Steps To Success

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

“On 7/30/26, child 1 was left sleeping in their crib during a fire drill for approximately 2.5 minutes. Staff noticed the child was missing when they reached the meeting point and returned to the classroom for the child.”

Correction date in the state record: Aug 17, 2026

3270.182(3)/3270.182(5) Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

“On 7/15/26, it was observed that the emergency contact information for child 1 did not include signed parent consent for emergency medical care or minor first aid.”

Correction date in the state record: Jul 17, 2026

3270.111(c) Promote development

“On 3/2/26, it was confirmed through staff interviews that staff person 1 put their hand over a child's mouth while they were screaming during naptime, to remind them to be quiet.”

Correction date in the state record: Mar 3, 2026

3270.181(c) Emergency info/agreement updated 6 mos

“The emergency contact forms and agreements on file for children #2 and #3 were not updated timely during the previous year. The forms were signed/dated in September of 2024 and then updated more than 6 months later in April/May of 2025.”

Correction date in the state record: Oct 14, 2025

3270.31(f) Health and Safety Training

“Staff person #3 completed the health and safety training (part 2) 107 days after the date of hire. Staff person #7 completed the health and safety training (part 2) 97 days after the date of hire.”

Correction date in the state record: Oct 14, 2025

3270.106(f) 2 feet apart

“Koalas and Wallabys - Children were observed sleeping/resting on equipment that had less than 2 feet of space on three sides. (CORRECTED ON SITE)”

Correction date in the state record: Oct 14, 2025

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

“Staff persons #1 and #2 were present with a group of 8 infants. Staff person #1 identified 3 children as being in her primary care group, and staff person #2 identified 4 of the children as being in her primary care group. 1 child was unaccounted for in the care groups.”

Correction date in the state record: Oct 14, 2025

3270.123(a)(1) Amount of fee

“The agreement on file for child #3 did not specify the amount of the fee to be charged per day or per week.”

Correction date in the state record: Oct 14, 2025

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

“The health reports on file for child #1 (young toddler) were dated in August of 2024 and subsequently more than 6 months later in August of 2025.”

Correction date in the state record: Oct 14, 2025

3270.133(3) Name on bottle

“A container of Tylenol located in the Owls room was not labeled with the name of the child.(CORRECTED ON SITE)”

Correction date in the state record: Oct 14, 2025

3270.65 Protective Outlet Covers 5 yrs. or less

“An outlet in the girl's bathroom was uncovered. (CORRECTED ON SITE) An outlet in the wallaby room was uncovered. (CORRECTED ON SITE)”

Correction date in the state record: Oct 14, 2025

3270.75(c) Has all items

“The first aid kit in the koalas room did not contain scissors. (CORRECTED ON SITE) The first aid kit in the bunnies room did not contain gloves. (CORRECTED ON SITE)”

Correction date in the state record: Oct 14, 2025

3270.32(a) Comply with CPSL

“The DHS FBI clearance on file for staff person #12 expired on 10/5/25 (dated 10/5/2020). The staff person worked in a child care position with an expired clearance on file.”

Correction date in the state record: Oct 14, 2025

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

“Staff persons #1's updated health assessment was not obtained timely during the past year. The health assessments on file were dated in March of 2023 and subsequently more than 24 months later in April of 2025. Staff persons #5's updated health assessment was not obtained timely during the past year. The health assessments on file were dated in November of 2022 and subsequently more than 24 months later in July of 2025. The staff person transferred to this location in June of 2025.”

Correction date in the state record: Oct 14, 2025

3270.76 Building Surfaces

“The ceiling vents were dusty in the pandas, bunnies, and jungle friends rooms.”

Correction date in the state record: Oct 28, 2025

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

“Staff person #9 completed fire safety training in February of 2024 and subsequently more than 12 months later in March of 2025. Staff person #11 completed fire safety training in March of 2024 and subsequently more than 12 months later in September of 2025. Staff person #12 completed fire safety training in July of 2024 and subsequently more than 12 months later in September of 2025.”

Correction date in the state record: Oct 14, 2025

3270.27(c) Training regarding plan

“Staff persons #1, #2, #4, #6, #7, #9, #10, #11. #12, and #13 were trained on the emergency plan in February of 2024, and subsequently more than 12 months later in August of 2025.”

Correction date in the state record: Oct 14, 2025

3270.32(a) Comply with CPSL

“The NSOR on file for staff person #1 expired on 4/8/2025 (dated 4/8/2020) and an updated clearance was not obtained until 6/3/2025. The staff person worked with an expired clearance on file. Staff person #4 had an incomplete state police clearance on file. The form did not include the dissemination date. (CORRECTED ON SITE)”

Correction date in the state record: Jul 25, 2025

3270.192(5) Two written references

“The records for staff persons #5 and #6 each included just one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.”

Correction date in the state record: Aug 7, 2025

3270.102(e)/3270.103 Infant/toddler - no material less than 1 inch/Small Toys and Objects

“Mulch was observed in an area accessible to the toddlers that were doing water play.”

Correction date in the state record: Jul 25, 2025

3270.133(7) Medication log

“Pandas - A medication (albuterol via nebulizer) was on site for child #1. Staff reported administering the medication, but did not record the administration of the medication on the medication log which was in the child's file in the office.”

Correction date in the state record: Jul 25, 2025

3270.151(c)(5) Physician/CRNP assessment

“The health assessments on file for staff persons #2 and #3 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.”

Correction date in the state record: Jul 25, 2025

3270.76 Building Surfaces

“At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.76 on SIN-00255953 had not been fully implemented. On 12/20/24, the fan was again observed in an area accessible to the children in the Koala room. The barrier of the fan was wide enough for children to put their fingers through to where the blades spin. (CORRECTED ON SITE)”

Correction date in the state record: Dec 26, 2024

3270.77(a) No peeling paint or plaster

“At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.77a on SIN-00255953 had not been fully implemented. On 12/20/24, areas of peeling paint were again observed on the walls in the Panda room and in the Ocean Friends room.”

