The Caring Castle LLC

At 10:30am Staff Person #8 was observed completing a diaper change. When the diaper change was completed, Staff Person set the child on the floor, allowing them to play with other children. Staff then cleaned the changing station and their own hands. When asked if the child's hands were washed, Staff confirmed that they were not. When reminded that the child's hands need to be washed after a diaper change, Staff stated that they knew and proceeded to collect a different child to wash their hands.

Staff #7's file contained a Department of Education FBI clearance dated 7/16/24 which is not an acceptable DHS FBI Clearance. Staff #7's file did contain a receipt for DHS FBI clearance dated 5/8/26 and a DHS FBI clearance dated 5/8/26 which is after staff's date of hire(See LIS Code Sheet).

At approximately 11 am Staff #1, that qualified as an Aide, was at the door to the outside play space with 15 preschool age children unsupervised.

At approximately 11am staff #1 was at the door to the outside play space with 15 preschool age children unsupervised. Staff #2 was outside room #2 with one preschool age child from approximately 11-11:07am. Staff #2 then joined Staff #1 at the door at approximately 11:07am.

The facility's emergency plan did not contain a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

The facility's emergency plan did not contain a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The emergency plan was not posted in a conspicuous location.

In room #3 the cabinet under the sink was not locked and it contained a bin of sunscreen and Awesome Cleaning Vinegar all which stated keep out of reach of children accessible to children. In the Kitchen in the corner lower cabinet that was unlocked was a bottle of Capitol CPA039 Latex Carpet Pad Adhesive which stated Keep Out of Reach Of Children accessible to children.

In room #3 the outlet plate under the right window was loose pulling away from the wall. In room #1 under the window next to the trampoline was an electrical outlet plate that was cracked and missing a corner of the plate exposing the inside of the electrical outlet. In room #3 behind the dryer was a stained ceiling tile. In the outside space the stairs on the wooden house were splintering. There was also splintering wood on "kitchen" surface.

In room #1 in the corner near the diaper table and near the gate was peeling paint. In room #2 behind the infant swing under the windows was peeling paint. In room #3 drywall tears were behind the eating area, and drywall damage behind rocking chair.

In room #1 in the young toddler area a staff member held a child up to the sink to wash their hands.

In room #5 in the connected bathroom there was no handwashing sign near the toilet.

In Room #3 when the emergency exit door was opened the path to the next emergency door was blocked by a mop and bin of toys.

In room #3 the orange lidded table contained 12 cracked magna tiles that were cracked with exposed small magnets not in good repair.

In room #1 the young toddler area contained a red and yellow soft climbing triangle that was worn with exposed foam accessible to children still placing objects in their mouth.

In room #3 the refrigerator temperature was 58 degrees Fahrenheit. In room #5 the refrigerator temperature was 53 degrees Fahrenheit.

The first aid kits in room #1 and #2 contained Triple Antibiotic Ointment that did not contain the name of the child for whom the medication is intended.

The medication box contained 3 bottles of Children's Tylenol, 1 bottle of infant Tylenol, 1 tube of Orajel Cooling Gel for teething, and 1 bottle of Infants Mylicon. The facility was not able to provide written parental consent for administration for these medications.

At approximately 10am in room #1 the staff did not have the child wash their hands after diapering.

Staff #8's initial staff health assessment is dated 8/13/25 which is more than 12 months prior to date of hire(See LIS Code Sheet) making it invalid.

At approximately 10am in room #1 in the young toddler area the staff person did not wash their hands after changing a child's diaper.

The facility's emergency plan did not accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The fire extinguisher in the kitchen stated Low Recharge.

Child #5's initial health assessment was completed by the parent making it invalid. The next health assessment in the file is dated 12/1/25 which is more than 60 days after enrollment(See LIS Code Sheet).

The operator did not have proof of notifying their local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

The facility did not have a written policy addressing strategies for coping with a crying, fussing, or distraught child. The facility did not have a written policy addressing the prevention of child maltreatment.

Staff #1's file did not contain an annual staff evaluation it has been more than 12 months since date of hire(See LIS Code Sheet). Staff #2 and 3's most recent staff evaluation is dated 2/3/25 which is more than 12 months ago.

