Ymca Child Care Center

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Continued non-compliance from SIN-00285035. Documentation on file for child 1 and child 2 did not include child service reports completed within the last 6 months.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Continued non-compliance from SIN-00285035. Documentation of the emergency contact information on file for child 1, has not been updated within the last 6 months.

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

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: Continued non-compliance from SIN-00285035. During the time of inspection, it was observed that the safe routes were not posted in a conspicuous location in the facility

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Continued non-compliance from SIN-00285035. Documentation on file for staff member 1 and staff member 2, included one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.25(b)

Description: Post the inspection summary

Noncompliance Area: During a correction verification visit, it was observed that the inspection summary for SIN-00285035 was not posted in a conspicuous location used by parents.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Continued non-compliance from SIN-00285035. Documentation of an annual emergency drill was not on file at the facility.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Continued non-compliance from SIN-00285035. During the time of inspection, it was observed that the vents in the older toddler classroom were visibly dirty. This was corrected during the inspection.

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(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: Continued non-compliance from SIN-00285035. Documentation of annual testing of the alarm system from a fire safety professional was not on file at the facility

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. To verify operability, a child care center shall have documentation of annual testing from a fire safety professional, if unable to test.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During the time of inspection, it was observed that a basket was broken with trunks/people in them in the older toddler classroom. There was a broken basket with play people in it in the preschool classroom. Both baskets were removed during the inspection.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the time of inspection, it was observed that the cots were not labeled for individual use in the preschool classroom.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Documentation on file for child 1, child 2, child 3, and child 5, did not include child service reports completed within the last 6 months.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Documentation of the emergency contact information on file for child 5, did not include the address of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Documentation of the emergency contact information on file for child 1, did not include the enrolling parents work phone number.

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: Documentation of the emergency contact information on file for child 1, child 2, child 3 and child 4, did not include complete written addresses 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(f)/3270.181(c)

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

Noncompliance Area: Documentation of the emergency contact information and agreement on file for child 5, was updated more than 6 months prior to the last review. Documentation of the agreement on file for child 2 and child 3 was updated more than 6 months prior than the previous review. Documentation of the emergency contact information on file for child 3, has not been updated within the last 6 months.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Documentation of an updated health assessment was not on file for staff member 7. Documentation of the health assessment on file for staff member 10, was updated more than 24 months of the previous 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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: Documentation of notifying 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 was not on file at the facility.

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

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: During the time of inspection, it was observed that the safe routes were not posted in a conspicuous location in the facility.

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

Regulation: 3270.175(a)

Description: Age appropriate restraints

Noncompliance Area: During the time of inspection, it was observed that the facility was using an expired booster seat to transport children. The Graco booster seat expired 4/30/25.

Correction Required: A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. §4581 (relating to restraint systems).

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Documentation on file for staff member 3 and staff member 6, included one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

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

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Documentation of an annual emergency evacuation plan training for staff members was not on file at the facility.

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: Director stated that changes were made to the emergency evacuation plan. The updated plan was not sent to the local municipality and to the country 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)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Documentation of annual fire safety training was not on file for staff member 1, staff member 2, staff member 5, staff member 8 and staff member 9.

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: Documentation on file for staff member 3 and staff member 6 did not include PA Required Health and Safety for Centers-Group Child Care Part 2

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. · PA Required Health and Safety for Centers-Group Child Care Part 1 and PA Required Health and Safety for Centers-Group Child Care Part 2 Until such time as the required pre- service trainings are completed, staff person #3 and staff person $6-- must be supervised, when interacting with children at a minimum by, an AGS, who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #3 and staff person #6--, staff person #3 and staff person #6-- may not work in a child-care position at the facility.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Documentation of the first aid/CPR certificate on file for staff member 9 did not include pediatric first aid and pediatric cardiopulmonary resuscitation.

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: Documentation of a disclosure statement was not on file for staff member 3. Documentation of a FBI clearance was not on file for staff member 3. Documentation of the FBI clearance on file for staff member 9 expired on 11/06/25.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3 and facility person #9 -- may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 3 and facility person #9--- may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Documentation on file for staff member 1, staff member 2 and staff member 5 did not include an evaluation within the last 12 months.

