Watch Em Grow Child Care Preschool Ab

3270.135(a)(3) Disposable diapers

“Staff person #1 was observed placing a soiled diaper into a plastic bag (hanging to the side of the changing table) and disposed the bag after washing the child's hands.”

3270.76 Building Surfaces

“It was observed in the Pre-K classroom, that the vents at the top of the wall (near the door) and bathroom vents were dusty. CORRECTED ON SITE.”

3270.106(f) 2 feet apart

“It was observed in the infant room, that the pack 'n' plays were not at least 2 feet apart on three sides while in use. CORRECTED ON SITE.”

3270.131(a)/3270.131(c) Health information/Completed or signed by physician, PA, or CRNP

“Child #1's file does not contain a complete initial health assessment by a physician, physician's assistant or a CRNP including the providers signature, and professional title.”

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

“Staff person #5 did not complete Fire Safety training at least annually. There is no fire safety training on file. See code sheet for date of hire.”

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

“Child #1's emergency contact form does not include the enrolling parents work address or work phone number.”

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

“Children # 1, 2 3, 4, and 5's files contain the original written agreements between the parent and the operator.”

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

“Child #1and 5's emergency contact forms do not include a release persons address. Child #2's emergency contact form does not include a release persons phone number.”

3270.124(b)(6) Insurance coverage information

“Child #1's emergency contact form does not include the health insurance/MA policy number.”

3270.123(a)(3) Services proceeded

“Children # 1, 2, 3, 4, and 5's files do not contain Child Service Reports.”

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

“Staff person #1 does not have current clearances on file. The clearances were not renewed within a 60-month period. The clearances on file are dated: State Police 1/12/21, Child Abuse 1/12/21, FBI 1/14/21, and NSOR 1/13/21. Staff person #1 did not complete Mandated Reporter Training within a 60-month period. The Mandated Reporter Training Certificate on file is dated 1/12/21. Staff person #2 does not have a signed disclosure statement on file. Staff person #7 does not have current child abuse clearance and NSOR certificate on file. The clearances were not renewed within a 60-month period. The clearances on file are dated: Child Abuse 1/22/21, and NSOR 12/20/19. Staff person #7 did not complete Mandated Reporter Training within a 60-month period. The Mandated Reporter Training Certificate on file is dated 1/26/21.”

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

“Staff person #1 and 7 did not obtain updated health assessments within a 24-month period. Staff person #1's previous health assessment was dated 2/23/23, and the current health assessment on file is dated 6/30/25. Staff person #7's health assessment on file is dated 8/11/22.”

3270.27(c) Training regarding plan

“Staff #1 did not have evidence of emergency plan training on file and was outside of their 90-day pre-service training timeframe.”

3270.31(f) Health and Safety Training

“Staff person #1 did not have evidence of completing part 2 of their health and safety training and was outside of their 90-day pre-service timeframe.”

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

“Staff person #3's and Staff Person #5's files did not contain current NSOR certificates, Staff Person #3's file did not contain a FBI clearance, or verification it was requested, and Staff Person 5's file did not contain a State Police Clearance, or verification that one was requested.”

Correction date in the state record: Aug 20, 2025

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

“Staff person 1's Pediatric First Aid certification expired 5/25/25 and an updated certificate was not on file.”

Correction date in the state record: Aug 20, 2025

3270.191 Individual Records

“Staff Person #2's staff file was not initially in the facility when cert rep requested it. During the visit, Staff Person #1 made arrangements for the file to be delivered to the facility by a relative of Staff Person #2.”

Correction date in the state record: Aug 20, 2025

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

“Staff Person #3 was working as an AGS and their file did not include verification of education or childcare work experience.”

Correction date in the state record: Aug 20, 2025

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

“The emergency contact form for Child #1 was last updated on 11/27/2023.”

Correction date in the state record: Mar 6, 2025

3270.124(b)(6)/3270.124(b)(7) Insurance coverage information/Name/address/phone release person

“The emergency contact form for Child #3 included a health insurance policy name but the policy number was left blank. The emergency contact form for Child #3 was missing the addresses of designated release persons.”

Correction date in the state record: Mar 6, 2025

3270.192(5) Two written references

“The file for Staff #1 did not contain two written, nonfamily references that attested to the person's suitability to serve as a facility person. The file for Staff #4 included only one written reference.”

Correction date in the state record: Mar 6, 2025

3270.76 Building Surfaces

“In the outdoor play space, the white fence on the right side of yard had a hole with sharp edges (corrected during inspection).”

Correction date in the state record: Mar 5, 2025

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

“The record for Child #1 included a health assessment dated 11/3/2023. An updated health assessment including the child's immunized status was not on file for Child #1.”

Correction date in the state record: Mar 7, 2025

3270.31(f) Health and Safety Training

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

Correction date in the state record: Mar 7, 2025

3270.27(a)(6)/3270.27(b) Emergency plan/Plan reviewed/updated annually

“Documentation of an annual emergency drill was not on file at the facility. Documentation that the emergency plan was reviewed annually was not on file at the facility (corrected during inspection).”

