3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)10. Until such time as the required training has been completed, staff person #2 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 person #2, staff person #2 may not work in a child-care position at the facility

Staff person #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 training.

Corrected Corrected by Oct 22, 2025

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). Until such time as the required training has been completed, staff person#1 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 person # 1, staff person #1 may not work in a child-care position at the facility

Staff person #1 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 9/23/20.

Corrected Corrected by Oct 23, 2025

Category: supervision. Marked corrected in the state record.

3270.76/3270.102(a) · 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. Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

At the time of the inspection, the blue chair in the resting room was in poor repair. It had the outside vinyl material removed in strips exposing the inside foam, making it unable to be properly cleaned. The cork board on the wall in the toddler room was observed to have been picked at and was in poor repair.

Corrected Corrected by Oct 31, 2025

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

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

At the time of the inspection, there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted in the resting room.

Corrected Corrected by Oct 31, 2025

Category: transportation. Marked corrected in the state record.

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

At the time of the inspection, there was no daily activity schedule posted in the gym space for the school age children.

Corrected Corrected by Jul 11, 2025

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

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

At the time of the inspection, staff person #1, #3, #4, #10 did not have any documentation of any emergency plan training on file.

Corrected Corrected by Jul 11, 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.

At the time of the inspection, staff person #1 did not update fire safety training annually. This is evidenced by the fire safety training on file dated 12/10/24 and the previous training dated 10/24/23. Staff person #3 and staff person #12 do not have current fire safety training on file. This is evidenced by the fire safety training in the file dated 10/24/23.

Corrected Corrected by Jul 11, 2025

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.

At the time of the inspection, the disclosure statement on file for staff person #14 did not contain a witness signature.

Corrected Corrected by Jul 11, 2025

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

3270.33(a)/3270.192(2)(iv) · 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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

At the time of the inspection, there was no education documentation on file for staff person #1, #12 and #13.

Corrected Corrected by Jul 11, 2025

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.

At the time of the inspection, there was no written evaluation once every 12 months for staff person #1, #3, #7 and #11.

Corrected Corrected by Jul 11, 2025

Category: recordkeeping. 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.

At the time of the inspection, in the toddler room, the fridge was dirty and contained a brown, sticky residue. The skinny shelf was not mounted to a surface and posed a tipping hazard. The carpets throughout the facility were soiled with brown spots.

Corrected Corrected by Jul 11, 2025

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

At the time of the inspection, in the preschool room, the small sofas were not in good repair and the inside foam is exposed.

Corrected Corrected by Jul 11, 2025

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

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1.) Children must be supervised at all times. This portion of the plan requires an immediate correction date. 2.) The legal entity must develop or update their written supervision policies and procedures to be implemented in the facility and while at the pool. The written policy must address that staff will be able to hear, see, direct and assess children at all times, including while children are swimming. The policy must include a procedure for how staff will easily identify the children they are responsible for while children are swimming in the pool. The legal entity will submit their policies and procedures to the Northeast Regional Office for approval. Once approved, all existing staff and any new hires must be trained on the approved policy and procedure and it must be documented in their files. The operator shall provide a date for when acceptable policies are received.

While swimming at the pool on 6/20/25, staff person #10 named the 6 children assigned to the staff's responsibility She was able to identify the children prior to entering the pool. At a later supervision check, and once the children entered the pool, the staff was unable to locate child #8 for approximately 1 1/2 minutes. Staff person #7 was heard to ask Staff #8 if the staff knew the whereabouts of the child, though she was assigned the responsibility for that child.

Corrected Corrected by Jul 11, 2025

Category: supervision. Marked corrected in the state record.

3270.121(a)/3270.121(b) · The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

At the time of the inspection, the facility did not have supervision policies in the parent handbook.

Corrected Corrected by Jul 11, 2025

Category: supervision. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

At the time of the inspection, child service reports were not on file for child #3 and child #4. These children have been enrolled at the facility for more than 6 months (see LIS code sheet for date of admission).

Corrected Corrected by Jul 11, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5)/3270.124(b)(7) · An agreement shall specify the persons designated by a parent to whom the child may be released. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

At the time of the inspection, the agreement for child #6 did not specify the persons designated by a parent to whom the child may be released. The emergency contact form for child #1 and child #3 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jul 11, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(3)/3270.124(b)(6) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

At the time of the inspection, the emergency contact form for child #2 and child #4 did not include the work address of the enrolling parent. The emergency contact form for child #4 did not have the health insurance policy number.

Corrected Corrected by Jul 11, 2025

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

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

At the time of the inspection, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the gym space.

Corrected Corrected by Jul 11, 2025

Category: transportation. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

At the time of the inspection, there was no updated health assessment on file for child #4. This is evidenced by the health assessment on file dated 2/9/24.

Corrected Corrected by Jul 11, 2025

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #4 must be dismissed from care by close of business 6/13/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter

At the time of the inspection, child #4 was not immunized according to the recommendations of the ACIP. Child #4 was missing the following immunizations: HIB #4. Pneumococcal #4 and IPV #4.

