Allie Alligator Lrng Ctr

3270.192(5) Two written references

“The file for Staff #1, contained one written, nonfamily reference and one written, family reference from individuals attesting to the suitability to serve as a facility person.”

3270.172(a) Written parental consent

“The Emergency Contact Form for Child #1 lacked written parental consent for transportation by the facility. Child #1 is transported by the facility.”

Correction date in the state record: Sep 23, 2025

3270.151(c)(2) Mantoux TB

“The file for Staff #2 lacked documentation of TB screening by the Mantoux method.”

Correction date in the state record: Sep 10, 2025

3270.151(a) 12 months prior to service and every 24 months thereafter

“The file for Staff #2 lacked a Health Assessment.”

Correction date in the state record: Sep 10, 2025

3270.77(a) No peeling paint or plaster

“Observed peeling paint in the Toddler Classroom by the rest equipment, Two's Room by the rest equipment in the corner, and in the KPrep Room along the corner on the orange wall.”

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The file for Staff person #1 who has lived in Ohio within the last 5 years did not have Ohio State Clearances.”

Correction date in the state record: Sep 15, 2025

3270.113(a)(1) Staff assigned to specific children

“At approximately 9:00 AM in the Infant Classroom, Staff #1 was asked to name their primary assigned group of children. Staff #1 stated that they were not currently responsible for any children. Staff #2 named three infants. Staff #3 named four infants. Cert Rep observed 12 children in the childcare space. At this time Staff #4 came back into the childcare space and told Staff #1 that they were responsible for their assigned group of children while they were using the restroom. Staff #1 was asked again if they were responsible for any children. At that time Staff #1 stated they were responsible for the remaining 5 children including two young toddlers and three infants.”

Correction date in the state record: Aug 15, 2025

3270.52 Mixed Age Level

“At approximately 9:00 AM in the Infant Classroom, Staff #1 was asked to name their primary assigned group of children. Staff #1 stated that they were not currently responsible for any children. Staff #2 named three infants. Staff #3 named four infants. Cert Rep observed 12 children in the childcare space. At this time Staff #4 came back into the childcare space and told Staff #1 that they were responsible for their assigned group of children while they were using the restroom. Staff #1 was asked again if they were responsible for any children. At that time Staff #1 stated they were responsible for the remaining 5 children including two young toddlers and three infants.”

Correction date in the state record: Aug 15, 2025

3270.106(f) 2 feet apart

“A crib, in use by an infant, lacked 2 feet of space on three sides. The crib was up against a wall on one side and had three cribs that were less than 2 feet away on the other three sides.”

Correction date in the state record: Aug 15, 2025

3270.27(a)(6) Emergency plan

“The last documented emergency drill was held 7/2/2024 which was not conducted in the previous 12 months.”

Correction date in the state record: Sep 12, 2025

3270.76 Building Surfaces

“An approximate two-foot section of the baseboard on the wall when you enter the children's restroom was removed leaving dry wall and wood exposed.”

Correction date in the state record: Aug 26, 2025

3270.113(a)(1) Staff assigned to specific children

“At approximately 9:00 AM in the Infant Classroom, Staff #1 was asked to name their primary assigned group of children. Staff #1 stated that they were not currently responsible for any children. Staff #2 named three infants. Staff #3 named four infants. Cert Rep observed 12 children in the childcare space. At this time Staff #4 came back into the childcare space and told Staff #1 that they were responsible for their assigned group of children while they were using the restroom. Staff #1 was asked again if they were responsible for any children. At that time Staff #1 stated they were responsible for the remaining 5 children including two young toddlers and three infants.”

Correction date in the state record: Aug 15, 2025

3270.52 Mixed Age Level

“At approximately 9:00 AM in the Infant Classroom, Staff #1 was asked to name their primary assigned group of children. Staff #1 stated that they were not currently responsible for any children. Staff #2 named three infants. Staff #3 named four infants. Cert Rep observed 12 children in the childcare space. At this time Staff #4 came back into the childcare space and told Staff #1 that they were responsible for their assigned group of children while they were using the restroom. Staff #1 was asked again if they were responsible for any children. At that time Staff #1 stated they were responsible for the remaining 5 children including two young toddlers and three infants.”

Correction date in the state record: Aug 15, 2025

3270.106(f) 2 feet apart

“A crib, in use by an infant, lacked 2 feet of space on three sides. The crib was up against a wall on one side and had three cribs that were less than 2 feet away on the other three sides.”

Correction date in the state record: Aug 15, 2025

3270.27(a)(6) Emergency plan

“The last documented emergency drill was held 7/2/2024 which was not conducted in the previous 12 months.”

Correction date in the state record: Sep 12, 2025

3270.76 Building Surfaces

“An approximate two-foot section of the baseboard on the wall when you enter the children's restroom was removed leaving dry wall and wood exposed.”

Correction date in the state record: Aug 26, 2025

3270.151(a)/3270.192(3) 12 months prior to service and every 24 months thereafter/Health assessment, TB test

“The file of staff #2 contained a health assessment which was dated 4/17/2025, after their start date with children (see LIS code sheet). The file of staff #3 contained an initial health assessment dated 6/16/2023, more than 12 months prior to their start date at the facility (see LIS code sheet).”

Correction date in the state record: Aug 15, 2025

3270.192(5) Two written references

“The file of staff #1 and #6 did not contain 2 written nonfamily references.”

Correction date in the state record: Aug 15, 2025

3270.151(c)(4)/3270.192(3) Information re: medical problems/Health assessment, TB test

“The health assessment on file for staff #1 did not state they are suitable to provide child care.”

Correction date in the state record: Aug 15, 2025

3270.151(c)(3)/3270.192(3) Exam communicable disease/Health assessment, TB test

“The health assessment on file for staff #1 did not state they were free from communicable disease.”

Correction date in the state record: Aug 15, 2025

3270.106(f) 2 feet apart

“In the infant classroom, an infant was observed to be sleeping in a crib which was against 2 other cribs (one parallel on the left and one perpendicular at the top), and did not contain at least 2 feet of space on at least 3 sides,”

Correction date in the state record: Aug 15, 2025

3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance

“Documentation of the last manual test of the fire detection system was dated 5/23/2025. Based on a conversation with staff #7, the fire detection system was manually tested on 6/24/25 but not documented. Based on that conversation, the testing of the system on 5/23/2025 and 6/24/2025 exceeded 30 days.”

Correction date in the state record: Aug 15, 2025

3270.151(c)(2)/3270.192(3) Mantoux TB/Health assessment, TB test

“The tuberculosis screening of staff #1 was dated 6/19/2025 and staff #2 was dated 4/21/2025, both after their start date with children (see LIS code sheet).”

Correction date in the state record: Aug 15, 2025

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The file for staff person #1 did not contain documentation of submission of an FBI clearance prior to their start date with children but contained a completed FBI clearance dated 6/12/2025, after their start date with children (see LIS code sheet). The file of staff #2 contained a child abuse clearance dated 5/15/2025, an FBI clearance dated 4/21/2025 without documentation of submission and an NSOR verification certificate dated 4/21/2025, all after their start date with children (see LIS code sheet). The NSOR verification certificate for staff #4 was dated 3/30/2025, after their start date with children (see LIS code sheet). The disclosure statement of staff #6 did not contain a witness signature making it incomplete.”

