La Salle Academy

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 #6 must obtain updated mandated reporter training certificate. Until such time as the required training has been completed, staff person #6 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 #6, staff person #6 may not work in a child-care position at the facility. Staff person #3 cannot work in a child care position with direct contact and routine interaction with children until updated child abuse clearance is on file. TIERED LIS 1. 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 #6 must obtain updated mandated reporter training certificate. Until such time as the required training has been completed, staff person #6 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 #6, staff person #6 may not work in a child-care position at the facility. Staff person #3 cannot work in a child care position with direct contact and routine interaction with children until updated child abuse clearance is on file. This portion of the plan shall have an immediate correction date 2. The operator will schedule a technical assistance session with the Cert Rep to review requirements for staff files including CPSL requirements. The operator and the certification representative shall mutually agree on a correction date for completing the session that is acceptable to both parties.

A renewal inspection was conducted 11/20/2025. At that time, staff files were reviewed. The following staff files had clearances/mandated reporter training certificates updated past 60 months: Staff person #2: Mandated reporter training certificates on file are dated 11/1/2020 and 11/2/2025. Staff person #3: Mandated reporter training certificates on file are dated 10/29/2020 and 1/27/2025. PSP clearances on file are dated 10/15/2020 and 11/10/2025. Last child abuse clearance on file is dated 10/21/2020. Staff person #3 cannot work in a child care position with direct contact and routine interaction with children until updated child abuse clearance is on file. Staff person #5: PSP clearance on file is dated 9/5/2025, which was after start date. There is no receipt on file to suggest that staff person #5 had requested the clearance prior to start date. Child abuse clearance on file is dated 10/10/2025, which was after start date (see LIS code sheet for start date). Staff person #6: Last mandated reporter training certificate on file is dated 10/27/2020.

Corrected by Jan 8, 2026

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

A renewal inspection was conducted on 11/20/2025. At that time, staff files were reviewed. Last staff evaluation on file for staff person #4 is dated 6/2023.

Corrected by Jan 7, 2026

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

A renewal inspection was conducted on 11/20/2025. At that time, a sample of children's files were reviewed. Emergency contact form for child #1 was missing both parents' work addresses and work telephone numbers and father's address.

Corrected by Nov 21, 2025

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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.

A renewal inspection was conducted on 11/20/2025. At that time, staff files were reviewed. Last health assessment on file for staff person #4 is dated 12/29/2022.

Corrected by Dec 10, 2025

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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.

A renewal inspection was conducted on 11/20/2025. At that time, staff files were reviewed. Health assessment on file for staff person #5 does not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected by Nov 21, 2025

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3270.192(2)(iv) · 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.

A renewal inspection was conducted on 11/20/2025. At that time, staff files were reviewed. File for staff person #5 did not include acceptable verification of experience, education, or training.

Corrected by Jan 5, 2026

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person #1 must take 6.5 hours of professional development to fulfill requirement for training year 6/10/2024-6/10/2025. Hours used to fulfill training year 6/10/2024-6/10/2025 may not be used to fulfill current training year. Staff person #2 must take 5.5 hours of professional development to fulfill requirement for training year 8/1/2024-/8/1/2025. Hours used to fulfill training year 8/1/2024-/8/1/2025 may not be used to fulfill current training year. Staff person #4 must take 10 hours of professional development to fulfill requirement for training year 9/6/2024-9/6/2025. Hours used to fulfill training year 9/6/2024-9/6/2025 may not be used to fulfill current training year. Staff person #6 must take 5 hours of professional development to fulfill requirement for training year 9/3/2024-9/3/2025. Hours used to fulfill training year 9/3/2024-9/3/2025 may not be used to fulfill current training year.

A renewal inspection was conducted on 11/20/2025. At that time, staff files were reviewed. The following staff persons did not receive 12 hours of annual child care training: Staff person #1: 5.5 hours of annual child care training for training year 6/10/2024-6/10/2025. Staff person #2: 6.5 hours of annual child care training for training year 8/1/2024-/8/1/2025. Staff person #4: 2 hours of annual child care training for training year 9/6/2024-9/6/2025. Staff person #6: 7 hours of annual child care training for training year 9/3/2024-9/3/2025.

