KinderCare Learning Center 221

525 Veterans Hwy, Bristol, PA 19007 · Bucks County

Provisional Certificate of Compliance for Downgrade, October 2026 (COMPASS status: Pending Appeal) Provisional certificate 6 core-safety citations in last 12 months 3 complaint investigations found violations Keystone STAR 4 (accredited)

Part of KinderCare · 66 Pennsylvania locations

KinderCare Learning Center 221 is a certified child care center in Bristol, PA, with capacity for 108 children. It holds a Keystone STAR 4 (accredited) rating. Since August 2021, Pennsylvania certification staff have inspected it 9 times and confirmed violations in 3 complaint investigations. The state cited 64 violations, 12 of them core-safety (supervision, staff ratios, discipline, background checks, child protection or safe sleep), most often for records & paperwork (23 of 64). 20 citations came in the last 12 months, including 6 on a core-safety topic. Measured by topic-weighted citations per inspection, it is #8 of 9 centers in Bristol and has more citations per inspection than 76% of Pennsylvania certified centers.

Inspection record

More citations than 76% of 4,789 Pennsylvania certified centers, per inspection, weighted by topic. More citations than most

#8 of 9 centers in Bristol

12 Core-safety citations

52 Other citations

9 Inspections

3 Complaint investigations that found violations

64 citations from 14 state visits since Aug 16, 2021 · 20 in the last 12 months · last inspected Aug 18, 2026

Every state visit

Violation found No violation Top row: inspections · bottom row: complaint investigations, self-reported incidents and other visits

What inspectors cited most

Records & paperwork 23

Building & playground safety 12

Health & medication 11

Supervision 5

Background checks 4

Emergency preparedness 3

Training & qualifications 3

Staff ratios 2

Caregiver conduct 1

Citations, newest first

Citation Aug 18, 2026 Inspection Records & paperwork

Immediate access 55 Pa. Code §3270.24(a)

During unannounced inspection certification rep certification rep requested staff files for staff 1,2, and 3. Staff files were not on site.

Center’s plan of correction (implemented, Sep 15, 2026): “Files for staff 1,2 and 3 were emailed the same day.”

Core safety Jul 30, 2026 Self-reported violation Staff ratios

Similar Age Level/Supervision on and facility premises 55 Pa. Code §3270.51/3270.113(a)(2)

11 children with 2 staff members were observed in the Toddler classroom. The age of the youngest child was 1. In the preschool classroom 22 children were observed with 2 staff members. The age of the youngest child was 3.

Center’s plan of correction (accepted, Aug 11, 2026): “Director immediately contacted parents and requested that children be picked up.”

Inspection status on COMPASS: Needs Verification

Core safety Jul 30, 2026 Self-reported violation Staff ratios

Mixed Age Level 55 Pa. Code §3270.52

On 7-30-26, The young toddler classroom and the older toddler classroom were in the outdoor play space together. The young toddler classroom had 10 children, and the older toddler classroom had 12 children. The age of the youngest child was one year old.

Center’s plan of correction (accepted, Aug 12, 2026): “Director will make sure make sure that staff are made aware that the ratio drops to the youngest child when they are outdoors/ outdoor play space together. All staff will receive training in ratio and supervision.”

Inspection status on COMPASS: Needs Verification

Core safety Jul 30, 2026 Self-reported violation Supervision

Supervised at all times 55 Pa. Code §3270.113(a)

A child was found unsupervised in the toddler classroom by another staff member.

Center’s plan of correction (accepted, Aug 12, 2026): “All staff will be required to attend training on supervision and ratio. The training will include checking face to name.”

Inspection status on COMPASS: Needs Verification

Core safety Jul 30, 2026 Self-reported violation Supervision

Staff assigned to specific children 55 Pa. Code §3270.113(a)(1)

During unannounced visit certification rep asked staff the number of children they had in the classroom. Both teachers stated they had 10. Staff in the toddler room were unaware that they had 11 children in the classroom.

Center’s plan of correction (accepted, Aug 11, 2026): “To maintain ratio parents were called to pick up their child. All staff will be required to attend supervision training that includes properly using face to name.”

