U-gro Learning Centres

Regulation: 3270.181(c)/3270.181(e)

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

Noncompliance Area: At the time of the follow up visit to verify corrections for SIN-00287998 (from 5/5/26) it was observed that the plan of corrections for the violation citing 3270.181(e) had not been fully implemented. On 6/3/26, emergency contact forms for children #1, #2, #3, #4, and #5 were past due to be updated in both the master files and as the emergency contact forms present in the child care spaces.

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The record for staff person #1 did not include verification of education.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The record for staff person #1 did 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.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: According to documentation on file at the time of inspection, when facility person #1 began working with children at the facility the staff record did not contain the applicable out-of-state clearances as required under the CPSL. The individual was working with children at the time of inspection. The record for facility person #1 did not contain a complete disclosure statement. (CORRECTED ON SITE)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a child care position at the facility until complete clearances are on file.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: At the time of the follow up visit to verify corrections for SIN-00284298 (from 3/20/26 and 3/26/26), it was observed that the plan of corrections for the violation citing 3270.102c had not been fully implemented. On 5/5/26, children were observed playing on the equipment and the depth of the surfacing was still not meeting the recommendations of the United States Consumer Product Safety Commission (9 inches of loose fill 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: 3270.181(e)

Description: Emergency master file updated

Noncompliance Area: At the time of the follow up visit to verify corrections for SIN-00284298 (from 3/20/26 and 3/26/26), it was observed that the plan of corrections for the violation citing 3270.181(e) had not been fully implemented. On 5/5/26, emergency contact forms in the master files had been updated and signed/dated by the parent. Emergency contact forms in rooms throughout the center were past due to be updated (signatures were more than six months old).

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

Regulation: 3270.183(a)/3270.193(a)

Description: Locked cabinet/Confidential; stored in locked cabinet

Noncompliance Area: At the time of the follow up visit to verify corrections for SIN-00284298 (from 3/20/26 and 3/26/26), it was observed that the plan of corrections for the violation citing 3270.183(a)/3270.193(a) had not been fully implemented. On 5/5/26, the cabinets that the child records and facility persons' records were stored in were not locked. (CORRECTED ON SITE)

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The record for staff person #20 did not include documentation of education.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of the follow up visit to verify corrections for SIN-00284298 (from 3/20/26 and 3/26/26), it was observed that the plan of corrections for the violation citing 3270.192.5 had not been fully implemented. On 5/5/26, the record for staff person #13 still included just one 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.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #20 was observed working alone with children. The staff person's FBI clearance did not include the rap sheet. In addition, the staff person's record has not been submitted to OCDEL for review. At the time of the follow up visit to verify corrections for SIN-00284298 (from 3/20/26 and 3/26/26), it was observed that the plan of corrections for the violation citing 3270.32a had not been fully implemented. On 5/5/26, staff person #13 was working at the facility. The staff person's record still did not contain the applicable out-of-state clearances as required under the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff Person #13 and #20 may not work in a child care position at the facility until complete clearances are on file.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: At the time of the follow up visit to verify corrections for SIN-00284298 (from 3/20/26 and 3/26/26), it was observed that the plan of corrections for the violation citing 3270.51 had not been fully implemented. On 5/5/26, two staff were present with 11 children in the Ducks room (one year olds).

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

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: At the time of the follow up visit to verify corrections for SIN-00284298 (from 3/20/26 and 3/26/26), it was observed that the plan of corrections for the violation citing 3270.95a had not been fully implemented. On 5/5/26, the proof and date of purchase of the interconnected fire detection device or system still was not on file with the facility's fire drill logs.

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)). A child care center shall keep the proof and date of purchase of an interconnected fire detection device or system with the facility's fire drill logs.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A play mat located in the indoor gross motor room was torn and the inner 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.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: The depth of the surfacing on the preschool playground measured between 5 and 8 inches in various spots measured in fall zones of the large two 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: 3270.107

Description: Refrigerator

Noncompliance Area: The bottom shelf of the refrigerator in the Zebra room was dirty (spilled food/liquid).

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff persons #12 and #14 were present with a group of 11 children in the turtle room. Staff only accounted for 9 of the 11 children when asked to identify their assigned groups. Staff persons #1 and #9 were present with a group of 19 children in the monkeys room. Staff only accounted for 15 of the 19 children when asked to identify their assigned groups. Staff persons #17 and #19 were present with a group of 19 children on the preschool playground. Staff only accounted for 18 of the 19 children when asked to identify their assigned groups.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Copies of completed Child Service Reports had not been provided to parents of children #1, #3, #4, #5, #7 in the past 6 months. Child Service Reports were most recently provided to the parents in May of 2025.

