U-gro Learning Centres

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: On 4/22/26 it was observed that there was not 2 feet on 3 sides of the nap cots in the Monkeys (PreK), Ducks (toddlers), and Lambs (older infant) classrooms.

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: 3270.61(h)

Description: Exceeding Capacity

Noncompliance Area: On 4/22/26, it was verified through staff interviews and classroom documentation that there were 31 children present in the Caterpillar/Preschool classroom, which is licensed for 24, during the morning.

Correction Required: The capacity established for an indoor space may not be exceeded except in situations described in § 3270.61(h)(1-3)

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: On 4/15/26, it was verified through staff interviews that on April 8, 2026, child 1 climbed over the fence between the toddler and preschool playgrounds, in the afternoon (between 3:45 and 4 PM), and was unsupervised on the toddler playground for approximately 15 minutes before they were noticed and brought inside by another classroom. Staff were unaware the child was missing until the child was returned to the classroom approximately 30-45 minutes after they went missing. Staff could not state which teacher was the child's primary care provider at the time they went missing.

Correction Required: 1: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. 2: 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. Tier 1: Children must be supervised at all times. Tier 2: The legal entity must arrange for all facility staff to receive a minimum of two hours of in person training regarding supervision of children while on the playground as well as Technical Assistance visits. The legal entity must receive DHS approval of the training content prior to scheduling the training. The facility must participate in Technical Assistance and implement strategies and suggestions as suggested during the course of the TA visits. Tier 3: The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for tracking transitions to and from the playground where every child is accounted for going to the playground and returning. 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. Tier 4: Staff will have assigned primary care groups that will be documented by carrying name to face cards on their person at all times while the child is in their primary care group.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 3/27/26 it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 24 was observed working at the facility and did not have a signed, dated disclosure statement on file. Staff person 27 was observed working alone in the Butterfly classroom and did not have an NSOR (National Sex Offender Registry) certificate on file. Staff person 27 may not return to work in a childcare position until completed NSOR certificate is 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 #27 -- may not work in a child care position at the facility.

Regulation: 3270.31(e)(1)(iv)

Description: Age and Training

Noncompliance Area: On 2/25/26, it was observed that staff persons 14, 16, 18, and 19 did not have record of 12 training hours completed in the previous 12 months.

Correction Required: Training conducted with audio-visual materials recognized by child care professionals is acceptable and may count toward the annual requirement for 12 clock hours of child care training.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 2/25/26, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 22 was observed working in the Ladybug classroom and did not have a signed, dated disclosure statement on file. Staff person 23 was observed working in the Monkey classroom and did not have Child Abuse Clearance on file. Staff person 23 may not return to work in a childcare position until their child abuse clearance is 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 # 23 may not work in a child care position at the facility.

Regulation: 3270.151(a)

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

Noncompliance Area: On 1/16/26, it was observed that staff person 7 had a health assessment on file that expired on 8/8/25 that was not updated until 1/30/26.

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: On 1/16/26 it was observed that staff persons 2, 14, and 16 did not have record of fire safety training in the previous 12 months.

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: On 1/16/26, it was observed that staff person 4 did not complete part 2 of 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: 3270.31(f)(10)

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

Noncompliance Area: On 1/16/26, it was observed that staff person 10 did not have record of completion of pediatric first aid and CPR within 90 days of hire.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 1/16/26, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 7 had a state police clearance on file that expired on 4/9/20 that was not updated until 6/7/25.

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

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: On 1/16/26, it was observed that staff persons 5 and 10 were working unsupervised in the Duck classroom. Staff persons 5 and 10 only have paperwork on file that meet Aide qualifications.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: On 12/3/25, it was observed that staff person 35 only had 1 written nonfamily reference on file. One additional reference is needed.

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: On 12/3/25, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 35 was observed working with children and did not have a NSOR (National Sex Offender Registry) certificate on file. Staff person 35 may not return to working with children until NSOR certificate is 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 # 35 may not work in a child care position at the facility.