Correction date in the state record: Aug 15, 2025

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The files for Staff #1 and #2, both observed caring for children, lacked proof of FBI fingerprinting or complete FBI clearance and therefore were incorrectly provisionally hired.”

Correction date in the state record: Jun 10, 2025

3270.192(5) Two written references

“The file for staff #1, lacked two written, nonfamily references from individuals attesting to the suitability to serve as a facility person.”

Correction date in the state record: Jun 10, 2025

3270.192(2)(ii) Exp, educ., training prior to facility

“The file for Staff #1 did not contain verification of childcare experience, education, and training prior to service at the facility.”

Correction date in the state record: Jun 10, 2025

3270.113(b) No physical punishment

“Staff #1 was attempting to move a child from behind a shelf, staff had the child by the left hand and wrist and pulled to move her, the child had been holding to the other side of the cabinet causing an injury to the child.”

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The files for Staff #1 and #2, both observed caring for children, lacked proof of FBI fingerprinting or complete FBI clearance and therefore were incorrectly provisionally hired.”

Correction date in the state record: Jun 10, 2025

3270.192(5) Two written references

“The file for staff #1, lacked two written, nonfamily references from individuals attesting to the suitability to serve as a facility person.”

Correction date in the state record: Jun 10, 2025

3270.192(2)(ii) Exp, educ., training prior to facility

“The file for Staff #1 did not contain verification of childcare experience, education, and training prior to service at the facility.”

Correction date in the state record: Jun 10, 2025

3270.113(b) No physical punishment

“Staff #1 was attempting to move a child from behind a shelf, staff had the child by the left hand and wrist and pulled to move her, the child had been holding to the other side of the cabinet causing an injury to the child.”

3270.19(b) Child abuse reporting

“Based on a conversation with Staff #2 on 5/28/25, Staff #2 reviewed the video footage of the incident on 5/23/25 at 6:50 AM after being contacted by Child #1's parents via email sent after business hours on 5/22/25. Staff #2 reviewed the video footage regarding the incident that occurred on 5/22/25 at 12:44 PM involving Staff #1 and Child #1. Staff #2 failed to immediately make a report of reasonable cause or suspected child abuse to ChildLine through the hotline, online, or any other method prescribed by the Department.”

Correction date in the state record: May 29, 2025

3270.113(a)(2) Supervision on and facility premises

“Based on interviews and video footage taken at the facility at approximately 4:25 PM on 5/23/25, Child #1 was alone on the Toddler playground without a staff member present in the measured space. When the incident occurred, Staff #4 and Staff #6 were in the Preschool/School Age playground, which is attached to the Toddler playground, but is separated by a fence.”

Correction date in the state record: May 29, 2025

3270.151(a)/3270.192(3) 12 months prior to service and every 24 months thereafter/Health assessment, TB test

“Staff #1 was observed caring for children on 5/28/25 without having an initial health assessment and tuberculosis test on file. The two most recent health assessments on file for Staff #2 are dated 3/14/22 and 5/23/24, more than 24 months apart.”

Correction date in the state record: May 29, 2025

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“The file for Staff Person #2 did not contain the Pa. Health and Safety update 2022 which was required to be completed by 12.30.22, as per Announcement C-22-06.”

Correction date in the state record: Jun 23, 2025

3270.27(c) Training regarding plan

“The two most recent emergency plan trainings on file for Staff #2 are dated 3/14/23 and 5/22/24, more than 12 months apart.”

Correction date in the state record: May 29, 2025

3270.32(a) Comply with CPSL

“The file for Staff #1 lacked an NSOR certificate and documentation of application of a PA Criminal History clearance prior to date of hire (SEE IS CODE SHEET) required for provisional hiring under the CPSL. Staff #1's NSOR certificate is dated 4/8/25 and the PA Criminal History clearance request and clearance are dated 5/14/25.”

Correction date in the state record: May 29, 2025

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The file for Staff #1 lacked a disclosure statement.”

Correction date in the state record: May 29, 2025

3270.36(b)(5)/3270.192(2)(iii) HS/GED + 2 yrs/Exp, educ., training at facility

“Staff #1, classified as an Assistant Group Supervisor, lacked documentation of education and child care experience.”

Correction date in the state record: May 29, 2025

3270.103 Small Toys and Objects

“An open box of latex gloves was observed in an unlocked cabinet under the changing table in the Two's Room, which could cause suffocation.”

Correction date in the state record: May 29, 2025

3270.113(a)(1) Staff assigned to specific children

“Based on interviews and video footage taken at the facility at approximately 4:25 PM on 5/23/25, Staff #3 and Staff #5 were observed exiting the Toddler playground and entering the facility with 8 children: leaving Child #1 alone on the Toddler playground. Child #1 was alone for approximately 30 seconds. Staff #4 exited the Preschool/School Age playground and entered the Toddler playground at 4:26 PM to retrieve Child #1. Staff #4 and Child #1 went into the Preschool/School Age playground. At 4:26:52 PM, Staff #3 exited the facility looking for Child #1 and entered the Preschool/School Age playground. Staff #3 immediately took Child #1 into the facility.”

Correction date in the state record: May 29, 2025

3270.66(a) Locked or inaccessible

“Two tubes of Triple Paste, 15 tubes of diaper creams, 2 anti-fungal creams, and approximately 20 cans of sunscreen were observed in an unlocked cabinet under the changing table in the Two's Room and were accessible to children.”

Correction date in the state record: May 29, 2025

3270.113(b) No physical punishment

“At approximately 12:44 PM on 5/22/25, video footage taken at the facility shows Staff #1 sitting on the floor next to Child #1 and patting their back during nap. Child #1 picked up their head and Staff #1 forcefully slammed Child #1's head into Child #1's cot. Child #1 kept their head down while Staff #1 continued patting Child #1's back.”

Correction date in the state record: May 23, 2025

3270.192(2)(iv) Transcript, diploma and letters

“2ND CITATION: The file for Staff #1 contained transcripts in a foreign language and their credentials could not be determined. (See LIS Code Sheet) Previously cited 2/25/25.”

Correction date in the state record: Jul 1, 2025

3270.151(c)(2) Mantoux TB

“The file for Staff #2 contained a tuberculosis screening by the Mantoux method at the time of inspection, but it was observed they did not have a tuberculosis screening by the Mantoux method before their first day working in childcare.”

Correction date in the state record: May 23, 2025

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The file for Staff #2 lacked a NSOR Certificate. (See LIS Code Sheet). Staff #2 had been observed working alone in video footage on 4/25/25.”

Correction date in the state record: May 23, 2025

3270.33(a)/3270.192(2)(ii) Each staff person meets quals/Exp, educ., training prior to facility

“2ND CITATION: Staff Person #1 was observed acting as an AGS in the Preschool Classroom. The file for Staff Person #1 lacked verification of childcare experience and contained a foreign degree that was not evaluated and therefore it could not be determined if Staff #1 qualifies as an AGS. Previously cited 2/25/25.”

Correction date in the state record: Jul 1, 2025

3270.151(a) 12 months prior to service and every 24 months thereafter

“The file for Staff #2 lacked a Health Assessment.”

Correction date in the state record: May 23, 2025

3270.25(b) Post the inspection summary

“During inspection on 5/14/25, the facility did not post the letter and the attached licensing inspection summaries mailed on April 30, 2025.”

