Belmont Charter School

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: 1. During the renewal inspection, certification representative reviewed the facility files, and the emergency plan was not updated to include continuity of operations per announcement c-22-04, issued 4/19/22 and THE SHAKEN BABY POLICY did not include the identification and prevention of child maltreatment.

Correction Required: 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.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During the renewal inspection, certification representative reviewed facility files and there was no annual written notification to the local traffic safety authorities.

Correction Required: 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.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: During the renewal inspection, certification representative reviewed 4 staff files and the file for staff #1 did not include a verification of education.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: During the hybrid renewal inspection visit on 4/15/24, the liability insurance on file did not list the facility's address/location as being covered.

Correction Required: 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.

Regulation: 3270.192(1)/3270.192(2)(i)

Description: Name, address, and phone/Age

Noncompliance Area: During the hybrid renewal inspection visit on 4/15/24, Identification was not on file for staff members #2 and #4.

Correction Required: 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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the hybrid renewal inspection visit on 4/15/24, two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person was not submitted for staff member #2.

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 visit on 4/15/24, the facility did not have verification that an annual emergency drill had been conducted.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the hybrid renewal inspection visit on 4/15/24, verification of annual emergency plan training was not on file for staff members #1, #2 and #4.

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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During the hybrid renewal inspection visit on 4/15/24, verification that the emergency plan was sent to the local municipality and to the county emergency management agency was not on file at the facility.

Correction Required: 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.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the hybrid renewal inspection visit on 4/15/24, the annual minimum of 12 clock hours of child care training was not on file for staff members #1, #3 and #4.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: During the hybrid renewal inspection visit on 4/15/24, verification of annual fire safety training was not submitted or on file for staff members #1, #3 and #4.

Correction Required: 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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the hybrid renewal inspection visit on 4/15/24, verification of health and safety training was not submitted for staff member #1. Verification of health and safety update was not submitted for staff members #3 and #4.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the hybrid renewal inspection visit on 4/15/24, staff member #2 was observed caring for 8 young school aged children in room #208. Staff member #2 has an FBI clearance on file that was not completed by Identogo and a volunteer Pennsylvania State Police Criminal Clearance. A disclosure form was not completed for staff members #3 and #4.

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 may not work in a child care position at the facility.

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: During the hybrid renewal inspection visit on 4/15/24, the facility did not provide or verify any education or experience for staff members #2 and #3 to determine if the staff members meet any of the applicable qualifications for the position in which the persons are performing.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

Regulation: 3270.34(b)/3270.192(2)(ii)

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

Noncompliance Area: During the hybrid renewal inspection visit on 4/15/24, staff member #1 presented their self to OCDEL staff as the director of the facility. Staff member #1 does not have education on file that qualifies the staff member to perform the position of director at the facility.

Correction Required: A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). A facility person's record shall include verification of child care experience, education and training prior to service 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 visit on 4/15/24, the file for staff members #2 and #3 did not contain any education or experience. Therefore, the facility does not have education or experience on file to qualify staff members #2 and #3 for the position performing at the facility, The education and experience on file for staff member #4 does not qualify the staff member for the position performing at the facility.

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.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: During the hybrid renewal inspection visit on 4/15/24, the facility submitted a fire drill log that shows fire drill dates of 2/23/23 and 11/28/23. Another fire drill log was submitted with dates of 10/17/23 and 1/11/24. The facility did not conduct fire drills every 60 days.

Correction Required: 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.

Regulation: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: During the hybrid renewal inspection visit on 4/15/24, the hypothetical location of the fire drills were not rotated around the facility as required.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: During the hybrid renewal inspection visit on 4/15/24, the fire drill log presented did not include all the names of the staff members who participated in the drill.

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: 3270.123(a)

Description: Signed

Noncompliance Area: During the renewal inspection on 02/21/23, the fee agreement reviewed for child #1, child #3, child #4, child #5 and child #6 was not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: During the renewal inspection on 02/21/23, the fee agreement reviewed for child #1, child #3, child #5 and child #6 was missing amount of fee to be charged per day or per week.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: During the renewal inspection on 02/21/23, the fee agreement reviewed for child #1, child #3, child #5 and child #6 was missing the day on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: During the renewal inspection on 02/21/23, the fee agreement reviewed for child #1, child #5 and child #6 were missing child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: During the renewal inspection on 02/21/23, the fee agreement reviewed for child #2, child #4, and child #5 were missing designated person(s) to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: During the renewal inspection on 02/21/23, the fee agreement reviewed for child #1, child #2, child #3, child #4, child #5 and child #6 were missing child's date of admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection on 02/21/23, the emergency contact form reviewed for child #4, child #5 and child #6 was missing health insurance coverage information and/or policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection on 02/21/23, the emergency contact form and/or fee agreement reviewed for child #1, child #2, child #3, and child #5 was not updated within 6-month time period.

Correction Required: 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. 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.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: During the renewal inspection on 02/21/23, the child file reviewed for child #6 was missing required health report.

Correction Required: 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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.34(b)/3270.34(b)(4)

Description: Director qualifications/Associate's, 30 credits + 4 yrs

Noncompliance Area: THE EDUCATION DOCUMENTS REVIEWED FOR STAFF PERSON # 1 DID NOT QUALIFY THE STAFF PERSON FOR THE POSITION PERFORMING. (DIRECTOR) CONTINUED NON-COMPLIANCE FROM THE RENEWAL INSPECTION CONDUCTED MAY 16, 2022 AND THE UNANNOUNED INSPECTION CONDUCTED JULY 14, 2022.