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: On 11/14/25, it was observed that the door to the kitchen area was open allowing accessibility to the kitchen stove.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 10/3/25, it was observed that staff person 30 did not have 2 written, nonfamily references on file. Staff person 30 had 1 reference on file. One additional reference is needed.

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: On 10/3/25, it was observed that CPSL Child Protective Services Law was not followed. Staff person 30 was working in the Bears classroom and did not have verification of a child abuse clearance on file. Staff person 31 did not have documentation of a signed disclosure statement 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 #30 may not work in a child care position at the facility.

Regulation: 3270.34(a)

Description: Director responsibilities

Noncompliance Area: On 10/3/25, it was observed that staff persons 30, 31, 32, 33, 34, 35, 36, and 37 were employed at the facility and an onboarding checklist was not received by OCDEL verifying onboarding procedures were followed. CONTINUED NONCOMPLIANCE from 3/21/25 and 3/28/25. On 3/21/25 and 3/28/25, it was disclosed through staff interview that staff persons are not being trained effectively. On 3/4/25, staff person 2 was not adequately supervising children as they made continuous trips to the classroom closet to get a drink, on 2/7/25 staff person 2 did not notice when a child in their primary care group eloped into an empty classroom to be discovered by another staff, on 2/20/25 staff person 1 left an older toddler on the changing table unattended. Given the nature of the recent incidents, it appears that the staff has not been adequately trained.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6). DIRECTED PLAN OF CORRECTION: Management staff will develop a checklist of new staff onboarding procedures that will be submitted to OCDEL for a period of 3 months. Topics on the checklist shall include Facility Emergency Plan, fire drill procedures, safety protocols, diaper changing procedures, and supervision/primary care group policies,

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On 10/3/25, it was observed that the fire detection system was not tested every 30 days. A test was completed on 8/2/25 and the next test was not completed until 9/5/25 creating a lapse of 34 days.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: On 8/1/25, it was verified that staff person 6 screamed at an older toddler, loud enough to be heard at the end of the hall, because the child would not nap.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: Continued non-compliance from 3/21/25. On 7/22/25, it was noted that weekly tracking sheets were not submitted to the Regional office since the week of 6/17/25. Facility will need to restart submission of weekly tracking sheets. In addition, management staff had not been completing daily checks, at a variety of times to monitor staff identification of primary care groups. [On 3/21/25, it was disclosed through staff interview that staff person 1 did not know that child 1 (older toddler) eloped from their primary care group. On 2/7/25 staff person 1 was using the hallway for a group activity when child 1 walked away, opened the door and entered the empty Koala classroom, which was unlocked. Child 1 then entered the storage are and started to go down the basement stairs. Basement provided potential access to small items, toxics, unsteady shelves and the hot water heater. Child 1 was discovered by staff person 3. Facility management estimates the child was unsupervised for approximately 8 seconds. Staff person 1 returned to their classroom with the rest of the children and did not realize the child was not with them until child was returned to them by staff person 3.]

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. 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. DIRECTED PLAN OF CORRECTION: Staff will complete name to face checks at all transitions throughout the day. The facility will incorporate the use of name to face cards to assist in better management of the children in their care. Name to face cards for each child in the primary care group will be on the body of the staff person who is the primary care provider. DIRECTED PLAN OF CORRECTION. Facility will complete 3 months of transition tracking where the number primary care group will be accounted for at every transition through a doorway at the facility. The legal entity must submit documentation in a format approved by DHS proving that the facility is in compliance during transitions. 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. DIRECTED PLAN OF CORRECTION: Management staff will conduct daily checks, at a variety of times, of staff maintaining the children in their primary care group. Management will log each staff person and their stated primary care group at least 2 times daily. Management will notate if the primary care group was complete and correctly named. DIRECTED PLAN OF CORRECTION: The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children during transitions and the use of face to name cards. The legal entity will also receive at least 2 technical assistance visit to assist with the progress on supervision during transitions and the use of name to face cards. The legal entity must receive DHS approval of the training content prior to scheduling the training.

