Kids Connection Learning Center

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During renewal inspection, cert rep observed improper documentation of the emergency drills being conducted at the facility. Facility was using fire drill logs to document activities.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During renewal inspection, cert rep observed chipped pain tin the preschool and preK classrooms.

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

Regulation: 3270.14

Description: Pertinent Laws & Regulations

Noncompliance Area: During renewal inspection, cert rep observed missing policy language covering recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child, addressing the prevention and identification of child maltreatment, and continuity of operations.

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.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: During renewal inspection cert rep observed the health assessments in the file of Child 1 did not contain the necessary language pertaining to the child's ability to fully participate in child care.

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

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: During the complaint investigation on 07.20.23, it was founded that Staff Person #1 used her arms and legs to restrain and restrict Child #1's movement.

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: 3270.182(8)

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

Noncompliance Area: During the complaint investigation on 07.20.23, it was founded that Staff person #2 did not have an initial agreement or subsequent agreement between parent or operator of facility to record, film or take pictures of Child #1.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the complaint investigation conducted on 06.07.23, it was founded that Staff person #1, #2 and #3 did supervise Child#1 and Child#2 while both children were playing in the playhouse located on the facility outdoor play space 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.: 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 regarding supervision of children.

Regulation: 3270.151(a)

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

Noncompliance Area: During the renewal inspection on 06.07.23, the health assessment reviewed for Staff Person #1 (dated 10.21.19) was not within a 24-month period.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the complaint investigation conducted on 03.07.23, it was founded that Staff #1 did not properly supervise Child#1 and Child#1 sustained an injury on the facility premises.

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

Regulation: 3270.20(a)(1)

Description: Inpatient hospitalization or ER treatment of child

Noncompliance Area: During the investigation on 03.07.23, it was founded that facility director did not notify the appropriate regional office within 24-hours of Child#1's emergency medical treatment.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION ON AUGUST 11, 2022, IT WAS FOUNDED (VIA VIDEO) THAT STAFF PERSON #1 AND STAFF PERSON #2 RIDICULED AND LAUGHED AT CHILD #1 FOR NOT "SMELLING, SUCKING AND LICKING" STAFF PERSON #1 BARE TOES.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: DURING THE RENEWAL INSPECTION ON MAY 05, 2022, THE HEALTH ASSESSMENT REVIEWED FOR CHILD #1 DID NOT INCLUDE A STATEMENT THAT THE CHILD IS ABLE TO PARTICIPATE IN CHILD CARE AND APPEARS TO BE FREE FROM CONTAGIOUS OR COMMUNICABLE DISEASE.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: DURING THE RENEWAL INSPECTION ON MAY 05, 2022, THE DISPOSABLE BOTTLES LOCATED IN THE INFANT ROOM REFRIGERATOR, WERE NOT LABELED WITH CHILD'S NAME.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: DURING THE RENEWAL INSPECTION ON MAY 05, 2022, THE RECORD REVIEWED FOR STAFF PERSON #1, #8 AND #9 DID NOT INCLUDE HEALTH AND SAFETY BASICS TRAINING CERTIFICATION.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: DURING THE RENEWAL INSPECTION ON MAY 05, 2022, THE EMERGENCY PLAN TRAINING FOR STAFF PERSON #1, (DATED 03.03.31), STAFF PERSON #2, (DATED 03.24.21), STAFF PERSON #3, (DATED 04.26.21), STAFF PERSON #4 AND STAFF PERSON #5 (BOTH DATED 04.28.21), WAS MORE THAN 12 MONTHS OLD.

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

Regulation: 3270.31(i)

Description: Health and Safety Training

Noncompliance Area: DURING THE RENEWAL INSPECTION ON MAY 05, 2022 THE RECORD REVIEWED FOR PERSON #5 AND STAFF PERSON #6 DID NOT INCLUDE PEDIATRIC FIRST AID/CPR CERTIFICATION