Correction date in the state record: May 14, 2025

3270.136(b) Parent info communicable diseases

“According to staff statements, the facility hung postings on the two classrooms that had suspected outbreaks, but did not inform all parents of enrolled children that there was a suspected outbreak of a communicable disease.”

Correction date in the state record: Jun 27, 2025

3270.192(2)(iv) Transcript, diploma and letters

“2ND CITATION: The file for Staff #1 contained transcripts in a foreign language and their credentials could not be determined. (See LIS Code Sheet) Previously cited 2/25/25.”

Correction date in the state record: Jul 1, 2025

3270.151(c)(2) Mantoux TB

“The file for Staff #2 contained a tuberculosis screening by the Mantoux method at the time of inspection, but it was observed they did not have a tuberculosis screening by the Mantoux method before their first day working in childcare.”

Correction date in the state record: May 23, 2025

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The file for Staff #2 lacked a NSOR Certificate. (See LIS Code Sheet). Staff #2 had been observed working alone in video footage on 4/25/25.”

Correction date in the state record: May 23, 2025

3270.33(a)/3270.192(2)(ii) Each staff person meets quals/Exp, educ., training prior to facility

“2ND CITATION: Staff Person #1 was observed acting as an AGS in the Preschool Classroom. The file for Staff Person #1 lacked verification of childcare experience and contained a foreign degree that was not evaluated and therefore it could not be determined if Staff #1 qualifies as an AGS. Previously cited 2/25/25.”

Correction date in the state record: Jul 1, 2025

3270.151(a) 12 months prior to service and every 24 months thereafter

“The file for Staff #2 lacked a Health Assessment.”

Correction date in the state record: May 23, 2025

3270.25(b) Post the inspection summary

“During inspection on 5/14/25, the facility did not post the letter and the attached licensing inspection summaries mailed on April 30, 2025.”

Correction date in the state record: May 14, 2025

3270.136(b) Parent info communicable diseases

“According to staff statements, the facility hung postings on the two classrooms that had suspected outbreaks, but did not inform all parents of enrolled children that there was a suspected outbreak of a communicable disease.”

Correction date in the state record: Jun 27, 2025

3270.113(a)(1) Staff assigned to specific children

“Based upon review of video footage, a preschool aged child was observed to be left outside in the play space away from their assigned group on 5/7/25 at approximately 10:00 AM. Staff was not physically present with the child during this time, nor did staff know the whereabouts of the child in the assigned group. There was another staff person in a separate, but adjacent, play space that saw the child alone and took over supervision of the child.”

Correction date in the state record: May 7, 2025

3270.61(h) Exceeding Capacity

“At approximately 11:00 AM, 18 children were observed receiving care in the Twos Classroom that has a designated maximum capacity of 17.”

Correction date in the state record: May 2, 2025

3270.106(f) 2 feet apart

“Three separate cribs, in use by three infants, lacked 2 feet of space on three sides.”

Correction date in the state record: May 30, 2025

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“SECOND CITATION; CITED PREVIOUSLY ON 1/28/25/: On 4/29/25 at approximately 10:55 AM, Facility Persons #1, #2 and #3 were supervising a total of 15 preschoolers in the K-Prep room. Facility Person #1 had 7 children lined up at the door and said they were taking the children to the restroom. Facility Person #1 left the classroom with the children and was not accompanied by any other staff person at this time. On 4/29/25 video footage of the K-Prep room from 4/25/25 at naptime was reviewed. In the video, it was observed, and confirmed by staff statements, that Facility Person #2 was the only staff person in the classroom supervising the children. Review of staff files on 4/29/25 indicates there was no documentation on file that Facility Person #1 or Facility Person #2 had completed required approved pediatric first aid & CPR training. According to staff statements, they have not yet completed the training. On 4/29/25, facility administrative staff were notified that Facility Persons #1 and #2 were required to be supervised at all times by at least an assistant group supervisor who has completed all required pre service trainings. On 5/1/25, Facility Persons #1 and #2 were again observed supervising children in the K-Prep room with no other staff present in the classroom and no documentation of completion of required pediatric first aid & CPR trainings on file.”

Correction date in the state record: May 30, 2025

3270.152 Adult Hygiene

“Observed staff not washing their hands after changing a diaper during inspection on 4/29/25. Also observed camera footage from 4/22/25 where staff did not wash their hands after a diaper change.”

Correction date in the state record: Apr 30, 2025

3270.82(h) Handwashing signs

“Observed staff not washing their hands after changing a diaper during inspection on 4/29/25. Also observed camera footage from 4/22/25 where staff did not wash their hands after a diaper change.”

Correction date in the state record: Apr 30, 2025

3270.134(a) Child's hands washed

“Observed staff not washing a child's hands after changing a diaper during inspection on 4/29/25. Also observed camera footage from 4/22/25 where staff did not wash the child's hands after three separate diaper changes.”

Correction date in the state record: Apr 30, 2025

3270.113(d) No harsh language

“According to staff statements, at times Facility Person #2 uses a harsh tone of voice with the children.”

Correction date in the state record: Apr 23, 2025

3270.113(b) No physical punishment

“Video footage reviewed from the Toddler Room on 4/22/25 at 10:27 AM shows Facility Person #1 abruptly lifting Child #1, a young toddler, by one arm to move them approximately 2-3 feet. Facility Person #1 stated they moved the child in this manner because the child was shaking water from their sippy cup on to the floor.”

Correction date in the state record: Apr 23, 2025

3270.61(h) Exceeding Capacity

“At approximately 11:00 AM, 18 children were observed receiving care in the Twos Classroom that has a designated maximum capacity of 17.”

Correction date in the state record: May 2, 2025

3270.106(f) 2 feet apart

“Three separate cribs, in use by three infants, lacked 2 feet of space on three sides.”

Correction date in the state record: May 30, 2025

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“SECOND CITATION; CITED PREVIOUSLY ON 1/28/25/: On 4/29/25 at approximately 10:55 AM, Facility Persons #1, #2 and #3 were supervising a total of 15 preschoolers in the K-Prep room. Facility Person #1 had 7 children lined up at the door and said they were taking the children to the restroom. Facility Person #1 left the classroom with the children and was not accompanied by any other staff person at this time. On 4/29/25 video footage of the K-Prep room from 4/25/25 at naptime was reviewed. In the video, it was observed, and confirmed by staff statements, that Facility Person #2 was the only staff person in the classroom supervising the children. Review of staff files on 4/29/25 indicates there was no documentation on file that Facility Person #1 or Facility Person #2 had completed required approved pediatric first aid & CPR training. According to staff statements, they have not yet completed the training. On 4/29/25, facility administrative staff were notified that Facility Persons #1 and #2 were required to be supervised at all times by at least an assistant group supervisor who has completed all required pre service trainings. On 5/1/25, Facility Persons #1 and #2 were again observed supervising children in the K-Prep room with no other staff present in the classroom and no documentation of completion of required pediatric first aid & CPR trainings on file.”

Correction date in the state record: May 30, 2025

3270.152 Adult Hygiene

“Observed staff not washing their hands after changing a diaper during inspection on 4/29/25. Also observed camera footage from 4/22/25 where staff did not wash their hands after a diaper change.”

