Bethlehem Early Learners Llc

Regulation: 3270.113(b)/3270.113(d)

Description: No physical punishment /No harsh language

Noncompliance Area: A complaint inspection was conducted 7/7/26. Through interviews, it was discovered that Staff Person #1 had yelled at Child #1 on 7/2/26 at approximately 10:00am. Staff Person #1 was heard yelling "I said stop" at Child #1, who was kicking at the staff. Staff Person #1 then crouched down and got in the child's face and yelled "I said stop! What's wrong with you?" This was loud enough to be heard down the hallway. Child #1 tried to punch at the staff. The staff yelled again "Stop!" The staff then stood up and said "You need to move to the end!" and started dragging Child #1 with by the arm before another staff intervened.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use harsh, demeaning or abusive language in the presence of children. TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use harsh, demeaning or abusive language in the presence of children. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for Staff Person #1 to complete the Better Kid Care training entitled "Big Emotions and Self-Regulation for Adults and Children." The operator shall provide a correction date for when the training will be completed.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A renewal inspection was conducted 10/3/25 and 10/6/25. On 10/3/25, diapers in plastic packaging were observed in a cubby approximately 12 inches high in the bathroom used by the older toddlers. Extra clothes were observed in zip-lock plastic bags in floor level cubbies in the older toddler area. The plastic bags were accessible to the older toddlers.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: A renewal inspection was conducted 10/3/25 and 10/6/25. The child files were reviewed on 10/6/25. At that time, the emergency contact forms for Child #1, Child #2, Child #3, and Child #4 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)(4)/3270.182(3)

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

Noncompliance Area: A renewal inspection was conducted 10/3/25 and 10/6/25. The child files were reviewed on 10/6/25. At that time, the emergency contact form for Child #3 did not include signed parental consent for emergency medical care for the child.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: A renewal inspection was conducted 10/3/25 and 10/6/25. The child files were reviewed on 10/6/25. At that time, the emergency contact forms for Child #1, Child #2, and 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 10/3/25 and 10/6/25. On 10/3/25, the emergency contact binder containing the emergency contact forms could not be located for the Older Toddler Room.

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 10/3/25 and 10/6/25. On 10/3/25, the emergency transportation plan was not posted in Room 210 or Room 203.

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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: A renewal inspection was conducted 10/3/25 and 10/6/25. The child files were reviewed on 10/6/25. At that time, file for Child #5, who has been enrolled at the facility longer than 60 days, did not include a health assessment.

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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.151(a)

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

Noncompliance Area: A renewal inspection was conducted 10/3/25 and 10/6/25. The staff files were reviewed on 10/3/25. The health assessment for Staff Person #3 was not updated within 24 months. This was evidenced by the health assessments on file being dated 5/30/23 and 9/9/25.

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: 3270.182(5)

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

Noncompliance Area: A renewal inspection was conducted 10/3/25 and 10/6/25. The child files were reviewed on 10/6/25. At that time, the emergency contact form for Child #3 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: A renewal inspection was conducted 10/3/25 and 10/6/25. The staff files were reviewed on 10/3/25. At that time, Staff Person #4 did not have two written, nonfamily letters of reference 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)(6)

Description: Emergency plan

Noncompliance Area: A renewal inspection was conducted 10/3/25 and 10/6/25. Documentation of an emergency drill conducted within the past year could not be located.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted 10/3/25 and 10/6/25. The staff files were reviewed on 10/3/25. The child abuse clearance for Staff Person #1 had not been updated within 60 months. This was evidenced by the child abuse clearances on file being dated 8/11/2020 and 9/3/25. The NSOR certificate for Staff Person #2 had not been updated within 60 months. This was evidenced by the NSOR certificates on file being dated 8/31/20 and 9/12/25.

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 10/3/25 and 10/6/25. The staff files were reviewed on 10/3/25. At that time, there was no staff evaluation on file for Staff Person #2.

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: A renewal inspection was conducted 10/3/25 and 10/6/25. The staff files were reviewed on 10/3/25. At that time, Staff Person #4, an assistant group supervisor, did not have verification of high school education on file at the facility. The file did contain college transcripts, but the staff has not yet completed college.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: A renewal inspection was conducted 10/3/25 and 10/6/25. On 10/3/25, the first aid kit in the older toddler room was missing tweezers. The first aid kits in Room 208 and Room 202 were missing 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: 3270.76

Description: Building Surfaces

Noncompliance Area: A renewal inspection was conducted 10/3/25 and 10/6/25. On 10/3/25, a shelf with broken laminate was observed in Room 200.

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: 3270.20(b)

Description: Mail or deliver written report to regional office within 72 hours

Noncompliance Area: An incident occurred on 10/9/24 where a child received emergency room treatment. The facility emailed certification representative on 10/10/24 to notify that the incident occurred. The facility was instructed to enter the incident report online. The report was not entered online until 10/15/24.

