Berwick Area YMCA Day Care

3270.66(b) Original container

“While at the facility unannounced on 10/08/25 the inspector observed Dawn dish detergent, 365 hand sanitizer, Coppertone sunscreen, Water Babies sunscreen (labeled Keep out of Reach of Children), sharing the same space as a banana, bread, Nutri Grain bars, and apple sauce.”

Correction date in the state record: Oct 8, 2025

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

“While at the facility unannounced on 10/08/25 the inspector observed that a manual test of the fire alarm system was not conducted evidenced by”

Correction date in the state record: Oct 8, 2025

3270.135(b) Surfaces cleaned

“While at the facility unannounced on 10/08/25 the inspector observed two changing mats (toddler and preschool room) that were cracked allowing the foam underneath to show through. This rendered both mats unable to be cleaned.”

Correction date in the state record: Oct 8, 2025

3270.133(1) Original container

“During the unannounced visit to the Ber Vaughn Pool the inspector observed two inhalers and an Eppi-Pen missing their original containers.”

Correction date in the state record: Aug 21, 2025

3270.133(3) Name on bottle

“During the unannounced visit to the Ber Vaughn Pool the inspector observed two inhalers and an Eppi-Pen missing the names of the children for whom the medications were intended.”

Correction date in the state record: Aug 21, 2025

3270.133(5) Original label

“During the unannounced visit to the Ber Vaughn Pool the inspector observed an expired inhaler (exp 6/2025) for child #1.”

Correction date in the state record: Aug 21, 2025

3270.31(e)(4)(iv)/3270.115(a)(8) Water safety/Included in ratio/annual training

“During the unannounced visit to the Ber Vaughn Pool on 7/30/25 the inspector observed staff #1, #2, # 3, and #4 in swim ratio with children. Staff #1 had an expired water safety training certificate on file. Staff #2, #3, and #4 did not have water safety training. Staff #2 and #4 were provided water safety training following the inspector's visit to the pool. On 7/31/25 the inspector was provided with the water safety certificates via email for staff #2 and #4 dated 7/30/25. This was confirmed by the water safety instructor on 8/20/25. Although requested, the inspector has not received water safety training for staff #3.”

Correction date in the state record: Sep 5, 2025

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

“Continued Non-Compliance: During the annual unannounced renewal, the inspector reviewed the file for staff #2 and found that this staff was working in direct care with children did not have a completed FBI clearance on file, Pa State Police clearance was not obtained until 8/4/24, a Pa Child Abuse clearance was not obtained until 8/9/24, and a NSOR was not obtained until 8/7/24. Staff #3 was working in direct care with children and did not have an NSOR and obtained a PDE FBI and not the required DHS FBI. Staff #7 was working in direct care with children and did not have an FBI on file until 6/5/24. Staff #9 was working in direct care with children and did not have a Pa State Police clearance on file or an NSOR. Staff #10 was working in direct care with children and did not obtain a NSOR until 12/20/23. Staff #13 was working in direct care with children and did not obtain a NSOR until 9/4/24. Staff #14 was working in direct care with children and did not obtain an FBI until 6/27/24, and an NSOR until 8/7/24. Staff #15 was working in direct with children and did not obtain an NSOR until 10/9/24. Staff #16 was working in direct care with children and did not have an FBI clearance until 10/18/24, and an NSOR until 9/16/24. Staff #17 was working in direct care with children and did not obtain a PA State Police clearance until 4/19/24, and an FBI clearance until 4/22/24, and an NSOR until 11/7/24. Staff # 18 was working in direct care with children and did not obtain a PA Child Abuse until 8/16/24, an FBI until 8/15/24, and an NSOR until 8/23/24 (see LIS code sheet for DOH). The facility's acceptable plan of correction indicated the correction would be implemented by 2/14/25. On 5/21/25 an unannounced inspection was conducted at the facility. The inspector observed staff #1 working directly with children during this inspection. The inspector reviewed the file for staff #1and noted that this staff was missing required out of state clearances since hire (see LIS code sheet) and self-reported that they were working directly with children since the end of February 2025 (exact date was not provided).”

Correction date in the state record: Sep 12, 2025

3270.135(a)(3) Disposable diapers

“On 3/7/25 an unannounced investigation was conducted at the facility. While the inspector was present in the infant room the inspector observed staff #2 changing a diaper and using their hand, with the soiled diaper in it, to pick up the lid on the garbage can to place the diaper inside and not the foot pedal.”

Correction date in the state record: Mar 8, 2025

3270.106(f) 2 feet apart

“On 3/7/25 an unannounced investigation was conducted at the facility. While the inspector was present in the infant room an infant was observed in a crib that was in a row of four, all touching each crib and the wall, with no separation on three sides.”

Correction date in the state record: Mar 7, 2025

3270.152 Adult Hygiene

“On 3/7/25 an unannounced investigation was conducted at the facility. It was learned (through video footage) that on 2/28/25 staff #2 and #3 did not wash their hands following diapering and did, in fact, change several diapers consecutively without washing their hands. it was also observed that staff #2 changed a diaper, did not wash their hands, and proceeded to prepare food for an infant.”

Correction date in the state record: Mar 8, 2025

3270.51 Similar Age Level

“On 3/7/25 an unannounced investigation was conducted at the facility. It was learned (through video footage that on 2/28/25 staff #2 left the infant room leaving staff #3 alone with five infants in care.”

Correction date in the state record: Apr 17, 2025

3270.69(b) 110º F or less

“On 3/7/25 an unannounced investigation was conducted at the facility. While the inspector was present in the infant room a temperature check of the crock pot used to warm bottles was conducted. The crock pot was sitting on the countertop where meals are prepared and where the sink is for handwashing, making it directly accessible. The inspector inserted a thermometer into the water in the crock pot and found the temperature to read 124.7 degrees. The inspector asked staff #3 to confirm this reading and staff #3 too stated that the temperature read 124.7 degrees.”

Correction date in the state record: Mar 8, 2025

3270.135(b) Surfaces cleaned

“On 3/7/25 an unannounced investigation was conducted at the facility. It was learned (through video footage) that on 2/28/25 staff #2 and #3 did not clean the diaper changing surface after each use and were, in fact, observed changing multiple infants without cleaning the diaper area.”

Correction date in the state record: Mar 8, 2025

3270.112 Infant/Toddler Stimulation

“On 3/7/25 an unannounced complaint investigation was conducted at the facility. It was learned (through video footage) that on 2/28/25 an infant was left in a bouncer from drop off at 7:44am until 8:36am with no contact from staff including being spoken to, played with or otherwise cared for.”

Correction date in the state record: Mar 8, 2025

3270.113(a)/3270.113(a)(1) Supervised at all times /Staff assigned to specific children

“Continued Non-Compliance: On 2/14/25 an unannounced, self-reported complaint investigation was conducted at the facility. It was learned that on 2/7/25 at roughly 3:33pm, child #1 was, in fact left alone in the preschool room for roughly four minutes after staff #1 left the room with another child to go to the gym. Child #1 was found by a parent and brought to the staff's attention. An acceptable plan of correction was received with a correction date of 2/10/25. On 3/7/25 an unannounced complaint investigation was conducted at the facility. It was learned (through video footage) that on 2/28/25 and 3/3/25 staff #2 was observed on their phone from 8:18am until 8:22am, was observed several times looking through the window, watching her child in the classroom next door, for several minutes each time, observed leaving the infant room and the group of five infants with staff #3 alone.”

Correction date in the state record: Mar 8, 2025

3270.166(5) Six-months-old held

“On 3/7/25 an unannounced complaint investigation was conducted at the facility. It was learned (through video footage that on 2/28/25 and 3/3/25 child#1, #2, #3, #4, and #5 were all present in the infant room with staff #2 and #3. The video clearly showed four of the five infants in baby bouncers, with bottles propped by blankets, that were implemented by staff #2. One infant was being held by staff #3 while being fed. Two of the five infants were under six months old (Please refer to the LIS Code Sheet for DOB).”

