Wee Kare Child Center

3270.94(a)(1) Every 60 days

“The Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. On 10/31/23 the facility had documentation of the most recent fire drill being conducted on 8/1/23.”

Correction date in the state record: Nov 3, 2023

3270.102(a) Clean and good repair

“On 10/16/23 observed a cot labeled #3 with frayed edges in the Young Toddler Room.”

Correction date in the state record: Oct 16, 2023

3270.106(f) 2 feet apart

“On 10/16/23 observed children with approximately 2 to 12 inches between their cots in the Pre K Classroom.”

Correction date in the state record: Oct 17, 2023

3270.52 Mixed Age Level

“Certification Representative observed Staff #1 placing garbage in the dumpster outside of the center. Upon entering the building, Certification Representative observed Staff #1 entering the Older Toddler Room. When Certification Representative asked Staff #1 and #2 to name the children in his/her assigned groups, Staff #1 named 5 older toddlers while Staff #2 named 5 older toddlers and 1 preschooler. When Certification Representative asked Staff #1 if another staff had taken his/her place in the room to maintain ratio while he/she was outside, Staff #1 indicated no because there was no extra staff.”

Correction date in the state record: Dec 8, 2023

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

“The files of Children #3, #5, and #7 contained the original agreement. The facility did not make a copy for the files and give the original to the parent.”

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

“Emergency contact information for Children #1 and #4 did not include the telephone number of the child's physician or source of medical care.”

Correction date in the state record: Sep 28, 2023

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

“Emergency contact information for Child #1 did not include the work telephone number of the enrolling parent.”

Correction date in the state record: Sep 28, 2023

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

“The file of Child #1 lacked written consent signed by a parent for emergency medical care prior to admission. Child #1 had an admission date of 7/6/22 with an emergency contact form signed on 6/16/23.”

Correction date in the state record: Sep 28, 2023

3270.103 Small Toys and Objects

“On 9/28/23 observed foam blocks with bite marks and peg boards with bite marks in the Preschool Room.”

Correction date in the state record: Sep 28, 2023

3270.107 Refrigerator

“On 9/28/23 the thermometer in the refrigerator to the left of the sink in the lunchroom indicated the temperature was 48 degrees.”

Correction date in the state record: Sep 28, 2023

3270.123(a)(3) Services proceeded

“Children #4 and #5 lacked child service reports completed at least every 6 months. Child #4 had a child service report completed on 1/12/23. Child #5 had child service reports completed on 7/25/22 and 1/16/23.”

Correction date in the state record: Sep 28, 2023

3270.102(c) Outdoor equip.- protective surfacing

“On 9/28/23 observed embedded equipment in the Preschool/School-Age Outdoor Play Space with approximately 2 to 4 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.”

Correction date in the state record: Nov 11, 2023

3270.102(a) Clean and good repair

“On 9/28/23 observed a torn foam number in the Pre K Room. On 9/28/23 observed wood blocks with rough edges and splinters in the Pre K Room. On 9/28/23 observed torn foam steps/blocks with exposed foam in the Young Toddler Room. On 9/28/23 observed a torn mat with exposed foam under the climber in the Older Toddler Room. On 9/28/23 observed a missing screw on the top of the toy barn creating pinch points in the Older Toddler Room. On 9/28/23 observed wood blocks with rough edges and splinters in the School-Age Room.”

Correction date in the state record: Sep 28, 2023

3270.82(e) Toilet and sinks proper height

“On 9/28/23 the counter height sink in the Infant Room did not have platforms or steps, and staff were holding children to wash their hands.”

Correction date in the state record: Oct 31, 2023

3270.77(a) No peeling paint or plaster

“On 9/28/23 observed approximately four 1-inch pieces of plaster missing on the wall to the left of the entrance in the Older Toddler Room.”

Correction date in the state record: Nov 3, 2023

3270.75(c) Has all items

“On 9/28/23 the first-aid kit for the classroom in the Young Toddler Room lacked nonporous gloves. On 9/28/23 the first-aid kit taken outside in the Young Toddler Room lacked soap, sterile gauze pads, tweezers, tape, and scissors.”

Correction date in the state record: Sep 28, 2023

3270.75(b) Inaccessible to children

“On 9/28/23 the first-aid kit taken outside was in the cubby by the diapering area in the Young Toddler Room which was accessible to children.”

Correction date in the state record: Sep 28, 2023

3270.69(b) 110º F or less

“On 9/28/23 the hot water temperature at the sink located by the diapering area was 116 degrees in the Young Toddler Room. On 9/28/23 the hot water temperature at the sink in the bathroom located between the Young and Older Toddler Rooms was 116 degrees. On 9/28/23 the hot water temperature at the sink located by the diapering area in the Older Toddler Room was 112 degrees.”