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

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

Noncompliance Area: On 7/21/25, it was observed that staff person 29 had a health assessment dated 7/10/23 which was more that 12 months before their start date. Staff person 29 also did not have record of a TB test on file.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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: 3270.111(c)

Description: Promote development

Noncompliance Area: On 6/16/25, it was determined through staff interview, that staff person 12 held a child's face to make them have eye contact while correcting their behavior.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: On 6/16/25, it was observed that fire drills were not completed every 60 days. The most recent fire drill was held on 3/28/25 creating a lapse of more than 60 days since the last drill.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On 6/16/25, it was observed that the facility fire detection system had not been tested every 30 days. The most recent test was completed on 3/28/25 creating a lapse of more than 30 days.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.163(a)(1)

Description: Dairy

Noncompliance Area: On 6/16/25, it was observed that lunch in the monkey classroom consisted of rice, hamburger, fruit, tortilla, mixed vegetables, and water. Lunch did not include a sufficient amount of a dairy item.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 6/16/25, it was observed that the vents and the ceiling fans in the butterfly classroom were visibly dirty with a layer of thick dust.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 5/22/25, it was observed that staff person #25 was caring for children unsupervised in the Monkey classroom. Staff person #25 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR and Health and Safety 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 #25 must be supervised, when interacting with children, by an (AGS, GS, or Director) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #25, staff person #25 may not work in a child-care position at the facility.

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

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

Noncompliance Area: On 5/22/25, it was observed that staff health assessments and TB tests were not on file. Staff person 23 was working in the Butterly classroom and did not have record of a health assessment or TB test on file. Staff person 25 was working in the Monkey classroom and did not have record of a health assessment on file.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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: On 5/22/25, it was observed that staff persons did not have 2 written nonfamily references on file before employment with children. Staff person 23 only had one reference on file and requires 1 additional reference. Staff person 26 did not have any references on file. 2 references are needed.

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: On 5/22/25, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 26 was observed working in the Bunny classroom and did not have a NSOR (National Sex Offender Registry) Certificate on file. Staff persons may not start employment with children until NSOR is on file. Staff person 26 may not return to work until NSOR is completed and on file. Staff person 25 had an incomplete state police clearance on file. Clearance indicated that it was under review.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 26 may not work in a child care position at the facility.

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

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

Noncompliance Area: On 5/22/25, it was observed that staff person 25 was working alone in the Monkey classroom with 11 children and did not have documentation of education or experience on file to be at least Assistant Group Supervisor qualified.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 4/24/25, it was verified through staff interview with staff persons 3, 15, and 22 that staff persons 20 and 21 cared for children unsupervised. Staff persons 20 and 22 have not completed pediatric first aid and CPR training and Health and Safety training, which is required prior to caring for children unsupervised. Staff person 20 had first aid and CPR training on file that did not indicate pediatric and was not conducted by an approved trainer. It was reported that staff person 20 worked alone for 1 hour during the week of 4/20/25, in the Ladybug classroom, to cover a staff person who had to leave. Staff person 22 did not have record of completed health and safety training or pediatric first aid/CPR training on file and reported that they worked alone in a classroom to cover bathroom breaks for staff.

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 persons #20 and 22 must be supervised, when interacting with children, by an (AGS, GS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #20 and 22, staff persons #20 and 22 may not work in a child-care position at the facility.

Regulation: 3270.151(a)/3270.151(c)(4)

Description: 12 months prior to service and every 24 months thereafter/Information re: medical problems

Noncompliance Area: On 4/24/25, it was observed that the health assessment for staff person 21 did not indicate if the staff person was suitable to provide care to 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 information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 4/24/25, it was observed that staff person 21 did not have 2 written nonfamily references on file.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: On 2/21/25, it was disclosed through staff interview that staff person 1 left a two year old child on the changing table while they walked away to assist another child in the classroom

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 3/28/25, it was observed that staff person 14 had a NSOR (National Sex Offender Registry) certificate on file dated 3/17/25, which was after their start date in the classroom. CORRECTED ON SITE.