Correction Required: Professional development under subsection (f) may count towards the annual clock hours in subsection (e) on a one-time basis.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: DURING THE RENEWAL INSPECTION ON MAY 05, 2022, THE DISCLOSURE STATEMENT REVIEWED FOR STAFF PERSON #7 AND #8 DID NOT INCLUDE A SIGNATURE OR DATE (SEE CODES) THE RECORD REVIEWED FOR STAFF PERSON #8 DID NOT INCLUDE AN NSOR CLEARANCE (SEE CODES). THE RECORD REVIEWED FOR STAFF PERSON #9 DID NOT INCLUDE CHILD ABUSE, FBI AND NSOR CLEARANCES (SEE CODES)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 7,#8 and #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 #7, #8, and #9 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: DURING THE RENEWAL INSPECTION ON MAY 05, 2022, THE RECORD REVIEWED FOR STAFF PERSON #5 AND STAFF PERSON #6 (SEE HIRE DATE CODES) DID NOT INCLUDE A WRITTEN EVALUATION.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: DURING THE RENEWAL INSPECTION ON MAY 05, 2022, THERE WAS CHIPPED PAINTLOCATED ON THE RIGHT SIDE WALL NEAR THE WINDOW IN THE PRESCHOOL CLASSROOM.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/14/20, CHILD 4 AGREEMENT FORM DID NOT STATE THE ARRIVAL AND DEPARTURE TIMES ON THE FORM.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/14/20, CHILD 2 EMERGENCY CONTACT FORM DID NOT STATE THE PHYSICIAN PHONE NUMBER ON THE FORM.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/14/20, STAFF 4 FILE DID NOT CONTAIN A PHYSICAL. STAFF 1 AND 3 FILE DID NOT CONTAIN VERIFICATION TB HAS BEEN CONDUCTED.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/14/20, STAFF 3 FILE DID NOT CONTAIN VERIFICATION OF AGE IN THEIR FILE.

Correction Required: A facility person's record shall include verification of age.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/14/20, STAFF 3 FILE DID NOT CONTAIN VERIFICATION OF BEING TRAINED IN THE EMERGENCY PLAN.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/14/20, STAFF 4 FILE CONTAINED A VOLUNTEER DISCLOSURE, AND SHE IS NOT A VOLUNTEER. STAFF 3 FILE DID NOT CONTAIN A DISCLOSURE STATEMENT.

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 #--- may not work in a child care position at the facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/14/20, STAFF 3 FILE DID NOT CONTAIN VERIFICATION FOR THE POSITION THEY HELD AS A DIRECTOR IN THEIR FILE.

Correction Required: A director shall have attained one of the following qualification levels specified at 3270.34(b)(1) - (4). A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: DURING THE VIRTUAL INSPECTION ON 10/21/20, THERE WAS TOXIC (DESITIN) IN THE INFANT ROOM ACCESSIBLE TO CHILDREN IN AN UNLOCKED AREA, CAUSING A POTENTIAL HAZARD TO CHILDREN.

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

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 3/9/20, OBSERVED 14 YOUNG TODDLERS AND OLDER TODDLERS CHILDREN WITH TWO TEACHERS WHILE THE THIRD STAFF LEFT THE CLASSROOM.

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

Noncompliance Area: DURING THE UNANNOUNCED MONITORING ON 12/24/19, OBSERVED CHILD ONE LEAVE THE PLAY YARD AND GO INSIDE ALONE WITHOUT SUPERVISION.

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

Noncompliance Area: During the complaint investigation on 12/24/19, the facility has not been informing all of the parents of the facility of outbreaks that have occurred.

Correction Required: The operator shall inform parents of enrolled children when there is a suspected outbreak of a communicable disease or an outbreak of an unusual illness that represents a public health emergency in the opinion of the Department of Health.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 12/24/19, THE LATEST INSPECTION SUMMARY DATED 10/30/19 WAS NOT POSTED IN A CONSPICUOUS LOCATION.

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.

Noncompliance Area: CRIMINAL HISTORY/FBI CLEARANCE FOR STAFF #1 CONTAINS A CHARGE WITH AN UNREPORTED DISPOSITION. A DISPOSITION FOR EACH CRIME IS REQUIRED IN ORDER TO ASSESS COMPLIANCE WITH THE CHILD PROTECTIVE SERVICES (CPS) LAW AND 55 PA CODE CHAPTER 20. STAFF 1 WAS STILL EMPLOYED AND WORKING AT THE TIME OF INSPECTION. CONTINUE NON COMPLIANCE FROM SIN 00165482.

Correction Required: STAFF1 DID NOT OBTAIN DISPOSITION OF CHARGES WITHIN 30 DAYS. STAFF 1 MUST BE REMOVED FROM CHILDCARE POSITION AT FACILITY.

