Ken-Crest N E CENTER

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: At the time of inspection, the file for child #1 did not contain a Child Service Report or STARS 3 / 4 assessment summary completed for the child in the last 6 months and signed by the child's parent to indicate they received the information.

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(b)/3270.182(8)

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

Noncompliance Area: At the time of inspection, the file for child #2, enrolled ion 9/3/25; did not contain a financial agreement.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of inspection, the emergency contact forms for child #1, child #2 and child #3 were missing the addresses of the release persons.

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

Regulation: 3270.182(5)

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

Noncompliance Area: At the time of inspection, the emergency contact form for child #3 was missing the parent's signature for consent of administration of minor first-aid procedures by facility staff.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: At the time of inspection, the file for staff member #1 contained verification of 10.65 clock hours of child care training for the year but was missing 1.35 hours of training.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of inspection, the file for facility person #2, hired 9/15/25; did not contain a completed NSOR document required before being hired provisionally as a facility person with direct service to children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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.

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

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

Noncompliance Area: At the time of inspection, the file for staff member #1, hired as an aide; contained educational documentation from institution outside of the United States which was not evaluated to determine the equivalence US standards.

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.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: At the time of inspection, the fire drill log observed did not reflect fire drill were being conducted every 60 days. The date of the last fire drill documented was on 5/13/25.

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: At the time of inspection, the documentation verifying of the testing the fire alarm system every 30 days indicated the system was last checked on 5/13/25. Verification of the annual testing of the fire alarm system was completed by a professional on 2/3/25 but it doesn't mean the 30-day testing of the system is unnecessary, if the system is able to be tested.

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.

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: At the time of inspection, the emergency contact form for child #3 did not have signed parental consent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: At the time of inspection, the agreement form for child #1 was not signed by the parent in the last 6 months. The emergency contact and agreement forms were not signed by the parent in the last 6 months. The emergency contact form for child #3 was not signed by the parent in the last 6 months and there was not an agreement form present in the child's facility file. The file for child #4 did not contain an agreement form.

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: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: At the time of inspection, the file for child #1 did not contain an updated health assessment dated in the lasty 12 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.76/3270.82(g)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: At the time of inspection, dust and debris were observed on the air vents in room 2 and room 4. Rust was observed on metal fixtures in the bathroom of room 4. The bathroom tile in room 5 was cracked and disrepair.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 4/ 15 /24, a preschool child left from their assigned classroom on the second floor unsupervised, went down the stairs and out of the facility's front door, where the child was discovered by a parent arriving to the facility. Preschool staff members #1 and #2 were unaware where the child was and did not know the child was no longer present in the classroom.

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.

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: At the time of inspection, the agreement forms for child #2 and child #3 did not include enrollment dates.

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: At the time of inspection, the emergency contact forms for child #5 was missing the addresses of the release person(s).

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: At the time of inspection, the emergency contact and/or financial agreement forms for children #1, #2, 3 and #4 had not been updated or reviewed by the parents of the children in the last 6 months. The emergency contact and financial agreement forms for child #1 were both dated 9/1/22. Child #2's emergency contact form was dated 3/12/23 and the financial agreement was undated. Child #3's emergency contact form for was dated 5/15/22 and the financial agreement form was undated. Child's #4's emergency contact and financial agreement forms were both dated 8/19/22.

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: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: At the time of inspection, the file for child #1, D.O.B. 12/27/18 & enrolled 9/6/22; included a health assessment dated 4/6/22 which hadn't been updated within the last 12 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(c)/3270.131(d)(7)

Description: Completed or signed by physician, PA, or CRNP/Free from contagious/communicable disease

Noncompliance Area: At the time of inspection, the file for child #2, D.O.B. 6/10/19 & enrolled 9/6/22; did not include a Child Health Assessment but a Summary of Visit documentation with vaccination information. The Summary of Visit document did not include the medical providers' signature, nor did it include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. The last health assessment observed in child #3's file was dated 9/17/21.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: At the time of inspection, the file for staff member #1 did not include an initial health nor the TB results required for an initial health assessment.

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

Regulation: 3270.21/3270.192(2)(iii)

Description: General Health and Safety/Exp, educ., training at facility

Noncompliance Area: At the time of inspection, the file for staff member #2, hired 10/22/01; did not include verification of completion of the Health & Safety Training 1 Hour Update. All staff members were required to complete the training by the end of December 2022.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of inspection, the file for staff member #1, hired 9/5/23; did not include a receipt of request for a PA State Police Criminal Clearance nor the completed PA State Police Criminal Clearance, as required CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of inspection, dirt was observed on the air vent in room 2 near the reading area. The air vent, near the sink in classroom 3 was observed dusty and/ or discolored. The trash can in the room 3 had dirt on the outside. The air vent, near the fire extinguisher; in room 4 was observed with dust on the surface. The fan on the wall in classroom 4 was observed with dust on the on the surface.

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: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: At the time of inspection, a trash receptacle observed in the bathroom located in room #4, was not equipped with a lid..

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On May 10, 2023, certification representative conducted a complaint investigation. According to witnesses, staff person #1 picked a child up by the arm and moved them to another seat in a harsh manner.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On November 15, 2022 during the renewal inspection, staff #1 did not know the name of the children in their responsibility 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: Review of files reveal that Child #2 did not have their immunization verification in accordance to the recommendations of the ACIP at the time of the renewal inspection.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: The agreement form for Child #1 had not been reviewed and updated at the time of the renewal inspection.

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

Noncompliance Area: Review of files reveal that Staff # 7 and #13 did not have the verification of their education in terms of the US equivalency at the time of the renewal inspection.

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

Noncompliance Area: Review of files reveal that Staff # 17 and #18 did not have verification of emergency plan training at the time of the renewal inspection.

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: Review of files reveal that Staff #3, #4, #8, #9, #10, #11, #12, , #13,#14, #15, and #16 had child care training hours yet the training approval or training facilitator had not been verified at the time of the renewal inspection.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: Review of files reveal that Staff # 1 thru #18 received fire safety training yet the trainer's verification or OCDEL approval had not been provided at the time of the renewal inspection.

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.

Noncompliance Area: Review of files reveal that Staff #17 and #18 did not have a disclosure form on file at the time of the renewal inspection.

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.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: There were 2 outlet covers that were missing from Room # 1 at the time of the unannounced monitoring.

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

Noncompliance Area: There was peeling paint present in Room # 1 in the circle time area on the wall above the baseboard; Room #3 and Room #4 reading area.

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

Noncompliance Area: Release person's address for Child # 1 and Child #2 were not present on their Emergency Contact forms at the time of the renewal inspection.

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: Review of files reveal that Staff #1 had a health assessment that was not on an unapproved form and therefore required information was not present at the time of the renewal inspection. Staff #2 had a health form that had information that was not present at the time of the review. Staff # 4 and #5 had health assessments that were expired at the time of the renewal inspection.

Correction Required: 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: ON SEPTEMBER 1, 2017 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #1, STAFF #2, STAFF #3, STAFF #4 AND STAFF #5 DID NOT CONTAIN EVIDENCE OF AN UPDATED 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.

Noncompliance Area: ON SEPTEMBER 1, 2017 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #4 DID NOT CONTAIN EVIDENCE OF MANDATED REPORTER TRAINING.

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