Cura Bella

The file for staff person #1 did not include a copy of an updated FBI Clearance within 60 months of the previous clearance. The most recent FBI clearance on file was dated 07/15/2020 with no subsequent FBI clearance on file. *Corrected on the date of the inspection. The file for staff person #2 did not include the results of a State Police clearance within 45 days of hire (see LIS code sheet). The file included a Volunteer State Police clearance dated 11/10/2021 in lieu of an employment clearance. *Corrected at the time of the inspection. The file for staff person #3 did not include the results of a State Police clearance within 45 days of hire (see LIS code sheet). The file included a Volunteer State Police clearance dated 07/29/2025 in lieu of an employment clearance. *Corrected at the time of the inspection. The file for staff person #4 did not include the results of a Child Abuse clearance prior to their first day caring for children (see LIS code sheet). The file included a Volunteer Child Abuse clearance dated 04/19/2024 in lieu of an employment clearance. The file for staff person #4 included a signed Disclosure Statement dated 08/29/2025 which was not signed by a witness…

Observed staff person #5 in the older toddler classroom supervising a group of 2 young toddlers and 9 older toddlers Naptime ratios in a mixed group of young and older toddlers is one staff person to 10 young and older toddlers. Ratios in a mixed group is determined by the youngest child in care. The staff:child ratio for a young toddler is 1:10 while children are napping. *Corrected at the time of the inspection.

Observed a bottle of Wite-Out on the desk located in the Preschool classroom which was accessible to children. Observed bottles of spray sunscreen in an unlocked drawer located in the school-age classroom which were accessible to children. *Corrected at the time of the inspection.

Observed power cords under the teacher's desk in the infant classroom which created a hazard. The cords were lying across the floor within reach of the mobile infants in the classroom.

Observed the cubbies in the Preschool classroom were not stable creating a tip hazard. *Corrected at the time of the inspection.

Observed compact cribs in the infant classroom with full size crib sheets on the mattresses in lieu of crib sheets intended for a compact crib mattress. The crib sheets, which were too big for the mattress, created access material which creates a potential suffocation hazard.

The first aid kit located in the young toddler classroom did not contain soap.

Observed the cubbies in the preschool/prek classroom were not stable creating a tip hazard. Observed a plastic storage rack containing manipulatives and toys which was wobbly creating a tip hazard.

Observed packaged celery sticks in the refrigerator which showed visible signs of spoilage and were past their expiration date.

The director or designated staff person did not ensure a manual test of the fire detection system was completed at least once every 30 days; a manual test exceeded 30 days on the following dates: 10/11/2024 - 11/11/2024 and 01/03/2025 - 02/04/2025.

The emergency contact information for child #1 did not include a complete work address for the enrolling parent. The emergency contact information for child #3 did not include the work address for the enrolling parent.

The emergency contact information for child #2 was not reviewed by a parent within 6 months of the previous review; the most recent review was completed on 11/07/2024 with the previous review on 04/11/2024.

The file for staff person #1 did not include an annual minimum of 12 clock hours of child care training; the file included 10 hours of child care training completed between 08/2023 - 08/2024. The file for staff person #2 did not include an annual minimum of 12 clock hours of child care training; the file included 7.5 hours of child care training completed between 12/2023 - 12/2024.

Observed staff person #1 and #2 were unable to identify the children in their assigned groups in the PreK classroom. Staff person #1 initially named 7 children in their group and staff person #2 named 9 in their group. There was a total of 17 preschool children in the classroom at the time. Child #1 was not assigned to a group and was not named by either staff person.

The summer breakfast schedule listed several days of the week in which only 2 items from four food groups were included. Mondays: Cereal and Milk; Tuesdays: Cereal Bars and Milk; Wednesdays: Cereal and milk and Fridays: Cereal and milk. It was documented through correspondence with parents that only 2 items were documented as being served to the children without a 3rd food group provided for breakfast on the following dates: 09/09/2024, 09/10/2024, 09/23/2024, 09/24/2024, and 09/27/2024.

Staff person #3 who completed the previous health and safety pre-service training modules prior to October 4, 2022, did not complete the 1-hour Pennsylvania Health and Safety Update 2022 within 90 days of hire (see LIS code sheet).

