood along the bottom of the bench on the outdoor play space. There is a buildup of dirt behind the door of the Kindergarten bathroom. The back piece of the vanity in the Kindergarten room is chipped and peeling.

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

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: During a complaint investigation conducted on 6-2-23, Staff Person #1 admitted to saying, "I am going to deck him" about Child #1 out of frustration on 5/22/23. Staff person #1 said this in front of Child #1.

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.

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: During a complaint investigation conducted on 6-2-23, Staff Person #1 admitted to saying, "I am going to deck him" about Child #1 out of frustration on 5/22/23. Staff person #1 said this in front of Child #1.

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. The legal entity must arrange for all staff to receive a minimum of two hours of training regarding Behavior Management. The training must be PQAS approved, in-person or live webinar. The legal entity must receive DHS approval of the training content prior to scheduling the training. The trainings may not be counted towards the 12 hours of training required by regulation.

Regulation: 3270.124(b)(3)/3270.124(b)(6)

Description: Parent home/work address, phone/Insurance coverage information

Noncompliance Area: There is no work address or phone number listed on the emergency contact form for Child #1 or Child #2. There is no health insurance coverage or policy number listed on the emergency contact form for Child #4.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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: 3270.131(a)

Description: Health information

Noncompliance Area: Child #1 does not have a health report on file.

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.

Regulation: 3270.151(a)

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

Noncompliance Area: Staff person #1 has not had an updated health assessment in more than 24 months; her last health assessment was completed on 10/1/20.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact & fee agreement forms for Child #1, Child #3, Child #4, Child #5 have not been updated since February, 2022. The emergency contact & fee agreement forms for Child #6 have not been updated since August, 2022.

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

Regulation: 3270.182(6)

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

Noncompliance Area: There is no signed parental consent for transportation or walking excursions for Child #1 or Child #3

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

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

Description: Transcript, diploma and letters/Two written references

Noncompliance Area: Staff person #2 does not have verification of education or any reference letters.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. 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: There is no verification that the updated emergency plan has been sent to the Northampton County Emergency Management Agency or the local municipality.

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)(10)

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

Noncompliance Area: Staff person #3 did not complete Pediatric First Aid/CPR training within 90 days of starting at the facility.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #2 started at the facility on 5/2/22 and she does not have an NSOR clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #2 may not work in a childcare position at the facility. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a childcare position at the facility. The CPSL was revised on 9/18/2018 to include a requirement that all clearances be updated and on file at least every 60 months. The Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) Clearance effective 9/30/2019. The CPSL also states that anyone hired after 9/30/19 was required to have the NSOR clearance to work in childcare. Current staff must have the NSOR clearance no later 7/1/20. CPSL was revised to include new hires that have resided out of Pennsylvania with in the 5 previous years must obtain State Police and Child abuse clearances from the state that they have resided.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The door frames in the Preschool & School Age rooms are damaged. The fence around the outdoor play space is missing the gate near the entrance to the facility. here is damaged wood along the fence around the outdoor play space. There is dirt on the side of the building that borders the outdoor play space & is accessible to the children when they are playing outside.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The material is torn on the corners of a large foam block in the Preschool Room, resulting in exposed foam

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

Regulation: 3270.124(b)(2)/3270.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: There is no physician's name, address or phone number on the Emergency Contact form for Child #1. There is no health insurance coverage on the Emergency Contact form for Child #1. There is no health insurance coverage or policy number on the Emergency Contact form for Child #2. There is no health insurance policy number on the Emergency Contact form for Child #3

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.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: 3270.31(e)(4)(i)/3270.31(f)(10)

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

Noncompliance Area: Pediatric First Aid & CPR training for Staff Person #1 expired in 2/21. Pediatric First Aid & CPR training for Staff Person #2 expired in 12/21

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

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

Description: Fire safety - 1 yr.

Noncompliance Area: There is no verification of Fire Safety training for Staff Person #1, Staff Person #2, Staff Person #3, Staff Person #4 or Staff Person #5

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There is damaged wood along the fence around the outdoor play space. The spindles on the back of the gate to the outdoor play space aren't attached to the top of the gate

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There is peeling paint on the wood along the fence around the outdoor play space and on the trim on the bottom of the wall in the Pre-K #1 room

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

Noncompliance Area: Child #1's most recent health report is dated 5/16/18.

