3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff #4, #5, and #7 must be supervised, when interacting with children at a minimum by, an AGS, who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff #4, #5, and #7, then staff #4, #5, and #7 may not work in a child-care position at the facility.

Staff #4, #5, and #7, were observed to be caring for children unsupervised. Staff #4, #5, #7 do not have current pediatric first aid/CPR training. This is evidenced by the previously documented Pediatric first aid and CPR training on file for #4, #5, and #7 all expiring 3/2025.

Corrected Corrected by Oct 28, 2025

Category: supervision. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, staff persons #2, #3, #4, #5, #6, #7 and #8 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #2, #3, #4, #5, #6, #7, and #8 staff persons ##2, #3, #4, #5, #6, #7, and #8 may not work in a child-care position at the facility.

Staff persons #2, #3, #4, #5, #6, #7, and #8 have not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 3/2025 for all seven staff. Documentation of updated Pediatric first aid and CPR training is not on file.

Corrected Corrected by Oct 28, 2025

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff #9 and #11 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff #9 and #11 staff #9 and #11 may not work in a child-care position at the facility.

Staff persons #9 and #11 have not completed the following required pre- service training within 90 days of their date of hire (See LIS Code Sheet for DOH): Pediatric first aid/CPR.

Corrected Corrected by Oct 28, 2025

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The CPSL was revised to include a requirement that all clearances be updated and on file at least every 60 months. As of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL. Staff #8, #9, #10, #11may not work in a childcare position with direct contact and routine interaction with children. TIERED LIS 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The correction date for this portion of the plan must be immediate. 2. The facility director and any other persons involved in the hiring of staff must register and attend an Existing Provider Orientation at a Regional Office. The provider must provide a correction date for when this portion of the plan will be completed. 3. In order to demonstrate compliance in this area, the director or legal entity representative will send completed staff files for all new hires for the next three months to the Northeast Regional Office for review. The staff files must include all clearance requests, completed clearances, (including out of state clearances and requests if necessary) signed and dated disclosure statement, health assessment and TB screening, two nonfamily references, proof of education and experience (officially translated if needed). The Northeast Regional Office will review the newly hired and completed staff files prior to hire within one week of receipt. The correction date for this portion of the plan must be three months from the acceptance of the plan by The Northeast Regional Office.

Staff #1 did not update their clearances every 60 months as evidenced by a previous Pa Child Abuse dated 10/19/20 and an updated PA Child Abuse dated 10/24/25. Staff #8 was hired provisionally and did not have a disclosure statement on file as is required and was working in direct care with children since hire (See LIS Code Sheet for DOH). Staff #9 did not have a PA State Police clearance, NSOR clearance, and out of state clearances on file and was working in direct care with children since hire (See LIS Code Sheet for DOH). Staff #10 was hired provisionally and did not have a disclosure statement on file as is required and did not obtain a PA State Police clearance until 9/5/25 and was working in direct care with children since hire (See LIS Code Sheet for DOH). Staff #11 was hired provisionally and did not have a disclosure statement on file as is required, a DHS FBI clearance, a NSOR clearance on file, and had a volunteer PA State Police and volunteer PA Child Abuse on file and not employment clearances as are required and was working in direct care with children since hire (See LIS Code Sheet for DOH).

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff persons #8, #11, and #12 must be supervised, when interacting with children at a minimum by, an AGS, who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #8, #11, and #12 staff persons #8, #11, and #12 may not work in childcare positions at the facility.

Staff persons #8 and #11 did not complete mandated reporter training within 90 days of their date of hire (See LIS Code Sheet for DOH). Staff #12 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 8/17/20.

Corrected Corrected by Dec 1, 2025

Category: supervision. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Child file #1 was missing the work address of the enrolling parent.

Corrected Corrected by Dec 1, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.192(3) · 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Staff files #4 and #7 did not have updated health assessments on file. Staff #8, #9, and #10 had no proof of a health assessment and TB screening since they began direct care with children (See LIS Code Sheet for DOH).

Corrected Corrected by Dec 1, 2025

Category: ratio. Marked corrected in the state record.

3270.181(c) · 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.

