Christian Love Ministries Day Care

Regulation: 3270.19(b)

Description: Child abuse reporting

Noncompliance Area: During interviews, staff described a consistent protocol in which any suspicion of neglect, abuse, or other concerns regarding a child's welfare was to be first reported to the facility administration rather than to the mandated authorities (ChildLine). The center director also confirmed the process.

Correction Required: TIERED LIS: 1. A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department. This portion of the plan shall have an immediate correction date. 2. All facility staff must complete a DHS approved child abuse recognition and reporting training course that is 3 hours in length. A list of approved courses is available online - https://www.pa.gov/agencies/dhs/resources/keep-kids-safe/mandated-reporter-training. Documentation of completed training must be submitted to DHS and be kept on file at the facility. The operator shall provide a date of when this training will be completed. 3. The operator and director must create/revise the facility policy regarding child abuse recognition and reporting. The policy must be submitted to DHS for approval. Once DHS approval is received, all staff at the facility must be trained on the policy. Documentation of policy training must be submitted to DHS and be kept on file at the facility. The operator shall provide a date of when this policy and training will be completed.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Toddlers were observed to be watching television and remained seated at the table with built-in seating totaling over 47 minutes, rather than freely exploring their environment or participating in a variety of activities during diaper-changing time. After being diapered, the children returned to sit until the staff member #2 completed the task. Two children became sleepy and rested their heads on the table before and after being diapered. Both were placed back at the table with built-in seating and fell asleep again. At the Certification Representative's request, facility staff member #1 provided appropriate rest equipment for the sleeping toddler.

Correction Required: 1. Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training and Technical Assistance (TA) to include at minimum: effective room arrangement, developmentally appropriate activities for children in care (including timeframes for use of equipment that restricts a child's movement and usage of screentime), and strategies for engaging children in learning. The operator shall provide a date of when this training will be completed.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: It was observed that young toddlers in the infant/toddler room spent a significant amount of time seated at the table with built-in seating, totaling over 47 minutes. The children remained seated during and after the morning snack, while watching an educational video, and during diaper-changing time. The chairs were used in a manner that limited and restricted their movement.

Correction Required: TIERED LIS: 1. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training and Technical Assistance (TA) to include at minimum: effective room arrangement, developmentally appropriate activities for children in care (including timeframes for use of equipment that restricts a child's movement and usage of screentime), and strategies for engaging children in learning. The operator shall provide a date of when this training will be completed.

Regulation: 3270.24(a)

Description: Immediate access

Noncompliance Area: Facility staff member #1 initially declined the Certification Representative's request for access to staff files that were not present at the facility during a complaint investigation.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

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

Description: Age and Training

Noncompliance Area: Upon inspection of personnel files, it was found that Staff Person #1 had an updated pediatric first aid and CPR certificate that lapsed between dates. The updated Pediatric first aid and CPR certificate had a date of 4/15/26 and previously expired on 3/31/26.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Upon inspection of the facility fire safety records, it was found that the following fire drill dates exceeded the maximum of 60-days between required drills: 11.05.2025, 01.05.2026 [61days lapsed]

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

Regulation: 3270.101(a)

Description: Age appropriate

Noncompliance Area: Observed the arts and craft shelves in the classroom lacked a sufficient number of materials for the children to use, paper was accessible to the children on the shelf without markers, crayons, and other art materials to meet the developmental needs, individual interests and ages of the children. The provider keeps art materials in a cabinet which is inaccessible to the children during free play times. Observed several toy shelves which were empty. Continued noncompliance previously cited on 10/28/2025.

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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information for child #1 did not include the complete address of the child's physician or source of medical care. Continued noncompliance previously cited on 10/28/2025.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for child #1 did not include the complete address of the individuals designated by the parent to whom the child may be released. Continued noncompliance previously cited on 10/28/2025.

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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: Observed a lunch box on top of the cubbies in the classroom which contained food items from the child's home which were not refrigerated including: pineapples, avocados and other perishable food items.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for staff person #1 did not include documentation of annual fire safety training within 12 months of their initial date of hire (see LIS code sheet). Staff person #1 has documentation of Fire Extinguisher Training through New Story Academy completed on 08/17/2025 which did not include verification of being conducted by a fire protection professional. Continued noncompliance previously cited on 10/28/2025.

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

Regulation: 3270.62(c)

Description: Space safe for large muscle activity

Noncompliance Area: Observed an accumulation of packed snow and ice in the outdoor play space; the area is paved making it slippery and unsafe for large muscle activity due to creating a fall hazard.