Correction date in the state record: Oct 3, 2023

3270.66(a) Locked or inaccessible

“On 9/28/23 observed Ajax Dish Soap which indicated "keep out of the reach of children" in the cabinet under the sink in the lunchroom which was accessible to children. On 9/28/23 observed Ajax Dish Soap which indicated "keep out of the reach of children" by the sink in the lunchroom which was accessible to children.”

Correction date in the state record: Oct 3, 2023

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

“Staff #2 lacked a State Police Clearance updated every 60 months. Staff #2 had a State Police Clearance dated 10/2/23 with a previous one dated 8/13/18. Staff #2 lacked a valid FBI Clearance. Staff #2 had an FBI Clearance from the Department of Education dated 8/14/23. Staff #2 also lacked a National Sex Offender Registry Certificate. Staff #3 lacked a valid FBI Clearance because it did not contain a disposition for charges. Staff #4 lacked a valid FBI Clearance. Staff #4 had an FBI Clearance from the Department of Education dated 9/16/22. Staff #5 lacked a valid Child Abuse Clearance. Staff #5 had a volunteer Child Abuse Clearance dated 4/15/22. Staff #6 lacked a State Police Clearance, Child Abuse Clearance, and DHS FBI Clearance updated every 60 months. Staff #6 had a State Police Clearance dated 8/10/23 with a previous one dated 5/6/18. Staff #6 had a Child Abuse Clearance dated 8/15/23 with a previous one dated 5/14/18. Staff #6 had a DHS FBI Clearance dated 8/15/23 with a previous one dated 5/9/18.”

Correction date in the state record: Oct 31, 2023

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

“Staff #7 lacked documentation of completing mandated reporter training every 60 months. Staff #7 had documentation of completing mandated reporter training on 9/5/23 with previous training completed on 7/11/18.”

Correction date in the state record: Oct 3, 2023

3270.31(f) Health and Safety Training

“Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.”

Correction date in the state record: Nov 1, 2023

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

“The emergency plan did not address continuity of operations.”

Correction date in the state record: Oct 4, 2023

3270.105 High Chairs

“On 9/28/23 observed a high chair in the lunchroom which lacked a T-shaped safety strap.”

Correction date in the state record: Sep 28, 2023

3270.124(c) Each child care space

“Emergency contact information for Child #9 was not present in the Preschool Room where Child #9 was receiving care.”

Correction date in the state record: Sep 28, 2023

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

“The file of Child #5, a 22-month-old, lacked an influenza immunization according to the recommendations of the ACIP. The file of Child #6, a 14-month-old, lacked an influenza immunization according to the recommendations of the ACIP. The file of Child #7, a 9-month-old, lacked an influenza immunization according to the recommendations of the ACIP. The file of Child #8, a 10-month-old, lacked an influenza immunization according to the recommendations of the ACIP.”

Correction date in the state record: Sep 28, 2023

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

“Staff #1 lacked a health assessment conducted every 24 months. Staff #1 has a current health assessment dated 5/23/22 with a previous one dated 5/21/20.”

Correction date in the state record: Sep 28, 2023

3270.181(c) Emergency info/agreement updated 6 mos

“The emergency contact and agreement for Child #1 were not reviewed and updated at least once in a 6-month period. Child #1's emergency contact was reviewed on 6/16/23 and agreement was reviewed on 3/1/22, 9/1/22, and 9/1/23. The emergency contact for Child #4 was not reviewed and updated at least once in a 6-month period. Child #4's emergency contact was reviewed on 8/30/22, 3/14/23, and 9/28/23. The emergency contact for Child #5 was not reviewed and updated at least once in a 6-month period. Child #5's emergency contact was reviewed on 6/23/22, 1/5/23, and 6/8/23.”

Correction date in the state record: Sep 28, 2023

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

“The file of Child #1 lacked signed parental consent for administration of minor first-aid procedures by facility staff prior to admission. Child #1 had an admission date of 7/6/22 with an emergency contact form signed on 6/16/23.”

Correction date in the state record: Sep 28, 2023

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

“It was observed that an agreement was not on file at the date of enrollment. Child #7's date of admission was 8/15/23 with an agreement dated 8/29/23.”

Correction date in the state record: Sep 28, 2023

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

“Staff #3 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS Code Sheet). Staff #3 had documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 6/24/23.”