Correction date in the state record: Mar 8, 2025

3270.166(3) Disposable nursers or parents

“On 3/7/25 an unannounced complaint investigation was conducted at the facility. It was learned through direct discussion and observation of and with staff #2 and staff #3 that both staff handwashed bottles for reuse throughout the day for all five infants in care.”

Correction date in the state record: Mar 8, 2025

3270.166(1)/3270.166(2) Written statement/New foods - parent's consent

“On 3/7/25 an unannounced complaint investigation was conducted at the facility. It was learned through direct discussion and observation of and with staff #2 and staff #3 that there were no written parental statements giving the formula and feeding schedules for any of the infants in care and that there was no consultation with any of the five infant's parents on new foods being introduced.”

Correction date in the state record: Mar 8, 2025

3270.135(a)(3) Disposable diapers

“On 3/7/25 an unannounced investigation was conducted at the facility. While the inspector was present in the infant room the inspector observed staff #2 changing a diaper and using their hand, with the soiled diaper in it, to pick up the lid on the garbage can to place the diaper inside and not the foot pedal.”

Correction date in the state record: Mar 8, 2025

3270.106(f) 2 feet apart

“On 3/7/25 an unannounced investigation was conducted at the facility. While the inspector was present in the infant room an infant was observed in a crib that was in a row of four, all touching each crib and the wall, with no separation on three sides.”

Correction date in the state record: Mar 7, 2025

3270.152 Adult Hygiene

“On 3/7/25 an unannounced investigation was conducted at the facility. It was learned (through video footage) that on 2/28/25 staff #2 and #3 did not wash their hands following diapering and did, in fact, change several diapers consecutively without washing their hands. it was also observed that staff #2 changed a diaper, did not wash their hands, and proceeded to prepare food for an infant.”

Correction date in the state record: Mar 8, 2025

3270.51 Similar Age Level

“On 3/7/25 an unannounced investigation was conducted at the facility. It was learned (through video footage that on 2/28/25 staff #2 left the infant room leaving staff #3 alone with five infants in care.”

Correction date in the state record: Apr 17, 2025

3270.69(b) 110º F or less

“On 3/7/25 an unannounced investigation was conducted at the facility. While the inspector was present in the infant room a temperature check of the crock pot used to warm bottles was conducted. The crock pot was sitting on the countertop where meals are prepared and where the sink is for handwashing, making it directly accessible. The inspector inserted a thermometer into the water in the crock pot and found the temperature to read 124.7 degrees. The inspector asked staff #3 to confirm this reading and staff #3 too stated that the temperature read 124.7 degrees.”

Correction date in the state record: Mar 8, 2025

3270.135(b) Surfaces cleaned

“On 3/7/25 an unannounced investigation was conducted at the facility. It was learned (through video footage) that on 2/28/25 staff #2 and #3 did not clean the diaper changing surface after each use and were, in fact, observed changing multiple infants without cleaning the diaper area.”

Correction date in the state record: Mar 8, 2025

3270.112 Infant/Toddler Stimulation

“On 3/7/25 an unannounced complaint investigation was conducted at the facility. It was learned (through video footage) that on 2/28/25 an infant was left in a bouncer from drop off at 7:44am until 8:36am with no contact from staff including being spoken to, played with or otherwise cared for.”

Correction date in the state record: Mar 8, 2025

3270.113(a)/3270.113(a)(1) Supervised at all times /Staff assigned to specific children

“Continued Non-Compliance: On 2/14/25 an unannounced, self-reported complaint investigation was conducted at the facility. It was learned that on 2/7/25 at roughly 3:33pm, child #1 was, in fact left alone in the preschool room for roughly four minutes after staff #1 left the room with another child to go to the gym. Child #1 was found by a parent and brought to the staff's attention. An acceptable plan of correction was received with a correction date of 2/10/25. On 3/7/25 an unannounced complaint investigation was conducted at the facility. It was learned (through video footage) that on 2/28/25 and 3/3/25 staff #2 was observed on their phone from 8:18am until 8:22am, was observed several times looking through the window, watching her child in the classroom next door, for several minutes each time, observed leaving the infant room and the group of five infants with staff #3 alone.”

Correction date in the state record: Mar 8, 2025

3270.166(5) Six-months-old held

“On 3/7/25 an unannounced complaint investigation was conducted at the facility. It was learned (through video footage that on 2/28/25 and 3/3/25 child#1, #2, #3, #4, and #5 were all present in the infant room with staff #2 and #3. The video clearly showed four of the five infants in baby bouncers, with bottles propped by blankets, that were implemented by staff #2. One infant was being held by staff #3 while being fed. Two of the five infants were under six months old (Please refer to the LIS Code Sheet for DOB).”

Correction date in the state record: Mar 8, 2025

3270.166(3) Disposable nursers or parents

“On 3/7/25 an unannounced complaint investigation was conducted at the facility. It was learned through direct discussion and observation of and with staff #2 and staff #3 that both staff handwashed bottles for reuse throughout the day for all five infants in care.”

Correction date in the state record: Mar 8, 2025

3270.166(1)/3270.166(2) Written statement/New foods - parent's consent

“On 3/7/25 an unannounced complaint investigation was conducted at the facility. It was learned through direct discussion and observation of and with staff #2 and staff #3 that there were no written parental statements giving the formula and feeding schedules for any of the infants in care and that there was no consultation with any of the five infant's parents on new foods being introduced.”

Correction date in the state record: Mar 8, 2025

3270.113(a)/3270.113(a)(1) Supervised at all times /Staff assigned to specific children

“The facility self-reported that on 2/7/25 at roughly 3:330pm, child #1 was, in fact left alone in the preschool room for roughly four minutes after staff #1 left the room with another child to go to the gym. Child #1 was found by a parent and brought to the staff's attention.”

3270.113(a)/3270.113(a)(1) Supervised at all times /Staff assigned to specific children

“The facility self-reported that on 2/7/25 at roughly 3:330pm, child #1 was, in fact left alone in the preschool room for roughly four minutes after staff #1 left the room with another child to go to the gym. Child #1 was found by a parent and brought to the staff's attention.”

3270.34(a)(6) Staff evaluations

“During the annual unannounced renewal, the inspector reviewed the files for staff #6 and found that this staff had an evaluation on file dated 12/2/22 and then not again until 12/9/24.Staff #8 had an evaluation dated 2/24/23 and not again until 12/9/24.Staff #10 and #11 had both been employed over a year and did not have an annual evaluation on file. Staff # 20 last had an evaluation 7/13/23.Staff #21 had an evaluation on file dated 2/3/22 and then not again until 5/7/24.”

Correction date in the state record: Feb 14, 2025

3270.32(a) Comply with CPSL

“Staff #8, #9, #13, and #17 did not complete the Pa Mandated Reporter training following 90 days of hire (see LIS code sheet).”

Correction date in the state record: Mar 8, 2025

3270.192(5) Two written references

“During the annual unannounced renewal, the inspector reviewed the files for staff #6, #12, #16, #17, and #20 only had one nonfamily reference on file whereas staff #9, and #19 had no references on file.”

Correction date in the state record: Feb 17, 2025

3270.74 Emergency Numbers Posted

“Durning the annual unannounced renewal inspection the inspector did not observe emergency phone numbers and when asked the director stated they were unaware that they had to be posted.”

Correction date in the state record: Feb 17, 2025

3270.31(e)(4)(i) Age and Training

“During the annual unannounced renewal, the inspector reviewed the file for staff #6 and found that this staff did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.”

Correction date in the state record: Feb 14, 2025

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

“During the annual unannounced renewal, the inspector reviewed the files for staff #20 and #21 both last had annual fire safety training on 10/10/23.”

Correction date in the state record: Feb 18, 2025

3270.31(f) Health and Safety Training

“During the unannounced renewal inspection, the inspector reviewed the staff files and noted that staff #3, and #4, did 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 from a PQAS approved trainer and a PQAS approved curriculum. Staff #3 and staff #9 have not completed the following required pre-service training within 90 days of their date of hire (see LIS Code Sheet), Health and Safety training. Staff #13, #16, and #17 completed the required pre-service training (see LIS Code Sheet), Health and Safety training over the 90 daytime frame allotted since hire.”

