Illumination Early Learning Center

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During the inspection on 5/28/26, security camera footage from 5/14/26 was reviewed and showed that Child #1, a young toddler, exited the YT1 Room alone at 9:42:01 a.m. and wandered outside the classroom in the hallway area near the YT1 Room. At 9:42:22 a.m., Child #2, another young toddler, was observed leaving the YT1 Room alone, while at the same time, Staff #2 was observed exiting the OT Room, which is near the YT1 Room. At 9:42:27 a.m., Child #1 was observed re-entering the YT1 Room by themselves and Staff #2 was observed bringing Child #2 back to the YT1 Room at 9:42:35 a.m. Child #1 was left unsupervised for approximately 21 seconds in the hallway area outside of the YT1 Room. Staff #3 acknowledged that they did not know that Child #1 and Child #2 had exited the classroom alone. At the time of the incident, Child #1 and Child #2 were assigned to Staff #3's primary supervision group.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The Legal Entity/Director will update the supervision policy for the facility. At a minimum, the policy must include the following: 1. How proper supervision will be maintained when a staff is alone with a group of children, but needs to assist a child 1:1. 2. What protocols will be followed to ensure that children do not leave the childcare space alone. 3. What preparations staff can make in advance (i.e. gathering supplies, making commonly needed items more accessible) to limit the potential for a lapse in supervision. 4. How staff will position themselves within the classroom to prevent lapses in supervision and possible elopement during diaper changes, at times when a staff needs to retrieve items that may put the children out of their direct line of vision, and when a staff is distracted by someone else, such as a parent. 5. How and when staff will use team communication to ensure that children are always supervised. This updated supervision policy must be submitted to the Department prior to implementation for approval. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on this policy. Documentation of the training must be maintained at the facility. The operator shall provide a date by when this will be completed. 3. The legal entity must arrange for all facility staff employed as of the date of the training to receive a minimum of 3 hours of PQAS-approved in-person or live training regarding supervision and ratios of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date by when this will be completed.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: A review of staff files was conducted during the inspection. On the health assessment for Staff #2, the doctor indicated a "YES" answer for question #2, indicating that the staff person had communicable diseases, and no additional information was provided, as required.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #2 (see code sheet for first day with children) had a Pennsylvania State Police Clearance on file dated 3/13/26. This clearance was a volunteer clearance, but it was being used for employment purposes, which is not permitted. Also, during the inspection on 5/28/26, Staff #2 was observed having direct contact and routine interaction with children in the Outdoor Play Area.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A staff person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff person #2 cannot work in a childcare position that involves direct contact and routine interaction with children until all required paperwork is completed and on file at the facility.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: The fire detection system was not tested at least once every 30 days. The most recent fire detection system testing log on file was observed to be 4/15/26. However, another fire detection system test should have occurred by 5/15/26, and there was no proof of this on file.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: The fire detection system was not tested at least once every 30 days as indicated by the most recent fire detection system testing log being dated 1/14/26.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A chalkboard in the Large Outdoor Play Area had a rough rusted metal rim around it. This posed a potential scratching hazard.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact and financial agreement information on file for Child #2 were dated 4/5/2025 and 11/5/2025. More than 6 months had lapsed since a parent last reviewed, updated, and signed the emergency contact and financial agreement forms.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health report on file for Child #10, which was dated 6/26/25, did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: The only health assessment on file for Staff #13 (see code sheet for first day with children) was dated May 13, 2024, and was not completed within the required 12-month period prior to Staff #13 providing initial services in a childcare setting.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Staff #4 had eight hours of annual child care trainings on file, and not the required 12 clock hours of child care trainings.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the Renewal Inspection on 1/14/26, Staff #5 was observed having direct contact and routine interaction with children in the Preschool 2 Classroom. Staff #5 provided a comprehensive background check, dated 6/17/24, for a state where the staff previously resided. This clearance indicates that it is not portable, which was confirmed via phone call with that state, and appropriate out-of-state clearances were not obtained prior to the staff working with children at this facility. Staff #10 had State Police Clearances on file dated 12/9/2020 and 1/7/2026. Also, Staff #10 had Child Abuse Clearances on file dated 12/14/2020 and 1/8/2026. More than 60 months had lapsed between the clearances. Staff #19 acknowledged that Staff #10 had routine interaction and direct contact with children during this lapse.