Correction date in the state record: Sep 28, 2023

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

“The facility's current certificate of compliance was not posted in a conspicuous location used by parents.”

3270.131(a) Health information

“The files of Children #1 and #2 lacked an initial health report no later than 60 days following the first day of attendance at the facility. Child #1, with an admission date of 7/6/22, contained a health report dated 10/8/22. Child #2, with an admission date of 6/7/23, contained a health report dated 9/15/23.”

Correction date in the state record: Sep 28, 2023

3270.111(c) Promote development

“Based on interviews with staff, Staff #1 placed Child #1 between his/her legs during circle time and used his/her hands to keep the child from leaving when he/she attempted to do so. Staff #1 indicated he/she thought Child #1 needed to participate in circle time with the librarian.”

Correction date in the state record: Oct 12, 2023

3270.113(b) No physical punishment

“Based on interviews with staff, Staff #1 placed Child #1 between his/her legs during circle time and used his/her hands to keep the child from leaving when he/she attempted to do so. Based on interviews, Staff #2 held Child #2 under his/her arms and around his/her waist allowing the child to move but not get away from staff.”

Correction date in the state record: Oct 12, 2023

3270.113(e) Restraints prohibited

“*Based on interviews with staff, Staff #1 placed Child #1 between his/her legs during circle time and used his/her hands to keep the child from leaving when he/she attempted to do so. Based on interviews, Staff #2 held Child #2 under his/her arms and around his/her waist allowing the child to move but not get away from staff.”

Correction date in the state record: Oct 12, 2023

3270.113(e) Restraints prohibited

“**Based on interviews with staff, Staff #1 placed Child #1 between his/her legs during circle time and used his/her hands to keep the child from leaving when he/she attempted to do so. Based on interviews, Staff #2 held Child #2 under his/her arms and around his/her waist allowing the child to move but not get away from staff.”

Correction date in the state record: Nov 17, 2023

3270.111(c) Promote development

“Based on interviews with staff, Staff #1 placed Child #1 between his/her legs during circle time and used his/her hands to keep the child from leaving when he/she attempted to do so. Staff #1 indicated he/she thought Child #1 needed to participate in circle time with the librarian.”

Correction date in the state record: Oct 12, 2023

3270.113(b) No physical punishment

“Based on interviews with staff, Staff #1 placed Child #1 between his/her legs during circle time and used his/her hands to keep the child from leaving when he/she attempted to do so. Based on interviews, Staff #2 held Child #2 under his/her arms and around his/her waist allowing the child to move but not get away from staff.”

Correction date in the state record: Oct 12, 2023

3270.113(e) Restraints prohibited

“*Based on interviews with staff, Staff #1 placed Child #1 between his/her legs during circle time and used his/her hands to keep the child from leaving when he/she attempted to do so. Based on interviews, Staff #2 held Child #2 under his/her arms and around his/her waist allowing the child to move but not get away from staff.”

Correction date in the state record: Oct 12, 2023

3270.113(e) Restraints prohibited

“**Based on interviews with staff, Staff #1 placed Child #1 between his/her legs during circle time and used his/her hands to keep the child from leaving when he/she attempted to do so. Based on interviews, Staff #2 held Child #2 under his/her arms and around his/her waist allowing the child to move but not get away from staff.”

Correction date in the state record: Nov 17, 2023

3270.52 Mixed Age Level

“At approximately 6:30 AM on 6/1/23 Staff #1 was observed caring for a group of 16 mixed-age children which included 10 preschoolers, 5 young school-age children, and 1 older school-age child in the school-age classroom.”

Correction date in the state record: Jun 2, 2023

3270.31(f) Health and Safety Training

“Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.”

Correction date in the state record: Jun 7, 2023

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

“The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days or inspected by a fire safety professional annually. The facility provided documentation that the fire detection system was manually tested on 2/10/23, 3/10/23, and 3/21/23.”

Correction date in the state record: Mar 30, 2023

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

“The file of Staff #1 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #1 contained a health assessment dated 9/1/21.”

Correction date in the state record: Jul 28, 2023

3270.151(c)(2) Mantoux TB

“The file of Staff #1 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). Staff #1 had a Mantoux read date of 9/3/21.”

Correction date in the state record: Jul 28, 2023

3270.52 Mixed Age Level

“At approximately 6:30 AM on 6/1/23 Staff #1 was observed caring for a group of 16 mixed-age children which included 10 preschoolers, 5 young school-age children, and 1 older school-age child in the school-age classroom.”

Correction date in the state record: Jun 2, 2023

3270.31(f) Health and Safety Training

“Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.”

