The Goddard School

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: 2nd CITATION: At approximately 1:55pm in the PreK Room, during naptime, a preschool age child was observed sleeping on a cot that was placed up against the wall and the right side of the cot was directly up against a shelving unit therefore not allowing for at least 2ft of space on 3 sides of the cot while in use. At approximately 2:10pm in the Infant Room, the following cribs and mats were observed to lack at least 2ft of space on 3 sides of the crib while in use: Four infants were observed asleep in their individual cribs, with two cribs placed on either side of the exit door to the playground. Each crib had the clear view side placed directly against the wall and there was approximately one foot of space between the two cribs. The two cribs that were each placed against the corner wall had approximately 1 foot 10 inches of space from another empty crib. Two children were observed asleep on their individual mats; one mat was placed on the floor, near the wall, and in between an empty crib and a sink and the other crib was placed on the floor between an empty crib and the wall. Neither mat had the required 2ft of spacing on 3 sides while in use. PREVIOUSLY CITED ON 6/29/29

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 2:10pm in the Infant Room, four infants were observed asleep in their individual cribs. Each crib had the clear view side placed directly against the wall and the solid/mirrored end was facing the room completely obstructing the Staff's view and ability to see and assess those infants who were sleeping.

Correction Required: TIERED LIS: 1.) 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. 2.) The legal entity will require all leadership staff, including the director and assistant director, to participate in technical assistance visits provided by ELRC 5 regarding room arrangement during nap times. The legal entity will complete a minimum of 3, in-person technical assistance visits provided by ELRC 5. The technical assistance visits must be completed within 4 months of the approval of this plan of correction. Upon completion of the visits, documentation will be provided to the OCDEL-DHS representative by email. The operator shall provide a date for when the visits will be complete. Any recommendations made by the ELRC at the visits must be implemented 3.) The director or another designated staff member will conduct random nap time supervision checks in each classroom that has nap time, at least three times a week, for the next three months. During the nap time supervision check, the director will assess each staff member's ability to see, hear, direct, and assess each child they are responsible for supervising. The director will also assess the placement of the rest equipment in relation to the classroom furniture to ensure that each child is visible. The director will document all assessments in a log, including the date, time, staff members present, number and ages of children, and whether or not the staff was able to see each child from their position in the room. The log must first be submitted to the DHS representative. Completed logs will be made available to DHS representatives upon request. The operator shall provide a date at least 4 months from the date the log is submitted.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: In the Infant Room, the pathway that leads to an exit to the playground was observed to have two motion swings placed in the middle of that pathway, with cribs on either side, obstructing the egress route for a safe evacuation in the event of an emergency.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: At approximately 2:00pm in the PreK Room, during naptime, the following cots located to the left of the classroom door were observed to not have at least 2ft of space on 3 sides while in use: A preschool age child was observed to be asleep on a cot with one side placed directly up against the wall, between a shelving unit and a child's round table and chair with approximately 6 inches or less of space between either side of the cot. Another preschool age child was observed sleeping on a cot that was placed up against a corner wall and lacked 2ft of space on 2 sides as evidence by approximately less than 6 inches of space was between one side of the cot and a child's round table and chair.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Outdoor Playspace a wooden bench was observed to have rough edges and potential splintering due to a piece of it being broken off.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 2:20pm, during naptime in the PS 2 Room, where staff was positioned in the room they could not adequately supervise two of the napping children due to a child's table obstructing the Staff's ability to see and assess that child who was napping.

Correction Required: TIERED LIS: 1.) 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. This portion of the plan shall have an immediate correction date. 2.) The operator will develop a naptime mat/cot layout of all rooms for naptime to include positioning of stationary staff, furniture placement, the divider and movement (if necessary) and spacing of rest equipment. This layout must allow for all staff in the room to see, hear, direct and assess each child in the room. The operator shall provide a date for when this training will be completed. The operator shall provide a date for when this training will be completed.