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(a)(4)/3270.123(a)(5)

Description: Arrival/departure times/Designated release persons

Noncompliance Area: The agreement on file for child #6 did not include arrival and departure times. The agreement also did not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the child's arrival and departure times. An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information on file for child #2 did not include the work address and work phone number for the enrolling parent.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Child #9 was receiving care in the ducks room. The child's emergency contact form was not present in the space. Children #10 and #11 were receiving care in the ladybugs room. Their emergency contact form were not present in the space.

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: 3270.133(1)/3270.133(2)

Description: Original container/Written instructions

Noncompliance Area: Turtles room - An inhaler was present in the room for child #12. The inhaler was not in the original container and was not accompanied by a prescription label or written instructions that were provided from the individual who prescribed the medicine.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: Ladybugs - An inhaler was on site for child #13. A medication log was not on file.

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

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

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

Noncompliance Area: The initial health assessment and TB test results on file for staff person #2 were not dated within the 12 months prior to providing initial service in the child care setting. The health assessment was dated 32 days after the start date with children. The TB test results were dated 3 days after the start date working with children. The most recent health assessments on file for staff person #15 were dated in September of 2023 and subsequently more than 12 months later in October of 2025.

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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: Lunches containing potentially hazardous food were observed in lunchboxes stored in cubbies in the Butterfly and Jaguar rooms. Chicken nuggets and yogurt were observed in the lunchboxes.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: An operator had not notified the local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: Written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact form on file for child #2 was updated by the parent in December of 2024 and subsequently more than 6 months later in July of 2025. The emergency contact form on file for child #6 was updated by the parent in February of 2025 and subsequently more than 6 months later in February of 2026. The agreement on file for child #6 was updated by the parent in March of 2025 and subsequently more than 6 months later in February of 2026. The emergency contact form on file for child #7 was updated by the parent in January of 2025 and subsequently more than 6 months later in September of 2025.

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(e)

Description: Emergency master file updated

Noncompliance Area: Emergency contact forms in the master files had been updated and signed/dated by the parent. Emergency contact forms in rooms throughout the center were past due to be updated (many signatures were more than six months old - from Juily and August of 2025).

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

Regulation: 3270.183(a)/3270.193(a)

Description: Locked cabinet/Confidential; stored in locked cabinet

Noncompliance Area: The cabinets that the child records and facility persons' records were stored in were not locked. In addition, loose items such as agreements and health assessments that are to be in the child and/or staff file were being stored on desks in the office.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The record for staff person #4 included just one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The record for staff person #12 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The record for staff person #13 included just one 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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff person #14 was trained on the emergency plan in September of 2024 and subsequently more than 12 months later in October of 2025. Staff person #17 was trained on the emergency plan in September of 2024 and subsequently more than 12 months later in October of 2025.

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Fire safety trainings on file for staff person #5 were dated in January of 2025 and subsequently more than 12 months later in February 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: 3270.32(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 DHS FBI clearance as required under the CPSL. The record also did not include documentation the staff person has requested the outstanding clearance as required for provisional hiring under the CPSL. The clearance was dated 36 days after the employees start date working with children. Staff person #2 has not completed mandated reporter training within 90 days of their date of hire (see LIS code sheet). Upon beginning work in the facility, the record for staff person #4 did not contain completed a completed NSOR as required under the CPSL. The NSOR on file was dated 72 days after the employees start date working with children. Upon beginning work in the facility, the record for staff person #6 did not contain the applicable out of state clearances as required under the CPSL. The record did not contain completed a completed DHS FBI clearance as required under the CPSL. The record also did not include documentation the staff person has requested the outstanding DHS FBI clearance as required for provisional hiring under the CPSL. The staff person was observed working with children at the time of inspection. (CORRECTED ON SITE) Upon beginning work in the facility, the record for staff person #13 did not contain the applicable out-of-state clearances as required under the CPSL. The clearances were not on file at the time of inspection. Upon beginning work in the facility, the record for staff person #18 did not contain the Pennsylvania Child Abuse clearance as required under the CPSL. The clearance was not on file at the time of inspection

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 13 and #18 may not work in a child care position at the facility. Until such time as the required training has been completed, staff person #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 person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Written evaluations on file for staff person #1 were dated in August of 22 and subsequently more than 12 months later in October of 2025. Written evaluations on file for staff person #8 were dated in August of 2024 and subsequently more than 12 months later in November of 2025. Written evaluations on file for staff person #11 were dated in August of 2024 and subsequently more than 12 months later in October of 2025. Written evaluations on file for staff person #14 were dated in August of 2024 and subsequently more than 12 months later in October of 2025. The most recent written evaluations on file for staff person #15 was dated in August of 2024. Written evaluations on file for staff person #16 were dated in August of 2024 and subsequently more than 12 months later in October of 2025. The most recent written evaluations on file for staff person #17 was dated in August of 2024.

