Evangel Heights Childcare Center

3270.94(a)(2) Different times of day

“Based on documentation on the fire drill log, all fire drills conducted in the past 12 months occurred in the morning, between 9:00am and 11:15am and none occurred in afternoon while children were in care.”

Correction date in the state record: Apr 22, 2026

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

“Based on documentation on the fire drill log, consecutive testing of the fire detection system occurred on 6/20/2025 and 9/10/2025, more than 30 days apart.”

Correction date in the state record: Apr 22, 2026

3270.133(6) Written consent

“Written parental consent was not on file for Motrin in Room 402g labeled for Child #1.”

Correction date in the state record: Apr 20, 2026

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

“The file of Staff #9 contained one training hour during their annual training year between 12/2024 and 12/2025.”

Correction date in the state record: Apr 20, 2026

3270.181(c)/3270.181(d) Emergency info/agreement updated 6 mos/Dated signature affixed

“Consecutive financial agreements for Child #3, #5 and #10 were signed and dated by the parent more than 6 months apart. Consecutive emergency contact forms and financial agreements for Child #4, #6, #7, #8, and #9 were signed and dated by the parent more than 6 months apart.”

Correction date in the state record: Apr 20, 2026

3270.161(d) Potentially hazardous food refrigerated

“String cheese, labeled keep refrigerated, was in a child's lunch bag located on the counter in Room 402a.”

Correction date in the state record: Apr 20, 2026

3270.151(b) Conducted by physician, PA or CRNP

“The health assessment for Staff #3 contained the name but not the professional title of the person that signed the assessment.”

Correction date in the state record: Apr 22, 2026

3270.21 General Health and Safety

“Due to a broken lock on cabinet, 2 pairs of adult scissors were accessible to children. In Room 304, and a sharp knife was accessible to children in Room 402g in a drawer with a broken lock.”

Correction date in the state record: May 22, 2026

3270.27(c) Training regarding plan

“The file of Staff #4, employed for more than 90 days (see LIS code sheet), did not contain documentation of emergency plan training.”

Correction date in the state record: Apr 22, 2026

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

“Documentation of consecutive annual fire safety trainings for Staff #10 were dated more than 12 months apart.”

Correction date in the state record: Apr 22, 2026

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

“The file of Staff #8, #10 and #17 contained consecutive health assessments which were dated more than 24 months apart. (Staff #8 - 1/26/2023 and 3/31/2025 / Staff #10 - 8/15/2023 and 9/17/2025 / Staff #17 - 12/7/2023 and 1/8/2026)”

Correction date in the state record: Apr 20, 2026

3270.31(f) Health and Safety Training

“The file of Staff #1 contained documentation of the health and safety topics trainings dated 11/30/2025 and 12/4/2025 and Staff #11's were dated 3/24/2026 and 3/27/2026, more than 90 days from their hire date at the facility (see LIS code sheet).”

Correction date in the state record: Apr 22, 2026

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

“The file of Staff #1 contained a signed disclosure statement which was not on the current form dated 1/1/2025. The file of Staff #2 contained an NSOR verification certificate dated 11/14/2025, after their start date at the facility (see LIS code sheet) and an incomplete PA criminal history as it did not include the second page of the rap sheet. Additionally, the disclosure statement for Staff #2 was signed and dated on 9/13/2023, more than 6 months prior to their employment at the facility (see LIS code sheet). The file of Staff #4 contained an NSOR verification certificate dated 3/27/2026, after their start date at the facility (see LIS code sheet) and their signed disclosure statement was not on the current form dated 1/1/2025. The consecutive PA criminal history clearances for Staff #5 were dated more than 60 months apart (3/16/2021 and 3/27/2026). The file of Staff #6 contained consecutive NSOR verification certificates (11/14/2020 and 12/4/2025) dated more than 60 months apart. The file of Staff #7 contained consecutive child abuse clearances (11/13/2020 and 12/5/2025), PA criminal history clearances (11/2/2020 and 12/3/2025), FBI clearances (11/13/2020 and 11/14/2025) and NSOR verification certificates (6/18/2020 and 9/18/2025) all dated more than 60 months apart. The file of Staff #11 contained consecutive FBI clearances (11/7/2020 and 2/24/2026) dated more than 60 months apart. The file of Staff #12 contained an NSOR verification certificate dated 6/5/2025, after their start date at the facility (see LIS code sheet) and a signed disclosure statement which was not on the current form dated 1/1/2025.”

Correction date in the state record: Apr 22, 2026

3270.32(a)/3270.192(2)(iii) Comply with CPSL/Exp, educ., training at facility

“The file of Staff #1 contained mandated reporter training dated 11/14/2025, more than 90 days from their hire date at the facility (see LIS code sheet). The file of Staff #7, #22 and #24 contained consecutive mandated reporter trainings dated more than 60 months apart. (Staff #7 - 6/15/2020 and 9/12/2025 / #22 - 8/11/2020 and 9/14/2025 / Staff #24 - 9/7/2019 and 11/10/2024)”

Correction date in the state record: Apr 20, 2025

3270.34(a)(6) Staff evaluations

“Dated documentation of consecutive written evaluations for Staff #7, #8, #9, #10, #13, #14, #15, #16, #17, #18, #19, #20, #21, #22, and #23 were more than 12 months apart.”

Correction date in the state record: Apr 22, 2026

3270.65 Protective Outlet Covers 5 yrs. or less

“An electrical outlet in the gym, accessible to children under 5 years old, did not have a protective receptacle cover.”