Correction date in the state record: Jun 7, 2023

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

“The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days or inspected by a fire safety professional annually. The facility provided documentation that the fire detection system was manually tested on 2/10/23, 3/10/23, and 3/21/23.”

Correction date in the state record: Mar 30, 2023

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

“The file of Staff #1 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #1 contained a health assessment dated 9/1/21.”

Correction date in the state record: Jul 28, 2023

3270.151(c)(2) Mantoux TB

“The file of Staff #1 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). Staff #1 had a Mantoux read date of 9/3/21.”

Correction date in the state record: Jul 28, 2023

3270.52 Mixed Age Level

“***At approximately 7:30 AM on 4/10/23 Staff #1 was caring for a group of 12 mixed-aged children which included 8 preschoolers, 3 young school-age children, and 1 older school-age child. At approximately 7:35 AM Staff #2 was caring for a group of 7 mixed-aged children which included 6 infants and 1 young toddler.”

Correction date in the state record: Sep 12, 2023

3270.52 Mixed Age Level

“**At approximately 7:30 AM on 4/10/23 Staff #1 was caring for a group of 12 mixed-aged children which included 8 preschoolers, 3 young school-age children, and 1 older school-age child. At approximately 7:35 AM Staff #2 was caring for a group of 7 mixed-aged children which included 6 infants and 1 young toddler.”

Correction date in the state record: Sep 12, 2023

3270.52 Mixed Age Level

“*At approximately 7:30 AM on 4/10/23 Staff #1 was caring for a group of 12 mixed-aged children which included 8 preschoolers, 3 young school-age children, and 1 older school-age child. At approximately 7:35 AM Staff #2 was caring for a group of 7 mixed-aged children which included 6 infants and 1 young toddler.”

Correction date in the state record: May 4, 2023

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

“The file of Staff #3, a provisional hire, lacked application for the National Sex Offender Registry Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #3 did not contain documentation of applying for the NSOR, and no NSOR was on file.”

Correction date in the state record: Mar 22, 2023

3270.113(a) Supervised at all times

“**At approximately 2:50 PM Certification Staff observed 3 preschoolers lying on rest equipment behind a sofa and bookcases in the School-Age Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisees.”

Correction date in the state record: May 12, 2023

3270.113(a) Supervised at all times

“*At approximately 2:50 PM Certification Staff observed 3 preschoolers lying on rest equipment behind a sofa and bookcases in the School-Age Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisees.”

Correction date in the state record: Mar 23, 2023

3270.52 Mixed Age Level

“At approximately 10:15 on 3/22/23 Staff #1 and Staff #2 were caring for 11 mixed-age children including 1 preschooler, 6 older toddlers, and 4 young toddlers. When asked to name the children in their assigned groups, Staff #1 identified 1 preschooler, 4 older toddlers, and 1 young toddler while Staff #2 identified 3 young toddlers and 2 older toddlers.”

Correction date in the state record: Mar 23, 2023

3270.113(a) Supervised at all times

“***At approximately 2:50 PM Certification Staff observed 3 preschoolers lying on rest equipment behind a sofa and bookcases in the School-Age Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisees.”

Correction date in the state record: Sep 12, 2023

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

“Staff #1 lacked documentation of completing mandated reporter training every 60 months. Staff #1 had documentation of mandated reporter training completed on 1/10/20 with previous training completed on 12/22/14.”

Correction date in the state record: Jan 10, 2022

3270.102(c) Outdoor equip.- protective surfacing

“2nd citation. Previously cited on 9/26/22. Observed embedded equipment in the Preschool/School-Age Outdoor Play Space with approximately 1 to 2 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.”

Correction date in the state record: Dec 16, 2022

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

“2nd citation. Previously cited on 9/28/22. The facility had a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma and strategies for coping with a crying, fussing, and distraught child, but it did not address the prevention and identification of child maltreatment.”

Correction date in the state record: Dec 14, 2022

3270.35(e)/3270.35(f) 46 or more children- additional group sups/Group sup present 30 hrs

“2nd citation. Previously cited on 9/28/22. The facility lacked a group supervisor employed by and present at the facility for a minimum of 30 hours per week for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.”

Correction date in the state record: Dec 12, 2022

3270.66(a) Locked or inaccessible

“2nd citation. Previously cited on 9/26/22. Observed two Bath and Body Works' hand sanitizers which indicated "keep out of the reach of children" in the top drawer of a filing cabinet which were accessible to children in the Pre-K Classroom.”

Correction date in the state record: Dec 6, 2022

3270.102(a) Clean and good repair

“2nd citation. Previously cited on 9/26/22. Observed a torn multi-color gym mat with exposed foam in the Infant Classroom.”

