U-gro Learning Centres

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 6/22/26 documentation of cleaning checklist required per tiered LIS Sin-00286295 was not submitted timely.

Correction Required: 1.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. This portion of the plan shall have an immediate correction date. 2. The legal entity must submit documentation in a format approved by DHS provide that the facility procedure for cleaning and assessing hazards is followed at all times for all facility spaces. 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. The correction date for this portion of the plan shall be at minimum 3 months from the date the Regional Office approves the tracking format.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: It was observed that the mulch on the outdoor play space was less than nine inches and was compacted.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In the handwashing room between the Bears' and Ducks' classrooms was a plastic bag with dirty clothes in it in reach of the children. There were plastic bags in the Turtles' bathroom in reach of children.

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

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

Noncompliance Area: It was observed that when the Turtles' class left the indoor play space that 4 children ran down the hall and around the corner and were not able to be seen staff person #1 who was back with two other children from the classroom.

Correction Required: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding ratio and supervision of children and at one session of TA in each classroom. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date of when this training will be completed. 3. The legal entity must submit documentation in a format approved by DHS proving that children are supervised at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Central Region Office on a weekly basis for a period of three months after DHS approves the documentation format. the correction date for this portion of the plan shall be at minimum 3 months from the date the Regional Office approves the tracking format.

Regulation: 3270.161(e)

Description: Fresh fruit/vegetables refrigerated

Noncompliance Area: It was observed that there was a box of oranges on the counter and a bowl of oranges on the corner wire shelf that were not delivered that day.

Correction Required: Fresh fruits and vegetables that are not used on the day of purchase shall be refrigerated.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: It was observed that the stove burners were on with two pots of boiling water and were left unattended for an extended period of time. Several staff reported that children have been sent to the kitchen on multiple occasions to be supervised by the facility cook to maintain ratio in the classrooms. The kitchen has multiple hazards in reach of the children, including hot surfaces, sharp kitchen utensils, and toxic cleaning supplies.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: It was observed in the Monkeys' preschool classroom that there were 11 children with one staff person. It was observed in the Butterflies' preschool classroom that there were 11 children with one staff person. It was observed in the Turles' older toddler classroom that there were 13 children with two teachers. It was observed in the Caterpillars' preschool classroom that there were 22 children with two teachers.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. 1.The required staff:child ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding ratio and supervision of children and at one session of TA in each classroom. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date of when this training will be completed. 3. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Central Region Office on a weekly basis for a period of three months after DHS approves the documentation format. the correction date for this portion of the plan shall be at minimum 3 months from the date the Regional Office approves the tracking format.

Regulation: 3270.67(c)

