U-Gro Learning Centre

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed in the Monkey classroom (Pre-K 2) that multiple books were not in good repair with exposed cardboard. CORRECTED ON SITE. It was observed in the Monkey classroom (Pre-K 2) that multiple soft blocks were not in good repair with peeling fabric. CORRECTED ON SITE. It was observed in the Bears classroom (toddler 1) that multiple books were not in good repair with exposed cardboard. CORRECTED ON SITE. It was observed in the Turtles classroom (twos 1) that multiple books were not in good repair with exposed cardboard. CORRECTED ON SITE. It was observed in the Turtles classroom (twos 1) that multiple soft blocks were not in good repair with peeling fabric. 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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: It was observed that the first buggy (with red straps), outside of the Bunnies classroom, had a broken strap in the middle row.

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

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: It was observed in the Bunnies classroom, that the first highchair did not have safety straps.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff persons # 1 and 4's files only contain one written, nonfamily reference attesting to their 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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Staff persons 3 and 4's files do not contain proof of annual fire safety training.

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 persons # 3 and 4's files do not contain proof of completing the Health and Safety training within 90 days of hire.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #3's file does not contain proof of mandated reporter training.

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

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

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

Noncompliance Area: Staff persons # 1, 2, and 4's files do not contain verification of 2 years' experience with children prior to service at the facility to qualify them as an assistant group supervisor. See code sheet for date of hire.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: It was observed in the Caterpillar classroom (early preschool) that the first aid kit did not contain tweezers. It was observed in the Ducks classroom (toddlers 2l) that the first aid kit did not contain scissors.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: It was observed in the Bear classroom that there is peeling paint on the wall, below the "We Wonder" sign and pictures.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Observed rest equipment in the PreK (2), Toddler (1), and the Two's (1) classrooms had less than 2 feet of space on three sides while the equipment was in use. Continued noncompliance previously cited on 10/03/2025, observed rest equipment in the PreK (1), Toddler (1 & 2) classrooms had less than 2 feet of space on three sides while the equipment was in use.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #2 did not include verification of child care experience or education prior to service at the facility (see LIS code sheet). Continued noncompliance, previously cited on 10/03/2025.

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 file for staff person #1 and #2 did not include 2 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file for staff person #1 included 1 written reference. The file for staff person #2 did not include any written references. Continued noncompliance, previously cited on 10/03/2025.

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: Observed staff person #1 caring for children in the Toddler (1) classroom. Following an unsuccessful attempt at obtaining their Out of State Child Abuse & Neglect Registry Clearance; staff person #1 was permitted to return to a position caring for children prior to obtaining the complete out of state clearances for the state in which they resided in the previous 5 years. Following an unsuccessful attempt at obtaining their Out of State Sex Offender Registry Clearances and an Out of State Child Abuse Registry, staff person #2 was permitted to return to a position caring for children prior to obtaining the complete Out of State clearances for the states in which they resided in the previous 5 years. The file for staff person #2 did not include the results of FBI clearance which were requested on 09/16/2025. Continued noncompliance, previously cited on 10/03/2025. The file for staff person #1 did not include complete out of state clearances prior to working in a child care position at the facility (see LIS code sheet). The file did not include the Out of State Sex Offender Registry or Child Abuse & Neglect Registry Clearance for the state in which they resided in the previous 5 years. The file for staff person #2 did not include complete out of state clearances prior to working in a child care position at the facility (see LIS code sheet). The file did not include the Out of State Sex Offender Registry Clearance for both states in which they resided in the previous 5 years. The file also did not include the Out of State Child Abuse Registry Clearance for one of the states in which they resided in the previous 5 years.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and #2 may not work in a child care position at the facility.