Correction date in the state record: Dec 6, 2022

3270.171(c) Safe routes posted

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

Correction date in the state record: Sep 29, 2022

3270.181(c) Emergency info/agreement updated 6 mos

“The emergency contact and agreement for Children #1 and #2 were not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #1's emergency contact form was reviewed on 7/21/21, 2/1/22, and 8/1/22. Child #1's agreement was last reviewed on 7/17/19. Child #2's emergency contact form was reviewed on 2/24/20 and then again on 7/2/22. Child #2's agreement was reviewed on 1/2/20 and then again on 9/1/22. The emergency contact for Child #8 was not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #8's emergency contact was reviewed on 7/21/20 and then again on 6/30/22.”

Correction date in the state record: Sep 29, 2022

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

“It was observed that the agreement was not on file for Children #3, #5, #6, #7, and #8 at the date of enrollment. Child #3's date of admission was 9/19/22 with an agreement dated 9/22/22. Child #5's date of admission was 7/18/22 with an agreement dated 9/1/22. Child #6's date of admission was 3/7/22 with an agreement dated 5/5/22. Child #7's date of admission was 1/28/22 with an agreement dated 3/23/22. Child #8's date of admission was 6/10/22 with an agreement dated 9/20/22.”

Correction date in the state record: Sep 29, 2022

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

“The files of Children #1 and #2 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #1 contained a health report dated 10/7/19. The file of Child #2 contained a health report dated 6/5/19.”

Correction date in the state record: Oct 20, 2022

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

“The file of Child #7 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #7 contained a health assessment dated 12/9/21.”

Correction date in the state record: Oct 12, 2022

3270.124(c) Each child care space

“Emergency contact information for Child #9 was not present in the Older Toddler Classroom when Child #9 was receiving care in the space. Emergency contact information for Child #10 was not present in the Preschool Classroom when Child #10 was receiving care in the space. Emergency contact information for Children #11, #12, #13, #14, #15, and #16 were not present in the Pre K Classroom when Children #11, #12, #13, #14, #15, and #16 were receiving care in the space.”

Correction date in the state record: Sep 30, 2022

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

“The file of Child #1 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form. The files of Children #2 and #8 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.”

Correction date in the state record: Sep 30, 2022

3270.124(b)(6) Insurance coverage information

“The file of Child #3 lacked the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable, on the emergency contact form.”

Correction date in the state record: Sep 29, 2022

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

“The files of Children #1, #2, #4, and #5 lacked 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, on the emergency contact form.”

Correction date in the state record: Sep 29, 2022

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

“The file of Child #1 lacked the work address and work telephone number of the enrolling parent on the emergency contact form. The file of Child #8 lacked the work address of the enrolling parent on the emergency contact form.”

Correction date in the state record: Sep 29, 2022

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

“The file of Child #8 lacked the telephone number of the child's physician or source of medical care on the emergency contact form.”

Correction date in the state record: Sep 29, 2022

3270.123(a)(5) Designated release persons

“The files of Children #4 and #5 lacked the persons designated by a parent to whom the child may be released on the agreement.”

Correction date in the state record: Sep 30, 2022

3270.113(a) Supervised at all times

“At approximately 1:55 PM on 9/28/22 Certification Staff observed 3 children lying on rest equipment behind bookcases in the Older Toddler Room which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee.”

Correction date in the state record: Sep 29, 2022

3270.27(a)(6) Emergency plan

“An emergency drill was not conducted annually between 12/19/2020 and 12/19/2021. The facility had documentation of an emergency drill being conducted on 8/30/22.”

Correction date in the state record: Sep 26, 2022

3270.31(e) Age and Training

“The file of Staff #2, #3, and #4 lacked documentation of completing an annual minimum of 12 clock hours of child care training.”

Correction date in the state record: Sep 29, 2022

3270.131(a) Health information

“The file of Child #4 lacked an initial health report no later than 60 days following the first day of attendance at the facility. Child #4's admission date was 7/19/22 with a health report dated 9/22/22.”

Correction date in the state record: Sep 22, 2022

3270.106(f) 2 feet apart

“On 9/26/22 observed 9 children with less than 2 feet of space on three sides of their mats in the Pre K Classroom.”

Correction date in the state record: Sep 30, 2022

3270.105 High Chairs

“On 9/26/22 observed t-shaped safety straps missing from 2 built-in seats at the table in the Infant Classroom.”