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

Noncompliance Area: There was an Epi pen that expired June 2019 and a bottle of Benadryl that expired 11, 2019 at the facility.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: On the preschool outdoor play ground there were 2 metal vehicles that had areas of peeling paint. There was an area of peeling paint on the door between the preschool and older toddler rooms.

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

Noncompliance Area: In the Pre K 1 room, there were 2 plastic bins containing toys that had cracks in their lids causing an area where a child could pinch their finger. There was also a wooden kitchen set that one of the doors was off a hinge. In the toddler outdoor play area there was a plastic play lawn mower which had a piece broken off causing sharp edges.

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

Noncompliance Area: Child #2, a young toddler, has not provided an updated health report since October 3, 2017.

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

Noncompliance Area: Children 1,2, and 3 did not have signed parental consent for administration of minor first-aid procedures or emergency medical care.

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

Noncompliance Area: There were 2 bookshelves in the infant2/young toddler room that had cracks in them were a child could stick their finger into.

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

Noncompliance Area: The refrigerator in the school age room did not have 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.

Noncompliance Area: In the pre-k 1 room, there was an inhaler with an expiration date of September 2017 on the box.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

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

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

Noncompliance Area: Children 1 through 6 did not have signed parental consent for administration of minor first-aid procedures or obtaining emergency medical care.

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

Noncompliance Area: The first-aid kit in the infant room was missing soap.

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

Noncompliance Area: On December 4, 2017, Child #1, a preschool aged child, was missing from the group for approximately 1 hour. Neither staff persons 1 nor 2 knew where the child was. Other staff were called and the building was searched for approximately 45 minutes, with no one being able to locate the child. After approximately 45 minutes of not being able to locate the child, the police were called and responded to the facility. Child was located hiding in a shelf in the school age room. Per interviews with staff and written documentation from staff, child was missing from the group for approximately 1 hour.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. The legal entity representative and /or Facility Director will attend the Existing Provider Training on February 14, 2018 at the Northeast Regional OCDEL Office in Scranton.

Noncompliance Area: The inspector found a broken toy bin in the school age room.

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

Noncompliance Area: .Child files #2, #3, and #6 health assessments were not updated as is required.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerThe operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: Staff #1 last had a health assessment on 03/11/15, staff #2 last had a health assessment on 03/09/15, staff #3 began employment on 02/01/17 and as of 04/27/17 still does not have a health assessment and TB on file, staff #4 began employment on 04/20/17 and as of 04/27/17 still did not have a health assessment and TB on file, staff #5 last had a health assessment on 05/29/14, staff #6 began employment on 04/18/17 and as of 04/27/17 did not have a health assessment and TB on file, staff #7 was hired on 04/27/17 and as of the same date did not have a health assessment or TB on file at the facility, staff #8 weas hired on 10/11/16 and as of 04/27/27 still did not have a health assessment or TB on file, staff #9 last had a health assessment on 05/12/14. staff #10 was hired on 12/15/16 and did not have a health assessment until 02/27/17.

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.

Noncompliance Area: .Child files #1, #3, #4, #5 and #6 were not updated as is required.

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

Noncompliance Area: Staff #3, # 4, #7, and #8 did not have proof of education on file at the facility.

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

Noncompliance Area: Staff #10 was hired on 12/15/16 and as of 04/27/17 still did not have a completed Childline on file at the facility. Staff #8 was hired on 10/11/16 and as of 04/27/17 still did not have a CHildline clearance on file at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services) Facility Person # 8 and #10 may not work in a child care position at the facility

Noncompliance Area: The inspector found food items stored with toxics in the school age room.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: The inspector found the first aid kit in the infant room was missing scissors.

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

Noncompliance Area: The inspector found chipped paint in the infant 2 room.

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

Noncompliance Area: The inspector found that the facility was out of compliance with their fire drill logs; 02/06/17 to 04/10/17, which is over 60 days.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.