Child files #1, #2, #3, and #4 did not have updated agreements on file (See LIS Code Sheet for DOA).

Corrected Corrected by Dec 1, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Staff #10 and #11 did not have any proof of education on file since hire (see LIS Code Sheet for DOH).

Corrected Corrected by Dec 1, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Staff #10 and #11did not have any nonfamily references on file since hire (see LIS Code Sheet for DOH).

Corrected Corrected by Dec 1, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in annual fire safety training. The following staff did not participate in fire safety training on an annual basis: Staff #1 (previous 8/4/23, current 9/4/24), Staff #12 (previous 8/3/23, current 9/4/24), Staff #10 (previous 8/3/23, current 9/3/24) and Staff #13 (previous 8/3/23, current 9/3/24).

Corrected Corrected by Nov 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requiares an annual evaluation to be completed on all staff. The following staff files did not contain annual staff evaluations: Staff #1 (previous 6/2/23, no current), Staff #12 (previous 8/23/23, no current), Staff #2 (due June 2024) and Staff #13 (previous 6/12/23, no current).

Corrected Corrected by Nov 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

A renewal inspection occurred at the facility. A physical site review was conducted. The lower-level bathroom door was open and had accessible detergent and fabric softener. These items had a warning label that read to keep out of reach of children. Children were observed receiving care in the room next to this bathroom.

Corrected Corrected by Nov 15, 2024

Marked corrected in the state record.

3270.67(c) · Evidence of infestation of insects or rodents in the facility is not permitted.

A renewal inspection occurred at the facility. A physical site review was conducted. Rodent feces were found in several areas on the lower level of the facility in the child care spaces. These areas were identified and addressed with the director at the time of the inspection.

Corrected Corrected by Nov 29, 2024

Category: physical safety. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

A renewal inspection occurred at the facility. A review of children's files occurred. Regulation requires children's files to contain written consent for emergency medical care to be obtained in the children's file at enrollment. The following children's files were missing this consent: Child #2 and #3.

Corrected Corrected by Nov 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.192(3) · 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. Staff #1 had a health assessment dated for 5/26/21 and this staff has not yet participated in an updated health assessment as required by regulation, every 24 months. Staff #2 and #9 did not have a health assessment or tuberculosis screening on file. Staff #1, #2 and #9 were working in child care at the time of this inspection. An acceptable plan of correction was received on 4/1/24. A verification inspection occurred on 5/2/24 and at that inspection, the following items were not corrected. Staff #1 had a health assessment dated for 5/26/21 and this staff has not yet participated in an updated health assessment as required by regulation, every 24 months. Staff #2 and #9 did not have a health assessment or tuberculosis screening on file. Staff #1, #2 and #9 were working in child care at the time of this inspection. An acceptable plan of correction was received on 5/2/24. A verification inspection occurred on 6/13/24 and at that inspection, the following items were not corrected. Staff #2 did not have a health assessment or tuberculosis screening on file. Staff #2 was working in child care at the time of this inspection. An acceptable plan of correction was received on 6/13/24. A verification inspection occurred on 8/29/24 and at that inspection, the following items were not corrected. Staff #2 did not have a health assessment or tuberculosis screening on file. Staff #2 was working in child care at the time of this inspection. An acceptable plan of correction was received 9/4/24. A renewal inspection occurred at the facility. The following items were still not corrected: Staff #2 did not have a health assessment or tuberculosis screening on file. Staff #2 was working in child care at the time of this inspection. Also, at this renewal notice, the following staff did not update their health assessment every 24 months as required by regulation: Staff #3 (previous 9/22/22, current 10/11/24) and Staff #6 (previous 10/25/22, no current).

Corrected Corrected by Dec 6, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

An acceptable plan of correction was received 8/29/24. A verification inspection occurred on 8/29/24 and at that inspection, the following items were not corrected. Staff #2 did not have a tuberculosis screening on file at the time of this inspection. An acceptable plan of correction was received on 9/4/24. A renewal inspection occurred at the facility. The following items were not corrected: Staff #2 did not have a tuberculosis screening on file at the time of this inspection.

Corrected Corrected by Dec 6, 2024

Category: health medication. Marked corrected in the state record.