Corrected by Feb 4, 2026

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

During renewal inspection, facility did not have emergency drill log on file.

Corrected by Dec 5, 2024

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3270.123(a)/3270.123(a)(6) · An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

During renewal inspection, the following information was missing from children's fee agreements: Child #1: Date of admission. Signed by operator. Child #2: Date of admission.

Corrected by Dec 5, 2024

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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.

During renewal inspection, files for staff person #1, staff person #2, staff person #3, staff person #4, and staff person #5 contained fire safety certificates dated 12/20/2022 and 10/1/2024, which is past 12 months.

Corrected by Dec 2, 2024

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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 #6 and staff person #7 may not work in a DHS licensed child care position at the facility until the out of state clearance is obtained and placed in file.

During renewal inspection, files for staff person #6 and staff person #7 indicated that they have resided in NY within the past 5 years. Files did not contain requests or results for out-of-state clearances.

Corrected by Nov 19, 2024

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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 must arrange for the director to register for and attend the existing provider orientation conducted by the NE Regional Office on 11/20/2024.

During renewal inspection, files for staff person #6 and staff person #7 indicated that they have resided in NY within the past 5 years. Files did not contain requests or results for out-of-state clearances.

Corrected by Nov 20, 2024

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

During renewal inspection, outlets in Room 6 were observed to be uncovered and accessible to preschool-aged children.

Corrected by Nov 19, 2024

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3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

During renewal inspection, a trash can containing used tissues was observed to be uncovered in Room 2.

Corrected by Nov 19, 2024

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3270.75(a) · A first-aid kit shall be in a child care space.

During renewal inspection, a first-aid kit was not present in Room 4 which is measured child care space.

Corrected by Nov 19, 2024

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

During renewal inspection, daily activities were not posted in Room 2.

Corrected by Dec 5, 2024

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

During renewal inspection, emergency contact information was not present for child #2.

Corrected by Dec 5, 2024

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

During renewal inspection, emergency contact form for child #1 did not contain father's work address or work telephone number.

Corrected by Dec 5, 2024

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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.

During renewal inspection, three preschool-aged children were napping in Room 4. Emergency contact information for the children was not present in the child care space.

Corrected by Dec 4, 2024

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3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

During renewal inspection, medication for child #3 did not contain signed parental consent for administration or a medication log.

Corrected by Dec 4, 2024

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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.

During renewal inspection, the following staff health assessments have not been updated within 24 months: Staff person #2: Last health assessment on file is dated 9/21/2022, which is past 24 months. Staff person #3: Last health assessment on file is dated 8/31/2022, which is past 24 months. Staff person #4: Last health assessment on file is dated 8/27/202, which is past 24 months.

Corrected by Jan 8, 2025

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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 renewal inspection, file for staff person #7 did not contain two written, nonfamily references. File for staff person #8 contained two references; however, one was from an uncle.

Corrected by Dec 5, 2024

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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.

During renewal inspection, facility's fire drill log reflected that fire drills were conducted on 11/29/2023 and 2/9/2024, which is past 60 days.

Corrected by Dec 9, 2024

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person #1 must take 5.5 hours of professional development to fulfill requirement for training year 9/3/2023-9/3/2024. Staff person #2, staff person #3, and staff person #4 must take 6.5 hours of professional development to fulfill requirement for training year 9/3/2023-9/3/2024.

During renewal inspection, the following staff persons did not complete 12 hours of annual child care training: Staff person #1: completed 6.5 hours of annual child care training for training year 9/3/2023-9/3/2024. Staff person #2: completed 5.5 hours of annual child care training for training year 9/3/2023-9/3/2024. Staff person #3: completed 5.5 hours of annual child care training for training year 9/3/2023-9/3/2024. Staff person #4: completed 5.5 hours of annual child care training for training year 9/3/2023-9/3/2024.

Corrected by Jan 6, 2025

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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.

It was observed and stated that the facility did not have a Continuity of Operations Plan (COOP) created or established for the facility.

Corrected by Jan 1, 2024

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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.

