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 will have until 12/21/23 to complete the required training. Until such time as the required training has been completed, staff person # 2 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, staff person # 2 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 # 1 and # 2 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. Staff # 1 completed this training on 11/30/23.

Corrected Corrected by Dec 21, 2023

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 every 60 days. The following drills did not occur at least every 60 days: 4/13/23 - 6/20/23 6/20/23 - 8/22/23.

Corrected Corrected by Dec 6, 2023

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 system testing log was conducted. Regulation requires to fire safety system to be tested at least every 30 days. The following fire system tests were not conducted at least every 30 days: 1/22/23 - 2/22/23 4/21/23 - 5/22/23 6/21/23 - 7/25/23 8/21/23 - 9/21/23 10/20/23 - 11/20/23.

Corrected Corrected by Dec 6, 2023

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 # 1, # 2, # 3, # 6, and # 7 will have until 1/5/23 to complete the required training. Until such time as the required training has been completed, staff person # 1, # 2, # 3, # 6, and # 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 available to supervise staff person # 1, # 2, # 3, # 6, and # 7 staff person # 1, # 2, # 3, # 6, 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. Staff Person # 2, # 3, # 6, and # 7 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 person # 1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics

Corrected Corrected by Jan 6, 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 # 4 may not work in a childcare position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for date of hire on the listed staff. Staff # 4 was hired using a volunteer child abuse clearance dated 1/25/22. The CPSL states a volunteer clearance cannot be used for employment in a childcare role. This staff also did not receive an NSOR clearance until 11/4/22. Staff # 4 began working in childcare prior to receiving the NSOR clearance.

Corrected Corrected by Nov 30, 2022

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

3270.32(a)/3270.192(4) · The Legal Entity will contact the Regional Office (800-222-2108) for the Legal Entity, director and any staff member who is involved in the hire of new staff to schedule to participate in the Existing Provider Orientation on 2/22/23. 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 # 4 may not work in a childcare position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for date of hire on the listed staff. Staff # 4 was hired using a volunteer child abuse clearance dated 1/25/22. The CPSL states a volunteer clearance cannot be used for employment in a childcare role. This staff also did not receive an NSOR clearance until 11/4/22. Staff # 4 began working in childcare prior to receiving the NSOR clearance.

Corrected Corrected by Feb 22, 2023

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 on the listed staff. Staff # 2 had a health assessment dated 9/30/20 and this health assessment was not updated until 10/14/22. Staff # 4 did not participate in a health assessment until 6/30/22 or a tuberculosis screening until 7/8/22. Staff # 5 did not participate in a health assessment until 8/31/22 or a tuberculosis screening until 8/31/22. Staff # 6 had a health assessment dated 10/6/20 and this health assessment was not updated until 11/4/22. Staff # 7 had a health assessment dated 8/21/220 and this health assessment was not updated until 9/22/22.

Corrected Corrected by Nov 30, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · 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 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 on the listed staff. Staff # 2 had a health assessment dated 9/30/20 and this health assessment was not updated until 10/14/22. Staff # 4 did not participate in a health assessment until 6/30/22 or a tuberculosis screening until 7/8/22. Staff # 5 did not participate in a health assessment until 8/31/22 or a tuberculosis screening until 8/31/22. Staff # 6 had a health assessment dated 10/6/20 and this health assessment was not updated until 11/4/22. Staff # 7 had a health assessment dated 8/21/220 and this health assessment was not updated until 9/22/22.

Corrected Corrected by Nov 30, 2022

Category: health medication. 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. Fire drills were documented as occurring on: 12/20/21. 2/25/22, 4/29/22, 6/16/22, 8/16/22, 10/17-10/21, 11/30/22. These drills lapsed and did not occur at least once every 60 days.

Corrected Corrected by Nov 30, 2022

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. Fire safety system testing was documented as occurring on: 12/20/21. 2/25/22, 4/29/22, 6/16/22, 8/16/22, 10/17-10/21, 11/30/22. These drills lapsed and did not occur at least once every 30 days.

Corrected Corrected by Nov 30, 2022

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). 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 #--- may not work in a child care position at the facility. The CPSL requires all clearances and mandated reporter training to be updated every 60 months. The CPSL also states that anyone hired before 9/30/19 had until 7/1/20 to obtain the NSOR clearance. The CPSL states any staff hired after 9/24/18 could not longer use an Department of Education (DOE) FBI clearance for employment in a Department of Human Services (DHS) program that a DHS FBI clearance is the only acceptable clearance to work in a child care program.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 1 had a state police clearance dated for 11/23/15 and this clearance was not updated until 2/9/21; a child abuse clearance dated for 11/13/15 and this clearance was not updated until 2/9/21; and mandated reporter training dated for 10/15/15 and this training was not updated until 11/11/21. Staff # 2 had a state police clearance dated for 11/18/15 and this clearance was not updated until 2/6/21; a child abuse clearance dated for 11/24/15 and this clearance was not updated until 2/8/21; and mandated reporter training dated for 10/17/15 and this training was not updated until 9/20/21. These clearances and mandated reporter training was not updated every 60 months as required by the CPSL. Staff # 2 was hired prior to 9/30/19 and this staff did not receive an NSOR clearance until 9/3/20. The CPSL required staff hired prior to 9/30/19 to obtain an NSOR clearance prior to 7/1/20. Staff # 3 was hired 10/5/21 using a DOE FBI clearance dated 8/31/19. Staff # 4 was hired 8/26/21 using a DOE FBI clearance dated for 3/24/21. The CPSL states any staff hired after 9/24/18 could not longer use an DOE FBI clearance for employment in a DHS program that a DHS FBI clearance is the only acceptable clearance to work in a child care program. Staff # 3 was working in child care during this inspection and did not have a DHS FBI clearance on file.

Corrected Corrected by Dec 8, 2021

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

3270.151(a)/3270.151(c)(2) · 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. 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. Staff # 3 had a date of hire of 10/5/21. This staff file contained a tuberculosis screening from 9/5/19. This tuberculosis screening did not occur within the 12 months prior to the staff's hire date and could not be used as a tuberculosis screening for employment.

Corrected Corrected by Dec 22, 2021

Category: ratio. Marked corrected in the state record.

3270.192(3) · 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. Staff # 3 had a date of hire of 10/5/21. This staff file contained a tuberculosis screening from 9/5/19. This tuberculosis screening did not occur within the 12 months prior to the staff's hire date and could not be used as a tuberculosis screening for employment.

Corrected Corrected by Dec 22, 2021

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