Correction Required: The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department.

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: A renewal inspection was conducted on 10/11/24 and 10/29/24. On 10/11/24, staff in the infant room stated that they will place an infant in their crib on their stomach for naptime if the infant is able to roll over.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: A renewal inspection was conducted on 10/11/24 and 10/29/24. On 10/29/24, the child files were reviewed. The fee agreements did not include 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)(3)

Description: Parent home/work address, phone

Noncompliance Area: A renewal inspection was conducted on 10/11/24 and 10/29/24. On 10/29/24, the child files were reviewed. The emergency contact form for Child #1 did not include the work address and phone number of the mother.

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 on 10/11/24 and 10/29/24. On 10/29/24, the child files were reviewed. The emergency contact form for Child #4 did not include the health insurance policy number.

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 on 10/11/24 and 10/29/24. On 10/29/24, the child files were reviewed. The emergency contact forms for Child #1, Child #2, Child #3, Child #5, and Child #7 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 on 10/11/24 and 10/29/24. On 10/11/24, the emergency contact information in the classrooms did not include information regarding the child's physician or health insurance policy information.

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: 3270.151(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 10/11/24 and 10/29/24. On 10/11/24, the staff files were reviewed. The TB test for Staff Person #1 was conducted on 8/14/22, 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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection was conducted on 10/11/24 and 10/29/24. On 10/29/24, the file for Staff Person #2 was reviewed. Staff Person #2 has not completed the required one hour update to the health and safety training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff Person #2 will have until 11/22/24 to complete the required training. Until such time as the required training has been completed, Staff Person #2 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 #2, then Staff Person #2 may not work in a child-care position at the facility.

Regulation: 3270.37(b)(1)

Description: HS/GED

Noncompliance Area: A renewal inspection was conducted on 10/11/24 and 10/29/24. On 10/29/24, the staff file for Staff Person #3 was reviewed. The file for Staff Person #1 contained education from the Dominican Republic that had not been evaluated 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 aide shall have a high school diploma or a general educational development certificate.

Regulation: 3270.31(b)/3270.31(c)(4)

Description: Staff person - 18 yrs./Institution rep written certification

Noncompliance Area: An unannounced inspection was conducted 8/7/24. At that time, it was found that Staff Person #3, who was being utilized as an aide at the facility, is not 18 years of age and is not enrolled in any training curriculum to qualify them as a staff person.

Correction Required: A staff person shall be 18 years of age or older. An individual 16 years of age or older who is enrolled in an approved training curriculum may be used as a staff person if a representative of the training institution certifies in writing that the individual has completed the required classroom training and is currently enrolled in the curriculum.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: An unannounced inspection was conducted 8/7/24. At that time, the preservice training was reviewed for the staff. Staff Person #1 has Healthcare Provider BLS/AED for adults, child, and infants conducted by National Health and Safety Association completed on 4/18/23. This training is not an approved pediatric first aid and cpr training for child care staff. Staff Person #2 does not have current pediatric first aid and cpr training on file. The date of the most recent pediatric first aid and cpr training for Staff Person #1 is 7/21/22.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff Person #1 and Staff Person #2 must complete approved pediatric first aid and cpr training. Staff Person #1 and Staff Person #2 will have until 8/24/24 to complete the required trainings. Until such time as the required training has been completed, Staff Person #1 and Staff Person #2 must be supervised, when interacting with children, by a AGS who has completed the required training related to this citation. If there are no staff available to supervise Staff Person #1 and Staff Person #2, then Staff Person #1 and Staff Person #2 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: Facility staff # 1 did not complete mandated reporter training in over 60 months from 7/10/15 to 9/21/21. Facility staff # 2 did not complete mandated reporter training in over 60 months from 2/1/17 to 10/18/22. Facility staff # 3 hired and working at facility did not have the NSOR clearance on file at time of hire. Facility staff # 4 had volunteer state police and child abuse clearances on file at time of hire. Facility staff # 4 did not have a FBI clearance on file at time of hire.

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 staff # 4 may not work in childcare until all clearances are on file.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility Person #1's previous PA State Police and PA Child Abuse History clearances were dated 11/7/2016. Facility Person #1 did not update either of these clearances until 12/14/2021 during the renewal inspection. Facility Person #1 worked in a child care position at the facility between 11/8/21 and 12/14/21.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility Person #2 did not obtain her National Sex Offender Registry Certification until more than 5 months after she began in a child care position at the facility.

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: 3270.94(a)(9)

Description: Written record

Noncompliance Area: The facility's fire drill log does not have the hypothetical location of the fire nor the names of participating facility staff.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.