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Child Care Center ✓ Licensed

Covenant Child Care Center

Lancaster, PA · Lancaster County
★ ☆ ☆ ☆ ☆ 1.0 (1 review)
110 N Mulberry St, Lancaster, PA 17603
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Quick Facts

Capacity
117 children
Age Range
0-5 years
Type of Care
Full-Time, Part-Time
Languages
English, American Sign Language, English, Spanish
Subsidized Program
Participates
State Rating
1

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Contact Information

📞 (717) 393-1561
110 N Mulberry St
Lancaster, PA 17603
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✓ Licensed Child Care Center
Active License
License Number
CER-00254182
License Issued
Jul 11, 2026
Active Through
Jul 11, 2027
Issued By
Pennsylvania Department of Education and Public Welfare
District Office
Early Learning Resource Center for Region 10

Reviews

1.0
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1 review
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Eric
2013-09-04 02:27:40
★ ☆ ☆ ☆ ☆

The children often go on walks when the weather is nice. When he began to cry on the walk back, instead of investigating what the problem was and discovering a messy diaper, he was made to walk back and keep crying. When we found the red blisters, we were appalled and confronted them the following morning. Why didn't you investigate and change him. Why didn't you have diapers with you on a long walk. Why couldn't someone come get him instead of being made to walk back. 3 questions you should NOT have to bring up to the people caring for your child.

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About the Provider

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Covenant United Methodist Church is a Lancaster City congregation

Hours of Operation

  • Monday7:00 AM - 5:30 PM
  • Tuesday7:00 AM - 5:30 PM
  • Wednesday7:00 AM - 5:30 PM
  • Thursday7:00 AM - 5:30 PM
  • Friday7:00 AM - 5:30 PM
  • Saturday Closed
  • Sunday Closed

Inspection/Report History

Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.

Inspection Date Reason Description Status
2026-04-01 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Multiple nap mats used by the pre-k room were torn, exposing the inner foam.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Mats with tears in them were thrown away and replaced with brand new sleeping mats.
2026-04-01 Renewal 3270.151(a)/3270.151(c)(2) - 12 months prior to service and every 24 months thereafter/Mantoux TB Compliant - Finalized

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

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

Noncompliance Area: The TB test results on file for staff person #10 were not dated in the 12 months prior to initial service in the child care setting. The TB test results on file were dated 17 days after the first day caring for children.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff Person #10 now has TB test results added to her staff file.
2026-04-01 Renewal 3270.27(a)(5) - Emergency plan Compliant - Finalized

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not provide accommodations for the enrolled child with a chronic medical condition.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Provider Response: (Contact the State Licensing Office for more information.)
A line has been added the the center's emergency plan stating that we do keep emergency medications in our classrooms' Emergency To-Go bags. These bags travel with the children whenever leaving the classroom including for evacuation drills and actual evacuation emergencies.
2026-04-01 Renewal 3270.32(a) - Comply with CPSL Compliant - Finalized

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The DHS FBI clearance on file for staff person #1 expired on 6/18/25, but was not updated until 6/26/25. The staff person worked in a child care position during the time the clearance was expired. The PA Child Abuse clearance on file for staff person #5 expired on 11/9/25, but was not updated until 11/13/25. The staff person worked with children during the time the clearance was expired. The mandated reporter on file for staff person #5 expired 6/23/25, but an updated training was not on file until 7/1/25. The PA Child Abuse clearance on file for staff person #6 expired on 11/10/25, but was not updated until 11/17/25. The staff person worked in a child care position during the time the clearance was expired. The mandated reporter on file for staff person #9 expired 12/1/25, but an updated training was not on file until 12/3/25. Upon beginning work in the facility, the record for staff person #10 did not the applicable out of state clearances as required under the CPSL. The applicable out-of-state child abuse clearance was not on file at the time of inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #10 may not work in a child care position at the facility until complete clearances are on file. The initial mandated reporter training on file for staff person #11 was not dated within 90 days of hire. The training was dated 92 days after the date of hire.