Correction date in the state record: Sep 30, 2022

3270.103 Small Toys and Objects

“On 9/26/22 observed several bags of small glass gems with a diameter of less than 1 inch in the plastic bin labeled "Wednesday" which were accessible to children by the changing table in the Older Toddler Classroom. On 9/26/22 observed foam letters with bite marks in the Preschool Classroom. On 9/26/22 observed plastic bags in the cabinet under the microwave in the cafeteria which were accessible to children in care.”

Correction date in the state record: Sep 29, 2022

3270.102(c) Outdoor equip.- protective surfacing

“On 9/26/22 observed embedded equipment in the Preschool/School-Age Outdoor Play Space with approximately 1 to 2 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering”

3270.102(a) Clean and good repair

“On 9/26/22 observed a torn blue exercise mat with exposed foam in the Young Toddler Classroom. On 9/26/22 observed a torn mat with exposed foam under the slide in the Young Toddler Classroom. On 9/26/22 observed a loose back on the toy oven in the Older Toddler Classroom. On 9/26/22 observed a frayed area rug at the entrance to the Older Toddler Classroom. On 9/26/22 observed a torn multi-color gym mat with exposed foam in the Infant Classroom. On 9/26/22 observed a torn number mat with exposed foam in the Infant Classroom. On 9/28/22 observed a Blue Riding Toy with approximately a 2 inch by 2 inch hole in the right front wheel in the Infant/Toddler Outdoor Play Space. On 9/26/22 observed the 2nd level of a doll house was loose in the Pre K Classroom. On 9/26/22 observed cracked marble connectors in the School-Age Classroom. On 9/26/22 observed a cracked bin containing LEGO construction vehicles in the School-Age Classroom. On 9/26/22 observed a cracked purple bin containing games including Hangman in the School-Age Classroom. On 9/26/22 observed a cracked bin containing [name] pieces in the School-Age Classroom. On 9/26/22 observed a round blue table with loose legs at the entrance to the School-Age Classroom. On 9/26/22 observed 2 exposed nails on the picnic table in the Preschool/School-Age Outdoor Play Space. On 9/26/22 observed 2 chairs with approximately 1 inch cracks and rough edges under the pavilion in the Preschool/School-Age Outdoor Play Space.”

3270.82(h) Handwashing signs

“On 9/26/22 the urinal in the bathroom between the Young and Older Toddler Classrooms lacked a handwashing sign. On 9/26/22 the urinal and toilet in the bathroom between the Preschool and Pre K Classrooms lacked handwashing signs.”

Correction date in the state record: Sep 29, 2022

3270.76 Building Surfaces

“On 9/26/22 observed exposed bolts on the fence in the Infant/Toddler Outdoor Play Space.”

Correction date in the state record: Nov 7, 2022

3270.75(c) Has all items

“The first-aid kit in the Young Toddler Classroom lacked scissors and gloves.”

Correction date in the state record: Sep 29, 2022

3270.66(a) Locked or inaccessible

“On 9/26/22 observed Pen Gear Dry Erase Board Cleaning Spray which indicated "keep out of the reach of children" in a plastic black crate at the changing table which were accessible to children in the Older Toddler Classroom. On 9/26/22 observed Bingo Daubers in the Art area which indicated "keep out of reach of children" which were accessible to children in the Pre K Classroom. On 9/26/22 observed a Bic Lighter and pack of cigarettes in the top drawer of a filing cabinet which were accessible to children in the Pre K Classroom. On 9/26/22 observed Antibacterial Moisturizing Hand Solution Sun-ripened Raspberry which indicated "keep out of the reach of children" on the teacher's desk which was accessible to children in the School-Age Classroom.”

3270.35(e)/3270.35(f) 46 or more children- additional group sups/Group sup present 30 hrs

“The facility lacked a group supervisor employed by and present at the facility for a minimum of 30 hours per week for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.”

3270.34(a)(6) Staff evaluations

“The file of Staff #2 lacked documentation of a written evaluation on a regular basis, a minimum of one evaluation every 12 months. The file of Staff #2 did not contain a written evaluation for 2021 or 2022.”

Correction date in the state record: Sep 29, 2022

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

“Staff #4 lacked documentation of mandated reporter training completed within 90 days of hire (SEE LIS Code Sheet). Staff #4 had documentation of completing mandated reporter training on 10/6/21.”