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

Regulation: 3270.34(a)/3270.34(a)(1)

Description: Director responsibilities/Finances, meals, personnel

Noncompliance Area: On 3/21/25 and 3/28/25, it was disclosed through staff interview that staff persons are not being trained effectively. On 3/4/25, staff person 2 was not adequately supervising children as they made continuous trips to the classroom closet to get a drink, on 2/7/25 staff person 2 did not notice when a child in their primary care group eloped into an empty classroom to be discovered by another staff, on 2/20/25 staff person 1 left an older toddler on the changing table unattended. Given the nature of the recent incidents, it appears that the staff has not been adequately trained.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6). A director is responsible for administering finances, personnel, maintenance, meal planning and preparation and transportation. DIRECTED PLAN OF CORRECTION: Facility management staff will complete a training on hiring, onboarding and training new staff. Training and TA follow up visits to verify that onboarding tools are being used, and that staff are being trained adequately. Management staff will develop a checklist of new staff onboarding procedures that will be submitted to OCDEL for a period of 3 months. Topics on the checklist shall include Facility Emergency Plan, fire drill procedures, safety protocols, diaper changing procedures, and supervision/primary care group policies,

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: On 3/21/25, it was disclosed through staff interview that staff person 1 did not know that child 1 (older toddler) eloped from their primary care group. On 2/7/25 staff person 1 was using the hallway for a group activity when child 1 walked away, opened the door and entered the empty Koala classroom, which was unlocked. Child 1 then entered the storage are and started to go down the basement stairs. Basement provided potential access to small items, toxics, unsteady shelves and the hot water heater. Child 1 was discovered by staff person 3. Facility management estimates the child was unsupervised for approximately 8 seconds. Staff person 1 returned to their classroom with the rest of the children and did not realize the child was not with them until child was returned to them by staff person 3.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. 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. DIRECTED PLAN OF CORRECTION: Staff will complete name to face checks at all transitions throughout the day. The facility will incorporate the use of name to face cards to assist in better management of the children in their care. Name to face cards for each child in the primary care group will be on the body of the staff person who is the primary care provider. DIRECTED PLAN OF CORRECTION. Facility will complete 3 months of transition tracking where the number primary care group will be accounted for at every transition through a doorway at the facility. The legal entity must submit documentation in a format approved by DHS proving that the facility is in compliance during transitions. 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. . DIRECTED PLAN OF CORRECTION: Management staff will conduct daily checks, at a variety of times, of staff maintaining the children in their primary care group. Management will log each staff person and their stated primary care group at least 2 times daily. Management will notate if the primary care group was complete and correctly named. Logs will be submitted for a period of 3 months. DIRECTED PLAN OF CORRECTION: The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children during transitions and the use of face to name cards. The legal entity will also receive at least 2 technical assistance visit to assist with the progress on supervision during transitions and the use of name to face cards. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.21/3270.113(a)

Description: General Health and Safety/Supervised at all times

Noncompliance Area: On 3/28/25, it was disclosed through staff interview and review of reasons for dismissal of staff person 2, that staff person 2 appeared to be consuming alcohol while supervising children. On 3/19/25 staff person 2 was supervising 10 preschool age children by themselves when they were observed drinking something in the closet of the classroom, upon further investigation by facility staff persons 3, 4, and 7 it was discovered that the bottle contained what smelled like alcohol. Staff person 2 was not properly supervising the 10 preschool children in their care while making frequent visits to the classroom closet to have a drink an unknown substance, which is suspected to be alcohol, from their backpack.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. 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: Children must be supervised at all times.

Regulation: 3270.163(a)(2)

Description: Protein

Noncompliance Area: On 3/6/25, it was observed that lunch in the Ladybug classroom (Toddlers) consisted on Cheesy Bread, green beans, tropical fruit, and water. Certification Representative checked in with the classroom before lunch and again at the end of lunch to be sure if a protein arrived at the end of lunch. The lunch served did not include a protein. Continued non-compliance from 1/22/25.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one protein.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 1/22/25, it was observed that nap mat number 6 was torn, on the corner, in the Monkey classroom.