Correction date in the state record: Mar 8, 2025

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

“During the annual unannounced renewal, the inspector reviewed the file for staff #2 and found that this staff was working in direct care with children did not have a completed FBI clearance on file, Pa State Police clearance was not obtained until 8/4/24, a Pa Child Abuse clearance was not obtained until 8/9/24, and a NSOR was not obtained until 8/7/24. Staff #3 was working in direct care with children and did not have an NSOR and obtained a PDE FBI and not the required DHS FBI. Staff #7 was working in direct care with children and did not have an FBI on file until 6/5/24. Staff #9 was working in direct care with children and did not have a Pa State Police clearance on file or an NSOR. Staff #10 was working in direct care with children and did not obtain a NSOR until 12/20/23. Staff #13 was working in direct care with children and did not obtain a NSOR until 9/4/24. Staff #14 was working in direct care with children and did not obtain an FBI until 6/27/24, and an NSOR until 8/7/24. Staff #15 was working in direct with children and did not obtain an NSOR until 10/9/24. Staff #16 was working in direct care with children and did not have an FBI clearance until 10/18/24, and an NSOR until 9/16/24. Staff #17 was working in direct care with children and did not obtain a PA State Police clearance until 4/19/24, and an FBI clearance until 4/22/24, and an NSOR until 11/7/24. Staff # 18 was working in direct care with children and did not obtain a PA Child Abuse until 8/16/24, an FBI until 8/15/24, and an NSOR until 8/23/24 (see LIS code sheet for DOH).”

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

“During the annual unannounced renewal, the inspector reviewed the file for staff #2 and found that this staff was working in direct care with children did not have a completed FBI clearance on file, Pa State Police clearance was not obtained until 8/4/24, a Pa Child Abuse clearance was not obtained until 8/9/24, and a NSOR was not obtained until 8/7/24. Staff #3 was working in direct care with children and did not have an NSOR and obtained a PDE FBI and not the required DHS FBI. Staff #7 was working in direct care with children and did not have an FBI on file until 6/5/24. Staff #9 was working in direct care with children and did not have a Pa State Police clearance on file or an NSOR. Staff #10 was working in direct care with children and did not obtain a NSOR until 12/20/23. Staff #13 was working in direct care with children and did not obtain a NSOR until 9/4/24. Staff #14 was working in direct care with children and did not obtain an FBI until 6/27/24, and an NSOR until 8/7/24. Staff #15 was working in direct with children and did not obtain an NSOR until 10/9/24. Staff #16 was working in direct care with children and did not have an FBI clearance until 10/18/24, and an NSOR until 9/16/24. Staff #17 was working in direct care with children and did not obtain a PA State Police clearance until 4/19/24, and an FBI clearance until 4/22/24, and an NSOR until 11/7/24. Staff # 18 was working in direct care with children and did not obtain a PA Child Abuse until 8/16/24, an FBI until 8/15/24, and an NSOR until 8/23/24 (see LIS code sheet for DOH).”

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

“Durning the annual unannounced renewal inspection the inspector reviewed the files for child #1, #2, #3, #4, and #5 and observed that all five child files were missing the work addresses and telephone numbers of the enrolling parent as is required.”

Correction date in the state record: Mar 14, 2025

3270.151(a)/3270.151(c)(2) 12 months prior to service and every 24 months thereafter/Mantoux TB

“During the annual unannounced renewal, the inspector reviewed the files for staff #2, #4, #7, #14, #17, #18, had been working in direct care with children prior to obtaining a health assessment and TB screening. Staff #13 had been working in direct care with children prior to obtaining a TB screening. Staff #16 had been working in direct care with children prior to obtaining a health assessment. Staff #20 had been working in direct care with children without a current health assessment and TB screening.”

Correction date in the state record: Mar 14, 2025

3270.171(c) Safe routes posted

“Durning the annual unannounced renewal inspection the inspector did not observe posted safe routes and when asked the director stated they were unaware that they had to be posted.”

Correction date in the state record: Feb 17, 2025

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

“During the annual unannounced renewal, the inspector reviewed the files for staff #3, #9, #13, #16, were all missing proof of education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.”

Correction date in the state record: Feb 17, 2025

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

“During the annual unannounced renewal, the inspector reviewed the file for staff #2 and found that this staff was working in direct care with children did not have a completed FBI clearance on file, Pa State Police clearance was not obtained until 8/4/24, a Pa Child Abuse clearance was not obtained until 8/9/24, and a NSOR was not obtained until 8/7/24. Staff #3 was working in direct care with children and did not have an NSOR and obtained a PDE FBI and not the required DHS FBI. Staff #7 was working in direct care with children and did not have an FBI on file until 6/5/24. Staff #9 was working in direct care with children and did not have a Pa State Police clearance on file or an NSOR. Staff #10 was working in direct care with children and did not obtain a NSOR until 12/20/23. Staff #13 was working in direct care with children and did not obtain a NSOR until 9/4/24. Staff #14 was working in direct care with children and did not obtain an FBI until 6/27/24, and an NSOR until 8/7/24. Staff #15 was working in direct with children and did not obtain an NSOR until 10/9/24. Staff #16 was working in direct care with children and did not have an FBI clearance until 10/18/24, and an NSOR until 9/16/24. Staff #17 was working in direct care with children and did not obtain a PA State Police clearance until 4/19/24, and an FBI clearance until 4/22/24, and an NSOR until 11/7/24. Staff # 18 was working in direct care with children and did not obtain a PA Child Abuse until 8/16/24, an FBI until 8/15/24, and an NSOR until 8/23/24 (see LIS code sheet for DOH).”

3270.94(a)(5) Evacuation routes posted

“Durning the annual unannounced renewal inspection the inspector did not observe evacuation routes on the second floor and gym and when asked the director stated they were unaware that they had to be posted.”

Correction date in the state record: Feb 17, 2025

3270.192(3) Health assessment, TB test

“Staff #17 had been working in direct care with children prior to obtaining a health assessment and TB screening and once obtained the health assessment states that this staff a communicable disease (see LIS code sheet for DOH).”

Correction date in the state record: Feb 14, 2025

3270.27(c) Training regarding plan

“While at the facility unannounced on 7/26/24 for an allocated unannounced visit the inspector was unable to given access to the staff files. Following this, the inspector was forwarded requested documents, and it was learned that staff #1 and #3 did not have proof of having had emergency plan training.”

Correction date in the state record: Aug 13, 2024

3270.31(f) Health and Safety Training

“Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised; Pediatric first aid and CPR from an approved curriculum and PQAS approved trainer.”

Correction date in the state record: May 16, 2024

3270.151(a)/3270.151(c)(2) 12 months prior to service and every 24 months thereafter/Mantoux TB

“While at the facility unannounced on 7/26/24 for an allocated unannounced visit the inspector was unable to given access to the staff files. Following this, the inspector was forwarded requested documents, and it was learned that staff #1, who had been observed working directly with children, was missing the required staff health assessment and TB screening prior to employment.”

Correction date in the state record: Sep 6, 2024

3270.27(a)(1) Emergency plan

“While at the facility unannounced on 7/26/24 for an allocated unannounced visit the inspector was unable to given access to the files. Following this, the inspector was forwarded the facility emergency plan, and it was missing accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.”

Correction date in the state record: Sep 10, 2024

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

“While at the facility unannounced on 7/26/24 for an allocated unannounced visit the inspector was unable to given access to the files. Following this, the inspector was forwarded the facility fire drill/detection log, and it was noted that the facility did not test the smoke detectors every 30 calendar days as is required. The testing dates in question were 5/28/24 to 7/1/24.”

Correction date in the state record: Jul 29, 2024

3270.34(c) Employed and present 30 hrs/wk

“While at the facility unannounced on 7/26/24 for an allocated unannounced visit the inspector was told that the facility director resigned in May, leaving the facility without a director since that time.”

Correction date in the state record: Jul 1, 2024

3270.21/3270.104(a) General Health and Safety/Clean, good repair, proper size

“While at the facility unannounced on 7/26/24 for an allocated unannounced visit the inspector observed the infant room and found an infant in a highchair and not strapped into the highchair rendering the highchair unsafe.”

