Kiddie Academy Of Langhorne

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: At the time of renewal inspection, file of staff person #2 did not include acceptable verification that education had been evaluated to determine US equivalency and qualify staff person #2 for the position of an aide.

Correction Required: 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: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of renewal inspection file of staff person #5 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: At the time of renewal inspection, file of staff person #6 did not include verification that staff person #6 has completed pre-service training that includes Health and Safety topic listed in subsections (f)1-10. File of staff person #6 included only one hour Pennsylvania Health and Safety Update 2022 training.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of renewal inspection, file of staff person #3 did not include a current PA state police clearance. PA state police clearance on file was from 7/30/20 and was not valid.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: At the time of renewal inspection, files for staff members #1 and #4 did not include an annual 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: 3270.36(b)(5)/3270.192(2)(ii)

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

Noncompliance Area: At the time of renewal inspection, file of staff person #7 did not include verification of 2 years experience with children required for the position of an assistant group supervisor. Staff record shall include verification of child care experience prior to service at the facility.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At the time of the inspection, according to self-reported non-compliance, staff #1 left child #1 unattended in Pre-KB Classroom 8 while child #1 was in the bathroom. At that time class transitioned to the playground.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: At the time of the inspection on 2/10/25 video footage from 1/21/25 was reviewed and observed that staff person #1 was lifting multiple children by one arm and carrying them across the room while their legs were dangling in the air.

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

Regulation: 3270.161(a)

Description: Wholesome

Noncompliance Area: At the time of inspection on 2/10/25, in the refrigerator located in the kitchen observed two trays of burnt rice leftovers that was prepared and had to be served on 2/6/25.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: At the time of allocated inspection on 1/17/25 observed blue kids' armchair in Room 2 that had peeling top of the seating.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of allocated inspection on 1/17/25, staff person #1, who is a provisional hire, was observed to be caring for children unsupervised at Infant room, staff person #3, who is a provisional hire, was observed to be caring for children unsupervised in Room 7. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Health and safety training and pediatric firs aid/CPR. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: Health and safety training and 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 and #3 must be supervised, when interacting with children by an assistant group supervisor, who has completed the required training related to this citation. If there are no staff person's available to supervise, staff person #1 and #3. may not work in a child-care position at the facility.

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 allocated inspection on 1/17/25, file of staff person #3 did not include a health assessment conducted within 12 months prior to providing initial service in a child care setting.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of allocated inspection on 1/17/25, file of staff person #3 included only one non-family 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of allocated inspection, file of staff person #2, who was hired for the position of the director, did not include DHS required FBI and NSOR. Staff person #1 and #3, who are provisional hire, were observed working unsupervised. File of staff person #1 did not include NSOR, file of staff person #3 did not include DHS required FIB and NSOR.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person # 2 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. Staff Person #2 may not work in a child care position at the facility.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: At the time of allocated inspection on 1/17/25 observed staff person #1, who is an aide, working unsupervised in the Infant room.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: At the time of allocated inspection on 1/17/25 observed the last fire drill was conducted on 7/30/24, more than 60 days ago.

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: 3270.107

Description: Refrigerator

Noncompliance Area: At the time of the inspection on 1/17/25 observed mold on the vent cover in the refrigerator located in the kitchen.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of inspection observed dirty toys in Room #8 (houses), #10 (toys and pillows), #7, #5 (toys, stuffed toys/dolls), #6 (toys in the kitchen and dolls), #4 (musical instruments), #2 (cars, big Lego blocks). Sink located in Room #9 had a peeling material that covered the sink. Diaper plastic cabinet located in Room #7 was broken and dirty, shelfs were dirty with residue of old tape. Shelves in Room #6 were dirty.

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)

Description: Signed

Noncompliance Area: At the time of inspection, agreement of child #3 and #4 was not signed by operator and parent.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: At the time of inspection, agreement of child #1 and #4 did not included information about the services provided to the family and the child.

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)(5)

Description: Designated release persons

Noncompliance Area: At the time of inspection, agreement of children #3 and #4 did not specify the persons designated by a parent to whom the child may be released.