Correction Required: Outdoor or indoor play space shall be safe for large muscle activity.

Regulation: 3270.101(a)

Description: Age appropriate

Noncompliance Area: The toddler area in the large classroom did not include a sufficient amount and variety of play equipment. The area had 3 foam vinyl climbing toys, a kitchen playset without toys, books 1 toy dump truck, 1 Sit & Spin, 1 xylophone a few toy cars, a few Duplo blocks and a Busy Box. The shelves were completely empty, and the toys available to not keep the 1 younger toddler and 4 older toddlers playing in the area engaged. The toys in the preschool and toddler areas of the large classroom were removed from the classroom for cleaning and were not replaced for the children to play with.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed an open box of Vinyl gloves on the changing table located in the infant/toddler classroom which was accessible to children.

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

Description: Amount of fee/Date fee to be paid

Noncompliance Area: The agreement for child #1, #2 and #4 did not include the fee amount or the date on which the fee is to be paid.

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

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement for child #2 did not include the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement for child #5 did not include the date of the child's admission.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information for child #2 did not include complete address or the name and telephone number of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information for child #2 did not include the complete home address or the work address and telephone number of the enrolling parent.

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: The file for child #2 did not include written consent signed by a parent for emergency medical prior to admission.

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)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information for child #2 did not include the name of their health insurance coverage.

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: The emergency contact information for child #1 and #2 did not include the complete address of the individuals designated by the parent to whom the child may be released.

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(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for child #3 did not include an updated health report at least every 6 months for an infant or young toddler (see LIS code sheet). The most recent health report on file was dated 03/26/2025 with no subsequent report on file.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #1 (see LIS code sheet) included a record of the child's immunization status which lacked a 4th dose of DTap and a 2nd dose of Hep A. The file for child #3 (see LIS code sheet) included a record of the child's immunization status which lacked a 4th dose of PCV13.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

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

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #5, whose health record did not list any immunizations administered, did not include an exemption from immunization for religious belief or strong personal objection equated to a religious belief by a written, signed and dated statement from the child's parent or guardian. The operator stated that the child is not immunized due to religious beliefs, but they have not received a letter from the parent.

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

Regulation: 3270.182(5)

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

Noncompliance Area: The file for child #2 did not include signed parental consent for the administration of minor first-aid procedures prior to admission.

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(2)(iii)

Description: Exp, educ., training at facility

Noncompliance Area: The file for staff person #3 did not maintain verification of experience following the outset of service at the facility; the operator was unable to locate the documentation at the time of the inspection.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #3 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person; the operator was unable to locate the documentation at the time of the inspection.

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: The operator did not have documentation on file of an annual emergency drill within 12 months of initial opening in 07/2024.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The operator did not have documentation in writing of an annual review of the emergency plan. The emergency plan was last updated on 04/11/2024.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The operator did not ensure staff person #5 received emergency plan training within 12 months of their initial emergency plan training; the most recent training was documented on 07/08/2024.

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: The file for staff person #3 did not include an annual minimum of 12 clock hours of child care training between 07/2024 - 07/2025.

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

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

Description: Age and Training

Noncompliance Area: Staff person #2 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 09/2025. Documentation of updated Pediatric first aid and CPR training is not on file. Staff person #2 was observed supervising a group of children outside with staff person #4, an aide. While outside, staff person #2 was not supervised by an AGS or higher.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, staff person #2 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 #2, staff person #2 may not work in a child-care position at the facility.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for staff person #3 and #5 did not include documentation of annual fire safety training within 12 months of their initial date of hire (see LIS code sheet). Staff person #3 did not have documentation of fire safety training on file. Staff person #5 has documentation of Fire Extinguisher Training through New Story Academy completed on 08/17/2025 which did not include verification of being conducted by a fire protection professional.

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

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): Health and Safety (CCDBG) training. *Corrected on the date of the inspection.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The director did not ensure a written evaluation was completed for staff person #5 at least once every 12 months since their date of hire (see LIS code sheet).

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed Force of Nature Multipurpose cleaner on the changing table located in the infant/toddler classroom which was labeled "Keep out of reach of children" and was accessible to children.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: Observed a first-aid kit on the middle shelf of the changing table located in the infant/toddler classroom which was accessible to children. The first aid kit included: individual adult Tylenol packets, a tube of Neosporin ointment and a tube of Benadryl ointment.