Correction date in the state record: Apr 20, 2026

3270.66(a) Locked or inaccessible

“The unlocked door to the small hallway kitchen provided children access to bleach on the counter, Lysol Disinfectant Wipes, Comet and Clorox Clean-Up Spray in the unlocked cabinet below the sink. The unlocked door to the large kitchen off the gym provided children access to bleach stored under the sink and Lysol spray in an unlocked cabinet. All of the cleaning products were labeled "keep out of the reach of children." A broken drawer lock in Room 402g allowed children access to Liquid White Out and lavender spray, both labeled "keep out of reach of children."”

Correction date in the state record: May 24, 2026

3270.71 Heat Source

“The unlocked doors to the small kitchen in the hallway and the large kitchen off of the gym provided children access to the stoves in each area.”

Correction date in the state record: Apr 22, 2026

3270.76 Building Surfaces

“The wall to the left of a door in the gym had a hole with rough edges approximately the size of a golf ball which could fit a small hand. Also in the gym, the carpet was torn from the wall exposing plywood beneath. Newly constructed bathroom walls off Room 202 remained unpainted, leaving cracking and chipping joint compound which was observed on the floor accessible to children. The underlying drywall mesh was also exposed in various areas of the walls. The corner of the carpet with the planets in Room 301 was curling creating a tripping hazard.”

Correction date in the state record: Apr 22, 2026

3270.77(a) No peeling paint or plaster

“Peeling paint was observed on the ledge of the wall by the pink couch in Room 305.”

Correction date in the state record: Apr 22, 2026

3270.36(b)/3270.192(2)(ii) Assistant Group Supervisor qualifications/Exp, educ., training prior to facility

“The file for Staff #12, identified as an assistant group supervisor, did not contain documentation of education.”

Correction date in the state record: Apr 22, 2026

3270.82(h) Handwashing signs

“A handwashing sign was not posted at the sink in Room 302.”

Correction date in the state record: Apr 22, 2026

3270.92(a) No portable space heaters

“Room 202 contained 2 portable space heaters that were not in use; however, staff confirmed these are used during cooler months to maintain classroom temperatures when there was a heating problem. The child care office also contained a portable space heater which was said to be used because the office did not have heat.”

Correction date in the state record: Apr 20, 2026

3270.102(a) Clean and good repair

“The corner of a green bin containing dinosaurs was broken off creating rough edges in Room 402b. Room 402f contained a cracked and broken bin with miscellaneous toys.”

Correction date in the state record: Apr 20, 2026

3270.103 Small Toys and Objects

“In Room 402b, several foam blocks with visible teeth marks were found on a shelf accessible to the toddlers in care who are still placing objects in their mouths.”

Correction date in the state record: Apr 20, 2026

3270.104(a) Clean, good repair, proper size

“An unstable white shelf in Room 207. measuring approximately 4 feet tall and used to store board games, posed a tipping hazard.”

Correction date in the state record: Apr 22, 2026

3270.107 Refrigerator

“The thermometer in the refrigerator located in Room 402b read 50° F and it was determined the thermometer was broken.”

Correction date in the state record: Apr 20, 2026

3270.123(a) Signed

“The financial agreement of Child #6 was not signed by the operator.”

Correction date in the state record: Apr 20, 2026

3270.123(a)(3) Services proceeded

“The approved Child Service Reports for Child #5 were dated more than 6 months apart. The file of Child #6, enrolled for more than 6 months (see LIS code sheet), did not contain documentation of a Child Service Report. The file of Child #9 contained a Child Service report dated 8/20/2025 but did not contain any within the last 6 months. The file of Child #10 enrolled for more than 6 months (see LIS code sheet) did not contain documentation of any Child Service Reports.”

Correction date in the state record: Apr 22, 2026

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

“The emergency contact form for Child #2 did not contain the telephone number of the child's physician.”

Correction date in the state record: Apr 20, 2026

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

“The emergency contact form for Child #3 did not include the enrolling parents work address and work telephone number.”

Correction date in the state record: Apr 20, 2026

3270.124(b)(6) Insurance coverage information

“The emergency contact form for Child #11 did not contain the name and policy number of the health insurance coverage for the child.”

Correction date in the state record: Apr 20, 2026

3270.135(a)(3) Disposable diapers

“The trash can at the changing table in Room 402b was not hands-free.”

Correction date in the state record: Apr 20, 2026

3270.131(b)(2) Toddler/preschool: updated health report every 12 months

“The file of Child #5 and Child #10, both identified as preschool age (see LIS code sheet), contained consecutive health assessments exceeding 12 months. (Child #5 - 7/31/2024 and 8/22/2025 / Child #10 - 4/8/2024 and 6/4/2025)”

Correction date in the state record: Apr 20, 2026

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

“The file of child #11, enrolled for more than 60 days (see LIS code sheet), did not contain documentation of any immunizations or documentation of an acceptable parent or medical exemption.”

Correction date in the state record: Apr 20, 2026

3270.131(d)(7) Free from contagious/communicable disease

“The health assessment for Child #8 did not state they were free from contagious or communicable disease and able to participate in child care.”

Correction date in the state record: Apr 22, 2026

3270.192(5) Two written references

“The file of Staff #12 did not contain 2 written nonfamily reference attesting to the individual's suitability to be a staff person.”

Correction date in the state record: Apr 22, 2026

3270.94(a)(1) Every 60 days

“Based on documentation on the fire drill log, consecutive fire drills were conducted on 10/9/2025 and 12/17/2025, more than 60 days apart.”

Correction date in the state record: Apr 22, 2026

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

“The fire detection system was tested on 3/14/2025 and 6/20/2025, which was more than 30 days apart.”

Correction date in the state record: Dec 10, 2025

3270.94(a)(1) Every 60 days

“Fire drills were conducted on 3/14/2025 and 6/20/2025, which was more than 60 days apart; and the most recent fire drill was conducted on 6/20/2025, which was more than 60 days ago.”