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION ON 12/24/19, INFORMED DIRECTOR DOES NOT PERFORM DUTIES.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/30/19, OBSERVED A CHILD SLEEPING ON A LABEDED COT THAT DID NOT BELONG TO THAT CHILD. OBSERVED COTS IN THE TODDLER TWO ROOM NOT LABELED. OBSERVED AN INFANT ON A COT THAT WAS NOT AGE APPROPRIATE FOR INFANTS.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/30/19, THE YOUNG SCHOOL AGE AND OLDER SCHOOL AGE CLASSROOM DID NOT HAVE A SCHEDULE THAT REPRESENT THE FULL DAY WHEN CHILDREN ARE IN CARE DUE TO SCHOOL CLOSING. THE HOURS THAT WERE MISSING WERE 9 - 3:30.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/31/19, CHILD 1,2,3,4,6,7,8 AND 9 AGREEMENT WAS MISSING THE FEE AMOUNT. ALL OF THESE AGREEMENTS STATED CCIS IN THE BOX.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/30/19, K-1 AND INFANT ROOM DID NOT HAVE TH EMRGENCY CONTACT FORM IN THE CLASSROOM FOR A CHILD.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/30/19, THERE WAS MEDICATION AT THE FACILITY FOR A CHILD NOT IN THE ORIGINAL CONTAINER.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/30/19, THERE WAS EXPIRED MEDICATION STORED AT THE FACILITY.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/30/19, STAFF 1,4 AND 7 WERE MISSING VERIFICATION FROM THERE FILE. STAFF 1 AND 4 WERE MISSING VERIFICATION OF COMPLETED TB. STAFF 7 WAS MISSING VERIFICATION OF TB AND PHYSICAL BEING CONDUCTED.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/30/19, CRIMINAL HISTORY/FBI CLEARANCE CONTAINS CHARGES WITH AN UNREPORTED DISPOSTION AND FILE DOES NOT CONTAIN DOCUMENTATION OF REQUEST FOR DISPOSITION OF CHARGES. A DISPOSITION FOR EACH CRIME IS REQUIRED IN ORDER TO ASSESS COMPLIANCE WITH THE CHILD PROTECTIVE SERVICES (CPS) LAW AND 55 PA CODE CHAPTER 20.

Correction Required: STAFF 4 MUST OBTAIN DISPOSTIO OF CHARGES WITHIN 30 DAYS AND PROVIDE DOCUMENTATION. STAFF 4 MUST BE SUPERVISED AT ALL TIMES UNTIL DISPOSTION IS OBTAINED.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/30/19, THE FACILITY HAS 235 CHILDREN ENROLLED AND HAS ONLY FOUR GS.

Correction Required: In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/30/19, STAFF 1 AND 5 FILE DID NOT HAVE VERIFICATION OF EXPERIENCE IN THERE FILE. THE FILE CONTAINED VERIFICATION OF COMPLETION OF 11TH GRADE.STAFF 5 FILE DID NOT HAVE VERIFICATON OF EDUCATION ON FILE.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/30/19, THE TODDLER 1 ROOM WAS OBSERVED BEING OUT OF RATIO. TODDLER 1 ROOM WAS OUT OF RATIO WHEN STAFF TOOK ONE CHILD IN THE DIAPERING AREA AND LEFT THE OTHER STAFF WITH 1 YOUNG TODDLER AND 6 OLDER TODDLERS.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/30/19, THERE WAS A GRILL PRESENT AND ACCESSIBLE TO CHILDREN CAUSING A POTENTIAL HAZARD THAT DID NOT HAVE A BARRIER TO PREVENT CHILDREN FROM TOUCHING THE SPACE.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/30/19, OBSERVED OUTLET COVERS MISSING IN THE TODDLER 3 CLASSROOM. THE OUTLET COVERS WERE MISSING IN THE CHANGING AREA.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/30/19, THERE WERE TOXICS (FOAMING BLEACH, HAND CLEANER, ACCESSIBLE TO CHILDREN UNDER THE UNLOKED SINK IN THE YOUNG SCHOOL AGE. THERE WERE ALSO DISINFECT SPRAY ACCESSIBLE TO CHILDREN IN THE YOUNG SCHOOL AGE BATHROOM.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/30/19, THE WATER IN THE RESTROOM OF K-1 MEASURED 112 DEGREES FARENHEIT.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 10/30/19, K-1 ROOM WAS MISSING GAUZE FROM THE FIRST AID KIT.THE PRE-K CLASS ROOM WAS MISSING SOAP AND TAPE FROM THEIR FIRST AID KIT. THE PRESCHOOL CLASS WAS MISSING GLOVES FROM THE FIRST AID KIT. THE OLDER SCHOOL AGE CLASS ROOM WAS MISSING TAPE FROM THE FIRST AID KIT.

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.