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

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

Noncompliance Area: Staff persons #7, #9 and #10 are serving in AGS roles at the facility. Their records did not include sufficient documentation of education/experience to justify the role the staff persons are serving in. The records each included documentation of a high school diploma. Staff person #17 is serving in an AGS role at the facility. Her record did not include documentation of high school education.

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: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: Staff person #3 is serving as an aide at the facility. The staff person was observed in a room alone with children.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Two staff were present with 12 children in the Ducks room (one year olds).

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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. 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 -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Two uncovered outlets were observed in the Butterfly room. (CORRECTED ON SITE)

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: Diaper cream was observed in an area accessible to the toddler in the Ladybug room. (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: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: Two separate first aid kits were observed to be stored in an area accessible to the children on the preschool playground.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A significant amount of trash was observed along the entire perimeter of the preschool playground. (CORRECTED ON SITE) Bolts were protruding upwards from the black mulch barrier on the preschool playground. Dusty fans and/or vents were observed in the Ducks, Turtles, Butterfly, and Ladybug rooms. (CORRECTED ON SITE)

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Areas of peeling paint were observed in the indoor gross motor space, the Butterfly room, and the Zebra 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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The proof and date of purchase of an interconnected fire detection device or system was not on file with the facility's fire drill logs. More than 30 days lapsed between manual tests of the fire detection system on 2/13/26 and 3/26/26.

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. A child care center shall keep the proof and date of purchase of an interconnected fire detection device or system with the facility's fire drill logs. To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed that the Volcano soft play slider equipment located in the toddler indoor play space had ripped and frayed corners that was in need of repair both in the stepper portion and middle Volcano surfacing area.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: It was observed on the record for facility person #1 (DOH see LIS code sheet) did not contain an out of state Sex Offender registry results, which exceeds the 45-day provisional hire period. The file did not contain copies of request(s) for the clearances/verification. It was observed that the file for facility person #2 contained State Police clearances dated 9.23.20 with an update on 10/12/25, Child Abuse Clearances dated 9.24.20 with an update on 10/19/25, DHS FBI Clearances dated 10.4.20 with an update on 10/18/25. and NSOR Clearances results dated 9.25.20 with an update on 10/28/25. Clearances for facility person #2 were not updated within the 60-month timeframe required under CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 must be placed in an administrative or other support personnel role pending receipt of clearances provided the position does not involve direct contact or routine interaction with children. 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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: It was observed that the wall near the library /dramatic play area in the Pre-K classroom and (far side wall on the left) had one area of peeling paint and in the toddler indoor play space there was a sheet-rock paper damaged along the yellow painted wall.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed in the turtle room that the soft turtle shaped soft cushion was frayed in multiple sections along the top circular cushion.

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: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: It was observed that the agreement form for child #8 did not include the child's admission date.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: It was observed that the emergency contact forms for child #4 was updated by the parent beyond a 6-month period evidenced with dates of 3.26.24 with an update on 10.12.24. It was observed that the agreement forms for child #4 was updated by the parent beyond a 6-month period evidenced with dates of 2.24.24 with an update on 10.12.24. It was observed that the emergency contact forms for child #10 was updated by the parent beyond a 6-month period evidenced with dates of 3.01.24 with an update on 10.03.24. It was observed that the agreement forms for child #10 was updated by the parent beyond a 6-month period evidenced with dates of 2.28.24 with an update on 10.21.24.