It was observed that a copy of the facility's comprehensive general liability insurance coverage was not on file at the time of inspection.

Corrected by Nov 29, 2023

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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 stated that staff person #1 received annual emergency plan training, however, documentation was not observed on file verifying that this training was completed.

Corrected by Dec 29, 2023

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a DHS licensed child care position at the facility until the corrected clearance is obtained and placed on file.

File for staff person #2, see code sheet for hire date, did not contain a valid FBI clearance for the purposes of working in a DHS licensed program.

Corrected by Nov 29, 2023

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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.

It was observed that files for staff person #1, #3, #4, and #5, did not contain written evaluations completed by the director within the last 12 months as required.

Corrected by Jan 1, 2024

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3270.131(e)/3270.131(e)(3) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the 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).

File for child #1, see code sheet for enrollment and birth date, did not contain documentation of the status of all immunizations recommended by the ACIP. File for child #1 was missing documentation regarding the influenza vaccine.

Corrected by Nov 29, 2023

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3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

It was observed that the facility did not resend the traffic letter to the local traffic authority annually. The last verified date of submission for this letter was 9/1/22.

Corrected by Dec 29, 2023

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

It was observed in the multi-purpose room that several outlets were left uncovered.

Corrected by May 4, 2023

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3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10). All current child care staff who completed the previous health and safety pre-service training modules, prior to October 4, 2022, are required to complete the Pennsylvania Health and Safety Update 2022 by December 30, 2022. Staff person #1-#3 will have until 4/7/23 to complete the required training.

Although staff person #1-#3 already completed their 10 hour health and safety training topics, they have not completed the following professional development training by the required due date of 12/30/22 (see code sheet for date of hire): the 1 hour Pennsylvania Health and Safety Update 2022.

Corrected by Apr 7, 2023

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3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

It was observed in Room #2 and #6 the sinks in the classrooms were missing a hand washing sign.

Corrected by Mar 22, 2023

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3270.52/3270.113(a)(1) · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained 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.

It was observed in the after care program that two staff were present with 16 children; the youngest being a young school ager. When staff were asked about primary care groups, they stated that the children were not assigned to be under the supervision of any specific staff person at that time. When staff were asked about the after care's dismissal process, staff described that on certain days when one staff person leaves the gym to answer the door for parents as they arrive, the remaining staff person in the gym would be out of ratio, and they regularly care for preschool through school aged children in the after care program.

Corrected by Feb 20, 2023

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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.

Repeated noncompliance observed, although the facility did create a supervision policy, an adequate dismissal policy was not created and therefore was not provided to all enrolled parents in writing as required. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

Corrected by Mar 20, 2023

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

Repeated noncompliance observed on 2/2/23, although the agreement for child #1 and #4 are now signed by both the parent and operator, an agreement for child #2 was not found on file. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

Corrected by Feb 21, 2023

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3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

Repeated noncompliance observed on 2/2/23, although the agreement for child #1 and #4 now specify the date in which the fee is to be paid, an agreement for child #2 was not found on file. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

Corrected by Feb 21, 2023

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3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

Repeated noncompliance observed on 2/2/23, although the agreement for child #1 and #4 now specify the designated release persons, an agreement for child #2 was not found on file. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

Corrected by Feb 21, 2023

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

Repeated noncompliance observed on 2/2/23, although the agreement for child #1 and #4 now specify the child's admission date, an agreement for child #2 was not found on file. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

Corrected by Feb 21, 2023

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

Repeated noncompliance observed on 2/2/23, although the emergency contact form for child #1 now includes the enrolling parent's work address, emergency contact forms for child #2 and #4 did not include the enrolling parent's work address. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

Corrected by Feb 21, 2023

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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.

Repeated noncompliance observed on 2/2/23, although the emergency contact form for child #1 and #4 now includes the release person's address, emergency contact forms for child #2 did not. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

Corrected by Feb 21, 2023

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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.

Repeated noncompliance observed on 2/2/23, the facility did not have the required emergency contact information present in the child care spaces for children that were receiving care in those spaces at the time of inspection. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

Corrected by Feb 21, 2023

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

Repeated noncompliance observed on 2/2/23, although files for child #2 and #4 now contain signed parental consent for administration of minor first-aid procedures by facility staff, files for child #1 and #6 do not. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

Corrected by Feb 21, 2023

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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.