Provider Response: (Contact the State Licensing Office for more information.)
All clearances and trainings have been updated in each staff person's file. Staff person #10 has received her out-of-state clearances and has been returned to her child care position.
2026-04-01 Renewal 3270.34(a)(6) - Staff evaluations Compliant - Finalized

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff evaluations were due in December of 2025 for staff persons #2, #3, #6, #7, and #8, but they were not completed until February and March of 2026.

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

Provider Response: (Contact the State Licensing Office for more information.)
All staff currently have an evaluation completed within the past 12 months included in their staff file.
2026-04-01 Renewal 3270.72(d) - Above ground window opening restricted to 6" Compliant - Finalized

Regulation: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: Windows in the preschool room were opened more than 6 inches.

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.

Provider Response: (Contact the State Licensing Office for more information.)
A window jam was added to the window in the Preschool room to keep it from opening more than 6 inches.
2026-04-01 Renewal 3270.95(a) - Devices must be compliant Compliant - Finalized

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: More than 30 days lapsed between manual tests of the fire detection system that took place on 6/10/25 and subsequently 7/24/25, 12/17/25 and subsequently 1/17/26, and 1/17/26 and subsequently 2/18/26.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Provider Response: (Contact the State Licensing Office for more information.)
Fire detection manual testing has been completed within the past 30 days. The next scheduled testing has been added to the center's master schedule.
2026-01-30 Allocated Unannounced Monitoring 3270.133(6)/3270.133(7) - Written consent/Medication log Compliant - Finalized

Regulation: 3270.133(6)/3270.133(7)

Description: Written consent/Medication log

Noncompliance Area: Child #1 had an expired Epi-Pen emergency medication at the facility, however there was no Medication Log completed by the parent, giving instructions and permission to administer.

Correction Required: A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Provider Response: (Contact the State Licensing Office for more information.)
Child #1 no longer requires the use of an emergency EpiPen per parent instructions.
2026-01-30 Allocated Unannounced Monitoring 3270.37(b)(3)/3270.192(2)(ii) - 8th grade + 2 yrs/Exp, educ., training prior to facility Compliant - Finalized

Regulation: 3270.37(b)(3)/3270.192(2)(ii)

Description: 8th grade + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: Staff Person #1 was observed working with children and did not have documentation of a minimum of completion of 8th grade and 2 years (2,500 hours) of childcare experience on file to qualify as an Aide.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff Person #1 was terminated from the childcare center for unrelated reasons. (unreliable and excessive calling off of scheduled shifts).
2025-07-14 Complaints- Legal Location 3270.119 - Infant sleep position Compliant - Finalized

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: Infants were not placed in sleeping positions recommended by the American Academy of Pediatrics as follows: On 7/14/25: Child #1 was observed sleeping in a bouncy seat Child #2 was observed sleeping in a bouncy seat then moved to a glider. Child #3 was observed sleeping in a swing. On 7/18/25: Child #3 was observed sleeping in a glider.

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

Provider Response: (Contact the State Licensing Office for more information.)
All bassinet/gliders that were used for infant sleeping, have been removed from the infant room and replaced with cribs that are labelled for individual use. Staff have been reminded that when an infant falls asleep in other equipment (such as a swing or bouncy seat), they must be moved to their crib to sleep and will be placed on their back in their labelled crib. An infant specialist will be providing TA in the classroom as well.
2025-07-14 Unannounced Monitoring 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: There were 3 written references for Staff Person #2 on file. One of them checked that they were from a family member while the other 2 did not indicate if they were related or not.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #2 has 3 references on file. Two references have been verified that they are not family members.
2025-07-14 Complaints- Legal Location 3270.21/3270.106(e) - General Health and Safety/Seasonal coverings Compliant - Finalized

Regulation: 3270.21/3270.106(e)

Description: General Health and Safety/Seasonal coverings

Noncompliance Area: The infant room was very warm during the inspections, with a digital temperature reading of 80 degrees (30% humidity) and the infants were observed sleeping in gliders, swings and bouncy seats with heavy, thick blankets on them.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Seasonal, appropriate covering, such as sheets or blankets, shall be provided as agreed between the child's parent and the operator.