Correction date in the state record: Aug 5, 2024

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

“Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised; Pediatric first aid and CPR from an approved course and PQAS approved trainer.”

Correction date in the state record: May 16, 2024

3270.27(a)(5) Emergency plan

“While at the facility unannounced on 7/26/24 for an allocated unannounced visit the inspector was unable to given access to the files. Following this, the inspector was forwarded the facility emergency plan, and it was missing accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.”

Correction date in the state record: Sep 10, 2024

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

“While at the facility unannounced on 7/26/24 for an allocated unannounced visit the inspector was unable to given access to the staff files. Following this, the inspector was forwarded requested documents, and it was learned that staff #3, who had been observed working directly with children, was missing the required NSOR clearance.”

Correction date in the state record: Aug 7, 2024

3270.27(a)(3)/3270.27(a)(4) Contact when arises/Contact when ended

“While at the facility unannounced on 7/26/24 for an allocated unannounced visit the inspector was unable to given access to the files. Following this, the inspector was forwarded the facility emergency plan, and it was missing method(s) for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.”

Correction date in the state record: Sep 10, 2024

3270.103 Small Toys and Objects

“While at the facility unannounced on 7/26/24 for an allocated unannounced visit the inspector observed the infant room and found an infant in a highchair mouthing the top/lid of a squeeze style food pouch, that was less than one inch in diameter.”

Correction date in the state record: Aug 5, 2024

3270.31(e)(4)(iv) Water safety

“While at the public pool on 7/26/24 for an unannounced swim activity monitoring visit, the inspector observed staff #1, #2, #3, #4, #5 supervising children at the pool. Following this unannounced visit the inspector requested the water safety certificates of these staff members and as of 8/2/24 none were received.”

Correction date in the state record: Aug 13, 2024

3270.124(d) Excursions

“While at the public pool on 7/26/24 for an unannounced swim activity monitoring. the inspector asked to view the emergency contact information for the children present. Staff #1 stated that they were unaware that having the emergency contact information for the children was required.”

Correction date in the state record: Jul 29, 2024

3270.182(6) Signed parental consent for transportation, walking excursions, swimming and wading

“While at the public pool on 7/26/24 for an unannounced swim activity monitoring. the inspector asked to view the signed parental consent for transportation, walking excursions, swimming and wading for the children present. Staff #1 stated that they were unaware that having this specific information for the children present was required.”

Correction date in the state record: Jul 29, 2024

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

“While at the public pool on 7/26/24 for an unannounced swim activity monitoring visit, the inspector observed staff #6 serving as the facility lifeguard. Following this unannounced visit the inspector was sent the file for the lifeguard and the inspector observed staff #6 had a Pa Mandated Reporter Training dated 2/22/16 and did not update this training until 8/3/24. This training is required to be updated every 60 months. Staff #6 also had no proof of having applied for and obtained a NSOR.”

Correction date in the state record: Aug 8, 2024

3270.27(c) Training regarding plan

“While at the facility unannounced on 7/26/24 for an allocated unannounced visit the inspector was unable to given access to the staff files. Following this, the inspector was forwarded requested documents, and it was learned that staff #1 and #3 did not have proof of having had emergency plan training.”

Correction date in the state record: Aug 13, 2024

3270.31(f) Health and Safety Training

“Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised; Pediatric first aid and CPR from an approved curriculum and PQAS approved trainer.”

Correction date in the state record: May 16, 2024

3270.151(a)/3270.151(c)(2) 12 months prior to service and every 24 months thereafter/Mantoux TB

“While at the facility unannounced on 7/26/24 for an allocated unannounced visit the inspector was unable to given access to the staff files. Following this, the inspector was forwarded requested documents, and it was learned that staff #1, who had been observed working directly with children, was missing the required staff health assessment and TB screening prior to employment.”

Correction date in the state record: Sep 6, 2024

3270.27(a)(1) Emergency plan

“While at the facility unannounced on 7/26/24 for an allocated unannounced visit the inspector was unable to given access to the files. Following this, the inspector was forwarded the facility emergency plan, and it was missing accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.”

Correction date in the state record: Sep 10, 2024

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

“While at the facility unannounced on 7/26/24 for an allocated unannounced visit the inspector was unable to given access to the files. Following this, the inspector was forwarded the facility fire drill/detection log, and it was noted that the facility did not test the smoke detectors every 30 calendar days as is required. The testing dates in question were 5/28/24 to 7/1/24.”

Correction date in the state record: Jul 29, 2024

3270.34(c) Employed and present 30 hrs/wk

“While at the facility unannounced on 7/26/24 for an allocated unannounced visit the inspector was told that the facility director resigned in May, leaving the facility without a director since that time.”

Correction date in the state record: Jul 1, 2024

3270.21/3270.104(a) General Health and Safety/Clean, good repair, proper size

“While at the facility unannounced on 7/26/24 for an allocated unannounced visit the inspector observed the infant room and found an infant in a highchair and not strapped into the highchair rendering the highchair unsafe.”

Correction date in the state record: Aug 5, 2024

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

“Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised; Pediatric first aid and CPR from an approved course and PQAS approved trainer.”

Correction date in the state record: May 16, 2024

3270.27(a)(5) Emergency plan

“While at the facility unannounced on 7/26/24 for an allocated unannounced visit the inspector was unable to given access to the files. Following this, the inspector was forwarded the facility emergency plan, and it was missing accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.”

Correction date in the state record: Sep 10, 2024

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

“While at the facility unannounced on 7/26/24 for an allocated unannounced visit the inspector was unable to given access to the staff files. Following this, the inspector was forwarded requested documents, and it was learned that staff #3, who had been observed working directly with children, was missing the required NSOR clearance.”

Correction date in the state record: Aug 7, 2024

3270.27(a)(3)/3270.27(a)(4) Contact when arises/Contact when ended

“While at the facility unannounced on 7/26/24 for an allocated unannounced visit the inspector was unable to given access to the files. Following this, the inspector was forwarded the facility emergency plan, and it was missing method(s) for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.”

Correction date in the state record: Sep 10, 2024

3270.103 Small Toys and Objects

“While at the facility unannounced on 7/26/24 for an allocated unannounced visit the inspector observed the infant room and found an infant in a highchair mouthing the top/lid of a squeeze style food pouch, that was less than one inch in diameter.”

Correction date in the state record: Aug 5, 2024

3270.31(e)(4)(iv) Water safety

“While at the public pool on 7/26/24 for an unannounced swim activity monitoring visit, the inspector observed staff #1, #2, #3, #4, #5 supervising children at the pool. Following this unannounced visit the inspector requested the water safety certificates of these staff members and as of 8/2/24 none were received.”

Correction date in the state record: Aug 13, 2024

3270.124(d) Excursions

“While at the public pool on 7/26/24 for an unannounced swim activity monitoring. the inspector asked to view the emergency contact information for the children present. Staff #1 stated that they were unaware that having the emergency contact information for the children was required.”

Correction date in the state record: Jul 29, 2024

3270.182(6) Signed parental consent for transportation, walking excursions, swimming and wading

“While at the public pool on 7/26/24 for an unannounced swim activity monitoring. the inspector asked to view the signed parental consent for transportation, walking excursions, swimming and wading for the children present. Staff #1 stated that they were unaware that having this specific information for the children present was required.”

Correction date in the state record: Jul 29, 2024

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

“While at the public pool on 7/26/24 for an unannounced swim activity monitoring visit, the inspector observed staff #6 serving as the facility lifeguard. Following this unannounced visit the inspector was sent the file for the lifeguard and the inspector observed staff #6 had a Pa Mandated Reporter Training dated 2/22/16 and did not update this training until 8/3/24. This training is required to be updated every 60 months. Staff #6 also had no proof of having applied for and obtained a NSOR.”

Correction date in the state record: Aug 8, 2024

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

“An unannounced inspection occurred at the facility on 2/26/24. A review of staff files was conducted at that time. See the code sheet for the dates of hire for staff. Staff #1 and #2 were observed working in child care and the file did not contain documentation of an initial Tuberculosis screening.”