Correction date in the state record: Dec 26, 2024

3270.75(b) Inaccessible to children

“Koalas- The first aid kit was in an unlocked backpack that was hanging on a low hook within reach of the children. (CORRECTED ON SITE)”

Correction date in the state record: Dec 27, 2024

3270.32(a) Comply with CPSL

“At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.32(a) on SIN-00255953 had not been fully implemented. On 12/20/24, facility person 2 has been employed for more than 45 days. The record still did not include a completed NSOR.”

Correction date in the state record: Jan 6, 2025

3270.183(a)/3270.193(a) Locked cabinet/Confidential; stored in locked cabinet

“The filing cabinet containing child and staff files were unlocked at the time of inspection.”

Correction date in the state record: Dec 26, 2024

3270.124(c)/3270.181(e) Each child care space/Emergency master file updated

“Koalas - The emergency contact forms located in the go-bag did not include forms for 4 of the children present with the group (children 1-4)”

Correction date in the state record: Dec 10, 2024

3270.123(a)(4) Arrival/departure times

“The agreements on file for children 6 and 7 did not shall specify the child's arrival and departure times.”

Correction date in the state record: Dec 12, 2024

3270.103 Small Toys and Objects

“Straw (hay) was observed in the sensory table in a toddler room. Pieces were less than an inch in diameter.”

Correction date in the state record: Dec 6, 2024

3270.77(a) No peeling paint or plaster

“Areas of peeling paint were observed on the walls in the Panda room and in the Ocean Friends room.”

3270.76 Building Surfaces

“A fan was observed in an area accessible to the children in the Koala room. The barrier of the fan was wide enough for children to put their fingers through to where the blades spin.”

3270.75(b) Inaccessible to children

“Pandas - The first aid kit was in an unlocked backpack that was sitting on the floor within reach of the children. (CORRECTED ON SITE)”

Correction date in the state record: Dec 10, 2024

3270.131(a) Health information

“The initial health report on file for child 5 was dated 72 days following the first day of attendance at the facility.”

Correction date in the state record: Dec 12, 2024

3270.65 Protective Outlet Covers 5 yrs. or less

“An uncovered outlet was observed in the Ocean Friends room. The outlet was within reach of the toddlers that use the space. (CORRECTED ON SITE)”

Correction date in the state record: Dec 10, 2024

3270.32(a) Comply with CPSL

“The disclosure statement on file for staff person 1 was undated. (CORRECTED ON SITE) Facility person 2 has been employed for more than 45 days. The record did not include a completed NSOR.”

3270.95(a) Devices must be compliant

“The fire detection system was manually tested on 9/27/24, and subsequently more than 30 days later on 10/31/24.”

Correction date in the state record: Dec 13, 2024

3270.171(c) Safe routes posted

“Written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility.”

Correction date in the state record: Dec 12, 2024

3270.131(e)(1)/3270.131(e)(3) Exemption documentation from parent/guardian/Dismissal policy

“The immunization records on file for children 5, 6, and 8 were not in accordance with the schedule recommended by the ACIP. Child 5 - Documentation of 6 month immunizations past due Child 6 - Documentation of 2nd dose of Hepatitis A past due Child 8 - Documentation of 4th dose of DTAP past due”

Correction date in the state record: Dec 17, 2024

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

“The updated health report was not obtained timely for child 8 (preschooler). The health reports were dated May of 2023 and more than 12 months later in July of 2024.”

Correction date in the state record: Dec 12, 2024

3270.66(a) Locked or inaccessible

“A magic eraser was observed on the counter in the Ocean Friends room during two separate visits to the room. (CORRECTED ON SITE)”

Correction date in the state record: Dec 10, 2024

3270.123(a)(3) Services proceeded

“At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.123(a)(3) on SIN-00243527 had not been fully implemented. On 7/25/24, the facility did not have documentation that they were providing the families of children 1,5, 6, 8 information about the child's growth and development in the context of the services being provided (via Child Service Reports or any other approved form) at least once every six months.”

Correction date in the state record: Aug 12, 2024

3270.106(a) Clean, age appropriate

“At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.106(a) on SIN-00243527 had not been fully implemented. On 7/25/24, the rest equipment located in the Ocean Friends room was not labeled for the use of a specific child.”

Correction date in the state record: Jul 30, 2024

3270.27(c) Training regarding plan

“At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.27(c) on SIN-00243527 had not been fully implemented. On 7/25/24, the facility was unable to provide documentation that staff person 10 had been trained on the emergency plan. The staff person has been employed for more than 90 days.”

Correction date in the state record: Jul 31, 2024

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

“At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.31(e)(4)(ii) on SIN-00243527 had not been fully implemented. On 7/25/24, the record for staff person 4 did not include documentation of fire safety training during the previous year.”

Correction date in the state record: Jul 31, 2024

3270.32(a) Comply with CPSL

“The facility did not have files for staff persons 25 and 26 that contained completed child abuse, criminal history, DHS FBI clearance, and NSOR certificate information required under the CPSL and did not contain a copy of a request for the NSOR certificate, the criminal history clearance, nor documentation the facility person had been fingerprinted for the FBI clearance required for provisional hiring under the CPSL. (CORRECTED ON SITE) Records for staff persons 25 and 26 did not include a signed disclosure that was completed with facility staff prior to working at the facility. (CORRECTED) At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.32(a) on SIN-00243527 was not being implemented. The director had not submitted all new staff members files to certification for approval prior to the staff caring for children as specified in the directed plan of correction. Staff #25, 26, and 27 had cared for children at the facility without the files being reviewed and approved.”