Correction date in the state record: Apr 30, 2025

3270.82(h) Handwashing signs

“Observed staff not washing their hands after changing a diaper during inspection on 4/29/25. Also observed camera footage from 4/22/25 where staff did not wash their hands after a diaper change.”

Correction date in the state record: Apr 30, 2025

3270.134(a) Child's hands washed

“Observed staff not washing a child's hands after changing a diaper during inspection on 4/29/25. Also observed camera footage from 4/22/25 where staff did not wash the child's hands after three separate diaper changes.”

Correction date in the state record: Apr 30, 2025

3270.113(d) No harsh language

“According to staff statements, at times Facility Person #2 uses a harsh tone of voice with the children.”

Correction date in the state record: Apr 23, 2025

3270.113(b) No physical punishment

“Video footage reviewed from the Toddler Room on 4/22/25 at 10:27 AM shows Facility Person #1 abruptly lifting Child #1, a young toddler, by one arm to move them approximately 2-3 feet. Facility Person #1 stated they moved the child in this manner because the child was shaking water from their sippy cup on to the floor.”

Correction date in the state record: Apr 23, 2025

3270.61(h) Exceeding Capacity

“At approximately 11:00 AM, 18 children were observed receiving care in the Twos Classroom that has a designated maximum capacity of 17.”

Correction date in the state record: May 2, 2025

3270.106(f) 2 feet apart

“Three separate cribs, in use by three infants, lacked 2 feet of space on three sides.”

Correction date in the state record: May 30, 2025

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“SECOND CITATION; CITED PREVIOUSLY ON 1/28/25/: On 4/29/25 at approximately 10:55 AM, Facility Persons #1, #2 and #3 were supervising a total of 15 preschoolers in the K-Prep room. Facility Person #1 had 7 children lined up at the door and said they were taking the children to the restroom. Facility Person #1 left the classroom with the children and was not accompanied by any other staff person at this time. On 4/29/25 video footage of the K-Prep room from 4/25/25 at naptime was reviewed. In the video, it was observed, and confirmed by staff statements, that Facility Person #2 was the only staff person in the classroom supervising the children. Review of staff files on 4/29/25 indicates there was no documentation on file that Facility Person #1 or Facility Person #2 had completed required approved pediatric first aid & CPR training. According to staff statements, they have not yet completed the training. On 4/29/25, facility administrative staff were notified that Facility Persons #1 and #2 were required to be supervised at all times by at least an assistant group supervisor who has completed all required pre service trainings. On 5/1/25, Facility Persons #1 and #2 were again observed supervising children in the K-Prep room with no other staff present in the classroom and no documentation of completion of required pediatric first aid & CPR trainings on file.”

Correction date in the state record: May 30, 2025

3270.152 Adult Hygiene

“Observed staff not washing their hands after changing a diaper during inspection on 4/29/25. Also observed camera footage from 4/22/25 where staff did not wash their hands after a diaper change.”

Correction date in the state record: Apr 30, 2025

3270.82(h) Handwashing signs

“Observed staff not washing their hands after changing a diaper during inspection on 4/29/25. Also observed camera footage from 4/22/25 where staff did not wash their hands after a diaper change.”

Correction date in the state record: Apr 30, 2025

3270.134(a) Child's hands washed

“Observed staff not washing a child's hands after changing a diaper during inspection on 4/29/25. Also observed camera footage from 4/22/25 where staff did not wash the child's hands after three separate diaper changes.”

Correction date in the state record: Apr 30, 2025

3270.113(d) No harsh language

“According to staff statements, at times Facility Person #2 uses a harsh tone of voice with the children.”

Correction date in the state record: Apr 23, 2025

3270.113(b) No physical punishment

“Video footage reviewed from the Toddler Room on 4/22/25 at 10:27 AM shows Facility Person #1 abruptly lifting Child #1, a young toddler, by one arm to move them approximately 2-3 feet. Facility Person #1 stated they moved the child in this manner because the child was shaking water from their sippy cup on to the floor.”

Correction date in the state record: Apr 23, 2025

3270.33(a)/3270.192(2)(ii) Each staff person meets quals/Exp, educ., training prior to facility

“Staff Person #1 was observed acting as an AGS in the Preschool Classroom. The file for Staff Person #1 lacked verification of childcare experience and contained a foreign degree that was not evaluated and therefore it could not be determined if Staff #1 qualifies as an AGS.”

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“Although the file for Staff #1 contained a complete FBI clearance at the time of the inspection, it was observed that Staff#1 lacked a request prior to date of hire. The file for Staff #1 lacked a NSOR certificate. (SEE LIS CODE SHEET).”

Correction date in the state record: May 1, 2025

3270.192(2)(iv) Transcript, diploma and letters

“The file for Staff #1 contained transcripts in a foreign language and their credentials could not be determined. (See LIS Code Sheet)”

3270.32(a) Comply with CPSL

“**Although Staff #1 and #2 had current Mandated reporter Training at the time of the Renewal Inspection, it was observed that Staff #1 and #2 updated their Mandated Reporter Training in an interval greater than 60 months.”

Correction date in the state record: May 23, 2025

3270.32(a) Comply with CPSL

“*Although Staff #1 and #2 had current Mandated reporter Training at the time of the Renewal Inspection, it was observed that Staff #1 and #2 updated their Mandated Reporter Training in an interval greater than 60 months.”

Correction date in the state record: Mar 14, 2025

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre- service training required prior to caring for children unsupervised: (Pediatric First Aid/CPR).”

3270.61(e) Halls, etc. not included

“Cert Rep observed video footage from 1/15/25 at approximately 10:00 AM where Staff #3 is carrying a preschool aged child into the office space where Staff #3 continues providing care. According to staff statements the office has been used on multiple occasions to provide care and as a space to bring children in to calm down.”

Correction date in the state record: Mar 14, 2025

3270.94(a)(1) Every 60 days

“Based on Fire Drill Log documentation, the last Fire Drill occurred more that 60 days prior 10/10/24-1/28/25 (110 days).”

Correction date in the state record: Mar 14, 2025

3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance

“Based on Smoke Detection Testing Log documentation, the last smoke detection testing occurred more that 30 days prior 11/6/24-1/28/25 (83 days).”

Correction date in the state record: Mar 14, 2025

3270.31(f) Health and Safety Training

“Staff person #3 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): (Pediatric First Aid/CPR).”

Correction date in the state record: Mar 14, 2025

3270.113(b) No physical punishment

“****According to staff statements and cert rep observations of video footage, staff are using physical punishment, including staff dragging a child to a bathroom sink and aggressively applying soap while washing a child's hands and a staff carrying a kicking child down the hall by the waist.”

Correction date in the state record: May 23, 2025

3270.113(b) No physical punishment

“**According to staff statements and cert rep observations of video footage, staff are using physical punishment, including staff dragging a child to a bathroom sink and aggressively applying soap while washing a child's hands and a staff carrying a kicking child down the hall by the waist.”

Correction date in the state record: May 23, 2025

3270.113(b) No physical punishment

“*According to staff statements and cert rep observations of video footage, staff are using physical punishment, including staff dragging a child to a bathroom sink and aggressively applying soap while washing a child's hands and a staff carrying a kicking child down the hall by the waist.”