Correction date in the state record: Mar 15, 2024

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

“A renewal inspection occurred at the facility. A review of children's files was complete. See the code sheet for the enrollment date. Child # 1 did not receive a health report until 11/30/23.”

Correction date in the state record: Jan 15, 2024

3270.31(e)/3270.192(2)(iii) Age and Training/Exp, educ., training at facility

“A renewal inspection occurred at the facility. A review of staff files was conducted. At the time of the inspection, the facility was unable to provide the 12-hours of annual child care training for the following staff: Staff # 11, # 20, and # 21.”

Correction date in the state record: Jan 29, 2024

3270.27(a)(6) Emergency plan

“A renewal inspection occurred at the facility. At the time of the inspection, the facility was unable to provide documentation of when the facility participated in the annual emergency drill.”

Correction date in the state record: Jan 15, 2024

3270.182(5) Consent for administration of minor first-aid required prior to admission

“A renewal inspection occurred at the facility. A review of children's files was conducted. The file of Child # 10 did not contain consent signed by a parent for administration of minor first-aid procedures by facility staff.”

Correction date in the state record: Jan 15, 2024

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

“A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. The following staff did not receive a tuberculosis (TB) screening prior to employment as required by regulation: Staff # 12, # 26, # 27, # 29 and # 30. Staff # 12 received a TB screening on 8/23/23. Staff # 26 received a TB screening on 8/28/23.”

Correction date in the state record: Jan 15, 2024

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

“An unannounced inspection occurred at the facility. A review of staff files was conducted. The file of Staff # 2 did not contain a health assessment and Staff # 2 was working in childcare at the time of this inspection. An acceptable plan of correction was received on 10/17/23. An inspection occurred at the facility on 12/13/23. A review of staff files was completed. See the code sheet or the date of hire of staff. The following staff did not update their health assessments every 24 months as required by regulation: Staff # 11, 9 and # 17. Staff # 11 has a health assessment dated 7/28/21 and this assessment has not yet been updated. Staff # 9 had a health assessment dated for 8/30/21 and the health assessment was not updated until 12/15/23. Staff # 17 had a health assessment dated for 3/19/21 and the health assessment was not updated until 12/19/23. The following staff did not obtain a health assessment as required by regulation prior to employment: Staff # 12, 13, 24, # 27, # 29, # 30 and # 2. Staff # 12 did not obtain a health assessment until 9/25/23. Staff # 13 did not obtain a health assessment until 11/29/23. Staff # 24 did not obtain a health assessment until 12/14/23. The file of Staff # 27 did not contain a health assessment. The file of Staff # 29 did not contain a health assessment. The file of Staff # 30 did not contain a health assessment. Staff # 2 did not receive a health assessment until 12/4/23.”

Correction date in the state record: Jan 15, 2024

3270.124(f)/3270.181(c) Updated every 6 months/Emergency info/agreement updated 6 mos

“A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires children's emergency contact and agreement forms to be updated every 6-months. The following children's forms were not updated every 6-months: Child # 1, # 3, and # 4. The emergency contact and agreement form of Child # 1 was dated 4/17/23 and was not updated until 12/7/23. The emergency contact form of Child # 3 was dated 6/10/21 and was not updated until 12/7/23. The agreement form of Child # 3 was dated 12/15/21 and was not updated until 12/8/23. The agreement form of Child # 4 was dated 1/8/23 and was not updated until 11/14/23.”

Correction date in the state record: Jan 15, 2024

3270.124(b)(4)/3270.182(3) Written consent/Consent for emergency medical care required prior to admission

“A renewal inspection occurred at the facility. A review of children's files was conducted. The file of Child # 10 did not contain consent signed by a parent for emergency medical care.”

Correction date in the state record: Jan 15, 2024

3270.123(a)(3) Services proceeded

“A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires child service reports to be completed every 6-months. The following children did not have a child service report competed every 6-months: Child # 3 and # 4. These children had current reports for this inspection.”

Correction date in the state record: Jan 15, 2024

3270.36(b)(5)/3270.192(2)(ii) HS/GED + 2 yrs/Exp, educ., training prior to facility

“A renewal inspection occurred at the facility. A review of staff files was conducted. The facility was attempting to qualify Staff # 13, # 29, and # 30 as an AGS but the files did not contain proof of education so the staff could be appropriately qualified as an AGS.”

Correction date in the state record: Jan 15, 2024

3270.34(a)(6) Staff evaluations

“A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for dates of hire. At the time of the inspection, the facility was unable to provide documentation of a completed annual staff evaluation on the following staff: # 14 (previous 11/13/22), # 20 (no previous), # 21 (previous 11/3/22), and # 23 (no previous).”

Correction date in the state record: Jan 15, 2024

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

“An unannounced inspection occurred at the facility. A review of staff files was conducted. Staff # 1 and Staff # 2 were working together and both staff did not have the appropriate educational documentation to qualify these staff to work in a childcare role at the facility. An acceptable plan of correction was received on 10/17/23. An inspection occurred on 12/13/23. At the time of the inspection, the facility was unable to provide documentation or proof of the following staff's level of education: Staff # 13, # 29 and # 30.”

Correction date in the state record: Jan 15, 2024

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

“An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. Staff # 2 was hired incorrectly per the CPSL. Staff # 2 was hired using a volunteer state police clearance dated 8/4/22 and the file did not contain the correct state police clearance until 7/20/23. Staff # 2 was also hired using a volunteer child abuse clearance dated 8/10/22 and the file did not contain the correct child abuse clearance until 7/26/23. Staff # 2 was hired using a Department of Education FBI clearance dated 8/5/22. The file did not contain documentation that the correct FBI clearance was applied for. The file for Staff # 2 also did not contain documentation the NSOR clearance was applied for. Staff # 2 was hired incorrectly as a provisional hire per the CPSL and was working with children during this time. Staff # 7 lived in New Jersey and the file of staff # 7 did not contain the appropriate clearances from New Jersey. Staff # 7 was working in childcare without documentation of applying for or receiving the clearances from New Jersey. Staff # 8 was hired incorrectly per the CPSL. The file of Staff # 8 did not contain documentation that the FBI clearance was applied for. Staff # 8 did not receive an FBI clearance until 8/31/22 which was after Staff # 8 began working with children. An acceptable plan of correction was received 10/17/23. On 12/13/23 an inspection occurred at the facility. A review of staff files was conducted. Staff # 2 still did not have the appropriate DHS FBI clearance in their file. Staff # 2 still did not have an NSOR clearance in their file. Staff # 12 was hired incorrectly as a provisional hire. Staff # 12 did not receive a child abuse clearance until 8/22/23 which was after this staff worked in child care. Per the CPSL, the child abuse clearance must be received before a staff an begin employment as a provisional hire. Staff # 15 has not updated their FBI clearance since 12/14/23. Staff # 15 was working unsupervised during this inspection. Staff # 16 did not update their FBI clearance every 60 months as required by the CPSL. The previous FBI clearance was dated 10/3/18 and not updated again until 12/18/23. Staff # 25 was not hired correctly as a provisional hire. The file did not contain documentation that Staff # 25 applied for the state police clearance prior to working in a child care position at the facility. Staff # 25 was working at the time of this inspection. Staff # 27 was hired incorrectly as a provisional hire. The file of Staff # 27 did not contain a disclosure statement that was also signed by a witness or dated. The disclosure statement was only signed by Staff # 27. Staff # 27 was working at the time of the inspection. Staff # 28 was hired incorrectly as a provisional hire. Staff # 28 was hired using a volunteer child abuse clearance and the file did not contain documentation this Staff # 28 applied for the NSOR clearance prior to working in child care. Staff # 29 was hired incorrectly as a provisional hire. The file of Staff # 29 did not contain a disclosure statement that was also signed by a witness or dated. The disclosure statement was only signed by Staff # 29. The file also did not contain documentation that Staff # 29 applied for the NSOR clearance. Staff # 30 was hired incorrectly as a provisional hire. The file of Staff # 30 did not contain a disclosure statement that was also signed by a witness or dated. The disclosure statement was only signed by Staff # 30. The file also did not contain documentation that Staff # 30 applied for the state police clearance.”