Correction date in the state record: Mar 7, 2025

3270.32(a) Comply with CPSL

“The file for Staff person #1 did not include complete NSOR verification. The file for staff person #2 included an NSOR dated 12/20/2019 and an update within 60-months was not on file at the time of the inspection. The file for Staff person #2 did not include documentation of completed mandated reporter training, from an approved source, within 90 days of their date of hire (see LIS code sheet).”

Correction date in the state record: Mar 7, 2025

3270.76 Building Surfaces

“It was observed at the time of inspection the cord from a sound machine was hanging accessible to children in the infant room causing a strangulation hazard. (corrected at inspection)”

Correction date in the state record: Sep 6, 2024

3270.135(a)(3) Disposable diapers

“It was observed at the time of inspection staff changed a young toddler's diaper then carried the soiled diaper, through a door and disposed of it in an outside trash can.”

Correction date in the state record: Sep 7, 2024

3270.82(j) Running water - diapering

“It was observed at the time of inspection the portable sink in the diapering area in the infant room was not working.”

Correction date in the state record: Sep 7, 2024

3270.123(a)(6) Admission date

“The agreement on file for child 2 did not specify the date of the child's admission.”

Correction date in the state record: Aug 9, 2024

3270.123(a)(4) Arrival/departure times

“The agreement on file for child 1 did not specify the child's arrival and departure times.”

Correction date in the state record: Aug 9, 2024

3270.123(a) Signed

“The agreements on file for children 1, 2, and 3 were not signed by the operator.”

Correction date in the state record: Aug 12, 2024

3270.113(e) Restraints prohibited

“During naptime in the one-year-old room, an infant was observed strapped into a bouncy seat and a young toddler was observed in a swing. The children were being kept in the equipment because they do not sleep at naptime. The children were not placed into age-appropriate nap/rest equipment.”

Correction date in the state record: Aug 9, 2024

3270.119 Infant sleep position

“An infant was observed sleeping in a car seat in the infant room.”

Correction date in the state record: Aug 9, 2024

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

“Staff person 1 was unable to identify the names of 3 of the children she was caring for.”

Correction date in the state record: Aug 12, 2024

3270.106(a) Clean, age appropriate

“In the one year old room, a pack and play labeled for a child was being used by another child. In addition, rest mats were not labeled for the use of a specific child.”

Correction date in the state record: Aug 9, 2024

3270.61(c) 40 square feet wall-to-wall

“Five children were observed in the infant room, which has a maximum capacity of four children.”

Correction date in the state record: Sep 5, 2024

3270.32(a) Comply with CPSL

“According to documentation on file at the time of inspection, when staff person #1 began working with children at the facility the staff record did not contain a completed child abuse clearance, a completed PA criminal history, a DHS FBI clearance, and the NSOR certificate as required under the CPSL. The file did not contain a copy of requests for the outstanding criminal history clearance, nor the request for the NSOR certificate as required for provisional hiring under the CPSL. The record also did not include a completed disclosure statement. Staff person #1 did not have any clearances on file and was observed working alone in a room with children. According to documentation on file at the time of inspection, when staff person #2 began working with children at the facility the staff record did not contain a completed child abuse clearance as required under the CPSL. According to documentation on file at the time of inspection, when staff person #3 began working with children at the facility the staff record did not contain a NSOR certificate as required under the CPSL and did not contain the request for the NSOR certificate as required for provisional hiring under the CPSL. The record also did not include a completed disclosure statement. According to documentation on file at the time of inspection, when staff person #4 began working with children at the facility the staff record did not contain a completed DHS FBI clearance, and the NSOR certificate as required under the CPSL and did not contain a copy of request for the outstanding DHS FBI clearance (proof of fingerprinting), nor the request for the NSOR certificate as required for provisional hiring under the CPSL. The record also did not include a completed disclosure statement (undated form was on file). Staff person had incomplete clearances on file and was observed working alone in a room with children. According to documentation on file at the time of inspection, when staff person #5 began working with children at the facility the staff record did not contain a completed PA criminal history, DHS FBI clearance, and the NSOR certificate as required under the CPSL and did not contain a copy of request for the outstanding DHS FBI clearance (proof of fingerprint), nor the request for the NSOR certificate as required for provisional hiring under the CPSL. The record also did not include a completed disclosure statement. Staff person had incomplete clearances on file and was observed working alone in a room with children.”

Correction date in the state record: Aug 9, 2024

3270.124(b)(4)/3270.182(5) Written consent/Consent for administration of minor first-aid required prior to admission

“The emergency contact form on file for child 2 did not include written consent signed by a parent for emergency medical care. The child's record also did not include signed parental consent for administration of minor first-aid procedures by facility staff.”

Correction date in the state record: Aug 9, 2024

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

“Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training, 10-hour health and safety, pediatric first aid and CPR.”

Correction date in the state record: Aug 9, 2024

3270.24(a) Immediate access

“Facility staff were unable to provide immediate access to the staff and child files upon request.”