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

A renewal inspection occurred at the facility. A review of children's files occurred. Regulation requires children's files to contain written consent for first aid care to be obtained in the children's file at enrollment. The following children's files were missing this consent: Child #2 and #3.

Corrected Corrected by Nov 29, 2024

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility 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. Facility Person #10 may not work in a child care position at the facility.

An unannounced inspection occurred at the facility on 8/29/24. A review of staff files was conducted. Staff #10 was observed working in child care and the clearances of this staff were not updated since 2019. The clearances were dated as follows: state police 6/27/19, child abuse 7/2/19 and the FBI clearance 7/10/19. The CPSL requires clearances to be updated at least every 60 months.

Corrected Corrected by Aug 29, 2024

Category: background checks. Marked corrected in the state record.

3270.151(a)/3270.192(3) · 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. Staff #1 had a health assessment dated for 5/26/21 and this staff has not yet participated in an updated health assessment as required by regulation, every 24 months. Staff #2 and #9 did not have a health assessment or tuberculosis screening on file. Staff #1, #2 and #9 were working in child care at the time of this inspection. An acceptable plan of correction was received on 4/1/24. A verification inspection occurred on 5/2/24 and at that inspection, the following items were not corrected. Staff #1 had a health assessment dated for 5/26/21 and this staff has not yet participated in an updated health assessment as required by regulation, every 24 months. Staff #2 and #9 did not have a health assessment or tuberculosis screening on file. Staff #1, #2 and #9 were working in child care at the time of this inspection. An acceptable plan of correction was received on 5/2/24. A verification inspection occurred on 6/13/24 and at that inspection, the following items were not corrected. Staff #2 did not have a health assessment or tuberculosis screening on file. Staff #2 was working in child care at the time of this inspection. An acceptable plan of correction was received on 6/13/24. A verification inspection occurred on 8/29/24 and at that inspection, the following items were not corrected. Staff #2 did not have a health assessment or tuberculosis screening on file. Staff #2 was working in child care at the time of this inspection.

Corrected Corrected by Sep 19, 2024

Category: ratio. Marked corrected in the state record.

3270.151(a)/3270.192(3) · 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. The Director will call the Northeast Daycare Regional Office (800-222-2108) to schedule for the Director and any one responsible for maintaining staff files to participate in the next Existing Provider Orientation on November 20, 2024. The Director and any other appropriate staff will submit documentation to the Northeast Daycare Regional Office that they have attended the orientation.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. Staff #1 had a health assessment dated for 5/26/21 and this staff has not yet participated in an updated health assessment as required by regulation, every 24 months. Staff #2 and #9 did not have a health assessment or tuberculosis screening on file. Staff #1, #2 and #9 were working in child care at the time of this inspection. An acceptable plan of correction was received on 4/1/24. A verification inspection occurred on 5/2/24 and at that inspection, the following items were not corrected. Staff #1 had a health assessment dated for 5/26/21 and this staff has not yet participated in an updated health assessment as required by regulation, every 24 months. Staff #2 and #9 did not have a health assessment or tuberculosis screening on file. Staff #1, #2 and #9 were working in child care at the time of this inspection. An acceptable plan of correction was received on 5/2/24. A verification inspection occurred on 6/13/24 and at that inspection, the following items were not corrected. Staff #2 did not have a health assessment or tuberculosis screening on file. Staff #2 was working in child care at the time of this inspection. An acceptable plan of correction was received on 6/13/24. A verification inspection occurred on 8/29/24 and at that inspection, the following items were not corrected. Staff #2 did not have a health assessment or tuberculosis screening on file. Staff #2 was working in child care at the time of this inspection.

Corrected Corrected by Nov 20, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. Staff #1 had a health assessment dated for 5/26/21 and this staff has not yet participated in an updated health assessment as required by regulation, every 24 months. Staff #2 and #9 did not have a tuberculosis screening on file. An acceptable plan of correction was received on 4/1/24. A verification inspection occurred on 5/2/24 and at that inspection, the following items were not corrected. Staff #1 had a health assessment dated for 5/26/21 and this staff has not yet participated in an updated health assessment as required by regulation, every 24 months. Staff #2 and #9 did not have a tuberculosis screening on file. An acceptable plan of correction was received on 5/2/24. A verification inspection occurred on 6/13/24 and at that inspection, the following items were not corrected. Staff #2 did not have a tuberculosis screening on file at the time of this inspection. An acceptable plan of correction was received 8/29/24. A verification inspection occurred on 8/29/24 and at that inspection, the following items were not corrected. Staff #2 did not have a tuberculosis screening on file at the time of this inspection.

