U-gro Learning Centres

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: The depth of the surfacing on the preschool playground measured between 2 and 6 inches in various spots measured in fall zones of the climbers.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child Service Reports (or an approved alternative) were not completed timely during the previous year for children #2, #3, #4, #6, #7, #8 and #9. Child #3, #6, and #7 - completed in May of 2025 and subsequently more than 6 months later in April of 2026. Child #2, #4, #8 and #9 - The only ones on file from the past year were dated in April of 2026.

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).

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: Originals of agreements were on file for children #1, #3, #4, #5, #6, and #9.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact forms on file for children #1, #2, and #6 did not include complete contact information for the enrolling parents. Child #1 - incomplete work address Child #2 - missing work phone and address Child #6 - missing work phone and address

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information on file for child #3 did not include the child's health insurance coverage and policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information on file for children #1 and #2 each did not include an address for 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.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The most recent health assessment on file for child #1 (young toddler) was dated in June of 2025.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The most recent health assessments on file for children #4 and #6 were dated in January of 2025. The most recent health assessments on file for child #2 were dated in April of 2024 and subsequently more than 12 months later in January of 2026.

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

Regulation: 3270.131(e)(1)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The immunization records on file for child #1 (young toddler) were not in accordance with the schedule recommended by the ACIP. The immunization record only included immunizations up to 2 months.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

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

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

Noncompliance Area: The health assessments on file for staff person #1 were dated in August of 2023 and subsequently more than 24 months later in July of 2026. The health assessments on file for staff person #3 were dated in January of 2024 and subsequently more than 24 months later in June of 2026. Staff person #4 did not have a health assessment on file that was dated within the 12 months prior to initial service at the facility. The record for facility person #5 did not include results of a TB test. The health assessments on file for staff person #13 were dated in January of 2024 and subsequently more than 24 months later in July of 2026.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent parent signatures on the agreements and emergency contact forms for children #1, #2, #3, and #4 were more than 6 months old and past due to be updated. The most recent parent signatures on the emergency contact forms for children #5, #6, #7, #8, and #9 were more than 6 months old and past due to be updated.

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: 3270.181(c)/3270.181(e)

Description: Emergency info/agreement updated 6 mos/Emergency master file updated

Noncompliance Area: Emergency contact information in the childcare spaces throughout the facility was past due to be updated. Parent signatures were more than 6 months old. In addition, the forms in the rooms did not include the complete information included in the children's files as a different form was used.

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.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The records for children #2 and #4 did not contain signed parental consent for emergency medical care for the child. The records also did not include signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: Originals of incident reports were on file for children #1, #3, #4, #5, #6, #7, and #9.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.183(a)/3270.193(a)

Description: Locked cabinet/Confidential; stored in locked cabinet

Noncompliance Area: Staff and child files were stored in unlocked cabinets.

Correction Required: Child records are confidential and shall be stored in a locked cabinet. Facility persons' records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Documentation of an emergency drill from the past year was not on file at the facility.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff person #3 was trained on the emergency plan in January of 2024 and subsequently more than 12 months later in June of 2026.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The operator was unable to provide documentation that the emergency plan had been submitted to the local municipality.

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

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

Description: Age and Training

Noncompliance Area: Staff person #15's pediatric first aid and CPR training expired at the end of September 2025, but was not updated until 11/14/2025.

