The Goddard School

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: On 7/22/26, it was observed that emergency contact forms were not present in the space where children were observed receiving care. Children 1 and 2 were in care in Room 2 and emergency contact forms were not present. Child 3 was observed in care in the infant classroom and did not have an emergency contact form present.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Out Door 2 play space Cert Rep observed a 4-person buggy with 2 broken 3-point safety harnesses. The buggy was not in good repair.

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: In the Pre-toddler and Older Twos rooms, not all of the rest equipment was labeled for the use of 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: 3270.123(a)

Description: Signed

Noncompliance Area: The Service Agreement for child #1 did not contain a parental signature.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The files for children #s 1, 2, 3, 4, 5, 6, 7 and 8, did not specify the children's arrival and departure times.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files for children #2 and #4 did not contain the enrolling parent's work contact numbers.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The files for child #1 and child #2 did not contain information on the children's special needs.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: In the Get Set 1 room, the emergency contact form for child #9 did not contain a health insurance policy number. In the Prek-K room, the emergency contact form for child #10 did not contain a health insurance policy number.

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

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: The file for staff person #1 contained a signed health assessment but did not include a date to indicate when the health assessment was completed.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 did not include out of state clearances from Virginia as required. The file for staff person #5 contains an NSOR dated 11/8/24 which is after the date staff person #5 began 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. PROVISIONAL HIRE UNSUPERVISED: 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 the disclosure statement as required under the CPSL. Facility Person #1 and Facility Person #5 may not work in a childcare position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for staff person #2 does not contain a current Staff Evaluation as required.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: In the Get Set 1 room, a ceiling tile, near the back right corner of the room, was stained by water damage.

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(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: The Fire Device Testing Log includes the following testing dates: 12/9/24-1/30/25 (52 days), 4/12/25-5/20/25 (38 days), 5/20/25-6/25/25 (36 days) and 7/16/525-8/27/25 (42 days). These fire device detection test dates were not completed every 30-day as required.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.114

Description: Outdoor Activity

Noncompliance Area: Complaint investigation revealed that children were not taken outside daily on at least three days (8/15/25, 8/18/25 and 8/19/25).

Correction Required: Weather permitting, children shall be taken out doors daily.

Regulation: 3270.151(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: Staff Person #5's health assessment did not include the Professional Title of the medical professional who signed the assessment.

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: Staff Person #4's file did not contain a health assessment.

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

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: Staff Person #4's file did not contain a disclosure statement.

Correction Required: 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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire system testing log included the following dates: 11/6/24 to 12/9/24 (33 days), 12/9/24 to 1/30/25 52 days), 3/14/25 to 4/28/25 (45 days) and 5/20/25 to 6/25/25 (36 days). The fire system was not tested every 30 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: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: Staff #2 and Staff #3 did not have documentation of a written report of an initial health assessment including the results of initial tuberculin skin test.

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

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: Staff #3 did not have documentation of the NSOR (National sex offender registry) clearance information required under CPSL.

Correction Required: 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: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff #1 did not have documentation of two written, nonfamily references from individuals attesting to person's suitability to serve as a facility person.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: Facility's emergency plan did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.106(b)

Description: No bed linens alone

Noncompliance Area: It was observed in the Preschool classroom that children did not have age-appropriate nap equipment. The children were observed sleeping on blankets and bed linens only.

Correction Required: Bed linens may not be used alone as age-appropriate rest equipment.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: It was observed in the Pre-K classroom that there was not a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the child care space.

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

Regulation: 3270.14

Description: Pertinent Laws & Regulations

Noncompliance Area: Facility Person #1, #4, #7 has not completed the required one hour Pennsylvania health and safety update 2022 by December 30, 2022

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.

Regulation: 3270.151(a)

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

Noncompliance Area: Facility Person #5 and #6 did not have a health assessment completed within 12 months of providing initial services in a child care setting. This was evidenced by no health assessment on file.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: Facility Person #3, #5, #6 does not have results of a tuberculosis screening by the Mantoux method at initial employment on file.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact on file for Child #1 was not updated at least once in the last 6-months. The emergency contact on file is dated 1/20/2023. The fee agreement on file for Child #1 was not updated at least once in the last 6-months. The fee agreement on file is sated 1/20/2023.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Facility Person #6 does not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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 for every facility person.

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: The facility emergency plan parent letter did not contain information about emergency lock-down procedures.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility emergency plan did not contain emergency accommodations for the infants and toddlers observed in care.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Facility Person #2 and #5 did not complete Health and Safety Training within 90 days of hire. (see code sheet for DOH)

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 Facility Person #2 did not contain completed out of state clearances as required by CPSL. Facility Person #2 resided outside of PA as of 1/11/2023 and has been employed longer than the 45-day provisional hire period. Facility person #2 did not complete Mandated Reporter Training within 90 days of hire. The file for Facility Person #3 did not contain State Police Clearances results and has been employed longer than the 45-day provisional hire period. (see code sheet for DOH).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2, #3- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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, #3--- may not work in a child care position at the facility.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Staff #1 was observed by facility staff staring down at her phone while responsible for caring for 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. Children must be supervised at all times.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a white powdery residue in a toy bin accessible to children.