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed a flat round drain grate approximately 6" in diameter in the outdoor play space, which was knocked loose from the drain it was covering. *Corrected at the time of the inspection. Observed a downspout which was loose against the side of the wall of the building next to the outdoor play space; the spout was hanging loosely and did not connect with the drainage pipe in the concrete.

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: Observed peeling paint on the exterior door frame of the door used to enter and exit into the outdoor play space.

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

Regulation: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: The portable sink in the large classroom used for handwashing next to the diaper changing table did not have a platform or steps for the younger and older toddlers to easy approach the sink. Staff were lifting the children up to help them wash their hands at the sink.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The waste receptacle next to the sink in the staff bathroom did not have a lid.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: Observed the back hallway leading to an exterior exit which was partially blocked by brooms and other objects leaning against the wall. *Corrected at the time of 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.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The director or designated staff person did not ensure a fire drill was conducted at least once every 60 days between 07/08/2025 - 09/08/2025.

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

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: The director or designated staff person did not ensure a manual test of the fire detection system was completed at least once every 30 days between 07/08/2025 - 08/08/2025 - 09/08/2025.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Observed, 2 Pack N Plays along the wall during naptime which did not have at least 2 feet of space on three sides of the Pack N Plays while the equipment was in use.

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: 3270.107

Description: Refrigerator

Noncompliance Area: Observed the thermometer in the refrigerator located in the infant classroom was not operable.

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Observed staff person #6 walk into the children's bathroom for approximately 5 minutes during nap time and they were not physically present with the children in their group and were unable to supervise them from their position in the bathroom. Observed staff person #5 walk into the children's bathroom for approximately 5 - 10 minutes during naptime; during this time, they were not physically present with the children in their group and were unable to supervise them from their position in the bathroom.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: The file for staff person #5 did not include acceptable verification of experience; the documentation was not signed by a representative of the experiential entity.

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(4)

Description: CPSL information

Noncompliance Area: The file for staff person #4 did not include a complete copy of the NSOR clearance prior to their first day caring for children. The clearance dated 11/26/2024 was printed in a manner that only half of the clearance was printed. Provider failing to follow plans to maintain compliance regarding same violations from inspection of 05/15/2025. Provider's plan to maintain compliance submitted on 06/24/2025 stated, "The provider will do maintenance on all staff files at the time of hire and regularly to ensure each file is in good standing with completed information required by the CPSL."

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #4 may not work in a child care position at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #5 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Provider failing to follow plans to maintain compliance regarding same violations from inspection of 05/15/2025. Provider's plan to maintain compliance submitted on 05/30/2025 stated, "The provider will ensure all paperwork prior to starting employment in the facility is checked thoroughly for references before their start date."

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)

Description: Comply with CPSL

Noncompliance Area: The file for staff person #5 did not include the results of the Child Abuse clearance prior to their first day caring for children (see LIS code sheet) as required by the CPSL. The file for staff person #5 did not include documentation of the request for the FBI clearance prior to their first day caring for children. Provider failing to follow plans to maintain compliance regarding same violations from inspection of 05/15/2025. Provider's plan to maintain compliance submitted on 06/24/2025 stated, "The provider will comply with CPSL chapter 3490 relating to protective services. Any persons looking to be employed will need any and all clearances before their start date."

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

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #1 and #4 did not include verification of child care experience to qualify as an assistant group supervisor prior to service at the facility (see LIS code sheet); the files included copies of their HS diploma with no verified documentation of child care experience on file. The file for staff person #4 did not include proof of education or verified documentation of child care experience to qualify as an assistant group supervisor prior to service at the facility (see LIS code sheet). Continued noncompliance previously cited on 05/15/2025. The file for staff person #1 and #2 did not include verification of child care experience to qualify as an assistant group supervisor prior to service at the facility (see LIS code sheet). Both files included copies of their HS diploma with no verified documentation of child care experience on file.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.33(b)

Description: No more than 50% aides

Noncompliance Area: Observed staff person #4, #5 and #6 caring for children at the facility. 1 staff person qualified as a director and 2 staff persons had the qualifications of an aide on file. Continued noncompliance, previously cited on 05/15/2025. Observed staff person #1, #2 and #3 caring for children at the facility. 1 staff person qualified as a group supervisor and 2 staff persons had the qualifications of an aide on file.

Correction Required: At least 50% of the staff persons in a facility shall be individuals qualified and functioning as directors, group supervisors and assistant group supervisors. No more than 50% of the staff persons may be of aide qualification level.

