3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

At the time of the inspection facility persons #3, 4, and 9 did not their health and safety training on file.

Corrected Corrected by Oct 16, 2025

Category: health medication. 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.

At the time of inspection facility's emergency plan did not address the continuity of operations and specify the role of all facility persons including volunteers. Staff person #3, 4, 5, 6, 8, 9, 10, and 11 has completed the health and safety course completed but have not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Corrected Corrected by Oct 16, 2025

Category: ratio. Marked corrected in the state record.

3270.27(a)(3) · 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.

At the time of the inspection the facility did not have an emergency plan that provided a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Corrected Corrected by Oct 16, 2025

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

3270.27(a)(4) · 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 did not have an emergency plan that provides 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.

Corrected Corrected by Oct 16, 2025

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

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

At the time of the inspection the operator did not review the emergency plan at least annually or update the plan as needed. The operator shall document in writing each review and update of the emergency plan and have it kept on file at the facility.

Corrected Corrected by Oct 16, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f)(10) · 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 persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

At the time of the inspection facility persons #1, 2, 4, and 10 did not have pediatric first aid / CPR training on file.

Corrected Corrected by Nov 6, 2025

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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 facility person #1, 2, 3, 4, 5, 6, 7, 8, 9, 10 and 11 did not have fire safety training on

Corrected Corrected by Oct 16, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1, 3, 6, 8, 9, and 10 may not work alone in a childcare position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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 #1, 3, 6, 8, 9, and 10 may not alone work in a child care position at the facility.

At the time of the inspection facility person #1 had expired State Police, expired child abuse, mandated reporter and missing NSOR certificate, facility person #3 had missing State police clearance, DHS FBI clearance and NSOR, facility person #6 has missing DHS FBI clearance and NSOR clearance, facility #8 is missing State Police, DHS FBI clearance, NSOR and mandated reporter training, facility person #9 did not have DHS FBI Clearance, NSOR clearance, and mandated reporter training, facility person #10 did not have State Police Clearance and NSOR Certificate and facility person #11 did not have NSOR clearance on file. Facility persons#2, 3, 4, 6, 8, 9, did not have signed disclosure statements on file.

Corrected Corrected by Oct 16, 2025

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.

At the time of the inspection facility persons #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11 did not have annual staff evaluations on file.

Corrected Corrected by Oct 16, 2025

Category: recordkeeping. Marked corrected in the state record.

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

At the time of inspection children #1, 2 and 3 did not have a signature from the parent on this fee agreement.

Corrected Corrected by Nov 6, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(f) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

At the time of the inspection children # 1, 2 and 3did not have and updated emergency contact form on file.

Corrected Corrected by Nov 6, 2025

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.

At the time of the inspection facility persons #4, 7 and 8 did not have Mantoux testing or reading on file

Corrected Corrected by Oct 16, 2025

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

3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

At the time of the inspection facility person #3, 4, 7, 8, 9and 11 did not have health assessments on file.

Corrected Corrected by Oct 16, 2025

Category: health medication. 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 children #1, 2 and 3 did not have updated fee agreements on file.

Corrected Corrected by Oct 16, 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.

At the time of inspection, the facility did not have emergency drills conducted annually. Annual emergency drills were not documented and on file at the facility.

Corrected Corrected by Nov 6, 2025

Category: recordkeeping. Marked corrected in the state record.

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

At the time of the inspection the facility did not have fire drills conducted every 60 days as required.

Corrected Corrected by Nov 6, 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 facility persons #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11 did not have 12 hours of annual PD training.

Corrected Corrected by Oct 16, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.36(a)/3270.192(2)(ii) · An assistant group supervisor is responsible for the minimum duties described at § 3270.36(a)(1 - 2). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

At the time of the inspection facility persons# 4 and 11 did not have education on file and facility person #9 did not have verified experience on file.

Corrected Corrected by Oct 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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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 #--- may not work in a child care position at the facility.

At the time of inspection facility person #3 did not have DHS FBI clearance, NSOR and disclosure statement, facility person# 2 & 4 did not have a NSOR and facility person #3 Mandated reporter training on file at the time.

Corrected Corrected by Nov 20, 2024

Category: supervision. Marked corrected in the state record.

3270.37(a)/3270.192(2)(iv) · An aide is responsible for assisting in the implementation of daily program activities. 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 facility person #3 did not have verified experience on file and facility person #2 did not have an evaluated diplomat / degree on file.