Description: No insects or rodents

Noncompliance Area: In the Monkeys' classroom it was observed that there was an infestation of ants in packages of food in the closet and also on the sink counter.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: It was observed that in the caterpillars', zebras', turtles' bathrooms, there was trash in trash can without a liner.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The following areas were observed in the Caterpillars' classroom: excessive build-up of dirt on the: shelves, cubbies, walls, windows and windowsills, corners of the classroom, baseboards, inside and outside of the trash cans, tops and sides of cabinets, children's chairs, carpet, toy baskets, fans, vents, doors, door handles and light switches. The metal blinds on the back of the outside door had an excessive buildup of dirt and had sharp edges. There was chipping paint on the walls and chipping plaster around the windows. The baseboard behind the play kitchen was missing. There was sticky tape residue with an excessive buildup of dirt on cabinets and walls. The following areas were observed in the Bears' classroom: excessive build-up of dirt on the: shelves, cubbies, walls, tops and sides of cabinets, windows and windowsills, corners of the classroom, children's chairs, play mats, baseboards, insides and outsides of trash cans, carpets, toy baskets, fans, vents, doors, door handles and light switches. There was chipping paint on the walls. The refrigerator had an excessive build-up of dirt on both the inside and outside and had opened milk on the door which had spilled. On the doors of the changing table there were two holes which cause a risk for fingers to get suck. There was sticky tape residue with an excessive buildup of dirt on cabinets and walls. The following areas were observed in the Ducks' classroom: excessive build-up of dirt on the: shelves, walls, cubbies, insides and outsides of trash cans, windows and windowsills, corners of the classroom, baseboards, tops and sides of cabinets, children's chairs, carpet, toy baskets, fans, vents, doors, door handles and light switches There was sticky tape residue with an excessive buildup of dirt on cabinets and walls. There was chipping paint on the walls. The following areas were observed in the Turtles' classroom: excessive build-up of dirt on the: shelves, cubbies, walls, insides and outsides of trash cans, windows and windowsills, corners of the classroom, baseboards, tops and sides of cabinets, children's chairs, carpet, toy baskets, fans, dish drainer, vents, doors, door handles and light switches. There was sticky tape residue with an excessive buildup of dirt on cabinets and walls. There was chipping paint on the walls. There was a ceiling tile with a water stain on it. The inside of the refrigerator had an excessive build-up of dirt and there was a carton of milk on the inside without a lid. The following areas were observed in the Jaguars' classroom: excessive build-up of dirt on the: shelves, cubbies, walls, insides and outsides of trash cans, windows and windowsills, corners of the classroom, baseboards, tops and sides of cabinets, ceiling alcoves, children's chairs, carpet, pillows, toy baskets, play kitchen, fans, dish drying mat, vents, doors, door handles and light switches There was sticky tape residue with an excessive buildup of dirt on cabinets and walls. There was chipping paint on the walls and on the door to the outside. The following areas were observed in the Zebras' classroom: excessive build-up of dirt on the: shelves, cubbies, walls, insides and outsides of trash cans, windows and windowsills, corners of the classroom, baseboards, tops and sides of cabinets, children's chairs, carpet, toy baskets, toys, fans, vents, doors, door handles and light switches There was sticky tape residue with an excessive buildup of dirt on cabinets and walls. There was chipping paint on the walls. The following areas were observed in the Ladybugs' classroom: excessive build-up of dirt on the: shelves, cubbies, walls, insides and outsides of trash cans, windows and windowsills, corners of the classroom, baseboards, tops and sides of cabinets, children's chairs, carpet, toy baskets, toys, fans, vents, doors, door handles and light switches. There was sticky tape residue with an excessive buildup of dirt on cabinets and walls. There was chipping paint on the walls. There was a hole in the door leading to the bathroom. The following areas were observed in the Monkeys' classroom: excessive build-up of dirt on the: shelves, cubbies, walls, insides and outsides of trash cans, windows and windowsills, corners of the classroom, baseboards, tops and sides of cabinets, children's chairs, carpet, toy baskets, toys, fans, vents, doors, door handles and light switches There was sticky tape residue with an excessive buildup of dirt on cabinets and walls. There was chipping paint on the walls. The following areas were observed in the Butterflies' classroom: excessive build-up of dirt on the: shelves, cubbies, walls, insides and outsides of trash cans, windows and windowsills, corners of the classroom, baseboards, tops and sides of cabinets, children's chairs, carpet, toy baskets, toys, fans, vents, doors, door handles and light switches There was sticky tape residue with an excessive buildup of dirt on cabinets and walls. There was chipping paint on the walls. The following areas were observed in the Infants' classroom: excessive dirt on doors and on top of cabinets. There was chipping paint on the walls. The following areas were observed in the hallway: there was excessive dirt buildup on the observation windows, vents, and inside lights. There was sticky tape residue with an excessive buildup of dirt on the walls. The following areas were observed in the infant and toddler play space: excessive buildup of dirt on the carpets, toys, vents, and mats. There were rips in the mats causing the soft insides to be exposed and a potential choking hazard. There were bulging, water-stained ceiling tiles. The following areas were observed in the preschool play space: excessive buildup of dust and insects on the netting, outside tubes, and under the tubes. The floor under the tubes had an excessive number of toys and trash. The inside of the tubes was not assessed but based on the outside of the structure, it can be deduced that the inside of the structure also has an excessive buildup of dust and dirt. The following areas were observed in the kitchen: excessive build-up of dirt on the inside and outside of trash cans, the dish drainer, the fan, the stove top and knobs, the front of the cabinets and knobs, the door and its handle and the light switch.

Correction Required: 1. 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. This portion of the plan shall have an immediate correction date. -Verification visit was conducted on 5/18/26. Continued areas of non-compliance were observed and cited on SIN-00288867. 2. The legal entity must arrange for all facility staff to receive a minimum of one hour of training regarding keeping the childcare environment clean, in good repair and free from visible hazard. The legal entity must also arrange for 2 sessions of technical assistance (TA) in all classrooms (including bathrooms) and indoor and outdoor play spaces. The operator shall provide a date of when the training and TA will be completed. 3. The legal entity must submit documentation in a format approved by DHS provide that the facility procedure for cleaning and assessing hazards is followed at all times for all facility spaces. 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. The correction date for this portion of the plan shall be at minimum 3 months from the date the Regional Office approves the tracking format. -NOT IMPLEMENTED 6/23/26, RE-CITED ON SIN-00290623