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

Regulation: 3270.124(b)(2)/3270.124(b)(5)

Description: Physician name, address, phone/Information re: special needs

Noncompliance Area: At the time of inspection, emergency contact form of children #3 and #4 did not include the name, address and telephone number of the child's physician or source of medical care. Emergency contact form of child #4 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of inspection, emergency contact information did not include enrolling parent's work address and work phone number.

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: At the time of inspection, emergency contact form of child #3 and #4 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Emergency contact form of child #2 did not include health insurance policy.

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: At the time of inspection, emergency contact form of children #3 and #4 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released. Emergency contact form of child #2 did not include release person's addresses.

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: 3270.131(a)

Description: Health information

Noncompliance Area: At the time of inspection, file of child #2 did not include an initial health report that must be provided no later than 60 days following the first day of attendance at the facility. Child #2 was enrolled on 9/11/23.

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(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: At the time of inspection, file of child #3 did not include an updated health report. Health report on file was from 9/8/23.

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.

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

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

Noncompliance Area: At the time of inspection, health assessment form for staff #2 did not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. Health assessment did not include the physician's or CRNP's 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: 3270.182(3)/3270.182(5)

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

Noncompliance Area: At the time of inspection, emergency contact forms of children #3 and #4 did not include signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff. Both written consents are required prior to admission.

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

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: At the time of inspection, file of staff person #2, who was observed caring for children, did not include an acceptable verification that education had been evaluated to determine US equivalency.

Correction Required: 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: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of inspection, file of staff person #1 included only one written, nonfamily reference from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: At the time of inspection observed one electrical outlet in Room #8 without protective receptacle cover.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of the inspection observed that rugs in room #8, #6, #1 owl rug in room #5, and circle grey rug in room #7 were stained and in need of cleaning.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: At the time of inspection observed chipped peeling paint on the windowsill located in Room #10 and Room #7.

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

Regulation: 3270.81

Description: Glass

Noncompliance Area: At the time of inspection, glass door located in a traffic area of room #9 and #2 didn't contain any visual identification on the child's level.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: At the time of renewal inspection observed that staff person #1 did not wash her hands and child's hands after diapering.

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

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: At the time of renewal inspection, health assessment of staff person #2 did not include an examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of renewal inspection observed signs of water damage on two ceiling tiled near Room 7.

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: 3270.113(b)

Description: No physical punishment

Noncompliance Area: At the time of the complaint inspection, during a review of the facility's surveillance recording from 5/21/24, staff #1 ran during fire drill after child #1, grabbed by arm and yanked harshly.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At the time of inspection on 5/10/24, during a review of the facility's surveillance recording from 4/25/24, certification representative observed that child #1 was left alone and unsupervised in Room #5 from 4:10 PM to 4:17 PM.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At the time of inspection on 5/10/24, during a review of the facility's surveillance recording from 4/25/24, certification representative observed that child #1 was left alone and unsupervised in Room #5 from 4:10 PM to 4:17 PM.

Correction Required: The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the certification representative on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At the time of inspection on 5/10/24, during a review of the facility's surveillance recording from 4/25/24, certification representative observed that child #1 was left alone and unsupervised in Room #5 from 4:10 PM to 4:17 PM.

Correction Required: The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: At the time of the inspection, the health assessment on file for staff #3 does not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of inspection record of staff person # 1did not include two written nonfamily references from individuals attesting to the person's suitability to serve as a staff person.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: At the time of the inspection, file of staff person #2 did not include verification that staff person #2 has completed pre-service training Get Started with Center-Based Care: Building Blocks for Quality.

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

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

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

Noncompliance Area: At the time of inspection files of staff person #1 didn't include verification of education that qualifies for a position of an assistant group supervisor and is required prior to service at the facility.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: At the time of the inspection on 5/10/24, during a review of the facility's surveillance recording from 4/25/24, certification representative observed 14 older toddlers with two staff in Room 5 at 4:10 PM.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. Three staff would be required for a group of 14 older toddlers

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of unannounced monitoring inspection, record of staff persons #1 and #2 did not include two written nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: At the time of unannounced monitoring inspection on 12/14/23, observed staff person #1 and #2 caring for children unsupervised. Staff person #1 and #2 has not completed the following pre-service training required prior to caring for children unsupervised: Health and safety training and pediatric first aid/CPR. Staff person #1 did not complete mandated reporter training.