Corrected Corrected by Nov 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.113(a)(1) · 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.

At the time of inspection facility person #3 was not supervising assigned children by leaving them alone while she was attending to children and families arriving to the facility.

Corrected Corrected by Nov 20, 2024

Category: supervision. Marked corrected in the state record.

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

At the time of inspection facility persons #3 & 4 did not have a health assessment on file.

Corrected Corrected by Nov 20, 2024

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

3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

At the time of inspection facility person #4 did not have a Mantoux Testing / Dates on file.

Corrected Corrected by Nov 1, 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.

At the time of inspection facility person #3 did not have two non-family references on file

Corrected Corrected by Nov 20, 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 inspection facility person #1 did not have 12 hours of annual training on file.

Corrected Corrected by Nov 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.23/3270.171(c) · A parent of a child in care shall be permitted free access, without prior notice, throughout the center whenever children are in care, unless a court of competent jurisdiction has limited the parental right of access to the child and a copy of the order is on file at the facility. Opportunity shall be provided for parents to participate in the facility's program. The operator shall maintain a yearly file which documents general announcements to promote parent participation. The file shall be updated annually. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

At the time of inspection parents were not allow in the facility including drop off and pickup. At the time of inspection facility also did not have their Pickup / Drop Off procedure posted.

Corrected Corrected by Sep 27, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.24(a)/3270.191 · A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records. An individual record is required for each facility person.

At the time of inspection legal entity did not staff files at the facility nor could provide the department access.

Corrected Corrected by Sep 27, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.24(a)/3270.181(a) · A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records. An operator shall establish and maintain an individual record for each child enrolled in the facility.

At the time of inspection facility did not have any children files at the facility and could not provide access to the department.

Corrected Corrected by Sep 27, 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.

At the time of inspection facility persons #2 and 4 did not have emergency plan training on file.

Corrected Corrected by Nov 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

At the time of inspection facility did not have Emergency Plan posted.

Corrected Corrected by Sep 27, 2024

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2, 3 and 4 may not work in a childcare position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employe, 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, 3 and 4may not work in a childcare position at the facility.

At the time of inspection facility person #3 did not have DHS FBI clearance, NSOR and disclosure statement, facility person# 2 & 4 did not have a NSOR and facility person #3 Mandated reporter training on file at the time.

Corrected Corrected by Nov 1, 2024

Category: supervision. Marked corrected in the state record.

3270.37(a)/3270.192(2)(iv) · An aide is responsible for assisting in the implementation of daily program activities. 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 facility person #3 did not have verified experience on file and facility person #2 did not have an evaluated diplomat / degree on file.

Corrected Corrected by Nov 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.111(b) · The written plan of daily activities shall be posted in the group space.

At the time of inspection facility did not have their daily schedule posted.

Corrected Corrected by Sep 27, 2024

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

3270.113(a)(1) · 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.

At the time of inspection facility person #3 was not supervising assigned children by leaving them alone while she was attending to children and families arriving to the facility.

Corrected Corrected by Nov 1, 2024

Category: supervision. Marked corrected in the state record.

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

At the time of inspection facility persons #3 & 4 did not have a health assessment on file.

Corrected Corrected by Nov 1, 2024

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

3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

At the time of inspection facility person #4 did not have a Mantoux Testing / Dates on file.

Corrected Corrected by Nov 1, 2024

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

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

At the time of the inspection facility did not have their menu posted.

Corrected Corrected by Sep 27, 2024

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 inspection facility person #3 did not have two non-family references on file

Corrected Corrected by Nov 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(g) · Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

At the time of inspection facility persons #3 & 4 did not have Health and Safety training on file.

Corrected Corrected by Nov 1, 2024

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

3270.94(a)(5) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

At the time of inspection facility did not have the Evaluation Routes posted.

Corrected Corrected by Sep 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.

At the time of inspection facility did not have the 3270 regulations posted.

Corrected Corrected by Sep 27, 2024

Marked corrected in the state record.

3270.25(a)/3270.25(b) · 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. The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

At the time of inspection facility did not have their Certificate of Compliance posted.

Corrected Corrected by Sep 27, 2024

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 inspection facility person #1 did not have 12 hours of annual training on file.

Corrected Corrected by Nov 1, 2024

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 inspection staff person did not have annual fire safety training on file.

Corrected Corrected by Oct 5, 2023

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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 #--- may not work in a child care position at the facility.

At the time of inspection staff person # 1 did not have a NSOR clearance on file.