Observed an electrical outlet next to the portable sink located in the upstairs school age classroom which lacked a protective receptacle cover which was accessible to a preschool age child receiving care in the space. *Corrected at the time of the inspection.

Observed a tub containing a variety of sunscreens labeled keep out of reach of children on top of the counter in the upstairs school-age classroom which were accessible to a mixed age group of preschool and school age children. *Corrected at the time of the inspection.

Observed a first aid kit containing sample size packets of first aid creams, ointments, and over the counter medications (Tylenol) labeled keep out of reach of children in the upstairs school-age classroom which were accessible to a mixed age group of preschool and school age children. *Corrected at the time of the inspection.

Observed trim which was peeling off the wall behind the toilet in the stall on the right side of the bathroom located in the young toddler classroom.

The thermometer located in the refrigerator in the older toddler classroom had a temperature of 60° F, the refrigerator used to store milk was not maintaining a temperature 45° F or below. *Corrected at the time of the inspection.

The file for child #5 included a health report which was not updated at least every 6 months for an infant or young toddler (see LIS code sheet). The file included an initial health report dated 03/14/2023, immunization records dated 04/06/2023 & 07/06/2023 and a current health assessment dated 02/12/2024 with no subsequent health reports on file between 03/14/2023 - 02/12/2024.

Observed a prescription medication for child #4 which did not have written consent for administration of medication from the parent.

The annual emergency drill was not conducted within 12 months of the previous drill. The most recent drill was conducted on 06/28/2023 with the previous drill conducted on 04/18/2022.

The financial agreement for child #1, #2, and #3 was not updated at least once in a 6-month period. The financial agreement for child #1 was reviewed on 01/02/2023, 08/31/2023 and 01/11/2024. The financial agreement for child #2 was reviewed on 01/04/2023, 08/22/2023 and 01/12/2024. The financial agreement for child #3 was reviewed on 01/05/2023, 08/30/2023 and 01/11/2024. Financial agreements are scheduled to be reviewed in January and August, which is a 7-month period.

The file for staff person #1 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file included one written reference and one verbal reference in lieu of a second written reference.

Staff person #3 and #5 have not completed the following health and safety professional development training update by 12/30/2022: Pennsylvania Health and Safety Update 2022. On 03/06/2023, staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated reporter, Get Started with Center-Based Care - Revised 2022, and Pediatric first aid & CPR training.

Observed staff person #2 working alone in the in the younger toddler room. The file for staff person #2 included a Child Abuse Clearance which was not updated every 60 months. The most recent Child Abuse Clearance on file was dated 01/31/2018. Observed staff person #3 working alone in the infant room. The FBI clearance on file for staff person #3 was a PDE FBI Clearance dated 08/26/2022 in lieu of a DHS FBI clearance; the previous DHS FBI clearance was dated 09/21/2016. Observed staff person #4 working alone in the infant classroom without complete provisional hire documentation at the time of initial hire (see LIS code sheet). The file contained a Volunteer State Police Clearance dated 02/02/2023, a Volunteer Child Abuse Clearance dated 10/26/2022, an FBI clearance dated 10/21/2022 and a NSOR Certificate dated 10/25/2022. The file did not include a copy of request for the State Police Clearance for employment purposes or a Child Abuse Clearance for employment purposes.

The toilet in bathroom located in the young toddler classroom was observed to have a ring around the toilet bowl. Staff stated the bathroom is cleaned weekly.

The women's bathroom located in the "Narthex" did not have handwashing signs posted at the sinks or in the bathroom stalls. The men's bathroom located in the "Narthex" did not have handwashing signs posted in the handicap stall.

Observed disposable gloves on the counter/cabinet located in the older toddler classroom which was accessible to children who are still placing objects in their mouths. *Corrected at the time of the inspection.

The file for child #3 (see LIS code sheet) included a record of the child's immunization status which lacked a current influenza immunization.

The lunch prepared at the facility did not include at least one protein. The lunch included Pierogies, mixed fruit, broccoli and milk. *Corrected at the time of the inspection.

Observed a 5 1/2 month old infant propped on a Boppy pillow while being fed. Staff was sitting beside the infant holding the bottle in lieu of being held while being bottle fed.