Correction Required: 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 and #2 must be supervised, when interacting with children by an assistant group supervisor, who has completed the required training related to this citation. If there are no staff person's available to supervise, staff person #1 and #2 may not work in a child-care position at the facility.

Regulation: 3270.37(b)(1)/3270.192(2)(ii)

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

Noncompliance Area: At the time of unannounced monitoring inspection on 12/14/23, file of staff person #1 didn't include verification of education that qualifies for a position of an aide and is required prior to service at the facility.

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

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: At the time of unannounced monitoring inspection on 12/14/23, staff #1 and #2 were observed working alone in Room 5. Both staff qualifies as an aide.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: At the time of renewal inspection observed white cube organizer in Room # 8 which was unstable and pose a hazard to the children in care. Changing pads in Room #5, #8 and Infant room were ripped exposing foam which was accessible to children.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of renewal inspection, file of staff person #1 did not include National Sex Offender Registry Verification Certificate. Provisional hire period for staff person #1 ended on 6/28/23.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #1 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. Staff Person # 1 must be removed from child care position by close of business. NSOR certificate must be obtained before staff person #1 may resume a child care position.

Regulation: 3270.81

Description: Glass

Noncompliance Area: At the time of renewal inspection, glass door located in Room #1, #2, and #5 did not contain any visual strip or other visual identification.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: At the time of renewal inspection, a sign on which requirements to wash hands after toileting, diapering and before eating is written was not posted at each sink Room #1, #3, #6, #7, #9, and #10,

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(e)

Description: Restraints prohibited

Noncompliance Area: Staff 1 was seen on video restraining a child on their lap.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.51/3270.113(a)(2)

Description: Similar Age Level/Supervision on and facility premises

Noncompliance Area: It was observed that Room 7 had 1 staff and 12 children of preschool age. - corrected on site.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4; Young toddlers 1:5; Older toddlers 1:6; Preschool children 1:10; Young school-age children 1:12; Older school-age children 1:15. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Staff 1 was observed on video, on their phone instead of supervising children on the playground.

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

Regulation: 3270.135(e)

Description: 2 hour diaper check

Noncompliance Area: AFTER REVIEWING THE DAILY REPORT ON 11/21/22 FOR 11/17/22 AND 11/16/22, IT WAS OBSEVERED THAT ON 11/16/22 CHILD 1 WAS CHANGED AT 2:11 BUT NOT CHECKED AGAIN AND CHILD 1 WENT HOME AT 5:02.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: ROOM 2 HAD CRIBS THAT WERE AGAINST A WALL ON ONE SIDE (HEAD) AND AGAINST OTHER CRIBS ON TWO SIDE (SIDES) NOT HAVING 2 FEET OF SPACE ON 3 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: 3270.76

Description: Building Surfaces

Noncompliance Area: ROOM 8 HAD A HOLE IN THE CEILING TILE TOWARDS THE SIDE EXTERIOR WALL.

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: ROOM 9, 5 AND 2 HAD EXIT DOORS THAT WERE LOCKED BY A KEY AND DID NOT HAVE A KEY IN THE CLASSROOM, PREVENTING THEM TO BE USED IN AN EMERGENCY. ROOM 9 HAD A SHELF BLOCKING THE EMERGENCY DOOR CLOSEST TO THE BATHROOM.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: STAFF 1 ROUGHLY GRABBED CHILD'S ARM AND ROUGHLY PUT THEM ON THEIR COT AS WITNESS ON THE VIDEO.

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

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: STAFF 1 WOULD SINGLE OUT AND PROVOKE A CHILD UNTIL CHILD BECAME VERY UPSET AND REACTED.