Noncompliance Area: DURING THE UNANNOUNED INSPECTION ON 10/28/19, STAFF 1 LEFT CHILD 1 UNATTENDED WHILE HE WAS SLEEPING. WHEN STAFF 1 OBSERVED OCDEL REP, SHE RAN INTO THE CLASSROOM TO RETRIEVE CHILD.

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.

Noncompliance Area: DURIG THE RENEWAL INSPECTION ON 10/28/19, THE PRESCHOOL CLASSROOM STAFF DID NOT KNOW THE CHILDRN THEY WERE RESPONSIBLE FOR. THE STAFF HAD 13 CHILDREN AND ONLY NAMED 11 CHILDREN. ONE STAFF NAMED 6 CHILDREN WHILE THE OTHER STAFF NAMED 5 CHILDREN. CONTINUE NON COMPLIANCE FROM SIN 00162044.

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.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTIO ON 10/28/19, TWO CLASSROOMS WERE OUT OF RATIIO. THE OLDER SCHOOL AGE CHILDREN HAD 2 STAFF WITH 34 CHILDREN. THE YOUNGER SCHOOLAGES HAD 3 STAFF WITH 37 CHILDREN PRIOR TO OBSERVING STAFF 1 REMOVING ONE CHILD.

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.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 9/4/19, OBSERVED CHILD #1 LEAVE CLASSROOM ALONE, WHILE STAFF 2,3 AND 4 DID NOT NOTICE. STAFF 1 INFOMRED STAFF 2,3 AND 4 OF THE MISSING CHILD AND ASKED WHO GROUP THE CHILD IS IN. STAFF 2,3 AND 4 DID NOT KNOW WHO GROUP HE WAS IN BECAUSE HE WAS JUST ASSIGNED TO THAT CLASS. CONTINUE NON COMPLIANCE FROM SIN 00156914.

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.

Noncompliance Area: DURING THE UNANNOUNED INSPECTION ON 9/4/19, STAFF 5 FILE DID NOT HAVE A PHYSICAL AND T/B CONDUCTED WITHIN THE 12 MONTHS OF HIRE. STAFF WAS HIRED ON 8/26/19 AND PHYSICAL WAS DATED 12/14/15. CONTINUE NON COMPLIANCE FROM SIN 00160916.

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.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 9/4/19, WHILE OBSERVING SIX CHILDREN GET OFF THE BUS. 5 OF THE SIX CHILDREN STATED THEY DID NOT HAVE ON THEIR SEAT BELT. CONTINUE NON COMPLIANCE FROM SIN 00156867.

Correction Required: Safety restraints installed in the vehicle at the time of manufacturing shall be used by all occupants.

Noncompliance Area: STAFF 1,2,4, 5 AND 3 DID NOT KNOW THERE PRIMARY CARE GROUP. STAFF 1 AND 2 NAMED WERE UNAWARE THEY NAMED THE SAME CHILD. STAFF 3 AND 4 ALSO WAS UNAWARE THEY NAMED THE SAME CHILD. STAFF 5 DID NOT KNOW ANY OF THE CHILDREN THAT WERE IN HER GROUP.

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.

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION ON 6/21/19 IT WAS OBSERVED SOME CHILDREN WERE ALLOWED TO RETURN BACK TO SCHOOL WITHOUT BRINGING IN A DOCTORS NOTE INDICATING THEY WERE CLEARED FROM THEIR COMMUNICABLE DISEASE.

Correction Required: An operator who observes an enrolled child with symptoms of a communicable disease or infection that can be transmitted directly or indirectly and which may threaten the health of children in care shall exclude the child from attendance until the operator receives notification from a physician or a CRNP that the child is no longer considered a threat to the health of others. The notification shall be retained in the child's file. Diseases and conditions which require exclusion are specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases).

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION ON 6/21/19, INVESTIGATION AND INTERVIEWING WAS CONDUCTED. DURING THE INTERVIEW IT WAS NOTED THE SCHOOL BUSES ARE BEING OVER PACKED BY HAVING MORE CHILDREN THAN SEATS ON THE SCHOOL BUS. INFORMED SOME CHILDREN MUST SIT THREE IN A SEAT INSTEAD OF TWO IN A SEAT.

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.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 6/21/19, STAFF 5,6 AND 7 FILE DID NOT CONTAIN VERIFICATION OF A PHYSICAL BEING CONDUCTED WITHIN THE LAST 12 MONTHS OF BEING HIRED.

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.