Corrected Corrected by Jun 13, 2025

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

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

At the time of the inspection, there was no label identifying the medication and the name for the child for whom the medication was intended for the Fluticasone Propionate, Fluticasone Inhaler and the Albuterol that was present for child #7. There were no labels on the EPI Pen and Albuterol for child #9 indicating the medication and the child for whom the medication was intended.

Corrected Corrected by Jul 11, 2025

Category: health medication. 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.

At the time of the inspection, staff person #1 did not update the health assessment every 24 months, as required. This is evidenced by the health assessment on file dated 9/26/22. There were no TB results on file for staff person #1.

Corrected Corrected by Jul 11, 2025

Category: ratio. Marked corrected in the state record.

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

At the time of the inspection, in the gym area, Lunchables containing lunch meat, cheese and yogurt were observed in children's lunchboxes. These perishable items are required to be refrigerated.

Corrected Corrected by Jun 18, 2025

Category: nutrition. 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.

At the time of the inspection, the emergency contact form for child #1, #3, #4, #5 and #6 were not updated every 6 months as required. This is evidenced by the current review date of 6/11/25, 6/11/25, 6/11/25, 6/10/25 and 6/10/25, respectively. The previous review dates are 11/27/24, 11/8/24, 10/28/24, 6/11/23 and 8/23/24, respectively. The agreement for child #3 was not completed until 1/9/25 and not at time of admission (see LIS code sheet for date of admission). The agreement for child #4, child #5 and child #6 were not updated every 6 months as required. This is evidenced by the current agreement on file dated 10/29/24, 11/4/24 and 4/9/25, respectively. The previous review date of the agreement for child #6 was dated 2/28/24.

Corrected Corrected by Jun 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

At the time of the inspection, staff person #1 only had 2 clock hours of child care training on file during the 9/23-9/24 training period. Staff person #3 only had 1 clock hour of child care training during the 12/23-12/24 training period. Staff person #12 does not have any clock hours of child care training during the 4/24-4/25 training period.

Corrected Corrected by Jul 11, 2025

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.

At the time of the inspection on 5/12/25, staff persons #2, #3, #6 and #11 did not update their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. This is evidenced by the current date of certification of 5/6/25 and the previous date of certification of 4/27/23.

Corrected Corrected by May 6, 2025

Category: ratio. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1.) Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. This portion of the plan shall have an immediate correction date. 2.) The legal entity must develop or update their written supervision policies and procedures to be implemented in the facility. The written policy must ensure that each child is seen, heard, assessed and able to be directed at all times. The policy must include how the facility will ensure appropriate supervision during transition times and while in the outdoor play area. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in his/her assigned group and be physically present with the children in his/her group on the facility premises and on facility excursions off the facility premises. The policy must also address how these groups will be transitioned from one staff person to another during staffing changes. The facility must create and implement specific procedures using a tangible supervision system, e.g. supervision cards, supervision lists, or another approved method, to ensure appropriate supervision at all times. Both the updated supervision policies and new supervision procedures must be submitted to the Northeast Regional Office for approval prior to implementation. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on the policies and procedures, and it must be documented in their files. The operator shall provide a date for when the updated policies and procedures for a tangible supervision system will be submitted for review.

At the time of the inspection on 5/12/25, there were 11 children in the preschool classroom. Staff person #5 named 6 children she was responsible for. Staff person #7 then named the same 6 children that staff person #5 named, and claimed them as the children she was responsible for. Both staff #5 and staff #7 were then asked again which children they were specifically assigned to. They both could not identify the specific children that they were supervising.

Corrected Corrected by May 22, 2025

Category: supervision. Marked corrected in the state record.

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 person #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 person #11, staff person #11 may not work in a child-care position at the facility.

At the time of the inspection on 4/23/25, staff person #11 was observed to be caring for children unsupervised. Staff person #11 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 10/9/19.

Corrected Corrected by Apr 23, 2025

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). Until such time as the required training has been completed, staff person #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 person #11, staff person #11 may not work in a child-care position at the facility

At the time of the inspection, staff person #11 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 10/9/19.

Corrected Corrected by Apr 23, 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). 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. OCDEL Announcement C-25-01 states all required clearances need to be renewed prior to expiration of each certificate, every 60 months. Staff Person #5 and staff person #11 may not work in a child care position at the facility.

At the time of the inspection on 4/23/25, staff person #5 did not have a current FBI clearance or NSOR certificate on file. This is evidenced by the FBI clearance dated 1/18/20 and the NSOR certificate dated 2/12/20. Staff person #4 acknowledged that staff person #5 worked earlier the morning of 4/23/25 and had direct contact with children. Staff person #11 did not have a current PA State Police clearance on file. This is evidenced by the PA State Police clearance dated 12/7/19. Staff person #11 did not update the FBI clearance every 60 months prior to the current certificate's expiration. This is evidenced by the current FBI clearance on file dated 10/15/24 and the previous clearance dated 10/2/19. Staff person #11 was observed having direct contact with children.

Corrected Corrected by Apr 23, 2025

Category: ratio. Marked corrected in the state record.

3270.151(a) · 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.

At the time of the inspection, staff person #2 did not update the health assessment every 24 months as required. This is evidenced by the health assessment on file dated 11/15/22.

Corrected Corrected by Apr 25, 2025

Category: ratio. 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.