Corrected Corrected by Sep 19, 2024

Category: health medication. Marked corrected in the state record.

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. Staff #1 had a health assessment dated for 5/26/21 and this staff has not yet participated in an updated health assessment as required by regulation, every 24 months. Staff #2 and #9 did not have a tuberculosis screening on file. An acceptable plan of correction was received on 4/1/24. A verification inspection occurred on 5/2/24 and at that inspection, the following items were not corrected. Staff #1 had a health assessment dated for 5/26/21 and this staff has not yet participated in an updated health assessment as required by regulation, every 24 months. Staff #2 and #9 did not have a tuberculosis screening on file. An acceptable plan of correction was received on 5/2/24. A verification inspection occurred on 6/13/24 and at that inspection, the following items were not corrected. Staff #2 did not have a tuberculosis screening on file at the time of this inspection.

Corrected Corrected by Jul 5, 2024

Category: health medication. Marked corrected in the state record.

3270.14/3270.21 · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff persons #1, #2 and #6 will have until 6/28/24 to complete the required training. Until such time as the required training has been completed, staff persons #1, #2, #4 and #6 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1, #2 and #6 staff persons #1, #2 and #6 may not work in a child-care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff persons # 2 and #9 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. Staff persons #1, #6 and #7 did not have current pediatric first aid/CPR training. Staff persons #1, #6 and #7 last took pediatric first aid/CPR training on 2/17/22. The pediatric first aid/CPR training of these staff expired February of 2024. Staff persons #6 and #9 and Staff persons #1 and #2 were observed working together in a classroom and were not supervised by a staff person who has completed training in pediatric first aid/CPR. Staff person #7 was observed working in a classroom and was not supervised by a staff person who has completed training in pediatric first aid/CPR. An acceptable plan of correction was received on 4/1/24. A verification inspection occurred on 5/2/24 and at that inspection, the following items were not corrected. Staff persons # 2 and #9 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. Staff persons #1, #6 and #7 did not have current pediatric first aid/CPR training. Staff persons #1, #6 and #7 last took pediatric first aid/CPR training on 2/17/22. The pediatric first aid/CPR training of these staff expired February of 2024. Staff persons #6 and #9 and Staff persons #1 and #2 were observed working together in a classroom and were not supervised by a staff person who has completed training in pediatric first aid/CPR. Staff person #7 was observed working in a classroom and was not supervised by a staff person who has completed training in pediatric first aid/CPR. An acceptable plan of correction was received on 5/2/24. A verification inspection occurred on 6/13/24 and at that inspection, the following items were not corrected. Staff persons # 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. Staff persons #1 and #6 did not have current pediatric first aid/CPR training. Staff persons #1 and #6 last took pediatric first aid/CPR training on 2/17/22. The pediatric first aid/CPR training of these staff expired February of 2024. Staff persons #1 and #2 were observed working together in a classroom and were not supervised by a staff person who has completed training in pediatric first aid/CPR.

Corrected Corrected by Jun 13, 2024

Category: supervision. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff person(s) shall complete professional development in the topics of 3270.31(f) within 90 days of hire. Staff persons #1, #4 and #6 will have until 6/28/24 to complete the required training. Until such time as the required training has been completed, staff persons #1, #4 and #6 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1, #4 and #6 staff persons #1, #4 and #6 may not work in a child-care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff #1, #4, #6 and #7 last participated in pediatric first aid/CPR training on 2/17/22. This training expired February of 2024. Staff #1, #4, #6 and #7 have not participated in updated pediatric first aid/CPR training as of the date of this inspection. An acceptable plan of correction was received on 4/1/24. A verification inspection occurred on 5/2/24 and at that inspection, the following items were not corrected. Staff #1, #4, #6 and #7 last participated in pediatric first aid/CPR training on 2/17/22. This training expired February of 2024. Staff #1, #4, #6 and #7 have not participated in updated pediatric first aid/CPR training as of the date of this inspection. An acceptable plan of correction was received on 5/2/24. A verification inspection occurred on 6/13/24 and at that inspection, the following items were not corrected. Staff #1, #4 and #6 last participated in pediatric first aid/CPR training on 2/17/22. This training expired February of 2024. Staff #1, #4 and #6 have not participated in updated pediatric first aid/CPR training as of the date of this inspection.