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A staff person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A staff person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff person #5 cannot work in a childcare position that involves direct contact or routine interaction with children until all required paperwork is completed and on file at the facility. This portion of the plan shall have an immediate correction date. 2. The Legal Entity/Director will create a tracking system (i.e. spreadsheet, calendar) or a method for ensuring that clearances do not lapse. Also, the Legal Entity/Director will create a procedure for ensuring that the correct out-of-state clearances are obtained prior to individuals having direct contact or routine interaction with children. The Legal Entity/Director will submit the updated tracking system/method and procedure to the Northeast Regional Office for approval. Once approved, any staff who handle clearances related paperwork must be trained on the approved tracking system/method and procedure, and this training must be documented and placed in their files. The Legal Entity/Director will provide a date by when this will be completed.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: CONTINUED NONCOMPLIANCE: On 8/12/2025, Staff #1 was supervising a group of 8 preschoolers as they walked from the Preschool 1 classroom, through a locked hallway, to the Preschool 2 classroom. During this transition, Child #1 and Child #2 were left unsupervised for approximately one minute in the locked hallway. The children were initially found by Staff #2, Facility Person #21, and a non-staff maintenance worker, and they stayed with the children until Staff #1 arrived. Staff #1 returned the children to the Preschool 2 classroom. This incident was self-reported to the Regional Office on 8/13/25. An acceptable plan of correction was received indicating that children will be supervised at all times. On 9/17/25, the facility self-reported that on this date, Child #3 was left in the Young Toddler 2 classroom unsupervised. A review of security camera footage showed that at 9:39 a.m. on 9/17/25, Staff #3 and Staff #4 exited the Young Toddler 2 Classroom with a group of eight young toddlers. At approximately 10:02 a.m., Child #3 was observed exiting the same classroom alone. The child wandered unsupervised in the hallway for about one minute before re-entering the classroom. At 10:03 a.m., a non-staff member found Child #3 and gave them to Staff #5. Child #3 was unsupervised for an estimated 24 minutes. At the time of the incident, Child #3 was assigned to Staff #3's primary supervision group.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. For a period of 3 months, the facility shall have no lapses in supervision. The operator shall demonstrate compliance on unannounced visits over the next 3 months. This portion of the plan requires a date of correction that is at least 3 months from the date of the submission of the plan of correction. The operator shall provide a date by when this will be completed.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: The sensory table near the door in the Older Toddler Room was observed to have uncooked black beans and silver plastic pieces that were measured to be less than an inch in diameter. This table was accessible to the older toddlers who were being supervised in that room, and Staff #17 acknowledged that some of these children were still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: On 8/12/2025, Staff #1 was supervising a group of 8 preschoolers as they walked from the Preschool 1 classroom, through a locked hallway, to the Preschool 2 classroom. During this transition, Child #1 and Child #2 were left unsupervised for approximately one minute in the locked hallway. The children were initially found by Staff #2, Facility Person #21, and a non-staff maintenance worker, and they stayed with the children until Staff #1 arrived. Staff #1 returned the children to the Preschool 2 classroom. This incident was self-reported to the Regional Office on 8/13/25.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The Legal Entity/Director must update existing supervision policies/procedures. The policies and procedures must include the following requirements: Staff will be able to see, hear, direct and assess the children at all times. Staff will know the whereabouts of the children in their assigned group. Staff will be physically present with the children in their assigned group at all times. Staff who are supervising children alone or with multiple staff will know their supervision roles and the correct procedure for positioning themselves in order to maintain appropriate supervision. During periods of transition where children are walking through locked areas (i.e. a locked hallway), staff will follow procedures to ensure they have all of the children in their supervision group at all times. These procedures must outline the supervision steps that the staff will take before, during, and after they proceed through a locked area. The Legal Entity/Director will submit the updated policies/procedures to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies and procedures, and it must be documented in their files. The operator shall provide a date by when this will be completed. 3. For a period of 2 months, the facility shall have no occurrences of non-compliance related to supervision of children. The operator shall demonstrate compliance on unannounced visits over the next 2 months. This portion of the plan requires a date of correction that is at least 2 months from the date of the submission of the plan of correction. The operator shall provide a date by when this will be completed.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child #1, #2, #3, #5, #8, #9, and Child #10 had current child service reports on file. However, the facility was not using the Department's child service report or the Department's other approved forms. Child #4 had an approved child service report on file dated 11/25/24. However, an updated child service report was required to be completed by 5/2025.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).