At the time of the inspection, the manual monthly monitoring of the fire detection system was not conducted every 30 days as required. This is evidenced by the current testing date of 4/14/25 and the previous testing date of 3/13/25.

Corrected Corrected by Apr 30, 2025

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. Staff Person #10 may not work in a child care position at the facility.

As of the inspection on 11/20/24, staff person #1 did not have a current PA State Police Clearance on file. This is evidenced by the PA State Police clearance dated 6/25/19. Staff person #2 does not have a current NSOR certificate on file. This is evidenced by the NSOR on file dated 11/6/19. Staff person #3 does not have an NSOR certificate on file and is past the 45 day provisional hiring period (see LIS code sheet for date of hire). Staff person #3 was also observed to be working unsupervised in the Toddler room during rest time. Staff person #5 does not have a current Child Abuse clearance on file. This is evidenced by the Child Abuse clearance on file dated 12/13/18. There was no witness signature on the disclosure statement dated 3/4/24. Staff person #8 does not have a dissemination date on the PA State Police clearance making this an incomplete clearance. There is no complete FBI clearance or NSOR certificate on file and staff person #8 is past the 45-day provisional hiring period. Staff person #9 does not have a signed disclosure statement on file. Staff person #9 was observed to be working unsupervised in the Preschool room during rest time (see LIS code sheet for dates of hire). An acceptable plan of correction was received stating the correction would be implemented by 11/20/24. A follow up inspection occurred on 1/3/25. Staff person #10 was observed working in the Toddler room and did not have a request for or completed NSOR certificate on file at the time of hire (see LIS code sheet for date of hire).

Corrected Corrected by Jan 3, 2025

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 #8 will have until 1/24/25 to complete the required training. Until such time as the required training has been completed, Staff persons #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 #8, then staff persons #8 may not work in a child-care position at the facility.

An inspection occurred on 11/20/24. 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 training requirements. Staff person #5, #8 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 stating the correction would be implemented by 11/20/24. An inspection occurred on 1/3/25. Staff person #8 still has not completed Pediatric First Aid/CPR.

Corrected Corrected by Jan 13, 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). 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. The legal entity will submit complete files for any new hires for a period of three months to the NE Regional Office. During that time, new hires may not begin to work in child care until their file has been approved by the NE Regional Office. Submitted files will be reviewed within 1 week of submission.

As of the inspection on 11/20/24, staff person #1 did not have a current PA State Police Clearance on file. This is evidenced by the PA State Police clearance dated 6/25/19. Staff person #2 does not have a current NSOR certificate on file. This is evidenced by the NSOR on file dated 11/6/19. Staff person #3 does not have an NSOR certificate on file and is past the 45 day provisional hiring period (see LIS code sheet for date of hire). Staff person #3 was also observed to be working unsupervised in the Toddler room during rest time. Staff person #5 does not have a current Child Abuse clearance on file. This is evidenced by the Child Abuse clearance on file dated 12/13/18. There was no witness signature on the disclosure statement dated 3/4/24. Staff person #8 does not have a dissemination date on the PA State Police clearance making this an incomplete clearance. There is no complete FBI clearance or NSOR certificate on file and staff person #8 is past the 45-day provisional hiring period. Staff person #9 does not have a signed disclosure statement on file. Staff person #9 was observed to be working unsupervised in the Preschool room during rest time (see LIS code sheet for dates of hire). An acceptable plan of correction was received stating the correction would be implemented by 11/20/24. A follow up inspection occurred on 1/3/25. Staff person #10 was observed working in the Toddler room and did not have a request for or completed NSOR certificate on file at the time of hire (see LIS code sheet for date of hire).

Corrected Corrected by Apr 16, 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). 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. The Legal Entity, Director or any facility persons responsible for hiring must register for and attend the Existing Provider Orientation presented by the Northeast Regional Office on 02/12/2025. Registration must be completed by calling: 1-800-222-2108.

As of the inspection on 11/20/24, staff person #1 did not have a current PA State Police Clearance on file. This is evidenced by the PA State Police clearance dated 6/25/19. Staff person #2 does not have a current NSOR certificate on file. This is evidenced by the NSOR on file dated 11/6/19. Staff person #3 does not have an NSOR certificate on file and is past the 45 day provisional hiring period (see LIS code sheet for date of hire). Staff person #3 was also observed to be working unsupervised in the Toddler room during rest time. Staff person #5 does not have a current Child Abuse clearance on file. This is evidenced by the Child Abuse clearance on file dated 12/13/18. There was no witness signature on the disclosure statement dated 3/4/24. Staff person #8 does not have a dissemination date on the PA State Police clearance making this an incomplete clearance. There is no complete FBI clearance or NSOR certificate on file and staff person #8 is past the 45-day provisional hiring period. Staff person #9 does not have a signed disclosure statement on file. Staff person #9 was observed to be working unsupervised in the Preschool room during rest time (see LIS code sheet for dates of hire). An acceptable plan of correction was received stating the correction would be implemented by 11/20/24. A follow up inspection occurred on 1/3/25. Staff person #10 was observed working in the Toddler room and did not have a request for or completed NSOR certificate on file at the time of hire (see LIS code sheet for date of hire).

Corrected Corrected by Feb 12, 2025

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.