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)(3)

Description: Services proceeded

Noncompliance Area: On 1/22/25, it was observed that children 2, 4, and 5 did not have record of information given to the parents about the child's growth and development in the previous 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: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: On 1/22/25, it was observed that child 5 did not have an admission date on file. CORRECTED ON SITE.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: On 1/22/25, it was observed that child 2, who is preschool age, had a health assessment dated 12/11/23 which had not been updated within 12 months.

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: 3270.133(7)(v)

Description: Date of administration

Noncompliance Area: On 1/22/25, it was observed that the medication log for child 8 did not include dates for medication to be administered. CORRECTED ON SITE.

Correction Required: A medication log shall include the date of administration.

Regulation: 3270.151(a)

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

Noncompliance Area: On 1/22/25, it was observed that staff person 2 was working in the Turtle classroom and did not have a health assessment on file.

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

Regulation: 3270.163(a)(1)

Description: Dairy

Noncompliance Area: On 1/22/25, it was observed that lunch consisted of chicken, stuffing, green beans, banana, and water. Lunch did not contain an item from the dairy food group.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: On 1/22/25, it was observed that child 2 did not have record of a review and update of their agreement and emergency contact forms in the previous 6 months.

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: On 1/22/25, it was observed that child 2 did not have signed parental consent for first aid on file.

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

Regulation: 3270.183(b)

Description: No information disclosed

Noncompliance Area: On 1/22/25, it was observed that the classroom list disclosing child special needs was uncovered in the Monkey classroom. CORRECTED ON SITE.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 1/22/25, it was observed that staff person 3 did not have 2 written nonfamily references. Only 1 reference was on file. One additional reference is needed.

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: On 1/22/25, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 1had a FBI clearance on file that expired on 11/1/24 that had not been updated. Clearances must be updated every 60 months. Staff person 1 may not work in the facility until FBI clearance is updated. Staff person 1 had a Mandated Reporter training on file that expired on 11/4/24 that had not been updated. Mandated Reporter training must be updated every 60 months. Staff person 2 lived in Puerto Rico in the previous 60 months and did not have Puerto Rico clearances on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- 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.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: On 1/22/25, it was observed that the first aid kit in the Caterpillar classroom 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: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: On 1/22/25, it was observed that there was peeling paint in the facility Peeling paint was observed along the floor trim under the window in the Caterpillar classroom. Peeling paint was observed behind the grey chair in the Monkey 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 11/19/24, it was observed that staff person 1 did not have 2 written, nonfamily references on file. Staff file was received and reviewed as part of a directed plan of correction.

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: 3270.54(b)

Description: Two facility persons on excursions

Noncompliance Area: On 7/31/24, at approximately 10:20 AM, a female staff person was observed on an excursion away from the facility by themselves with 4 toddler aged children.

Correction Required: At least two facility persons shall be present when children are on an excursion away from the facility. At a minimum, one of the facility persons shall be a staff person.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: On 7/26/24 and 8/7/24, it was observed that there were not 2 feet of space on 3 sides between the cots, at naptime, in the caterpillar classroom.

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

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: On 8/19/24, it was observed that the staff in the Bears, Turtles, Ladybugs, Monkeys, and Caterpillar classrooms were not logging the counts for the children in their care throughout the day as required by the 5/7/24 inspection. At 1:00 PM, all counting sheets were checked by certification staff. it was observed that the Bear classroom last logged their counts at 12:00 PM, the Turtle classroom had not logged their count at all, The Ladybug classroom last logged their count at 11:00 AM, the Monkey classroom last logged their count at 8:00 AM, and the Caterpillar classroom last logged their count at 8:00 AM, Continued non-compliance from 5/7/24 and 7/24/24

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: Children must be supervised at all times. 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 checklist will show record of counting of children every 30 minutes throughout the day, noting primary care groups by staff person. 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. 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)

Description: Signed

Noncompliance Area: On 8/7/24, it was observed that there was not an agreement on file for children 7 and 9.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: On 8/7/24, it was observed that the agreement form for children 3, 5, and 8 did not indicate a fee amount.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: On 8/7/24 it was observed that information about the child's growth and development was not on file within the last 6 months for children 1 and 2.