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

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

Noncompliance Area: The child file for Child #1, who is a preschool age child, was observed to contain an updated health report dated 4/9/26 which was conducted more than 12 months from the previously dated 3/11/25 health report on file.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The child file for Child #2 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the financial agreement and emergency contact form were reviewed and signed on 8/18/25 and 12/2/24.

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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter to the parents explaining the emergency procedures does not address annual emergency drills nor accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

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

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The staff file for Staff person #4 contained current first-aid/CPR training dated 7/23/25 which was not renewed on or before the expiration of the previous training certificate on file dated 6/21/23. The staff file for Staff person #5 contained current first-aid/CPR training dated 8/20/25 which was not renewed on or before the expiration of the previous training certificate on file dated 6/21/23. The staff file for Staff person #8 contained current first-aid/CPR training dated 3/18/26 which was not renewed on or before the expiration of the previous training certificate on file dated 1/30/24.

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.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The staff file for Staff person #3 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 1/12/26 and 12/2/24. The staff file for Staff person #7 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 1/7/26 and 12/2/24.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #6 (See IS Code Sheet), who has resided out of state within the previous five years, was observed to have a Texas Sex Offender Check in the file however it was not dated therefore it cannot be determined if the check was done prior to working with children. Staff person #6 was also observed to have a Texas Criminal History Check dated 9/23/25 which was not obtained prior to their first day working with children as required by the Child Protective Service Law (CPSL). The file for Staff person #1 (See IS Code Sheet), who has resided out of state within the previous five years, was observed to have a Texas Sex Offender Check dated 1/6/26 which was not obtained prior to their first day working with children as required by the CPSL. Staff person #1 was observed to lack a valid Texas Child Abuse and Neglect and Criminal History check as the one on file was dated 8/18/20 which was more than 5 years old from the date of their first day working with children. In addition, Staff person #1 was also observed to have the following out of State checks that were not obtained prior to their first day working with children: a South Carolina Criminal History check dated 1/6/26, a South Carolina Child Abuse and Neglect Check dated 4/28/26 and a South Carolina Sex Offender Check that was not dated therefore it cannot be determined if the check was done prior to working with children.

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

Regulation: 3270.33(a)/3270.192(2)(iv)

Description: Each staff person meets quals/Transcript, diploma and letters

Noncompliance Area: The staff file for Staff person #2, who is functioning as an assistant group supervisor, contained a foreign diploma that lacked additional documentation to show that the diploma had been evaluated to determine its validity and whether or not it meets qualifications for the position.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The staff file for Staff person #3 contained current staff evaluation dated 8/30/25 which was not completed at least once every 12 months from the previous staff evaluation on file dated 3/1/24.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the PreK Room, in the cozy area, a spray bottle of sanitizer was observed hanging on the wall at a height that was still accessible to the preschool age children in care.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 5/9/25 to 6/9/25 (31 days), 7/11/25 - 8/12/25 (31 days), 8/12/25 - 9/12/25 (31 days), 12/5/25 - 1/5/26 (31 days), 3/2/26 - 4/2/26 (31 days).

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Based on a facility self-report, at approximately 10:30am on 6/3/25, child #1 was left inside the preschool classroom sitting on the rainbow carpet while the group transitioned to the outdoor playground. Staff #1, #2 & #3 were supervising 20 Preschool aged children. The children were not assigned to specific staff. Child #1 was alone in the classroom for approximately 38 seconds, based on a video recording of the incident.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity will require all staff persons at the facility to complete a training regarding supervision that focuses on room transitions. The training must be offered by ELRC 5. The training may be virtual or in-person and must be a minimum of 2 hours in length. The training must be completed within 3 months of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Upon completion of the training, staff training documentation will be provided to the OCDEL-DHS representative by email. The training may count towards the mandatory 12 training hours required by the Department. The operator shall provide a date for when this training will be complete.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Based on a facility self-report, at approximately 10:30am on 6/3/25, child #1 was left inside the preschool classroom sitting on the rainbow carpet while the group transitioned to the outdoor playground. Staff #1, #2 & #3 were supervising 20 Preschool aged children. The children were not assigned to specific staff. Child #1 was alone in the classroom for approximately 38 seconds, based on a video recording of the incident.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: Based on a facility self-report, at approximately 10:30am on 6/3/25, child #1 was left inside the preschool classroom sitting on the rainbow carpet while the group transitioned to the outdoor playground. Staff #1, #2 & #3 were supervising 20 Preschool aged children. The children were not assigned to specific staff. Child #1 was alone in the classroom for approximately 38 seconds, based on a video recording of the incident.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for child #2 contains an emergency contact form and agreement that were updated late. (beyond 6 months). They were due 12/2024 and obtained 2/2025.