An inspection occurred on 1/3/25. The last recorded fire drill being conducted was done on 10/21/24 and not every 60 days as required.

Corrected Corrected by Jan 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.33(a)/3270.192(2)(iv) · 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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

At the time of the inspection on 11/20/24, staff persons #3, #8 and #9 did not have any education documentation on file. Staff persons #8 and staff person #9 did not have experience (2,500 hours) on file and therefore, these staff cannot qualify as assistant group supervisors. An acceptable plan of correction was received stating the correction would be implemented by 12/27/24. An inspection occurred on 1/3/25. Staff person #8 still did not have any education and experience documents in their file. Staff person #10, a new hire, did not have any education documents on file.

Corrected Corrected by Jan 3, 2025

Category: supervision. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

At the time of the inspection on 11/20/24, there were no child service reports to review for child #3, #4 and #5. An acceptable plan of correction was received stating the correction would be implemented by 12/27/24. An inspection occurred on 1/3/25. There were still no child service reports to review for child #3, #4 and #5 and these children have been enrolled for more than 6 months (see LIS code sheet for date of enrollment).

Corrected Corrected by Jan 9, 2025

Category: recordkeeping. 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.

Staff person #2 did not receive an updated health assessment every 24 months as required. This is evidenced by the current health assessment on file dated 11/5/24 and the previous health assessment dated 9/2/22. Staff person #3 and staff person #8 do not have a health assessment or TB screening on file. Staff person #5 did not receive a TB screening at initial service in the facility. This is evidenced by the TB screening on file dated 7/8/20 (see LIS code sheet for date of hire). Staff person #9 does not have a health assessment on file. An acceptable plan of correction was received stating the correction would be implemented by 12/27/24. An inspection occurred on 1/3/25. Staff person #10 does not have a health assessment or TB screening on file at time of hire (see LIS code sheet for date of hire).

Corrected Corrected by Jan 3, 2025

Category: ratio. 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.

At the time of the inspection on 11/20/24, staff persons #3 and 5 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file. Staff person #8 and #9 only had one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file. An acceptable plan of correction was received stating the correction would be implemented by 12/6/24. A follow up inspection occurred on 1/3/25. Staff person #10 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jan 3, 2025

Category: recordkeeping. 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 on 11/20/24 and the operator could not locate documentation of any emergency drills being conducted. An acceptable plan of correction was received stating the plan would be implemented by 12/27/24. A follow up inspection occurred on 1/3/25. The operator admitted to still not completing an emergency drill.

Corrected Corrected by Jan 13, 2025

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.

An inspection occurred on 1/3/25. The manual monthly monitoring of the fire detection system was last tested on 10/21/24 and not every 30 days as required.

Corrected Corrected by Jan 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide childcare.

The health assessment that was provided for staff #9 indicated that the staff person was not suitable to provide childcare and had been working at the facility (see LIS code sheet for date of hire).

Corrected Corrected by Dec 19, 2024

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

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

As of the inspection on 11/20/24, the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not posted by the phone in the PS room, Gym, or both Toddler rooms.

Corrected Corrected by Dec 5, 2024

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

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. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

The emergency plan did not include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Corrected Corrected by Dec 27, 2024

Category: ratio. Marked corrected in the state record.

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. The OCDEL Announcement C-22-03: "Updates to Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment Requirements" states to maintain compliance with 45 CFR 98.41(a)(1)(vi), in addition to the training requirements, child care providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment.

As of the inspection on 11/20/24, the operator did not have a policy which addresses the prevention and identification of child maltreatment.

Corrected Corrected by Dec 27, 2024

Category: ratio. Marked corrected in the state record.

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 person #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 person(s) available to supervise staff person #9, staff person #9 may not work in a child-care position at the facility.

Staff person #9 was observed to be caring for children unsupervised. Staff person #9 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR.

Corrected Corrected by Nov 20, 2024

Category: supervision. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

As of the inspection on 11/20/24, staff persons #1, #2, #3, #5, #6, and #7 did not have documentation of emergency plan training on file when the plan was updated in September 2024. Staff person #8 and staff person #9 did not have emergency plan training within 90 days of hire (see LIS code sheet for date of hire).

Corrected Corrected by Dec 27, 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. Staff person(s) shall complete professional development in the topics of 3270.31(f)(10). Staff person #1 will have until 12/6/24 to complete the required training. Until such time as the required training has been completed, staff person #1 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, staff person #1 may not work in a child-care position at the facility.

Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 11/18/24.

Corrected Corrected by Nov 20, 2024

Category: supervision. 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.

Staff person #2, #3, #4, #6 and #7 did not have complete annual fire safety training as required. This is evidenced by the fire safety training on file dated 10/24/23.

Corrected Corrected by Dec 27, 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 #1, #5, #8 and #9 will have until 12/6/24 to complete the required training. Until such time as the required training has been completed, Staff persons #1, #5, #8 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, #5, #8 and #9, then staff persons #1, #5, #8 and #9 may not work in a child-care position at the facility.

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 training requirements. Staff person #5, #8 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 Nov 20, 2024

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. The CPSL was revised to include a 45 day provisional hiring period. The CPSL was revised to include the requirement for updating clearances every 60 months. Staff Persons #1, 2, 3, 5 and #8 may not work in a childcare position at the facility until all completed clearances are received.