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

Regulation: 3270.36(b)(3)

Description: HS/GED, 15 credits + 1 yr

Noncompliance Area: Documentation on file for staff member 10, did not include 1 year of experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

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

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

Noncompliance Area: Documentation on file for staff member 9 and staff member 4, did not include verification of 2 years' experience working with children. Documentation of verification of education was not on file for staff member 9.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the time of inspection, it was observed that the first aid kit in the preschool classroom did not include tweezers.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the time of inspection, it was observed that the vents in the older toddler classroom were visibly dirty. There were water marks on the ceiling tile by the vent in the back of the older toddler classroom. The blinds were broken on a window in the preschool classroom. The baseboard was coming off of the wall under the window on the right in the preschool room.. A plastic cover on a light in the school age space was cracked.

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: During the time of inspection, it was observed that paint was peeling in multiple areas of the STEAM room.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Documentation of the fire drill log on file showed that fire drills were not completed every 60 days. A fire drill was completed on 1/5/26 and again on 3/26/26 which is 70 days.

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

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: Documentation of annual testing of the alarm system from a fire safety professional was not on file at the facility.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. To verify operability, a child care center shall have documentation of annual testing from a fire safety professional, if unable to test.

Regulation: 3270.174

Description: Age of Driver = 18 Yrs.

Noncompliance Area: Facility self-reported on 2/18/26 that the Director experienced a medical emergency and could not transport school age children to school. Staff member 1, transported children and it was determined that the staff member had a suspended license.

Correction Required: The operator of the vehicle shall be 18 years of age or older and shall have a valid operator's license.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Child #1 was in their classroom unsupervised. The child was alone in the classroom for approx 15 minutes.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: 1. Children must be supervised at all times. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must participate in training and subsequent TA visits. 3. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children during transitions 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. 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.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: Documentation of tuberculosis screening on file for facility person #1 was completed more than one year prior of staff members hire date.

Correction Required: 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. 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(5)

Description: Two written references

Noncompliance Area: Facility Person #1 file did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: Previously cited on 4/25/25 and verified as not implemented during a visit on 5/29/25, the thermometer in the fox classroom refrigerator was 48° F.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Previously cited on 4/25/25 and verified as not implemented during a visit on 5/29/25, the bear classroom had a ceiling tile that was showing visible water damage.

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: 3270.107

Description: Refrigerator

Noncompliance Area: During the time of inspection, the thermometer in the fox classroom refrigerator was 51° F. During the time of inspection, the thermometer in the bears classroom refrigerator was 52° F.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: Child #1 had "Located on Emergency Contact form" on the fee agreement under persons designated by a parent to whom the child may be released. Child #2 had "See Emergency Contact form" on the fee agreement under 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Facility person #2 did not receive an updated health assessment within 24 months of the previous health assessment. Previous health assessment was 3.15.23.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: During the time of inspection, the owl's classroom had bottles that were not labeled. - Corrected on site

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.176(a)

Description: Insured

Noncompliance Area: Documentation of vehicle insurance on file at the facility expired on 1.15.2025.

Correction Required: A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: Documentation of comprehensive general liability insurance on file at the facility expired on 1.15.2025. - Corrected on site

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Documentation of pediatric first aid/CPR on file for facility person #1 showed that the certification expired on 4.1.25.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the time of inspection, in the wolf pup classroom, diapering wipes labeled "keep out of reach of children" were 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(d)/3270.178

Description: On excursions/Transportation First Aid Kit

Noncompliance Area: During the time of inspection, the first aid kit in the van was missing water and tweezers.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c). A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the time of inspection, it was observed that the owl's classroom had visible dirt and was sticky under their changing pad on their changing table. - Corrected on site During the time of inspection, it was observed that in the fox classroom, there was visible dirt in toy bins and a broken toaster oven toy. During the time of inspection, the bear classroom had 2 ceiling tiles that were showing visible water damage.

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

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

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

Noncompliance Area: Facility person #2 was seen on video sleeping on and off in the school age classroom with 4 children present and facility person #2 was alone. Time range was from 1:18pm - 2:50pm. Total amount of time facility person #2 was seen asleep was 76 minutes.

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. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for supervision of children in the school age classroom is followed at all times e.g., a checklist. The Director will be required to observe the school age classroom during different program activities and at different times daily. 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.

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

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

Noncompliance Area: Facility person #2 was seen on video sleeping on and off in the school age classroom with 4 children present and facility person #2 was alone. Time range was from 1:18pm - 2:50pm. Total amount of time facility person #2 was seen asleep was 76 minutes.

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. Facility person #1 is required to attend existing provider orientation.

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

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

Noncompliance Area: Facility person #2 was seen on video sleeping on and off in the school age classroom with 4 children present and facility person #2 was alone. Time range was from 1:18pm - 2:50pm. Total amount of time facility person #2 was seen asleep was 76 minutes.