Corrected Corrected by Jun 28, 2024

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #2 and #9 will have until 6/28/24 to complete the required training. Until such time as the required training has been completed, staff person #2 and #9 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2 and #9, staff person #2 and #9 may not work in a child-care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person #2, #5 and #9 have not completed the following required pre-service training within 90 days of their date of hire. (see LIS code sheet): pediatric first aid/CPR. An acceptable plan of correction was received on 4/1/24. A verification inspection occurred on 5/2/24 and at that inspection, the following items were not corrected. Staff person #2, #5 and #9 have not completed the following required pre-service training within 90 days of their date of hire. (see LIS code sheet): pediatric first aid/CPR. An acceptable plan of correction was received on 5/2/24. A verification inspection occurred on 6/13/24 and at that inspection, the following items were not corrected. Staff person #2 and #9 have not completed the following required pre-service training within 90 days of their date of hire. (see LIS code sheet): pediatric first aid/CPR.

Corrected Corrected by Jun 13, 2024

Category: supervision. Marked corrected in the state record.

3270.151(a)/3270.192(3) · 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. Staff #1 had a health assessment dated for 5/26/21 and this staff has not yet participated in an updated health assessment as required by regulation, every 24 months. Staff #2 and #9 did not have a health assessment or tuberculosis screening on file. Staff #1, #2 and #9 were working in child care at the time of this inspection. An acceptable plan of correction was received on 4/1/24. A verification inspection occurred on 5/2/24 and at that inspection, the following items were not corrected. Staff #1 had a health assessment dated for 5/26/21 and this staff has not yet participated in an updated health assessment as required by regulation, every 24 months. Staff #2 and #9 did not have a health assessment or tuberculosis screening on file. Staff #1, #2 and #9 were working in child care at the time of this inspection. An acceptable plan of correction was received on 5/2/24. A verification inspection occurred on 6/13/24 and at that inspection, the following items were not corrected. Staff #2 did not have a health assessment or tuberculosis screening on file. Staff #2 was working in child care at the time of this inspection.

Corrected Corrected by Jul 5, 2024

Category: ratio. Marked corrected in the state record.

3270.151(a)/3270.192(3) · 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. The Director will call the Northeast Daycare Regional Office (800-222-2108) to schedule for the Director and any one responsible for maintaining staff files to participate in the next Existing Provider Orientation on August 21, 2024. he Director and any other appropriate staff will submit documentation to the Northeast Daycare Regional Office that they have attended the orientation.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. Staff #1 had a health assessment dated for 5/26/21 and this staff has not yet participated in an updated health assessment as required by regulation, every 24 months. Staff #2 and #9 did not have a health assessment or tuberculosis screening on file. Staff #1, #2 and #9 were working in child care at the time of this inspection. An acceptable plan of correction was received on 4/1/24. A verification inspection occurred on 5/2/24 and at that inspection, the following items were not corrected. Staff #1 had a health assessment dated for 5/26/21 and this staff has not yet participated in an updated health assessment as required by regulation, every 24 months. Staff #2 and #9 did not have a health assessment or tuberculosis screening on file. Staff #1, #2 and #9 were working in child care at the time of this inspection. An acceptable plan of correction was received on 5/2/24. A verification inspection occurred on 6/13/24 and at that inspection, the following items were not corrected. Staff #2 did not have a health assessment or tuberculosis screening on file. Staff #2 was working in child care at the time of this inspection.