As of the inspection on 11/20/24, staff person #1 did not have a current PA State Police Clearance on file. This is evidenced by the PA State Police clearance dated 6/25/19. Staff person #2 does not have a current NSOR certificate on file. This is evidenced by the NSOR on file dated 11/6/19. Staff person #3 does not have an NSOR certificate on file and is past the 45 day provisional hiring period (see LIS code sheet for date of hire). Staff person #3 was also observed to be working unsupervised in the Toddler room during rest time. Staff person #5 does not have a current Child Abuse clearance on file. This is evidenced by the Child Abuse clearance on file dated 12/13/18. There was no witness signature on the disclosure statement dated 3/4/24. Staff person #8 does not have a dissemination date on the PA State Police clearance making this an incomplete clearance. There is no complete FBI clearance or NSOR certificate on file and staff person #8 is past the 45-day provisional hiring period. Staff person #9 does not have a signed disclosure statement on file. Staff person #9 was observed to be working unsupervised in the Preschool room during rest time (see LIS code sheet for dates of hire).

Corrected Corrected by Nov 20, 2024

Category: supervision. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

As of the inspection on 11/20/24, written notifications of safe routes including pick up and drop off procedures were not posted in the facility.

Corrected Corrected by Dec 27, 2024

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. The legal entity will submit complete files for any new hires for a period of two months to the NE Regional Office. During that time, new hires may not begin to work in childcare until their file has been approved by the NE Regional Office. Submitted files will be reviewed within 1 week of submission.

As of the inspection on 11/20/24, staff person #1 did not have a current PA State Police Clearance on file. This is evidenced by the PA State Police clearance dated 6/25/19. Staff person #2 does not have a current NSOR certificate on file. This is evidenced by the NSOR on file dated 11/6/19. Staff person #3 does not have an NSOR certificate on file and is past the 45 day provisional hiring period (see LIS code sheet for date of hire). Staff person #3 was also observed to be working unsupervised in the Toddler room during rest time. Staff person #5 does not have a current Child Abuse clearance on file. This is evidenced by the Child Abuse clearance on file dated 12/13/18. There was no witness signature on the disclosure statement dated 3/4/24. Staff person #8 does not have a dissemination date on the PA State Police clearance making this an incomplete clearance. There is no complete FBI clearance or NSOR certificate on file and staff person #8 is past the 45-day provisional hiring period. Staff person #9 does not have a signed disclosure statement on file. Staff person #9 was observed to be working unsupervised in the Preschool room during rest time (see LIS code sheet for dates of hire).

Corrected Corrected by Feb 5, 2025

Category: supervision. Marked corrected in the state record.

3270.33(a) · 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.

At the time of the inspection on 11/20/24, staff persons #3, #8 and #9 did not have any education documentation on file. Staff persons #8 and staff person #9 did not have experience (2,500 hours) on file and therefore, these staff cannot qualify as assistant group supervisors.

Corrected Corrected by Dec 27, 2024

Category: supervision. 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.

As of the inspection on 11/20/24, the Director admitted to not conducting annual evaluations for staff person #2, #3, #6, and #7.

Corrected Corrected by Dec 27, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Protective outlet covers were missing from the receptacles in the Toddler Rest room.

Corrected Corrected by Dec 6, 2024

Category: physical safety. 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.

At the time of the inspection, in the PS room, there was a bag of potting soil accessible to children which read "Keep out of Reach of Children." In the PS bathroom, there was a spray bottle of Bleach, a can of disinfectant and a spray bottle of Spic & Span located on the lid of the toilet. In the downstairs Multipurpose "extra" room, in the unlocked supply cabinet, there were bottles of soap and hand sanitizer accessible to children.

Corrected Corrected by Nov 20, 2024

Marked corrected in the state record.

3270.67(d)/3270.82(i) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

At the time of the inspection, the trash cans in the PS and Toddler Rest classrooms contained used tissues and were not plastic lined and did not contain lids. The trash can in the PS toilet area did not have a lid.

Corrected Corrected by Nov 20, 2024

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

3270.76/3270.102(a) · 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. Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

At the time of the inspection on 11/20/24, the ceiling vents in the toddler room were dusty. The surfacing of the cabinets located under the sink in the toddler room were peeling exposing the inside wooden particles and posing a splinter hazard to children. There was a hole in the wall in the Toddler Rest room.

Corrected Corrected by Dec 27, 2024

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

As of the inspection on 11/20/24, there were no thermometers in the refrigerators located in the PS or Toddler rooms.

Corrected Corrected by Dec 20, 2024

Category: nutrition. Marked corrected in the state record.

3270.111(a)/3270.111(b) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

As of the inspection on 11/20/24, there were no daily activity schedules posted in the PS room, Gym, or Toddler rooms.

Corrected Corrected by Dec 13, 2024

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

3270.121(a) · The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

As of the inspection on 11/20/24, there were no policies on supervision in the handbook which is provided to parents at enrollment.

Corrected Corrected by Dec 27, 2024

Category: supervision. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

At the time of the inspection, there were no child service reports to review for child #3, #4 and #5.

Corrected Corrected by Dec 27, 2024

Category: recordkeeping. 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.