Inspection status on COMPASS: Needs Verification

Core safety May 27, 2026 Inspection Background checks

Comply with CPSL 55 Pa. Code §3270.32(a)

During unannounced visit certification rep reviewed new hire file. Staff 1 had child abuse clearance in their file but it was for volunteer. State police clearance for staff 1 stated "other" as the reason.

Center’s plan of correction (implemented, Jun 10, 2026): “Staff 1 was placed under appropriate supervision and has not worked alone with children. She received her child abuse clearance for employment on 6-3-26. Staff 1 will be a provisional employee until all clearances are received.”

Citation May 27, 2026 Inspection Health & medication

Mantoux TB 55 Pa. Code §3270.151(c)(2)

Health assessment for staff 1 was missing date TB was read.

Center’s plan of correction (implemented, Jun 10, 2026): “Staff 1 had her doctor put the date her TB test was read on her health assessment on 5-27-26.”

Citation May 27, 2026 Inspection Records & paperwork

Exp, educ., training prior to facility 55 Pa. Code §3270.192(2)(ii)

Staff 1 was missing verification of childcare experience.

Center’s plan of correction (implemented, Jun 10, 2026): “Staff 1 received and submitted two written recommendations. From the recommendations the verification of childcare experience was completed.”

Citation May 27, 2026 Inspection Records & paperwork

Two written references 55 Pa. Code §3270.192(5)

Staff 1 was missing 2 reference letters from their file.

Center’s plan of correction (implemented, Jun 10, 2026): “Staff 1 received and submitted two written nonfamily references on 5-28-26.”

Core safety Jan 28, 2026 Inspection Background checks

Comply with CPSL 55 Pa. Code §3270.32(a)

NSOR for staff 2 was expired (1-15-21)

Center’s plan of correction (implemented, Feb 20, 2026): “Staff clearance (NSOR) was submitted on 1-7-26 and again on 1-9-26. A phone call was made to NSOR agency to confirm receipt on 1-12-26. NSOR agency said clearance was mailed and would be received within 14 days. Clearance was received on 1-27-26.”

Citation Jan 28, 2026 Inspection Building & playground safety

Locked or inaccessible 55 Pa. Code §3270.66(a)

Certification rep observed cleaning solutions accessible in the bathroom in room 1. Certification rep observed diaper cream accessible in room 3.

Center’s plan of correction (implemented, Feb 20, 2026): “Cleaning solutions and diaper creams/ lotions/ornaments have been removed from children's bathrooms and teachers have been advised to keep them away and out of reach of the children.”

Citation Jan 28, 2026 Inspection Building & playground safety

Clean and good repair 55 Pa. Code §3270.82(g)

The toilets in the room were dirty

Center’s plan of correction (implemented, Feb 20, 2026): “All toilets and bathrooms were cleaned, and teachers have been advised to make sure bathrooms are cleaned and cleaning checklists/ checks are done morning, naptime and evening before close.”

Citation Jan 28, 2026 Inspection Building & playground safety

Clean and good repair 55 Pa. Code §3270.102(a)

Certification rep observed ripped mats in room 5

Center’s plan of correction (implemented, Feb 20, 2026): “Teachers and management have thrown away all ripped mats.”

Citation Jan 28, 2026 Inspection Health & medication

Clean, age appropriate 55 Pa. Code §3270.106(a)

Rest equipment in room 1,3,4 and 5 were not labeled for the use of a specific child

Center’s plan of correction (implemented, Feb 20, 2026): “Rooms 1,3,4 and 5 teachers have labeled all mats for the use of a specific child.”

Citation Jan 28, 2026 Inspection Emergency preparedness

Every 60 days 55 Pa. Code §3270.94(a)(1)

Last documented fire drill was on 10-24-25.

Center’s plan of correction (implemented, Feb 20, 2026): “A fire drill was done on 2-9-26 and will be done monthly going forward.”

Citation Jan 28, 2026 Inspection Records & paperwork

Designated release persons 55 Pa. Code §3270.123(a)(5)

Fee agreement for child 3 did not specify the persons designated by a parent to whom the child may be released.

Center’s plan of correction (implemented, Feb 20, 2026): “Parent for child #3 updated the fee agreement to specify the person's designated by the parent to whom the child can be release to.”