Correction date in the state record: Oct 31, 2024

3270.102(a) Clean and good repair

“At least two torn nap mats with foam exposed were observed in the Ocean Friends room.”

Correction date in the state record: Jul 30, 2024

3270.192(5) Two written references

“At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.192(5) on SIN-00243527 had not been fully implemented. On 7/25/24, the record for staff person 13 included only 1 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The record for staff person 16 did not include 2 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.”

Correction date in the state record: Jul 31, 2024

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

“Staff person 26 is serving as an AGS at the facility. The staff record did not include documentation of education (HS diploma). At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.192(2)(ii) on SIN-00243527 had not been fully implemented. On 7/25/24, the following staff records did not include the required documentation of experience: The record for staff person 1 did not include sufficient documentation to justify the role she is serving in (AGS). The record included documentation of education, but did not include documentation of 2,500 hours of child care experience. Staff persons 3 and 7 were previously aides at the facility. During the previous year, they were moved to assistant group supervisor positions. Their records did not include documentation of child care experience needed to justify the role they are serving in. The record for staff person 9 did not include sufficient documentation to justify the role she is serving in (AGS). The record included documentation of education (15 college credits in listed fields), but did not include documentation of 1,250 hours of childcare experience. 654 hours of child care experience were documented. The record for staff person 11 did not include sufficient documentation to justify the role she is serving in (AGS). The record included documentation of education, but did not include documentation of 2,500 hours of childcare experience. The record for staff person 12 did not include sufficient documentation to justify the role she is serving in (GS). The record included documentation of education (Associate's Degree in Human Services), but did not include documentation of 2,500 hours of child care experience. The record for staff person 16 did not include sufficient documentation to justify the role she is serving in (AGS). The record did not include documentation of education or of child care experience.”

Correction date in the state record: Jul 31, 2024

3270.191 Individual Records

“At the time of inspection, the facility did not have individual records for staff persons 25 and 26. The individuals were serving as staff substitutes from another company. (CORRECTED ON SITE)”

Correction date in the state record: Jul 25, 2024

3270.181(c)/3270.181(e) Emergency info/agreement updated 6 mos/Emergency master file updated

“The emergency contact forms present in the infant room (Owls) for children 9-12 were past due to be updated. The most recent parent signatures were more than 6 months old.”

Correction date in the state record: Aug 16, 2024

3270.166(4) Bottles labeled

“At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.166(4) on SIN-00243527 had not been fully implemented. On 7/25/24, at least 3 bottles in the infant room were not labeled with the child's name.”

Correction date in the state record: Aug 9, 2024

3270.124(c) Each child care space

“At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.124(c) on SIN-00243527 had not been fully implemented. On 7/25/24, the emergency contact binder did not include all of the emergency contact forms for the children that were present with the group.”

Correction date in the state record: Aug 9, 2024

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

“At the time of the renewal inspection follow up visit to verify corrections, the plan of corrections for the violation citing 3270.124(b)(7) on SIN-00243527 had not been fully implemented. On 7/25/24, the emergency contact information on file for child 5 did not include an address for a listed release person.”

Correction date in the state record: Jul 31, 2024

3270.161(a) Wholesome

“On 5/17/24, milk labeled "sell by 4/27" was observed in a refrigerator in the Ocean Friends room.”

Correction date in the state record: May 31, 2024

3270.113(a) Supervised at all times

“Staff person throughout the facility were observed repeatedly checking and paying attention to their mobile devices (watches and cell phones) while they were supposed to be watching the children.”

Correction date in the state record: Jun 14, 2024

3270.51 Similar Age Level

“A child was dropped off into the Foxes room (young toddlers), putting them out of ratio for approximately 1 minute. A single staff person was present with 6 children.”

Correction date in the state record: Jun 14, 2024

3270.34(a)(1) Finances, meals, personnel

“The regulatory non-compliance cited on this inspection summary, on the renewal inspection from 4/17/24 (SIN-00243527), the complaint inspection summary from 4/18/24 (SIN-00242870), the incident investigation from 4/12/24 (SIN-00242443), unannounced monitoring from 4/12/24 (SIN-00242797), the unannounced monitoring from 4/5/24 (SIN-00242522), and the incident investigation from 4/5/24 (SIN-00242260) demonstrate that the facility director is not fulfilling responsibilities and minimum duties (re: personnel) as required per regulation.”

Correction date in the state record: Nov 30, 2024

3270.34(a)(1) Finances, meals, personnel

“The regulatory non-compliance cited on this inspection summary, on the renewal inspection from 4/17/24 (SIN-00243527), the complaint inspection summary from 4/18/24 (SIN-00242870), the incident investigation from 4/12/24 (SIN-00242443), unannounced monitoring from 4/12/24 (SIN-00242797), the unannounced monitoring from 4/5/24 (SIN-00242522), and the incident investigation from 4/5/24 (SIN-00242260) demonstrate that the facility director is not fulfilling responsibilities and minimum duties (re: personnel) as required per regulation.”

Correction date in the state record: Nov 8, 2024

3270.181(c) Emergency info/agreement updated 6 mos

“Updates of emergency contact information and financial agreements were not completed timely during the previous year. Child 1 - Emergency contact information updated 4/2023 and subsequently more than 6 months later in 1/2024. Child 3 - Financial agreement completed in November of 2022 and subsequently more than 6 months later in 10/23. Child 4 - Emergency contact information updated 8/2023 and subsequently more than 6 months later in 4/2024. The financial agreement was last signed more than 6 months ago in October of 2023. Child 8 - The emergency contact information was updated in April of 2023, and then more than 6 months later in April of 2024. The financial agreement was last signed more than 6 months ago in October of 2023.”