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

Regulation: 3270.182(5)

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

Noncompliance Area: The emergency contact information for child #5 did not contain 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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff emergency plan training was not updated annually. The file for staff #5 included documentation of emergency plan training on 8/5/23 with an update on 9/10/24. The file for staff #10 included documentation of emergency plan training on 8/25/23 and updated on 9/10/24. The file for staff #11 included documentation of emergency plan training on 8/28/23 and updated on 9/10/24. The file for staff #12 included documentation of emergency plan training on 6/26/23 and updated on 9/10/24 . The file for staff #16 included documentation of emergency plan training on 8/28/23 and updated on 9/4/25. The file for staff #18 included documentation of emergency plan training on 8/25/23 and updated on 9/10/24.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff person # 14 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented pediatric first aid and CPR training on file expiring 6/25/24. Documentation of updated Pediatric first aid and CPR training was 7/9/24.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff fire safety planning training was not conducted annually. The file for facility person # 9 had documentation of fire safety training dated 12/27/23 and updated on 1/28/25.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff evaluations were not completed on a regular basis at a minimum annually. The file for Staff person #5 had documentation of an evaluation dated 7/14/23 with an update on 8/29/24. The file for Staff person #10 had documentation of an evaluation dated 7/24/23 with an update on 8/29/24. The file for Staff person #12 had documentation of an evaluation dated 8/29/24. The file for Staff person #14 had documentation of an evaluation dated 7/20/23 with an update on 8/28/24. The file for Staff person #16 had documentation of an evaluation dated 7/24/23 with an update on 8/29/24. The file for Staff person #18 had documentation of an evaluation dated 8/30/24.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the Butterfly room, it was observed that protective outlet covers were missing along the one electrical socket. (CORRECTED OIN SITE)

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: It was observed in the butterfly room that the first aid kit did not include soap, scissors and tweezers. In the monkeys room, the first aid kit did not include tweezers.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed in the lady bugs room that the adjustable metal blind cords by the window were accessible to children due to a missing two-pronged hook causing a potential choking 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.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: It was observed that the facility tested smoke detectors on 7/12/24 and then again on 8/28/24, (47 days lapsed between dates), and on 10/8/24 and then again on 11/11/24 ( 34 days lapsed between dates) , and on 11/11/24 and then again on 12.12.24 (31 days lapsed between dates) which is greater than the allowable 30 days between testing dates.

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: 3270.62(c)

Description: Space safe for large muscle activity

Noncompliance Area: It was observed that there was a 2-inch gap from the cement pathway and adjacent mulched play area that posed a hazard.

Correction Required: Outdoor or indoor play space shall be safe for large muscle activity.

Regulation: 3270.124(b)(4)

Description: Written consent

Noncompliance Area: The emergency contact record provided for Child #4 AND CHILD #5 did not have a parent signature consenting to emergency medical care for the child.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care.

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: THE HEALTH ASSESSMENT DATED 11.08.23 ON FILE FOR CHILD #1 CONTAINED IMMUNIZATIONS RECORDS BEYOND THE 60 DAY VERIFICATION TIMEFRAME.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: THE FILE FOR CHILD #1 AND #2 and CHILD # 9 CONTAINED EMERGENCY CONTACT FORMS AND AGREEMENTS THAT WERE REVIEWED BEYOND THE 6 MONTH TIME FRAME. THIS WAS EVIDENCED THAT INCLUDED DATES OF 8.28.23 AND AN UPDATE ON 3.03.24 FOR CHILD #1 AND CHILD #2 CONTAINED DATES OF 7.23.23 AND AN UPDATE ON 3.3.24., AND CHILD #9 DATES WERE 7.25.25 AND AN UPDATE ON 2.27.24.

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

Regulation: 3270.182(5)

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

Noncompliance Area: The emergency contact record provided for Child #4 AND CHILD #5 did not have a parent signature consenting for administration of 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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: It was observed that in the indoor toddler play area, there was a need to address peeling paint and sanding of surface area by doorway entrance.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: It was observed at the time of inspection that the facility did not test the fire detection system every 30 days as required by the standards established under section 1016(c) of the act (62 P.S. § 1016(c)) testing dates on file included 3.10.23, 4.10.23, 7.14.23.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Facility persons #1-#13 and #22-25 did not complete the required training update within the prescribed frame of December 30, 2022, as outlined in Announcement C-22-06.

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

Regulation: 3270.151(a)

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

Noncompliance Area: Facility person #12 did not have a health assessment on file and was observed working with children in care.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Plastic trash bags were observed on the table tops in both the Monkey and Zebra rooms.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for staff persons #3-#17 contained PA Health and Safety Updated 2022. Staff persons #3-#17 did not complete the required training update within the prescribed frame of December 30, 2022, as outlined in Announcement C-22-06.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff persons #1 and #2 was observed to be caring for children unsupervised. Staff person #1 and staff person #2 has not 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.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. Until such time as the required pre-service training has been completed, staff persons #1 and #2 must be supervised, when interacting with children, by an AGS (or higher) who has completed the required training related to this citation. 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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During inspection, disinfectant/cleaning materials and other toxic materials were observed on tables and countertops in the monkey's room.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Classrooms must be re-inspected prior to re-opening classrooms..