Regulation: 3270.34(a)

Description: Director responsibilities

Noncompliance Area: The director is failing to ensure that staff files are complete at the time of initial hire with all required documentation as indicated in numerous violations cited in the inspection summary, including citations indicating continued non-compliance.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6). TIERED POC: 1. Staff person #6 will be required to attend the Central Region Existing Provider Orientation in-person training to be conducted on 10/09/2025. Staff person #6 shall contact the Central Regional Office to schedule the training. Documentation of completed training must be submitted to the Regional Office and be kept in the facility person's file. 2. The operator must submit a complete file for all prospective/new staff to the Central Regional Office of Child Development and Early Learning. All prospective/new staff will not be permitted to work in a childcare position at the facility until the file is reviewed and approved by the Department. The Department's Certification Representative and/or Certification Supervisor will review and provide a response about each submission of documentation within 2 business days. Submission of files for prospective/new staff must occur for a period of 3-months from the acceptance date of the plan of correction. The file must include CPSL documentation, health assessment w/TB results, verification of education & experience and two written-nonfamily references.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: Observed staff person #6 walk into the children's bathroom and they were unable to supervise the 2 aides working in the classroom from their location in the children's bathroom.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: Observed 1 infant, 4 young toddlers, 2 older toddlers, and 10 preschool age children napping in the main classroom with staff person #4, #5 and #6. Staff person #4 identified a group of 1 infant and 4 young toddlers. staff person #5 identified 5 preschool children in their group. Staff person #6 identified a group of 3 older toddlers and 5 preschool children. The staff:child ratio for staff person #4 exceeded the ratio requirements of 1:4 when the youngest child in care is an infant. Naptime ratios do not double when there is an infant in care.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed sun screen accessible in a child's cubby located in the main classroom. Observed Air Freshener Spray on the counter located on the bathroom counter where children wash hands and was accessible to children. Observed cleaning products on the file cabinet located in the main classroom which was accessible to children. Continued noncompliance, previously cited on 05/15/2025. Observed hand sanitizer, bleach water and all-purpose cleaner on the desk located in the front classroom which were accessible to children in care.

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: Continued noncompliance previously cited on 05/15/2025. Observed faucet on the sink (on the right) in the bathroom used by children had a broken handle / lever. The faucet is unable to be turned on and the area where it was broken had sharp, rough edges on the metal.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During naptime, observed 2 Pack N Plays in use, which were not labeled for the child sleeping in the Pack N Play.

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

Regulation: 3270.106(j)

Description: Prohibit items in crib

Noncompliance Area: During naptime, observed toys in the Pack N Play while child #1, an infant was sleeping in the Pack N Play. *Corrected at the time of the inspection.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Observed staff person #2 did not wash a young toddler's hands after being diapered.

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Observed the lidded trash can used for the disposal of diapers had a broken lid mechanism that did not allow the lid to open in a hands-free manner. *Corrected at the time of the inspection.

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

Regulation: 3270.152

Description: Adult Hygiene

Noncompliance Area: Observed staff person #2 did not wash their hands after diapering a child.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.161(a)

Description: Wholesome

Noncompliance Area: Observed individual yogurt cups in the refrigerator located in the infant room which expired on 02/01/2025. Observed Gogurt sleeves in the refrigerator located in the infant room which expired in 01/2025. Observed a cup with leftover milk in the refrigerator located in the infant room with visible curdling inside the cup.

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

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: The file for staff person #1 did not include a copy of a child abuse clearance. The file for staff person #2 did not include the results of the NSOR clearance. *Corrected on the date of the inspection.

Correction Required: 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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for staff person #2 did not include the results of the NSOR clearance prior to their first day caring for children (see LIS code sheet) as required by the CPSL. The NSOR clearance was dated 03/10/2025.

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

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #1 and #2 did not include verification of child care experience to qualify as an assistant group supervisor prior to service at the facility (see LIS code sheet). Both files included copies of their HS diploma with no verified documentation of child care experience on file.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.33(b)

Description: No more than 50% aides

Noncompliance Area: Observed staff person #1, #2 and #3 caring for children at the facility. 1 staff person qualified as a group supervisor and 2 staff persons had the qualifications of an aide on file.

Correction Required: At least 50% of the staff persons in a facility shall be individuals qualified and functioning as directors, group supervisors and assistant group supervisors. No more than 50% of the staff persons may be of aide qualification level.