Correction date in the state record: Jan 15, 2024

3270.27(c) Training regarding plan

“A renewal inspection occurred at the facility. A review of staff files was conducted. At the time of the inspection, the facility was unable to provide documentation that the following staff had reviewed the emergency plan on an annual basis: Staff # 17. The following staff did not review the emergency plan at the time of initial hire (see the code sheet for the date of hire) :# 26 and # 1. Staff # 26 and # 1 reviewed the emergency plan on 11/14/23.”

Correction date in the state record: Jan 15, 2024

3270.31(e)(4)(i) Age and Training

“A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person # 11 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 6/16/21. Staff person # 5 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 5/26/21. The following staff did not update their pediatric first aid/CPR training prior to expiration: Staff # 14, # 15, # 17, # 18 and # 21. Staff # 14 took the training on 5/26/21 but did not take the training again until 12/17/23. Staff # 15 took the training on 1/13/21 but did not take the training again until 1/17/23. Staff # 17 took the training on 5/26/21 but did not take the training again until 12/17/23. Staff # 18 took the training on 7/22/21 but did not take the training again until 12/17/23. Staff # 21 took the training on 5/16/21 but did not take the training again until 11/27/23.”

Correction date in the state record: Jan 27, 2024

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

“A renewal inspection occurred at the facility. A review of staff files was conducted. At the time of the inspection, the facility was unable to provide documentation that the following staff had participated in annual fire safety training: # 10, # 11, # 4, # 14, # 15, # 16, # 9, # 18, # 19, # 20, and # 21. Staff # 10 last took fire safety training on 10/8/22. Staff # 19 last participated in fire safety training on 1/11/22. Staff # 11, # 4, # 14, # 15, # 16, # 9, # 18, # 20, and # 21 last took fire safety training on 11/8/22.”

Correction date in the state record: Jan 15, 2024

3270.31(f) Health and Safety Training

“A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person # 22 and # 26 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR. Staff # 26 completed this training on 8/29/23. Staff person # 20 , # 23 and # 1 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety.”

Correction date in the state record: Jan 27, 2024

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

“An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. Staff # 2 was hired incorrectly per the CPSL. Staff # 2 was hired using a volunteer state police clearance dated 8/4/22 and the file did not contain the correct state police clearance until 7/20/23. Staff # 2 was also hired using a volunteer child abuse clearance dated 8/10/22 and the file did not contain the correct child abuse clearance until 7/26/23. Staff # 2 was hired using a Department of Education FBI clearance dated 8/5/22. The file did not contain documentation that the correct FBI clearance was applied for. The file for Staff # 2 also did not contain documentation the NSOR clearance was applied for. Staff # 2 was hired incorrectly as a provisional hire per the CPSL and was working with children during this time. Staff # 7 lived in New Jersey and the file of staff # 7 did not contain the appropriate clearances from New Jersey. Staff # 7 was working in childcare without documentation of applying for or receiving the clearances from New Jersey. Staff # 8 was hired incorrectly per the CPSL. The file of Staff # 8 did not contain documentation that the FBI clearance was applied for. Staff # 8 did not receive an FBI clearance until 8/31/22 which was after Staff # 8 began working with children. An acceptable plan of correction was received 10/17/23. On 12/13/23 an inspection occurred at the facility. A review of staff files was conducted. Staff # 2 still did not have the appropriate DHS FBI clearance in their file. Staff # 2 still did not have an NSOR clearance in their file. Staff # 12 was hired incorrectly as a provisional hire. Staff # 12 did not receive a child abuse clearance until 8/22/23 which was after this staff worked in child care. Per the CPSL, the child abuse clearance must be received before a staff an begin employment as a provisional hire. Staff # 15 has not updated their FBI clearance since 12/14/23. Staff # 15 was working unsupervised during this inspection. Staff # 16 did not update their FBI clearance every 60 months as required by the CPSL. The previous FBI clearance was dated 10/3/18 and not updated again until 12/18/23. Staff # 25 was not hired correctly as a provisional hire. The file did not contain documentation that Staff # 25 applied for the state police clearance prior to working in a child care position at the facility. Staff # 25 was working at the time of this inspection. Staff # 27 was hired incorrectly as a provisional hire. The file of Staff # 27 did not contain a disclosure statement that was also signed by a witness or dated. The disclosure statement was only signed by Staff # 27. Staff # 27 was working at the time of the inspection. Staff # 28 was hired incorrectly as a provisional hire. Staff # 28 was hired using a volunteer child abuse clearance and the file did not contain documentation this Staff # 28 applied for the NSOR clearance prior to working in child care. Staff # 29 was hired incorrectly as a provisional hire. The file of Staff # 29 did not contain a disclosure statement that was also signed by a witness or dated. The disclosure statement was only signed by Staff # 29. The file also did not contain documentation that Staff # 29 applied for the NSOR clearance. Staff # 30 was hired incorrectly as a provisional hire. The file of Staff # 30 did not contain a disclosure statement that was also signed by a witness or dated. The disclosure statement was only signed by Staff # 30. The file also did not contain documentation that Staff # 30 applied for the state police clearance.”

Correction date in the state record: Jan 15, 2024

3270.192(5) Two written references

“A renewal inspection occurred at the facility. A review of staff files was conducted. The following staff were missing 2-letters of written reference in their file: Staff # 25, # 27, # 29, # 30 and # 1 (missing only 1 letter).”

Correction date in the state record: Jan 15, 2024

3270.19(a)/3270.19(b) Required to report/Child abuse reporting

“Through staff interviews and facility documentation, it has been determined that on 8/31/23, Staff # 2 slapped Child # 1 as witnessed by Staff # 1. Staff # 1 reported the incident to Staff # 3 and # 4 but Staff # 1, # 2, or # 3 as mandated reporters, never reported the incident to Childline as mandated by the CPSL.”

Correction date in the state record: Dec 9, 2023

3270.113(b) No physical punishment

“Through staff interviews and facility documentation, it has been determined that on 8/31/23, Staff # 2 slapped Child # 1 as witnessed by Staff # 1.”

Correction date in the state record: Nov 2, 2023

3270.113(b) No physical punishment

“Through staff interviews and facility documentation, it has been determined that on 8/31/23, Staff # 2 slapped Child # 1 as witnessed by Staff # 1.”

Correction date in the state record: Nov 2, 2023

3270.19(a)/3270.19(b) Required to report/Child abuse reporting

“Through staff interviews and facility documentation, it has been determined that on 8/31/23, Staff # 2 slapped Child # 1 as witnessed by Staff # 1. Staff # 1 reported the incident to Staff # 3 and # 4 but Staff # 1, # 2, or # 3 as mandated reporters, never reported the incident to Childline as mandated by the CPSL.”

Correction date in the state record: Nov 2, 2023

3270.51 Similar Age Level

“See IS 00229480 8/24/23-9/5/23 and IS 00230282 8/24/23-9/5/23.”

Correction date in the state record: Sep 5, 2023

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

“An unannounced inspection occurred at the facility. A review of staff files was conducted. The file of Staff # 2 did not contain a health assessment and Staff # 2 was working in childcare at the time of this inspection.”

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

“An unannounced inspection occurred at the facility. A review of staff files was conducted. Staff # 1 and Staff # 2 were working together and both staff did not have the appropriate educational documentation to qualify these staff to work in a childcare role at the facility.”

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

“An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. Staff # 2 was hired incorrectly per the CPSL. Staff # 2 was hired using a volunteer state police clearance dated 8/4/22 and the file did not contain the correct state police clearance until 7/20/23. Staff # 2 was also hired using a volunteer child abuse clearance dated 8/10/22 and the file did not contain the correct child abuse clearance until 7/26/23. Staff # 2 was hired using a Department of Education FBI clearance dated 8/5/22. The file did not contain documentation that the correct FBI clearance was applied for. The file for Staff # 2 also did not contain documentation the NSOR clearance was applied for. Staff # 2 was hired incorrectly as a provisional hire per the CPSL and was working with children during this time. Staff # 7 lived in New Jersey and the file of staff # 7 did not contain the appropriate clearances from New Jersey. Staff # 7 was working in childcare without documentation of applying for or receiving the clearances from New Jersey. Staff # 8 was hired incorrectly per the CPSL. The file of Staff # 8 did not contain documentation that the FBI clearance was applied for. Staff # 8 did not receive an FBI clearance until 8/31/22 which was after Staff # 8 began working with children.”