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: Staff person #1 completed fire safety training in October of 2024 and subsequently more than 12 months later in July of 2025. Staff person #3 completed fire safety training in October of 2024 and subsequently more than 12 months later in June of 2026. Staff person #9 completed fire safety training in October of 2024 and subsequently more than 12 months later in June of 2026. Staff person #11 completed fire safety training in October of 2024 and subsequently more than 12 months later in June of 2026. Staff person #14 completed fire safety training in July of 2024 and subsequently more than 12 months later in July of 2026. Staff person #15 completed fire safety training in October of 2024 and subsequently more than 12 months later in June of 2026.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #4 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training (f1-f9). Staff person #10 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training (f1-f9) - The file was missing part 1 of the 2 part health and safety training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #4 staff person #4 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Upon beginning work in the facility, the record for staff person #2 did not contain completed a completed NSOR certificate as required under the CPSL. The NSOR was obtained 14 days after the employee began working with children. Upon beginning work in the facility, the record for staff person #4 did not contain completed a completed NSOR certificate as required under the CPSL. The NSOR still was not on file at the time of inspection. Staff person #6 worked with expired clearances on file during the previous year. -The state police clearances on file were dated 1/14/2021, and subsequently more than 60 months later on 6/23/26. -The child abuse clearances on file were dated 12/21/20, and subsequently more than 60 months later on 7/8/26. -The DHS FBI clearances on file were dated 2/18/21, and subsequently more than 60 months later on 7/1/26. -The NSOR certificates on file were dated 1/8/2, and subsequently more than 60 months later on 7/6/26. Upon beginning work in the facility, the record for staff person #7 did not contain completed a completed child abuse clearance, and a completed NSOR certificate as required under the CPSL. In addition, staff person #7's clearances were not submitted to the main office for review. (CORRECTED ON SITE) Staff person #10 began employment with a volunteer child abuse clearance on file. The required employment clearance has since been obtained. Staff person #11 worked with expired clearances on file during the previous year. -The state police clearances on file were dated 9/23/20, and subsequently more than 60 months later on 6/23/26 -The child abuse clearances on file were dated 9/21/20, and subsequently more than 60 months later on 6/23/26 -The DHS FBI clearances on file were dated 9/27/20, and subsequently more than 60 months later on 6/25/26. -The NSOR certificates on file were dated 9/30/20, and subsequently more than 60 months later on 6/23/26. Upon beginning work in the facility, the record for staff person #12 did not contain completed a completed NSOR certificate as required under the CPSL. The NSOR was obtained 48 days after the employee began working with children. Staff person #13 worked with expired clearances on file during the previous year. -The state police clearances on file were dated 5/5/21, and subsequently more than 60 months later on 6/23/26. -The child abuse clearances on file were dated 6/28/21, and subsequently more than 60 months later on 7/2/26. Staff person #15 worked with an expired clearances on file during the previous year. -The child abuse clearances on file were dated 2/4/21, and subsequently more than 60 months later on 7/1/26. -In addition, the staff person's mandated reporter training expired 3/14/26 (dated 3/14/21), and was not updated until 7/2/26. Staff person #16 worked with expired clearances on file during the previous year. -The state police clearances on file were dated 6/11/21, and subsequently more than 60 months later on 6/30/26. -The DHS FBI clearances on file were dated 6/21/21, and subsequently more than 60 months later on 7/1/26. Upon beginning work in the facility, the record for staff person #17 did not contain completed a completed NSOR certificate as required under the CPSL. The NSOR was obtained 60 days after the employee began working with children. Staff person #18 worked with an expired clearances on file during the previous year. -The state police clearances on file were dated 8/7/20 and subsequently more than 60 months later on 6/23/26 -The child abuse clearances on file were dated 8/4/20, and subsequently more than 60 months later on 6/29/26 -The DHS FBI clearances on file were dated 8/25/20, and subsequently more than 60 months later on 6/24/26. -The NSOR certificates on file were dated 8/5/20, and subsequently more than 60 months later on 6/29/26. -In addition, the staff person's mandated reporter training expired 10/23/2025 (dated 10/23/2020), and was not updated until 7/1/26.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #4 may not work in a child care position at the facility until complete clearances are on file.

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

Description: Assistant Group Supervisor qualifications/Exp, educ., training prior to facility

Noncompliance Area: Staff person #8 is serving as an AGS at the facility. The staff person's record included documentation of a high school diploma and a CDA, but did not include documentation of 1 year (1,250 hours) of childcare experience. Staff person #17 is serving as an AGS at the facility. The staff person's record included documentation of education but did not include documentation of 2 years (2,500 hours) of childcare experience.