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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During the time of inspection, the refrigerator in the Chipmunk classroom was at 46° F.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child #2, #3, and #5 did not have documentation of completed child service reports on file.

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: Child #1 and child #4 did not have documentation of the child's date of admission on the fee agreement. - Corrected on site.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Child #3 did not have documentation of the release persons address on the emergency contact form. - Corrected on site

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(d)

Description: Excursions

Noncompliance Area: During the time of inspection, the Owl classroom was missing 1 emergency contact in the excursion backpack for a child. - Corrected on site. The Deer classroom was missing 1 emergency contact in the excursion backpack for a child. - Corrected on site. The Bears classroom was missing 1 emergency contact in the excursion backpack for a child. - Corrected on site

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: During the time of inspection, it was observed that the infant teacher used a wipe for the child's hands after diapering. The teacher then placed the child in a highchair for a meal.

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

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: During the time of inspection, Facility person #3 health assessment paperwork did not state they were suitable to work with children.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: Documentation of the facilities parent letter did not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Facility person #2 and Facility Person #5 did not have documentation of 12 clock hours of annual childcare training.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: Facility persons #2 completed fire safety training on 1.2.24 and updated their fire safety training on 2.20.24.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #4 did not have documentation of the 10 hour 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(s) shall complete professional development in the topics of 3270.31(f) within 90 days of hire. Staff person #4 will have until November 21, 2024 to complete the required training. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by a GS or AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #4, staff person 4- may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Documentation of the clearances on file for facility person #1 indicated there was a record but the rap sheet was not submitted to the regional office for review before Facility person #1 began working with children.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the time of inspection, a sanitizer bottle was on the windowsill in the Chipmunk classroom 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: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: During the time of inspection, three windows in the Chipmunk classroom were not modified or adapted to limit the opening to 6 or fewer inches. The classroom is located upstairs on the second floor of the building.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the time of inspection, the Wolf pup's classroom was missing scissors in their first aid kit. - Corrected on site

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: 3270.192(5)

Description: Two written references

Noncompliance Area: Facility person #1 has documentation of one reference written by a family member 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #2 did not have documentation of the application for an NSOR clearance at time of hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 may not be present in the facility until completed clearances are on file.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Documentation shows that fire drills were not conducted every 60 days. 9/18/23 - 1/16/24

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed at the time of inspection the diaper pad in older toddler classroom was cracked and foam was exposed. Corrected at inspection.

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: 3270.107

Description: Refrigerator

Noncompliance Area: It was observed at the time of inspection the refrigerator in the school-age classroom did not have a thermometer. Corrected at inspection.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: It was observed at the time of inspection that child #1 and Child #2 did not have health assessments in their files.

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

Regulation: 3270.182(8)

Description: Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: It was observed at the time of inspection child #2's record did not contain a financial agreement.

Correction Required: A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: It was observed at the time of inspection the last emergency drill was completed and documented more than one year ago.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: It was observed at the time of inspection the letter to parents of enrolled children explaining the emergency procedures did not contain the plan for a lockdown and accommodations for infants, toddlers and children with disabilities and chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: It was observed at the time of inspection a bottle of bleach cleaner was in an open closet accessible to children in the school age classroom. Corrected at inspection.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: It was observed at the time of inspection the first aid kit in the Pre-K classroom did not contain gloves. Corrected at inspection.

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: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: It was observed at the time of inspection the a sink being repaired by maintenance staff and was not working.

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

Regulation: 3270.94(a)(1)/3270.95(b)

Description: Every 60 days/Director or designated staff person ensure compliance

Noncompliance Area: It was observed at the time of inspection the last fire drill documented was on 9-8-23.

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

Regulation: 3270.34(a)

Description: Director responsibilities

Noncompliance Area: The facility director has not adequately managed personnel or the facility's program objectives and activities. On 8/9/23, children were observed climbing on tables, chairs, repeatedly hitting one another and running around the older toddler, pre-school and pre-k classroom. Continued non-compliance and failure to follow acceptable plans of correction was observed regarding 3270.102(a) beginning 3/2/2023 and continuing on 4/5/2023, 6/23/2023 and 8/9/2023.