Correction Required: A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). A director shall have attained an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 4 years of experience with children.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: During the renewal inspection the files of Staff 1, Staff 2, and Staff 5 did not include a valid health assessment. The file of Staff 4 did not include a health assessment. This is continued non-compliance.

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.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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the renewal inspection the file of Staff 5 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. This is continued non-compliance.

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(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection the operator did not have documentation of completion of annual emergency plan training for Staff 2, Staff 3, Staff 4, and Staff 5. This is continued non-compliance.

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: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: During the renewal inspection the files of Staff 1, and Staff 3 did not include verification of education to meet qualifications for the position in which the person was performing. The files of Staff 1, Staff 2, and Staff 5 did not include verification of experience to meet qualifications for the position in which the person was performing. This is continued non-compliance

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.34(a)

Description: Director responsibilities

Noncompliance Area: During the renewal inspection the files of Staff 2, Staff 3, Staff 4, and Staff 5 did not include a written annual evaluation completed within in the past 12 months. This is continued non-compliance.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6).

Regulation: 3270.34(b)/3270.241(c)(1)(i)

Description: Director qualifications/30 or fewer hours a week, director or director/GS present at least 20% of operational hours.

Noncompliance Area: During the renewal inspection the Director's file did not include verification of education and experience to meet qualifications as a Director. This is continued non-compliance.

Correction Required: A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). In a program operating 30 or fewer hours a week, a director or director/group supervisor shall be present at a facility as required at §3270.34 (relating to director qualifications and responsibilities) at least 20% of the program's operational hours.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: During the renewal inspection the files of Staff 1, Staff 2, and Staff 5 did not include a valid health assessment. The files of Staff 4 and Staff 6 did not include a health assessment.

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.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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the renewal inspection the files of Staff 4, Staff 5 and Staff 6 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection the operator did not have documentation of completion of annual emergency plan training for Staff 2, Staff 3, Staff 4, Staff 5 and Staff 6.

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)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: During the renewal inspection the files of Staff 2 and Staff 6 did not include verification of fire safety training.

Correction Required: 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.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: Staff 2, Staff 4 and Staff 6 has not completed the following required pre-service training (pediatric first aid and pediatric CPR) within 90 days of their date of hire (see LIS code sheet).

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.31(f)/3270.192(2)(iii)

Description: Health and Safety Training/Exp, educ., training at facility

Noncompliance Area: During the renewal inspection the file of Staff 6 did not include verification of completion of pre-service health and safety professional development training.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection the files of Staff 2 and Staff 6 did not include a National Sex Offender Certificate required by the Child Protective Services Law (CPSL). The file of Staff 6 did not include a disclosure form required by the CPSL.

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. Staff 2 may not work in a child care position at the facility.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: During the renewal inspection the files of Staff 1, Staff 3, Staff 5 and Staff 6 did not include verification of education to meet qualifications for the position in which the person was performing. The files of Staff 1, Staff 2, and Staff 5 did not include verification of experience to meet qualifications for the position in which the person was performing.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During the renewal inspection the files of Staff 2, Staff 3, Staff 4, Staff 5 and Staff 6 did not include a written annual evaluation completed within in the past 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.34(b)/3270.241(c)(1)(i)

Description: Director qualifications/30 or fewer hours a week, director or director/GS present at least 20% of operational hours.

Noncompliance Area: During the renewal inspection the Director's file did not include verification of education and experience to meet qualifications as a Director.

Correction Required: A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). In a program operating 30 or fewer hours a week, a director or director/group supervisor shall be present at a facility as required at §3270.34 (relating to director qualifications and responsibilities) at least 20% of the program's operational hours.

Noncompliance Area: During the inspection on 10/5/18, the files for staff #1-#3 did not have written proof of a recent physical on file.

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.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.

Noncompliance Area: There was no written proof of education in the file for staff #2 and #3.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: THE LEGAL ENTITY DID NOT ENSURE THAT THE FOLLOWING STAFF PERSONS HAD VERIFICATION OF EDUCATION IN THEIR FILES: #1, #3 AND #4.

Correction Required: 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.

Noncompliance Area: THE LEGAL ENTITY DID NOT ENSURE THAT THE FOLLOWING STAFF PERSON COMPLETED THE MANDATED REPORTER TRAINING:#4.

Correction Required: 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.

Noncompliance Area: THE LEGAL ENTITY DID NOT ENSURE THAT THE FOLLOWING STAFF PERSONS HAD TWO WRITTEN NON-FAMILY MEMBER REFERENCES IN THEIR FILES: #1, #2 AND #3.

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

Noncompliance Area: THE LEGAL ENTITY DID NOT ENSURE THAT THE FOLLOWING STAFF PERSONS RECEIVED 6 HOURS OR ANNUAL TRAINING: #5 AND #6.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: THE LEGAL ENTITY DID NOT ENSURE THAT THE FOLLOWING STAFF PERSONS RECEIVED ANNUAL FIRE SAFETY TRAINING: #5 AND #6.

Correction Required: 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.