Correction date in the state record: Dec 17, 2025

3270.131(a) Health information

“The health assessment of child #6 was dated 11/21/2024, more than 60 days from their start date at the facility (see LIS code sheet).”

Correction date in the state record: May 22, 2025

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

“Based on documentation, testing the fire detection system exceeded 30 days by one day with testing be conducted on 2/7/2025 and again on 3/10/2025.”

Correction date in the state record: May 22, 2025

3270.66(e) Arts and crafts non-toxic

“In the storage cupboard of the 3 Day All Day classroom (room 201), shaving cream labeled "keep out of the reach of children," was said to be used for art.”

Correction date in the state record: May 22, 2025

3270.181(c) Emergency info/agreement updated 6 mos

“Documentation of the review and/or update of the emergency contact forms, and financial agreements exceeded 6 months for child #1, #3, #4, #5, #7, #8 and #9.”

Correction date in the state record: May 22, 2025

3270.192(5) Two written references

“The file of staff #31 contained a reference which, based on the content of the reference, was written by their aunt”

Correction date in the state record: May 22, 2025

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

“Documentation of fire safety training of the following staff exceeded 12 months: staff #2 (1/17/2024 & 3/3/2025), staff #8 (1/26/2024 & 3/31/2025), staff #10 (1/31/2024 & 4/30/2025), staff #11 (1/4/2024 & 2/21/2025), staff #13 (1/19/2024 & 3/31/2025) and staff #16 (2/1/2024 & 3/1/2025)”

Correction date in the state record: May 22, 2025

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

“The files of the following staff contained clearances and/or verification certificates which were renewed after the expiration date of the previous clearance/certificate: staff #1's PA criminal history clearance (9/9/2019 & 12/31/2024), staff #5's NSOR verification certificate (11/6/2019 & 12/3/2024), staff #7's PA criminal history clearance (11/18/2018 & 11/30/2023) and child abuse clearance (12/3/2018 & 12/8/2023), staff #12's child abuse clearance (6/10/2019 & 7/6/2024), staff #14's child abuse clearance (7/18/2019 & 7/26/2024), FBI clearance (7/16/2019 & 7/25/2024) and NSOR verification certificate (11/6/2019 & 11/27/2024), staff #21's NSOR verification certificate (11/6/2019 & 4/8/2025), staff #23's NSOR verification certificate (1/16/2020 & 1/30/2025), staff #24's NSOR verification certificate (11/6/2019 & 12/3/2024), staff #26's child abuse clearance (11/28/2019 & 12/6/2024), staff #28's NSOR verification certificate (2/3/2020 & 3/19/2025) The PA criminal history clearance of staff #5 was incomplete, lacking a dissemination date. The file of staff #15 contained a PA criminal history clearance (1/6/2019), child abuse clearance (8/20/2019), FBI clearance (8/29/2019) and NSOR verification certificate (11/6/2019) and the file of staff #16 contained a PA criminal history clearance (11/4/2019) and child abuse clearance (11/22/2019) but did not contain documentation of being renewed within the last 60 months. The NSOR verification certificate of staff #27 was dated 3/18/2025, after their start date with children (See LIS code sheet). The FBI clearance of staff #29 was dated 3/21/2025 more than 45 days from their state date with children (see LIS code sheet). The PA criminal history clearance of staff #31 was dated 5/1/2025 after their start date with children (see LIS code sheet) and did not contain documentation of submission.”

Correction date in the state record: May 22, 2025

3270.133(5) Original label

“The Little Critters classroom (room 402a) contained medication (labeled for specific children) which have expired: Tylenol (expiration 8/2024), Tylenol (expiration 3/2025), Tylenol (expiration 4/2025), Parent's Choice Pain Reliever (expiration 12/2024) and Motrin (expiration 11/2024). The Friends First B classroom (room 402e) contained expired Tylenol (expiration10/2024).”

Correction date in the state record: May 22, 2025

3270.133(6) Written consent

“The 4-Year-Old Preschool classroom (room 305) contained a bottle of Tylenol labeled with the name of a child but did not contain written consent from the parent.”

Correction date in the state record: May 22, 2025

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

“The files of the following staff contained health assessments which were updated more than 24 months from the prior: staff #2 (6/1/2022 & 3/9/2025), staff #7 (8/7/2022 & 11/26/2024), staff #11 (4/4/2022 & 12/26/2024), staff #12 (9/30/2022 & 3/9/2025), staff #15 (10/29/2021 & 11/8/2023), staff #21 (12/16/2022 & 3/21/2025) and staff #23 (3/31/2022 & 4/4/2024). The file of staff #27 was dated 3/12/2025, which was after their start date at the facility (see LIS code sheet).”

Correction date in the state record: May 22, 2025

3270.21 General Health and Safety

“A drawer in the small kitchen contained 2 sharp knives in an unlocked drawer. Due to the door of the kitchen being open, they were accessible to children in the facility. Outside in toddler play space, a child was seen playing in standing water in sink of the play kitchen.”

Correction date in the state record: May 22, 2025

3270.27(b) Plan reviewed/updated annually

“Documentation of a review and/or update to the facility emergency plan was dated 3/5/2025, but the facility lacked documentation of the previous review making it unable to determine if the current review and/or update was within 12 months of the prior.”

Correction date in the state record: May 22, 2025

3270.27(c) Training regarding plan

“The files of the following staff contained documentation of emergency plan dated 1/2/2024 and updated on 4/25/2025, more than 12 months from the prior: staff #1 through staff #10, staff #12 through staff #26 and staff #30. The file of staff #11 contained documentation of emergency plan training dated 1/2/2024 but did not have verification of updated training within 12 months.”