Staff #3's, identified as an assistant group supervision, file did not contain the verification of 2 years of child care experience and did not contain proof of high school education. Staff #4's, identified as an assistant group supervisor, file only contained proof of 1732 hours of child care experience. Staff #5, 6, 7, and 8's, identified as an assistant group supervisors, files did not contain proof of 2 years of verified child care experience.

Child #2 and 3's financial agreements did not include the amount of the fee to be charged per day or per week.

Child #1's most recent child service report is dated 10/22/25 which is more than 6 months ago. Child #2's most recent child service report is dated 10/29/25 which is more than 6 months ago. Child #3's most recent child service report is dated 8/29/24 which is more than 6 months ago. Child #4's most recent child service report is dated 11/12/25 which is more than 6 months apart. Child #5's most recent child service report is dated 10/17/25 which is more than 6 months ago.

Child #2's financial agreement did not contain the child's arrival and departure time.

Child #2's financial agreement did not contain the date of the child's admission.

The financial agreements in child #1, 2, 3, 4, 5, and 6 files is the original agreement.

Child #5's emergency contact form did not contain the name of the child's physician or source of medical care.

Child #1, 2, 4, and 5's files did not contain the enrolling parent's work address and phone number.

Child #1's file did not contain 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.

Child #2, 4, and 5 files did not contain the address of the individuals designated by the parent to whom the child may be released.

In room #1 the emergency contact information was missing for two children that were receiving care in that childcare space. In room #5 the emergency contact information was missing for one child receiving care in that childcare space. At approximately 1115am in the outside space the staff member stated that they do not bring the children's emergency contact information with them when they go to the outside play space.

Child #1's two most recent update signatures for emergency contact information are dated 2/12/25 and 2/17/26 which is more than 6 months apart. Child #2's only update signature for emergency contact information is 3/18/26 which is more than 6 months after enrollment.

Child #1's two most recent update signatures for the financial agreement is dated 2/12/25 and 2/17/26 which is more than 6 months apart. Child #2's only update signature for the financial agreement is 3/18/26 which is more than 6 months after enrollment. Child #3's two most recent update signatures for the financial agreement are date 9/22/24 and 2/3/26 which is more than 6 months apart.

Staff #8's file did not contain two written nonfamily references.

Staff file #5 lacked 6 of the 12 hours of annual child care training required from 12/2024 to 12/2025. Staff file #5 contained 2 child care training hours dated 2/27/26 and 2 child care training hours dated 3/10/26 used for correction. Staff #5 is still lacking 2 child care training hours.

CONTINUED NON-COMPLIANCE: On 1/22/26 an unannounced inspection was conducted at the facility. On 1/22/26 at approximately 9:30 am, the following ratio violations were observed: 12 children in Room #3 which has a capacity of 11; 6 children in Room #4 which has a capacity of 5; and 8 children in Room #5, which has a capacity of 6. The facility's acceptable plan of correction indicated the correction would be implemented by 1/22/26. On 2/25/26, at 9:30am, an unannounced complaint inspection was conducted. Certification representative observed 17 children in the New Room #3 which has a capacity of 16. On 5/15/2026 at approximately 10:10am, an unannounced monitoring inspection was conducted. Certification representative observed 5 children in the infant room (room 2) with two staff. Room 2 has a capacity of 4.

The file for Staff #2 (See LIS Code Sheet) lacked the required out of state clearances. The file for Staff #4 (See LIS Code Sheet) lacked a current NSOR certificate. The most recent NSOR certificate on file was dated 12/8/20 which was obtained more than 60 months ago.

The health report and TB screening results on file for Staff #1 were obtained after Staff #1 started working in a child care position.

The file for Staff #4, identified as a group supervisor, lacked documentation of child care experience, education and training prior to service at the facility.