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

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

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

Noncompliance Area: The file for child #1 contains a health assessment that was obtained late (beyond 12 months). It was due 3/2024 and obtained 7/2024.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The files for staff #5 and #6 contain first aid training that was renewed late. #5 was due 8/2024 and obtained 10/2024; #6 was due 7/2024 and obtained 8/2024.

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.

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The files for staff #1, #3, and #4 contain fire safety that was renewed late (beyond 12 months). It was due 11/2024 and conducted 12/2024.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

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

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

Noncompliance Area: The file for staff #2 lacks a high school diploma or a general educational development certificate and 2 years experience with children to qualify the staff as an assistant group supervisor. The educational documents on file were in a foreign language (not English) and were not able to be interpreted by the certification representative.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The climbing bolsters in Pre-Toddler had frayed edges and corners in several areas.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There were googly eyes and yarn pompoms less than 1 inch in diameter in Early Preschool 2, that the staff stated are used for arts and craft projects.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Staff person #1 and #2 left Child #1 unsupervised for approximately 1 minute when the group was transitioning from the playground to the classroom and Child #1 was left alone in the fenced playground.

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: Child #1, a preschool child, was alone and unsupervised for a period of approximately 1 minute after being left behind in the fenced playground by Staff person #1 and #2 when the group was returning to their classroom; Neither Staff person #1 nor Staff person #2 were present with Child #1 for that time period.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #6 does not include the work address for the enrolling parent.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #4 does not include a complete address or telephone number for all listed release persons.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The most recent 6-month review signature for the emergency contact form and agreement on file for Child #1, #4, #5, and #6 are dated more than 6 months after the previous 6-month review signature.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health assessment on file for Child #4, with an enrollment date of 6/12/23, is dated 8/25/23, more than 60 days after enrollment.

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

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

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

Noncompliance Area: The most recent health assessment on file for Child #3, who is a Young Toddler, is dated 9/14/23, more than 6 months ago. The two most recent health assessments on file for Child #,6 who was a Young Toddler, are dated 11/9/22 and 11/2/23, more than 6 months apart.

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

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

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

Noncompliance Area: The two most recent health assessments on file for Child #1, who is a preschool age child, are dated 12/19/22 and 2/21/24, more than 12 months apart.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The immunization record on file for Child #2, who is 5 months old, included 1/2 Hepatitis B vaccines recommended by the ACIP for a child this age; 1 of 2 Rotavirus vaccines recommended by the ACIP for a child this age; 1/2 DTAP vaccines recommended by the ACIP for a child this age;1/2 HIB vaccines recommended by the ACIP for a child this age; 1/2 Pneumococcal vaccines recommended by the ACIP for a child this age; 1/2 Polio vaccines recommended by the ACIP for a child this age. The most recent immunization record on file for Child #3, who is 22 months, includes 3 of 4 DTAP immunizations, 3 of 4 Pneumococcal immunizations; and 1 of 2 Hepatitis A immunizations recommended by the ACIP for a child this age.

Correction Required: ·Child #2 and #3 must be dismissed from care by close of business on 5/1/24, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The immunization record on file for Child #4 is dated 8/25/23, more than 60 days after the enrollment date of 6/12/23.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: There were prickly plants, with thorns in the planter boxes in the outside play space accessible to children.