Corrected Corrected by Aug 21, 2024

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff persons #1, #2, #6, #7 and #9 will have until 5/17/24 to complete the required training. Until such time as the required training has been completed, staff persons #1, #2, #6, #7 and #9 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1, #2, #6, #7 and #9, staff persons #1, #2, #6, #7 and #9 may not work in a child-care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff persons # 2 and #9 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. Staff persons #1, #6 and #7 did not have current pediatric first aid/CPR training. Staff persons #1, #6 and #7 last took pediatric first aid/CPR training on 2/17/22. The pediatric first aid/CPR training of these staff expired February of 2024. Staff persons #6 and #9 and Staff persons #1 and #2 were observed working together in a classroom and were not supervised by a staff person who has completed training in pediatric first aid/CPR. Staff person #7 was observed working in a classroom and was not supervised by a staff person who has completed training in pediatric first aid/CPR. An acceptable plan of correction was received on 4/1/24. A verification inspection occurred on 5/2/24 and at that inspection, the following items were not corrected. Staff persons # 2 and #9 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. Staff persons #1, #6 and #7 did not have current pediatric first aid/CPR training. Staff persons #1, #6 and #7 last took pediatric first aid/CPR training on 2/17/22. The pediatric first aid/CPR training of these staff expired February of 2024. Staff persons #6 and #9 and Staff persons #1 and #2 were observed working together in a classroom and were not supervised by a staff person who has completed training in pediatric first aid/CPR. Staff person #7 was observed working in a classroom and was not supervised by a staff person who has completed training in pediatric first aid/CPR.

Corrected Corrected by May 17, 2024

Category: supervision. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

A renewal inspection occurred at the facility. At the time of the inspection, the director was unable to provide documentation that the facility participated in an annual emergency drill. An acceptable plan of correction was received on 4/1/24. A verification inspection occurred on 5/2/24 and at that inspection, the following items were not corrected. The director was unable to provide documentation that the facility participated in an annual emergency drill.

Corrected Corrected by May 17, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff #1, #4, #6 and #7 last participated in pediatric first aid/CPR training on 2/17/22. This training expired February of 2024. Staff #1, #4, #6 and #7 have not participated in updated pediatric first aid/CPR training as of the date of this inspection. An acceptable plan of correction was received on 4/1/24. A verification inspection occurred on 5/2/24 and at that inspection, the following items were not corrected. Staff #1, #4, #6 and #7 last participated in pediatric first aid/CPR training on 2/17/22. This training expired February of 2024. Staff #1, #4, #6 and #7 have not participated in updated pediatric first aid/CPR training as of the date of this inspection.

Corrected Corrected by May 17, 2024

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #2, #5 and #9 will have until 5/17/24 to complete the required training. Until such time as the required training has been completed, staff person #2, #5 and #9 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, #5 and #9, staff person #2, #5 and #9 may not work in a child-care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person #2, #5 and #9 have not completed the following required pre-service training within 90 days of their date of hire. (see LIS code sheet): pediatric first aid/CPR. An acceptable plan of correction was received on 4/1/24. A verification inspection occurred on 5/2/24 and at that inspection, the following items were not corrected. Staff person #2, #5 and #9 have not completed the following required pre-service training within 90 days of their date of hire. (see LIS code sheet): pediatric first aid/CPR.

Corrected Corrected by May 17, 2024

Category: supervision. Marked corrected in the state record.

3270.151(a)/3270.192(3) · 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. Staff #1 had a health assessment dated for 5/26/21 and this staff has not yet participated in an updated health assessment as required by regulation, every 24 months. Staff #2 and #9 did not have a health assessment or tuberculosis screening on file. Staff #1, #2 and #9 were working in child care at the time of this inspection. An acceptable plan of correction was received on 4/1/24. A verification inspection occurred on 5/2/24 and at that inspection, the following items were not corrected. Staff #1 had a health assessment dated for 5/26/21 and this staff has not yet participated in an updated health assessment as required by regulation, every 24 months. Staff #2 and #9 did not have a health assessment or tuberculosis screening on file. Staff #1, #2 and #9 were working in child care at the time of this inspection.