Correction date in the state record: May 22, 2025

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

“Pediatric first aid and pediatric CPR of staff #6 was renewed on 4/29/2025, which was after the 2/2025 expiration of the prior training.”

Correction date in the state record: May 22, 2025

3270.66(a) Locked or inaccessible

“Hand sanitizer was on a refrigerator and disinfecting wipes, labeled "keep out of the reach of children," were in an unlocked drawer in the School-Age classroom (room 404) accessible to children. Hand sanitizer, labeled "keep out of the reach of children," was stored in a drawer with a broken lock making it accessible to children in the Little Explorers classroom (room 402b). The open door to the small kitchen contained Lysol, disinfecting spray and additional cleaning products labeled "keep out of the reach of children" in the unlocked cupboard below the sink accessible to children. Desitin diaper cream, labeled "keep out of the reach of children," was stored in a drawer with a broken lock making it accessible to children in room 402c.”

Correction date in the state record: May 22, 2025

3270.71 Heat Source

“The door to the small kitchen was left open making the stove accessible to children.”

Correction date in the state record: May 22, 2025

3270.34(a)(6) Staff evaluations

“The file of staff #10 contained consecutive annual evaluations dated 12/20/2023 & 3/17/2025, staff #15's were dated 12/11/2023 & 3/21/2025 and staff #21 dated 12/1/2023 & 3/14/2025, all exceeding 12 months. The file of staff #16, employed for more than 12 months (see LIS code sheet), did not contain an annual evaluation.”

Correction date in the state record: May 22, 2025

3270.82(h) Handwashing signs

“A handwashing sign was not posted at the changing table in the Adventurers classroom (room 402c).”

Correction date in the state record: May 22, 2025

3270.102(a) Clean and good repair

“A plastic basket, which contained play instruments, in the All-Day Preschool classroom (room 303) was cracked. A plastic bin on a shelf in the Little Explorers classroom (room 402b) was cracked in the corner.”

Correction date in the state record: May 22, 2025

3270.104(a) Clean, good repair, proper size

“A shelf, which contained multiple bins of toys, was not stable and would sway to the right or left when touched in the 3 Day All Day classroom (room 201).”

Correction date in the state record: May 22, 2025

3270.107 Refrigerator

“The refrigerator in the School-Age classroom (room 202) did not contain a thermometer.”

Correction date in the state record: May 22, 2025

3270.111(b) Posted in group space

“A daily schedule was not posted in the School-Age classroom (room 404).”

Correction date in the state record: May 22, 2025

3270.123(a)(3) Services proceeded

“The file of child #1, #3, #4, #5 and #9, all enrolled for more than 12 months, contained current Child Service Reports which provide information to the family about the child's growth and development but did not contain the prior reports which were to be completed 6 months prior. Based on a conversation with staff #32, it is believed they were not completed due to changing assessment tools.”

Correction date in the state record: May 22, 2025

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

“The emergency contact form of child #6 did not contain the work addresses and work telephone numbers of the enrolling parents.”

Correction date in the state record: May 22, 2025

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

“The emergency contact form of child #2 and #6 did not contain an address of a release person.”

Correction date in the state record: May 22, 2025

3270.124(e) Written emergency plan posted

“A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in a conspicuous location in room 402a.”

Correction date in the state record: May 22, 2025

3270.131(b)(1) Infant: updated health report every 6 months

“The health assessments of the following children, identified as young toddlers at the time of the assessments (see LIS code sheet), were dated more than 6 months apart: child #3 (5/8/2023 and 4/15/2025), child #4 (3/15/2024 and 1/15/2025) and child #9 (3/19/2024 and 11/19/2024)”

Correction date in the state record: May 22, 2025

3270.133(3) Name on bottle

“In the Tiny Tots classroom (room 402g), The medication called "Genexa" was not labeled with the name of the child for whom it was intended.”

Correction date in the state record: May 22, 2025

3270.106(f) 2 feet apart

“In the infant room, an infant was observed to be sleeping in a crib which was placed against the wall and against another crib not allowing for 2 feet on three sides.”

Correction date in the state record: Jan 7, 2025

3270.32(a)/3270.192(2)(iii) Comply with CPSL/Exp, educ., training at facility

“The file of staff #3 contained mandated reporter training dated 11/3/2019, more than 60 months prior to the date of the inspection.”

Correction date in the state record: Nov 21, 2024

3270.94(a)(9) Written record

“Based on documentation and a conversation with staff #4, though the last documented fire drill was conducted on 4/24/2024, they did conduct fire drills, however, they forgot to document them on the fire drill log.”

Correction date in the state record: Jan 7, 2025

3270.31(f) Health and Safety Training

“The file of staff #1 contained training on the health and safety training topics listed in subsections (f)1-9 dated 4/23/2024, more than 90 days from their start date at the facility (see LIS code sheet). The file of staff #2, employed since 2018 (see LIS code sheet), contained training on the health and safety training topics listed in subsections (f)1-9 dated 10/23/2018 but did not include the 1-hour update (due by 12/30/2022), but completed the revised training which was dated 12/5/2023.”

Correction date in the state record: Jan 7, 2025

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

“Documentation of testing the fire detection system exceeded 30 days when tested on 6/12/2024 and 7/17/2024. Documentation of the most recent test of the system was dated 9/24/2024, which was more than 30 days prior to the date of the inspection.”