Correction date in the state record: Jun 14, 2024

3270.32(a) Comply with CPSL

“According to documentation on file at the time of inspection, when staff person #5 began work in the facility, the staff record did not contain a completed DHS FBI Clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The staff person was fingerprinted for the clearance the day after she started working with children. The clearance is now on file. According to documentation on file at the time of inspection, when staff person #8 began work in the facility, the staff record did not contain a completed Child Abuse clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The child abuse clearance was dated 10 days after start date, and the staff person was fingerprinted for the DHS FBI clearance 6 days after start date. Staff person 9 worked beyond a 45 day provisional hire period with incomplete clearances on file. The NSOR was dated 148 days after start date. According to documentation on file at the time of inspection, when staff person #11 began work in the facility, the staff record did not contain a completed Child Abuse clearance, either complete PA Criminal History clearance or a completed DHS FBI clearance, or a completed NSOR as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The staff person worked for a period of 4 months with no clearances on file. The staff person left employment at the facility, and was rehired approximately 5 months later with complete clearances on file. According to documentation on file at the time of inspection, when staff person #12 began work in the facility, the staff record did not contain a completed Child Abuse clearance as required under the CPSL. The clearance was dated 7 days after start date. According to documentation on file at the time of inspection, when staff person #13 began work in the facility, the staff record did not contain the applicable out of state clearances as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The clearances are still not on file. Staff person 14 serves in a position that is not eligible for provisional hiring under the CPSL. According to documentation on file at the time of inspection, when staff person #14 began work in the facility, the staff record did not contain a completed NSOR and completed out of state clearance requests as required under the CPSL. The NSOR was dated 154 days after start date, and the last of the out of state clearances were dated 15 days after start date. The facility failed to send in a rap sheet to the regional office for review. According to documentation on file at the time of inspection, when staff person #15 began work in the facility, the staff record did not contain a completed DHS FBI clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The staff person was fingerprinted for the clearance 227 days after start date and the clearance has since been obtained. According to documentation on file at the time of inspection, when staff person #16 began work in the facility, the staff record did not contain a completed Child Abuse clearance, either complete PA Criminal History clearance or a completed DHS FBI clearance, or a completed NSOR as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The state police clearance was dated 5 days after start date, the child abuse clearance was dated 49 days after start date, the DHS FBI clearance was dated 7 days after start date. An NSOR is still not on file. According to documentation on file at the time of inspection, when staff person #19 began work in the facility, the staff record did not contain a completed NSOR as required under the CPSL , nor did it contain a copy of the request for the NSOR as required for provisional hiring under the CPSL. The request was sent a day late, and the clearance has since been obtained.”

3270.32(a) Comply with CPSL

“According to documentation on file at the time of inspection, when staff person #5 began work in the facility, the staff record did not contain a completed DHS FBI Clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The staff person was fingerprinted for the clearance the day after she started working with children. The clearance is now on file. According to documentation on file at the time of inspection, when staff person #8 began work in the facility, the staff record did not contain a completed Child Abuse clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The child abuse clearance was dated 10 days after start date, and the staff person was fingerprinted for the DHS FBI clearance 6 days after start date. Staff person 9 worked beyond a 45 day provisional hire period with incomplete clearances on file. The NSOR was dated 148 days after start date. According to documentation on file at the time of inspection, when staff person #11 began work in the facility, the staff record did not contain a completed Child Abuse clearance, either complete PA Criminal History clearance or a completed DHS FBI clearance, or a completed NSOR as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The staff person worked for a period of 4 months with no clearances on file. The staff person left employment at the facility, and was rehired approximately 5 months later with complete clearances on file. According to documentation on file at the time of inspection, when staff person #12 began work in the facility, the staff record did not contain a completed Child Abuse clearance as required under the CPSL. The clearance was dated 7 days after start date. According to documentation on file at the time of inspection, when staff person #13 began work in the facility, the staff record did not contain the applicable out of state clearances as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The clearances are still not on file. Staff person 14 serves in a position that is not eligible for provisional hiring under the CPSL. According to documentation on file at the time of inspection, when staff person #14 began work in the facility, the staff record did not contain a completed NSOR and completed out of state clearances as required under the CPSL. The NSOR was dated 154 days after start date, and the last of the out of state clearances were dated 15 days after start date. The facility failed to send in a rap sheet to the regional office for review. According to documentation on file at the time of inspection, when staff person #15 began work in the facility, the staff record did not contain a completed DHS FBI clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The staff person was fingerprinted for the clearance 227 days after start date and the clearance has since been obtained. According to documentation on file at the time of inspection, when staff person #16 began work in the facility, the staff record did not contain a completed Child Abuse clearance, either complete PA Criminal History clearance or a completed DHS FBI clearance, or a completed NSOR as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The state police clearance was dated 5 days after start date, the child abuse clearance was dated 49 days after start date, the DHS FBI clearance was dated 7 days after start date. An NSOR is still not on file. According to documentation on file at the time of inspection, when staff person #19 began work in the facility, the staff record did not contain a completed NSOR as required under the CPSL , nor did it contain a copy of the request for the NSOR as required for provisional hiring under the CPSL. The request was sent a day late, and the clearance has since been obtained.”

3270.31(f) Health and Safety Training

“Staff person #13 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (1) Prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements. (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices. (3) Administration of medication, consistent with standards for parental consent. (4) Prevention of and response to emergencies due to food and allergic reactions. (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic. (6) Prevention of shaken baby syndrome and abusive head trauma. (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those terms under section 602(a)(1) of the [name] Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C.A. § 5195a(a)(1)). (8) Handling and storage of hazardous materials and appropriate disposal of biocontaminants. (9) Precautions when transporting children.”