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: The following areas were observed in the Caterpillars' bathroom: excessive build-up of dirt on the baseboards, around the bottom of the toilets, on the toilets, the step stools, mirror, and the sink handles. In addition, the shelf above the toilets had items haphazardly placed causing a fall risk and there was a dirty bucket with a toilet brush in it sitting on the floor. The following areas were observed in the Ducks' area where handwashing occurs: excessive buildup of dirt on the baseboards, the step stools, mirror, and the sink handles. In addition, the shelf had items haphazardly placed causing a fall risk. There were boxes, highchairs, and other items stored in the room causing a risk of injury to children. The following areas were observed in the Turtles' bathroom: excessive build-up of dirt on the baseboards, around the bottom of the toilets, on the toilets, the step stools, mirror, and the sink handles. In addition, the shelf above the toilets had items haphazardly placed causing a fall risk and there was a dirty bucket with a toilet brush and a plunger in it sitting on the floor. There was chipping paint on the walls. The following areas were observed in the Jaguars' bathroom: excessive build-up of dirt on the baseboards, around the bottom of the toilets, on the toilets, the step stools, mirror, and the sink handles. In addition, the shelf above the toilets had items haphazardly placed causing a fall risk. There was chipping paint on the walls. The following areas were observed in the Zebras' bathroom: excessive build-up of dirt on the baseboards, around the bottom of the toilets, on the toilets, the step stools, mirror, and the sink handles. In addition, the shelf above the toilets had items haphazardly placed causing a fall risk. There was chipping paint on the walls. The following areas were observed in the Monkeys' bathroom: excessive build-up of dirt on the baseboards, around the bottom of the toilets, on the toilets, the step stools, mirror, and the sink handles. In addition, the shelf above the toilets had items haphazardly placed causing a fall risk. There was chipping paint on the walls.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair. -Verification visit was conducted on 5/18/26. Continued areas of non-compliance were observed and cited on SIN-00288867.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Documentation showed that the fire detection system was not tested at least every 30 days. 12/10/25-1/10/26 (31 days) 1/10/26- present (51 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(b)

Description: No physical punishment

Noncompliance Area: Upon video footage review it was observed on 1/21/2026 around 8:03am staff person #1 (DOH see LIS code sheet) was sitting in a chair at a table and picked up child #1 (DOB see LIS code sheet) who was laying on the floor near the staff person, by the calf area of their leg, swung the child over the staff person's lap and abruptly placed child #1 on the floor on the other side of the chair. Later that day between the time frame of 11:20 - 11:27am staff person #1 picked up child #1 by the wrists and sat the child in a chair to do an art project, then proceeded to pick child #1 up three more times to move child #1 to a different area of the classroom. At approximately 11:27 child #1 was removed from the classroom and joined another classroom.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. The legal entity must arrange for all facility staff to receive a minimum of two hours of in-person training regarding ways to deal with challenging behaviors and appropriate interactions with children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

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 1/12/2026 child #1 (DOB see LIS code sheet) was playing in a sensory bin, put a glass bead in their mouth and swallowed it. Child #1 reported to staff person #1 they bit the glass bead. Staff person #1 checked child #1's mouth and did not see an injury. Staff person #1 never informed management staff or the child's parent of the incident.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The record for staff person #2 (DOH see LIS code sheet) does not include an initial health assessment, including the results of tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. The record for staff person #3 (DOH see LIS code sheet) does not include an initial health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

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

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The record for staff person #2 (DOH see LIS code sheet) only contains one (1) written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person, not two as required. The record for staff person #3 (DOH see LIS code sheet) does not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The record for staff person #4 (DOH see LIS code sheet) only contains one (1) written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person, not two as required.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff person #1 (DOH see LIS code sheet) did not complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation 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)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The record for staff person #2 (DOH see LIS code sheet) does not include the results of the PSP or DHS FBI clearance and the Child Abuse clearance. A NSOR certificate dated 9/22/2025 is the only clearance included in the staff person's record.

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. Staff person #2 may not work in a child care position with direct contact or routine interaction with children until the results of all clearances have been obtained and are on file at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: It was observed on 10/29/2025 in the Preschool 1 classroom protective receptacle covers were not placed in two (2) electrical outlets accessible to children 5 years of age or younger. It was observed on 10/29/2025 in the Pre-K 2 classroom protective receptacle covers were not placed in three (3) electrical outlets accessible to children 5 years of age or younger. (ALL CORRECTED ON SITE)

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed on 10/29/2025 in the Twos 2 classroom there is a hole in the bathroom door. It was observed on 10/29/2025 in the Preschool 2 classroom the ends of an area rug are curled up, posing a tripping hazard. It was observed on 10/29/2025 in the Pre-K 1 classroom a portion of the carpet is frayed and curling up, posing a tripping hazard. It was also observed a portion of the bulletin board frame is sticking out from the wall with nails exposed and accessible to children. It was observed on 10/29/2025 in the Pre-K 2 classroom a metal cover is protruding from the wall, making sharp corners accessible to children. (ALL CORRECTED ON SITE)