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

“An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. Staff # 2 was hired incorrectly per the CPSL. Staff # 2 was hired using a volunteer state police clearance dated 8/4/22 and the file did not contain the correct state police clearance until 7/20/23. Staff # 2 was also hired using a volunteer child abuse clearance dated 8/10/22 and the file did not contain the correct child abuse clearance until 7/26/23. Staff # 2 was hired using a Department of Education FBI clearance dated 8/5/22. The file did not contain documentation that the correct FBI clearance was applied for. The file for Staff # 2 also did not contain documentation the NSOR clearance was applied for. Staff # 2 was hired incorrectly as a provisional hire per the CPSL and was working with children during this time. Staff # 7 lived in New Jersey and the file of staff # 7 did not contain the appropriate clearances from New Jersey. Staff # 7 was working in childcare without documentation of applying for or receiving the clearances from New Jersey. Staff # 8 was hired incorrectly per the CPSL. The file of Staff # 8 did not contain documentation that the FBI clearance was applied for. Staff # 8 did not receive an FBI clearance until 8/31/22 which was after Staff # 8 began working with children.”

Correction date in the state record: Nov 29, 2023

3270.31(e)(4)(iv)/3270.115(a)(8) Water safety/Included in ratio/annual training

“An unannounced inspection occurred at the facility. A review of staff files was conducted. The following staff would supervise children at the pool while swimming and the staff did not have documentation of water safety training in the file at the time of this inspection: Staff # 1, # 2, # 3, # 4, # 5, # 6, # 7 and # 9.”

Correction date in the state record: Oct 10, 2023

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

“An unannounced inspection occurred at the facility. A review of staff files was conducted. Staff person # 1 was working unsupervised and has not completed the following required pre-service training: pediatric first aid and CPR. Staff person # 2 was working unsupervised and has not completed the following required pre-service training: health and safety topics.”

Correction date in the state record: Oct 10, 2023

3270.51/3270.113(a)(2) Similar Age Level/Supervision on and facility premises

“An unannounced inspection occurred at the facility. Staff # 1 was supervising and assigned to 16 younger school-aged children. Staff # 2 was supervising and assigned to 18 younger school-aged children. Staff # 4 was supervising and assigned to 12 preschool-aged children. Staff # 5 was supervising and assigned to 12 preschool-aged children.”

Correction date in the state record: Oct 10, 2023

3270.51/3270.113(a)(2) Similar Age Level/Supervision on and facility premises

“An unannounced inspection occurred at the facility. Staff # 1 was supervising and assigned to 16 younger school-aged children. Staff # 2 was supervising and assigned to 18 younger school-aged children. Staff # 4 was supervising and assigned to 12 preschool-aged children. Staff # 5 was supervising and assigned to 12 preschool-aged children.”

Correction date in the state record: Nov 29, 2023

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

“An unannounced inspection occurred at the facility. A review of staff files was conducted. The file of Staff # 2 did not contain a health assessment and Staff # 2 was working in childcare at the time of this inspection.”

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

“An unannounced inspection occurred at the facility. A review of staff files was conducted. Staff # 1 and Staff # 2 were working together and both staff did not have the appropriate educational documentation to qualify these staff to work in a childcare role at the facility.”

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

“An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. Staff # 2 was hired incorrectly per the CPSL. Staff # 2 was hired using a volunteer state police clearance dated 8/4/22 and the file did not contain the correct state police clearance until 7/20/23. Staff # 2 was also hired using a volunteer child abuse clearance dated 8/10/22 and the file did not contain the correct child abuse clearance until 7/26/23. Staff # 2 was hired using a Department of Education FBI clearance dated 8/5/22. The file did not contain documentation that the correct FBI clearance was applied for. The file for Staff # 2 also did not contain documentation the NSOR clearance was applied for. Staff # 2 was hired incorrectly as a provisional hire per the CPSL and was working with children during this time. Staff # 7 lived in New Jersey and the file of staff # 7 did not contain the appropriate clearances from New Jersey. Staff # 7 was working in childcare without documentation of applying for or receiving the clearances from New Jersey. Staff # 8 was hired incorrectly per the CPSL. The file of Staff # 8 did not contain documentation that the FBI clearance was applied for. Staff # 8 did not receive an FBI clearance until 8/31/22 which was after Staff # 8 began working with children.”

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

“An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. Staff # 2 was hired incorrectly per the CPSL. Staff # 2 was hired using a volunteer state police clearance dated 8/4/22 and the file did not contain the correct state police clearance until 7/20/23. Staff # 2 was also hired using a volunteer child abuse clearance dated 8/10/22 and the file did not contain the correct child abuse clearance until 7/26/23. Staff # 2 was hired using a Department of Education FBI clearance dated 8/5/22. The file did not contain documentation that the correct FBI clearance was applied for. The file for Staff # 2 also did not contain documentation the NSOR clearance was applied for. Staff # 2 was hired incorrectly as a provisional hire per the CPSL and was working with children during this time. Staff # 7 lived in New Jersey and the file of staff # 7 did not contain the appropriate clearances from New Jersey. Staff # 7 was working in childcare without documentation of applying for or receiving the clearances from New Jersey. Staff # 8 was hired incorrectly per the CPSL. The file of Staff # 8 did not contain documentation that the FBI clearance was applied for. Staff # 8 did not receive an FBI clearance until 8/31/22 which was after Staff # 8 began working with children.”

Correction date in the state record: Nov 29, 2023

3270.31(e)(4)(iv)/3270.115(a)(8) Water safety/Included in ratio/annual training

“An unannounced inspection occurred at the facility. A review of staff files was conducted. The following staff would supervise children at the pool while swimming and the staff did not have documentation of water safety training in the file at the time of this inspection: Staff # 1, # 2, # 3, # 4, # 5, # 6, # 7 and # 9.”

Correction date in the state record: Oct 10, 2023

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

“An unannounced inspection occurred at the facility. A review of staff files was conducted. Staff person # 1 was working unsupervised and has not completed the following required pre-service training: pediatric first aid and CPR. Staff person # 2 was working unsupervised and has not completed the following required pre-service training: health and safety topics.”

Correction date in the state record: Oct 10, 2023

3270.51/3270.113(a)(2) Similar Age Level/Supervision on and facility premises

“An unannounced inspection occurred at the facility. Staff # 1 was supervising and assigned to 16 younger school-aged children. Staff # 2 was supervising and assigned to 18 younger school-aged children. Staff # 4 was supervising and assigned to 12 preschool-aged children. Staff # 5 was supervising and assigned to 12 preschool-aged children.”

Correction date in the state record: Oct 10, 2023

3270.51/3270.113(a)(2) Similar Age Level/Supervision on and facility premises

“An unannounced inspection occurred at the facility. Staff # 1 was supervising and assigned to 16 younger school-aged children. Staff # 2 was supervising and assigned to 18 younger school-aged children. Staff # 4 was supervising and assigned to 12 preschool-aged children. Staff # 5 was supervising and assigned to 12 preschool-aged children.”

Correction date in the state record: Nov 29, 2023

3270.31(f) Health and Safety Training

“A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 8 had 6-hour health and safety topic training dated 6/4/19. As of 6/30/18, this 6-hour training no longer met the requirements for training of this regulation.”

Correction date in the state record: Dec 23, 2022

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

“A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staff's date of hire. Staff # 1 did not receive a state police clearance until 1/14/22 or an FBI clearance until 1/14/22. This file was also missing documentation that this staff had applied for these clearances at the time of hire. Staff # 5 and # 7 were hired with a Department of Education FBI clearance. The CPSL states this clearance is not an acceptable clearance to work in a Department of Human Services program. Staff # 11 and # 15 did not have an NSOR clearance on file.”

Correction date in the state record: Nov 30, 2022

3270.32(a) Comply with CPSL

“A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person # 2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 1/12/16. Staff person # 9 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 8/30/17. Staff person # 14, # 15 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).”