Regulation: 3270.34(a)

Description: Director responsibilities

Noncompliance Area: The director is failing to ensure that staff files are complete at the time of initial hire with all required documentation as indicated in numerous violations cited in the inspection summary, including citations indicating continued non-compliance.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6). TIERED POC: 1. The operator must develop a tracking and organization system to ensure required new hire paperwork is completed prior to their first day caring for children, including a tracking system to ensure staff files are maintained and up to date with clearances and training requirements. The legal entity must arrange to receive technical assistance through the ELRC. 2. Staff person #3 and #4 will be required to attend the Central Region Existing Provider Orientation in-person training to be conducted on 01/15/2025. Staff person #3 or #4 shall contact the Central Regional Office to schedule the training. Documentation of completed training must be submitted to the Regional Office and be kept in the facility person's file. 3. The legal entity must arrange for staff person #3 to complete the following online trainings - Record Keeping: Forms for Staff and Children (1 hr.), Director Support (2 hr.) and Time Management for Child Care Directors (2 hr.) listed on the PA Keys website. Documentation of completed training must be submitted to the Regional Office and be kept in the facility person's file. 4. The operator must submit a complete file for all prospective/new staff to the Central Regional Office of Child Development and Early Learning. All prospective/new staff will not be permitted to work in a childcare position at the facility until the file is reviewed and approved by the Department. The Department's Certification Representative and/or Certification Supervisor will review and provide a response about each submission of documentation within 2 business days. Submission of files for prospective/new staff must occur for a period of 3-months from the acceptance date of the plan of correction. The file must include CPSL documentation, health assessment w/TB results, verification of education & experience and two written-nonfamily references.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Observed rest equipment in the PreK (1), Toddler (1 & 2) classrooms had less than 2 feet of space on three sides while the equipment was in use.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Mandated Reporter Training

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 trainings are completed, staff person #1 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 #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #2 did not include verification of child care experience or education prior to service at the facility (see LIS code sheet).

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 file for staff person #1 and #2 did not include 2 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file for staff person #1 included 1 written reference. The file for staff person #2 did not include any written 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)(i)

Description: Age and Training

Noncompliance Area: The Pediatric First Aid & CPR for staff person #3 was not renewed on or before the expiration of the previous certification. The current training was completed on 08/25/2025, with the previous training completed on 06/05/2023, which expired on 06/2025.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for staff person #1 did not include complete out of state clearances prior to working in a child care position at the facility (see LIS code sheet). The file did not include the Out of State Sex Offender Registry or Child Abuse & Neglect Registry Clearance for the state in which they resided in the previous 5 years. The file for staff person #2 did not include complete out of state clearances prior to working in a child care position at the facility (see LIS code sheet). The file did not include the Out of State Sex Offender Registry Clearance for both states in which they resided in the previous 5 years. The file also did not include the Out of State Child Abuse Registry Clearance for one of the states in which they resided in the previous 5 years.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 & #2 may not work in a child care position at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed an electrical outlet in the infant classroom which did not have a protective receptacle cover. *Corrected at the time of the inspection. Observed an electrical outlet in the older toddler (2) classroom which did not have a protective receptacle cover. *Corrected at the time of the inspection.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: Observed the hot water temperature of the sink on the right located in the PreK 2 classroom reached a temperature of 113° F. Observed the hot water temperature of the sink on the left in the older toddler (3 & 4) classrooms reached a temperature of 116° F.

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

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: The director or designated staff person did not ensure a manual test of the fire detection system was completed at least every 30 days between July & August. The tests were completed on 07/08/2025 and 08/08/2025 which exceeded 30 days.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: Observed the plastic chairs at the tables located in the Tigers classroom (Preschool) with visible dirt accumulated on the seats and legs of the chairs.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The financial agreement for child #2 did not include the services being provided to the facility and the child. The file for child #4 did not include a child service report providing information to the family about the child's growth and development within 6 months of initial enrollment (see LIS code sheet).

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)

Description: Arrival/departure times

Noncompliance Area: The agreement for child #4 did not specify the child's arrival and departure times.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information for child #4 did not include the telephone number of the child's physician or source of medical care.

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

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

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

Noncompliance Area: The emergency contact information for child #3 did not include the work telephone number of the enrolling parent. The emergency contact information for child #5 did not include the telephone number with complete address of the individuals designated by the parent to whom the child may be released.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact information was not present in the Turtles classroom (older toddlers) for child #6 while receiving care in the space. *Corrected at the time of the inspection.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for child #1 and #4 did not include an updated health report at least once every 12 months for an older toddler or preschool child (see LIS code sheet). The current health report on file for child #1 was completed on 02/25/2025 with the previous dated 12/05/2023. The current health report on file for child #4 was completed on 03/13/2025 with the previous dated 09/25/2023.

