Blessed Journey Child Care Center

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. At that time, a sample of children's files was reviewed. Fee agreement on file for Child #2 was not signed by the child's parent/guardian.

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

Regulation: 3270.123(a)(1)/3270.123(a)(5)

Description: Amount of fee/Designated release persons

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. At that time, a sample of children's files was reviewed. The following information was missing from children's fee agreements: Child #1: Fee amount. Child #2: Release person(s).

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. At that time, a sample of children's files was reviewed. The following emergency contact forms were missing the following information: Child #1: Address of child's physician. Child #3: Name and phone number of child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(3)/3270.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. At that time, a sample of children's files was reviewed. The following information was missing from children's emergency contact forms: Child #1: Mother's work address and work telephone number. Release persons' addresses. Child #2: Release person's address. Child #3: Both parents' work addresses and work telephone numbers. Child #4: Both parents' work addresses and work telephone numbers. Release persons' addresses.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. At that time, the emergency contact form for Child #1 was not present in the space where child was receiving care. Additionally, emergency contact forms were not present with the preschool group while they were playing in the Indoor Gross Motor Room.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.131(b)(1)/3270.131(e)

Description: Infant: updated health report every 6 months/ACIP recommended immunization record

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. At that time, a sample of children's files was reviewed. Most recent health assessment on file for Child #3 is dated 9/25/2025, which is over 6 months ago. Child #3 is a young toddler (see LIS code sheet for date of birth). Additionally, there is neither an immunization history nor a written, signed exemption on file for Child #3. Child #3 has been attending the facility for over 60 days (see LIS code sheet for date of admission).

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. 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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. At that time, the facility's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. did not include a section for the recognition of potential signs and symptoms of abusive head trauma and did not address the prevention and identification 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. Announcement C-22-03: Updates to Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment Requirements states To maintain compliance with 45 CFR 98.41(a)(1)(vi), in addition to the training requirements, child care providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The 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.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. At that time, staff files were reviewed. Health assessments on file for Staff Person #2 are dated 1/27/2024 and 4/5/2026, which is past 24 months as required.

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.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. At that time, several unlabeled bottles were observed in the Infant area.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. At that time, a sample of children's files was reviewed. Most recent fee agreement review on file for Child #1 is dated 10/20/2025, which is over 6 months ago.

Correction Required: 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: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. At that time, a sample of children's files was reviewed. Emergency contact forms for the following children were missing the following information: Child #1: Signed parental consent for emergency medical care and signed parental consent for minor first-aid. Child #4; Signed parental consent for emergency medical care.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

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

Description: Fire safety - 1 yr.

Noncompliance Area: A renewal inspection was conducted 4/24/2026-5/7/2026. During that time, staff files were reviewed. Fire safety training certificates on file for Staff Person #1 are dated 2/19/2023 and 1/13/2026, which is past 12 months. Fire safety training certificates on file for Staff Person #2 are dated 2/29/2024 and 1/13/2023, which is past 12 months. Fire safety training certificates on file for Facility Person #3 are dated 8/1/2022 and 1/13/2026.

Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: A complaint investigation was conducted on 12/4/2025. During investigation, a child from staff person #1's group was on the other side of a half-wall while the rest of the group was in a different area. Staff person #1 did not know that child was not with the rest of the group until certification representative asked if that child belonged to their group. Staff person #1 could not see, direct, or assess that child.

Correction Required: 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. 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 their assigned group. The staff person shall be physically present with the children in their group on the facility premises and on facility excursions off the facility premises. TIERED LIS 1. 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. 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 their assigned group. The staff person shall be physically present with the children in their group on the facility premises and on facility excursions off the facility premises. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a policy in order to maintain proper supervision. The supervision policy must include the definition of supervision found in Chapter 3270.4. The policy will ensure that all children are properly assigned to a staff person and supervised at all times. The policy must address procedures for assigning children to a supervision group, procedures for staff transitions, supervision on the playground, and transition times such as visiting the bathroom. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy. The operator shall provide a correction date for when the approved policy will be reviewed with all staff.

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: A complaint investigation was conducted on 12/4/2025. At that time, it was verified that facility did not complete or provide parent with an incident report after child #1 fell on their face and injured their nose. Staff admitted to performing minor first-aid on the injury.