Correction date in the state record: Oct 6, 2022

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

“The files of Staff #1, #6, and #7 lacked a valid disclosure statement (SEE LIS Code Sheet). The disclosure statement on file for Staff #1, #6, and #7 was not the one updated in 2020. The file of Staff #3 lacked an FBI Clearance updated every 60 months. The file of Staff #3 contained an FBI Clearance dated 9/18/19 with a previous one dated 9/12/14. The file of Staff #5, a provisional hire, lacked documentation of application for the National Sex Offender Registry Verification Certificate and the State child abuse and neglect registry check and State sex offender registry check from the State(s) in which Staff #5 resided in the last 5 years prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #5 contained a NSOR receipt dated 9/22/22. The file of Staff #5 did not contain applications for the State child abuse and neglect registry check and State sex offender registry check from the State(s) in which Staff #5 resided in the last 5 years. The files of Staff #6 and #7, provisional hires, lacked documentation of the results for the PA Child Abuse Clearance prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #6 contained a PA Child Abuse Clearance dated 9/14/22. The file of Staff #7 did not contain a PA Child Abuse Clearance. The file of Staff #8, a provisional hire, lacked documentation of application for a PA State Police Clearance and the results of the PA Child Abuse Clearance prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #8 contained a PA State Police Clearance dated 8/17/22 and a PA Child Abuse Clearance dated 9/6/22. The file of Staff #9, a provisional hire, lacked documentation of the results of the PA State Police Clearance and PA Child Abuse Clearance and application for the FBI Clearance and National Sex Offender Registry prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #9 contained a PA State Police Clearance dated 8/2/22, a PA Child Abuse Clearance dated 9/13/22, a FBI Clearance receipt dated 9/1/22, and a NSOR receipt dated 8/2/22.”

Correction date in the state record: Sep 28, 2022

3270.21 General Health and Safety

“On 9/26/22 observed 2 pair of adult scissors on the teacher's desk which were accessible to children in the School-Age Classroom.”

Correction date in the state record: Sep 26, 2022

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

“2nd citation. Previously cited on 8/16/22. Staff persons #7 and #8 were observed to be caring for children unsupervised. Staff person #7 has not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training, pediatric first aid/CPR, and health and safety. Staff person #8 has not completed the following pre-service training required prior to caring for children unsupervised: health and safety. On 9/26/22 and 9/28/22 Certification Staff observed Staff person #6, who was designated as an aide, Staff person #7, a provisional hire, and Staff person #8, who was designated as an assistant group supervisor, working in the Infant Classroom.”

Correction date in the state record: Nov 3, 2022

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

“The facility did not have a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, and distraught child, and the prevention and identification of child maltreatment.”

3270.131(d)(5) Immunization record

“The file of Child #4 lacked a health report which included a review of the child's immunized status according to the recommendations of the ACIP.”

Correction date in the state record: Sep 22, 2022

3270.131(e)(1) Exemption documentation from parent/guardian

“Child #1, a 3 year old, lacked DTAP/DTP/TD, Pneumococcal, a current influenza, MMR, Varicella, and Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. Child #1 had documentation of 3 DTAP/DTP/TD, 3 Pneumococcal, and no documentation of MMR, Varicella, and Hepatitis A immunizations. Child #2, a 4 year old, lacked DTAP/DTP/TD, Pneumococcal, MMR, Varicella, and Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. Child #2 had documentation of 3 DTAP/DTP/TD, 3 Pneumococcal, and no documentation of MMR, Varicella, and Hepatitis A immunizations. Child #7, a 2 year old, lacked documentation of a current influenza, Varicella, and Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. Child #7 had documentation of no Varicella immunization and 1 Hepatitis A immunization.”

Correction date in the state record: Oct 20, 2022

3270.94(a)(1) Every 60 days

“The Director or designated staff person did not ensure that fire drills are conducted at least once every 60 days. The Director provided documentation of fire drills being conducted on 1/21/22, 2/3/22, 3/1/22, 4/1/22, 6/1/22, and 8/1/22.”

Correction date in the state record: Aug 18, 2022

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

“Staff #12 lacked documentation of completing Mandated Reporter Training within 90 days of hire (See LIS CODE SHEET). Staff #12 had documentation of completing Mandated Reporter Training on 5/12/22.”

Correction date in the state record: Aug 18, 2022

3270.32(a) Comply with CPSL

“Staff person #10 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/20/16.”

Correction date in the state record: Aug 17, 2022

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

“Staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, and #14 were observed to be caring for children unsupervised. Staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13 and #14 have not completed the following pre-service training required prior to caring for children unsupervised: pediatric first-aid and CPR. Staff persons #5, #13, and #14 were observed to be caring for children unsupervised. Staff persons #5, #13, and #14 have not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training and health and safety training. Staff person #10 was observed to be caring for children unsupervised. Staff person #10 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/20/16.”