Corrected Corrected by Oct 5, 2023

Category: supervision. Marked corrected in the state record.

3270.192(2)(ii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. 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 inspection staff person #1 did not have proof of education nor verified hours of experience on file at the facility.

Corrected Corrected by Oct 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.11(f)/3270.31(g) · A certificate of compliance is issued in the manner described in Chapter 20, for a period not to exceed 12 months from the date of issue. Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

At the time of inspection facility person #1 did not have Health and Safety nor Update on file at the time of inspection.

Corrected Corrected by Oct 5, 2023

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

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

At the time of inspection staff person #1 did not have 12 clock hours of child care training on file.

Corrected Corrected by Oct 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.191 · An individual record is required for each facility person.

At the time of annual inspection facility person #1 did not have a file .

Corrected Corrected by Sep 18, 2023

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 persons # 1, 3 shall complete professional development in the topics of 3270.31(f) (1-10) within 90 days of hire. Staff persons# 1and 3 will have until 5/3/23 to complete the required training. Until such time as the required training has been completed, staff persons# 1and 3, 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 persons available to supervise staff persons#1and 3 may not work in a child care facility.

Continued noncompliance on 3/2/23 a renewal inspection was conducted at the facility. An unannounced inspection was conducted on 3/30/23 at the facility. Staff persons#1 and 3 has not completed the following required pediatric first aid/CPR training within 90 days of their date of hire. The facility's acceptable plan of correction indicated the correction would be implemented by 3/17/23. On 3/30/23 an unannounced inspection was conducted. Staff person#1 and 3 still has not completed the following required pre-service pediatric first aid/CPR training. Also, continued noncompliance staff persons# 3 has not completed the following required health and safety training within 90 days of their date of hire. The facility's acceptable plan of correction indicated the correction would be implemented by 3/17/23. On 3/30/23 an unannounced inspection was conducted. Staff person# 3 still has not completed the following required pre-service health and safety training.

Corrected Corrected by May 12, 2023

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1,2,3 and 6 must obtain FBI verification of clearance required under CPSL. Staff persons# 3 must obtain NSOR verification of clearances required under CPSL. Staff persons 1 through 3, and 6 may not work in a child care position at the facility.

Continued noncompliance on 3/2/23 a renewal inspection was conducted at the facility. Staff persons# 1,2,3 and 6 file did not include verification of FBI clearances completed. Staff persons# 3 file did not include verifications of NSOR clearances completed.

Corrected Corrected by May 12, 2023

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

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Continued noncompliance on 3/30/23 a renewal inspection was conducted at the facility. Staff persons# 3 and 5 file did not include documentation of health assessment. Also, staff persons# 3 and 4 file did not include results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Corrected Corrected by May 12, 2023

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

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

Continued noncompliance on 3/30/23 an unannounced inspection was conducted at the facility. Staff persons# 4 and 5 file did not include documentation of verification of child care experience, education and training prior to service at the facility.

Corrected Corrected by May 12, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Continued noncompliance on 3/30/23 an unannounced inspection was conducted at the facility. Staff persons# 3 file did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by May 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

While conducting a renewal inspection on 3/2/23 it was observed the liability insurance was expired.

Corrected Corrected by Mar 3, 2023

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.

While conducting a renewal inspection on 3/2/23 it was observed staff person# 3 file did not include documentation of completion of emergency plan training.

Corrected Corrected by Mar 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · 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.

While conducting a renewal inspection on 3/2/23 it was observed child# 3 file did not include address of the individual designated by the parent to whom the child may be released. Child# 4 file did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released. Child# 6 file did not include address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Mar 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons # 1 and 3 shall completed professional development in pediatric first aid/CPR training within 90 days of hire. Staff persons# 1 and 3 will have until 3/17/23 to complete the required training. Until such time as the training has been completed, staff persons # 1 and 3 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 and 3, staff persons#1 and 3 may not work in a child care position at the facility. Staff persons# 1 through 7 must complete health and safety training.

While conducting a renewal inspection on 3/2/23 it was observed staff persons#1 and 3 has not completed the following required pediatric first aid/CPR training within 90 days of their date of hire. Also, staff persons# 1 through 7 file did not complete health and safety training within 90 days of their date of hire.

Corrected Corrected by Mar 17, 2023

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1,2,3,4 and 8 must obtain FBI verification of clearance required under CPSL. Staff persons# 3 and 6 must obtain NSOR verification of clearances required under CPSL. Staff person# 4 must obtain verifications of mandated reporter training required under CPSL. Staff persons 1 through 4, and 8 may not work in a child care position at the facility.