Citation Jan 28, 2026 Inspection Records & paperwork

Parent home/work address, phone 55 Pa. Code §3270.124(b)(3)

Emergency contact for child 1,2 and 3 were missing work addresses and telephone numbers of the enrolling parent.

Center’s plan of correction (implemented, Feb 20, 2026): “Emergency contact for child 1,2,3 have been updated with parents work addresses and telephone numbers.”

Citation Jan 28, 2026 Inspection Records & paperwork

Insurance coverage information 55 Pa. Code §3270.124(b)(6)

Emergency contact for child 4 was missing health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits

Center’s plan of correction (implemented, Feb 20, 2026): “Emergency contact for child #4 has been updated with health insurance coverage and policy number for child under family policy or medical assistance benefits.”

Citation Jan 28, 2026 Inspection Records & paperwork

Name/address/phone release person 55 Pa. Code §3270.124(b)(7)

Emergency contact for child 2 was missing address of the individual designated by the parent to whom the child may be released.

Center’s plan of correction (implemented, Feb 20, 2026): “Emergency contact has been updated for child #$2 with the address of the individual to whom the child can be released to.”

Citation Jan 28, 2026 Inspection Records & paperwork

Two written references 55 Pa. Code §3270.192(5)

Staff 1 had 1 reference from a family member.

Center’s plan of correction (implemented, Feb 20, 2026): “Staff #1 received a written recommendation from a nonfamily member. The recommendation is in the staff member's file.”

Show 44 older citations

Citation Jan 7, 2025 Inspection Records & paperwork

Designated release persons 55 Pa. Code §3270.123(a)(5)

File records for Child #2 and Child #4 did not include specify the persons designated by a parent to whom the child may be released on the agreement

Center’s plan of correction (implemented, Jan 13, 2025): “File records for Child #2 and Child #4 was updated to include specify the persons designated by a parent to whom the child may be released on the agreement”

Citation Jan 7, 2025 Inspection Records & paperwork

Name/address/phone release person 55 Pa. Code §3270.124(b)(7)

File records for Child #1 and Child #2 did not include the name and address of the individual designated by the parent to whom the child may be released.

Center’s plan of correction (implemented, Jan 13, 2025): “File records for Child #1 and Child #2 was updated to include the name and address of the individual designated by the parent to whom the child may be released.”

Citation Jan 7, 2025 Inspection Records & paperwork

Consent for emergency medical care required prior to admission 55 Pa. Code §3270.182(3)

File records for Chils # 3, Child #4 and Child #5 did not signed parental consent for emergency medical care for the child

Center’s plan of correction (implemented, Jan 13, 2025): “File records for Chils # 3, Child #4 and Child #5 was updated with signed parental consent for emergency medical care for the child”

Citation Jan 7, 2025 Inspection Records & paperwork

Consent for administration of minor first-aid required prior to admission 55 Pa. Code §3270.182(5)

File record for Child #3, Child #4 and Child #5 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Center’s plan of correction (implemented, Jan 13, 2025): “File record for Child #3, Child #4 and Child #5 were updated to contain signed parental consent for administration of minor first-aid procedures by facility staff.”

Citation Jan 7, 2025 Inspection Training & qualifications

Age and Training 55 Pa. Code §3270.31(e)

File records for Staff #1 and Staff #2 did not include an annual minimum of 12 clock hours of child care training

Center’s plan of correction (implemented, Jan 13, 2025): “File records for Staff #1 and Staff #2 were updated to include an annual minimum of 12 clock hours of child care training”

Citation Jan 29, 2024 Inspection Building & playground safety

Building Surfaces 55 Pa. Code §3270.76

Certification Representative observed baseboard moulding missing from wall of Classroom #5

Center’s plan of correction (implemented, Mar 18, 2024): “Baseboard moulding were placed along the wall of classroom #5”

Citation Jan 29, 2024 Inspection Records & paperwork

Insurance coverage information 55 Pa. Code §3270.124(b)(6)

File Records for Child #1 and Child #2 did not include health insurance coverage policy number for a child under a family policy or Medical Assistance benefits

Center’s plan of correction (implemented, Feb 12, 2024): “Parents for Child #1 and Child #2 have provided health insurance policy's numbers for their children file record”

Citation Jan 29, 2024 Inspection Records & paperwork

Name/address/phone release person 55 Pa. Code §3270.124(b)(7)

File Records for Child #1, Child #2 and Child #3 did not include the address of the individual designated by the parent to whom the child may be released.