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

Regulation: 3270.31(e)(4)(i)/3270.192(2)(iii)

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

Noncompliance Area: The file for Staff person #1 includes verification of First Aid/CPR training dated 1/17/24, after the expiration date of 11/30/23. The file for Staff person #2 includes verification of First Aid/CPR training dated 3/13/24, after the expiration date of 11/30/23.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #5 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the training was completed on 3/13/24.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #3 did not include documentation of application of a Virginia state criminal history clearance, Virginia child abuse clearance, or Virginia sex offender required by 7/1/20, as per Announcement C-19-02; Staff person #3 resided in Virginia within 5 years prior to 7/1/20. The file for staff person #4, who resided in Massachusetts in the 5 years prior to hire, included a criminal history clearance from Massachusetts dated 7/18/23; a child abuse clearance from Massachusetts dated 7/19/23, and a sex offender registry clearance from Massachusetts dated 7/18/23, all of which were applied for after the staff person's first date working in childcare (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for Staff person #6 includes an incomplete criminal history clearance that did not include a dissemination date, (See LIS Code Sheet), making it invalid. The file for Staff person #7 includes an incomplete criminal history clearance that did not include a dissemination date, (See LIS Code Sheet), making it invalid.

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, #6, #7 may not work in a child care position at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Staff person #1 and #2 left child #1 in the fenced playground for a period of approximately 1 minute when moving from the playground to the classroom, therefore no staff person was present to maintain ratio requirements.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: The closet door in Early Preschool 2, where cleaning supplies are kept, was observed to be slightly ajar and unlatched, making toxic items accessible to children.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: There was no lidded trash can in either bathroom in Preschool 2.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log includes test dates 3/15/24-4/15/24, more than 30 days apart.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a Lego bin in Jr. K that was cracked on both sides of the handle on the bin. In the Kindergarten room there were 3 Connecting toys that had pieces broken off. There was a Lego bin in Preschool 2 that had cracks on the bin and the lid. There were frayed edges with loose threads on several of the climbing bolsters in the indoor gym.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: An infant was observed sleeping in their crib which was positioned with the plexiglass end and slatted sides turned away from the staff persons so that they could not see the child at all times.

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

Regulation: 3270.124(b)(1)

Description: Child's name, birth date

Noncompliance Area: The emergency contact form on file for Child #2 and #3 does not include the child's birthdate.

Correction Required: Emergency contact information must include the name and birth date of the child.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #4 does not include the address for the child's pediatrician/source for medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #2 does not include the work address and/or telephone number for the enrolling parent.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: One child was observed receiving care in Early Preschool 1 and one child in Pre-Toddler without their emergency contact forms being in the classroom. During DHS childcare hours, two children were observed in Pre-K without their emergency contact forms being in the space where they were receiving care.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The most recent 6-month review signature for the emergency contact form on file for Child #1 is dated 6/5/22, more than 6 months ago.

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

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

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

Noncompliance Area: The two most recent health assessments on file for Child #2, who was a young toddler, are dated1/28/22 and 2/10/23, more than 6 months apart. The most recent health assessment on file for Child #5, who is a young toddler, is dated 10/12/22, more than 6 months ago.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: While observing diaper changes in the Infant room and Pre-Toddler rooms, staff were observed placing a soiled diaper onto the changing table surface, rather than immediately discarding the diaper into a plastic-lined hands-free lidded can.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The Health and Safety professional development training update on file for Staff person #6 is dated 1/4/23, after the deadline of 12/30/22, as per Announcement C-22-06.

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: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file for Staff person #7 does not include documentation of a complete health assessment within 12 months prior to the employment start date (See LIS Code Sheet).

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

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: Yogurt and milk were observed in a lunchbox in the Pre-Toddler room that was not refrigerated.

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

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: There was a child under 12 months old in the infant room who did not have a written feeding plan on file submitted by the parent.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff person #2 does not include 2 written non-family references attesting to the staff person's suitability to work in child care. The file for Staff person #9 includes only 1 written nonfamily reference.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #8 does not contain documentation of application of the NSOR certificate prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL; the NSOR certificate is dated 3/24/23.