3270.113(b) No physical punishment

“***According to staff statements and cert rep observations of video footage, staff are using physical punishment, including staff dragging a child to a bathroom sink and aggressively applying soap while washing a child's hands and a staff carrying a kicking child down the hall by the waist.”

Correction date in the state record: May 23, 2025

3270.32(a) Comply with CPSL

“**Although Staff #1 and #2 had current Mandated reporter Training at the time of the Renewal Inspection, it was observed that Staff #1 and #2 updated their Mandated Reporter Training in an interval greater than 60 months.”

Correction date in the state record: May 23, 2025

3270.32(a) Comply with CPSL

“*Although Staff #1 and #2 had current Mandated reporter Training at the time of the Renewal Inspection, it was observed that Staff #1 and #2 updated their Mandated Reporter Training in an interval greater than 60 months.”

Correction date in the state record: Mar 14, 2025

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre- service training required prior to caring for children unsupervised: (Pediatric First Aid/CPR).”

3270.61(e) Halls, etc. not included

“Cert Rep observed video footage from 1/15/25 at approximately 10:00 AM where Staff #3 is carrying a preschool aged child into the office space where Staff #3 continues providing care. According to staff statements the office has been used on multiple occasions to provide care and as a space to bring children in to calm down.”

Correction date in the state record: Mar 14, 2025

3270.94(a)(1) Every 60 days

“Based on Fire Drill Log documentation, the last Fire Drill occurred more that 60 days prior 10/10/24-1/28/25 (110 days).”

Correction date in the state record: Mar 14, 2025

3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance

“Based on Smoke Detection Testing Log documentation, the last smoke detection testing occurred more that 30 days prior 11/6/24-1/28/25 (83 days).”

Correction date in the state record: Mar 14, 2025

3270.31(f) Health and Safety Training

“Staff person #3 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): (Pediatric First Aid/CPR).”

Correction date in the state record: Mar 14, 2025

3270.113(b) No physical punishment

“****According to staff statements and cert rep observations of video footage, staff are using physical punishment, including staff dragging a child to a bathroom sink and aggressively applying soap while washing a child's hands and a staff carrying a kicking child down the hall by the waist.”

Correction date in the state record: May 23, 2025

3270.113(b) No physical punishment

“**According to staff statements and cert rep observations of video footage, staff are using physical punishment, including staff dragging a child to a bathroom sink and aggressively applying soap while washing a child's hands and a staff carrying a kicking child down the hall by the waist.”

Correction date in the state record: May 23, 2025

3270.113(b) No physical punishment

“*According to staff statements and cert rep observations of video footage, staff are using physical punishment, including staff dragging a child to a bathroom sink and aggressively applying soap while washing a child's hands and a staff carrying a kicking child down the hall by the waist.”

3270.113(b) No physical punishment

“***According to staff statements and cert rep observations of video footage, staff are using physical punishment, including staff dragging a child to a bathroom sink and aggressively applying soap while washing a child's hands and a staff carrying a kicking child down the hall by the waist.”

Correction date in the state record: May 23, 2025

3270.124(b)(3) Parent home/work address, phone

“The Emergency Contact Form for Child #2 lacked the enrolling parents work address and telephone number.”

Correction date in the state record: Oct 2, 2024

3270.124(b)(7) Name/address/phone release person

“The Emergency Contact Form for Child #2 lacked the name, address, and telephone number of the individual designated by the parent to whom the child may be released.”

Correction date in the state record: Oct 2, 2024

3270.131(b)(1)/3270.182(1) Infant: updated health report every 6 months/Initial and subsequent health reports

“Although the file for Child #4, a young toddler, contained a current Health Report at the time of the Renewal Inspection, it was observed that the health report for Child #4 was updated in an interval greater than 6 months.”

Correction date in the state record: Oct 4, 2024

3270.131(b)(2)/3270.182(1) Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

“Although the file for Child #3, a preschooler, contained a current Health Report at the time of the Renewal Inspection, it was observed that the health reports for Child #3 was updated in an interval greater than 12 months.”

Correction date in the state record: Oct 2, 2024

3270.133(6) Written consent

“Observed the medication at the facility for Child #5 lacked written parental consent for administration of the medication.”

Correction date in the state record: Oct 2, 2024

3270.151(a) 12 months prior to service and every 24 months thereafter

“Although the files for Staff #4, #5, #6, #10, and #13 contained Health Assessments at the time of the Renewal Inspection, it was observed that Staff #4, #5, #6, #10, and #13 lacked a Health Assessments prior to their first day caring for children.”

Correction date in the state record: Oct 2, 2024

3270.151(c)(2) Mantoux TB

“Although the files for Staff #4, #5, #6, #10, and #13 contained tuberculosis screening at the time of the Renewal Inspection, it was observed that Staff #4, #5, #6, and #10 lacked tuberculosis prior to their first day caring for children. The file for Staff #13 contained tb screening that was conducted more than a year prior to their first day caring for children.”

Correction date in the state record: Oct 4, 2024

3270.172(a) Written parental consent

“The Emergency Contact Forms for Child # 6, #7, and #8 lacked written parental consent for transportation by the facility. Child #6, #7, and #8 are transported by the facility.”

Correction date in the state record: Oct 2, 2024

3270.192(2)(iv) Transcript, diploma and letters

“The file for Staff #12 lacked proof of qualifications for education in the form of a diploma, transcript, or letter signed by a representative or the experiential, educational or training entity.”

Correction date in the state record: Nov 8, 2024

3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance

“Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 1/15/24 - 2/20/24 (36 days), 4/11/24-5/21/24 (40 days), 6/15/24-7/16/24 (31 days), and 7/16/24-8/19/24 (35 days).”

Correction date in the state record: Oct 4, 2024

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“Staff person #2 was observed to be caring for children unsupervised on 9/26/24. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid and CPR). On 9/30/24, Staff #2, who lacked pediatric first aid and cpr the previous day, was observed to be working unsupervised.”

Correction date in the state record: Oct 28, 2024

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“The facilities Emergency Plan did not address Continuity of Operations.”

Correction date in the state record: Oct 7, 2024

3270.21 General Health and Safety

“Observed four cribs in the Infant Room that had loose crib sheets posing a suffocation hazard to the children in care.”

Correction date in the state record: Oct 1, 2024

3270.31(e)(4)(ii) Fire safety - 1 yr.

“The files for Staff #3, #7, #8, and #14 contained Fire Safety trainings that were dated more than 12 months apart.”

Correction date in the state record: Oct 1, 2024

3270.31(f) Health and Safety Training

“Although Staff #9 had the Pennsylvania Health and Safety training at the time of the Renewal Inspection it was observed that Staff #9 had not completed the Pennsylvania Health and Safety training by December 30, 2022, as set forth in Announcement C-22-06. Although the file for Staff #15 contained Health and Safety Basics Training at the time of the Renewal Inspection, it was observed that Staff #15 had not completed the following required pre-service training within 90 days of their date of hire (Health and Safety Basics). Although the file for Staff #10 contained Pediatric First Aid and CPR at the time of the Renewal Inspection, it was observed that Staff #10 had not completed the following required pre-service training within 90 days of their date of hire (Pediatric First Aid and CPR). Staff person #18 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Pediatric First Aid and CPR).”

