The Goddard School

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

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

Noncompliance Area: An inspection was conducted on 7/14/26 as a result of self-reported noncompliance. On 7/8/26 at about 3:00pm, Staff Person #1 and Staff Person #2 were taking a group of young toddlers outside to the playground. Child #1 was left inside the classroom. Child #1 was in the primary care group of Staff Person #1. Staff Person #3 discovered Child #1 in the classroom alone. Staff Person #3 left the child in the classroom and reported this to Staff Person #4. Staff Person #4 checked to see that Child #1 was in the classroom alone. Staff Person #4 also left the child in alone in the classroom while they informed Staff Person #1 and Staff Person #2 that Child #1 was still in the classroom. Staff Person #2 then went to get Child #1.

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 staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children 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 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must update the Supervision Policy to include steps staff should take if they are to find a child unsupervised. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during transition times, such as visiting the bathroom and supervision on the playground. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review the policy with all staff and have staff sign off that the understand and will follow the supervision policy. The operator shall provide a correction date for when the policy will be reviewed with all staff. 3. The legal entity must arrange for Staff Person #1, Staff Person #2, Staff Person #3, and Staff Person #4 to complete the training entitled "Infant-Toddler Care: Quality Supervision" through Better Kid Care. The operator shall provide a correction date for when the training will be completed.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection was conducted 6/29/26 and 6/30/26. During the inspection, four ripped nap mats were observed in the Wild Things Room. Two cracked deck boxes were observed on the playground. Exposed bolts were observed around the bottom perimeter of the toddler playground fence.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: A renewal inspection was conducted 6/29/26 and 6/30/26. During the inspection, the cot list in the Little Critters Room was not completed and the cots in the classroom were not assigned for use to a specific child.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: A renewal inspection was conducted 6/29/26 and 6/30/26. During the inspection, peeling paint was observed on the wall in the Llama Llama's Room near the dramatic play area and the block/car area.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A renewal inspection was conducted 12/3/25. At that time, plastic shopping bags were observed in a child's cubby in the Cozy Cubs Room where they were accessible to the children in the room. The staff in the room said that some of the children are still placing objects in their mouths.

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

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

Description: Age and Training

Noncompliance Area: A renewal inspection was conducted 12/3/25. At that time, the staff files were reviewed. Staff person #3 did not complete Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 7/2025. Documentation of updated Pediatric first aid and CPR training is dated 8/11/25.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: A renewal inspection was conducted 12/3/25. At that time, the staff files were reviewed. Staff person #1 did not complete mandated reporter training on or before expiration of the most current training. This is evidenced by the previously documented mandated reporter training on file expiring 6/18/2025. Documentation of updated mandated reporter training is dated 7/3/25. Staff person #2 did not complete mandated reporter training on or before expiration of the most current training. This is evidenced by the previously documented mandated reporter training on file expiring 7/2/2025. Documentation of updated mandated reporter training is dated 8/4/25.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted 12/3/25. At that time, the staff files were reviewed. Staff Person #4, who has lived in Illinois in the past five years, did not have Illinois clearances on file less than 60 months old.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #4 may not work in a child care position at the facility until Illinois clearances are on file at the facility.

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

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

Noncompliance Area: A renewal inspection was conducted 12/3/25. At that time, the staff files were reviewed. The file for Staff Person #5 contained a Bachelor of Arts in Tourism and Hotel Studies from Bangkok University and over three years' experience working with children. The bachelor's degree had not been evaluated for equivalency in the United States by a service that is a member of the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE).

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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: A renewal inspection was conducted 12/3/25. At that time, peeling paint was observed under the window and behind the sink in the Rainbow Fish Room. Peeling paint was observed behind the cots in the Hungry Caterpillars Room. Peeling paint was observed by the block shelf in the Cozy Cubs Room. Peeling paint was observed next to the outside door and next to the coat cubbies in the Kindergarten Room. Peeling paint was observed in the corner next to the bathroom in the Gym.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection was conducted 12/13/24 and 12/18/24. On 12/13/24, exposed bolts were observed along the playground fencing on the Musical Playground and Deck Playground. A cracked storage container was observed on the Musical Playground.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: A renewal inspection was conducted 12/13/24 and 12/18/24. On 12/13/24, two infants were observed sleeping in cribs in the Busy Bees Room. One of the cribs only had two feet of space on one side, with one side against the wall and two sides up against other cribs. The other crib only had two feet of space on one side, with one side against the wall and approximately 6" of space between it and the cribs on the other two sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: A renewal inspection was conducted 12/13/24 and 12/18/24. On 12/13/24, the child files were reviewed. The fee agreement for Child #1 did not include the designated release persons.