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. The documented fire drills exceeded 60 days on the following dates: 11/04/2022 - 01/04/2023 - 03/06/2023.

The director or designated staff person who is responsible for compliance with this chapter did not ensure that a manual test of the fire detection system was conducted at least once every 30 days. The documented tests exceeded 30 days on the following dates: 03/18/2022 - 04/20/2022, 10/03/2022 - 11/04/2022, 12/02/2022 - 01/04/2023, and 02/03/2023 - 03/06/2023.

The file for child #1, included a Child Service Report with information to the family about the child's growth and development, which was not updated every 6 months. The most recent Child Service Report was completed on 06/02/2022.

The emergency contact information for child #3 did not include the complete address of the individuals designated by the parent to whom the child may be released.

The emergency contact information and financial agreement for child #3 was not reviewed by a parent within 6 months of the previous review. The most recent review of the emergency contact information was completed on 03/01/2023 with the previous review on 08/30/2022. The most recent review of the financial agreement was completed on 01/04/2023 with the previous review on 05/23/2022.

The file for staff person #1 and #4 only included one written, nonfamily reference from individuals attesting to the person's suitability to serve as a facility person.

Observed mini Graco Pack N Plays in the infant classroom with regular size Pack N Play sheets on the mattesses in lieu of sheets intended for a mini Pack N Play mattress. The sheets were too big for the mattress and created access material which creates a potential suffocation hazard.

The file for staff person #1 hired after 02/17/2022, did not include the results of the NSOR clearance prior to their first day caring for children. The NSOR clearance was requested on 02/22/2022.

On 03/24/2022, at approximately 10:30 am, observed a 3-month old sleeping in a swing. According staff, the infant fell asleep at approximately 8:30/8:40 am. A medical reason was not documented in the child's file at the facility.

Child #1 was excluded from care even though a written notification was received from a physician or a CRNP that the child was no longer considered a threat to the health of others.

Observed exposed bolts on the gate between the two playgrounds.

Observed plastic gloves used on the counter in the older toddler room which were accessible to children who are still placing objects in their mouths.

Observed cubbies in the school-age room which were not secured to prevent a tip hazard.

The file for child #1, a 7-month-old, included a record of the child's immunization status which lacked a 2nd dose of HepB, a 2nd dose of Rotavirus, a 2nd dose of DTap, a 2nd dose of Hib, a 2nd dose of PCV13, and a 2nd Polio immunization. The file for child #2, 18 months old, included a record of the child's immunization status which lacked a 4th dose of DTaP, an MMR and an influenza immunization. The file for child #3, a 2 year old, included a record of the child's immunization status which lacked a current influenza immunization. The file for child #4, a 5 year old, included a record of the child's immunization status which lacked a current influenza immunization.

The file for staff person #3 included a health assessment which was not updated within 24 months; the current health assessment on file was dated 02/22/2021 and the previous health report was dated 12/04/2018.

An annual emergency drill was not documented and on file at the facility.

The file for child #1 did not include an initial health report no later than 60 days following the first day of attendance. The file included a health report form which was not complete by a physician. A copy of the immunization report dated 11/05/2021 was attached to the incomplete health report form.

Staff person #2 did not complete the Health & Safety training requirements in Chapter 3270.31(f)(1-9) within 90 days of hire; the required trainings were not on file. Staff person #4 did not complete the Health & Safety training requirements in Chapter 3270.31(f)(1-9) within 90 days of hire; .the required trainings were completed on 12/02/2021.

The file for staff person #3 included Mandated Reporter training which was not completed within 60 months as required by the CPSL; the current mandated reporter training was completed on 03/15/2022 and the previous training was 02/08/2017.

The emergency contact information for child #5 did not include the work addresses of the enrolling parent.

The emergency contact information for child #1 did not include the health insurance coverage and policy number.

On 03/18/2022, emergency contact information was not present in the infant classroom for the young toddlers receiving care in the space.

The file for staff person #1 did not include verification of child care experience & education prior to service at the facility.

Staff person #4 did not complete Pediatric First-aid & CPR within 90 days of hire; the required training was completed on 12/19/2021.

The fire safety training certificate for the most recent training conducted on 03/15/2022, did not include the signature and title of the fire safety professional that presented the training.