The files for Staff #1 and Staff #2 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Continued Non-Compliance: On 1/22/26 the following ratio violations were observed in the Main Room at approximately 9:30 am: Staff #1 was responsible for 6 young toddlers; Staff #2 was responsible for 6 young toddlers; and Staff #3 was responsible for 7 infants. In Room #3 at 9:40 am, Staff #4 was responsible for 12 preschoolers. The facility's acceptable plan of correction indicated that when children are grouped in similar age levels, the younger age determines the ratio. Staff to child ratios would be in compliance by 1/22/26. On 2/25/26 an unannounced complaint inspection was conducted. The following ratio violations were observed in the Main room. At 9:20am, certification representative observed 8 older toddlers in the care of staff #6. On 2/25/26 at 9:20am, certification representative observed 5 infants in the care of staff #3.

On 2/25/26 at 9:20am, certification representative observed 5 young toddlers and 1 older toddler in the care of staff #8.

Continued Non-Compliance: On 1/22/26 an unannounced inspection was conducted at the facility. On 1/22/26 at approximately 9:30 am, the following ratio violations were observed: 12 children in Room #3 which has a capacity of 11; 6 children in Room #4 which has a capacity of 5; and 8 children in Room #5, which has a capacity of 6. The facility's acceptable plan of correction indicated the correction would be implemented by 1/22/26. On 2/25/26, at 9:30am, an unannounced complaint inspection was conducted. Certification representative observed 17 children in the New Room #3 which has a capacity of 16.

Staff #4 and Facility Person #5, identified as a Volunteer, were observed working in Room #3 with 12 preschool aged children. Facility Person #5 lacked a PA Criminal History, Child Abuse Clearance, NSOR, FBI clearance and a disclosure statement.

On 1/22/26 the following ratio violations were observed in the Main Room at approximately 9:30 am: Staff #1 was responsible for 6 young toddlers; Staff #2 was responsible for 6 young toddlers; and Staff #3 was responsible for 7 infants. In Room #3 at 9:40 am, Staff #4 was responsible for 12 preschoolers.

On 1/22/26 at approximately 9:30 am, the following ratio violations were observed: 12 children in Room #3 which has a capacity of 11; 6 children in Room #4 which has a capacity of 5; and 8 children in Room #5, which has a capacity of 6.

Facility Person #5, identified as a Volunteer, was observed working in Room #3 with 12 children. Facility Person #5 lacked a valid health assessment.

Facility Person #5, identified as a Volunteer, was observed working in Room #3 with 12 children. Facility Person #5 lacked an individual record/file.

Facility Person #5, identified as a Volunteer, was observed working in Room #3 with 12 children. Facility Person #5 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Observed staff person #1 escorting/supervising children to the restroom alone. Staff #1 is qualified as an aide.

Observed uncovered outlets on the light strand on the Christmas tree and in the power strip at the refrigerator in room 11. Children under 5 years of age had access the these areas.

Several windows in the Main Room above the ground floor that open directly to the outdoors and are accessible to children were not adequately modified or adapted to limit the opening to 6 or fewer inches. The device used to restrict the windows was not working properly.

The OT diapering area and the diapering are in the main room near the infants lacked a handwashing sign.

Observed an adult chair in the YT area in the main room with exposed foam that was accessible to YT aged children (children who are still placing objects in their mouths).

Observed an unstable shelf in the Main Room in the OT area.

The cribs used for the children were not labeled for the use of a specific child and used only by the specified child.

The file for child #1 contains a health assessment that was obtained late. It was due 8/2025 and obtained 11/2025.

The following staff files contain health assessments that were updated late: #2 due 12/2024 and obtained 2/2025; #3 due 10/2025 and obtained 11/2025; #4 due 12/2024 and obtained 1/2025; #5 due 11/9/2025 and obtained 11/14/2025; #6 due 11/19/2025 and obtained 11/20/2025.

Observed yogurt and a lunchable (lunch meat) labeled "refrigerate" in a lunch bag that was not refrigerated in room 11.

Observed 4 baby bottles that were not labeled with a child's name.

The file for child #1 contains an initial health report that was obtained after 60 days following the first day of attendance at the facility. It was due 10/2025 and obtained 11/2025.

The file for staff #2 lacks verification of an associate's degree to qualify staff as staff's designated position.

The agreement in the file for child #2 was not signed by the operator.

The file for child #2 lacks the work address of the enrolling parent.

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