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed that carpets in the Monkey and Zebra rooms needed cleaning after flooding occurred in classroom. Carpet Cleaning equipment was observed in both classrooms. It was observed that classroom equipment, toys, and education materials were stacked on tables and chairs throughout the entrance and cabinet countertop storage areas causing visible hazards in both the Zebra and Monkey classrooms.

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. Classroom must be reinspected prior to reopening.

Regulation: 3270.124(b)(4)

Description: Written consent

Noncompliance Area: The emergency contact record provided for Child #5 did not have a parent signature consenting to emergency medical care for the child.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care.

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

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

Noncompliance Area: Staff persons #12, #15, #16 , #17, #18, #19, #20, #21 did not have a health assessment completed within 12 months prior to initial day of caring for children.Staff persons #12, #16 , #17, #18, #20, and #21 did not have a Tuberculosis screening completed within 12 months prior to initial day of caring for children.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person # 20, #21, #24 , #25 , and #26 do not contain 2 non-family references.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for facility person #5 did not include documentation of fire safety training.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons # 4 , #5, #8, #11 , #12, #13, #15, #16, #17, #18, #19 #20, and #21 -- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): staff person #4, #15, - Mandated Reporter Training; Staff persons #5, # 8, #11, #12 , #13 , #14, #15, #17, #18, #20, and #21- Health and Safety; Staff persons # 12, #13, #15, 16, #17, #19 ,# 20, and #21 - Pediatric First Aid and CPR.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #- 8, #11, #12,#13, #15, #16, #17 , #18 , and #20 will have until 7/26/22 (actual date- 15 days from POC requested date) to complete the required training. Until such time as the required training has been completed, staff person #8, #11, #12, #13, #15, #16 , #17 , #18, and #20 --- must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #-8., #11, #12, #13, #15, #16, #17 , #18 , and #20; Staff persons #-8, #11, #12, #13, #15,#16 , #17 , #18, and #20 - may not work in a child-care position at the facility.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: It was observed that an emergency drill was not conducted annually.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: It was observed that the operator did not have documentation to support that the emergency plan was reviewed annually. The emergency plan was last reviewed on 8/24/2020.

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.

Regulation: 3270.95(b)/3270.95(b)

Description: Director or designated staff person ensure compliance/Director or designated staff person ensure compliance

Noncompliance Area: It was observed that the director or designated staff person did not ensure compliance with the manual fire detection system or fire safety professional testing requirements.It was observed that the director or designated staff person did not ensure compliance with the manual fire detection system or fire safety professional testing requirements.

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

Regulation: 3270.182(7)

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

Noncompliance Area: (Continued non-compliance observed) - Reports submitted for 11/19/2021 were incomplete and not submitted to the regional office until 11/22/2021 which is beyond the two-day required timeframe. 11/19/2021- Incident description check boxes were left blank on three reports, date and time beside parent signature line were left blank on three reports, and parent notification was left blank on one report. Report submitted for 11/30/2021 was incomplete - incident description check box was left blank. (Original violation description) - On 7/29/2021, Child #1 (3 years of age) was injured when another child pushed a bathroom door closed on his hand. Medical documentation states that Child #1 suffered a tuft fracture and partial amputation to the right index finger. Child #1 was injured while in care on 7/29/2021. Injury report was not given to the parent on the day of the incident. An injury report was given to parent on 8/2/2021. The injury report provided to the parent was incomplete: description of what body part was affected (only listed hand), description of the injury was blank, actions taken only listed 'pressure was put on finger,' and notification section was blank.

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. The legal entity must submit all reports of accidents, injuries and illnesses involving children in care at the facility to the regional office for a period of three months. The reports must be complete and submitted to the regional office within two days of the accident, injury or illness.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 7/29/2021, Child #1 (3 years of age) was injured when another child pushed a bathroom door closed on his hand. Medical documentation states that Child #1 suffered a tuft fracture and partial amputation to the right index finger. Complaint investigation revealed that Staff #1 (director) was told by Staff #3 and Staff #4, prior to 7/29/2021, that children could slam bathroom doors and a potential hazard existed. Staff #1 acknowledged that staff shared these concerns prior to 7/29/2021.

