Ashley Gager Learning Center

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During a renewal inspection on 4/9/26, certification rep observed a broken drum storage toy in the young preschool room with the bottom broken; this created a pinch point. Certification rep observed a cracked riding toy that created a sharp edge in the outdoor play area. Certification rep observed a cracked drawer which created a pinch point in the preschool classroom.

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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During a renewal inspection on 4/9/26, certification rep observed the most recent emergency drill log was dated 3/17/25, which is no longer valid.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person # 1 was observed to be caring for children unsupervised. Staff person # 1 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric CPR/First Aid, PA Required Health and Safety for Centers-Group Child Care Part 1, and mandated reporter.

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 # 1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person # 1, staff person # 1 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person # 1 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR/First aid, PA Required Health and Safety for Centers-Group Child Care Part 1, and mandated reporter.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person # 2 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 7/16/2020. Staff person # 1, see code sheet for DOH, does not have a valid PA State Police or ChildLine clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Tiered Inspection: 1. Staff Person # 1 may not work in a child care position at the facility. This portion of the plan shall have an immediate correction plan. 2. The facility director responsible for hiring staff will attend the existing provider orientation, at the regional office. The facility director will contact the regional office at 1-800-222-2108 to schedule this training. This portion of the plan shall have a date by which the existing provider orientation will be completed.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During an allocated unannounced inspection on 10/30/25, certification rep observed two throw rugs in the young toddler classroom that were bunched up at the edges creating a tripping hazard to the children. Certification rep observed cords hanging from a mounted television in the preschool classroom that were accessible to children.

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: 3270.131(d)(1)/3270.131(d)(3)

Description: Child's health history/Current medication and reason

Noncompliance Area: During a renewal inspection on 4/15/25, the file for child # 1 was reviewed and there was no review of the child's health history or list of medications if any.

Correction Required: A health report shall include a review of the child's health history. A health report shall include a list of the child's current medication and the reason for the medication.

Regulation: 3270.131(d)(7)/3270.131(d)(8)

Description: Free from contagious/communicable disease/Age appropriate screenings complete

Noncompliance Area: During a renewal inspection on 4/15/25, the file for child # 1 was reviewed and did not include a statement that they are able to participate in child care, appears to be free of communicable disease, or that they had age-appropriate screenings.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During a renewal inspection on 4/15/25, there was no Shaken Baby Syndrome Policy on file.

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.

Regulation: 3270.151(a)

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

Noncompliance Area: During a renewal inspection on 4/15/25, a file review of staff # 2 was conducted - more than 24 months passed between health assessments as evidenced by the forms on file dated 11/3/22 and 3/13/25.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During a renewal inspection on 4/15/25, the file for staff # 1 only had one written nonfamily reference.

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)

Description: Emergency plan

Noncompliance Area: During a review of the emergency plan at the renewal inspection on 4/15/25, there was no accommodations for infants, toddlers, and children with special needs, disabilities and chronic medical conditions.

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.

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

Description: Fire safety - 1 yr.

Noncompliance Area: During a renewal inspection on 4/15/23, staff persons # 2, 4, 5, & 6 did not complete annual fire safety training. This is evidenced by the fire safety training certificates dated 1/11/24 and 2/24/25.

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: During a renewal inspection on 4/15/25, there was no NSOR verification on file for staff # 1 (See code sheet for DOH) as required by CPSL. The NSOR verification on file for staff # 2 (see code sheet for DOH) did not have a date and is therefore not valid. The FBI clearance on file for staff # 3 is dated 3/28/25, there is no proof that they were fingerprinted prior to their start date (see code sheet).

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During a renewal inspection on 4/15/25, certification rep observed cords to hanging from a window inside the preschool classroom, creating a hazard to the children.

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: 3270.101(a)

Description: Age appropriate

Noncompliance Area: A renewal inspection was conducted on 4/19/24. At that time, older toddlers were observed playing with playmags magnetic tiles in the small room. The playmags were labeled "ages 3+."

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection was conducted on 4/19/24. At that time, Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter 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 #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 person(s) available to supervise staff person #1, then staff person #1 may not work in a child-care position at the facility.