Provider Response: (Contact the State Licensing Office for more information.)
The child care center purchased and installed a window air conditioning unit to keep the infant room at a comfortable temperature. Staff have notified parents, requesting lighter blankets be brought in for all infants during warmer seasons. Staff will only use a light-weight blanket if needed or no blanket at all, to ensure that the infants are comfortable while sleeping in cribs.
2025-07-14 Unannounced Monitoring 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff Person #1 has completed Pediatric First Aid and CPR training, however there was no certificate or documentation of the training completed through a PQAS approved curriculum with a PQAS-certified, approved trainer in Staff Person #1's file.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed and documentation is on file, Staff Person #1 must be supervised when interacting with children at a minimum by, an AGS who has completed all pre-service trainings and has all qualifications to care for children unsupervised. If there are no staff persons available to supervise staff person #1, staff person #1 may not work in a childcare position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff Person #1 did not work alone with children, unsupervised until the Pediatric First Aid and CPR documentation was obtained and added to staff person #1's file.
2025-07-14 Unannounced Monitoring 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire drill log did not have documentation showing that the fire alarm system had been tested every 30 days or less as required. As of 7/14/25, the last documented testing date on the log was 6/10/25.

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

Provider Response: (Contact the State Licensing Office for more information.)
The fire alarm system has been tested on 7/24/2025 and 8/19/2025 and documented on the log.
2025-04-17 Renewal 3270.134(a) - Child's hands washed Compliant - Finalized

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Staff in both infant classrooms said that they use wipes on the infants' hands after diapering, in lieu of handwashing.

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

Provider Response: (Contact the State Licensing Office for more information.)
A handwashing policy, including infants, has been created for the center. All staff have been notified of the policy. Infant Room staff have been trained to wash infants hands with soap and water at the sink. The only exception to this, is if the infant is unable to hold up their head. In that case, wipes may be used. All staff who work with infants, have signed their acknowledgement of this policy.
2025-01-10 Allocated Unannounced Monitoring 3270.192(2)(ii) - Exp, educ., training prior to facility Compliant - Finalized

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for Facility Person #2 did not contain documentation of education.

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

Provider Response: (Contact the State Licensing Office for more information.)
Person #2 has submitted additional letter of reference documenting additional experience hours. Person #2 has also submitted a transcript documenting education.
2025-01-10 Allocated Unannounced Monitoring 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff Person #1 has not completed the following pre-service training within 90 days of their hire date (see Code Sheet): Health and Safety training

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff Person #1 will have until 2/26/25 to complete the required training. Until such time as the required training has been completed, Staff Person #1 must be supervised when interaction with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff available to supervise Staff Person #1, Staff Person #1 may not work in a childcare position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff Person #1 has completed the necessary pre-service training as of 1/13/2025.
2024-04-22 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The lids on the metal trash cans in the boys' and girls' prekindergarten bathrooms were rusted.

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.

Provider Response: (Contact the State Licensing Office for more information.)
New lidded trash cans have been purchased for the boys' and girls' bathrooms used by the Pre-K students.
2024-04-22 Renewal 3270.107 - Refrigerator Compliant - Finalized

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The thermometer in the refrigerator of the Preschool Room displayed a temperature of 50 degrees. At the end of the inspection, the refrigerator was checked again, and it was still showing 50 degrees.

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.