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

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: STAFF 1 WOULD YELL AT CHILD AND "GET IN THEIR FACE" AND SPEAK IN A VERY HARSH TONE.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: STAFF 1 WAS WITNESS PUTTING A CHILD INTO THE CLOSET AND CLOSING THE DOOR ON THE CHILD.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: CHILD 1 WAS LEFT ON THE PLAYGROUND FOR APPROXIMATELY 1 MINUTE, AS STAFF 1 AND 2 WERE BRINGING IN THE CHILDREN.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: CHILD 1 WAS LEFT ON THE PLAYGROUND FOR APPROXIMATELY 1 MINUTE, AS STAFF 1 AND 2 WERE BRINGING IN THE CHILDREN.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: CHILD 1 WAS LEFT ON THE PLAYGROUND FOR APPROXIMATELY 1 MINUTE, AS STAFF 1 AND 2 WERE BRINGING IN THE CHILDREN.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.14/3270.91(a)

Description: Pertinent Laws & Regulations/Stairs, exits, etc. unobstructed

Noncompliance Area: TODDLER ROOM B AND SCHOOL AGE ROOM ROOM HAD A SHELF BLOCKING THE EXIT DOOR, AND THE TWOS ROOM HAD A SOFT CLIMBER BLOCKING THE DOOR.

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

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: AS SEEN ON VIDEO FROM 9/9/2021, STAFF 1 AND STAFF 2 DID NOT WASH CHILDREN'S HANDS AFTER CHILDREN HAD THEIR DIAPER CHANGED IN THE OLDER TODDLERS ROOM

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: STAFF 1 HAD A STATE POLICE CLEARANCE (DATED 9/7/2016) AND A CHILD ABUSE CLEARANCE (DATED 9/11/2016) THAT ARE MORE THAN 60 MONTHS OLD.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 -- 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.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: AS SEEN ON VIDEO FROM 9/9/2021, STAFF 1 AND STAFF 2 DID NOT WAS THEIR HANDS AFTER CHANGING CHILDREN'S DIAPERS.

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: PROVIDER DID NOT HAVE THE PROOF OF PURCHASE FOR THE FIRE ALARM SYSTEM.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: STAFF 1 WALKED TO THE FAR SIDE OF THE ROOM LEAVING 1 OR 2 CHILDREN ON THE RUG , ON THE OTHER SIDE OF A TOY SHELF, OUT OF THE SIGHT OF THE TEACHER, A FEW DIFFERENT TIMES, FOR APPROXIMATELY 1 TO 2 MINUTES. THIS WAS OBSERVED BY THE CERT REPS ON A VIDEO.

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

Noncompliance Area: STAFF 1 DID NOT HAVE PROOF OF EDUCATION ON FILE AT TIME OF 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: CHILD 1 WAS LEFT IN A EXERSAUCER FOR A PERIOD OF 1 HOUR AND 46 MINUTES AS SEEN IN THE VIDEO.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Noncompliance Area: STAFF 1 DID NOT HAVE PROOF OF THE TB TEST RESULTS IN THEIR FILE AT THE TIME OF 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: DURING THE INSPECTION THE RUGS IN THE INFANT ROOMS LOOK DIRTY AND STAINED.

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

Noncompliance Area: ON MAY 2, 2018 DURING THE UNANNOUNCED INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED FOR CHILD # 1 AND # 2 WAS NOT UPDATED WITHIN A 6-MONTH PERIOD.

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

Noncompliance Area: ON APRIL 17, 2018 DURING THE COMPLAINT INVESTIGATION, A COPY OF THE INCIDENT REPORT FROM AN INCIDENT THAT OCCURED INVOLVING CHILD # 1 ON 4/9/2018 WAS NOT RETAINED AT THE FACILITY IN THE CHILD'S FILE.

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

Noncompliance Area: ON NOVEMBER 15, 2017 DURING THE UNANNOUNCED INSPECTION, STAFF PERSON # 1, # 2 AND # 3 WHO WERE IDENTIFIED AS MANAGEMENT IN CHARGE AT THE FACILITY, ACKNOWLEDGED THAT STAFF PERSON # 4 LEFT CHILD # 1 WHO WAS IN HER ASSIGNED GROUP OUTSIDE IN THE BACK PLAY SPACE. STAFF PERSON # 1, # 2, AND # 3 ACKNOWLEDGED THAT STAFF PERSON # 4 DID NOT COUNT THE CHILDREN IN HER ASSIGNED GROUP WHEN RETURNING FROM OUTSIDE PLAY WHICH RESULTED IN CHILD # 1 BEING LEFT OUTSIDE.