3270.31(f) Health and Safety Training

“Staff person #1, #2, #3, #,4, #6, #7, #8, #9, #10, and #12 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First-aid and CPR.”

Correction date in the state record: Aug 24, 2022

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

“The facility was unable to provide a written record that the fire detection system was manually tested at least once every 30 days. The facility provided a written record that the fire detection system was manually tested on 11/1/21, 12/1/21, 1/3/22, 1/22/22, 2/3/22, 3/1/22, 4/1/22, 5/1/22, 6/1/22, 7/1/22, and 8/1/22.”

Correction date in the state record: Aug 18, 2022

3270.52 Mixed Age Level

“**At approximately 11:30 AM on 8/23/22 when Staff #1 was asked to name the children in her assigned group, Staff #1 named 13 children which included 1 older school-age child and 12 young school-age children.”

Correction date in the state record: Dec 9, 2022

3270.52 Mixed Age Level

“*At approximately 11:30 AM on 8/23/22 when Staff #1 was asked to name the children in her assigned group, Staff #1 named 13 children which included 1 older school-age child and 12 young school-age children.”

Correction date in the state record: Aug 17, 2022

3270.94(a)(1) Every 60 days

“The Director or designated staff person did not ensure that fire drills are conducted at least once every 60 days. The Director provided documentation of fire drills being conducted on 1/21/22, 2/3/22, 3/1/22, 4/1/22, 6/1/22, and 8/1/22.”

Correction date in the state record: Aug 18, 2022

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

“Staff #12 lacked documentation of completing Mandated Reporter Training within 90 days of hire (See LIS CODE SHEET). Staff #12 had documentation of completing Mandated Reporter Training on 5/12/22.”

Correction date in the state record: Aug 18, 2022

3270.32(a) Comply with CPSL

“Staff person #10 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/20/16.”

Correction date in the state record: Aug 17, 2022

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

“Staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, and #14 were observed to be caring for children unsupervised. Staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13 and #14 have not completed the following pre-service training required prior to caring for children unsupervised: pediatric first-aid and CPR. Staff persons #5, #13, and #14 were observed to be caring for children unsupervised. Staff persons #5, #13, and #14 have not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training and health and safety training. Staff person #10 was observed to be caring for children unsupervised. Staff person #10 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/20/16.”

3270.31(f) Health and Safety Training

“Staff person #1, #2, #3, #,4, #6, #7, #8, #9, #10, and #12 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First-aid and CPR.”

Correction date in the state record: Aug 24, 2022

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

“The facility was unable to provide a written record that the fire detection system was manually tested at least once every 30 days. The facility provided a written record that the fire detection system was manually tested on 11/1/21, 12/1/21, 1/3/22, 1/22/22, 2/3/22, 3/1/22, 4/1/22, 5/1/22, 6/1/22, 7/1/22, and 8/1/22.”

Correction date in the state record: Aug 18, 2022

3270.52 Mixed Age Level

“**At approximately 11:30 AM on 8/23/22 when Staff #1 was asked to name the children in her assigned group, Staff #1 named 13 children which included 1 older school-age child and 12 young school-age children.”

Correction date in the state record: Dec 9, 2022

3270.52 Mixed Age Level

“*At approximately 11:30 AM on 8/23/22 when Staff #1 was asked to name the children in her assigned group, Staff #1 named 13 children which included 1 older school-age child and 12 young school-age children.”

Correction date in the state record: Aug 17, 2022

3270.104(a) Clean, good repair, proper size

“On 11/23/21 facility staff verbally conformed that a highchair, which was labeled by the manufacturer to be used for children ages 2 to 2 1/2 years old, was used for a 3 year old child.”

Correction date in the state record: Nov 24, 2021

3270.113(e) Restraints prohibited

“On 11/23/21 facility staff verbally confirmed using a highchair to confine child #1 as a means of behavioral management when child #1 had become a danger to self and others by exhibiting assaultive behaviors in the classroom.”

Correction date in the state record: Nov 24, 2020

3270.104(a) Clean, good repair, proper size

“On 11/23/21 facility staff verbally conformed that a highchair, which was labeled by the manufacturer to be used for children ages 2 to 2 1/2 years old, was used for a 3 year old child.”

Correction date in the state record: Nov 24, 2021

3270.113(e) Restraints prohibited

“On 11/23/21 facility staff verbally confirmed using a highchair to confine child #1 as a means of behavioral management when child #1 had become a danger to self and others by exhibiting assaultive behaviors in the classroom.”

Correction date in the state record: Nov 24, 2020