Center’s plan of correction (implemented, Feb 12, 2024): “The parents for Child #1, Child #2 and Child #3 have added the address of the individual designated by the parent to whom the child may be released.”

Citation Jan 29, 2024 Inspection Records & paperwork

Consent for emergency medical care required prior to admission 55 Pa. Code §3270.182(3)

File record for Child #2 did not include signed parental consent for emergency medical care for the child

Center’s plan of correction (implemented, Feb 12, 2024): “Parent of Child #2 has signed parental consent for emergency medical care for the child”

Citation Jan 29, 2024 Inspection Records & paperwork

Consent for administration of minor first-aid required prior to admission 55 Pa. Code §3270.182(5)

File record for Child #2 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

Center’s plan of correction (implemented, Feb 12, 2024): “Parent of Child #2 has signed parental consent for administration of minor first-aid procedures by facility staff.”

Core safety May 24, 2023 Self-reported violation Supervision

Supervised at all times 55 Pa. Code §3270.113(a)

The operator reported on May 19, 2023, child #1 crawled out of the infant into an adjoining toddler room and then into the hallway. Staff person #1 was unaware that child #1 had left the classroom. Staff person #2 discovered the child unattended in the hallway.

Center’s plan of correction (implemented, Jun 20, 2023): “Children on the facility premises (both inside and outside) & on facility excursions off premises will be supervised by a facility staff person at all times.”

Core safety May 24, 2023 Self-reported violation Supervision

Supervised at all times 55 Pa. Code §3270.113(a)

The operator reported on May 19, 2023, child #1 crawled out of the infant into an adjoining toddler room and then into the hallway. Staff person #1 was unaware that child #1 had left the classroom.

Center’s plan of correction (implemented, Jun 21, 2023): “On 6/6/2023 ALL staff members who care for children in the facility received an in-person training regarding supervision of children. The training covered active supervision, using Primary Care Groups and Primary Care cards, a CSR review and active supervision.”

Core safety Mar 6, 2023 Inspection Background checks

Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)

During the renewal inspection on 3/7/2023 staff person #4 did not have verification of current Mandated Reporter's training. Staff person #7 did not have a current PA Criminal Clearance or a PA Child Abuse Clearance.

Center’s plan of correction (implemented, Apr 27, 2023): “Staff person #7 criminal background check was originally requested/submitted on 1/3/23. The original copy was not found so a replacement was requested and received 1/16/2023. Staff #4 will obtain mandated reportors training. Staff person #7 will not work at the facility until all clearance…”

Citation Mar 6, 2023 Inspection Building & playground safety

Building Surfaces 55 Pa. Code §3270.76

During the renewal inspection the following areas of non-compliance were observed on the outdoor PlaySpace: 1.Torn and damaged netting from sod that had been placed on the playground. 2. A large garden house causing a tripping hazard. 3. Storage bins with standing water and dirty toys. 4. The door to the shed was damaged and laying on the ground. 5.A water table with standing water and debris.

Center’s plan of correction (implemented, Apr 27, 2023): “the following areas of non-compliance were corrected: The hose has been put in storage and all bins and water tables have been emptied and cleaned. Work orders have been put in for the Lanscaping (netting from sod and to repair shed door).”

Citation Mar 6, 2023 Inspection Health & medication

Infant: updated health report every 6 months 55 Pa. Code §3270.131(b)(1)

During the renewal inspection on 3/7/2023 child #3 did not have a current health assessment with current immunizations.

Center’s plan of correction (implemented, Apr 27, 2023): “Child #3 has a current health assessment and shot record.”

Citation Mar 6, 2023 Inspection Health & medication

Toddler/preschool: updated health report every 12 months 55 Pa. Code §3270.131(b)(2)

During the renewal inspection on 3/7/2023 the health assessment for child #4 was expired.

Center’s plan of correction (implemented, Apr 27, 2023): “Child #4 has a current health assessment and shot record.”

Citation Mar 6, 2023 Inspection Health & medication

Original container 55 Pa. Code §3270.133(1)

During the renewal inspection on 3/7/23 medication for child #1 was not in the original box.