Provider Response: (Contact the State Licensing Office for more information.)
A refrigerator from another room in the church has been moved into the Preschool room and is currently reading 40 degrees on the thermometer.
2024-04-22 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There was an accumulation of dust around the vents and ceiling tiles near the vents, in the Preschool Room. Dust and cobwebs were observed in the corner and on ceiling divider track in the Prekindergarten Room.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The ceiling tiles and vent in the Preschool room as well as the divider track in the Pre-K room have been vacuumed and are now free from dust and cobwebs.
2024-04-22 Renewal 3270.82(i) - Lidded waste receptacles Compliant - Finalized

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: There was no lidded trash can in the older Toddler Room bathroom.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Provider Response: (Contact the State Licensing Office for more information.)
A lidded trash can has been purchased and added to the Older Toddler bathroom.
2023-08-03 Complaints- Legal Location 3270.111(c) - Promote development Compliant - Finalized

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Complaint investigation revealed that staff person #1 did not implement daily activities that promoted the development of skills, social competence, and self-esteem. Staff Person #1 has been observed bickering with the lead teacher and other staff in the classroom and has become frustrated to the point of yelling at the children.

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 facility director will develop and implement a written staff observation plan when staff person #1 is 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.

Provider Response: (Contact the State Licensing Office for more information.)
The director created an Observation Plan which was approved on 8/31/2023. The plan and observation form have been explained to Staff Person #1.
2023-08-03 Complaints- Legal Location 3270.111(c) - Promote development Compliant - Finalized

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Complaint investigation revealed that staff person #1 did not implement daily activities that promoted the development of skills, social competence, and self-esteem. Staff Person #1 has been observed bickering with the lead teacher and other staff in the classroom and has become frustrated to the point of yelling at the children.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 has been made aware of the violation and that the expectation is for her to refrain from bickering with other staff and to refrain from yelling at children. Staff person #1 has received additional training through the assigned Better Kid Care videos and is aware that she will be observed on at least a weekly basis by the director to monitor her improvement in this area.
2023-08-03 Complaints- Legal Location 3270.111(c) - Promote development Compliant - Finalized

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Complaint investigation revealed that staff person #1 did not implement daily activities that promoted the development of skills, social competence, and self-esteem. Staff Person #1 has been observed bickering with the lead teacher and other staff in the classroom and has become frustrated to the point of yelling at the children.

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 Staff Person #1 to complete the following training sessions on the Better Kid Care website: Dealing With Anger - The Children's and Yours (2 hours) and Interactions Matter: Positive Teacher/Child Interactions (2 hours). Documentation of completed training must be submitted to DHS and be kept on file at the facility. Training hours may not count toward the annual 12-hour regulatory training requirement.

Provider Response: (Contact the State Licensing Office for more information.)
Staff Person #1 has viewed and received the certificates for the two assigned Better Kid Care trainings.
2023-08-03 Complaints- Legal Location 3270.113(b) - No physical punishment Compliant - Finalized

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Staff Person #1, has grabbed three different children by the arm and has picked up children by one arm.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff may not grab children and/or pick them up by one arm. The correct way to pick up a child (two hands underneath their arms) has be reviewed with Staff Person #1.
2023-08-03 Complaints- Legal Location 3270.113(c) - No ridicule or threaten harm Compliant - Finalized

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: Staff Person #1 targets Child #1, #2, and #3 and screams at them and has said "I can't wait until they (Child #1 and #3) move up (to the next class)." Staff Person #1 scolds Child#1, #2, and #3 and screams at them, making the children cry.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 has been reminded that children may not be ridiculed or degraded and that staff may not scream at children. Staff person #1 has been trained on how to resolve frustrating situations through the assigned Better Kid Care videos.
2023-04-26 Renewal 3270.123(a)(3) - Services proceeded Compliant - Finalized

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for Children #1, #2, #3, #4, #5, #6 and #7 did not include completed Child Service Reports to provide information to the family about the child's growth and development, as required every 6 months.