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The Director or designated staff person who is responsible for compliance with this chapter did not ensure the requirements under section 1016(c) of the act (62 P.S. § 1016(c)) are met. This is evidenced by the last manual testing of the fire detection system being conducted on 9/10/2025, which exceeds the every 30-day requirement.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: On 6/5/2025 facility staff self-reported that Child #1 was climbing on a shelf, the shelf fell over, and the child fell on top of the shelf. The fall resulted in a head injury. The child's parent was notified by telephone then arrived at the child care facility within 10 minutes and transported the child the ER. While at the ER the child was evaluated by medical professionals and received 4 stitches on their forehead. A certification representative conducted an on-site incident review on 6/9/2025. At that time it was observed the shelf the child was reported to have been climbing on was pushed against the wall and was unstable when touched and swayed. Staff person #3 described it as being "wobbly."

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

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: On 6/5/2025 facility staff self-reported that Child #1 was climbing on a shelf, the shelf fell over, and the child fell on top of the shelf. The fall resulted in a head injury. The child's parent was notified by telephone then arrived at the child care facility within 10 minutes and transported the child the ER. While at the ER the child was evaluated by medical professionals and received 4 stitches on their forehead. A certification representative conducted an on-site incident review on 6/9/2025. It was observed that multiple children were running around the classroom, climbing on furniture, and not engaged in daily activities that promote the development of skills, social competence and self-esteem.

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. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding classroom management skills. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when the training will be completed.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 6/5/2025 facility staff self-reported that Child #1 was climbing on a shelf, the shelf fell over, and the child fell on top of the shelf. The fall resulted in a head injury. The child's parent was notified by telephone then arrived at the child care facility within 10 minutes and transported the child the ER. While at the ER the child was evaluated by medical professionals and received 4 stitches on their forehead. A certification representative conducted an on-site incident review on 6/9/2025. Staff person #1 and staff person #2 were the staff in the classroom when the incident occurred. Staff person #2 stated that they attempted to redirect child #1 from climbing on the shelf but child #1 did not listen.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During staff interviews it was confirmed that on 5/19/2025 at approximately 5:15pm Staff Person #1 (DOH see LIS code sheet) and Staff Person #2 (DOH see LIS code sheet) were transitioning nine (9) children from the Caterpillar classroom to the indoor play space area in the facility. Child #1 (DOB see LIS code sheet) eloped back into the Caterpillar classroom without Staff Person #1 or Staff Person #2 knowing. Staff Person #1 was assigned the responsibility for the supervision of Child #1 at the time of the incident. Child #1 was found in the Caterpillar classroom with the lights off alone, and unsupervised by the child's father. It is estimated Child#1 was unsupervised for 2-5 minutes.

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. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children, with a focus on transition times. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when this training will be completed.

Regulation: 3270.135(e)

Description: 2 hour diaper check

Noncompliance Area: On 5/19/2025 Child #1 (DOB see LIS code sheet) was found alone and unsupervised in the Caterpillar classroom by the child's father. The child was found in a soiled diaper at approximately 5:15pm. The last diaper change that was logged in the Sprout About app the facility uses occurred at 2:15pm. A staff person failed to check Child #1's diaper at least every 2 hours.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Regulation: 3270.21/3270.119

Description: General Health and Safety/Infant sleep position

Noncompliance Area: It was confirmed through photographic evidence and staff interviews that child #1 (DOB 1/9/2025) was left sleeping in a bouncer seat on 4/22/2025 rather than being placed on their back in a crib as per the sleeping position recommended by the American Academy of Pediatrics. Child #1 does not have medical reason they should not sleep in this position. While child #1 was in the bouncer seat, a burp cloth was used to prop up the child's head because they kept slumping over which poses a threat to the health or safety of children.

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. The legal entity must arrange for all facility staff who work in the infant room to complete the following training found on the Better Kid Care website: Safe Sleep Practices for Caregivers: Reduce the Risk of SUID.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact information for child # 1 does not include the address for the individuals designated by the parent to whom the child may be released. Emergency contact information for child # 2 does not include the address for 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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: It was observed on 3/12/2025 in all the child care spaces, with the exception of the indoor gross motor room a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency is not displayed conspicuously.