Regulation: 3270.64

Description: Outside Walkways

Noncompliance Area: Observed multiple cigarette butts scattered on and the sidewalk leading to the entrance of the facility.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed outlets in the front classroom which lacked protective receptacle covers in the infant and toddler area of the room which were accessible to children.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed hand sanitizer, bleach water and all-purpose cleaner on the desk located in the front classroom which were accessible to children in care.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: Observed a bottle of Spic N Span on the counter in the kitchen next to the toaster used for food preparation and a bottle of bleach stored on the counter next to food items.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.67(c)

Description: No insects or rodents

Noncompliance Area: Observed a box of Charms Blow Pops in the ledge next to the owner / director's desk which was infested with small ants crawling inside and around the box.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed 2 electrical outlets in the front classroom with missing Outlet Wall Plates. One was located along the wall near the air conditioner and the other was located on the post near changing table on the toddler side of the room. Observed the safety gate restricting the area around the owner / director's desk was left open and unlocked allowing children access to items stored within the area including a screwdriver, power cords, staples, etc.

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: Observed faucet on the sink (on the right) in the bathroom used by children had a broken handle / lever. The faucet is unable to be turned on and the area where it was broken had sharp, rough edges on the metal.

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

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: The director or designated staff person did not ensure a manual test of the fire detection system was completed at least once every 30 days. Tests exceeded 30 days on the following dates: 11/23/2024 - 12/30/2024 and 03/18/2025 - 04/22/2025.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: Observed a chair in the outdoor gross motor space with a torn seat.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Rest equipment was not labeled for the use of a specific child and only used by the specified child.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Observed less than 2 feet of space on three sides of the rest mats being used during naptime.

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: 3270.108(c)

Description: No styrofoam

Noncompliance Area: Observed lunch was served to young toddlers and preschool children on Styrofoam plates.

Correction Required: Styrofoam cups and plates may not be used.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for child #2, #3, and #4 included an agreement form which did not include the services to be 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)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement for child #1 and #2 did not include the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement for child #1, #2, #3, #4 and #5 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: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement for child #3 and #4 did not specify the date of the child's admission.

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

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: Emergency contact information was not on file for child #5 prior to the child's first day of attendance (see LIS code sheet). At the time of the inspection, the operator was unable to locate the emergency contact information for child #5.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information for child #2 did not include the complete address of the child's physician or source of medical care. The emergency contact information for child #4 did not include the name, address and telephone number of the child's physician or source of medical. The information was blank on the form.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information for child #1, #3 and #4 did not include the work address and telephone number of the enrolling parent. The emergency contact information for child #2 did not include the parents' home address, work address or work telephone number of the enrolling parent.

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: The file for child #1, #2, #3, #4 and #5 did not include written consent signed by the parent for emergency medical care prior to admission. The form used by the facility included wording that lists the parent as the individual that is given consent to provide the emergency medical care.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information for child #2, #3 and #4 did not include health insurance coverage information with the policy number. The emergency contact information for child #1 did not include the 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: The emergency contact information for child #1 and #3 did not include the address of the individuals designated by the parent to whom the child may be released.

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: The file for child #3 and #5 did not include an initial health report within 60 days of the first day of attendance at the facility (see LIS code sheet). A complete health assessment was not on file on the date of the inspection.

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: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: Observed staff person #2 did not ensure the children washed their hands prior to eating lunch. The children were observed playing with toys at the table prior to lunch. Staff person #2 did not wash their hands prior to helping serve lunch to the children.

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Observed the hand-free covered can used to dispose of soiled diapers did not have a plastic liner.

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

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

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

Noncompliance Area: The file for staff person #3 did not include a health assessment or the results of a tuberculosis screening at the time of initial employment.

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: 3270.163(a)(1)

Description: Dairy

Noncompliance Area: Lunch served to the preschool age children did not include at least one dairy product. The preschool age children were served: Corn dogs, Kraft Mac N Cheese, Veggies Straws, Mixed fruit and juice.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product.

Regulation: 3270.163(a)(4)

Description: Grain

Noncompliance Area: Lunch served to the young toddlers did not include at least one grain. The young toddlers were served: chicken nuggets, fruit snacks, applesauce, veggie straws and milk.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one grain.

Regulation: 3270.165

Description: Menus

Noncompliance Area: A menu was not posted in a conspicuous location at least 1 week in advance or provided to each family. The facility did not have a menu for the meals being provided to the children.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.