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

Regulation: 3270.111(a)/3270.111(b)

Description: Written plan/Posted in group space

Noncompliance Area: There was no schedule of daily activities posted in the PreK child care space.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Observed Staff in OT, YT, and PS childcare space were not positioned to see hear assess and direct all children in care during nap time.

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.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Staff #4 health assessment dated 9/5/22 was overdue from their previous health assessment dated 6/3/20. Staff #5 health assessment on file was dated 12/4/19.

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: 3270.182(1)

Description: Initial and subsequent health reports

Noncompliance Area: Child #1 health assessment was dated 2/3/21

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff #1 had 1 non-family reference on file. Staff 2 did not have non-family references on file.

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 #3 completed the Health and Safety training topics approximately 10 months after their start date. Staff #3 completed the Health and Safety training topics approximately 8 months after their start date.

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: Staff person #5 did not have a Pennsylvania State Police clearance on file. Clearance was obtained at time of inspection. Staff person #6 did not have a Pennsylvania State Police clearance or a Child Line clearance on file. Clearances were obtained at time of inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed outlets unplugged in Preschool childcare space. Corrected at time of inspection.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed soapy water in a spray bottle accessible to children in older toddler child care space. Corrected at time of inspection.

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: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: Observed the first-aide kit in a book bag on the floor, accessible to children in preschool child care space. Corrected at time of inspection.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed peeling paint and damaged plaster on the wall next to the bathroom door and on the wall opposite the bathroom, under the windows in the older toddler child care space.

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 file of facility person #1 did not contain any written nonfamily 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

Noncompliance Area: Facility person #1, a volunteer, started on 3/2/2020. The file for facility person # 1 does not contain a completed NSOR verification certificate or documentation of having applied for the NSOR verification certificate. The file does not contain a completed DHS FBI clearance or documentation of having applied for the DHS FBI clearance. The file contains a PDE FBI clearance. Although the LE has an approved waiver on file effective 1/7/20, the requirement to have documentation of application for the DHS FBI clearance and NSOR verification certificate on file was not met.

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 must be removed from childcare position by close of business. All required clearances must be obtained before facility person#1 may resume a child care position.

Noncompliance Area: On 3/13/2020, around 7:30 AM, staff person #2 was observed to be the single staff member caring for 5 infants. The staff: child ratio was corrected when staff person #3 entered the classroom, around 5 minutes later. Also on 3/13/2020, around 8:00 AM, staff person #3 was observed to be the only staff member caring for 16 preschool children. Facility person #1 was also in the classroom, but is only qualified as a volunteer, and therefore cannot count in the staff: child ratio.

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. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Central Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: The last fire drill, as per documentation on the facility's fire drill log, was 12/17/19. The fire drill log did not include written documentation of the hypothetical location of the fire, the evacuation time, names of facility persons participating in the fire drill, or the number of children participating in the fire drill that occurred on 12/17/19.

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. A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.

Noncompliance Area: It was observed that emergency contact forms for some of the children receiving care in the toddler room were not present in the toddler classroom at the time of inspection, which was corrected on site.

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.

Noncompliance Area: On 11/4/19, it was observed that in the pre-toddler classroom, neither the staff member's nor children's hands were washed after diaper changes. Continued non-compliance: On 12/20/19, it was observed that in the toddler classroom, neither the staff member's nor children's hands were washed after diaper changes, which was corrected on site.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: Rest equipment in the pre-toddler, toddler, and Get Set II classrooms were observed to have tears in the corners, exposing the foam inside.

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: A sensory tube, with accessible beans less than one inch in diameter, were observed to be accessible to older toddlers in the Get Set II classroom.

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.

Noncompliance Area: The agreement for child #1 was not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: The agreement for child #4 did not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: The emergency contact forms for children #2 and #4 did not include addresses for release persons listed.

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.

Noncompliance Area: It was observed that in the pre-toddler classroom, neither the staff member's nor children's hands were washed after diaper changes.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: The tuberculosis screening results on file for facility person #1, hired 9/16/19, were dated 2/24/17, and are therefore more than 12 months prior to initial service. The most recent health assessment in the file of facility person #5, hired 5/23/17, was dated 6/18/17. The file of facility person #6, hired 9/18/19, contained a health assessment dated 10/22/19 and tuberculosis screening results dated 10/25/19, which therefore were not on file at the time of hire.