Correction date in the state record: Oct 1, 2024

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The file for Staff #1 contained FBI Clearances that were updated in an interval great than 60 months. Although the file for Staff #2 contained FBI Clearances and NSOR Certificate on day two of the inspection, it was observed that Staff #2 was alone with the children on day 1 of the inspection without a FBI Clearance and NSOR Certificate, and therefore was incorrectly provisionally hired. Although the file for Staff #4 contained a current FBI Clearance at the time of the Renewal Inspection, it was observed that the file Staff #4 lacked an FBI Clearance or request within 45 days of hire, and therefore was incorrectly provisionally hired. The file for Staff #5 contained a Volunteer Child Abuse Clearance. The file for Staff #6 contained a CJIS Criminal Justice Information Services FBI Clearance and not the approved DHS FBI Clearance. The file for Staff #9 contained an FBI Clearance that had not been updated in the previous 60 months. The file for Staff #11, who has lived outside of Pennsylvania in the last 5 years lacked out of state clearances and/or requests. On 9/30/24, Staff #11, who lacked out of state clearances and/or requests on 9/26/24, was observed to be working in a childcare position. The file for Staff #16 contained an incomplete State Police Clearance as the bottom half of the clearance was cut off and the date of the clearance could not be observed. The file for Staff #17 contained a volunteer State Police Clearance that had not been updated within the previous 60 months and a Child Abuse Clearance that had not been updated within the previous 60 months.”

Correction date in the state record: Nov 15, 2024

3270.32(a) Comply with CPSL

“The most current Mandated Reporter Training for Staff #9 is dated more than 60 months ago.”

Correction date in the state record: Oct 4, 2024

3270.34(a)(6) Staff evaluations

“Staff person #3 and #9 lacked an annual written evaluation that was conducted within the past 12 months.”

Correction date in the state record: Oct 4, 2024

3270.66(b) Original container

“Observed a spray bottle that did not specify the contents that was located in the Toddler Room. Staff identified the bottle as a cleaning material.”

Correction date in the state record: Oct 1, 2024

3270.74 Emergency Numbers Posted

“The 5-year-old A room, Infant Room, K Prep Room, Preschool Room, School Age Room, Toddler Room, and 5-year-old B Room lacked the telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center posted by the telephone.”

Correction date in the state record: Oct 4, 2024

3270.77(a) No peeling paint or plaster

“In the K Prep Classroom peeling orange paint was observed above the cots, on the back wall, and along the right-side wall next to the cubbies. In the Preschool Classroom blue paint was observed in multiple spots along the left side wall.”

Correction date in the state record: Oct 4, 2024

3270.102(a) Clean and good repair

“In the Two's Classroom the lid to the water table was cracked creating a pinching hazard to the children in care. In the Outside Toddler Play Space there was a Turtle Sandbox lid that was cracked in two places posing a pinching hazard.”

Correction date in the state record: Oct 2, 2024

3270.103 Small Toys and Objects

“In the Toddler Room, the water table contained small plastic insects and animals that measured less than 1 inch and were accessible to children who are still placing objects in their mouths. In the Infant Room, four foam blocks were observed to have a thin layer of vinyl which was peeling off in small pieces that posed a choking hazard to the children in care.”

Correction date in the state record: Oct 1, 2024

3270.107 Refrigerator

“The refrigerator located in the Infant Classroom lacked an operating thermometer.”

Correction date in the state record: Oct 2, 2024

3270.123(a)(3) Services proceeded

“The file for Child #4 contained child service reports that provide information to the family about the child's growth and development in the context of the services being provided dated more than 6 months apart.”

Correction date in the state record: Oct 2, 2024

3270.124(b)(2) Physician name, address, phone

“The Emergency Contact Form for Child #1 lacked the name and telephone number of the child's physician.”

Correction date in the state record: Oct 2, 2024

3270.192(5) Two written references

“The files for Staff #1 and #15, contained one written, nonfamily reference and one written, family reference from individuals attesting to the suitability to serve as a facility person.”

Correction date in the state record: Oct 7, 2024

3270.124(e) Written emergency plan posted

“The 5's A Classroom lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.”

Correction date in the state record: Oct 2, 2024

3270.113(a)(1) Staff assigned to specific children

“** Previously cited under SIN-00240157. On 2/1/24, staff #1 and 2 were observed in the preschool room with 16 preschool age children. Staff #1 named 9 children in their group and staff #2 named 4 children in their group. This left 3 children who were not named in any supervisory group.”

Correction date in the state record: Jun 28, 2024

3270.113(a)(1) Staff assigned to specific children

“** On 2/1/24, staff #1 and 2 were observed in the preschool room with 16 preschool age children. Staff #1 named 9 children in their group and staff #2 named 4 children in their group. This left 3 children who were not named in any supervisory group.”

3270.113(a)(1) Staff assigned to specific children

“***On 2/1/24, staff #1 and 2 were observed in the preschool room with 16 preschool age children. Staff #1 named 9 children in their group and staff #2 named 4 children in their group. This left 3 children who were not named in any supervisory group.”

Correction date in the state record: Apr 8, 2024

3270.113(a)(1) Staff assigned to specific children

“* On 2/1/24, staff #1 and 2 were observed in the preschool room with 16 preschool age children. Staff #1 named 9 children in their group and staff #2 named 4 children in their group. This left 3 children who were not named in any supervisory group.”

Correction date in the state record: Apr 8, 2024

3270.119 Infant sleep position

“At approximately 1:30 - 2:00 pm, when entering the classroom, an infant was observed to be sleeping in a swing. Supervision and ratio were completed, and the child was still asleep in the swing. A staff person was sitting with the child but did not remove them from the swing and place them in a sleep position recommended by the American Academy of Pediatrics.”

3270.113(a)(1) Staff assigned to specific children

“At approximately 1:30 - 2:00 pm, staff persons #1, #2 and #3 were caring for 11 infants and young toddlers. Though each facility person was in ratio with their respective supervisory groups, one child was sleeping in a crib in the far-right hand corner of the sleeping area behind 2 rows of cribs and was not able to be seen by any of the staff as they slept in the crib. Two staff were present with 15 children in the toddler 1 classroom at naptime. Staff person #4 identified 5 children (young toddlers) and staff person #5 identified 5 children (young and older toddlers) in their supervisory groups. When asked who was supervising the additional 5 children in the classroom, certification representative was told staff person #6 was supervising those children but was on break at that time. Staff person #6 was not present in the classroom.”

3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance

“Documentation of the last test of the fire detection system was dated 9/18/2023 which was more than 30 days from the time of the inspection on 10/20/2023.”

Correction date in the state record: Jan 26, 2024

3270.113(d) No harsh language

“Based on conversations with and statements from staff, staff person #1 has been heard forcefully and loudly saying, "Are you kidding me?" and "I'm sick of every one of you."”

Correction date in the state record: Feb 2, 2024

3270.113(d) No harsh language

“**Based on conversations with and statements from staff, staff person #1 has been heard forcefully and loudly saying, "Are you kidding me?" and "I'm sick of every one of you."”

Correction date in the state record: Jan 26, 2024

3270.113(d) No harsh language

“***Based on conversations with and statements from staff, staff person #1 has been heard forcefully and loudly saying, "Are you kidding me?" and "I'm sick of every one of you." to the children.”