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

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

Noncompliance Area: A renewal inspection was conducted on 4/19/24. At that time, the staff files were reviewed. The health assessment for Staff Person #1 was dated 10/18/22, more than 12 months prior to their date of hire. The TB test results for Staff Person #1 were dated 10/19/13, more than 12 months prior to their date of hire.

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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: A renewal inspection was conducted on 4/19/24. At that time, the hot water in the preschool bathroom reached a temperature of 125° F.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: A renewal inspection was conducted on 4/19/24. At that time, the fire drill log was reviewed. The fire drills were conducted more than 60 days apart. The dates of the fire drills were: 6/6/23, 8/6/23, 10/4/23, 12/4/23, 2/4/24, 4/4/24.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection was conducted on 4/19/24. At that time, the thirty day testing log for the fire detection system was reviewed. The fire detection system was tested more than 30 days apart. The dates of the testing were:4/3/23, 5/3/23, 6/3/23, 7/3/23, 8/2/23, 9/3/23, 10/3/23, 11/1/23, 12/3/23, 1/3/24, 2/3/24, 3/3/24, 4/3/24.

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.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A renewal inspection was conducted on 4/18/23. At that time, a plastic bag was observed in a drawer approximately ten inches high in the older toddler room where staff stated a child in the room is still placing objects in their mouth.

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: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: A renewal inspection was conducted on 4/18/23. At that time, the child files were reviewed. The immunization records for Child #1 did not include documentation of administration of the flu vaccine since 10/23/20. The immunization records for Child #2 did not include documentation of administration of the flu vaccine.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 and Child #2 must be dismissed from care by close of business 4/18/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: A renewal inspection was conducted on 4/18/23. At that time, Staff Person #1 did not have documentation of emergency plan training on file since 1/19/19.

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(e)

Description: Age and Training

Noncompliance Area: A renewal inspection was conducted on 4/18/23. At that time, Staff Person #1 did not have documentation of 12 child care training hours on file from the 12/19/21-12/19/22. Staff Person #1 had 4 training hours in their file. Staff Person #2 did not have documentation of 12 child care training hours on file from the 12/19/21-12/19/22. Staff Person #2 had 11 training hours in their file.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person #1 must take 8 hours of professional development to fulfill requirement for training year 12/19/21-12/19/22. Staff person #2 must take 1 hour of professional development to fulfill requirement for training year 12/19/21-12/19/22.

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

Description: Fire safety - 1 yr.

Noncompliance Area: A renewal inspection was conducted on 4/18/23. At that time, Staff Person #1 and Staff Person #2 did not have documentation of fire safety training completed in the past year. The date of the most recent training on file is 1/29/21.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: A renewal inspection was conducted on 4/18/23. At that time, Staff Person #1 did not have a written evaluation in their file since 1/11/21.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: A renewal inspection was conducted on 4/18/23. At that time, the base of the legs of the table in the young toddler room were rusty and leaving rust marks on the floor where the toddlers were observed crawling around.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection was conducted on 4/4/22. At that time, exposed bolts were observed on the gate of the 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: 3270.181(e)

Description: Emergency master file updated

Noncompliance Area: A renewal inspection was conducted on 4/4/22. At that time, the emergency contact information in Room off 6S had not been updated when the master file emergency contact information was updated.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: A renewal inspection was conducted on 4/4/22. At that time, director stated that an emergency drill had been conducted in November 2021, but had not documented the drill.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: A renewal inspection was conducted on 4/4/22. At that time, staff files were reviewed. The file for Staff Person #1, date of hire 11/17/12, did not contain documentation of any training hours completed in the past year. The file for Staff Person #2, date of hire 11/13/14, contained documentation of 9 training hours completed within the past year.

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: A renewal inspection was conducted on 4/4/22. At that time, the file for Staff Person #3, date of hire 3/31/22, did not contain a signed disclosure statement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: A renewal inspection was conducted on 4/4/22. At that time, the file for Staff Person #2, date of hire 11/13/14, did not contain a staff evaluation completed within the past year.

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: A renewal inspection was conducted on 4/4/22. At that time, the first aid kit in the Room off 6S did not contain scissors.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A renewal inspection was conducted on 4/4/22. At that time, a water stained ceiling tile was observed in the Preschool 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.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: A renewal inspection was conducted on 4/4/22. At that time, the emergency exit door off room 6S was unable to be opened during the inspection.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.