Center’s plan of correction (implemented, Apr 27, 2023): “Management has returned medication that was not in the original container. Family will bring new medication in the original container.”

Citation Mar 6, 2023 Inspection Health & medication

Original label 55 Pa. Code §3270.133(5)

During the renewal inspection on 3/7/2023 medication stored at the facility for child #2 was expired.

Center’s plan of correction (implemented, Apr 27, 2023): “Management has returned medication that was expired to family and has requested new medication if needed.”

Citation Mar 6, 2023 Inspection Health & medication

12 months prior to service and every 24 months thereafter/Health assessment, TB test 55 Pa. Code §3270.151(a)/3270.192(3)

During the renewal inspection on 3/7/23 staff person #6 had an expired health assessment. Staff person #7 did not have an health assessment including TB testing dates and results on file at the facility.

Center’s plan of correction (implemented, Apr 27, 2023): “Staff person #6 and Staff person #7 have a current health assessment and tb testing and/or xray in their file.”

Citation Mar 6, 2023 Inspection Building & playground safety

Director or designated staff person ensure compliance 55 Pa. Code §3270.95(b)

During the renewal inspection on 3/7/2023 fire alarm testing was not performed and/or logged between 10/22 to 3/2/23.

Center’s plan of correction (implemented, Apr 27, 2023): “The center director now understands that when we perform a fire drill and pull the alarms were also testing the alarms and will document the test.”

Citation Mar 6, 2023 Inspection Emergency preparedness

Emergency plan 55 Pa. Code §3270.27(f)

During the renewal inspection on 3/7/23 the operator did not verification that the emergency plan was sent to the local municipality and to the county emergency management agency.

Center’s plan of correction (implemented, Apr 27, 2023): “A copy of the Emergency plan was mailed to the Bristol Township Polie Department and Bucks County Emergency Management Department.”

Citation Mar 6, 2023 Inspection Records & paperwork

On file at facility 55 Pa. Code §3270.18(a)

During the renewal inspection on 3/7/2023 the provider did not have verification of current liability insurance.

Center’s plan of correction (implemented, Apr 27, 2023): “Comprehensive General Liability Insurance is printed and posted.”

Citation Mar 6, 2023 Inspection Training & qualifications

Fire safety - 1 yr. 55 Pa. Code §3270.31(e)(4)(ii)

During the renewal inspection on 3/7/2023 the following staff persons have not had fire safety training for over a one year period. Staff person #1 and #3.

Center’s plan of correction (implemented, Apr 27, 2023): “Staff persons #1 and #3 have completed approved Fire Safety Training.”

Citation Mar 6, 2023 Inspection Training & qualifications

Health and Safety Training/Health and Safety Training - Pediatric First Aid and CPR 55 Pa. Code §3270.31(f)/3270.31(f)(10)

During the renewal inspection on 3/7/2023 staff persons #2 and #4 did not have verification of the required health and safety training. (Get Started in center-based care Building Blocks for Quality). Staff person #3 did not have verification of the required health and safety training one hour update. Staff person #5 did not have verification of pediatric first aid and pediatric cardiopulmonary resuscitation.

Center’s plan of correction (implemented, Apr 27, 2023): “Staff person #5 will obtain pediatric first aid and pediatric cardiopulmonary resuscitation from an approved curriculum. Staff person #5 will be supervised at all times by a staff person AGS or GS who has completed the required health and safety training including pediatric first aid and pediatric…”

Core safety Oct 20, 2022 Complaint investigation Caregiver conduct

No physical punishment /Restraints prohibited 55 Pa. Code §3270.113(b)/3270.113(e)

On 10/28/2022, the inspection revealed through staff interviews that on 10/12/2022 staff person #1 placed her legs across child #1 (torso area) to prevent child #1 from getting up off of the nap time mat.

Center’s plan of correction (implemented, Dec 6, 2022): “The facility management will ensure facility persons do not use physical punishment or restrain children. Staff person #1 will complete the 3 hour OCDEL approved classroom management training prior to working with children again at the facility. Staff person #1 is not currently working at the…”

Citation Jul 20, 2022 Inspection Emergency preparedness

Every 60 days/Director or designated staff person ensure compliance 55 Pa. Code §3270.94(a)(1)/3270.95(b)

During the unannounced inspection on 7/20/2022 a review of the fire alarm test log and fire drill log revealed that a fire drill and an alarm test had not been conducted/and or logged since 3/22/22.