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

Provider Response: (Contact the State Licensing Office for more information.)
The approved Child Service Reports were done for each child #1-#7 and sent to our certification representative.
2023-04-26 Renewal 3270.131(b)(1) - Infant: updated health report every 6 months Compliant - Finalized

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for Child #2 did not contain an updated health report every 6 months as required for a young toddler. The last health assessment was dated 10/12/22.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Provider Response: (Contact the State Licensing Office for more information.)
Child #2 was immediately able to share with me an upcoming appointment for the health assessment. The health assessment was completed on 4/28/2023
2023-04-26 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

Regulation: 3270.151(a)

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

Noncompliance Area: The files for Staff Persons #1 and #2 did not contain health assessments that were conducted within 12 months prior to initial service at the facility. Staff Person #1's physical was dated 1/24/23 and Staff Person #2's physical was dated 3/14/23.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 and Staff person #2 did have health assessments completed as of inspection. Staff person #1 had a health assessment completed on 1/26/2023 and Staff #2 had a health assessment completed on 3/14/2023.
2023-04-26 Renewal 3270.182(3)/3270.182(5) - Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission Compliant - Finalized

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The Emergency Contact Form for Child #1 did not include signed parental consent for emergency medical care or administration of minor first aid procedures by faculty staff.

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

Provider Response: (Contact the State Licensing Office for more information.)
The Emergency Contact Form for Child #1 was updated with the signatures for parental consent for emergency medical care and administration of minor first aid procedures by faculty staff.
2023-04-26 Renewal 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff Persons #1 and #3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Staff Person #1 did not complete the 2022 10-hr Health and Safety training Staff Person #3 did not complete pediatric first aid/CPR in an approved curriculum by an approved trainer

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff Persons #1 and #3 will have until May 31, 2023 (15 days from POC requested date) to complete the required training. Until such time as the required training has been completed, staff persons #1 and #3 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1 and #3, staff persons #1 and #3 may not work in a childcare position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 completed their training as of 4/29/2023. Staff person #3 will complete the CPR training as of 8/1/2023. Staff person #3 is a college student taking a leave of absence during her semester break and will have the training completed before returning to work at the center.
2023-04-26 Renewal 3270.75(a)/3270.124(c) - In child care spaces/Each child care space Compliant - Finalized

Regulation: 3270.75(a)/3270.124(c)

Description: In child care spaces/Each child care space

Noncompliance Area: The PreK group did not have emergency contact forms or first aid kit with them in Bethany Hall.

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

Provider Response: (Contact the State Licensing Office for more information.)
An additional first aid kit has been placed in the Pre-K lunchroom (Bethany Hall). The Pre-K staff also know they need to take their emergency bag with them whenever leaving the Pre-K room or lunchroom area.
2022-04-12 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

Regulation: 3270.151(a)

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

Noncompliance Area: The files for Staff Members #1, #2, #3, #5, #7 and #8 did not include documentation of Health Assessments conducted within 12 months prior to their start date at the facility. They all had health assessments that were dated after their hire/start dates, with the exception of Staff Members #9 and #10, who did not have any documentation of a completed health assessment in their files.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The center will require all staff to have a health assessment on file before their hire date. Staff #10 does now have a completed health assessment in her file. Staff #9 is a college student who has resigned to return home over the summer. Staff #9 will not be rehired in the fall until a completed health assessment is on file.
2022-04-12 Renewal 3270.151(c)(2) - Mantoux TB Compliant - Finalized

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The files for Staff Members #4 and #11 did not include TB screening results prior to their start dates. They both had health assessments completed prior to hire, but the TB test results for Staff Member #4 was dated 7 months after their start date and there is no record of any TB screening results for Staff Member #11.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #11 does now currently have a negative TB test in her file.
2022-04-12 Renewal 3270.192(2)(ii)/3270.192(2)(iv) - Exp, educ., training prior to facility/Transcript, diploma and letters Compliant - Finalized

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: The file for Staff Member #11 did not include verification of education (high school diploma or transcript), required to be employed as an Aide.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff #11 does now currently have a copy of her high school diploma from Iraq in her file and it has been sent for translation then sent to certification rep and placed in the staff file. Until it has been received, Staff #11 has been removed from the classroom.
2022-04-12 Renewal 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff Member #6 contained only 1 written, nonfamily reference 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

Provider Response: (Contact the State Licensing Office for more information.)
Staff #6 is a college student who resigned to return home for the summer. Staff #6 will not be rehired in the fall until a second reference is in her file.

If you are a provider and believe any information is incorrect, please contact us. We will research your concern and make corrections accordingly.

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