3270.119 Infant sleep position

“At approximately 1:30 - 2:00 pm, when entering the classroom, an infant was observed to be sleeping in a swing. Supervision and ratio were completed, and the child was still asleep in the swing. A staff person was sitting with the child but did not remove them from the swing and place them in a sleep position recommended by the American Academy of Pediatrics.”

3270.113(a)(1) Staff assigned to specific children

“At approximately 1:30 - 2:00 pm, staff persons #1, #2 and #3 were caring for 11 infants and young toddlers. Though each facility person was in ratio with their respective supervisory groups, one child was sleeping in a crib in the far-right hand corner of the sleeping area behind 2 rows of cribs and was not able to be seen by any of the staff as they slept in the crib. Two staff were present with 15 children in the toddler 1 classroom at naptime. Staff person #4 identified 5 children (young toddlers) and staff person #5 identified 5 children (young and older toddlers) in their supervisory groups. When asked who was supervising the additional 5 children in the classroom, certification representative was told staff person #6 was supervising those children but was on break at that time. Staff person #6 was not present in the classroom.”

3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance

“Documentation of the last test of the fire detection system was dated 9/18/2023 which was more than 30 days from the time of the inspection on 10/20/2023.”

Correction date in the state record: Jan 26, 2024

3270.113(d) No harsh language

“Based on conversations with and statements from staff, staff person #1 has been heard forcefully and loudly saying, "Are you kidding me?" and "I'm sick of every one of you."”

Correction date in the state record: Feb 2, 2024

3270.113(d) No harsh language

“**Based on conversations with and statements from staff, staff person #1 has been heard forcefully and loudly saying, "Are you kidding me?" and "I'm sick of every one of you."”

Correction date in the state record: Jan 26, 2024

3270.113(d) No harsh language

“***Based on conversations with and statements from staff, staff person #1 has been heard forcefully and loudly saying, "Are you kidding me?" and "I'm sick of every one of you." to the children.”

3270.103 Small Toys and Objects

“In the 2s Classroom there were bubbles labeled, "Choking Hazard: Not for Children 3 and Younger" in the cabinet that had a door that was off the hinges and allowed for the bubbles to be accessible to the children in care. In the 2s Classroom there were Coffee Beans with less than an inch in diameter that were in the play table and accessible to the children in care.”

Correction date in the state record: Sep 22, 2023

3270.104(a) Clean, good repair, proper size

“In the 2s Classroom there was a wall cabinet where the sliding door was off the hinges and created a pinching hazard for the children in care.”

Correction date in the state record: Sep 22, 2023

3270.113(c) No ridicule or threaten harm

“Based on Cert Rep observations during the Renewal Inspection at approximately 1:00 PM, Staff #2 could be heard ridiculing and degrading the children through the adjacent classroom.”

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The Disclosure Statement in the file for Staff #1 lacked a witness signature and date. The file for Staff#2, employed for more than 45 days, lacked a complete NSOR certificate, therefore Staff #2 was incorrectly provisionally hired. The file for Staff#3, employed for more than 45 days, lacked a complete FBI Clearance, therefore Staff #3 was incorrectly provisionally hired. The file for Staff#4, employed for more than 45 days, lacked a complete NSOR certificate, therefore Staff #4 was incorrectly provisionally hired. The file for Staff #8 contained a Child Abuse Clearance that was not obtained within 60 months of the previous clearance.”

Correction date in the state record: Sep 25, 2023

3270.113(d) No harsh language

“Based on Cert Rep observations during the Renewal Inspection at approximately 1:00 PM, Staff #2 could be heard using harsh, demeaning, and abusive language in the presence of children through the adjacent classroom.”

3270.124(b)(2) Physician name, address, phone

“The Emergency Contact Form for Child #2 lacked the address of the child's physician.”

Correction date in the state record: Sep 25, 2023

3270.27(c) Training regarding plan

“The files for Staff #7 and #8 did not contain documentation of receiving training regarding the Emergency Plan Training within the past 12 months.”

Correction date in the state record: Sep 25, 2023

3270.21 General Health and Safety

“In the Preschool Classroom there was a stapler that was in an unlocked drawer accessible to the children in care.”

Correction date in the state record: Sep 25, 2023

3270.124(e) Written emergency plan posted

“The Preschool Classroom lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.”

Correction date in the state record: Sep 25, 2023

3270.131(d)(5)/3270.131(e)(1) Immunization record/Exemption documentation from parent/guardian

“The file for Child #1 and #2, enrolled more than 60 days at the facility, did not contain documentation of the Influenza vaccination, as required based on the child's age as per the ACIP recommended schedule.”

Correction date in the state record: Sep 19, 2023

3270.133(1) Original container

“The inhaler for Child # 4 was not stored in the original container.”

Correction date in the state record: Sep 25, 2023

3270.133(2) Written instructions

“There was no prescription for the inhaler belonging to Child #4.”

Correction date in the state record: Sep 25, 2023

3270.133(5) Original label

“In the Five B Room, there was an Auvi-Q that was expired.”

Correction date in the state record: Sep 22, 2023

3270.151(a) 12 months prior to service and every 24 months thereafter

“The file for Staff #1 lacked a Health Assessment. The file for Staff #6 lacked a Health Assessment completed within the previous 24 months.”

Correction date in the state record: Sep 25, 2023

3270.151(c)(2) Mantoux TB

“The file for Staff #1 lacked tuberculosis screening by the Mantoux method.”

Correction date in the state record: Sep 25, 2023

3270.178 Transportation First Aid Kit

“The first aid kit located in the Bus lacked scissors.”

Correction date in the state record: Sep 25, 2023

3270.131(a)/3270.182(1) Health information/Initial and subsequent health reports

“The file for Child #2 lacked an initial health report within 60 days of attendance.”

Correction date in the state record: Sep 25, 2023

3270.192(2)(iv) Transcript, diploma and letters

“The file for Staff #5 lacked proof of qualifications for education in the form of a diploma, transcript, or letter signed by a representative or the experiential, educational or training entity.”

Correction date in the state record: Sep 25, 2023

3270.192(5) Two written references

“The file for Staff #2, lacked two written, nonfamily references from individuals attesting to the suitability to serve as a facility person. The file for Staff #6, contained one written, nonfamily reference and one written, family reference from individuals attesting to the suitability to serve as a facility person.”

Correction date in the state record: Sep 25, 2023

3270.37(c) Aides supervised all times

“Staff Person #2, qualified to be an Aide, was observed to be unsupervised, caring for children in the Preschool Classroom.”

Correction date in the state record: Sep 25, 2023

3270.66(a) Locked or inaccessible

“In the Preschool Classroom there was Gorilla Glue labeled "Store away from children" in a unlocked drawer that was accessible to the children in care.”

Correction date in the state record: Sep 20, 2023

3270.75(c) Has all items

“The First Aid kit located in the Preschool Classroom lacked nonporous gloves.”

Correction date in the state record: Sep 25, 2023

3270.77(a) No peeling paint or plaster

“On the left blue wall when entering the Preschool Classroom there was peeling/flaky paint.”

Correction date in the state record: Oct 7, 2023

3270.133(6) Written consent

“The medication for Child #3, #4, and #5 lacked written parental consent.”

Correction date in the state record: Sep 25, 2023

3270.33(a)/3270.192(2)(ii) Each staff person meets quals/Exp, educ., training prior to facility

“Staff Person #1 was observed acting as an AGS in the Fives Classroom. The file for Staff Person #1, lacked verification of child care experience, education and training prior to service at the facility, to qualify as an AGS.”