Center’s plan of correction (implemented, Jul 21, 2022): “A fire alarm test and fire drill log was held on 7/21/22”

Core safety Mar 22, 2022 Inspection Background checks

Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)

During the renewal inspection on 3/22/22/files provided 3/28/22 the file for staff person #1 did not include an FBI The file for staff person #2 did not include an FBI clearance. The file for staff person #3 did not include an NSOR clearance

Center’s plan of correction (implemented, May 27, 2022): “Staff #1 and Staff #2 submitted required documentation. Going forward all required clearances will be submitted and received on time. All new hires will furnish required documentation before provisional period expires. Staff #3 has submitted request on 4/15/22. Awaiting delivery to home to be able…”

Citation Mar 22, 2022 Inspection Building & playground safety

Unsafe Areas in Outdoor Space 55 Pa. Code §3270.63

During the renewal inspection on 3/22/22 the following unsafe areas were observed on the outside playground: On the toddler playground large hole under the playground and neighboring fence (where a large dog resides) were observed. Areas of soil erosion were observed on the toddler playground and on the preschool playground near the school age classroom door.

Center’s plan of correction (implemented, May 31, 2022): “Open areas of soil erosion to be filled in Toddler playground and neighboring fence. 10ft of new fencing replaced in School Age playground and all loose ends of metal fencing fastened safely. Loose wooden fences boards secured”

Citation Mar 22, 2022 Inspection Building & playground safety

Outside Walkways 55 Pa. Code §3270.64

During the renewal inspection on 3/22/22 several of the outside steps/platforms of the exit door have damaged cement where the step has separated for the building causing a crack/hazard.

Center’s plan of correction (implemented, May 31, 2022): “Facilities corrected open gaps and cracks in cement by back filling concrete cracks. Vents covered to protect from children assessing metal areas in both front and back”

Citation Mar 22, 2022 Inspection Building & playground safety

Building Surfaces 55 Pa. Code §3270.76

During the renewal inspection on 3/22/22 the following areas were observed in the outdoor playspace: 1. Damaged fence boards and damaged wire fencing (Leaving sharp areas) on the back playground 2. A plastic storage bin with standing rain water 3. A damaged air vent on the preschool playground/side of the building During the renewal inspection on 3/22/22 the following areas were observed inside of the facility: 1. School age classroom - Holes in bathroom door, Missing ceiling tiles, Missing light covers for ceiling lights, damaged and dirty area rugs. 2. Air vents throughout the facility had areas of dirt and dust buildup

Center’s plan of correction (implemented, May 27, 2022): “Fencing was reattached to secure parameters Ceiling and vents will be cleaned on Friday 04/26/22”

Citation Mar 22, 2022 Inspection Building & playground safety

No peeling paint or plaster 55 Pa. Code §3270.77(a)

During the renewal inspection on 3/22/22 damaged paint was observed in the school age room near the window area.

Center’s plan of correction (implemented, May 27, 2022): “Painters contracted, will be out on 04/24-04/25 to complete painting and touch up as required. All front entrance repainted with fresh coat.”

Citation Mar 22, 2022 Inspection Building & playground safety

Clean and good repair 55 Pa. Code §3270.102(a)

During the renewal inspection on 3/22/22 the following areas were observed: 1. School age room - broken toys, torn books, board games with missing pieces, damaged blue couch, damaged table. 2. Outside playground (Back) tri-bikes with missing peddles. Deflated play ground balls

Center’s plan of correction (implemented, May 27, 2022): “School age damaged toys have been discarded. Blue couch and broken table disposed of and new furniture order has been submitted. New toys have also been placed on order through KinderCare Marketplace”

Citation Mar 22, 2022 Inspection Health & medication

12 months prior to service and every 24 months thereafter/Health assessment, TB test 55 Pa. Code §3270.151(a)/3270.192(3)

During the renewal inspection on 3/22/22 file provided 3/28/22 the file for staff person #3 did not include a staff health assessment as required.

Center’s plan of correction (implemented, May 27, 2022): “Staff member #3 having health assessment completed. Proof of documentation required upon return to work.”