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

Regulation: 3270.133(2)

Description: Written instructions

Noncompliance Area: It was observed on 3/12/2025 in the Preschool 1 room an Epi-Pen was present for child #3; however, written instructions have not been provided from the individual who prescribed the medicine, nor was there a prescription label. It was observed on 3/12/2025 in the Toddler 2 room an Epi-Pen was present for child #4; however, written instructions have not been provided from the individual who prescribed the medicine, nor was there a prescription label.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.151(a)

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

Noncompliance Area: The health assessment for staff person #3 (DOH see LIS code sheet) was not updated within 24 months. This is evidenced by health assessments dated 6/16/20221 and 8/25/2023. The health assessment for staff person #4 (DOH see LIS code sheet) was not updated within 24 months. This is evidenced by health assessments dated 8/25/20221 and 9/12/2023.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The record for staff person #6 (DOH see LIS code sheet) includes one written, nonfamily reference from an individual attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #5 (DOH see LIS code sheet) did not complete professional development with 90 days of hire as listed in subsections (f)1-10. This is evidenced by the health and safety training certificate, Get Started with Center-Based Care Revised 2022 being dated 12/4/2024.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The operator is not in compliance with the CPSL as staff person #1 (DOH see LIS code sheet) did not update their mandated reporter training within 60 months. This is evidenced by mandated reporter training certificates dated 3/5/2020 and 3/12/2025. The operator is not in compliance with the CPSL as the record for staff person #2 (DOH see LIS code sheet) contains a NSOR verification dated 11/5/2024, which exceeds the 45-day provisional hire period. The operator is not in compliance with the CPSL as the record for staff person #5 (DOH see LIS code sheet) contains a NSOR verification dated 9/19/2024, which exceeds the 45-day provisional hire period. Staff person #5 did not complete mandated reporter training within 90 days of hire, as evidenced by the mandated reporter training certificate being dated 9/15/2024.

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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: it was observed on 3/12/2025 in the Toddler 1 classroom an eye hook latch was ripped out of the wall leaving behind damaged plaster. (CORRECTED ON SITE)

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: It was observed on 3/12/2025 the toilet area and fixtures in the shared bathroom between the Preschool 2 room and Pre-K 1 room are visibly dirty.

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

Regulation: 20.71(a)(5)

Description: Mistreatment or abuse of a child/children cared for in facility

Noncompliance Area: Facility Person #1 has mistreated or abused clients being cared for in the facility or receiving service from the agency.

Correction Required: The Department may deny, refuse to renew or revoke a certificate of compliance for mistreatment or abuse of a child/children cared for in facility.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Upon review of video footage from 8/9/2024 it was observed that Staff Person #1 (DOH see LIS code sheet) grabbed child #1 (DOB see LIS code sheet) by the arm and pulled the child onto a rest mat because the child was pushing on a bookshelf. Approximately 30 seconds later, Staff Person #1 was observed to grab Child #1 by the leg and pull the child onto a rest mat because the child was pushing up on a table with their feet and legs. A few seconds later, Staff Person #1 was observed to pull Child #1 by the arm again and move the child onto a rest mat. Child #1 was observed to looking at their arm and holding it with their other hand close to their body. Scratch marks were later observed on Child #1's arm.

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

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Staff Person #1, Staff Person #2, and Staff Person #3 all admitted to placing Child #1 (DOB see LIS code sheet) in a highchair with some toys to restrict Child #1's movements after Child #1 bit another child. This has occurred on numerous occasions.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: It was observed on 4/3/2024 at 8:20 am there were three (3) staff members in the Little Lambs room with fourteen (14) infants receiving child care. The required staff to child ratio is 1:4. (CORRECTED ON SITE)

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement for Child #1 does not specify the persons designated by a parent to whom the child may be released. The agreement for Child #2 does not specify the persons designated by a parent to whom the child may be released. The agreement for Child #3 does not specify the persons designated by a parent to whom the child may be released.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement for Child #2 does not specify the date of the child's admission.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information for Child #5 does not include the work address and telephone number of 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)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact information for Child #4 does not include the address of the individual 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff Person #10 has not completed the required one-hour Pennsylvania health and safety update 2022 by December 30, 2022.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The record for Staff Person #1 (DOH see LIS code sheet) contains health assessments dated 1/19/2022 and 2/7/2024, which exceeds 24 months. The record for Staff Person #2 (DOH see LIS code sheet) contains a health assessment dated 2/22/2024 which is not within 12 months prior to providing initial service in a child care setting. The record for Staff Person #3 (DOH see LIS code sheet) contains health assessments dated 12/23/2020 and 2/21/2023, which exceeds 24 months. The record for Staff Person #6 (DOH see LIS code sheet) contains health assessments dated 6/9/2020 and 2/9/2024, which exceeds 24 months. The record for Staff Person #7 (DOH see LIS code sheet) contains health assessments dated 2/22/2022 and 3/4/2024, which exceeds 24 months. The record for Staff Person #10 (DOH see LIS code sheet) contains a health assessment dated 3/25/2021 which is not within 12 months prior to providing initial service in a child care setting.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The record for facility person #5 (DOH see LIS code sheet) contains one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The record for facility person #8 (DOH see LIS code sheet) contains one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The record for facility person #9 (DOH see LIS code sheet) does not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff Person #4 (DOH see LIS code sheet) last participated in fire safety training on 2/19/2023, which exceeds the annual requirement.