Correction Required: 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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: An unannounced monitoring was conducted on 12/4/2025. At that time, files for all staff present were reviewed. The following pre-service trainings were not obtained within 90 days of hire: Staff person #1: Staff person #1 had a pediatric first-aid/CPR certificate in their file dated 7/25/2025. This pre-service training was not completed within 90 days of their date of hire. Additionally, there was no evidence that staff person #1 completed any of the approved CCDBG health and safety courses. Staff person #1 has been employed at the facility for over 90 days (see LIS code sheet). Staff person #3: Staff person #3 completed PA Required Health and Safety for Centers-Group Child Care Part 1 on 7/1/2025. There was no evidence that staff person #3 completed PA Required Health and Safety for Centers-Group Child Care Part 2. Staff person #3 has been employed at the facility for over 90 days (see LIS code sheet).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #1 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 #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: An unannounced monitoring was conducted on 12/4/2025. At that time, files for all staff present were reviewed. Staff person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 8/18/2020.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #2 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 #2, staff person #2 may not work in a child-care position at the facility

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: An unannounced monitoring was conducted on 12/4/2025. At that time, files for all staff present were reviewed. At that time, most recent NSOR verification on file for staff person #2 was dated 6/5/2020. which is past 60 months. Additionally, there was no FBI clearance or receipt on file for staff person #3. Staff person #3 has been employed at the facility for over 45 days (see LIS code sheet for date of hire).

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 person #2 and staff person #3 may not work in a child care position at the facility until clearances are on file at the facility. TIERED LIS 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #2 and staff person #3 may not work in a child care position with direct contact and routine interaction with children until all completed clearances are on file at the facility. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for the director and anyone responsible for hiring new staff to register for and attend an existing provider orientation conducted by a Regional Office. The operator shall provide a correction date for when the training will be completed.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: An unannounced monitoring was conducted on 12/4/2025. At that time, a ceiling tile was missing in the Indoor gross motor room.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: An unannounced monitoring was conducted on 12/4/2025. At that time, facility's fire drill log was reviewed. Fire drill log indicated that drills were conducted past 60 days on the following occasions: 8/1/2025-10/1/2025, 10/1/2025-12/2/2025.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: An unannounced monitoring was conducted on 12/4/2025. At that time, facility's fire detection testing log was reviewed. Smoke alarms were tested past 30 days on the following occasions: 5/2/2025-6/2/2025, 8/1/2025-9/2/2025, 10/1/2025-11/3/2025.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact forms for child # 1 were not updated in over 6 months for child # 1 from 7/30/24 to 2/3/25.

Correction Required: 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: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: During renewal inspection conducted 6/26/2024, facility's handbook did not include a supervision policy or general daily schedule.

Correction Required: 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.

Regulation: 3270.123(a)(4)/3270.123(a)(5)

Description: Arrival/departure times/Designated release persons

Noncompliance Area: During renewal inspection conducted 6/26/2024, the following information was missing from children's fee agreements: Child #1: Departure time. Release person(s). Child #2: Departure time. Release person(s). Child #4: Release person(s).

Correction Required: An agreement shall specify the child's arrival and departure times. An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.124(b)(2)/3270.124(b)(3)

Description: Physician name, address, phone/Parent home/work address, phone

Noncompliance Area: During renewal inspection conducted 6/26/2024, the following information was missing from children's emergency contact forms: Child #1: Father's name, home and work addresses, and hone and work telephone numbers. Mother's work address and work telephone number. Child's doctor's name, address, and telephone number. Child #2: Both parents' work addresses and work telephone numbers. Child's doctor's address and telephone number. Child #3: Both parents' work addresses and work telephone numbers. Child #4: Both parents' work addresses and work telephone numbers.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: During renewal inspection conducted 6/26/2024, immunizations on file for child #1 do not reflect that child is up to date according to the recommendations of the ACIP. Child #1 has 1 of 2 doses each of Hepatitis B and IPV vaccines and 1 of 3 doses each of DTAP, HIB, and Pneumococcal vaccines. There is no exemption on file. Child #1 is an infant (see LIS code sheet for DOB).