3270.31(e)(4)(ii)/3270.192(2)(iii) Fire safety - 1 yr./Exp, educ., training at facility

“The records for staff person 4, and 20 did not include documentation of fire safety training during the previous year. Staff person 7 completed fire safety trainings in March of 2023, and then more than 12 months later in April of 2024. Staff person 22 completed fire safety trainings in September of 2022, and then more than 12 months later in March of 2024. Staff person 24 completed fire safety trainings in December of 2022, and then more than 12 months later in February of 2024.”

3270.27(c) Training regarding plan

“According to documentation on file at the time of inspection, staff person 7 was trained on the emergency plan in September of 2022, and then more than 12 months later in February of 2024. The facility was unable to provide documentation that staff persons 9 and 13 had been trained on the emergency plan at initial employment (within 90 days). The facility was unable to provide documentation that staff person 10 and 24 have been trained on the emergency plan. The staff persons have been employed for more than 90 days. According to documentation on file at the time of inspection, staff person 22 was last trained on the emergency plan in April of 2023.”

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

“Originals of incident reports were on file at the facility.”

Correction date in the state record: Jun 21, 2024

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

“The record for staff person 1 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education, but does not include documentation of 2,500 hours of child care experience. Staff persons 3 and 7 were previously aides at the facility. During the previous year, they were moved to assistant group supervisor positions. Their records did not include documentation of child care experience needed to justify the role they are serving in. The record for staff person 9 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education (15 college credits in listed fields), but does not include documentation of 1,250 hours of childcare experience. (Includes 654 hours of child care experience) The record for staff person 10 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education, but does not include documentation of 2,500 hours of childcare experience (2,197 hours on file). The record for staff person 11 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education, but does not include documentation of 2,500 hours of childcare experience. The record for staff person 12 does not include sufficient documentation to justify the role she is serving in (GS). The record includes documentation of education (AS in Human Services), but does not include documentation of 2,500 hours of child care experience. The record for staff person 15 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education, but does not include documentation of 2,500 hours of child care experience (1,905 hours on file). The record for staff person 16 does not include sufficient documentation to justify the role she is serving in (AGS). The record did not include documentation of education or of child care experience. The record for staff person 19 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education, but does not include documentation of 2,500 hours of child care experience (1,948 hours on file).”

3270.192(5) Two written references

“The record for staff person 13 included just 1 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The records for staff persons 15 and 16 did not include 2 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.”

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

“The facility's proof and date of purchase of the interconnected fire detection device or system was not located with the facility's fire drill logs.”

Correction date in the state record: Jun 21, 2024

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

“The emergency contact information on file for child 6 did not include the address for the child's physician or source of medical care. (CORRECTED ON SITE)”

Correction date in the state record: Jun 3, 2024

3270.123(a)(3) Services proceeded

“The facility did not have documentation that they were providing the families of children 1, 3-8 information about the child's growth and development in the context of the services being provided (via Child Service Reports or any other approved form) at least once every six months.”

3270.119 Infant sleep position

“An infant was observed sleeping in a swing from 10:06am until 10:15am when the staff person picked the child up to change their diaper.”

3270.124(c) Each child care space

“The emergency contact forms located in the Owls room were missing forms for 5 of the children that receive care in the space. Ocean Friends - The emergency contact binder taken to the playground did not include all of the emergency contact forms for the children that were present with the group.”

3270.111(b) Posted in group space

“A written plan of daily activities was not posted in the Ocean Friends room.”

3270.106(a) Clean, age appropriate

“The rest equipment located in the Ocean Friends room was not labeled for the use of a specific child .”

3270.102(a) Clean and good repair

“Toy bins in the Bunnies room were dirty. The stuffed animal toy bins in the Owl room were dirty Standing water was observed on the cover of the sand pit on the preschool playground.”

3270.78 Lighting

“The Bunnies room was not lit by artificial or natural light at naptime. (CORRECTED ON SITE)”

Correction date in the state record: Jun 14, 2024

3270.76 Building Surfaces

“Infant room - Sharp adult scissors were left out on a high chair tray in an area accessible to mobile infants. (CORRECTED ON SITE)”

3270.75(c) Has all items

“The first aid kit located in the Koalas room was missing tape.”

Correction date in the state record: Jun 14, 2024

3270.66(a) Locked or inaccessible

“Penguin room - Sanitizer and disinfectant were observed on the counter in an area accessible to the children in care.”

Correction date in the state record: Jun 4, 2024

3270.66(a)/3270.103 Locked or inaccessible/Small Toys and Objects

“An accessible / unlocked drawer in the Penguin room (young toddlers) contained sunscreen, plastic gloves, plastic bags, mini hair ties, and batteries.”

Correction date in the state record: Jun 7, 2024

3270.34(a)(6) Staff evaluations

“The records for staff persons 2, 4, 6, 17, 18 20, 21, and 22 did not include a staff evaluation from the previous 12 months.”

3270.131(e)(1)/3270.131(e)(3) Exemption documentation from parent/guardian/Dismissal policy

“The immunizations records on file for child 8 were not in accordance with the schedule recommended by the ACIP. The child has been enrolled for over a year, and the record did not include documentation of the child receiving the Hepatitis A vaccine, nor an appropriate exemption note. The information from the doctor's office stated that the parent refused the vaccine for the child. The child was still enrolled/attending the program at the time of inspection.”

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

“The initial health assessment on file for staff person 5 was not dated within the 12 months prior to initial service in the child care setting. The health assessment was dated 3 days after start date. The initial health assessment on file for staff person 11 was not dated within the 12 months prior to initial service in the child care setting. The health assessment was dated 131 days after start date. The initial health assessment on file for staff person 15 was not dated within the 12 months prior to initial service in the child care setting. The health assessment (with TB test results) was dated 14 months prior to initial service and was no longer valid at start date. Staff person 23's health assessment is past due to be updated. The previous health assessment was dated in 4/22 and is no longer valid.”