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION ON 6/21/19, UPON INVESTIGATION, IT WAS NOTED THAT ALL CHILDREN DO NOT USE A SEAT BELT WHILE IN THE FACILITY VEHICLE.

Correction Required: Safety restraints installed in the vehicle at the time of manufacturing shall be used by all occupants.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 6/21/19, STAFF 2, 5,6 AND 7 WERE MISSING DOCUMENTS FROM THEIR FILE. STAFF 2, 5 AND 7 WERE MISSING ONE NON FAMILY REFERENCE FROM THEIR FILE. STAFF 6 FILE DID NOT HAVE ANY NON FAMILY REFERENCES ON FILE.

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

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION ON 6/21/19, THERE WERE UNSAFE CONDITIONS AT THE FACILITY WHEN A STAFF MEMBER WAS CAUGHT DRINKING AN INAPPROPRIATE LIQUID SUBSTANCE WHILE SUPERVISING CHILDREN.

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

Noncompliance Area: DURING THE UNANNOOUNCED INSPECTION ON 6/21/19, STAFF 1,2,3,AND 5 FILE DID NOT CONTAIN VERIFICATION OF BEING TRAINED IN THE EMERGENCY PLAN WHEN HIRED. STAFF 4 FILE DID NOT CONTAIN ANNUAL EMERGENCY PLAN TRAINING. STAFF 4 LAST COMPLETED EMERGENCY PLAN TRAINING ON 9/7/17.

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.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 6/21/19, STAFF 4 FILE DID NOT CONTAIN VERIFICATION OF BEING TRAINED IN FIRE SAFETY.

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.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 6/21/19, STAFF 1 AND 6 FILE WERE MISSING INFORMATION FROM THEIR FILE. STAFF 1 FILE DID NOT CONTAIN VERIFICATION OF EDUCATION AND EXPERIENCE. STAFF 6 FILE DID NOT CONTAIN VERIFICATION OF TWO YEARS OF CHILD CARE EXPERIENCE IN THEIR FILE.

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

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 5/8/19, THERE WERE SEVERAL SPOTTED CEILING TILES. CONTINUE NON COMPLIANCE FROM SIN 00152883 AND 00153595.

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.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 4/16/19, THERE WERE SEVERAL SPOTTED CEILING TILES PRESENT. CONTINUE NON COMPLIANCE FROM SIN 00152883.

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.

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION ON 2/11/19, THERE IS LACK OF SUPERVISON ON THE BUS.

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.

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION ON 2/11/19, THE FACILITY WAS UNABLE TO PROVIDE AN INCIDENT REPORT FOR THE INCIDENTS THAT HAVE OCCURED TO HER CHILD WHEN ATTENDING THE FACILITY.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 2/11/19, STAFF 1 WAS OUT OF RATIO WITH 18 PRESCHOOLERS BY HERSELF. THE SECOND STAFF HAD WALKED TO THE RESTROOM WITH TWO CHILDREN.

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.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION ON 2/11/19, THERE WERE SPOTTED CEILING TILES IN THE LAST PRESCHOOL CLASSROOM.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/2/18, THE YOUNG AND OLDER SCHOOL AGE ROOM DID NOT HAVE SUFFIENT PLAY EQUIPMENT FOR THE 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.

Noncompliance Area: DURING THE RENEWAL ISNPECTION ON 11/2/18, THERE WAS BUSTED SEATS WITH FOAM EXPOSED ON BUS 1 AND 2, ACCESSIBLE TO CHILDREN AND CAUSING A POTENTIAL HAZARD TO CHILDREN.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/2/18, THE COTS IN THE 3 YEAR OLD ROOM, TODDLER 1 ROOM AND TODDLER 2 ROOM COTS WERE NOT ALL LABELED.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/2/18, STAFF 26 DID NOT KNOW HER SPECIFIED GROUP WHEN ASKED.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/2/18, THE OLDER SCHOOL AGE CHILDREN DID NOT WASH THEIR HANDS BEFORE EATING SNACK.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/2/18, STAFF 15 FILE WAS REVIEWED. STAFF 15 HEALTH ASSESSMENT WAS FRADULENT. DIRECTOR AND OCDEL REP CONTACTED FACILITY AND WAS INFORMED STAFF MADE SEVERAL APPOINTMENTS HOWEVER NEVER BEEN SEEN AT NONE OF THERE FACILITIES.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/2/18, THE EMERGENCY PLAN DID NOT STATE THE SHELTER IN PLACE LOCATION INSIDE OF THE FACILITY.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/2/18, STAFF 10 FILE WAS REVIEWED AND DID NOT HAVE VERIFICATION OF EXPERIENCE PRESENT IN FILE.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/2/18, STAFF 16 LEFT THE CLASSROOM ALONE WITH TWO CHILDREN TO TAKE THEM TO THE RESTROOM.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/2/18, STAFF 9 WAS ALONE WITH 16 PRESCHOOLERS WHEN STAFF 16 LEFT ROOM WITH TWO CHILDREN TO TAKE THEM TO THE RESTROOM.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/2/18, THERE WERE TOXICS ACCESSBILE TO CHILDREN THROUGHOUT THE FACILITY CAUSING A POTENTIAL HAZARD TO THE CHILDREN. THERE WAS BLEACH AND WATER BOTTLE IN YOUNG SCHOOL AGE BATHROOM ACCESSIBLE TO CHILDREN. THERE WAS BLEACH AND WATER BOTTLES IN THE OLDER SCHOOL AGE ROOM ON THE SHELF ACCESSIBLE TO CHILDREN AND CAUSING A POTENTIAL HAZARD.