Correction Required: A health report shall include a review of the child's immunized status according to 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). Child #1 must be dismissed from care by close of business 6/26/2024 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.133(1)/3270.133(7)

Description: Original container/Medication log

Noncompliance Area: During renewal inspection conducted 6/26/2024, staff indicated that child #5 receives prescription medication daily at the facility. Medication log was from 2023 with no dates from 2024. Child #5 was present during inspection and staff confirmed that child receives medication daily. Additionally, there was Hydrocortisone cream (prescription only) in the medication box for child #6. Hydrocortisone cream was not in the original container.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. An operator is responsible to establish and maintain a medication log if prescript6on or nonprescription medication is administered.

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: During renewal inspection conducted 6/26/2024, diaper changing surface was ripped, exposing the foam inside and rendering the surface unable to be sanitized after each use.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: During renewal inspection conducted 6/26/2024, health assessments on file for staff person #4 were dated 2/19/2022 and 5/28/2024, which is past 24 months.

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.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: During renewal inspection conducted 6/26/2024, initial health assessment on file for staff person #1 did not include tuberculosis screening. Health assessment indicated that TB screening was "negative per patient records" but did not include a date in which screening was completed.

Correction Required: 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: 3270.178

Description: Transportation First Aid Kit

Noncompliance Area: During renewal inspection conducted 6/26/2024, transportation first-aid kit was missing tweezers and gloves.

Correction Required: A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During renewal inspection conducted 6/26/2024, consents for emergency medical care and minor first-aid were marked "N/A" and had no parent signature on emergency contact form of child #2.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During renewal inspection conducted 6/26/2024, staff person #4 obtained 8 hours of child care training for training year 3/10/2023-3/10/2024.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person #4 must take 4 hours of professional development to fulfill requirement for training year 3/10/2023-3/10/2024.

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

Description: Age and Training

Noncompliance Area: During renewal inspection conducted 6/26/2024, the following staff persons did not renew pediatric first-aid/CPR before the expiration date of old certificate. Staff person #3: Old pediatric first-aid/CPR certificate expired on 2/12/2024 and was not renewed until 5/22/2024. Staff person #4: Old pediatric first-aid/CPR certificate expired on 2/12/2024 and was not renewed until 5/22/2024. Staff person #5: Old pediatric first-aid/CPR certificate expired on 5/12/2024 and was not renewed until 5/22/2024.

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(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: During renewal inspection conducted 6/26/2024, fire safety trainings on file for staff person #5 are dated 6/27/2022 and 12/20/2023, which is past one year.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection conducted 6/26/2024, verification sheets on file for staff person #2 indicate that staff person #2 has resided in New York (NY) within the past 5 years. There were no NY clearances on file for staff person #2.

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 Person #2 may not work in or be present in the child care facility until all necessary clearances are on file, including out-of-state clearances.

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: During renewal inspection conducted 6/26/2024, file for staff person #1 who is employed as an assistant group supervisor, did not have adequate documentation on file verifying a high school diploma or GED and 2 years' experience working with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During renewal inspection conducted on 6/26/2024, gate limiting access to the kitchen area was open. The child lock on the cabinet underneath the sink was broken. Cabinet underneath the sink in the kitchen area had several cleaning products labeled "keep out of reach of children".

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: During an unannounced inspection on 10/19/23, child #1 was missing the fourth dose of PCV as recommended by the ACIP. Child #1 must be removed from care until proper documentation is on file.

Correction Required: 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.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: As of the renewal inspection on 6/26/23, there was no health insurance policy number for child #2.

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(c)

Description: Each child care space

Noncompliance Area: During the renewal inspection on 6/26/23, the emergency contact information for child #1 and #2 was not in the child care space where the children were receiving care.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: As of the renewal inspection on 6/26/23, the most recent update to the emergency contact information for child #3 was 9/8 and for the fee agreement it was 9/12. The most recent update to the emergency contact information for child #4 was 10/18 and for the fee agreement it was 10/3.

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(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: As of the renewal inspection on 6/26/23, the most recent health assessment on file for child #3, a young toddler, was dated 9/16/22.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: As of the renewal inspection on 6/26/23, the emergency plan did not address continuity of operations as required.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: As of the renewal inspection on 6/26/23, staff #2, #3, #4, and #6 have not completed the required update to the Health and Safety training.