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

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: A renewal inspection was conducted 12/13/24 and 12/18/24. On 12/13/24, the child files were reviewed. At that time, the emergency contact form used by the facility did not include who should be contacted in an emergency.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: A renewal inspection was conducted 12/13/24 and 12/18/24. On 12/13/24, the child files were reviewed. The emergency contact forms for Child #2, Child #3, Child #5, Child #6, Child #7, and Child #8 did not include the business name, address, and phone number of the parents.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: A renewal inspection was conducted 12/13/24 and 12/18/24. On 12/13/24, the child files were reviewed. The emergency contact forms for Child #2 and Child #7 did not include the health insurance policy information.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: A renewal inspection was conducted 12/13/24 and 12/18/24. On 12/13/24, the child files were reviewed. The emergency contact form for Child #4 did not include the address 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: 3270.124(c)

Description: Each child care space

Noncompliance Area: A renewal inspection was conducted 12/13/24 and 12/18/24. On 12/13/24, the emergency contact information in the classroom only included the parents' names and phone numbers and the emergency contact name and phone number.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A renewal inspection was conducted 12/13/24 and 12/18/24. On 12/13/24, the emergency transportation plan posted in the classrooms did not include who would accompany the child and the staffing provisions in the event of an emergency.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection was conducted 12/13/24 and 12/18/24. On 12/18/24, the preservice training was reviewed for all staff. Staff Person #4 completed the 10 hour health and safety training on 4/17/22, but did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Staff person #4 will complete the required Get Started with Center Based Care - Revised 2022 by 1/4/25.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: A renewal inspection was conducted 12/13/24 and 12/18/24. On 12/13/24, the indoor gym was equipped with a rock wall from Everlast Climbing with rules stating that before climbing 6" safety mats must be in place. The mats under the rock wall were 4" and including a warning: "the general purpose of the mat is for tumbling activities only. The mat is not to be used as a dismount or landing mat." Landing mats must be in place for use with the rock wall.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection was conducted 12/13/24 and 12/18/24. On 12/18/24, the preservice training was reviewed for all staff. Staff Person #1 has been employed longer than 90 days and has not completed pediatric health and safety training by an approved provider.

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 1/4/25 to complete the required pediatric first aid/cpr training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, then staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted 12/13/24 and 12/18/24. On 12/18/24, the staff files were reviewed. Staff Person #2, who has resided in NJ in the past five years, had a criminal history check for NJ, but did not have a child abuse clearance for NJ. Staff Person #2 has not yet applied for the NJ CARI. Staff Person #3 did not update their mandated reporter training within 60 months. This is evidenced by the documented mandated reporter trainings on file being dated 1/18/19 and 8/5/24.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #4 may not work in a child care position at the facility until a NJ CARI is on file.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: A renewal inspection was conducted 12/13/24 and 12/18/24. On 12/13/24, peeling paint was observed on the wall to the right of the door in the Little Critters Room. Peeling paint was observed on the wall next to the cots to the right upon entering the Cats in Hats Room. Peeling paint was observed on the wall next to the cots to the left upon entering the Llama Llamas Room.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There is a ripped Esco green playmat in the Busy Bees classroom used by the infants in the room.

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

Regulation: 3270.134(c)

Description: Paper towels discarded

Noncompliance Area: There are no paper towels, towels or hand towels in the indoor gym bathroom used by the children.

Correction Required: Paper towels may be used as towels and washcloths. Paper towels shall be discarded after each use.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child # 1 has not had their fee agreement or emergency contact form reviewed and updated in over 6 months since 6/19/23.

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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person # 2 did not complete the following required pre-service training within 90 days of their date of hire: The 10 Hour 2022 Revised Health and Safety Training.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Facility staff # 1hired and working at the facility over 12 months does not have a staff 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: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Rainbow Fish room does not have Band-Aids or scissors. The first aid kit in the Smart Cookies room does not have soap. The first aid kit in the Llama Llama room does not have soap.

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

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

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

Noncompliance Area: On 12/15/23 during a complaint investigation, facility self-reported a supervision issue to certification rep that occurred at facility on 12/11/23 when child # 1 scooted out of the young toddler Little Critters classroom during a child drop off and was in the hall outside the facility classroom door for appx 30 seconds before being returned to the facility classroom. Facility staff # 1 & # 2 in the classroom were unaware child # 1 went outside the classroom. The incident was also observed on facility cameras.