Correction date in the state record: Jan 7, 2025

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

“The disclosure statements for Staff #2 and Staff #11 are dated after the date they began caring for children. (see LIS code sheet). Staff #2's disclosure is dated 4/5/22 and Staff #11's disclosure is dated 6/29/23. The following clearances for Staff #11 were all dated after the date of hire/date of caring for children (see LIS code sheet): State Police 1/24/24, Child Abuse 7/5/23, DHS FBI 7/27/23, and NSOR 12/13/23. The State Police clearance for Staff #7 is dated more than 45 days from date of hire. (see LIS code sheet): State Police Clearance 3/27/23”

Correction date in the state record: May 1, 2024

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

“Staff #6 did not renew their certification in pediatric first aid and pediatric CPR on or before the expiration of the most current certification. Previous date 6/9/21, current pediatric first aid and pediatric CPR date 12/15/23 which was after the previous one expired.”

Correction date in the state record: May 1, 2024

3270.27(e) Letter to parents

“The Emergency Plan parent letter lacked plans for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.”

Correction date in the state record: Jun 30, 2024

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

“The facility did not have written policies to address the following: Recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma, Strategies for coping with a crying, fussing, or distraught child, and the prevention and identification of child maltreatment.”

Correction date in the state record: May 1, 2024

3270.31(f)(10) Health and Safety Training - Pediatric First Aid and CPR

“Staff person #3 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet):Pediatric first-aid/CPR Staff #3 completed it on 10/11/23. Staff person # 9, #10 did 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 #9 completed on 1/26/24, Staff #10 completed on 3/26/24.”

Correction date in the state record: May 1, 2024

3270.94(a)(1) Every 60 days

“The fire drill log on file included fire drills conducted 3/21/23-6/6/23, 8/2/23-10/25/23, and 10/25/23-1/4/24, more than 60 days apart.”

Correction date in the state record: May 1, 2024

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

“The facility's fire alarm test log documented testing of the fire alarm system between 4/8/23-5/10/23 and 11/23/23-1/24/23. These tests conducted were more than 30 days apart.”

Correction date in the state record: May 1, 2024

3270.34(a)(6) Staff evaluations

“The file for Staff #2 contained a staff evaluation that was greater than one year from date of hire. (see LIS code sheet) The file for Staff #6 did not contain a written evaluation for more than 12 months of employment. The current evaluation is dated 2/5/24 no other evaluations in file.”

Correction date in the state record: May 1, 2024

3270.51 Similar Age Level

“A child was observed in a room working with a therapist without a staff member present. There was no written permission from the parent for the child to attend therapy without staff present.”

Correction date in the state record: May 1, 2024

3270.65 Protective Outlet Covers 5 yrs. or less

“An outlet next to the diaper changing table in room 402a was accessible to children and lacked a protective receptacle cover. An outlet on the right side of door 11 was accessible to children and lacked a protective receptacle cover.”

Correction date in the state record: May 1, 2024

3270.66(a) Locked or inaccessible

“A drawer under the diapering table in room 402a was unlocked and contained toxics (diaper cream) accessible to children. Swiffer mop (with cleaning solution) was leaning against wall by the bathroom and accessible to children in room 402c. A Glade Plug-In air freshener was observed in the preschool-area girls' restroom and accessible to children. Hand sanitizer was observed on stand in a hallway accessible to children. In room 207, a bottle labeled "Pure Bright Bleach" was observed on a shelf (with black top) accessible to children.”

Correction date in the state record: May 1, 2024

3270.66(c) Toxic use- no contamination

“Doll clothes accessible to children in room 203 were wet and staff confirmed that they had been sprayed with disinfecting spray.”

Correction date in the state record: May 1, 2024

3270.71 Heat Source

“A kitchen with a stove was accessible to children from the gym because the door was unlocked.”

Correction date in the state record: May 1, 2024

3270.75(c) Has all items

“The first-aid kit in room 402(b) did not contain disposable, nonporous gloves. The first-aid kit in the backpack in room 201 did not contain tweezers.”

Correction date in the state record: May 1, 2024

3270.76 Building Surfaces

“A metal downspout in the courtyard play space was partly detached with sharp edges exposed. Wall in the hallway outside of room 305 and men's room was observed to have a brown substance dripping from ceiling tiles. In room 203, a rug (alphabet themed) was observed to be curling at the bottom right corner, creating a tripping hazard. In room 202, a white air register under the window had detached from wall, leaving peeling paint exposed and accessible to children. In the preschool hallway by the girls' restroom, a baseboard was peeling away from the wall. In room 207, the baseboard is peeling away under the dry-erase board. In room 303, the toilet paper holder had detached from bathroom wall leaving exposed, cracking plaster. There were 9 ceiling tiles in the classroom that were stained with water damage. In the bathroom attached to room 301, bolts on toilet were exposed.”

Correction date in the state record: Jun 30, 2024

3270.81 Glass

“There were no visual strips present on glass exit doors by school-age room 207.”

Correction date in the state record: Jun 30, 2024

3270.82(h) Handwashing signs

“A handwashing sign was not posted at the classroom sink in room 402b. A handwashing sign was not posted at the training urinal in the bathroom attached to room 402c.”

Correction date in the state record: May 1, 2024

3270.82(i) Lidded waste receptacles

“In the kitchen food preparation/sink area there was a garbage can with no lid.”

Correction date in the state record: May 1, 2024

3270.91(a) Stairs, exits, etc. unobstructed

“The hallway leading from the classrooms to the courtyard play space was obstructed with umbrellas and toys.”

Correction date in the state record: May 1, 2024

3270.103 Small Toys and Objects

“Foam blocks with teeth marks were observed in rooms 201and 402b where children are putting things in their mouths. Foam shapes with teeth marks were observed in room (203) where children are putting things in their mouths.”