At the time of the inspection, the emergency contact form and agreement on file for child #3, #4 and #5 were not updated every 6 months as required. This is evidenced by the current date of October 2024 and the previous date of February 2024.

Corrected Corrected by Dec 27, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5)/3270.124(b)(7) · An agreement shall specify the persons designated by a parent to whom the child may be released. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

At the time of the inspection on 11/20/24, the agreements for children #2 #3, #4 and #5 did not specify the persons designated by a parent to whom the child may be released. The emergency contact form for child #3 and child #4 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Dec 27, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

At the time of the inspection on 11/20/24, the operator admitted that the parents do not receive the original agreement at the time of enrollment.

Corrected Corrected by Dec 27, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

As of the inspection on 11/20/24, there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted in any of the childcare spaces.

Corrected Corrected by Dec 27, 2024

Category: transportation. Marked corrected in the state record.

3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

At the time of the inspection, staff person #3 did not wash her hands or the hands of the child being diapered after the child was diapered.

Corrected Corrected by Nov 20, 2024

Category: health medication. 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.

Staff person #2 did not receive an updated health assessment every 24 months as required. This is evidenced by the current health assessment on file dated 11/5/24 and the previous health assessment dated 9/2/22. Staff person #3 and staff person #8 do not have a health assessment or TB screening on file. Staff person #5 did not receive a TB screening at initial service in the facility. This is evidenced by the TB screening on file dated 7/8/20 (see LIS code sheet for date of hire). Staff person #9 does not have a health assessment on file.

Corrected Corrected by Dec 27, 2024

Category: ratio. 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.

At the time of the inspection on 11/20/24, staff persons #3 and 5 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file. Staff person #8 and #9 only had one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file.

Corrected Corrected by Dec 6, 2024

Category: recordkeeping. 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.

As of the inspection on 11/20/24, the operator could not locate documentation of any emergency drills being conducted.

Corrected Corrected by Dec 27, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

As of the inspection on 11/20/24, the provider admitted to not providing Chapter 3270 regulations electronically to the parents of enrolled children.

Corrected Corrected by Dec 27, 2024

Marked corrected in the state record.

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

As of the inspection on 11/20/24, the emergency plan on file dated 9/2024 did not include lock-down procedures.

Corrected Corrected by Dec 27, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

At the time of the inspection on 11/20/24, staff person #2, #4 and #6 only completed 6.5, 4.5 and 6.5 hours of childcare training during the 12/22-12/23 training period, respectively.

Corrected Corrected by Dec 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

During an inspection on 5/8/24, there was no documentation of annual emergency plan training in the file for staff person #1, staff person #2, staff person #3, staff person #4, staff person #5 and staff person #8. An acceptable plan of correction was received stating the correction would be implemented by 5/10/24. An unannounced inspection occurred on 6/4/24. There was still no documentation of annual emergency plan training in the file for staff person #1, staff person #2, staff person #3, staff person #4, staff person #5 and staff person #8.

Corrected Corrected by Jun 14, 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 #8 will have until 6/20/24 to complete the required training. Until such time as the required training has been completed, staff person #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 person #8, then staff person #8 may not work in a child-care position at the facility.

During an inspection on 5/8/24, staff person #2 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training. Staff person #8 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training and Pediatric First Aid/CPR training. An acceptable plan of correction was received stating the correction would be implemented by 5/24/24. An unannounced inspection occurred on 6/4/24. Staff person #8 has still not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training and Pediatric First Aid/CPR training.

Corrected Corrected by May 8, 2024

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. Staff Person #1 and staff person #7 may not work in a childcare position at the facility until all completed clearances are on file at the facility.

During an inspection on 5/8/24, staff person #1 did not have a completed NSOR certificate on file and has been employed at the facility for more than 45 days (see LIS code sheet for date of hire). Staff person #6 and staff person #7 did not have a witness signature on the disclosure statement. Staff person #7 did not have an updated FBI clearance on file. This is evidenced by the FBI clearance on file dated 3/2/19. Staff person #8 had a receipt dated 10/5/23 for the PA State Police clearance on file. There was no completed clearance with a dissemination date at time of hire (see LIS code sheet for date of hire). An acceptable plan of correction was received stating the correction would be implemented by 5/8/24. An unannounced inspection occurred on 6/4/24. The certification representative was unable to verify a completed NSOR certificate on file for staff person #1 and this person has been employed at the facility for more than 45 days (see LIS code sheet for date of hire). Staff person #7 still did not have an updated FBI clearance on file. This is evidenced by the FBI clearance on file dated 3/2/19. Since 5/8/24, staff person #7 was not permitted to work with children until the FBI clearance was obtained. The operator admitted since this date that staff person#7 did work with children on two different occasions.

Corrected Corrected by May 8, 2024

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

3270.33(a)/3270.192(2)(iv) · 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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During an inspection on 5/8/24, staff person #3 and staff person #4 did not have any documentation of education on file and could not qualify for the position they were performing. Staff person #8 had foreign education on file from Venezuela that was not evaluated and therefore, did not qualify for the position they were performing. An acceptable plan of correction was obtained stating the correction would be implemented by 5/31/24. An unannounced inspection occurred on 6/4/24, staff person #3 still did not have any documentation of education on file and could not qualify for the position they were performing. Staff person #8 had foreign education on file from Venezuela that was still not evaluated and therefore, did not qualify for the position they were performing.