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: On 8/7/24, it was observed that the agreement forms for children 3 and 6 did not indicate arrival and departure times.

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

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: On 8/7/24, it was observed that child 9 did not have emergency contact information on file.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: On 8/7/24, it was observed that child 7 did not have an address on file for their physician.

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: On 8/7/24, it was observed that child 3 did not have a work address on file for their enrolling parent. Children 4 and 6 did not have work address and phone number on file for the enrolling parent.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: On 8/7/24, it was observed that special needs information was not indicated for child 3.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On 8/7/24, it was observed that child 3 did not have health insurance information on file.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 8/7/24, it was observed that children 5 and 7 did not have addresses on file for their release persons.

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

Regulation: 3270.131(a)(3)

Description: Initial health report for older toddler/preschool no more than 1 year

Noncompliance Area: On 8/7/24, it was observed that child health assessments were not updated in a timely manner. Child 1 had a health assessment on file dated 3/16/23 which should have been updated by 3/16/24. Child 6 had a health assessment on file dated 7/20/23 which should have been updated by 7/20/24.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

Regulation: 3270.151(a)

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

Noncompliance Area: On 8/7/24, it was observed that staff health assessments were not updated in a timely manner. Staff person 1 had a health assessment on file that expired on 4/1/24. An updated health assessment was not available. Staff person 4 had a health assessment on file that expired on 12/7/23. An updated health assessment was not available. Staff person 5 had a health assessment on file that expired on 1/20/24. An updated health assessment was not available. Staff person 11 had a health assessment on file that expired on 6/30/24. An updated health assessment was not available.

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(a)/3270.151(c)(2)

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

Noncompliance Area: On 8/7/24, it was observed that staff persons 6, 12, and 14 were working with children and did not have record of a health assessment or TB test on file. Staff person 7 did not have record of a TB test on file.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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: 3270.163(a)(2)

Description: Protein

Noncompliance Area: On 7/26/24, it was observed that there was not a protein served as part of lunch in the Caterpillar, Monkeys, and Bears classrooms. Lunch served in these classrooms consisted of cheese pizza, banana, goldfish crackers, and water.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one protein.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: On 8/7/24, it was observed that the facility did not have documentation that the local traffic authorities had been notified of the facility's vehicle and pedestrian routes in the previous 12 months. CORRECTED on 8/13/24.

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: 3270.18(a)

Description: On file at facility

Noncompliance Area: On 8/7/24, it was observed that a current copy of the facility insurance policy was not available. CORRECTED 8/13/24.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: On 8/7/24, it was observed that child file reviews were not completed every 6 months. Child 1 last had a file review on 12/30/22. Child 2 last had a file review on 12/20/22.

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(2)

Description: Application, admission, withdrawal dates

Noncompliance Area: On 8/7/24, it was observed that admission dates were not indicated on the files for children 3, 5, 6, 7, 8, and 9.

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

Regulation: 3270.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: On 8/7/24 it was observed that children 3, 4, and 9 did not have signed parental consent on file for emergency medical care.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.182(5)

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

Noncompliance Area: On 8/7/24, it was observed that children 3, 4, 5, 8, and 9 did not have signed parental consent on file for minor first aid.

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

Regulation: 3270.192(2)(iii)

Description: Exp, educ., training at facility

Noncompliance Area: On 8/7/24, it was observed that staff persons 7, 9 and 12 were working in a childcare capacity and did not have record of education or experience on file.