Correction Required: An assistant group supervisor shall have attained one of the qualification levels specified at § 3270.36(b)(1-5). (1) A high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. (2) A high school diploma or a general educational development certificate, including 600 or more hours of secondary training described in § 3270.31(c) (relating to age and training). (3) A high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. (4) A high school diploma or a general education development certificate and completion of a post-secondary training curriculum described in § 3270.31(c). (5) 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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The water in the sink in Caterpillar room measured at 114° F and the water in the Butterfly room measured at 116° F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: The emergency phone numbers were not posted by the phone in the indoor gross motor area.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: An area of peeling paint was observed near the door in the Ladybugs room. (CORRECTED ON SITE) An area of peeling paint was observed near the blocks area in the Jaguars room. (CORRECTED ON SITE)

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A handwashing sign was not posted in the children's bathroom between the Caterpillar and Butterfly rooms. (CORRECTED ON SITE)

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff persons #1 and #2 were observed to be caring for children unsupervised in the ducks room. Staff persons #1 and #2 did not have documentation on file showing that they have completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid and CPR.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff persons #1 and #2 must be supervised, when interacting with children at a minimum by, an AGs who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 4/7/26, staff persons #1 and #2 were present with a group of 9 children in the Ducks room. Staff only accounted for 8 of the 9 children when asked to identify their assigned groups. On 4/16/26, staff persons #3 and #4 were present with a group of 8 children in the Bunnies room. Staff person #3 was unable to identify which specific children were in their assigned group. On 4/16/26, staff persons #5 and #6 were present with a group of 18 children in the Jaguars room. Staff person #5 identified the 10 children in her care group. Staff person #6 was able to identify 7 of the 8 children in her assigned group. When questioned, the staff person then identified 10 children as being in her care group. A third time, the staff person was able to list the 8 children in her care group.

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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: On 4/7/26, staff person #1 did not wash a child's hands after changing the child's diaper. On 4/16/26, staff person #3 did not wash a child's hands after changing the child's diaper.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff person #2 completed professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation 158 days after start date.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 7/24/25, it was observed that the facility emergency plan did not include a plan for continuity of operations.

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

Regulation: 3270.151(a)

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

Noncompliance Area: On 7/24/25, it was observed that staff health assessments were not updated every 24 months. Staff person 1 had a health assessment on file that expired on 8/31/24 and an updated health assessment was not completed until 4/23/25. Staff person 4 had a health assessment on file that expired on 1/312/25 and an updated health assessment was not completed until 2/19/25.

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: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: On 7/24/25, it was observed that child 4 did not have signed parental consent for minor first-aid procedures.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 7/24/25, it was observed that staff person 8 did not have 2 written nonfamily 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(e)(4)(i)

Description: Age and Training

Noncompliance Area: On 7/24/25, it was observed that staff Pediatric First Aid/CPR certifications were not updated before they expired. Staff person 1 had a Pediatric First Aid/CPR training on file that expired on 12/31/24 that was not updated until 6/26/25. Staff person 2 had a Pediatric First Aid/CPR training on file that expired on 3/31/25 that was not updated until 6/26/25. Staff person 3 had a Pediatric First Aid/CPR training on file that expired on 12/31/24 that was not updated until 6/26/25. Staff person 4 had a Pediatric First Aid/CPR training on file that expired on 1/31/25 That was not updated until 2/19/25. Staff person 5 had a Pediatric First Aid/CPR training on file that expired on 12/31/24 that was not updated until 6/26/25. Staff person 6 had a Pediatric First Aid/CPR training on file that expired on 12/31/24 that was not updated until 6/26/25.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 7/24/25, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 2 had a NSOR (National Sex Offender Registry) Certificate on file that expired on 1/3/25 that was not updated until 7/2/25. Staff person 2 had a FBI clearance on file that expired on 2/2/25 that was not updated until 7/9/25. Staff person 3 had a NSOR Certificate on file that expired on 1/14/25 that was not updated until 7/15/25. Staff person 7 had a State Police clearance on file that expired on 6/10/25 that was not updated until 6/25/25. Staff person 7 had a Child Abuse clearance on file that expired on 6/11/25 that was not updated until 7/1/25. Staff person 7 had a NSOR Certificate on file that expired on 6/20/25 that was not updated until 6/25/25.