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 submit documentation of a policy in place showing how the facility is counting and tracking children at all times. Documentation must show how all staff is following the policy at all times including pick up and drop off times (e.g., a checklist). 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: 3270.113(a)/3270.113(a)(1)

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

Noncompliance Area: On 12/15/23 during a complaint investigation, facility self-reported a supervision issue to certification rep that occurred at facility on 12/11/23 when child # 1 scooted out of the young toddler Little Critters classroom during a child drop off and was in the hall outside the facility classroom door for appx 30 seconds before being returned to the facility classroom. Facility staff # 1 & # 2 in the classroom were unaware child # 1 went outside the classroom. The incident was also observed on facility cameras.

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

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

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

Noncompliance Area: Facility self-reported that facility staff # 1 and # 2 left child # 1 alone in the indoor gym for approximately 1 minute.

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

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

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

Noncompliance Area: Facility self-reported that facility staff # 1 and # 2 left child # 1 alone in the indoor gym for approximately 1 minute.

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 submit documentation in a format approved by DHS proving that the facility procedure for identifying children is followed at all times e.g., a checklist. 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person # 3 was observed caring for children unsupervised. Staff person # 3 has not completed the following pre-service training required prior to caring for children unsupervised: 10 Hour 2022 Revised Health and Safety Training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person # 3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff persons available to supervise staff person # 3, staff person # 3 may not work in a childcare position at facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Facility staff # 1 & # 2 did not complete the required one-hour 2022 update to the health and safety training by 12/30/23.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Napping mats used by the children in the Wild Things classroom are ripped and not in good repair.

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

Regulation: 3270.123(a)(1)/3270.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: Child # 1 does not have a fee amount or date fee is to be paid on file or on the fee agreement form. Child # 6 does not have the fee amount listed on the fee agreement or on file.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The following children have not had a child service report completed in over 6 months from time of enrollment or since the last child service report was completed: child # 1,2,3,4,5 & 7.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: Child # 1, 4 & 5 do not have dates of admission listed on file.

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

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: Child # 5 has not had an updated immunization for influenza in over 12 months since 12/18/19.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The diapering can lid in the Little Critters classroom is broken and not hands free.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Facility staff # 3 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/17/15. Facility staff # 10 did not complete mandated reporter training within 90 days from time of hire and was observed alone in a facility classroom with children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person # 3 & # 10 will have until 1/12/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person # 3 & # 10 must be supervised, when interacting with children, by an AGS who has completed the training related to this citation. If there are no staff persons available to supervise staff # 3 & # 10 staff persons # 3 & # 10 may not work in a childcare position at the facility. A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

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

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

Noncompliance Area: The following facility staff have health assessments on file that are over 2 years old: facility staff # 2, 3 & 4. Facility staff # 8 has a health assessment on file at time of hire that is more than 12 months old from time of hire. Facility staff # 9 did not have a health assessment on file at time of hire. Facility staff # 6 has a tuberculosis screening on file at time of hire that is more than 12 months old from 11/4/20.

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.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The following child emergency contact forms and fee agreements were not reviewed and updated in over 6 months: child # 1,2,3,4,5,6,& 7.

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The following staff do not have 2 references on file since time of hire: facility staff # 6 & 7.

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

Regulation: 3270.31(e)(1)(ii)

Description: Age and Training

Noncompliance Area: The following facility staff do not have 12 hours of annual childcare training and have been employed at the facility for more than 12 months: facility staff # 1, 2, 3, 4.

Correction Required: Training conducted by an entity that is licensed or certified professionally competent in the training topic is acceptable and may count toward the annual requirement for 12 clock hours of child care training.

Regulation: 3270.31(e)(4)(i)/3270.31(f)(10)