Correction date in the state record: Nov 30, 2022

3270.192(5) Two written references

“A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staff's date of hire. Staff # 7 was missing one letter of written reference.”

Correction date in the state record: Nov 30, 2022

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

“A renewal inspection occurred at the facility. A review of staff files was conducted. The following staff did not attend annual in-person/live fire safety training conducted by a fire protection professional: Staff # 1, # 6, # 11, # 12, and # 14.”

Correction date in the state record: Jan 6, 2023

3270.31(f) Health and Safety Training

“A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person # 1, # 5, # 14, and # 15 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics. Staff person # 3, # 4, # 14, and # 15 have 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: Dec 23, 2022

3270.67(d) Contaminated trash in closed plastic-lined receptacle

“A renewal inspection occurred at the facility. A physical site review was conducted. The preschool room contained a garbage can that required a lid, but a lid was not present. This garbage can contained used such as napkins, tissues, and items that previously contained food.”

Correction date in the state record: Nov 30, 2022

3270.66(a) Locked or inaccessible

“A renewal inspection occurred at the facility. A physical site review was conducted. Accessible in the young toddler/older toddler classroom, were a cleaner, disinfectant spray and disinfectant wipes. These items indicated they were to be kept out of the reach of children.”

Correction date in the state record: Nov 30, 2022

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

“A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for each staff's date of hire. Staff # 11, # 12, # 13 and # 14 did not have proof of education in their file. These staff were unable to be appropriately qualified to work in a childcare position at the facility.”

Correction date in the state record: Dec 23, 2022

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

“A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staff's date of hire. Staff # 1 did not receive a health assessment until 1/18/22 or tuberculosis screening results until 1/20/22. Staff # 3 did not receive a health assessment until 5/27/22 or tuberculosis screening results until 6/2/22. Staff # 5 did not receive a health assessment until 5/17/21 and tuberculosis screening results until 5/11/21. Staff # 7 does not have a health assessment or tuberculosis screening results on file. Staff # 8 has not had an update health assessment since 5/16/19. Staff # 11 does not have a health assessment or tuberculosis screening on file. Staff # 13 does not have a health assessment or tuberculosis screening on file. Staff # 14 does not have a health assessment or tuberculosis screening on file. Staff # 15 did not have a health assessment until 5/18/21 or tuberculosis screening results until 5/20/21.”

Correction date in the state record: Dec 9, 2022

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

“A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staff's date of hire. Staff # 1 did not receive a health assessment until 1/18/22 or tuberculosis screening results until 1/20/22. Staff # 3 did not receive a health assessment until 5/27/22 or tuberculosis screening results until 6/2/22. Staff # 5 did not receive a health assessment until 5/17/21 and tuberculosis screening results until 5/11/21. Staff # 7 does not have a health assessment or tuberculosis screening results on file. Staff # 8 has not had an update health assessment since 5/16/19. Staff # 11 does not have a health assessment or tuberculosis screening on file. Staff # 13 does not have a health assessment or tuberculosis screening on file. Staff # 14 does not have a health assessment or tuberculosis screening on file. Staff # 15 did not have a health assessment until 5/18/21 or tuberculosis screening results until 5/20/21.”

Correction date in the state record: Jan 6, 2023

3270.133(4) Locked

“A renewal inspection occurred at the facility. A physical site review was conducted. Accessible in the toddler room, was baby powder and 10 diaper creams. All of these items indicated they were to be kept out of reach of children.”

Correction date in the state record: Nov 30, 2022

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

“A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 1 was hired provisionally on 9/7/21. Staff # 1 worked past the 45 day provisional window and did not receive an NSOR clearance until 2/7/22. The CPSL states staff can only be hired provisionally for 45 days and this NSOR clearance was no received within the 45 day provisional hire period. Staff # 2 had a date of hire of 10/29/21 and was hired using a Department of Education FBI clearance dated 5/28/21. The CPSL also states any staff hired after 9/24/18, a Department of Education FBI clearances could not be used for employment in an Department of Human Services program. A Department of Human Services FBI clearance must be obtained for employment.”

Correction date in the state record: Feb 18, 2022

3270.113(a)/3270.113(a)(1) Supervised at all times /Staff assigned to specific children

“A complaint inspection occurred at the facility on 9/2/21. This inspection included a physical site review, staff interviews, written statements, and a video review of the incident. On 8/20/21, Child # 1, a 3-year-old child, was left unsupervised in the facility's outdoor play area for a period of 25 minutes. At 10:57a.m., Staff # 1 and Staff # 2 were viewed leading a group of 20 preschool children inside from the outdoor play area followed at the end of the line by Staff # 3. Child # 1 can be viewed seated in the outdoor play area while this group goes inside. Staff # 3 immediately comes back to the outdoor play area to pick an item up from the picnic table does not see the child still seated in the same area, and walks back inside. Child # 1 was discovered by Staff # 4 at 11:23a.m. after Staff # 4 was alerted by a contracted vendor that an upset child was alone in the outdoor play area. Staff # 1, # 2, # 3 did not have an explanation as to why the incident occurred.”

Correction date in the state record: Jan 1, 2022

3270.113(a)/3270.113(a)(1) Supervised at all times /Staff assigned to specific children

“A complaint inspection occurred at the facility on 9/2/21. This inspection included a physical site review, staff interviews, written statements, and a video review of the incident. On 8/20/21, Child # 1, a 3-year-old child, was left unsupervised in the facility's outdoor play area for a period of 25 minutes. At 10:57a.m., Staff # 1 and Staff # 2 were viewed leading a group of 20 preschool children inside from the outdoor play area followed at the end of the line by Staff # 3. Child # 1 can be viewed seated in the outdoor play area while this group goes inside. Staff # 3 immediately comes back to the outdoor play area to pick an item up from the picnic table does not see the child still seated in the same area, and walks back inside. Child # 1 was discovered by Staff # 4 at 11:23a.m. after Staff # 4 was alerted by a contracted vendor that an upset child was alone in the outdoor play area. Staff # 1, # 2, # 3 did not have an explanation as to why the incident occurred.”

Correction date in the state record: Nov 1, 2021

3270.113(a)/3270.113(a)(1) Supervised at all times /Staff assigned to specific children

“A complaint inspection occurred at the facility on 9/2/21. This inspection included a physical site review, staff interviews, written statements, and a video review of the incident. On 8/20/21, Child # 1, a 3-year-old child, was left unsupervised in the facility's outdoor play area for a period of 25 minutes. At 10:57a.m., Staff # 1 and Staff # 2 were viewed leading a group of 20 preschool children inside from the outdoor play area followed at the end of the line by Staff # 3. Child # 1 can be viewed seated in the outdoor play area while this group goes inside. Staff # 3 immediately comes back to the outdoor play area to pick an item up from the picnic table does not see the child still seated in the same area, and walks back inside. Child # 1 was discovered by Staff # 4 at 11:23a.m. after Staff # 4 was alerted by a contracted vendor that an upset child was alone in the outdoor play area. Staff # 1, # 2, # 3 did not have an explanation as to why the incident occurred.”

Correction date in the state record: Aug 20, 2021

3270.113(a)/3270.113(a)(1) Supervised at all times /Staff assigned to specific children

“A complaint inspection occurred at the facility on 9/2/21. This inspection included a physical site review, staff interviews, written statements, and a video review of the incident. On 8/20/21, Child # 1, a 3-year-old child, was left unsupervised in the facility's outdoor play area for a period of 25 minutes. At 10:57a.m., Staff # 1 and Staff # 2 were viewed leading a group of 20 preschool children inside from the outdoor play area followed at the end of the line by Staff # 3. Child # 1 can be viewed seated in the outdoor play area while this group goes inside. Staff # 3 immediately comes back to the outdoor play area to pick an item up from the picnic table does not see the child still seated in the same area, and walks back inside. Child # 1 was discovered by Staff # 4 at 11:23a.m. after Staff # 4 was alerted by a contracted vendor that an upset child was alone in the outdoor play area. Staff # 1, # 2, # 3 did not have an explanation as to why the incident occurred.”

Correction date in the state record: Jan 1, 2022