3270.151(c)(5) Physician/CRNP assessment

“The adult health assessment on file for staff person 9 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.”

Correction date in the state record: Jun 11, 2024

3270.152 Adult Hygiene

“A staff person in the infant room did not wash her hands before making a bottle, and then used her finger on top of the nipple to block the milk when shaking the bottle. A staff person in the infant room did not wash her hands after the conclusion of a diaper change. The staff person washed her hands in the middle of the diaper changing process, and then proceeded to touch items used during the diaper change (soiled/leaky diaper and paper barrier used during the change) to discard them. Hands were not washed after touching the soiled items.”

Correction date in the state record: Jun 11, 2024

3270.166(4) Bottles labeled

“Multiple bottles were not labeled in the infant room.”

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

“The emergency contact information on file for children 2 and 5 did not include addresses for listed release persons.”

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

“The emergency contact information on file for child 2 did not include the work telephone number of the enrolling parent. (CORRECTED ON SITE)”

Correction date in the state record: Jun 3, 2024

3270.124(b)(1) Child's name, birth date

“The emergency contact information on file for child 2 did not include the birth date of the child. (CORRECTED ON SITE)”

Correction date in the state record: Jun 3, 2024

3270.161(a) Wholesome

“On 5/17/24, milk labeled "sell by 4/27" was observed in a refrigerator in the Ocean Friends room.”

Correction date in the state record: May 31, 2024

3270.113(a) Supervised at all times

“Staff person throughout the facility were observed repeatedly checking and paying attention to their mobile devices (watches and cell phones) while they were supposed to be watching the children.”

Correction date in the state record: Jun 14, 2024

3270.51 Similar Age Level

“A child was dropped off into the Foxes room (young toddlers), putting them out of ratio for approximately 1 minute. A single staff person was present with 6 children.”

Correction date in the state record: Jun 14, 2024

3270.34(a)(1) Finances, meals, personnel

“The regulatory non-compliance cited on this inspection summary, on the renewal inspection from 4/17/24 (SIN-00243527), the complaint inspection summary from 4/18/24 (SIN-00242870), the incident investigation from 4/12/24 (SIN-00242443), unannounced monitoring from 4/12/24 (SIN-00242797), the unannounced monitoring from 4/5/24 (SIN-00242522), and the incident investigation from 4/5/24 (SIN-00242260) demonstrate that the facility director is not fulfilling responsibilities and minimum duties (re: personnel) as required per regulation.”

Correction date in the state record: Nov 30, 2024

3270.34(a)(1) Finances, meals, personnel

“The regulatory non-compliance cited on this inspection summary, on the renewal inspection from 4/17/24 (SIN-00243527), the complaint inspection summary from 4/18/24 (SIN-00242870), the incident investigation from 4/12/24 (SIN-00242443), unannounced monitoring from 4/12/24 (SIN-00242797), the unannounced monitoring from 4/5/24 (SIN-00242522), and the incident investigation from 4/5/24 (SIN-00242260) demonstrate that the facility director is not fulfilling responsibilities and minimum duties (re: personnel) as required per regulation.”

Correction date in the state record: Nov 8, 2024

3270.181(c) Emergency info/agreement updated 6 mos

“Updates of emergency contact information and financial agreements were not completed timely during the previous year. Child 1 - Emergency contact information updated 4/2023 and subsequently more than 6 months later in 1/2024. Child 3 - Financial agreement completed in November of 2022 and subsequently more than 6 months later in 10/23. Child 4 - Emergency contact information updated 8/2023 and subsequently more than 6 months later in 4/2024. The financial agreement was last signed more than 6 months ago in October of 2023. Child 8 - The emergency contact information was updated in April of 2023, and then more than 6 months later in April of 2024. The financial agreement was last signed more than 6 months ago in October of 2023.”

Correction date in the state record: Jun 14, 2024

3270.32(a) Comply with CPSL

“According to documentation on file at the time of inspection, when staff person #5 began work in the facility, the staff record did not contain a completed DHS FBI Clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The staff person was fingerprinted for the clearance the day after she started working with children. The clearance is now on file. According to documentation on file at the time of inspection, when staff person #8 began work in the facility, the staff record did not contain a completed Child Abuse clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The child abuse clearance was dated 10 days after start date, and the staff person was fingerprinted for the DHS FBI clearance 6 days after start date. Staff person 9 worked beyond a 45 day provisional hire period with incomplete clearances on file. The NSOR was dated 148 days after start date. According to documentation on file at the time of inspection, when staff person #11 began work in the facility, the staff record did not contain a completed Child Abuse clearance, either complete PA Criminal History clearance or a completed DHS FBI clearance, or a completed NSOR as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The staff person worked for a period of 4 months with no clearances on file. The staff person left employment at the facility, and was rehired approximately 5 months later with complete clearances on file. According to documentation on file at the time of inspection, when staff person #12 began work in the facility, the staff record did not contain a completed Child Abuse clearance as required under the CPSL. The clearance was dated 7 days after start date. According to documentation on file at the time of inspection, when staff person #13 began work in the facility, the staff record did not contain the applicable out of state clearances as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The clearances are still not on file. Staff person 14 serves in a position that is not eligible for provisional hiring under the CPSL. According to documentation on file at the time of inspection, when staff person #14 began work in the facility, the staff record did not contain a completed NSOR and completed out of state clearance requests as required under the CPSL. The NSOR was dated 154 days after start date, and the last of the out of state clearances were dated 15 days after start date. The facility failed to send in a rap sheet to the regional office for review. According to documentation on file at the time of inspection, when staff person #15 began work in the facility, the staff record did not contain a completed DHS FBI clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The staff person was fingerprinted for the clearance 227 days after start date and the clearance has since been obtained. According to documentation on file at the time of inspection, when staff person #16 began work in the facility, the staff record did not contain a completed Child Abuse clearance, either complete PA Criminal History clearance or a completed DHS FBI clearance, or a completed NSOR as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The state police clearance was dated 5 days after start date, the child abuse clearance was dated 49 days after start date, the DHS FBI clearance was dated 7 days after start date. An NSOR is still not on file. According to documentation on file at the time of inspection, when staff person #19 began work in the facility, the staff record did not contain a completed NSOR as required under the CPSL , nor did it contain a copy of the request for the NSOR as required for provisional hiring under the CPSL. The request was sent a day late, and the clearance has since been obtained.”