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

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: On 8/7/24, it was observed that staff person 9 had education from a foreign country that was not evaluated for United States equivalency. Continued Non-Compliance from 4/10/24.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 8/7/24, it was observed that staff persons did not have 2 written nonfamily references on file. Staff person 6 only had one reference on file. One additional reference is needed. Staff person 12 did not have any references on file. 2 references are needed. CORRECTED 8/19/24. Staff person 14 only had one reference on file. One additional reference is needed. (No longer employed 10/10/24)

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: 3270.21/3270.111(c)

Description: General Health and Safety/Promote development

Noncompliance Area: On 8/7/24, it was observed that the caterpillar classroom was unsafe at naptime. There were 19 children present in the classroom with 1 staff person. Between 7 and 11 children were observed to be up jumping on their cots, jumping over other cots with children sleeping on them, climbing on top of the shelves/windowsills, running around the room, and throwing toys at each other. Staff member present had to divide their time between monitoring the bathroom and chasing the children. Staff member was unable to persuade the children to rest quietly on their mats. There was opportunity for either the children sleeping or the children up and running to be injured. On 8/19/24, it was observed that between 3 to 4 children were jumping on their mats, climbing in the windowsill, or throwing toys during naptime in the caterpillar classroom.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.21/3270.111(c)

Description: General Health and Safety/Promote development

Noncompliance Area: On 8/7/24, it was observed that the caterpillar classroom was unsafe at naptime. There were 19 children present in the classroom with 1 staff person. Between 7 and 11 children were observed to be up jumping on their cots, jumping over other cots with children sleeping on them, climbing on top of the shelves/windowsills, running around the room, and throwing toys at each other. Staff member present had to divide their time between monitoring the bathroom and chasing the children. Staff member was unable to persuade the children to rest quietly on their mats. There was opportunity for either the children sleeping or the children up and running to be injured. On 8/19/24, it was observed that between 3/4 children were jumping on their mats, climbing in the windowsill, or throwing toys during naptime in the caterpillar classroom.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. **The legal entity must arrange for all facility staff who work with preschool and school age children to receive a minimum of two hours of training regarding classroom management. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.21/3270.76

Description: General Health and Safety/Building Surfaces

Noncompliance Area: On 7/26/24, it was observed that the blind cords were dangling low enough to loop around a child's head/neck. Blind cords were observed dangling beside the window above the comfy corner in the Caterpillar classroom. A child was observed sitting on top of the roof of the comfy corner while playing with the blind cords. CORRECTED ON SITE. Blind cords were observed dangling on the window beside the playground door in the Butterfly classroom. CORRECTED ON 8/19/24. On 8/7/24, it was observed that there was an exposed hole in the wall measuring about 3 feet wide and 2 feet high in the butterfly classroom, under the counter. Due to this hole the electrical outlet was exposed. CORRECTED ON 8/19/24.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: On 8/7/24, it was observed that the facility emergency plan had not been reviewed and/or updated in the previous 12 months.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: On 8/7/24 it was observed that staff persons 1, 2, 3, 4, 5, 7, 9, 10, 11, and 13 had been employed longer that 12 months and did not have record of emergency plan training in the previous 12 months.

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: On 8/7/24, it was observed that there was not documentation that the facility emergency plan had been sent to the local municipality and 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: 3270.31(e)

Description: Age and Training

Noncompliance Area: On 8/7/24, it was observed that staff person 4 was employed longer than 12 months and did not have record of 12 training hours on file.

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

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

Description: Age and Training

Noncompliance Area: On 8/7/24, it was observed that staff person 1 had first aid and CPR training on file that expired on 7/19/24.

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. Until such time as the required trainings are completed, staff person #1 must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child care position at the facility.

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

Description: Fire safety - 1 yr.

Noncompliance Area: On 8/7/24, it was observed that staff person 4 had not completed fire safety training in the previous 12 months.