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

Noncompliance Area: Facility staff # 6 ,15 & 17 did not complete pediatric first aid and cpr within 90 days from time of hire. Pediatric first aid and cpr was completed for staff # 6 on 12/19/22, completed for staff # 15 on 9/2/22 and completed for staff # 17 on 11/2/22. The following facility staff did not complete pediatric first aid and cpr on or before the expiration of the most current certification. Facility staff # 4, expired 2/17/22, new certification completed on 9/2/22. Facility staff #16, expired 6/4/21, new certification completed on 9/2/21.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The following facility staff have not completed fire safety training in over 12 months facility staff # 1,3,4 &5.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility staff # 2 did not complete mandated reporter training in over 60 months from 12/22/14 to 1/12/22. Facility staff # 3 & #11 have FBI clearances on file from the Department of Education and are not acceptable for childcare by DHS. Facility staff # 9 did not have a disclosure on file at time of hire. Disclosure dated 8/25/22 for facility staff # 9. Facility staff # 4 & 5 do not have FBI clearances on file. Facility staff # 5 has proof the fingerprints were taken only on 8/26/20. Facility staff # 5, 12,13 & 14 hired and working in childcare do not have a NSOR on file. Facility staff # 10 hired and working in childcare did not complete mandated reporter training within 90 days from time of hire. Facility staff # 7 hired and working in childcare does not have a NSOR or FBI clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective service). Facility staff # 3,4, 5,7,11,12,13,& 14 may not work in a childcare position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 3,4,5,7,11,12,13,& 14 may not work in a childcare position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility staff # 2 did not complete mandated reporter training in over 60 months from 12/22/14 to 1/12/22. Facility staff # 3 & #11 have FBI clearances on file from the Department of Education and are not acceptable for childcare by DHS. Facility staff # 9 did not have a disclosure on file at time of hire. Disclosure dated 8/25/22 for facility staff # 9. Facility staff # 4 & 5 do not have FBI clearances on file. Facility staff # 5 has proof the fingerprints were taken only on 8/26/20. Facility staff # 5, 12,13 & 14 hired and working in childcare do not have a NSOR on file. Facility staff # 10 hired and working in childcare did not complete mandated reporter training within 90 days from time of hire. Facility staff # 7 hired and working in childcare does not have a NSOR or FBI clearance on file.

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. The legal entity/owner and facility director will register and attend the first available Existing Provider training offered at the Northeast Regional Office of Child Development and Early Learning. The legal entity/owner will call the Northeast Regional office by 1/21/23 at 1-800-222-2108 and register for the next available Existing Provider training offered with availability and space for the legal entity and director to attend. The legal entity/owner and facility director will attend the training in person as soon as they are able to register and schedule to attend, if the training is offered only virtually then virtual attendance will be accepted. Facility director and legal entity/owner must complete this training prior to the facility certificate expiration of 3/1/23.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The following facility staff have not had a staff evaluation completed in over 12 months: Facility staff # 1, 3, 4 & 5.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There is no handwashing sign in the bathroom used by the children in the indoor gym.

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.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: The provider self-reported that on 8/8/2022, staff person #1 pushed child #1 causing the child to fall.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: The provider self-reported that on 8/8/2022, staff person #1 pushed child #1 causing the child to fall.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. The legal entity must arrange for Staff Person #1 to complete a minimum of 2 hours of PQAS-approved training dealing with appropriate redirection of children. This training must be completed as a live training or in person. The legal entity must receive DHS approval of the training content prior to staff completing the training.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff persons #1, #5, #6 and #7 were observed to be caring for children while not properly supervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated Reporter training in the past 60 months. Staff persons #5, #6 and #7 have not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Topics.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, Staff persons #1, #5, #6 and #7 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #1, #5, #6 and #7 , staff persons #1, #5, #6 and #7 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and Pediatric CPR. Staff person #3, #4, and #7 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Topics.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #3, #4, and #7 will have until 10/5/22 to complete the required training. Until such time as the required training has been completed, staff person #3, #4, and #7 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, #4, and #7, staff person #3, #4, and #7 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During an unannounced inspection, Staff # 1 and #2 have not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 8/21/16 and 11/4/16 respectively.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff #1 and #2 will have until 10/5/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff #1 and #2 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff #1 and #2, staff #1 and #2 may not work in a child-care position at the facility.

Regulation: 3270.102(a)/3270.106(a)

Description: Clean and good repair/Clean, age appropriate

Noncompliance Area: Sleeping Cots used by the children are not assigned and labeled in the following classrooms: Little Critters, Rainbow Fish, Caterpillars, Llama Llama, Cats in the Hats, and Curious Monkeys. Nap mats in the Wild Things classroom for child # 9,10,11,12,13,14,15,16 & 17 are ripped and not in good repair.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Child # 8 did not have 2 feet of space on three sides while napping after lunch in the Smart Cookies Classroom.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: Child # 4 enrolled and attending the facility since 3/26/20 did not have a health assessment on file in over 60 days until 10/1/21.