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

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: It was reported that staff person 1 restrained a child at naptime by putting their legs over the ankles of a child.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: On 7/29/24, it was observed that there was not sufficient protective surfacing under the embedded equipment on the preschool playground. Mulch depth measured approximately 2-5 inches in various fall zones where there should have been at least 9 inches of mulch.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: On 7/29/24, it was observed that child 5 and 7 had medications present and no medication log was available.

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

Regulation: 3270.151(a)

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

Noncompliance Area: On 7/29/24, it was observed that staff person 3 had a health assessment on file that expired on 1/10/24 that was not updated until 6/17/24.

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: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: On 7/29/24, it was observed that child 2, 3, 4, 6, 7, and 8 did not have signed parental consent for minor first-aid on file.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 7/29/24, it was observed that staff person 8 did not have 2 written nonfamily 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: 3270.21/3270.76

Description: General Health and Safety/Building Surfaces

Noncompliance Area: On 7/29/24, it was observed that there was exposed concrete which was sharp at the base of the curb on the preschool playground.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. 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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: On 7/29/24, it was observed that staff person 3 had been employed for longer than 90 days and had not completed the health and safety training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person 2 will have until _8/14/24__ to complete the required training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: On 7/29/24, it was observed that staff persons did not complete pediatric first aid and CPR training in their first 90 days of hire. Staff person 2 had First Aid/CPR training on file dated 7/8/24 which was not within their first 90 days of employment. Staff person 5 did not have documentation of First Aid/CPR training on file and was past their first 90 days of employment. Staff person 6 had First Aid/CPR training on file dated 7/8/24, which was not within their first 90 days of employment.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #5 will have until _8/14/24__ to complete the required training. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 7/29/24, it was observed that CPSL (Child Protective Services Law) was not followed. Clearances were not updated or obtained timely. Disclosure Statements were not dated. Staff person 1 had a child abuse clearance on file that expired on 4/25/24 that had not ben updated. Staff person 1 may not work in a child care position until their child abuse clearance has been updated. Staff person 1 had a state police clearance on file that expired on 4/26/24 that was not updated until 7/1/24 and a FBI clearance on file that expired on 4/26/24 that was not updated until 7/2/24. Clearances must be updated every 60 months. Staff person 4 had a state police clearance on file that expired on 1/9/24, a child abuse clearance on file that expired on 1/14/24, and a FBI clearance on file that expired on 2/12/24 that had not been updated. Staff person 4 may not work in a childcare position until their state police, child abuse, and FBI clearances have been updated. Staff person 5 did not have a date on their signed disclosure form . Staff person 7 did not have a date on their signed disclosure form.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, 4 may not work in a child care position at the facility.

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: On 7/29/24, it was observed that there was peeling paint and exposed plaster in the facility. Peeling paint/exposed plaster was observed in the caterpillar classroom by the play kitchen. Peeling paint/exposed plaster was observed in the duck classroom by the refrigerator. Peeling paint/exposed plaster was observed in the zebra classroom under the calendar. Peeling paint/exposed plaster was observed in the Indoor Play area on the yellow wall by the trash can and on the green and blue walls.

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

Regulation: 3270.183(b)

Description: No information disclosed

Noncompliance Area: On 12/6/23, Staff person 1 admitted to discussing a specific child's behavior with another childcare provider.

Correction Required: A facility person may not disclose information concerning a child or family, except in the course of inspections and investigations by agents of the Department.