Repeated noncompliance observed on 2/2/23, facility did not have a fire drill log documenting all required information for fire drills that are to be conducted at least once every 60 days. The last fire drill was conducted in November of 2022, and was not logged according to the requirements. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

Corrected by Feb 28, 2023

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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 provider's written 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.

It was observed that the facility did not have a written policy addressing shaken baby, head trauma, or maltreatment of children.

Corrected by Jan 1, 2023

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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.

File for staff person #1did not contain documentation to verify the completion of emergency plan training.

Corrected by Jan 6, 2023

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

It was observed that the facility's emergency plan was not posted in an conspicuous location for neither the preschool parents nor the before and after school care parents.

Corrected by Dec 20, 2022

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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 and #3 will have until 01/21/23 to complete the required training(s). Until such time as the required training has been completed, staff person #1 and #3 must be supervised, when interacting with children, by a GS or AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 and #3, then staff person # 1 and #3 may not work in a child-care position at the facility.

Staff person #1 and #3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Topics. Although it was stated that staff person #1 obtained pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum, documentation was not found on file. Therefore, there is no verification that staff person #1 has completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected by Jan 16, 2023

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1, #3, #7, and #8 may not work in a child care position at the facility until clearances are obtained and placed on file.

File for staff person #1, see code sheet for hire date, did not contain a DHS approved FBI clearance. File for staff person #3, see code sheet for hire date, did not contain a state police clearance, a child abuse clearance, or a FBI clearance. File for staff person #7, see code sheet for hire date, did not contain a completed state police clearance or the NSOR verification certificate. File for staff person #8, see code sheet for hire date, did not contain a DHS approved FBI clearance.

Corrected by Jan 17, 2023

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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 Director, Legal Entity Representative, or anyone at the facility responsible for the hiring of staff or maintaining staff files will be required to attend Existing Provider Orientation conducted by the Northeast Regional Office. The legal entity representative must contact the Regional Office in order to schedule this training.

File for staff person #1, see code sheet for hire date, did not contain a DHS approved FBI clearance. File for staff person #3, see code sheet for hire date, did not contain a state police clearance, a child abuse clearance, or a FBI clearance. File for staff person #7, see code sheet for hire date, did not contain a completed state police clearance or the NSOR verification certificate. File for staff person #8, see code sheet for hire date, did not contain a DHS approved FBI clearance.

Corrected by Feb 22, 2023

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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, including volunteers or other facility persons, for a period of 90 days 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 by the NE regional office within 1 week of submission.

File for staff person #1, see code sheet for hire date, did not contain a DHS approved FBI clearance. File for staff person #3, see code sheet for hire date, did not contain a state police clearance, a child abuse clearance, or a FBI clearance. File for staff person #7, see code sheet for hire date, did not contain a completed state police clearance or the NSOR verification certificate. File for staff person #8, see code sheet for hire date, did not contain a DHS approved FBI clearance.

Corrected by Apr 18, 2023

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #3 will have until 01/21/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by a GS or AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, then staff person #3 may not work in a child-care position at the facility.

Staff person #3 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected by Jan 12, 2023

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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.

It was observed in the preschool room that two containers of cleaning wipes, sanitizing and disinfecting, were left accessible to children in care. Both containers stated "keep out of reach of children" on the label.

Corrected by Dec 20, 2022

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3270.106(b) · Bed linens may not be used alone as age-appropriate rest equipment.

It was observed that children were using blankets alone as rest equipment in the preschool rooms.

Corrected by Jan 2, 2023

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

It was observed that a written plan of daily activities was not posted in the cafe where the before and after school care program is located.

Corrected by Jan 2, 2023

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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.

It was observed that the facility did not have created a dismissal policy or supervision policy for neither the preschool program nor the before or after school care program. These two specific policies were therefore also not provided to all enrolled parents in writing as required.

Corrected by Jan 2, 2023

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

Agreements for child #1-5 were neither signed by the parent nor the operator.

