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 persons cannot work unsupervised with children until the PA Update has been completed. Submit written verification of the required CCDBG training (PA Update).

Several staff persons records did not contain verification of completed required CCDBG training (Pa Update) (#1 -#8).

3270.14/3270.21 · Corrected Oct 28, 2023

Conditions at the facility may not pose a threat to the health or safety of the children. 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. Children must be supervised at all times.

On 8/22/23 at approximately 5:30-pm, a child exited the facility when the staff person left the classroom to answer the main door. The staff person assigned responsibility for the supervision of a child had no knowledge of the child's whereabouts until returned to the facilty by a stranger.

3270.21/3270.113(a) · Corrected Aug 28, 2023

The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department. Complete and submit the incident report. Ensure that incident reporting is completed as specified. Revise and submit written policies and procedures regarding incident reporting and notification in relation to emergency room treatment for children in care.

On 8/22/23, a child received emergency room treatment subsequent to sustaining an injury at the facility when the child left the facility alone and unsupervised by a staff person. Operator failed to notify the regional office within 24 hours of the emergency room treatment and mail a written report within 72 hours after the occurrence. (Child #1)

3270.20(a)(1)/3270.20(b) · Corrected Sep 28, 2023

Conditions at the facility may not pose a threat to the health or safety of the children. 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. The legal entity must arrange for all facility staff to receive training in proper supervision of children, including the requirement that staff know the whereabouts of the children in his assigned group and that staff be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must ensure that the training is DHS approved hands-on training. Submit written verification of the completed training for all facility staff persons. Develop and submit a written protocol regarding the supervision of children during times of transition, school-age arrivals, parent pick up and other administrative needs. Notify all facility staff of this protocol. Submit a copy of written the notification that includes each staff person's signature.

An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. Obtain and submit written verification of education for the identified staff person.. Ensure that all staff records have written verification of education and experience for their positions.

Several staff person's record did not contain written verification of education for their assistant group supervisor position. (#1, #2 and #3)

3270.36(b)(5) · Corrected Sep 30, 2022

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. Obtain and submit a current up-to-date health assessment in accordance with these regulations for the identified staff persons. Ensure that staff have the required health assessments in accordance with these regulations.

Two staff person's records did not contain a health assessment completed in accordance with these regulations. (#1 and #2)

3270.151(a) · Corrected Sep 30, 2022

A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. Provide the parent an incident and submit a copy for verification. Ensure that parents are provided the original report on the day of the incident involving an injury, accident or illness. Revise and submit written policies and procedures to ensure that parents are provided the original incident report on the date of the incident.

On 7/5/22, an injury was observed on a child while in care at the facility and the operator did not provide the parent the original report on the date of the incident. ( #1)

3270.182(7) · Corrected Jul 29, 2022