3270.32(a) Comply with CPSL

“According to documentation on file at the time of inspection, when staff person #5 began work in the facility, the staff record did not contain a completed DHS FBI Clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The staff person was fingerprinted for the clearance the day after she started working with children. The clearance is now on file. According to documentation on file at the time of inspection, when staff person #8 began work in the facility, the staff record did not contain a completed Child Abuse clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The child abuse clearance was dated 10 days after start date, and the staff person was fingerprinted for the DHS FBI clearance 6 days after start date. Staff person 9 worked beyond a 45 day provisional hire period with incomplete clearances on file. The NSOR was dated 148 days after start date. According to documentation on file at the time of inspection, when staff person #11 began work in the facility, the staff record did not contain a completed Child Abuse clearance, either complete PA Criminal History clearance or a completed DHS FBI clearance, or a completed NSOR as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The staff person worked for a period of 4 months with no clearances on file. The staff person left employment at the facility, and was rehired approximately 5 months later with complete clearances on file. According to documentation on file at the time of inspection, when staff person #12 began work in the facility, the staff record did not contain a completed Child Abuse clearance as required under the CPSL. The clearance was dated 7 days after start date. According to documentation on file at the time of inspection, when staff person #13 began work in the facility, the staff record did not contain the applicable out of state clearances as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The clearances are still not on file. Staff person 14 serves in a position that is not eligible for provisional hiring under the CPSL. According to documentation on file at the time of inspection, when staff person #14 began work in the facility, the staff record did not contain a completed NSOR and completed out of state clearances as required under the CPSL. The NSOR was dated 154 days after start date, and the last of the out of state clearances were dated 15 days after start date. The facility failed to send in a rap sheet to the regional office for review. According to documentation on file at the time of inspection, when staff person #15 began work in the facility, the staff record did not contain a completed DHS FBI clearance as required under the CPSL , nor did it contain a copy of the request for the DHS FBI clearance as required for provisional hiring under the CPSL. The staff person was fingerprinted for the clearance 227 days after start date and the clearance has since been obtained. According to documentation on file at the time of inspection, when staff person #16 began work in the facility, the staff record did not contain a completed Child Abuse clearance, either complete PA Criminal History clearance or a completed DHS FBI clearance, or a completed NSOR as required by the CPSL, nor did it contain a copy of the requested clearances as required for provisional hiring under the CPSL. The state police clearance was dated 5 days after start date, the child abuse clearance was dated 49 days after start date, the DHS FBI clearance was dated 7 days after start date. An NSOR is still not on file. According to documentation on file at the time of inspection, when staff person #19 began work in the facility, the staff record did not contain a completed NSOR as required under the CPSL , nor did it contain a copy of the request for the NSOR as required for provisional hiring under the CPSL. The request was sent a day late, and the clearance has since been obtained.”

3270.31(f) Health and Safety Training

“Staff person #13 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (1) Prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements. (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices. (3) Administration of medication, consistent with standards for parental consent. (4) Prevention of and response to emergencies due to food and allergic reactions. (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic. (6) Prevention of shaken baby syndrome and abusive head trauma. (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those terms under section 602(a)(1) of the [name] Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C.A. § 5195a(a)(1)). (8) Handling and storage of hazardous materials and appropriate disposal of biocontaminants. (9) Precautions when transporting children.”

3270.31(e)(4)(ii)/3270.192(2)(iii) Fire safety - 1 yr./Exp, educ., training at facility

“The records for staff person 4, and 20 did not include documentation of fire safety training during the previous year. Staff person 7 completed fire safety trainings in March of 2023, and then more than 12 months later in April of 2024. Staff person 22 completed fire safety trainings in September of 2022, and then more than 12 months later in March of 2024. Staff person 24 completed fire safety trainings in December of 2022, and then more than 12 months later in February of 2024.”

3270.27(c) Training regarding plan

“According to documentation on file at the time of inspection, staff person 7 was trained on the emergency plan in September of 2022, and then more than 12 months later in February of 2024. The facility was unable to provide documentation that staff persons 9 and 13 had been trained on the emergency plan at initial employment (within 90 days). The facility was unable to provide documentation that staff person 10 and 24 have been trained on the emergency plan. The staff persons have been employed for more than 90 days. According to documentation on file at the time of inspection, staff person 22 was last trained on the emergency plan in April of 2023.”

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

“Originals of incident reports were on file at the facility.”