Correction date in the state record: May 1, 2024

3270.106(a) Clean, age appropriate

“In room 402(d), rest equipment was observed for four children and six children were in care. Staff stated that cribs are shared and children do not nap at the same time. Individual rest equipment must be provided for each child.”

Correction date in the state record: May 1, 2024

3270.107 Refrigerator

“In room 203, there was no thermometer present in the refrigerator.”

Correction date in the state record: May 7, 2024

3270.113(a) Supervised at all times

“A child was observed in a room working with a therapist without a staff member present. There was no written permission from the parent for the child to attend therapy without staff present.”

Correction date in the state record: May 1, 2024

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

“A child was observed in a room working with a therapist without a staff member present. There was no written permission from the parent for the child to attend therapy without staff present.”

Correction date in the state record: May 1, 2024

3270.123(b)/3270.182(8) Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

“In child files #1-10 The facility had retained the original agreement and was giving the parents a copy of the agreement.”

Correction date in the state record: May 1, 2024

3270.124(a) Each child emergency contact person

“There were no emergency contact forms for one child receiving care in room 402d, and one child receiving care in room 201.”

Correction date in the state record: May 7, 2024

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

“The most recent 6 month review signature for the emergency contact form on file for Child #6, #9, and #10 is dated more than 6 months after the previous 6 month review signature. Child #6 dates 8/29/23-4/2/24, Child #9 dates 8/14/23-3/22/24, and Child #10 dates 1/10/23-3/21/24. The file for Child #6, #9, and #10, included parental review signatures that were dated more than 6 months apart for the 6 month review signature for the agreement. Dates for child #6 8/29/23-4/2/24, Dates for child #9 8/14/23-3/22/24, Dates for Child #10 8/31/23-3/21/24.”

Correction date in the state record: May 1, 2024

3270.183(a) Locked cabinet

“The child files were observed to be in assistant director's office in a file cabinet that did not lock.”

Correction date in the state record: Jun 30, 2024

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

“The Mantoux tuberculosis screening dates for Staff #1, Staff #5, Staff #8, and Staff #11 are after the date of hire/date of caring for children. (See LIS code sheet) Staff #1 test dated 11/12/23, Staff #5 Test dated 10/19/21, Staff #8 test dated 11/10/23, Staff #11 test dated 7/27/23. The Mantoux tuberculosis test for Staff #2 is greater than one year prior to date of hire.(See LIS code sheet) TB Test is dated 12/31/18.”

Correction date in the state record: Jun 30, 2024

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

“The initial health assessments for Staff #1, Staff #8, and Staff #11were dated after the dates of hire/dates of caring for children. (See LIS code sheet) Health assessment for staff #1 dated 11/13/23, Staff #8 dated 11/10/23, Staff #11 dated 7/27/23. The current health assessment for Staff #4 and Staff #5 is dated more than 24 months from the previous health assessment. Staff #4's previous assessment is dated 1/20/22, current assessment is dated 2/28/24. Staff #5's previous assessment is dated 10/19/21 and current assessment is dated 12/11/23.”

Correction date in the state record: May 1, 2024

3270.134(a) Child's hands washed

“In room 202, children woke up from nap and went directly to snack without proper handwashing.”

Correction date in the state record: May 1, 2024

3270.131(c)/3270.182(1) Completed or signed by physician, PA, or CRNP/Initial and subsequent health reports

“The initial and only health report in child #1's file was not signed and dated by a medical professional.”

Correction date in the state record: Jun 30, 2024

3270.131(b)(2) Toddler/preschool: updated health report every 12 months

“The file for Child #2 contained health reports in an interval greater than 12 months. Health Reports were dated 5/23/22-7/21/23(SEE LIS CODE SHEET)”

Correction date in the state record: May 1, 2024

3270.102(a) Clean and good repair

“A padded mat on the far wall of the gym was observed to have peeling vinyl on the surface. An orange bin in room 201 was cracked with sharp edges. A blue bin containing lacing toys and a gray bin containing toy food in room 301 were observed to be cracked, creating sharp edges.”

Correction date in the state record: May 1, 2024

3270.131(e)(3) Dismissal policy

“The immunization record for Child #1, an older toddler age child was lacking one dose of MMR and one dose of Varicella. The immunization record for Child #2 and #3, both preschool aged children, were lacking one dose of DTAP, HIB, PCV, MMR, Varicella, and HEP A.”

Correction date in the state record: Apr 29, 2024

3270.131(d)(5) Immunization record

“The immunization record for Child #1, an older toddler age child was lacking one dose of MMR and one dose of Varicella. The immunization record for Child #2 and #3, both preschool aged children, were lacking one dose of DTAP, HIB, PCV, MMR, Varicella, and HEP A.”

Correction date in the state record: Apr 29, 2024

3270.103 Small Toys and Objects

“A small green ball, less than an inch in diameter, was in a bin by an adult chair, accessible to children who are still placing objects in their mouths in classroom 402a. Plastic bags were accessible in an unlocked cabinet under the sink in classroom 402a. In classroom 402d, ABC and 123 foam letters were accessible to children still placing objects in their mouths.”

Correction date in the state record: May 4, 2023

3270.82(i) Lidded waste receptacles

“The facility had 5 restrooms which were not equipped with a lidded waste receptacle.”

Correction date in the state record: May 8, 2023

3270.66(a) Locked or inaccessible

“Classroom 402a contained a cabinet with a broken lock allowing dish soap, lotion, and hand sanitizer, all labeled "keep out of the reach of children," accessible to children.”

Correction date in the state record: May 5, 2023

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

“The file of child #2, identified as a young toddler, contained a health assessment dated 6/15/2022 but did not contain an updated health assessment within 6 months and child #10, also identified as a young toddler, contained health assessments dated 1/12/2022 and 1/5/2023, exceeding 6 months.”