Corrected Corrected by May 24, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. Staff #1 had a health assessment dated for 5/26/21 and this staff has not yet participated in an updated health assessment as required by regulation, every 24 months. Staff #2 and #9 did not have a tuberculosis screening on file. An acceptable plan of correction was received on 4/1/24. A verification inspection occurred on 5/2/24 and at that inspection, the following items were not corrected. Staff #1 had a health assessment dated for 5/26/21 and this staff has not yet participated in an updated health assessment as required by regulation, every 24 months. Staff #2 and #9 did not have a tuberculosis screening on file.

Corrected Corrected by May 24, 2024

Category: health medication. Marked corrected in the state record.

3270.14/3270.21 · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff persons #1, #2, #6, #7 and #9 will have until 4/15/24 to complete the required training. Until such time as the required training has been completed, staff persons #1, #2, #6, #7 and #9 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1, #2, #6, #7 and #9, staff persons #1, #2, #6, #7 and #9 may not work in a child-care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff persons # 2 and #9 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. Staff persons #1, #6 and #7 did not have current pediatric first aid/CPR training. Staff persons #1, #6 and #7 last took pediatric first aid/CPR training on 2/17/22. The pediatric first aid/CPR training of these staff expired February of 2024. Staff persons #6 and #9 and Staff persons #1 and #2 were observed working together in a classroom and were not supervised by a staff person who has completed training in pediatric first aid/CPR. Staff person #7 was observed working in a classroom and was not supervised by a staff person who has completed training in pediatric first aid/CPR.

Corrected Corrected by Apr 15, 2024

Category: supervision. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff #1, #4, #6 and #7 last participated in pediatric first aid/CPR training on 2/17/22. This training expired February of 2024. Staff #1, #4, #6 and #7 have not participated in updated pediatric first aid/CPR training as of the date of this inspection.

Corrected Corrected by Apr 15, 2024

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

A renewal inspection occurred at the facility. A review of staff files was conducted. The following staff did not participate in annual fire safety training as required by regulation: Staff #3, #4, #5, #6 and #8. Staff #3, #4, #5, 6 and #8 last participated in fire safety training on 3/16/23 and they did not participate in training again until 4/2/24.

Corrected Corrected by Apr 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #2, #5 and #9 will have until 4/15/24 to complete the required training. Until such time as the required training has been completed, staff person #2, #5 and #9 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, #5 and #9, staff person #2, #5 and #9 may not work in a child-care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person #2, #5 and #9 have not completed the following required pre-service training within 90 days of their date of hire. (see LIS code sheet): pediatric first aid/CPR.

Corrected Corrected by Apr 15, 2024

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #7 will have until 4/15/24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #7 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #7, staff person #7 may not work in a child-care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted.   Staff person #7 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 12/26/18.

Corrected Corrected by Apr 15, 2024

Category: supervision. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

A renewal inspection occurred at the facility. A review of the facility's fire drill log was conducted. Regulation requires fire drills to occur at least once every 60 days. The following drills did not occur at least every 60 days: 5/22/23 - 7/24/23 9/22/23 - 11/29/23.

Corrected Corrected by Apr 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #7, #8 and #9 may not work in a child care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for dates of hire. Staff #2 did not receive a state police clearance until 8/3/23 or a child abuse clearance until 9/14/23. As required by the CPSL, staff #2 did not receive the child abuse or apply for the state police clearance prior to working in child care as required to be hired as a provisional hire per the CPSL. Staff #7 had a state police clearance dated11/5/18 and this clearance was not updated until 1/4/24, a child abuse dated for 11/8/18 and this clearance was not updated until 4/4/24 and an FBI dated for 11/7/18 and this clearance has not yet been updated. The CPSL requires staff to have clearances updated at least every 60-months. Staff #7 was working in child care at the time of this inspection. Staff #8 did not have an NSOR clearance on file. Staff #8 was not hired correctly as a provisional hire as this staff was working past the 45-day provisional hire period as stated in the CPSL. Staff #8 was working at the time of this inspection. Staff #9 did not apply for a DHS FBI clearance or an NSOR clearance prior to working in child care as required by the CPSL to be hired as a provisional hire. Staff #9 was working in child care at the time of this inspection.