Correction date in the state record: Jun 21, 2024

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

“The record for staff person 1 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education, but does not include documentation of 2,500 hours of child care experience. Staff persons 3 and 7 were previously aides at the facility. During the previous year, they were moved to assistant group supervisor positions. Their records did not include documentation of child care experience needed to justify the role they are serving in. The record for staff person 9 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education (15 college credits in listed fields), but does not include documentation of 1,250 hours of childcare experience. (Includes 654 hours of child care experience) The record for staff person 10 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education, but does not include documentation of 2,500 hours of childcare experience (2,197 hours on file). The record for staff person 11 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education, but does not include documentation of 2,500 hours of childcare experience. The record for staff person 12 does not include sufficient documentation to justify the role she is serving in (GS). The record includes documentation of education (AS in Human Services), but does not include documentation of 2,500 hours of child care experience. The record for staff person 15 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education, but does not include documentation of 2,500 hours of child care experience (1,905 hours on file). The record for staff person 16 does not include sufficient documentation to justify the role she is serving in (AGS). The record did not include documentation of education or of child care experience. The record for staff person 19 does not include sufficient documentation to justify the role she is serving in (AGS). The record includes documentation of education, but does not include documentation of 2,500 hours of child care experience (1,948 hours on file).”

3270.192(5) Two written references

“The record for staff person 13 included just 1 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The records for staff persons 15 and 16 did not include 2 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.”

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

“The facility's proof and date of purchase of the interconnected fire detection device or system was not located with the facility's fire drill logs.”

Correction date in the state record: Jun 21, 2024

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

“The emergency contact information on file for child 6 did not include the address for the child's physician or source of medical care. (CORRECTED ON SITE)”

Correction date in the state record: Jun 3, 2024

3270.123(a)(3) Services proceeded

“The facility did not have documentation that they were providing the families of children 1, 3-8 information about the child's growth and development in the context of the services being provided (via Child Service Reports or any other approved form) at least once every six months.”

3270.119 Infant sleep position

“An infant was observed sleeping in a swing from 10:06am until 10:15am when the staff person picked the child up to change their diaper.”

3270.124(c) Each child care space

“The emergency contact forms located in the Owls room were missing forms for 5 of the children that receive care in the space. Ocean Friends - The emergency contact binder taken to the playground did not include all of the emergency contact forms for the children that were present with the group.”

3270.111(b) Posted in group space

“A written plan of daily activities was not posted in the Ocean Friends room.”

3270.106(a) Clean, age appropriate

“The rest equipment located in the Ocean Friends room was not labeled for the use of a specific child .”

3270.102(a) Clean and good repair

“Toy bins in the Bunnies room were dirty. The stuffed animal toy bins in the Owl room were dirty Standing water was observed on the cover of the sand pit on the preschool playground.”

3270.78 Lighting

“The Bunnies room was not lit by artificial or natural light at naptime. (CORRECTED ON SITE)”

Correction date in the state record: Jun 14, 2024

3270.76 Building Surfaces

“Infant room - Sharp adult scissors were left out on a high chair tray in an area accessible to mobile infants. (CORRECTED ON SITE)”

3270.75(c) Has all items

“The first aid kit located in the Koalas room was missing tape.”

Correction date in the state record: Jun 14, 2024

3270.66(a) Locked or inaccessible

“Penguin room - Sanitizer and disinfectant were observed on the counter in an area accessible to the children in care.”

Correction date in the state record: Jun 4, 2024

3270.66(a)/3270.103 Locked or inaccessible/Small Toys and Objects

“An accessible / unlocked drawer in the Penguin room (young toddlers) contained sunscreen, plastic gloves, plastic bags, mini hair ties, and batteries.”

Correction date in the state record: Jun 7, 2024

3270.34(a)(6) Staff evaluations

“The records for staff persons 2, 4, 6, 17, 18 20, 21, and 22 did not include a staff evaluation from the previous 12 months.”

3270.131(e)(1)/3270.131(e)(3) Exemption documentation from parent/guardian/Dismissal policy

“The immunizations records on file for child 8 were not in accordance with the schedule recommended by the ACIP. The child has been enrolled for over a year, and the record did not include documentation of the child receiving the Hepatitis A vaccine, nor an appropriate exemption note. The information from the doctor's office stated that the parent refused the vaccine for the child. The child was still enrolled/attending the program at the time of inspection.”

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

“The initial health assessment on file for staff person 5 was not dated within the 12 months prior to initial service in the child care setting. The health assessment was dated 3 days after start date. The initial health assessment on file for staff person 11 was not dated within the 12 months prior to initial service in the child care setting. The health assessment was dated 131 days after start date. The initial health assessment on file for staff person 15 was not dated within the 12 months prior to initial service in the child care setting. The health assessment (with TB test results) was dated 14 months prior to initial service and was no longer valid at start date. Staff person 23's health assessment is past due to be updated. The previous health assessment was dated in 4/22 and is no longer valid.”

3270.151(c)(5) Physician/CRNP assessment

“The adult health assessment on file for staff person 9 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.”

Correction date in the state record: Jun 11, 2024

3270.152 Adult Hygiene

“A staff person in the infant room did not wash her hands before making a bottle, and then used her finger on top of the nipple to block the milk when shaking the bottle. A staff person in the infant room did not wash her hands after the conclusion of a diaper change. The staff person washed her hands in the middle of the diaper changing process, and then proceeded to touch items used during the diaper change (soiled/leaky diaper and paper barrier used during the change) to discard them. Hands were not washed after touching the soiled items.”

Correction date in the state record: Jun 11, 2024

3270.166(4) Bottles labeled

“Multiple bottles were not labeled in the infant room.”

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

“The emergency contact information on file for children 2 and 5 did not include addresses for listed release persons.”

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

“The emergency contact information on file for child 2 did not include the work telephone number of the enrolling parent. (CORRECTED ON SITE)”

Correction date in the state record: Jun 3, 2024

3270.124(b)(1) Child's name, birth date

“The emergency contact information on file for child 2 did not include the birth date of the child. (CORRECTED ON SITE)”

Correction date in the state record: Jun 3, 2024