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 will develop and implement a written staff observation plan when staff persons are present with a group of children on the facility's premises. The legal entity must receive DHS approval of the observation plan before it is implemented. Documentation of completed observations must be submitted on a weekly basis to the Central Regional Office of Child Development and Early Learning for a period of 3-months. Documentation of completed observations must also be kept on file 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 8/9/23, children were observed climbing on tables, chairs, repeatedly hitting one another and running around the older toddler, pre-school and pre-k classroom. Continued non-compliance and failure to follow acceptable plans of correction was observed regarding 3270.102(a) beginning 3/2/2023 and continuing on 4/5/2023, 6/23/2023 and 8/9/2023.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6).

Regulation: 3270.101(a)/3270.101(c)(6)

Description: Age appropriate/Large muscle development

Noncompliance Area: It was observed a the time of inspection the pre-k classroom was using the outside play area. The only play equipment was one plastic climber/slide in the outdoor play area for 6 pre-school aged children.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include toys and equipment for large muscle development.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: It was observed during inspection children were climbing on tables, chairs, hitting each other and throwing toys in the older toddler and preschool classrooms.

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 and participate in technical assistance regarding programming of children's daily activities, classroom management and managing the behaviors of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. Documentation of completed training must be submitted to DHS and be maintained on file at the facility.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: It was observed during inspection children were climbing on tables, chairs, hitting each other and throwing toys in the older toddler and preschool classrooms.

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

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

Noncompliance Area: It was observed at the time of inspection after diapering a young toddler the teacher took the child to the bathroom to wash their hands and her ability to supervise the remaining children was obstructed by a wall. When the young toddler teacher needed to access the refrigerator her ability to supervise the children was obstructed by a wall. Multiple pre-k children were hiding in two plastic storage cabinets, behind a closed door, in the outdoor play area.

Correction Required: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training and participate in technical assistance regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. Documentation of completed training must be submitted to DHS and be maintained on file at the facility.

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

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

Noncompliance Area: It was observed at the time of inspection after diapering a young toddler the teacher took the child to the bathroom to wash their hands and her ability to supervise the remaining children was obstructed by a wall. When the young toddler teacher needed to access the refrigerator her ability to supervise the children was obstructed by a wall. Multiple pre-k children were hiding in two plastic storage cabinets, behind a closed door, in the outdoor play area.

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.

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 8/9/23, children were observed climbing on tables, chairs, repeatedly hitting one another and running around the older toddler, pre-school and pre-k classroom. Continued non-compliance and failure to follow acceptable plans of correction was observed regarding 3270.102(a) beginning 3/2/2023 and continuing on 4/5/2023, 6/23/2023 and 8/9/2023.

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 will develop and implement a written staff observation plan when staff persons are present with a group of children on the facility's premises. The legal entity must receive DHS approval of the observation plan before it is implemented. Documentation of completed observations must be submitted on a weekly basis to the Central Regional Office of Child Development and Early Learning for a period of 3-months. Documentation of completed observations must also be kept on file 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 8/9/23, children were observed climbing on tables, chairs, repeatedly hitting one another and running around the older toddler, pre-school and pre-k classroom. Continued non-compliance and failure to follow acceptable plans of correction was observed regarding 3270.102(a) beginning 3/2/2023 and continuing on 4/5/2023, 6/23/2023 and 8/9/2023.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6).

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: It was observed at the time of inspection an electrical outlet in the pre-school classroom did not have a protective receptacle cover.

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

Regulation: 3270.76/3270.102(a)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: It was observed at the time of inspection the ceiling tiles were missing in the pre-school classroom, a soap dispenser was removed from the wall and holes were in the drywall where the screws held it to the wall of the pre-school classroom, three windows in the school-age classroom had multiple spider webs and dust, the ceiling tiles below the leaking HVAC unit were water stained and moldy. During the inspection the director stated that a child had attempted to climb into the opening of the drop ceiling where ceiling tiles were missing.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Continued noncompliance from SIN-00222505: A shelf in a bench in the pre-school room was dirty with dust. Continued noncompliance from SIN-00219794: On 03/02/2023, observed a tricycle with a missing handle and a green plastic bat which was cracked.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed at the time of inspection, on 6-23-23, a ceiling tile was missing, and a trashcan was below gathering water dripping from the air conditioner condensation. The outdoor play area had discarded play equipment that was cracked and broken.

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

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: It was observed at the time of inspection on 6-23-23 a ceiling tile was missing and a trashcan was below gathering water dripping from the air conditioner condensation.

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: It was observed at the time of inspection a closet in the young toddler classroom was unlocked and contained plastic bags on the bottom shelf.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Continued noncompliance from SIN-00222505: It was observed at the time of inspection the cots in the pre-K room did not have a chart identifying the numbered cots specific to each child.

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