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

Noncompliance Area: The health assessment on file for facility person #2 indicates that the facility person has communicable diseases, and there is not information regarding medical problems that may threaten the health of children.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Noncompliance Area: At the time of inspection, documentation that the emergency plan had been updated within the past year was not on file.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Noncompliance Area: The file of facility person #3, hired 8/29/19, did not contain documentation of the request for the FBI clearance or a copy of the completed clearance, as required under the CPSL. The file of facility person #4, hired 7/22/19, did not contain documentation of the completed FBI clearance or the proper state police clearance, as required under the CPSL. The file contained a volunteer child abuse clearance, not an employment clearance, as required 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. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3, 4 may not work in a child care position at the facility.

Noncompliance Area: Plastic bags were observed to be accessible to children in the Get Set I classroom, where older toddlers receive care, which was corrected on site.

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.

Noncompliance Area: Child #1 sustained an injury requiring emergency room treatment while in care on 10/3/19. DHS was not notified, verbally or in writing, until 10/15/19.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department

Noncompliance Area: The files of facility persons #1, 2, and 3 contained disclosure statements, but did not contain the dates that the disclosures were signed.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: On 8/14/19, netting was exposed under a tree on the outdoor play area, creating a trip hazard. A weed with sharp barbs sticking out was observed on the toddler outdoor play area. Continued non-compliance: On 10/10/19, netting was again observed to be exposed on the outdoor play area, creating a trip hazard.

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.

Noncompliance Area: A plastic bag was observed to be accessible to children still placing objects in their mouths in the Get Set 2 Classroom.

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.

Noncompliance Area: At the time of inspection, it was observed that staff in the Get Set 1 classroom had not been assigned the responsibility for supervision of specific children. When staff in the room were asked which children were assigned to them, facility person #2 indicated that primary care groups had not been assigned.

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.

Noncompliance Area: At the time of inspection, the facility's current certificate of compliance was observed not to be posted. The certificate that was posted had expired June 2019.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: At the time of inspection, facility person #1 was observed to be working in a classroom alone with children, which was corrected on site. The file of facility person #1 did not contain an FBI clearance, and also did not contain a copy of the request for an FBI clearance, as required under the CPSL. The disclosure statement on file for facility person #1 did not include a witness signature, as required 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. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Noncompliance Area: Sunscreen was observed to be accessible to children in the Get Set 1 classroom, which was corrected on site.

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

Noncompliance Area: Netting was exposed under a tree on the outdoor play area, creating a trip hazard. A weed with sharp barbs sticking out was observed on the toddler outdoor play area.

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.

Noncompliance Area: At the time of the follow up for the renewal inspection, the record for staff person 13 did not include a complete initial health assessment. The health assessment did not include a TB test that was completed within the 12 months prior to initial employment. The health assessment found in the file did not include the name of the person it was intended for. This is repeated non-compliance from the April 2019 renewal inspection.

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

Noncompliance Area: The health assessments on file for staff persons 4 and 12 were incomplete. The health assessments did not include an examination for communicable diseases and the results of that examination, nor the physician's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: At the time of of the follow up for the renewal inspection, the emergency contact forms located in the classrooms had not been updated. Some of the forms in each classroom had not been signed by a parent within the past 6 months. This is repeated non-compliance from the April 2019 renewal inspection.

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. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: On 5/16/19, staff person 1 was observed to be caring for 7 infants at the time of inspection. Staff member #2 entered the classroom during inspection, correcting the staff:child ratio. This is repeated non-compliance from the April 2019 renewal inspection.

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.

Noncompliance Area: On 5/16, 24 children were observed to be present in the first room to the left of the building entrance. The room is measured for 17 children. The room is licensed by the Department of Education beginning at 9:00 AM. 24 children were observed in the room during Department of Human Services regulated child care hours (before 8:00 am). This is repeated non-compliance from the April 2019 renewal inspection.

Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Noncompliance Area: Staff member #1 was observed to be caring for 7 infants at the time of inspection. Staff member #2 entered the classroom during inspection, correcting the staff:child ratio.

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. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Central Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: At the time of inspection, 24 children were observed to be present in the first room to the left of the building entrance. The room is measured for 17 children. The room is licensed by the Department of Education for preschool, beginning at 9:00 AM. 24 children were observed in the room during Department of Human Services regulated child care hours (before 8:00 AM).

Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40. The legal entity must submit documentation in a format approved by DHS proving that the facility is not exceeding the allowable number of children in a child care space during DHS regulated child care hours. The legal entity will confirm continuing compliance by sending copies of the documentation to the Central Region Office on a weekly basis for a period of three months after DHS approves the documentation format. The documentation may be included on the same format as required to prove continued compliance with 3270.51.