Corrected Corrected by Jun 21, 2024

Category: recordkeeping. 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.

During the inspection on 5/8/24, staff person #4 did not have tuberculosis screening at initial employment (see LIS code sheet for date of hire). Staff person #6 did not have tuberculosis screening at initial employment. This is evidenced by the tuberculosis screening dated 10/25/21 on file. (see LIS code sheet for date of hire). An acceptable plan of correction was received stating that the correction would be implemented by 5/31/24. An unannounced inspection was conducted on 6/4/24. Staff person #4 still did not have documentation of obtaining tuberculosis screening at initial employment (see LIS code sheet for date of hire).

Corrected Corrected by Jun 14, 2024

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

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

During the inspection on 5/8/24, staff person #2, staff person #4 health assessment did not include an examination for communicable diseases and the results of that examination. It also did not include the physician's or CRNP's assessment of the person's suitability to provide child care. An acceptable plan of correction was received stating the plan would be implemented by 5/24/24. An unannounced inspection occurred on 6/4/24. Staff person #2 and staff person #4 health assessment still did not include an examination for communicable diseases and the results of that examination. It also did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Jun 14, 2024

Category: health medication. 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.

During the inspection on 5/8/24, staff person #3, staff #4, staff person #6, and staff person #7 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. An acceptable plan of correction was received stating the correction would be implemented by 5/13/24. An unannounced inspection occurred on 6/4/24. Staff person #3, staff #4, staff person #6, and staff person #7 still did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jun 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1)/3270.94(a)(9) · 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. The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

During the inspection on 5/8/24, the operator could not locate the fire drill log showing that fire drills are being conducted every 60 days. An acceptable plan of correction was received stating that the plan would be implemented by 5/10/24. An unannounced inspection was conducted on 6/4/24. The fire drill log that was presented for review had a fire drill last being conducted on 1/23/24 and not every 60 days as required.

Corrected Corrected by Jun 14, 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.

During the inspection on 5/8/24, the operator could not locate the manual monthly monitoring log or the annual fire inspection report. An acceptable plan of correction was received stating the correction would be implemented by 5/10/24. An unannounced inspection was conducted on 6/4/24. The manual monthly monitoring log of the fire detection system was presented for review. The last documented manual monthly monitoring of the fire detection system was last conducted on 10/21/23 and not every 30 days as required.

Corrected Corrected by Jun 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

The facility director self-reported that on 4/26/24, a 400 mg pill, identified as Gabapentin, was observed laying at the gate on the floor in the toddler room and was accessible to children.

Corrected Corrected by Apr 29, 2024

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

In the Preschool room, children were resting on mats too close to each other. The mats were not placed at least 2 feet of space on three sides of the mat.

Corrected Corrected by May 8, 2024

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

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Children were resting in the toddler nap room. There were no emergency contact forms for the children present in that room.

Corrected Corrected by May 9, 2024

Category: recordkeeping. Marked corrected in the state record.

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. Staff person #1 will have until 5/24/24 to complete the required training.

Staff person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by May 9, 2024

Category: ratio. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

There was no documentation of annual emergency plan training in the file for staff person #1, staff person #2, staff person #3, staff person #4, staff person #5 and staff person #8.

Corrected Corrected by May 10, 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. Staff person #5 will have until 5/24/24 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.

Staff person #5 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 4/8/23.

Corrected Corrected by May 22, 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)(1-10) within 90 days of hire. Staff person #2 and staff person #8 will have until 5/24/24 to complete the required training. Until such time as the required training has been completed, staff person #2, staff person #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 person #2 and staff person #8, then staff person #2, staff person #8 may not work in a child-care position at the facility.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training. Staff person #8 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training and Pediatric First Aid/CPR training.

Corrected Corrected by May 24, 2024

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. Staff Person #1, staff person #7 and staff person #8 may not work in a child care position at the facility until all completed clearances are on file at the facility.

At the time of the inspection, staff person #1 did not have a completed NSOR certificate on file and has been employed at the facility for more than 45 days (see LIS code sheet for date of hire). Staff person #6 and staff person #7 did not have a witness signature on the disclosure statement. Staff person #7 did not have an updated FBI clearance on file. This is evidenced by the FBI clearance on file dated 3/2/19. Staff person #8 had a receipt dated 10/5/23 for the PA State Police clearance on file. There was no completed clearance with a dissemination date at time of hire (see LIS code sheet for date of hire).

Corrected Corrected by May 8, 2024

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

3270.33(a)/3270.192(2)(iv) · 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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Staff person #3 and staff person #4 did not have any documentation of education on file and could not qualify for the position they were performing. Staff person #8 had foreign education on file from Venezuela that was not evaluated and therefore, did not qualify for the position they were performing.

Corrected Corrected by May 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.151(a) · 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.

Staff person #5 did not obtain an updated health assessment within 24 months since the previous date of a health assessment conducted. This is evidenced by the health assessment on file dated 2/1/22. Staff person #6 did not have a completed health assessment on file at time of hire.

Corrected Corrected by May 31, 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.