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. 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: ON OCTOBER 3, 2017 DURING THE RENEWAL INSPECTION, A WRITTEN PLAN OF DAILY ACTIVITIES AND ROUTINES WAS NOT ESTABLISHED OR POSTED IN INFANT ROOM # 1 AND INFANT ROOM # 3.

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

Noncompliance Area: ON OCTOBER 3, 2017 DURING THE RENEWAL INSPECTION, THERE WERE 17 CHILDREN PRESENT IN CLASSROOM # 8. STAFF PERSON # 8 NAMED 8 CHILDREN IN HER ASSIGNED GROUP AND STAFF PERSON # 14 NAMED 7 CHILDERN IN HER ASSIGNED GROUP, LEAVING 2 CHILDREN UNACCOUNTED FOR.

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: ON OCTOBER 3, 2017 DURING THE RENEWAL INSPECTION, THE HEALTH REPORTS REVIEWED FOR CHILD # 1 AND # 2 WERE NOT UPDATED WITHIN A 6 MONTH PERIOD.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerA child's record shall contain initial and subsequent health reports.

Noncompliance Area: ON OCTOBER 3, 2017 DURING THE RENEWAL INSPECTION, THE HEALTH REPORT REVIEWED FOR STAFF PERSON # 8 DID NOT INCLUDE INFORMATION REGARDING COMMUNICABLE DISEASES. QUESTION # 2 ON THE HEALTH ASSESSMENT WAS NOT COMPLETED BY THE PHYSICIAN.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Noncompliance Area: ON OCTOBER 3, 2017 DURING THE RENEWAL INSPECTION, THE HEALTH ASSESSMENT REVIEWED FOR STAFF PERSON # 10 DID NOT INCLUDE THE PHYSICIAN'S ASSESSMENT OF THE STAFF PERSON'S SUITABILITY TO PROVIDE CHILD CARE. QUESTION # 3 ON THE HEALTH ASSESSMENT WAS NOT ANSWERED BY THE PHYSICIAN.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: ON OCTOBER 3, 2017 DURING THE RENEWAL INSPECTION, THERE WAS A RED CUP AND A BOTTLE WITH A BLUE TOP ON THE SHELF IN CLASSROOM # 1 NOT LABELED WITH A SPECIFIC CHILD'S NAME. THERE WAS A PURPLE CUP AND A GREEN CUP THAT WAS NOT LABELED WITH A SPECIFIC CHILD'S NAME ON THE LEDGE OF THE YOUNG TODDLER CLASSROOM 4 . THERE WAS BOTTLES IN THE REFRIGERATOR IN THE INFANT CLASSROOM # 3 NOT LABELED WITH A SPECIFIC CHILD'S NAME. THERE WAS A BLUE CUP ON THE LEDGE OF THE THREE YEAR OLD CLASSROOM # 7 THAT WAS NOT LABELED WITH A SPECIFIC CHILD'S NAME.

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

Noncompliance Area: ON OCTOBER 3, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE THAT THE LOCAL SAFETY TRAFFIC AUTHORITIES WERE NOTIFIED IN WRITING OF THE PROGRAM'S LOCATION AND USE OF PEDESTRIAN AND VEHICULAR ROUTES AROUND THE FACILITY.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Noncompliance Area: ON OCTOBER 3, 2017 DURING THE RENEWAL INSPECTION, SAFE ROUTES WERE NOT ESTABLISHED OR POSTED AT THE FACILITY.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: ON OCTOBER 3, 2017 DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 1, # 2 # 3 # 12 AND # 13 DID NOT INCLUDE TWO WRITTEN REFERENCES.

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

Noncompliance Area: ON OCTOBER 3, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF TRAINING REGARDING THE EMERGENCY PLAN AT INITIAL EMPLOYMENT FOR STAFF PERSON # 1 AND # 2.