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: On 8/7/24, it was observed that staff person 12 had been employed longer than 90 days and did not have record of completed health and safety training on file.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #12 will have until 9/4/24 to complete the required training. Until such time as the required training has been completed, staff person #12 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #12, staff person #12 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 8/7/24, it was observed that CPSL (Child Protective Services Law) was not followed. Staff person 6 had been employed longer than 45 days and did not have a State Police or FBI clearance on file. Staff person 6 may not return to work in a childcare position until state police and FBI clearance are on file. Staff person 6 started employment with children without a state police or a FBI clearance on file. Staff person 6 was observed working alone in a toddler classroom during naptime without complete clearances on file. Staff person 8 was observed working in the Caterpillar (preschool) classroom and did not have a child abuse clearance on file. Staff person 8 may not return to work until child abuse clearance is on file. Staff person 14 was observed working in the child care spaces on 8/19/24 without a child abuse or FBI clearance. No provisional paperwork was available for the FBI clearance. Staff person 14 may not work in a childcare position until completed child abuse and FBI clearances are on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons # 6, 8, and 14 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.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 8/7/24, it was observed that staff persons 6 and 12 had been employed longer than 90 days and did not have record of Mandated Reporter training on file. Staff persons 6 and 12 may not work unsupervised with children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person/facility person/volunteer #6 and 12 will have until _9/4/24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person/facility person/volunteer #6 and 12 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person/facility person/volunteer #6 and 12, staff person/facility person/volunteer #6 and 12 may not work in a child-care position at the facility.

Regulation: 3270.34(a)

Description: Director responsibilities

Noncompliance Area: The facility director has not adequately managed personnel or the facility's program objectives and activities. On 8/7/24, staff files were reviewed and found that emergency plan training and staff evaluations were not completed. The facility emergency plan was not reviewed or sent to the local and county agencies. The facility traffic letter was not updated and sent to the local traffic authority. New staff hiring requirements were not met. Staff do not have complete clearances, health assessments, trainings, and education/experience on file. Proper staffing was not met in the Caterpillar classroom at naptime.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6). *A member of management staff will attend Existing Provider Orientation

Regulation: 3270.34(a)

Description: Director responsibilities

Noncompliance Area: The facility director has not adequately managed personnel or the facility's program objectives and activities. On 8/7/24, staff files were reviewed and found that emergency plan training and staff evaluations were not completed. The facility emergency plan was not reviewed or sent to the local and county agencies. The facility traffic letter was not updated and sent to the local traffic authority. New staff hiring requirements were not met. Staff do not have complete clearances, health assessments, trainings, and education/experience on file. Proper staffing was not met in the Caterpillar classroom at naptime.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6). ****The facility management staff will submit all new staff hire files for approval before they may begin employment with children for a period of 3 months.

Regulation: 3270.34(a)

Description: Director responsibilities

Noncompliance Area: The facility director has not adequately managed personnel or the facility's program objectives and activities. On 8/7/24, staff files were reviewed and found that emergency plan training and staff evaluations were not completed. The facility emergency plan was not reviewed or sent to the local and county agencies. The facility traffic letter was not updated and sent to the local traffic authority. New staff hiring requirements were not met. Staff do not have complete clearances, health assessments, trainings, and education/experience on file. Proper staffing was not met in the Caterpillar classroom at naptime.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6). **Administrative staff will visit the facility on a weekly basis to observe that appropriate ratio and supervision is being met, daily ratio/supervision tracking sheets are being completed timely, and staff and child files are complete. The Administrative Staff will record the observations on a document approved by Central Region Bureau of Certification and provide support for improvement. The forms must be provided to the Central Regional Office on a weekly basis for a period of three months once the form has been approved.

Regulation: 3270.34(a)

Description: Director responsibilities

Noncompliance Area: The facility director has not adequately managed personnel or the facility's program objectives and activities. On 8/7/24, staff files were reviewed and found that emergency plan training and staff evaluations were not completed. The facility emergency plan was not reviewed or sent to the local and county agencies. The facility traffic letter was not updated and sent to the local traffic authority. New staff hiring requirements were not met. Staff do not have complete clearances, health assessments, trainings, and education/experience on file. Proper staffing was not met in the Caterpillar classroom at naptime.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6). ***The legal entity must arrange for facility management staff to receive a minimum of two hours of training and cooperate with technical assistance regarding director responsibilities and paperwork. The training should include managing staff and child files, staffing, managing emergency plan paperwork, and completing child assessments. The legal entity must receive DHS approval of the training content prior to scheduling the training.