Correction date in the state record: May 17, 2023

3270.192(5) Two written references

“The files for Staff #1, #2, and #3, lacked two written, nonfamily references from individuals attesting to the suitability to serve as a facility person.”

Correction date in the state record: May 17, 2023

3270.192(2)(iv) Transcript, diploma and letters

“The file for Staff #2 lacked proof of qualifications for education in the form of a diploma, transcript, or letter signed by a representative or the experiential, educational or training entity.”

Correction date in the state record: May 17, 2023

3270.151(c)(4) Information re: medical problems

“The file for Staff #3 contained a Health Assessment that lacked information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.”

Correction date in the state record: May 17, 2023

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“Although the file for Staff #1 contained complete clearances at the time of inspection, it was observed that the file lacked a Child Abuse Clearance and requests for FBI Clearance dated prior to the date that Staff #1 began working with children. Therefore, she was incorrectly provisionally hired. The file for Staff #2 lacked a completed Child Abuse Clearance prior to working with children and contained a disclosure statement that was not dated. Therefore, was incorrectly provisionally hired. Although the file for Staff #3 contained complete clearances at the time of inspection, it was observed that the file lacked a Child Abuse Clearance and requests for FBI Clearance dated prior to the date that Staff #3 began working with children. Therefore, she was incorrectly provisionally hired.”

Correction date in the state record: May 17, 2023

3270.151(c)(2) Mantoux TB

“The file for Staff #1 contained a tuberculosis screening at the time of inspection, but it was observed they did not have tuberculosis screening before their first day working in childcare. The files for Staff # 2 did not contain the results of a tuberculin skin test, x-ray or other medical documentation necessary to confirm freedom from communicable tuberculosis.”

Correction date in the state record: May 17, 2023

3270.151(a) 12 months prior to service and every 24 months thereafter

“The file for Staff #1 contained a Health Assessment at the time of inspection, but it was observed they did not have a Health Assessment before their first day working in childcare. The file for Staff #2 lacked a Health Assessment.”

Correction date in the state record: May 17, 2023

3270.37(c) Aides supervised all times

“Staff Person #1, qualified to be an Aide, was observed to be unsupervised, caring for children in the Fives Classroom.”

Correction date in the state record: May 17, 2023

3270.113(c) No ridicule or threaten harm

“According to staff statements, Staff #1 would call the children names, single out the children, and speak negatively about them in front of other staff and children.”

Correction date in the state record: Mar 15, 2023

3270.113(b) No physical punishment

“According to staff statements, Staff #1 was picking children up by their arms and slamming them into chairs and/or nap mats. Staff #1 also forcefully moved a child across the floor in their chair, frightening the child.”

Correction date in the state record: Mar 15, 2023

3270.113(d) No harsh language

“According to staff statements, Staff #1 would yell and scream at the children using abusive and harsh language in front of the children.”

Correction date in the state record: Mar 15, 2023

3270.166(4) Bottles labeled

“A bottle which was not labeled with infant child #1's name was observed on the counter in the infant room.”

Correction date in the state record: Sep 19, 2022

3270.151(c)(4) Information re: medical problems

“The file for Staff #4 contained a Health Assessment that 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.”

Correction date in the state record: Sep 20, 2022

3270.151(c)(3) Exam communicable disease

“The file for Staff # 4 contained a Health Assessment that did not include an examination for communicable diseases and the results of the examination.”

Correction date in the state record: Sep 20, 2022

3270.32(a) Comply with CPSL

“Staff person #3 had not completed mandated reporter training within 60 months of the expiration of the previous clearance (5/4/15 and 8/31/20).”

Correction date in the state record: Sep 20, 2022

3270.192(2)(iv) Transcript, diploma and letters

“The file for Staff #4 contained transcripts in a foreign language and their credentials could not be determined. (See LIS Code Sheet)”

Correction date in the state record: Sep 20, 2022

3270.31(e) Age and Training

“The files for Staff #1, #3, and #8, lacked documentation of the annual 12 clock hours of child care training.”

Correction date in the state record: Sep 21, 2022

3270.172(a) Written parental consent

“Child #2 and #3, whom are transported by the facility, lacked parental consent for transportation by the facility on the emergency contact form located in the vehicle.”

Correction date in the state record: Sep 20, 2022

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“Staff person #6 was observed to be caring for children unsupervised. Staff person #6 has not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid/CPR).”

Correction date in the state record: Sep 23, 2022

3270.107 Refrigerator

“The refrigerator in the Infant Room lacked a thermometer.”

Correction date in the state record: Sep 20, 2022

3270.37(c) Aides supervised all times

“Staff #7, an Aide, was observed caring for children unsupervised.”

Correction date in the state record: Sep 20, 2022

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“Although the file for Staff #2 (SEE LIS CODE SHEET) contained completed clearances at the time of inspection, it was observed that the file lacked a State Police or FBI clearance and requests for the additional State Police or FBI Clearance and request for Child Abuse Clearance at the time of hire and therefore, she was incorrectly provisionally hired. The file for Staff #3 (SEE LIS CODE SHEET) contained State Police and Child Abuse Clearances that were updated in an interval greater than 60 months. The file for Staff #5 (SEE LIS CODE SHEET) contained a incorrect FBI clearance and a NSOR certificate that was obtained after the 45 day provisional period, and therefore was incorrectly provisionally hired. Although the file for Staff #6 (SEE LIS CODE SHEET) contained completed clearances at the time of inspection, it was observed that the file lacked a Child Abuse Clearance at the time of hire and therefore was incorrectly provisionally hired.”

Correction date in the state record: Sep 20, 2022

3270.31(f) Health and Safety Training

“Staff person #2 completed the following required pre-service training after 90 days of their date of hire (see LIS code sheet): (Pediatric First Aid/CPR).”

Correction date in the state record: Sep 20, 2022

3270.31(f) Health and Safety Training

“Staff person # 3 has not completed the following required pre-service training within 90 days of their date of hire. (See LIS Code Sheet) (3270.31(f)(1-9)). Staff person #8 has not completed an acceptable required pre-service training within 90 days of their date of hire. (See LIS Code Sheet). (3270.31(f)(1-9).”

Correction date in the state record: May 18, 2022

3270.182(7) Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

“The file for Child #1 lacked a incident report of a accident that occurred at the child care facility.”

Correction date in the state record: May 16, 2022

3270.21/3270.113(a) General Health and Safety/Supervised at all times

“Staff #2 placed Child #1 on the floor in a sitting position. Staff #2 then moved to remove bibs from other children in the room and was not aware that Child #1 had fallen over and bumped his head and face on the floor. (See LIS Code Sheet)”

Correction date in the state record: May 16, 2022

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“Based on conversations with administration, the facility does not have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.”

Correction date in the state record: May 17, 2022

3270.31(f) Health and Safety Training

“Staff person #1, #3, #4, and #5 has not completed the following required pre-service training within 90 days of their date of hire. (See LIS code sheet). (3270.31(f)(10). Staff person #2, #6, #7 has not completed an acceptable required pre-service training within 90 days of their date of hire. (See LIS code sheet). (3270.31(f)(10).”

Correction date in the state record: May 18, 2022