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: 3270.151(a)

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

Noncompliance Area: The health assessment for staff person #2 was not completed within 24 months of the previous assessment; the current assessment on file was dated 07/17/2024 with the previous dated 04/21/2022.

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

Regulation: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The health assessment on file for staff person #9 did not include information of an examination for communicable diseases with the results of the examination or the physician's or CRNP's assessment of the person's suitability to provider child care.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #5 included one written, nonfamily reference from individuals attesting to the person's suitability to serve as a facility person. The second reference was written by a family member.

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: 3270.21/3270.119

Description: General Health and Safety/Infant sleep position

Noncompliance Area: Observed compact cribs in the infant classroom with full size crib sheets on the mattresses in lieu of crib sheets intended for a compact crib mattress. The crib sheets, which were too big for the mattress, created access material which creates a potential suffocation hazard. *Corrected at the time of the inspection.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Annual emergency plan training documented for staff person #3 and #7 was not completed on an annual basis. The current training on file for staff person #3 was documented on 01/08/2025 with the previous training documented on 07/27/2023. There was no additional training documented between these 07/2023 - 01/2025. The current training on file for staff person #7 was documented on 01/02/2025 with the previous training documented on 05/08/2023. There was no additional training documented between these 05/2023 - 01/2025.

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)(i)

Description: Age and Training

Noncompliance Area: Pediatric first aid & CPR for staff person #8 was not reviewed on or before the expiration of the previous certification. The current training was completed on 02/12/2025 with the previous training completed on 09/26/2022 which expired on 09/2024.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: Fire safety training for staff person #1 and #6 was not completed within 12 months of the previous training. The current training for staff person #1 was completed on 04/15/2025 with the previous training dated 02/12/2024. The current training for staff person #6 was completed on 04/14/2025 with the previous training dated 02/16/2024.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 included an NSOR which was not updated within 60 months of the previous clearance. The NSOR on file was dated 03/25/2020 with no subsequent NSOR on file.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The director did not complete an evaluation for staff person #1, #2 and #4 within 12 months of the previous evaluation. The most recent evaluation for staff person #1 was completed on 10/14/2024 with the previous dated 08/08/2023. The most recent evaluation for staff person #2 was completed on 10/14/2024 with the previous dated 08/07/2023. The most recent evaluation for staff person #4 was completed on 10/24/2024 with the previous dated 07/27/2023.

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: Observed an electrical outlet in the Ducks classroom (young & older toddlers) and in the Turtles classroom (older toddlers) which lacked a protective receptacle covers and were accessible to children under 5 years of age. *Corrected at the time of the inspection.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed the baseboard behind the toilets located in the Monkeys classroom (Kindergarten / PreK) had visible dirt accumulated along the floor.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 02/27/2025, child #1 was left alone on the playground for an undetermined period of time after their class was already inside the classroom. Child #1 was found on the playground by their parent. The parent was unsure how long child #1 was outside and staff person #1 and #2 were in the process of completing a face-to-name check when the child was brought into the classroom by their parent.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: 1. Children must be supervised at all times. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. 3. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 02/27/2025, staff person #1 and #2 were outside on the toddler playground with a group of 10 toddlers. Staff person #1 left the group to return a child to another classroom. Staff person #2 was left alone to supervise the remaining children in the group. While transitioning the group inside, staff person #2 stated that she was not sure how many children there were. While walking toward the classroom, staff person #1 noticed that child #2 was outside the door and brought her inside. Once inside the classroom, staff person #2 asked how many children they had and a face-to-name check was completed. During this time, it was unknown that child #1 was left outside on the playground. Staff person #1 and #2 stated that they had not assigned groups when they combined on the playground. Child #1 was found on the playground by their parent at pick-up.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #3, who resided outside of PA in the previous 5 years, did not include documentation of a request for an out of state sex offender registry for the state of NJ prior to their first day caring for children (see LIS code sheet). Staff person #3 was observed to be working alone with children in the Butterflies classroom with a group of 8 preschool age children. *Corrected on the date of the inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 02/27/2025, at approximately 3:50 pm, staff person #1 and #2 were outside on the playground with a mixed group of 9 young and older toddlers from the Bunnies, Zebra and Turtles classrooms. Staff person #1 went to the door of the Bunnies classroom to return child #2 and pick-up child #3. During this time, staff person #2 was lining up the remaining children to go inside. Staff person #2 was responsible for a group of 3 young toddlers and 5 older toddlers the staff:child ratio is 1:5 when a mixed group includes young toddlers. Staff person #2 brought the children inside and was standing at the door waiting for staff person #1 to return. Video footage showed staff person #1 walking toward the turtle classroom door from the bunnies classroom door and there was a child standing outside near the door, staff person #1 picked up the child and walked inside while staff person #2 was holding the door open. Child #1 was observed in the video to be standing alone outside while the remaining group was inside the classroom.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: The director or designated staff person did not ensure a manual test of the fire detection system was completed at least once every 30 days; the test conducted between 09/25/2024 - 11/01/2024 exceeded 30 days.