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

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION CONDUCTED ON 10/19/18, STAFF 1 DID NOT KNOW THE WHERABOUTS OF CHILD 1.

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.

Noncompliance Area: DURING THE ALLOCATED UNANNOUNCED ON 10/19/18, THE FACILITY DID NOT HAVE AN INCIDENT REPORT IN THE CHILD'S FILE.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Noncompliance Area: DURING THE ALLOCATED UNANNOUNCED INSPECTION ON 10/19/18, FACILITY DID NOT KNOW WHEREABOUT OF CHILD 1 FOR OVER TWO HOURS WHEN PARENT CAME TO FACILITY TO PICK CHILD UP.

Correction Required: The facility operator shall make reports to a child's parent and to the Department in accordance with 3270.20 (relating to reporting injury, death or fire), if a child receiving care in the facility is lost or missing from the facility.

Noncompliance Area: DURING THE ALLOCATED UNANNOUNCED INSPECTION ON 10/19/18, THERE WERE HAND SANITIZER STATIONS POSTED THROUGHOUT THE FACILITY ACCESSIBLE TO CHILDREN CAUSING A POTENTIAL HAZARD.

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

Noncompliance Area: Several children wandered off from the rear exterior play space through an unlocked gate. The children whom were preschoolers wandered onto the parking lot in front of the facility.

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.

Noncompliance Area: While reviewing files, it was revealed that Staff #1 was employed in November 2017 and as of May 2018, they had not retrieved their FBI clearance verification.

Correction Required: 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.

Noncompliance Area: While reviewing files, it was revealed that Staff #1 was employed in November 2017 and as of May 2018, they had not retrieved their FBI clearance verification.

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

Noncompliance Area: An infant child was not changed during the entire day in care while at facility.

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.

Noncompliance Area: An infant child was not changed during the entire day in care while at facility.

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.

Noncompliance Area: In review of the children's files it was found that child #2 and #3 did not have documentation of child service report 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).

Noncompliance Area: In review of the children's files it was found that child #1 did not have documentation of parent's work address or telephone number on the emergency contact form

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

Noncompliance Area: In review of the children's files it was found that child #1 did not have documentation of designated release person's address or telephone number on the emergency contact form

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.

Noncompliance Area: During inspection certification representative observed a staff purse accessible to the children in an unlocked cabinet in the K1 classroom, in the Younger Pre-k classroom their was a purse accessible as well as a container of Ajax in an unlocked cabinet

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: In review of the staff files it was found that facility person #1, #2, and #3 are under the age of 18 and not enrolled in an approved training curriculum they may not work at the facility in childcare space supervising children. Facility persons #1, #2 and #3 must be removed from supervising children.

Correction Required: A staff person shall be 18 years of age or older. An individual 16 years of age or older who is enrolled in an approved training curriculum may be used as a staff person if the curriculum includes acceptable training topics referenced in 3270.31(e)(2).

Noncompliance Area: During inspection certification representative observed gloves missing from the indoor and outdoor first-aid kits in the Yung Toddler classroom.

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.

Noncompliance Area: During inspection certification representative observed toilet paper fixtures in poor repair, missing pieces which may pose a hazard to the safety of the children.

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

Noncompliance Area: During inspection certification representative observed handwashing signs missing in the school age classroom

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: The heat on Friday 2/10/17 was not in working condition. The building was cold and the children needed to wear coats and sweaters in the facility.

Correction Required: The indoor temperature shall be at least 65 F.