Correction date in the state record: May 18, 2022

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

“The file of child #3, identified as a preschool age child (see coded LIS sheet), contained a health assessment dated 8/4/2021 but did not contain documentation of an updated health assessment within 12 months. The file of child #8, now identified as a preschool age child, contained a most recent health assessment dated 12/6/2021, lacking a current health assessment.”

Correction date in the state record: Apr 18, 2023

3270.131(d)(5)/3270.131(e)(3) Immunization record/Dismissal policy

“The files of child #6, #8, and #9 contained documentation of the child's immunization records which were not in accordance with the recommendations of the ACIP nor were acceptable exemptions present in the file.”

Correction date in the state record: May 17, 2023

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

“The files of the following facility persons contained health assessments which exceeded 24 months: #1 (2/18/2020 and 4/25/2022), #3 (9/9/2020 and 12/16/2022), #4 (3/13/2019 and 2/7/2023), #5 (2/26/2020 and 3/31/2022), #6 (2/4/2020 and 3/31/2022). The initial health assessment of facility person #10 was dated 4/19/2021, which is more than 12 months prior to their start date at the facility (see coded LIS sheet). The health assessments of facility persons #7 and #14 were incomplete lacking explanations regarding communicable disease.”

Correction date in the state record: May 15, 2023

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

“The file of facility person #10 contained documentation of a tuberculosis screening dated 9/11/2016 which was more than 12 months prior to their start date at the facility (see coded LIS sheet).”

Correction date in the state record: May 15, 2023

3270.181(c) Emergency info/agreement updated 6 mos

“Documentation of the dated reviews and/or updates to the financial agreements and emergency contacts of child #4 and #6 exceeded 6 months.”

Correction date in the state record: May 8, 2023

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

“Documentation of education was on file for faciltiy person #8 (diploma) and #10 (CDA), both identified as assistant group supervisors, but did not contain documented experience with children to qualify them for their positions.”

Correction date in the state record: May 5, 2023

3270.192(5) Two written references

“The file of faciltiy person #11 contained 1 of 2 written nonfamily references.”

Correction date in the state record: May 8, 2023

3270.31(f)(10) Health and Safety Training - Pediatric First Aid and CPR

“Documentation of pediatric first aid and pediatric CPR for facility person #9 was dated 8/18/2021 but was not completed by an approved (PQAS) instructor. Facility person #9 took the acceptable training on 4/13/2023, but it was more than 90 days from their date of hire (see coded LIS sheet).”

Correction date in the state record: May 15, 2023

3270.25(a) Availability of certificate of compliance and applicable regulations

“The certificate of compliance with an expiration date of 7/18/2022 was posted at the facility.”

Correction date in the state record: May 5, 2023

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

“The initial health assessment of child #6 was dated 1/18/2023, more than 60 days from their start date at the facility (see coded LIS sheet).”

Correction date in the state record: May 5, 2023

3270.34(a)(6) Staff evaluations

“The written evaluations by the director for facility persons #1 and #3 exceeded 12 months. The written evaluations for facility persons #2 and #5, both employed for over 2 years, contained one evaluation each dated early 2023 with no prior evaluations (see coded LIS sheet).”

Correction date in the state record: May 4, 2023

3270.32(a) Comply with CPSL

“The file of facility person #5 contained a child abuse clearance dated 10/18/2016 and updated 1/20/2023, exceeding 60 months. The receipt of submission for the NSOR verification certificate for facility person #13 was dated 2/10/2023, which was after their start date with children (see coded LIS sheet). The file of facility person #14 contained a completed PDE FBI clearance and did not contain the required FBI clearance.”

Correction date in the state record: May 15, 2023

3270.32(a)/3270.192(2)(iii) Comply with CPSL/Exp, educ., training at facility

“The file of facility person #12 contained documentation of mandated reporter dated 3/19/2023, which was more than 90 days from their date of hire at the facility (see coded LIS sheet).”

Correction date in the state record: May 15, 2023

3270.31(f) Health and Safety Training

“Staff person #12 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and safety topics.”

Correction date in the state record: May 15, 2023

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

“The emergency plan did not include a contingency plan or contingency fund which can help strategize how to pay for repairs, pay staff, and continue to run the business after a disaster or emergency strikes the area.”

Correction date in the state record: May 11, 2023

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

“The emergency contact form of child #4 did not contain the addresses of the persons designated by the parent to whom the child may be released.”

Correction date in the state record: May 5, 2023

3270.124(b)(5) Information re: special needs

“The emergency contact forms of child #1, #2, #3, #5, #6, #7, #8, #9 and #10 did not contain information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation or documentation this is not applicable to the child.”

Correction date in the state record: May 9, 2023

3270.124(e) Written emergency plan posted

“A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the gym.”

Correction date in the state record: Apr 25, 2023

3270.123(a)(6) Admission date

“The financial agreement of child #1 did not contain the child's date of admission.”

Correction date in the state record: May 5, 2023

3270.102(a) Clean and good repair

“A climber with a slide in the preschool play space was in poor repair as areas of the platform were cracking.”

Correction date in the state record: May 5, 2023

3270.27(b) Plan reviewed/updated annually

“Emergency plan was last reviewed/updated on 1/20/21, which is more than a year ago.”

Correction date in the state record: May 27, 2022

3270.27(c) Training regarding plan

“The file for staff person #3 and #8 completed emergency plan training on 1/3/22, which is not at initial hire (SEE LIS code sheet for Hire Date). The file for staff person #5, #9, #11, and #12 lacked emergency plan training (SEE LIS code sheet for Hire Date).”