Regulation: 3270.184(b)

Description: Release information with parent consent

Noncompliance Area: On 12/6/23, Staff person 1 admitted to discussing a specific child's behavior with another childcare provider.

Correction Required: Release or dissemination of information in a child's record may be made by the operator and only with written parental consent. When file material is released, the person who authorized the release shall record in the child's file the information specified at §3270.184(b)(1)-(5).

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: On 7/13/23, it was observed that staff person 3 did not have acceptable verification of education on file. Staff person 3 had an education document from another country that had not been translated.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 7/13/23, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 1did not update their clearances within 60 months. Staff person 1 had a state police clearance that expired on 3/21/23 and was not updated until 6/30/23. Staff person 1 had a child abuse clearance that expired on 3/10/23 and was not updated until 7/6/23. Staff person 1 had a state police clearance that expired on 3/12/23 and was not updated until 6/30/23. Mandated Reporter training was not updated within 60 months for staff person 1 and 2. Staff person 1 had a mandated reporter training that expired on 3/3/18 and was not updated until 6/30/23 Staff person 2 had a mandated reporter training that expired on 4/3/22 and was not updated until 6/29/23.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 7/13/23 it was observed that toxics were accessible to children in the Caterpillar Classroom (children are ages 3-4). Sunscreen and hand sanitizer was observed in multiple child cubbies that are low enough to be accessible to the children. 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.

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: On 7/13/23, it was observed that there was peeling paint on the green and blue walls of the indoor 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: On 8/17/22, it was observed that fee amounts were not listed on the agreement forms for child 4 and 9.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: On 8/17/22, it was observed that information on the child's special needs were not listed on the emergency contact form for child 4.

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: 3270.133(4)

Description: Locked

Noncompliance Area: On 8/17/22, it was observed that medication (an inhaler) was stored in the unlocked emergency bag on the floor by the exit doors to the playground in the Monkey classroom.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

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

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

Noncompliance Area: On 8/17/22, it was observed that staff health assessments and TB tests were not obtained in a timely manner. Staff person 2 had a health assessment and TB test on file, dated 5/18/21, that was more than 12 months old at their start date. A health assessment and TB test must be within 12 months prior to starting in a childcare position. Staff person 3 was observed working with children and did not have a health assessment and TB test on file. Staff persons must have a health assessment and TB test on file prior to starting in a childcare position.

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

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: On 8/17/22, it was observed that signed parental consent for minor first aid for child 1, 2, 4, 5, 6, 7, 8, and 9 was not on file.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: On 8/17/22, it was observed that staff person 2 did not have verification of education on file. Proof of education is required before a staff enters a childcare position.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: On 8/17/22, it was observed that the facility emergency plan did not provide for accommodations for infants, toddlers, and children with chronic medical conditions. Infants, toddlers, and children with chronic medical conditions were 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: On 8/17/22, it was observed that staff person 1 had been employed longer than 1 year and did not have annual emergency plan training.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 8/17/22, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 1 had a Mandated Reporter training on file that expired on 4/15/20 that was not updated until 7/7/22. Mandated Reporter training must be updated every 60 months.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 8/17/22, it was observed that disinfecting spray and diaper creams were accessible to children in the lower unlocked cabinet of the changing table in the Ducks (younger toddlers) classroom.

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: On 8/17/22, it was observed that First Aid kits were accessible to children in the Jaguar, Monkey, Butterfly, and Caterpillar classrooms. First Aid kits were stored on the floor or low table by the exit door to the playground.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: On 8/17/22, it was observed that handwashing signs were not posted at the sinks in the children's bathroom in the Jaguar classroom.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 2/24/22 a child entered the classroom from the playground unnoticed by the staff persons 1 and 2. Child 1 was part of staff person 1's primary group. Staff person 1 did not know the whereabouts of one of the children in their primary group for approximately 1 minute until the child was observed through the window. Facility has large glass windows and doors that child could be observed through.

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.