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

Regulation: 3270.14

Description: Pertinent Laws & Regulations

Noncompliance Area: On 10/08/2024, Staff person #1 was caring for children in the Turtles classroom unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid & 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. Until such time as the required pre-service trainings are completed, staff person #1 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 person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

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: The parent was not provided with the original copy of the incident report for an incident that occurred on 10/08/2024. The form was signed by the parent and retained by the facility.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: On 10/08/2024, staff person #1 accidentally tripped over child #1, causing staff person #1 to fall on the child. Measures were not taken to ensure the child received immediate medical care at the time the incident occurred and remained in pain throughout the day. The child was crying throughout the day and complained about neck pain. The child did not eat their lunch. Staff person #1 contacted staff person #2 at that time to assess the child for injuries, none were detected at the time by staff person #2 and the child cried themself to sleep during naptime. The incident occurred around 10:55 am and the parent was not notified of the incident until 3:45 pm via the SproutAbout App. The parent of the child did not immediately see the message due to being at work and did not respond to the message. There was no follow-up with the parent until the child was picked up by the parent around 4:00 pm. The child was taken to urgent care following pick-up and had a broken collarbone as a result of the fall.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: **On 10/08/2024, staff person #1 accidentally tripped over child #1, causing staff person #1 to fall on the child. Measures were not taken to ensure the child received immediate medical care at the time the incident occurred and remained in pain throughout the day. The child was crying throughout the day and complained about neck pain. The child did not eat their lunch. Staff person #1 contacted staff person #2 at that time to assess the child for injuries, none were detected at the time by staff person #2 and the child cried themself to sleep during naptime. The incident occurred around 10:55 am and the parent was not notified of the incident until 3:45 pm via the SproutAbout App. The parent of the child did not immediately see the message due to being at work and did not respond to the message. There was no follow-up with the parent until the child was picked up by the parent around 4:00 pm. The child was taken to urgent care following pick-up and had a broken collarbone as a result of the fall.

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 complete the Better Kid Care 911: Responding to Medical Emergencies Self-Learning Module. The legal entity will confirm compliance by sending a copy of the training certificate to the Central Regional Office of Child Development and Early Learning upon completion of the training.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: ***On 10/08/2024, staff person #1 accidentally tripped over child #1, causing staff person #1 to fall on the child. Measures were not taken to ensure the child received immediate medical care at the time the incident occurred and remained in pain throughout the day. The child was crying throughout the day and complained about neck pain. The child did not eat their lunch. Staff person #1 contacted staff person #2 at that time to assess the child for injuries, none were detected at the time by staff person #2 and the child cried themself to sleep during naptime. The incident occurred around 10:55 am and the parent was not notified of the incident until 3:45 pm via the SproutAbout App. The parent of the child did not immediately see the message due to being at work and did not respond to the message. There was no follow-up with the parent until the child was picked up by the parent around 4:00 pm. The child was taken to urgent care following pick-up and had a broken collarbone as a result of the fall.