Noncompliance Area: The nap mats located in the toddler classroom were observed to be in poor repair as they were torn and foam was exposed. (CORRECTED ON SITE)

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: At the time of inspection, broken pieces of crayons, small pieces of chalk, and small items in a sensory/science bin were observed in the get-set 2 room. The items were accessible to the toddlers in care. (CORRECTED ON SITE)

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.

Noncompliance Area: At the time of inspection, children were observed napping with less than 2 feet of space on three sides of their rest equipment in the pre-toddler classroom and in Get Set 1 and 2.

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.

Noncompliance Area: The thermometer located in the refrigerator in the get-set classroom was reading at 46/47 F.

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: At the time of inspection, the sole staff person present in the pre-toddler classroom during naptime was unable to see all of the children in the room from where she was sitting.

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.

Noncompliance Area: At the time of inspection, staff person 12 was present in get set 1. She stated she was responsible for 6 children. She was only able to locate 5 of the 6 children. Approximately 30 seconds later, the child returned to the room with the director. The staff person was unable to identify the whereabouts of the sixth child.

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.

Noncompliance Area: At the time of inspection, the record for child 8 included just one Child Service Report (or any other approved form) from the previous year. The child service report on file was dated more than 6 months prior to the inspection, on 5-27-2018. Child 8 has been enrolled since March of 2018. Child 1 has been enrolled since November of 2017. The only child service report on file from the past year was dated in November of 2018. The operator was unable to provide documentation that child service reports had been completed at least every six months for child 1 and child 8.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: At the time of inspection, the agreements on file for children 2 and 10 did not list the child's arrival and departure times.

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

Noncompliance Area: At the time of inspection, the agreement on file for child 9 did not specify the persons designated by a parent to whom the child may be released.

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

Noncompliance Area: At the time of inspection, the agreements on file for children 3 and 9 did not specify the date of the child's admission.

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

Noncompliance Area: At the time of inspection, the records for children 1, 4, and 10 included original agreements.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: At the time of inspection, the emergency contact information on file for children 5 and 10 did not include the name, address, and telephone of the child's physician or source of medical care. The emergency contact information on file for child 9 did not include the telephone number of the child's physician or source of medical care.

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

Noncompliance Area: At the time of inspection, the emergency contact information on file for children 9 and 10 did not include the enrolling parent's work address nor work telephone number.

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

Noncompliance Area: At the time of inspection, the emergency contact information on file for child 5 did not include the child's health insurance policy number. The emergency contact forms for children 8 and 10 did not include the children's health insurance coverage nor policy numbers.

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

Noncompliance Area: At the time of inspection, the emergency contact information on file for child 9 did not include an address of a listed release person.

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.

Noncompliance Area: At the time of inspection, the initial health report on file for child 9 was dated more than 60 days after the first day of attendance at the facility. The child began in care in was dated September of 2018. The initial health assessment was dated 12/12/2018.

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.

Noncompliance Area: According to documentation on file at the time of inspection, the health reports on file for children 4 and 7 were past due for updates. Child 4's most recent health assessment was dated 4/25/2018. Child 4 is a young toddler. Child 7's most recent health assessment was dated 7/12/2018. Child 7 is an infant. Child 4's health report is past due to be updated. Child 4's most recent health assessment

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: The vaccination records on file for children 1, 2, 3, 4, 6, and 7 did not meet the recommendations of the ACIP. -The record for child 3 and 7 do not include sufficient documentation that the children were administered immunizations in accordance with the recommendations of the ACIP. -The record for child 4 did not include documentation that the child had received any immunizations. None of the files referenced included signed/dated statements from the child's parent/guardian opting out of the immunizations.

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. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Noncompliance Area: At the time of inspection, the trash can located in the pre-toddler classroom was not placed in a location that staff could immediately dispose of the diapers into the plastic, hands-free covered can. The staff persons reported having to dispose of the diapers after the change was completed.

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.

Noncompliance Area: At the time of inspection, the record for staff person 4 did not include an initial health assessment (TB test results were on file). Staff person 4 has been employed since 3/8/2019. The record for staff person 5 did not include an initial health assessment nor results of a TB test. Staff person 5 has been employed since 1/22/2019. The record for staff person 6 did not include an initial health assessment (TB test results were on file). The staff person has been employed since 3/6/2019. The most recent health assessment on file for staff person 12 is more than 24 months old and therefore past due to be updated. The health assessment was dated 3/9/2017. The record for staff person 13 did not include an initial health assessment nor results of a TB test that was dated within the 12 months prior to her start date of 1-14-2019. A health assessment was on file from 2017. The record for staff person 15 did not include an initial health assessment nor results of a TB test that was dated within the 12 months prior to her start date of 9-24-2018. Staff person 16 began employment on 8/15/2018, but her inital health assessment was not obtained until 11/7/2018.

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