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: ON OCTOBER 3, 3017 DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 1 HIRE DATE 9/29/17 DID NOT INCUDE A COPY OF REQUESTS FOR THE FBI FINGERPRINT CLEARANCE. THE RECORD REVIEWED FOR STAFF PERSON # 2 HIRE DATE 9/29/17, DID NOT INCLUDE A COPY OF REQUESTS FOR THE CRIMINAL HISTORY RECORD, CHILD ABUSE REGISTRY CLEARANCE AND THE FBI FINGERPRINT CLEARANCE. THE FBI FINGERPRINT CLEARANCE REVIEWED FOR STAFF PERSON # 3 HIRE DATE 12/8/16, WAS NOT ACCEPTEABLE. STAFF PERSON # 3 OBTAINED THE DEPARTMENT OF EDUCATION FBI CLEARANCE AND THE CRIMINAL HISTORY CLEARANCE REVIEWED ACKNOWLEDGED THE STAFF PERSON HAS A CRIMINAL RECORD. THE RECORD REVIEWED FOR STAFF PERSON # 4 HIRE DATE 9/13/17, DID NOT INCLUDE A COPY OF REQUESTS FOR THE CHILD ABUSE REGISTRY CLEARANCE.THE RECORD REVIEWED FOR STAFF PERSON # 5 HIRE DATE 11/9/16, DID NOT INCLUDE AN UPDATED FBI FINGERPRINT CLEARANCE WITHIN A 60 MONTH PERIOD.THE CRIMINAL HISTORY CLEARANCE REVIEWED FOR STAFF PERSON # 6 HIRE DATE 7/24/17, WAS NOT ACCEPTABLE. THE CRIMINAL HISTORY CLEARANCE IN THE RECORD WAS NOT THE PA CRIMINAL HISTORY CLEARANCE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1, # 2, # AND 4 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, fbi finger print clearance 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 # 1, # 2, # 4 AND # 5 may not work in a child care position at the facility.

Noncompliance Area: ON OCTOBER 3, 2017 DURING THE RENEWAL INSPECTION, THE RECORD REVIEWED FOR STAFF PERSON # 1 AND # 9 DID NOT INCLUDE VERIFICATION OF CHILD CARE EXPERIENCE OR EDUCATION TO QUALIFY THE STAFF PERSON FOR THE POSITION PERFORMING. THE RECORD REVIEWED FOR STAFF PERSON # 4 AND # 12 DID NOT INCLUDE VERIFICATION OF CHILD CARE EXPERIENCE TO QUALIFY THE STAFF PERSON FOR THE POSITION PERFORMING. THE RECORD REVIEWED FOR STAFF PERSON # 7, # 10 AND # 11 DID NOT INCLUDE VERIFICATION OF EDUCATION TO QUALIFY THE STAFF PERSON FOR THE POSITION PERFORMING. (ASSISTANT GROUP SUPERVISOR).

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

Noncompliance Area: ON OCTOBER 3, 2017 DURING THE RENEWAL INSPECTION, THE SURGE PROTECTOR IN INFANT ROOM # 1 NEAR THE SWING WAS MISSING A PROTECTIVE RECEPTACLE COVER.

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

Noncompliance Area: ON OCTOBER 3, 2017 DURING THE RENEWAL INSPECTION, THERE WAS A SPRAY BOTTLE LABELED BLEACH AND WATER IN AN UNLOCKED CLOSET ACCESSIBLE TO CHILDREN IN CLASSROOM # 7.

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

Noncompliance Area: ON OCTOBER 3, 2017 DURING THE RENEWAL INSPECTION, THE DIAPERING AREA IN CLASSROOM # 5 AND THE BATHROOM IN CLASSROOM # 9 DID NOT HAVE LIDDED WASTE RECEPTACLES.

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

Noncompliance Area: ON 6/26/2017 DURING THE COMPLAINT INVESTIGATION, CHILD # 1 WAS NOT ADEQUATELY SUPERVISED RESULTING IN THE CHILD BEING BITTEN 5 TIMES IN A 60-DAY PERIOD. ( APRIL- JUNE)

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

Noncompliance Area: ON 6/26/2017 DURING THE COMPLAINT INVESTIGATION, WOOD CHIPS WERE OBSERVED IN TODDLER SECTION OF THE OUT DOOR PLAY SPACE. STAFF PERSON # 1 ACKNOWLEDGED THAT THE AREA WAS USED FOR YOUNG TODDLERS.

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.Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.