Correction Required: ***Conditions at the facility may not pose a threat to the health or safety of the children. The facility director will be required to attend the in-person Central Region Existing Provider Orientation to be conducted on 01/16/2025. The director shall contact the Central Regional Office to schedule the training. Documentation of completed training must be submitted to the Regional Office and be kept in the facility person's file.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed on the toddler playground: a bolt which protruding into the plays pace on the fence near the sidewalk at the back of the playground next to the blue poured In place rubber playground surfacing at the edge of the swings. Observed the blue poured in place rubber playground surfacing was chipping/coming up at the bottom of the red double slide on the side of the climber. Observed on the preschool/school-age playground: a screw missing on the side of the red fire truck which holds the back rest of the seat in place. Observed the red poured in place rubber playground surfacing was chipping, coming up next to the "Sway Fun" rocking ship and on the blue poured in place rubber playground surfacing near the climbing dome and at the bottom of the steps on the large climber.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed a box of nonporous gloves on the window ledge next to the changing table in the "Duck" classroom which was accessible to the young and older toddlers in care. Observed a box of nonporous gloves in a cloth drawer located next to the bathroom in the Frogs classroom which was accessible to the older toddlers in care. *Corrected at the time of the inspection.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Observed the child service report for child #3, with information to the family about the child's growth and development was not completed at least once every 6 months. The child service report completed between 03/10/2023 - 10/10/2023 exceeded 6 months. A current child service report was completed on 03/11/2024.

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: 3270.124(c)

Description: Each child care space

Noncompliance Area: Observed emergency contact information for child #5 and #6 was not present in the Bears classroom while receiving care in the space. *Corrected at the time of the inspection.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Observed the emergency contact information and financial agreement for child #1 was not reviewed by the parent within 6 months of initial enrollment (see LIS code sheet). The review was completed on 03/24/2024 with no previous reviews documented.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for child #3 and #4 included a health report which was not updated at least every 12 months for an older toddler or preschool child (see LIS code sheet). The current health report on file for child #3 was dated 02/05/2024 with the previous health report dated 12/21/2022. The current health report on file for child #4 was dated 04/01/2024 with the previous health report dated 08/08/2022.

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: 3270.182(5)

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

Noncompliance Area: The file for child #2 did not contain signed parental consent for the administration of minor first-aid procedures prior to admission (see LIS code sheet).

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(a)(6)

Description: Emergency plan

Noncompliance Area: An emergency drill was not conducted within the previous 12 months. The most recent documented emergency drill was dated 09/01/2022.

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: Emergency plan training was not completed at least once every 12 months for staff person #1, #2, and #4. Emergency plan training was not completed at the time of initial hire for staff person #3 and #5. The current emergency plan training for staff person #1 and #4 was completed on 01/08/2024 with the previous training completed on 10/10/2022. The current emergency plan training for staff person #2 was completed on 01/04/2024 with the previous training completed on 10/10/2022. The current emergency plan training for staff person #3 was completed on 01/08/2024 with no documentation of training completed within 90 days of rehire (see LIS code sheet). The current emergency plan training for staff person #5 was completed on 01/08/2024 with no documentation of training completed within 90 days of hire (see LIS code sheet).

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 did not send a copy of the most recent plan update (dated 11/20/2023) to the local municipality and to the county emergency management agency.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #3, did not include an updated FBI clearance within 60 months of the previous clearance. The FBI Clearance on file was dated 01/30/2019. Staff person #3 was observed working in the Butterfly classroom on 04/17/2024.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The director did not ensure a written evaluation for staff person #2 was completed within 12 months of the previous evaluation. The most recent evaluation for staff person #2 was dated 01/12/2023.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed a Glade Automatic time release spray air freshener labeled "Keep out of reach of children" in the Caterpillar Classroom which was accessible to preschool children in care. One was on top of the children's cubbies, and another was on the counter next to the sink.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: Observed the bag containing the first aid kit was placed on a table in the outdoor play space, which was accessible to the preschool age children playing in the space. *Corrected at the time of the inspection.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed the bottom of the cabinet/cabinet door in the bathroom located between the Frog and Zebra classroom had particle board which was peeling and crumbling. Observed a loose handle where a screw was missing on a drawer located in the Zebra classroom. Observed a cabinet door above the sink with a loose hinge in the Bunnies classroom.