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: 3270.182(7)

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

Noncompliance Area: On 7/29/2021, Child #1 (3 years of age) was injured when another child pushed a bathroom door closed on his hand. Medical documentation states that Child #1 suffered a tuft fracture and partial amputation to the right index finger. Child #1 was injured while in care on 7/29/2021. Injury report was not given to the parent on the day of the incident. An injury report was given to parent on 8/2/2021. The injury report provided to the parent was incomplete: description of what body part was affected (only listed hand), description of the injury was blank, actions taken only listed 'pressure was put on finger,' and notification section was blank.

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: 3270.182(7)

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

Noncompliance Area: On 7/29/2021, Child #1 (3 years of age) was injured when another child pushed a bathroom door closed on his hand. Medical documentation states that Child #1 suffered a tuft fracture and partial amputation to the right index finger. Child #1 was injured while in care on 7/29/2021. Injury report was not given to the parent on the day of the incident. An injury report was given to parent on 8/2/2021. The injury report provided to the parent was incomplete: description of what body part was affected (only listed hand), description of the injury was blank, actions taken only listed 'pressure was put on finger,' and notification section was blank.

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. The legal entity must submit all reports of accidents, injuries and illnesses involving children in care at the facility to the regional office for a period of three months. The reports must be complete and submitted to the regional office within two days of the accident, injury or illness.

Regulation: 3270.20(a)(1)

Description: Inpatient hospitalization or ER treatment of child

Noncompliance Area: On 7/29/2021, Child #1 (3 years of age) was injured when another child pushed a bathroom door closed on his hand. Medical documentation states that Child #1 suffered a tuft fracture and partial amputation to the right index finger. Child #1 received emergency room treatment on 7/29/2021 for an injury that occurred at the facility. During a meeting on 8/2/2021, the child's parent informed Staff #1 (director) that child received emergency room treatment on 7/29/2021. Operator did not provide telephone notice to the appropriate regional office within 24 hours of being notified that a child received emergency room treatment for an injury that occurred at the facility.

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.

Regulation: 3270.20(b)

Description: Mail or deliver written report to regional office within 72 hours

Noncompliance Area: On 7/29/2021, Child #1 (3 years of age) was injured when another child pushed a bathroom door closed on his hand. Medical documentation states that Child #1 suffered a tuft fracture and partial amputation to the right index finger. Child #1 received emergency room treatment on 7/29/2021 for an injury that occurred at the facility. During a meeting on 8/2/2021, the child's parent informed Staff #1 (director) that child received emergency room treatment on 7/29/2021. Operator did not mail or deliver a written report to the appropriate regional office within 72 hours of being notified that a child in care received emergency room treatment for an injury that occurred at the facility.

Correction Required: 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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: On 7/29/2021, Child #1 (3 years of age) was injured when another child pushed a bathroom door closed on his hand. Medical documentation states that Child #1 suffered a tuft fracture and partial amputation to the right index finger. Facility did not contact emergency medical care or ambulance transport for the injury. Parent was notified by phone that child was injured and needed to be picked up. The facility did not provide a written report of the accident and did not verbally explain the extent of the child's injury to the parent at pick-up. Urgent care notified parent that child's finger had a partial amputation. Complaint investigation revealed that pressure was applied to the wound using a paper towel. Ice was also applied. Facility provided minimal first aid response. The tip of the child's finger was not collected or provided to the parent.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. The legal entity must arrange for all facility staff to receive a minimum of 3 hours of live training from a professional in the field. The legal entity must receive DHS approval of the training content prior to scheduling the training. Training content should include but is not limited to the following areas: assessing and preventing hazards, proper first-aid response to child injuries including amputations, when to contact 911 and emergency medical transportation, incident report writing, and incident notification. The training will not count toward the annual 12-hour requirement. The legal entity must submit documentation of completed training for all facility staff to the regional office.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: On 7/29/2021, Child #1 (3 years of age) was injured when another child pushed a bathroom door closed on his hand. Medical documentation states that Child #1 suffered a tuft fracture and partial amputation to the right index finger. Facility did not contact emergency medical care or ambulance transport for the injury. Parent was notified by phone that child was injured and needed to be picked up. The facility did not provide a written report of the accident and did not verbally explain the extent of the child's injury to the parent at pick-up. Urgent care notified parent that child's finger had a partial amputation. Complaint investigation revealed that pressure was applied to the wound using a paper towel. Ice was also applied. Facility provided minimal first aid response. The tip of the child's finger was not collected or provided to the parent.

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