Corrected Corrected by Apr 1, 2024

Category: background checks. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

A renewal inspection occurred at the facility. A physical site review was conducted. Dusty vents were observed in the PreK 2 classroom and in the Preschool 1 classroom. These areas were identified with the director at the inspection. The linoleum in the Preschool 2 classroom near the glass door was peeling up. This area was also identified with the director at the inspection.

Corrected Corrected by Apr 22, 2024

Category: physical safety. Marked corrected in the state record.

3270.151(a)/3270.192(3) · 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. Staff #1 had a health assessment dated for 5/26/21 and this staff has not yet participated in an updated health assessment as required by regulation, every 24 months. Staff #2 and #9 did not have a health assessment or tuberculosis screening on file. Staff #1, #2 and #9 were working in child care at the time of this inspection.

Corrected Corrected by Apr 22, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. Staff #1 had a health assessment dated for 5/26/21 and this staff has not yet participated in an updated health assessment as required by regulation, every 24 months. Staff #2 and #9 did not have a tuberculosis screening on file.

Corrected Corrected by Apr 22, 2024

Category: health medication. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

A renewal inspection occurred at the facility. At the time of the inspection, the director was unable to provide documentation that the facility participated in an annual emergency drill.

Corrected Corrected by Apr 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · 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.

A renewal inspection occurred at the facility. A review of the facility's fire safety system testing log was conducted. Regulation requires the fire safety system to be tested at least once every 30 days. The following tests did not occur at least every 30 days: 4/14/23 - 5/22/23 6/19/23 - 7/24/23 8/16/23 - 9/22/23 10/16/23 - 11/29/23 12/15/23 - 1/19/24 1/19/24 - 2/27/24.

Corrected Corrected by Apr 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person # 2, # 6, and # 8 shall complete the required one-hour 2022 update to the health and safety training by 5/30/23.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person # 2, # 6 and # 8 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. Staff # 2, # 6 and # 8 did not have the one-hour 2022 update to the health and safety training completed at the time of this inspection.

Corrected Corrected by May 30, 2023

Category: health medication. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10)within 90 days of hire. Staff person # 5 will have until 5/30/23 to complete the required training. Until such time as the required training has been completed, staff person # 5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person # 5, staff person # 5 may not work in a child-care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person # 2, # 4, # 5, and # 6 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. Staff # 2, # 4, and # 6 completed this training on 3/4/23. Staff # 5 did not have this training completed at the time of this inspection.

Corrected Corrected by May 30, 2023

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility 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. Facility Person # 5 and # 7 may not work in a child care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staff's date of hire. Staff # 1 and Staff # 3 did not update their clearances every 60 months as required by the CPSL. Staff # 1 child abuse was dated 3/1/18 and this clearance was not updated until 3/13/23. Staff # 3 FBI clearances was dated 1/26/18 and this clearance was not updated until 2/23/23. Staff # 5 and Staff # 7 were working at the facility past their 45-day provisional hire period and their files were missing a clearance. Staff # 7 was also working in a childcare role at the time of this inspection. Staff # 5 was missing their FBI clearance. Staff 7 was missing their NSOR clearance.

Corrected Corrected by May 1, 2023

Category: background checks. Marked corrected in the state record.

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staff's date of hire. Staff # 7 was missing proof of education. Staff # 7 was working in a childcare role at the time of this inspection and Staff # 7 was unable to be appropriately qualified to work in a childcare role at the facility.

Corrected Corrected by May 29, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.192(3) · 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

A renewal inspection was conducted at the facility. A review of staff files was conducted. Staff # 1 and Staff # 3 did not update their health assessment every 24-months per regulation. Staff # 1 had a health assessment dated for 8/20/20 and an updated health assessment was not conducted until 9/22/22. Staff # 3 had a health assessment dated for 8/18/20 and an updated health assessment was not conducted until 9/20/22.

Corrected Corrected by May 15, 2023

Category: ratio. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

A renewal inspection was conducted at the facility. A review of the facility's emergency plan and its attachments was conducted. The facility was unable to provide documentation at the time of this inspection that an annual emergency drill had been conducted. The last documented emergency drill was dated as occurring on 2/9/22.

Corrected Corrected by May 29, 2023

Category: recordkeeping. Marked corrected in the state record.