Correction date in the state record: Jun 3, 2022

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

“The file for staff person #15 completed pediatric first-aid and CPR training on 2/6/20 and 3/31/22, which was after the previous training had expired.”

Correction date in the state record: Jun 3, 2022

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

“The file for staff person #7 completed fire safety training on 8/16/20 and 3/31/22, which is not annually.”

Correction date in the state record: Jun 3, 2022

3270.31(f) Health and Safety Training

“The file for staff person #9, #13, and #15 lacked the preservice health and safety training topics 1-9 within 90 days of hire (SEE LIS CODE Sheet for Hire Date). The file for staff person #14 contained health and safety training topics 1-9 completed on 8/15/16, which is before the accepted date. The file for staff person #16 contained health and safety training topics 1-9 completed on 9/4/16, which is before the accepted date.”

Correction date in the state record: Jun 3, 2022

3270.32(a)/3270.192(2)(iii) Comply with CPSL/Exp, educ., training at facility

“The file for staff person #13 lacked mandated reporter training within 90 days of hire(SEE LIS Code Sheet for Hire Date).”

Correction date in the state record: Jun 3, 2022

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

“The file for staff person #10 had documentation of applying for the National Sex Offender Registry Certificate, had no certificate on file within the 45 days provisional hire period (SEE LIS Code Sheet for Hire Date). The file for staff person #13 lacked a State Police clearance.”

Correction date in the state record: Jun 3, 2022

3270.34(a)(6) Staff evaluations

“The file for staff person #1 lacked a staff evaluation (SEE LIS Code Sheet for Hire Date). The file for staff person #4 had an evaluation completed on 12/1/20 and 12/15/21, which is not every 12 months. The file for staff person #6 had an evaluation completed on 6/20/19 and 6/10/21, which is not every 12 months. The file for staff person #15 had an evaluation completed on 4/4/22, which was not completed within 12 months of hire (SEE LIS Code Sheet for Hire Date).”

Correction date in the state record: Jun 3, 2022

3270.75(b) Inaccessible to children

“It was observed that the first-aid kit was accessible to the children in room 203.”

Correction date in the state record: Jun 3, 2022

3270.75(c) Has all items

“The first-aid kit in room 305 lacked soap.”

Correction date in the state record: Jun 3, 2022

3270.91(a) Stairs, exits, etc. unobstructed

“It was observed in room 402d that the door was blocked with a highchair on one side and a cart on the other. In room 304 it was observed that a doorway was blocked with a large black Lego bin.”

Correction date in the state record: Jun 3, 2022

3270.102(a) Clean and good repair

“It was observed outside in the playspace, that the pink playhouse was cracked by the window and the picnic table was cracked along the bench causing them to have pinch points. The wooden playhouse was splintering by the window.”

Correction date in the state record: Jun 3, 2022

3270.111(b) Posted in group space

“The gym lacked a daily activities plan posted.”

Correction date in the state record: Jun 3, 2022

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

“The emergency contact form for child #2 lacked the physician's address.”

Correction date in the state record: Jun 3, 2022

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

“The emergency contact form for child #2, child #3, and child #4 lacked the enrolling parent's work address and work phone number.”

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

“The emergency contact form for child #4 lacked the release person's address.”

Correction date in the state record: Jun 3, 2022

3270.124(e) Written emergency plan posted

“The gym lacked an emergency transportation plan posted.”

Correction date in the state record: Jun 3, 2022

3270.131(d)(5) Immunization record

“The immunization record for child #1 lacked an influenza vaccination in accordance with the ACIP.”

Correction date in the state record: Jun 3, 2022

3270.133(5) Original label

“It was observed in room 402e Tylenol had expired on 11/21, in room 402g Tylenol had expired on 12/21, and in room 203 Mupirocin expired on 2/22.”

Correction date in the state record: Jun 3, 2022

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

“The file for staff person #1 contained an initial health assessment dated for 9/19/19, which is more than 12 months prior to initial service (SEE LIS Code Sheet for Hire Date).”

Correction date in the state record: Jul 1, 2022

3270.171(c) Safe routes posted

“Facility lacked written notification of safe routes posted by the operator at a conspicuous location in the child care facility.”

Correction date in the state record: Jun 3, 2022

3270.192(4) CPSL information

“The file for staff person #1 lacked a disclosure statement signed at initial hire. The file for staff person #13 and #17 lacked a signed disclosure statement.”

Correction date in the state record: Jun 3, 2022

3270.192(5) Two written references

“The file for staff person #13 and #17 lacked two written references.”

Correction date in the state record: Jun 3, 2022

3270.27(a)(5) Emergency plan

“The emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.”

Correction date in the state record: May 27, 2022

3270.27(a)(6) Emergency plan

“Director stated that an emergency drill had not been completed to date.”

Correction date in the state record: May 27, 2022

3270.31(f)(10) Health and Safety Training - Pediatric First Aid and CPR

“The file for staff person #2, #9, and #13 completed pediatric first aid and CPR on 3/16/22, which was more than 90 days after hire (SEE LIS Code Sheet for Hire Date).”

Correction date in the state record: Jun 3, 2022

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

“Facility had annual testing of the inter-connected smoke alarms on 3/19/21 and 4/8/22, which is not annually.”

Correction date in the state record: May 27, 2022

3270.131(a) Health information

“The health assessment for child #3 was dated for 3/26/22, which is more than 60 days following the first day of attendance at the facility. (SEE LIS CODE SHEET FOR START DATE)”

Correction date in the state record: Jun 3, 2022

3270.18(a) On file at facility

“Facility lacked liability insurance on file at the facility.”

Correction date in the state record: May 27, 2022