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 record for Staff Person #8 (DOH see LIS code sheet) contains a Child Abuse clearance dated 6/22/2023, which is after their hire date, a NSOR verification dated 9/1/2023, which is beyond the 45-day provisional hire period, and mandated reporter training dated 9/23/2023 which exceeds 90 days after initial hire, all of which is not in compliance with the CPSL. The record for Staff Person # 9 (DOH see LIS code sheet) does not contain documentation the NSOR verification was applied for at initial hire. The record contains NSOR verification results dated 2/8/2024, which exceeds the 45-day provisional hire period and is therefore not in compliance with the CPSL.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed on 3/20/2024 in the preschool room bathroom several rusty nails are protruding out of the wall behind the tank of the toilet. (CORRECTED ON SITE)

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: It was observed on 3/20/2024 on the toddler side of the indoor play space area there were several spots with damaged paint as well as damaged plaster. (CORRECTED ON SITE)

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

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

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

Noncompliance Area: During staff interviews it was stated that Staff Person #1 (DOH see LIS code sheet) and Staff Person #2 were responsible for 20 children in the Caterpillars room on 3/4/2024. At approximately 12:15pm Child #1 (DOB see LIS code sheet) climbed up on the windowsill, unwound the window blind cord that was wrapped around a hook secured to the window frame, wrapped the cord around their neck and stepped off the windowsill causing their feet to be completely off the ground. Staff Person #1 immediately responded when they heard a scream and Staff Person #2 came to assist right afterwards. Both staff persons assisted holding up the child and unwrapping the window blind cord from around Child #1's neck. Once the cord was unwrapped, Staff Person #1 called for the director. Once appraised of the incident that just occurred the director immediately notified the child's mother by telephone. Staff Person #1 and Staff Person #2 both stated that primary care groups were established at the time of the incident, but on the day they were interviewed they could not recall whose primary care group Child #1 was assigned to. Neither Staff Person #1 nor Staff Person #2 knew the whereabouts of Child #1 until they heard the scream. Staff Person #1 stated they were helping children in the bathroom and Staff Person #2 stated their attention was on another child who was running around the classroom, dumping cups that were left on the table after lunch time.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. 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. Children must be supervised at all times. The legal entity must arrange for Staff Person #1 and Staff Person #2 to participate in technical assistance provided on site by ELRC staff regarding creating safe learning environments and supervision practices which must then be implemented in the classroom.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff Person #1 (DOH see LIS code sheet) was observed to be caring for children unsupervised on 12/6/2023. Staff Person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid & CPR. Staff Person #1 was observed to be working alone in the Bouncy Bears classroom. Staff Person #2 (DOH see LIS code sheet) was observed to be caring for children unsupervised on 12/6/2023. Staff Person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Health & Safety topics including Pediatric First Aid & CPR and mandated reporter training. Staff Person #3 (DOH see LIS code sheet) was observed to be caring for children unsupervised on 12/6/2023. Staff Person #3 has not completed the following pre-service training required prior to caring for children unsupervised: Health & Safety topics including Pediatric First Aid & CPR and mandated reporter training. Both Staff Person #2 and #3 were observed to be working in the Ducks classroom without being supervised by an AGS who has completed the required training related to this citation.

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, #2, and #3 must be supervised, when interacting with children, by and AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise Staff Person #1, #2, and/or #3, Staff Person #1, #2, and /or #3 may not work in a child care position at the facility.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: it was observed on 3/22/2023 in the Turtles room plastic bags were accessible to children who are still placing objects in their mouths. (CORRECTED ON SITE)

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement for Child #3 does not specify the amount of the fee to be charged per day or per week.

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

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The agreement for Child #3 does not specify the date on which the fee is to be paid.

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

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement for Child # 2 does not specify the child's arrival and departure times.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement for Child #2 does not specify the persons designated by a parent to whom the child may be released.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact information for Child #3 does not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP.