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 #--- 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: The file for Staff person #1 does not include a child abuse, Criminal history, or sex offender clearance from Virginia, where she lived in the 5 years prior to 7/1/20, (See LIS Code Sheet) required as per CPSL requirements. The file for Staff person #2 does not include a sex offender clearance from Colorado, where she lived in the 5 years prior to 7/1/20, (See LIS Code Sheet) required as per CPSL requirements. The Criminal History clearance on file for Staff person #3 does not include the necessary RAP sheet. The file for staff person #4 does not contain documentation of application of an FBI clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #6 does not contain documentation of a child abuse clearance from Connecticut, where the staff person resided in the 5 years prior to employment (See IS CODE SHEET) required for provisional hiring under the CPSL.

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, #2, #3, #4, #6 may not work in a child care position at the facility.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for Staff person #3, #5, who is classified as an aide, does not include a high school diploma or a general educational development certificate; or a minimum of an 8th grade education and 2 years of experience with children. The file for Staff person #9, classified as an Assistant Group Supervisors does not include a high school diploma or a general educational development certificate and 30 credits in education or a related human services field; or a high school diploma or a general educational development certificate and 15 credits in education or a related human services field and 1 year of verified child care experience; or a high school diploma or a general educational development certificate with 2 years of verified child care experience.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in Early Preschool 1 did not include tape.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There were 2 wooden benches in the outdoor playspace that had areas of splintered wood that created a potential splinter injury to a child. There was also a wooden arch/pergola in the outdoor playspace that had rough edges on the 2x4 vertical posts that could cause a child to receive splinters. There was a post on the gate between the preschool and toddler playgrounds that did not have a cap on the top of the post, exposing rough edges on the top of the post.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm 30-day test log includes test dates 8/23/22-9/23/22; 12/16/22-1/16/23; and 1/16/23-2/28/23, more than 30 days apart.

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

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

Noncompliance Area: The most recent mandated reporter training on file for Staff person #1, dated 5/12/21, is dated more than 60 months after the previous mandated reporter training, dated 5/5/16.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were foam blocks in the Early Preschool room, with older 2 year old children, which had teeth marks and pieces missing (corners).

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: There were rest mats being used in Early Preschool 1 and in First Steps which were not labeled for use by specific children.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #2 and #4 does not include the address for the child's pediatrician/source of medical care.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #2 does not include the complete address for all listed release persons.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: There was a child in the Junior K classroom, in the PreK room, and in Preschool 1 without a copy of their emergency contact form being in the room.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for Child #1, with an enrollment date of 8/25/21, more than 90 days ago, does not include an initial health assessment, as per Announcement C-20-04.

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(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The most recent influenza vaccination on file for Child #2, who is 5 years old, is dated 8/26/20; as per the ACIP, which recommends annual flu vaccinations for a child this age. The most recent influenza vaccination on file for Child #5, who is 3 years old, is dated 9/2/20; as per the ACIP, which recommends annual flu vaccinations for a child this age. The immunization record on file for Child #6, who is 2 years old, does not include verification of an annual influenza vaccination, as recommended annually for a child this age.

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

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The file for Child #1, with an enrollment date of 8/25/21, more than 60 days ago, does not include an immunization record.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The 2 most recent health assessments on file for Staff person #1 are dated 5/10/19 and 5/16/21, more than 24 months apart. The 2 most recent health assessments on file for Staff person #3 are dated 8/9/19 and 9/16/21, more than 24 months apart.

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

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

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

Noncompliance Area: The most recent mandated reporter training on file for Staff person #1, dated 5/12/21 is dated more than 60 months after the previous training, dated 6/4/15.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The 2 most recent criminal history clearances on file for staff person #1 are dated 6/2/15 and 8/2/20, more than 60 months apart. The 2 most recent child abuse clearances on file for staff person #1 are dated 6/6/15 and 8/5/20, more than 60 months apart.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #2 was observed not to contain documentation of application for a Idaho child abuse clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #4 was observed not to contain documentation of application for a NY child abuse clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL.

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 #2 and #4 may not work in a child care position at the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kits in the Pre-K and PS 1 rooms did not include tape.

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