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: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: Observed a brown ring and stains in the toilets located in the shared bathroom between the Ladybug and Turtle classrooms. Observed black grime behind the sinks and at the crease of the backsplash of the counter located in the shared bathroom between the Frog and Zebra classrooms. Observed the sinks located in the bathroom in the Monkey classroom had visible stains and dirt.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: Observed video footage from 01/23/2024- a group of 2-year-old children were standing in a line along the wall while staff person #1 was cleaning up the toys in the room. During this time, the children were not provided age-appropriate activities to keep them occupied. The children were expected to stand still in line and staff was not interacting with the children, the needs of individual children and the dynamics of the group were not accommodated by being talked to or played with.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 01/16/2024, child #1 was bitten by another child while staff person #1 was pre-occupied with another task in the classroom. Staff person #1 stated they did not see child #1 get bitten. Staff person #1 heard child #1 crying and then noticed their hand was red and had a bite mark.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Observed video footage from 01/23/2024- a group of 2-year-old children were standing in a line along the wall while staff person #1 was cleaning up the toys in the room. Observed child #1 walk out of line and walked toward the tables. Staff person #1 walked over and grabbed child #1 by the arm, spun the child around and moved the child toward the line causing the child to bump into a chair and stumble. In a second incident, the child left the line and was playing at the reading/cozy cube when staff person #1 grabbed child #1 by the arm and moved the child around the cube toward the line. Staff person #1 returned to cleaning up the room while child #1 stood between the table and the cube crying.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

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 01/16/2024, Child #1 was bitten by another child. On the date of the complaint investigation, a copy of the incident report was unable to be located at the facility. According to the parent and staff, an incident report form was completed by staff person #1 on the date of the incident and was signed by the parent at pick up and returned to the staff person. The original report was not given to the parent and a second copy of the report was not retained at the facility in an accident file. A third copy of the report was not retained at the facility in the child's file.

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: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: The director or designated staff person did not complete a manual test of the fire detection system within 30 days of the previous test. The most recent manual test was documented on 12/19/2023 with no subsequent test documented.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 10/16/2023, staff person #2 was changing diapers in the Turtles classroom while staff person #3 was washing dishes in the sink. While both staff members were engaged in these activities, no one was actively supervising the remaining children in the classroom.

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 11/07/2023, observed staff in the Turtles classroom did not have the children wash their hands prior to eating lunch. Observed a child being diapered in the bears classroom whose hands were not washed after being diapered. Staff person #1 put the child down after being diapered and told the child to go play. During the complaint investigation, staff person #2 and #3, stated that do not have the children wash their hands after being diapered in the Turtles classroom.

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: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: On 11/07/2023, observed staff person #1 did not wipe the surface of the diaper changing surfaces with a sanitizing solution immediately after diaper a child in the Bears classroom. During the complaint investigation, staff person #2 and #3, stated that they do not clean the diaper changing surfaces with a sanitizing solution after each diaper change in the Turtles classroom; they use a diaper wipe to clean the surface in lieu of a sanitizing solution.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.152

Description: Adult Hygiene

Noncompliance Area: On 11/07/2023, it was observed that staff in the Turtles classroom did not wash their hands prior to serving lunch to the children. Observed staff person #1 did not wash their hands after diapering a child in the Bears classroom. During the complaint investigation, staff person #2 and #3, stated that they do not wash their hands after diapering each child in the Turtles classroom. It was stated that they change diapers and wash their hands after they are all done. Staff person #2 stated that they wear gloves during diaper changes and does not change the gloves or wash their hands after each child being diapered.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Continued noncompliance- previously cited on 07/07/2023. Staff person #2 was observed working at the facility without complete hiring documents. Staff person #2 did not have the final results of the PA State Police on file within 45 days of hire (see LIS code sheet). Staff person #2 was observed as the only staff person supervising a group of 11 older toddlers in the Turtles classroom during naptime.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

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

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

Noncompliance Area: Continued noncompliance previously cited on 07/07/2023. Staff person #1 was observed working alone in the Caterpillars classroom with a group of 16 Preschool age children during naptime. The file for staff person #1 did not have documentation of qualifications (verification of education) on file to qualify as an AGS.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 07/07/2023 at approximately 10:30 am, staff person #4 and #5 were working together in the Butterfiles classroom with a group of 15 preschool age children who were lined up along the cubbies. Initially they stated they had 14 children and incorrectly identified the children in their groups, each staff person identified 7 children missing one child. While attempting a second time, another child entered the room and they again missed one of the children in the room, by identifying only 15 children. At approximately 10:40, another child entered the room, and their total was 17 children. At this time, the children were asked to sit at their seats at the table. Staff identified 16 children and missed one of the children who had not gone to their seat. It took staff person #4 and #5 approximately 10 minutes to properly identify all of the children in the classroom.