Corrected by Jan 2, 2023

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3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

Agreement for child #1-5 did not specify the date in which the fee is to be paid for neither the preschool nor the before and after school care programs.

Corrected by Jan 2, 2023

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3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

Agreements for child #1-5 did not specify a release person.

Corrected by Jan 2, 2023

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

Agreements for child #1-5 did not specify the child's admission date.

Corrected by Jan 2, 2023

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3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Emergency contact information for child #1-5 did not contain the address of the child's physician or source of medical care.

Corrected by Jan 18, 2023

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

Emergency contact information for child #1-5 did not contain the enrolling parent's work address.

Corrected by Jan 18, 2023

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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.

Emergency contact information for child #1-5 did not include the release person's address.

Corrected by Jan 17, 2023

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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.

It was observed that the facility did not have the required emergency contact information present in the child care spaces for children that were receiving care in those spaces at the time of inspection.

Corrected by Jan 18, 2023

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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.

It was observed that the emergency transportation plan was not posted in any of the child care spaces.

Corrected by Jan 18, 2023

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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.

File for staff person #1 did not contain a health assessment.

Corrected by Dec 29, 2022

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

It was observed that the facility did not have pick up and drop off procedures posted in a conspicuous location for both the preschool and the before and after school care programs.

Corrected by Jan 2, 2023

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

Files for child #1-5 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected by Jan 2, 2023

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3270.192(1)/3270.192(2)(i) · A facility person's record shall include the name, address and telephone number of the facility person. A facility person's record shall include verification of age.

File for staff person #3 did not contain the staff person's address or verification of their age.

Corrected by Dec 20, 2022

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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.

File for staff person #1, #3, and #7 did not contain verification of child care experience, education and training prior to service at the facility.

Corrected by Jan 27, 2023

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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.

File for staff person #1 and volunteer #2 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Jan 9, 2023

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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 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.

It was observed and stated that the facility did not have a fire drill log documenting all required information for fire drills that are to be conducted at least once every 60 days.

Corrected by Jan 1, 2023

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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.

It was observed and the operator verified that the facility did not provide to the parents of each enrolled child information on how to access the regulations in Chapter 3270 electronically and did not provide them with instructions on how to contact the NE regional child care office.

Corrected by Jan 1, 2023

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3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

It was observed at the time of inspection that the facility did not have completed physicals, also known as child health reports, available on file for children #1-5, and it was stated by director that these children were enrolled more than 60 days at the facility.

Corrected by Jan 18, 2023

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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.

It was observed that a current copy of the facility's general liability insurance was not found on file at the facility.

Corrected by Sep 6, 2022

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3270.27(a)/3270.27(f) · The facility shall have an emergency plan. The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

It was observed that the facility did not have a written emergency plan establish. An emergency plan for the facility was not sent to the local municipality or county emergency management agency.

Corrected by Sep 6, 2022

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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.

File for staff person #2 did not contain a PA state police clearance or child abuse clearance suitable for the purposes of employment. Staff person #2 did not have verification on file of application requests for their DHS FBI clearance or NSOR verification certificate, and did not have a signed disclosure statement on file. File for staff person #3 did not contain a PA state police clearance suitable for the purposes of employment. Staff person #3 did not have verification on file of application requests for their NSOR verification certificate, and did not have a signed disclosure statement on file.

Corrected by Sep 6, 2022

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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.

It was observed that hand sanitizer, which was in a dispenser mounted on the wall in each child care space, would be left accessible to children in each of those spaces.

Corrected by Aug 25, 2022

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3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

It was observed that the first aid kits did not contain soap.

Corrected by Aug 30, 2022

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3270.82(h)/3270.82(i) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

It was observed that the toileting and sink areas throughout the facility did not contain posted hand washing signs or lidded garbage cans.

Corrected by Aug 30, 2022

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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.

File for staff person #2 and #3 did not contain verification of education or child care experience.

Corrected by Sep 6, 2022

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

File for staff person #1, #2, and #3 did not contain an initial health assessment or the written results of an initial TB test.

Corrected by Sep 6, 2022

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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

File for staff person #1, #2, and #3 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Sep 6, 2022

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