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)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for Child #1 does not include the address of the individual 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: 3270.151(a)

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

Noncompliance Area: The record for Staff Person #1, who provides direct care to children (DOH see LIS code sheet) contains a health assessment dated 11/29/2022, which was not conducted within 12 months prior to providing initial service in a child care setting. The record for Staff Person #3, who provides direct care to children (DOH see LIS code sheet) contains health assessments dated 10/16/2019 and 1/10/2022 which is more than 24 months following the date of signature. The record for Staff Person #4 who provides direct care to children (DOH see LIS code sheet) contains a health assessment dated 9/30/2022, which was not conducted within 12 months prior to providing initial service in a child care setting. The record for Staff Person #5 who provides direct care to children (DOH see LIS code sheet) contains a health assessment dated 10/21/2022, which was not conducted within 12 months prior to providing initial service in a child care setting.

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)

Description: Exam communicable disease

Noncompliance Area: The adult health assessment for Staff Person #2 (DOH see LIS code sheet) does not include an examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The record for Staff Person #1 (DOH see LIS code sheet) contains a PSP clearance request dated 12/1/2022 and a Child Abuse clearance dated 1/26/2023, which are both after their start date and therefore not in compliance with the CPSL. The record for Staff Person #4 (DOH see LIS code sheet) contains Mandated Reporter training dated 2/16/2023, which is more than 90 days from date of hire and is therefore not in compliance with the CPSL. The record for Staff Person # 5 (DOH see LIS code sheet) contains a DHS FBI clearance dated 2/17/2023, which is beyond the 45-day provisional hire date and is therefore not in compliance with the CPSL.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: It was observed on 3/22/2023 in the Ducks room a Magic Eraser was not stored in an original labeled container or in a container that specifies the content. It was observed on 3/22/2023 in the Jaguars room a Magic Eraser was not stored in an original labeled container or in a container that specifies the content. It was observed on 3/22/2023 in the Butterflies room a Magic Eraser was not stored in an original labeled container or in a container that specifies the content. (ALL CORRECTED ON SITE)

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: It was observed on 3/22/2023 in the Butterflies bathroom a lid to the holding tank of a toilet was missing and packing tape was placed over the top of the tank to make it inaccessible to children. The toilet was not in good repair.

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

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: Facility staff verified on 9/7/2022 that Staff Person #1 was alone in the Turtles classroom with seventeen (17) young and older toddlers. The required ratio for this mixed age grouping should have been 1:5. Staff Person #2 arrived at approximately 7:52am and Staff Person #3 arrived at approximately 8:08am, bringing the classrooms back into compliance with ratios.

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

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: Facility staff verified on 9/7/2022 that Staff Person #1 was alone in the Turtles classroom with seventeen (17) young and older toddlers. The required ratio for this mixed age grouping should have been 1:5. Staff Person #2 arrived at approximately 7:52am and Staff Person #3 arrived at approximately 8:08am, bringing the classrooms back into compliance with ratios.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. 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). The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Central Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

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

Description: Age and Training

Noncompliance Area: Staff Person #1(DOH see LIS code sheet) has not renewed their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. The most current certification is dated 8/18/2018 - 8/2020.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: Staff members verified that on Monday, August 22, 2022 Staff person #1 and #2 were in the Lady Bug classroom with a ratio of 2:15 from approximately 8 am until 8:53am. At 8:53am additional staff members arrived and primary care groups were rearranged to come into compliance with ratios. The Lady Bug classroom is an older toddler room which requires a ratio of 1:6. Staff members verified that on Monday, August 22, 20222 Staff Person #3 and #4 were in the Monkey classroom with a ratio of 2:27 from 9am until approximately 9:05am. At 9:05 am additional staff members arrived and primary care groups were rearranged to come into compliance with ratios. The Monkey classroom is a preschool room which requires a ratio of 1:10.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Upon review of the fire drill and fire detection log on 8/24/2022 it was observed there was a lapse of more than 30 days in between manual testing that occurred on 3/30/2022 and 5/12/2022 of the fire detection system and is not in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

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: 3270.108(c)

Description: No styrofoam

Noncompliance Area: It was observed on 3/10/2022 Styrofoam bowls were being used to serve children food.

Correction Required: Styrofoam cups and plates may not be used.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreements for Child #2, 4, 5 and 8 were not signed by the operator.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreements for Child # 2, 4, and 6 does not specify the amount of the fee to be charged per day or per week.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information for Child # 2 does include the home telephone number of the enrolling parent. Emergency contact information for Child # 3 does include the work telephone number of the enrolling parent. Emergency contact information for Child # 4 does include the home telephone number of the enrolling parent. Emergency contact information for Child # 5 does include the home telephone number of the enrolling parent. Emergency contact information for Child # 6 does include the home telephone number of the enrolling parent. Emergency contact information for Child #10 does not include the home and work addresses and telephone numbers of 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)(6)

Description: Insurance coverage information

Noncompliance Area: Emergency contact information for Child #3 does not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits. Emergency contact information for Child #8 does not include the policy number for a child under a family policy or Medical Assistance benefits.