Correction date in the state record: Aug 9, 2024

3270.32(a) Comply with CPSL

“According to documentation on file at the time of inspection, when staff person #1 began working with children at the facility the staff record did not contain a completed child abuse clearance, a completed PA criminal history, a DHS FBI clearance, and the NSOR certificate as required under the CPSL. The file did not contain a copy of requests for the outstanding criminal history clearance, nor the request for the NSOR certificate as required for provisional hiring under the CPSL. The record also did not include a completed disclosure statement. Staff person #1 did not have any clearances on file and was observed working alone in a room with children. According to documentation on file at the time of inspection, when staff person #2 began working with children at the facility the staff record did not contain a completed child abuse clearance as required under the CPSL. According to documentation on file at the time of inspection, when staff person #3 began working with children at the facility the staff record did not contain a NSOR certificate as required under the CPSL and did not contain the request for the NSOR certificate as required for provisional hiring under the CPSL. The record also did not include a completed disclosure statement. According to documentation on file at the time of inspection, when staff person #4 began working with children at the facility the staff record did not contain a completed DHS FBI clearance, and the NSOR certificate as required under the CPSL and did not contain a copy of request for the outstanding DHS FBI clearance (proof of fingerprinting), nor the request for the NSOR certificate as required for provisional hiring under the CPSL. The record also did not include a completed disclosure statement (undated form was on file). Staff person had incomplete clearances on file and was observed working alone in a room with children. According to documentation on file at the time of inspection, when staff person #5 began working with children at the facility the staff record did not contain a completed PA criminal history, DHS FBI clearance, and the NSOR certificate as required under the CPSL and did not contain a copy of request for the outstanding DHS FBI clearance (proof of fingerprint), nor the request for the NSOR certificate as required for provisional hiring under the CPSL. The record also did not include a completed disclosure statement. Staff person had incomplete clearances on file and was observed working alone in a room with children.”

Correction date in the state record: Oct 10, 2024

3270.124(c) Each child care space

“Emergency contact information was not present in the child care space for at least 2 of the children receiving care in the one year old room.”

Correction date in the state record: Sep 5, 2024

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

“More than 30 days lapsed between the manual tests of the fire detection system that took place on 4/1/24, 5/6/24, and 6/12/24. In addition, at the time of inspection 31 days had lapsed since the fire detection systems were last tested.”

Correction date in the state record: Aug 9, 2024

3270.32(a) Comply with CPSL

“According to documentation on file at the time of inspection, when staff person #1 began working with children at the facility the staff record did not contain a completed child abuse clearance, a completed PA criminal history, a DHS FBI clearance, and the NSOR certificate as required under the CPSL. The file did not contain a copy of requests for the outstanding criminal history clearance, nor the request for the NSOR certificate as required for provisional hiring under the CPSL. The record also did not include a completed disclosure statement. Staff person #1 did not have any clearances on file and was observed working alone in a room with children. According to documentation on file at the time of inspection, when staff person #2 began working with children at the facility the staff record did not contain a completed child abuse clearance as required under the CPSL. According to documentation on file at the time of inspection, when staff person #3 began working with children at the facility the staff record did not contain a NSOR certificate as required under the CPSL and did not contain the request for the NSOR certificate as required for provisional hiring under the CPSL. The record also did not include a completed disclosure statement. According to documentation on file at the time of inspection, when staff person #4 began working with children at the facility the staff record did not contain a completed DHS FBI clearance, and the NSOR certificate as required under the CPSL and did not contain a copy of request for the outstanding DHS FBI clearance (proof of fingerprinting), nor the request for the NSOR certificate as required for provisional hiring under the CPSL. The record also did not include a completed disclosure statement (undated form was on file). Staff person had incomplete clearances on file and was observed working alone in a room with children. According to documentation on file at the time of inspection, when staff person #5 began working with children at the facility the staff record did not contain a completed PA criminal history, DHS FBI clearance, and the NSOR certificate as required under the CPSL and did not contain a copy of request for the outstanding DHS FBI clearance (proof of fingerprint), nor the request for the NSOR certificate as required for provisional hiring under the CPSL. The record also did not include a completed disclosure statement. Staff person had incomplete clearances on file and was observed working alone in a room with children.”

Correction date in the state record: Nov 30, 2024

3270.52 Mixed Age Level

“One year old room - A single staff person was observed caring for 10 children. The youngest child in the group was an infant. Infant room - A single staff person was observed caring for 5 infants.”

Correction date in the state record: Aug 9, 2024

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

“It was observed at the time of inspection staff #1 did not have a health assessment on file.”

Correction date in the state record: Apr 4, 2024

3270.21/3270.31(f) General Health and Safety/Health and Safety Training

“It was observed at the time of inspection existing staff, hired prior to October 4, 2022, had not completed the health and safety professional development training update," Pennsylvania Health and Safety Update 2022" required by OCDEL within the prescribed timeframe of 12-30-22.”

Correction date in the state record: Mar 19, 2023

3270.135(b) Surfaces cleaned

“It was observed at the time of inspection young toddler staff was not cleaning diaper changing surfaces after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.”

Correction date in the state record: Mar 19, 2023