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: 3270.23

Description: Parent Access & Participation

Noncompliance Area: On 07/06/2023, at approximately 5:38 pm, the main entrance of the facility was locked when staff person #3 left for the day. Child #1 was still in the building with staff person #1 and #2. The lights were turned off in the hallway and most of the classrooms. Upon arrival to pick up child #1, the guardian was unable gain access into the building due to the main entrance door being locked.

Correction Required: A parent of a child in care shall be permitted free access, without prior notice, throughout the center whenever children are in care, unless a court of competent jurisdiction has limited the parental right of access to the child and a copy of the order is on file at the facility. Opportunity shall be provided for parents to participate in the facility's program. The operator shall maintain a yearly file which documents general announcements to promote parent participation. The file shall be updated annually.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 07/07/2023, staff person #6 was observed working at the facility without complete hiring documents. Staff person #6 did not have the results of the NSOR clearance within 45 days of hire (see LIS code sheet) or documentation of a request of the NSOR clearance at the time of hire. Staff person #6 was observed supervising a group of 8 older toddlers in the Ladybugs classroom with staff person #7, an aide.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #6 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

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

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

Noncompliance Area: On 07/06/2023, staff person #1 was one of the closing staff persons and was working alone in the Ducks classroom with child #1. The file for staff person #1 did not have verification of 2 years experience to qualify as an AGS.

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

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: On 07/06/2023, staff person #1, an aide, was one of the closing staff persons and was working alone in the Ducks classroom with child #1.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed missing T-Straps on the red 6-seat "Bye-Bye" baby buggy. Observed broken toy storage baskets in the Bears Classroom. Observed a torn foam climbing block in the front portion of the indoor gross motor space, exposing the foam within. Observed the protective padding on the poles supporting the indoor gross motor equipment in the back portion of the indoor gross motor space was torn, exposing the foam within.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: Observed the area around the refrigerator, the book and toy shelves located in the Bears Classroom had visible dirt and sticky residue.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Observed the rest equipment in the Bears and Ladybugs classroom were not labeled properly to identify the use of the rest equipment by a specific child. The chart on the wall did not match the numbered cots being used by the children.

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

Regulation: 3270.114

Description: Outdoor Activity

Noncompliance Area: Weather permitting, the infants in the Bunnies classroom are not taken outdoors daily. It was stated by staff that they only go outside one time per week.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for child #2, who has been enrolled more than 6 months (see LIS code sheet), did not include a completed Child Service Report with information to the family about the child's growth and development in the context of the services being provided at least once every 6 months.

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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information for child #4 did not include the phone number of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information for child #4 did not include the complete home address or the work address and phone numbers for the enrolling parents.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for child #1, #3, #4 and #5 did not include the address of the individuals designated by the parent to whom the child may be released.

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(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for child #1 did not include an initial health report within 60 days of enrollment (see LIS code sheet) or subsequent health reports. The file only contained the child's immunization records dated 01/21/2022 and 04/03/2023.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The health report for child #2 was not updated at least once every 6 months for an infant or young toddler (see LIS code sheet). The current health report on file was completed on 12/08/2022 and printed on 02/09/2023, the previous health report was completed on 03/29/2022.

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 health report for child #3 and #6 were not updated at least once every 12 months for an older toddler or preschool child (see LIS code sheet). The most recent health report for child #3 was dated 04/04/2022 with no subsequent health report was on file. The most recent health report on file for child #6 was dated 03/09/2022 with no subsequent health report on file.

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

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The current health report for child #2 dated 12/08/2022, did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #1 (see LIS code sheet) included a record of the child's immunization status which lacked an influenza immunization. The file for child #5 and #6 (see LIS code sheet) included a record of the child's immunization status which lacked a current influenza immunization. The file for child #3 (see LIS code sheet) included a record of the child's immunization status which lacked a 4th dose of DTap, a 4th dose of PCV13, a 2nd dose of Hep A and an influenza immunization.

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #3 did not include two written, nonfamily references from individuals attesting to the persons 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(f)

Description: Emergency plan

Noncompliance Area: A copy of the emergency plan was not sent to the county emergency management agency. The operator had documentation that the emergency plan was sent to the local municipality only.

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)

Description: Age and Training

Noncompliance Area: The file for staff person #1 and #2 did not include documentation of an annual minimum of 12 clock hours of child care training based on their date of hire (see LIS code sheet).

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.