Acp Extended Care Inc At East Goshen Elementary

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the hybrid renewal inspection on 3/21/21, two written, nonfamily reference letters were not submitted for staff members #1 and #3. One written reference letter each was provided for both staff members.

Correction Required: 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.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During the hybrid renewal inspection on 3/21/23, verification of an annual emergency lock down drill was not submitted for review.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the hybrid renewal inspection on 3/21/23, the National Sex Offenders Registry certification was not submitted for staff members #2 and #3 (DOH - See LIS CODE Sheet)

Correction Required: 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 and #3 may not work in a child care position at the facility.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: During the hybrid renewal inspection on 3/21/23, a record of fire drills for the location was not submitted for review.

Correction Required: 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.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: During the hybrid renewal inspection on 2/23/22, verification of a health assessment with tuberculosis screening results was not submitted for staff member #3.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: During the hybrid renewal inspection on 2/23/22, a staff file was not submitted for staff member #1.

Correction Required: An individual record is required for each facility person.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the hybrid renewal inspection on 2/23/22, verification of emergency plan training was not submitted for staff members #2, #3 and #5.

Correction Required: 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.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: During the hybrid renewal inspection on 2/23/22, verification of current pediatric first aid and pediatric cardiopulmonary resuscitation was not submitted for staff member #3 (hired 8/30/21). Verification submitted expired 6/2020.

Correction Required: 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.

Regulation: 3270.31(f)/3270.31(h)

Description: Health and Safety Training/Health and Safety Training

Noncompliance Area: During the hybrid renewal inspection on 2/23/22, verification of professional development training (health and safety) was not submitted for staff members #3 (hired 8/30/21)

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: All staff persons shall complete the professional development under subsection (f).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the hybrid renewal inspection on 2/23/22, PA Criminal clearance and NSOR (National Sex Offenders Registry) clearance was not submitted for staff member #3 (hired 8/30/21). Out-of-state criminal clearance was not submitted for staff member #4 (hired 10/4/21).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility 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 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 and #4 may not work in a child care position at the facility.

Regulation: 3270.35(b)/3270.192(2)(ii)

Description: Group sup qualifications/Exp, educ., training prior to facility

Noncompliance Area: During the hybrid renewal inspection on 2/23/22, verification of education and experience to qualify staff member #3 for the position performing at the facility was not submitted.

Correction Required: A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.