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: 3270.181(e)

Description: Emergency master file updated

Noncompliance Area: During the renewal inspection on 6/26/23, the emergency information in the child care spaces had not been updated when the master file was updated.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: As of the renewal inspection on 6/26/23, there was no parental consent for the administration of minor first aid for child #4 and #5.

Correction Required: 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.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: As of the renewal inspection on 6/26/23, the letter to parents regarding the emergency plan did not address the facility's lock down procedures, or accommodations for infants/toddlers, children with special needs, or children with chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: As of the renewal inspection on 6/26/23, staff #3 had not completed the required 12 hours of annual child care training.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: As of the renewal inspection on 6/26/23, there was no documentation of mandated reporter training for staff #5.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: As of the renewal inspection on 6/26/23, there was no high school diploma on file to qualify staff #1 for the stated Assistant Group Supervisor position.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 6/29/22 during the renewal inspection, there were several cots used by the children that were ripped at the seam.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: On 6/29/22 during the renewal inspection, an infant was asleep in a crib that did not have 2 feet of space on three sides as required.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: As of 6/29/22 during the renewal inspection, the only health assessment on file for child #1 was dated 4/7/22, more than 60 days after the first day of attendance (see code sheet for start date).

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: As of 6/29/22 during the renewal inspection, there was no policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment as required by 45 CFR 98.41(a)(1)(vi).

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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: On 6/29/22 during the renewal inspection, there was yogurt in a child's lunch box that was sitting on top of the shelving units.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: As of 6/29/22 during the renewal inspection, there was only one written, nonfamily reference for staff #1.

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: As of 6/29/22 during the renewal inspection, the most recent emergency plan training for staff #2 was 6/15/21 and for staff #4 it was 6/18/21.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: As of 6/29/22 during the renewal inspection, there was no written evaluation for staff #4 who has been employed for over one year (see code sheet for date of hire).

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: 3270.36(b)(5)/3270.192(2)(iv)

Description: HS/GED + 2 yrs/Transcript, diploma and letters

Noncompliance Area: As of 6/29/22 during the renewal inspection, there was no documentation to qualify staff #3 for the stated Assistant Group Supervisor position.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.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.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 6/29/22 during the renewal inspection, there was a spray bottle of Lysol accessible to children in the SA/PS room.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: On 4/11/22 during an unannounced inspection, there was no TB screening at initial employment for Staff #2.

Correction Required: 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: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: On 4/11/22 during an unannounced inspection, the health assessment for Staff #2 did not include an exam for communicable disease and the physician's assessment of the staff's suitability to provide child care. The health assessment for staff #4 did not include the physician's assessment of the staff's suitability to provide child care.

Correction Required: 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.

Regulation: 3270.192(2)(i)

Description: Age

Noncompliance Area: On 4/11/22 during an unannounced inspection, there was no verification of age for Staff #1, #2, #3, or #4.

Correction Required: A facility person's record shall include verification of age.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 4/11/22 during an unannounced inspection, there were no written references on file for Staff #1, #2, #3, and #4.

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: On 4/11/22 during an unannounced inspection, an emergency drill had not been conducted by the facility.

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

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

Description: Age and Training

Noncompliance Area: On 4/11/22 during an unannounced inspection, Staff #2 did not have an approved Pediatric 1st Aid/CPR training within 90 days of hire (see staff list for hire dates)

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)

Description: Health and Safety Training

Noncompliance Area: On 4/11/22 during an unannounced inspection, Staff #2 and #4 did not have the required Health and Safety training within 90 days of hire (see staff list for hire dates)

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 4/11/22 during an unannounced inspection, Staff #4 did not complete the required CPSL training within 90 days of hire (see staff sheet for hire date).

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.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: On 4/11/22 during an unannounced inspection, Staff #1, #2, #3, and #4 were missing documentation of a high school diploma and 2 years of experience to qualify for the identified Assistant Group Supervisor position.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. 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: On 4/11/22 during an unannounced inspection, the most recent fire drill was on 1/12/22.

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.