While conducting a renewal inspection on 3/2/23 it was observed staff persons# 1,2,3, 4 and 8 file did not include verification of FBI clearances completed. Staff persons# 3 and 6 file did not include verifications of NSOR clearances completed. Staff person#4 file did not include documentation of completed mandated reporter training.

Corrected Corrected by Mar 17, 2023

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

3270.113(a) · 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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

While conducting a renewal inspection on 3/2/23 program had a total 37 children present. Staff person#3 was asked for the names of the children responsible for. Staff person#3 did not identify children specifically assigned to the child care group.

Corrected Corrected by Mar 17, 2023

Category: supervision. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

While conducting a renewal inspection on 3/2/23 it was observed child # 2,3, and 5 agreement form did not include an admission date.

Corrected Corrected by Mar 17, 2023

Category: recordkeeping. 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.

While conducting a renewal inspection on 3/2/23 it was observed child# 1,2, and 3 file did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Mar 17, 2023

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

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

While conducting a renewal inspection on 3/2/23 it was observed staff persons# 3,7, and 8 file did not include documentation of health assessment. Also, staff persons# 3 and 6 file did not include results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Corrected Corrected by Mar 17, 2023

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

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

While conducting a renewal inspection on 3/2/23 it was observed staff persons# 4,6, and 7 file did not include documentation of verification of child care experience, education and training prior to service at the facility.

Corrected Corrected by Mar 17, 2023

Category: recordkeeping. Marked corrected in the state record.

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

While conducting a renewal inspection on 3/2/23 it was observed staff persons# 2 through 4 and 6 and 7 file did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Mar 17, 2023

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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 file did not include NSOR clearance; and staff person# 2 did not have DHS FBI clearance. Staff person # 3 and 4 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the NSOR and DHS FBI clearance, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3 and 4 may not work in a child care position at the facility.

While conducting a follow-up inspection, continued noncompliance observing staff person #1 file did not include NSOR clearance and staff person # 2 did not include DHS issued FBI clearance.

Corrected Corrected by Nov 11, 2022

Category: supervision. Marked corrected in the state record.

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

While conducting a follow-up inspection, continued noncompliance observing child # 1, 2, 3, 4, and 5 file did not include an emergency contact form.

Corrected Corrected by Nov 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons# 1,3, and 4 shall complete pediatric first aid/ CPR training within 90 days of hire. Staff person # 1,3, and 4 will have until 10/14/22 to complete the required pediatric first aid /CPR training. Until such time as the required training has been completed, staff person # 1,3, and 4 must be supervised, when interacting with children, by an Assistant group Supervisor who has completed the required training to this citation. If there is no staff available to supervise staff person # 1,3, and 4 may not work in a child-care position at the facility.

It was observed on 9/29/22 staff person # 1,3, and 4 has not completed pediatric first aid /CPR training within 90 days of hire.

Corrected Corrected by Oct 14, 2022

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). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #1, 4, 5, and 6 must obtain verification of FBI clearances as required under CPSL. Staff person # 1,4,5, and 6 may not work in a child care 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 #3 must obtain verification of NSOR, FBI, Child abuse, and State Police clearances. Staff person #3 may not work in a child care position at the facility.

It was observed on 9/29/22 staff person #1,4,5, and 6 file did not include the required DHS issued FBI clearances. Staff person # 3 file did not include NSOR, DHS issued FBI, Child abuse, or State Police clearances.

Corrected Corrected by Oct 14, 2022

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

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

It was observed on 9/29/22 child # 1,2, 3, 4, 5, and 6 files did not include an emergency contact form.

Corrected Corrected by Oct 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(4) · 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.

It was observed on 9/29/22 the program's emergency plan did not include procedures to contact parents before and after an emergency arises.

Corrected Corrected by Oct 14, 2022

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.

It was observed on 9/29/22 staff person #1 file did not include verification of emergency plan training.

Corrected Corrected by Oct 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

It was observed on 9/29/22 the program's emergency plan did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Oct 14, 2022

Category: physical safety. 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.

It was observed on 9/29/22 the program's emergency plan did not include procedure for lock-down.

Corrected Corrected by Oct 14, 2022

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

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

It was observed on 9/29/22 the program's emergency plan did not include a procedure for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises.

Corrected Corrected by Oct 14, 2022

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