Staff person #4 did not have tuberculosis screening at initial employment (see LIS code sheet for date of hire). Staff person #6 did not have tuberculosis screening at initial employment. This is evidenced by the tuberculosis screening dated 10/25/21 on file. (see LIS code sheet for date of hire).

Corrected Corrected by May 31, 2024

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

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Staff person #2, staff person #4 health assessment did not include an examination for communicable diseases and the results of that examination. It also did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by May 24, 2024

Category: health medication. 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 person #3, staff #4, staff person #6, and staff person #7 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by May 13, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1)/3270.94(a)(9) · 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. The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

During the inspection, the operator could not locate the fire drill log showing that fire drills are being conducted every 60 days.

Corrected Corrected by May 10, 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.

During the inspection, the operator could not locate the manual monthly monitoring log or the annual fire inspection report.

Corrected Corrected by May 10, 2024

Category: recordkeeping. 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.

Staff person #1 did not complete the required 2022 1-hour health & safety training update by 12-30-22.

Corrected Corrected by Dec 20, 2023

Category: health medication. 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 # 2 may not work in a childcare position at the facility. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #2 may not work in a childcare position at the facility. The CPSL was revised on 9/18/2018 to include a requirement that all clearances be updated and on file at least every 60 months. The Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) Clearance effective 9/30/2019. The CPSL also states that anyone hired after 9/30/19 was required to have the NSOR clearance to work in childcare. Current staff must have the NSOR clearance no later 7/1/20. CPSL was revised to include new hires that have resided out of Pennsylvania with in the 5 previous years must obtain State Police and Child abuse clearances from the state that they have resided.

Staff person #2 started at the facility on 10-9-23 and has lived outside of Pennsylvania within the last 5 years. Staff person #2 does not have any out of state clearances. There is no verification that staff person #2 applied for out of state clearances prior to starting at the facility.

Corrected Corrected by Dec 20, 2023

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

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

There is no daily schedule in the school age room.

Corrected Corrected by Dec 31, 2023

Marked corrected in the state record.

3270.124(b)(2)/3270.124(b)(3) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

There is no employer address or phone number on the emergency contact form for Child #1 or Child #2. There is no phone number listed on the emergency contact form for Child #2.

Corrected Corrected by Jan 3, 2024

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

3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for 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 facility emergency plan does not include a method for facility persons to contact parents when an emergency situation arises or a method to contact parents to notify them that the emergency has ended and to provide instructions as to how parents can safely be reunited with their children

Corrected Corrected by Dec 30, 2022

Category: physical safety. 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 # 1 may not work in a childcare position at the facility. 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 #1 may not work in a childcare position at the facility. The CPSL was revised on 9/18/2018 to include a requirement that all clearances be updated and on file at least every 60 months. The Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) Clearance effective 9/30/2019. The CPSL also states that anyone hired after 9/30/19 was required to have the NSOR clearance to work in childcare. Current staff must have the NSOR clearance no later 7/1/20. CPSL was revised to include new hires that have resided out of Pennsylvania with in the 5 previous years must obtain State Police and Child abuse clearances from the state that they have resided.

Staff person #1 has not updated her child abuse, criminal or FBI clearance in 60 months. Her child abuse clearance is dated 8/30/17. Her criminal clearance is dated 8/18/17, and her FBI clearance is dated 9/11/17. Staff person #1 has not updated her mandated reporter training in over 60 months; she completed mandated reporter training on 8/31/17

Corrected Corrected by Nov 30, 2022

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

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

There is no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every childcare space and will accompany a staff person who leaves on an excursion with the children.

Corrected Corrected by Dec 30, 2022

Category: transportation. Marked corrected in the state record.

3270.27(a)(5)/3270.27(a)(6) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility emergency plan doesn't address accommodations for infants, toddlers or children with special needs. The facility hasn't conducted any emergency drills

Corrected Corrected by Dec 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

The play mats in the gym are torn, resulting in exposed foam

Corrected Corrected by Jan 31, 2022

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

3270.123(a) · An agreement shall be signed by the operator and the parent.

There is no signed agreement on file for Child #3

Corrected Corrected by Jan 31, 2022

Category: recordkeeping. 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.

The molding to the right of the emergency exit in the gym is chipped & missing pieces, resulting in jagged edges. There are water stained ceiling tiles in the Toddler & Preschool rooms.

Corrected Corrected by Jan 31, 2022

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

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There is peeling paint on the walls to the left & right of the entrance to the gym.

Corrected Corrected by Jan 31, 2022

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

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

There is no health insurance coverage or policy number on listed on the emergency contact form for Child #2

Corrected Corrected by Jan 20, 2022

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

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

The Albuterol inhaler for Child #1 expired on 3/12/21. The EpiPen for Child #1 expired on 11/23/21.

Corrected Corrected by Jan 20, 2022

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

3270.151(a)/3270.151(c)(1) · 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 a physical examination.

Staff person #1 has not had a health assessment since 1/17/18. Staff person #2 started at the facility on 9/20/21 and does not have a health assessment or TB screening. Staff person #3 started at the facility on 7/9/21 and did not obtain a health assessment or TB screening until 9/1/21

Corrected Corrected by Jan 20, 2022

Category: ratio. Marked corrected in the state record.