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: Emergency contact information for Child # 9 and #10 does not include the address of the individual 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: 3270.124(c)

Description: Each child care space

Noncompliance Area: It was observed on 3/10/2022 emergency contact information for Child #4 and #11 was not present in the Turtles room, where the children were receiving care.

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: 3270.151(a)

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

Noncompliance Area: The file for Staff Person #4 hired 1/5/2022 contains a health assessment dated 2/5/2020, which is more than 12 months prior to providing initial service in a child care setting. The file for Staff Person #6 contains health assessments dated 7/1/2019 and 11/5/2021, which is more than 24 months apart.

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

Regulation: 3270.182(5)

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

Noncompliance Area: The record for Child #1 (admission date 11/23/2020 ), Child # 2 (admission date1/3/22), Child #3 (admission date 8/12/2019), Child #4 (admission date 8/10/2020), Child #5 (admission date 1/18/2018), Child #6 (admission date 4/26/2021), Child #7 (admission date10/4/2021), Child #8 (admission date 9/8/2021), Child #9 (admission date 12/29/2019) and Child #10 (admission date 8/2/2021) does not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff Person #1 hired 7/20/2021 does not have documentation of receiving training regarding the emergency plan at the time of initial employment, and was not trained on the emergency plan until 12/16/2021. Staff Person #3 hired 8/31//2021 does not have documentation of receiving training regarding the emergency plan at the time of initial employment, and was not trained on the emergency plan until 12/16/2021.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #2 hired 1/20/2022 contains documentation the FBI clearance was submitted on 1/12/2022; however, the results of the DHS required FBI clearance are not in the file. The file for Staff Person #5 hired 1/31/2022 does not contain out of state clearances for the state of MD, as required by the CPSL. The file for Staff Person #8 hired 6/16/2021 contains a DHS required FBI clearance dated 2/23/22, which is beyond the 45 day provisional hire period.

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 #2 and 5 may not work in a child care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed on 3/10/2022 in the Caterpillar room Bingo Markers labeled "Keep out of the Reach of Children" were on an art cart accessible to children. (CORRECTED ON SITE)

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: It was observed on 3/10/2022 in the Bears room the first-aid kit does 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 on 3/10/2022 on the toddler side of the indoor play space areas of peeling and damaged paint. (CORRECTED ON SITE)

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: During a complaint investigation a staff member stated that on October 12, 2021 they witnessed Staff Person #1 become frustrated with Child #1, pick the child up by their wrists, swing the child around and drop the child to ground and said "I don't want to deal with this kid anymore!"

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: During a complaint investigation a staff member stated around the time of October 12, 2021 they witnessed Staff Person #1 sitting on the floor in the young toddler room when Child #2 walked over and wanted to sit on Staff Person #1's lap. Staff Person #1 pushed Child #2 with both hands and said "Get away from me!" which caused Child #2 to fall backwards on their buttocks.

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

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

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

Noncompliance Area: Provider self reported on 10/7/2021 at 4:22pm Child #1 (DOB 1/29/2020) opened the classroom door leading to the fenced in play yard and went outside unattended. Staff Person # 1 and Staff Person #2 did not know the whereabouts of Child #1 for approximately 5 minutes. Child #1 was in the primary care group of Staff Person #1. Staff Person #3 found Child #1 on the play yard and reunited the child with Staff Person #1 and Staff Person #2 in the Turtles classroom. Staff #3 immediately reported the incident to the Center Director.

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. 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. 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)/3270.113(a)(1)

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

Noncompliance Area: Provider self reported on 10/7/2021 at 4:22pm Child #1 (DOB 1/29/2020) opened the classroom door leading to the fenced in play yard and went outside unattended. Staff Person # 1 and Staff Person #2 did not know the whereabouts of Child #1 for approximately 5 minutes. Child #1 was in the primary care group of Staff Person #1. Staff Person #3 found Child #1 on the play yard and reunited the child with Staff Person #1 and Staff Person #2 in the Turtles classroom. Staff #3 immediately reported the incident to the Center Director.

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. 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. 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.

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

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

Noncompliance Area: Provider self reported on 10/7/2021 at 4:22pm Child #1 (DOB 1/29/2020) opened the classroom door leading to the fenced in play yard and went outside unattended. Staff Person # 1 and Staff Person #2 did not know the whereabouts of Child #1 for approximately 5 minutes. Child #1 was in the primary care group of Staff Person #1. Staff Person #3 found Child #1 on the play yard and reunited the child with Staff Person #1 and Staff Person #2 in the Turtles classroom. Staff #3 immediately reported the incident to the Center Director.

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. 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. Children must be supervised at all times.