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

Regulation: 3270.131(e)(2)(i)

Description: Exemption documentation from parent/guardian

Noncompliance Area: Child # 2 (DOB 7/6/17) enrolled and the attending the facility since 5/11/20 does not have proof of the influenza vaccination on file nor do they have a letter from the child's parent or guardian for a strong personal belief or religious belief. Child # 6 (DOB 12/28/19) enrolled and the attending the facility since 1/13/21 does not have proof of the influenza vaccination on file nor do they have a letter from the child's parent or guardian for a strong personal belief or religious belief.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: Facility person # 2 hired and working at facility since 2/14/22 has a mantoux test on file that is over 12 months old at the time of hire. Mantoux test was done 11/8/19 for facility staff # 2.

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.

Regulation: 3270.151(c)(4)/3270.151(c)(5)

Description: Information re: medical problems/Physician/CRNP assessment

Noncompliance Area: Facility staff #3 has a health assessment on file that does not state if the there is a medical problem that might threaten the health of the children or prohibit a staff person from providing adequate care to children. The health assessment for facility staff # 3 does not include the physicians assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child # 1 has not had their fee agreement reviewed and updated since 2020. Child # 2 has not had their fee agreement reviewed and updated since 2020. Child # 3 did not have their fee agreement and emergency contact form updated in over 6 months from 8/25/21 to 3/22/22. Child # 4 did not have their fee agreement and emergency contact form updated in over 6 months from 6/4/21 to 3/22/22. Child # 5 did not have their fee agreement and emergency contact form updated in over 6 months from 12/9/19 to 1/26/22. Child # 6 did not have their fee agreement and emergency contact form updated in over 6 months from 1/12/21 to 2/7/22. Child #7 did not have their fee agreement and emergency contact form updated in over 6 months from 7/9//21 to 3/10/22.

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Facility staff # 1 hired and working since 3/10/22 only has 1 reference on file. Facility staff #2 hired and working since 2/14/22 has no references on file. Facility staff #6 hired and working since 2/7/22 has no references on file. Facility staff #7 hired and working since 3/31/22 has no 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

Regulation: 3270.27(a)(5)/3270.27(f)

Description: Emergency plan/Emergency plan

Noncompliance Area: The facility emergency plan does not have accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions. The operator has not sent the emergency plan annually to the county emergency management agency in over 12 months since 1/2/19.

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. The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Facility staff # 1 hired and working at facility since 3/10/22 does not have emergency plan training. Facility staff # 3 hired and working at facility since 2/22/22 does not have emergency plan training.

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(f)/3270.31(f)(10)

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

Noncompliance Area: Facility staff # 5 hired and working at facility over 90 days since 12/6/21 does not have the health and safety training completed or pediatric first aid and cpr completed.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility staff # 4 hired and working since 3/2/22 does not have a disclosure statement on file. Facility staff # 3 hired and working since 2/22/22 have a volunteer state police clearance on file. Facility staff # 7 hired and working in child care effective 3/3/1/22 does not have a disclosure statement on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 3- 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 #5 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Facility staff # 8 hired and working at facility more than 12 months since 9/18/19 does not have a staff evaluation on file.

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: 3270.37(b)(1)/3270.192(2)(iv)

Description: HS/GED/Transcript, diploma and letters

Noncompliance Area: Facility staff # 1 hired and working at facility since 3/10/22 and listed as an aide does not have proof of a high school diploma or GED certificate on file . Facility staff #3 hired and working at facility since 2/22/22 does not have proof of a high school diploma or GED certificate on file . Facility staff # 4 hired and working at facility since 3/2/22 and listed as an aide does not have proof of a high school diploma or GED certificate on file . Facility staff # 5 hired and working at facility since 12/6/ have proof of a high school diploma or GED certificate on file . Facility staff # 6 hired and working at facility since 2/7/22 does not have proof of a high school diploma or GED certificate or education on file and is listed as a GS. Facility staff # 7 hired and working at facility since 3/31/22 and listed as an AGS does not have proof of a high school diploma or GED certificate or proof of education on file .

Correction Required: An aide shall have a high school diploma or a general educational development certificate.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.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the Little Critters classroom has no scissors. The first aid kit in the Llama Llama classroom has no gauze, tweezers or soap. The first aid kit in the Wild Things classroom has no gloves.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There is no handwashing sign at the hand washing sink in the indoor gym used by the children.

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.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Facility alarm system testing was completed in over 30 days from 2/11/22 to 3/25/22.

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.