Brandis Care With Love Llc

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The Emergency Contact form, in the files for Child #2 and Child #3, did not include the written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact form, in the file for Child #1, did not include the release person's phone number.

Correction Required: 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The two (2) most recent Health Assessments in the file for Staff #2 exceeded the 24-month renewal requirement.

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: 3270.182(5)

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

Noncompliance Area: The Emergency Contact form, in the files for Child #2 and Child #3, did not contain signed parental consent for administration of minor first-aid.

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(a)(1)

Description: Emergency plan

Noncompliance Area: The Emergency Plan did not address accommodations for shelter of children during an emergency.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3270.27(a)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: The Emergency Plan did not contain the method for facility persons to contact parents when an emergency situation arises, or to inform parents that the emergency has ended with instructions as to how parents can safety be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #1 contained an NSOR Certificate dated 1.9.20 and an NSOR application dated 1.29.25, but the NSOR Certificate from 2025 was not available.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #1 may not work in a child care position at the facility.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: 2nd Citation: Same citation previously cited on 1.7.25. The Agreement, in the files for Child #1, Child #4, and Child #5 did not contain the release person(s) specified by the parent. The Provider's submitted correction date was 1.20.25, which was exceeded.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: 2nd Citation: Same citation previously cited on 1.7.25. The Emergency Contact form, in the files for Child #2 and Child #4, did not contain the release person's phone number. The Emergency Contact form, in the file for Child #5, did not contain the release person's address. The Provider's submitted correction date was 1.28.25, which was exceeded.

Correction Required: 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(f)/3270.181(c)

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

Noncompliance Area: 2nd Citation: Same citation previously cited on 1.7.25. The Emergency Contact form and the Agreement did not contain documentation that the parent reviewed and/or updated the forms at least once in a 6-month period. Provider's submitted correction date was 1.28.25, which was exceeded.

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: 2nd Citation: Same citation previously cited on 1.7.25. There was no documentation that the operator notified local traffic safety authorities, in writing, of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. The Provider's submitted correction date was 1.20.25, which was exceeded.

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: 3270.18(a)

Description: On file at facility

Noncompliance Area: 2nd Citation: Same citation previously cited on 1.7.25. There was no documentation of current Liability Insurance, as the one produced was dated 6.11.22 to 6.11.23. The Provider's submitted correction date was 1.20.25, which was exceeded.

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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: 2nd Citation: Same citation previously cited on 1.7.25. The current Certificate of Compliance was not available, as the one on-file was dated 3.7.23 to 3.7.24. There was no documentation that the operator provided the parent of enrolled children with information on how to access the regulations electronically or with instructions for contacting the regional child care office. The Provider's submitted correction date was 1.20.25, which was exceeded.

Correction Required: 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.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: 2nd Citation: Same citation previously cited on 1.7.25. There was no documentation that an Emergency Drill had been conducted. The Provider's submitted correction date was 1.20.25, which was exceeded.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: 2nd Citation: Same citation Previously cited on 1.7.25. There was no documentation that the Emergency Plan had been reviewed/updated since 1.24.23, which did not meet the annual requirement. The Provider's submitted correction date was 1.20.25, which was exceeded.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: 2nd Citation: Same citation previously cited on 1.7.25. The file for Staff #1 did not contain documentation of Emergency Plan training by 1.4.24 or 1.4.25. The file for Staff #2 did not contain documentation of Emergency Plan training by 1.23.24. The Provider's submitted correction date was 1.20.25, which was exceeded.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: 2nd Citation: Same citation previously cited on 1.7.25. There was no documentation that the operator provided to parents of enrolled children, a letter explaining the emergency procedures. The Provider's submitted correction date was 1.20.25, which was exceeded.

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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: 2nd Citation: Same citation previously cited on 1.7.25. There was no documentation that a copy of the Emergency Plan and updates were provided to the local municipality and county emergency management agency. The Provider's submitted correction date was 1.21.25, which was exceeded.

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

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

Noncompliance Area: 2nd Citation: Same citation previously cited on 1.7.25. The file for Staff #1 did not contain documentation of Fire Safety training in 2023. The file for Staff #2 did not contain documentation of Fire Safety training in 2024. The Provider's correction date was 1.21.25, which was exceeded.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: 2nd Citation: Same citation previously cited on 1.7.25. The file for Staff #1 contained documentation of a State Police Clearance dated 1.2.20, which has expired, and a new State Police Clearance was not in the file. The file for Staff #1 contained documentation of Mandated Reporter training on 1.1.20, which has expired, and documentation of a new Mandated Reporter training was not in the file. The Provider's submitted correction date was 1.28.25, which was exceeded.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #1 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: 2nd Citation: Same citation previously cited on 1.7.25. The file for Staff #2 (see IS Code Sheet) contained a Disclosure Statement dated 12.1.23, which was signed after the first date of caring for children. The Provider's submitted correction date was 1.21.25, which was exceeded.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: 2nd Citation: Same citation previously cited on 1.7.25. The file for Staff #1 did not contain documentation of a written evaluation in by 1.5.24 or 1.5.25. The Provider's submitted correction date was 1.20.25, which was exceeded.

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: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: Staff #2 was the only staff present at the facility when six (6) younger school-age and two (2) older school-age children were in care, on 3.6.25.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: 2nd Citation: Same citation previously cited on 1.7.25. There was no documentation of Fire Drills being conducted. The Provider's submitted correction date was 1.20.25, which was exceeded.

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: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The Agreement, in the files for Child #1, Child #4, and Child #5 did not contain the release person(s) specified by the parent.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact form, in the files for Child #2 and Child #4, did not contain the release person's phone number. The Emergency Contact form, in the file for Child #5, did not contain the release person's address.

Correction Required: 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(f)/3270.181(c)

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

Noncompliance Area: The Emergency Contact form and the Agreement did not contain documentation that the parent reviewed and/or updated the forms at least once in a 6-month 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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: There was no documentation that the operator notified local traffic safety authorities, in writing, of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

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: 3270.18(a)

Description: On file at facility

Noncompliance Area: There was no documentation of current Liability Insurance, as the one produced was dated 6.11.22 to 6.11.23.

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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The current Certificate of Compliance was not available, as the one on-file was dated 3.7.23 to 3.7.24. There was no documentation that the operator provided the parent of enrolled children with information on how to access the regulations electronically or with instructions for contacting the regional child care office.

Correction Required: 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.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: There was no documentation that an 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(b)

Description: Plan reviewed/updated annually

Noncompliance Area: There was no documentation that the Emergency Plan had been reviewed/updated since 1.24.23, which did not meet the annual requirement.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file for Staff #1 did not contain documentation of Emergency Plan training by 1.4.24 or 1.4.25. The file for Staff #2 did not contain documentation of Emergency Plan training by 1.23.24.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: There was no documentation that the operator provided to parents of enrolled children, a letter explaining the emergency procedures.

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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: There was no documentation that a copy of the Emergency Plan and updates were provided to the local municipality and county emergency management agency.

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

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

Noncompliance Area: The file for Staff #1 did not contain documentation of Fire Safety training in 2023. The file for Staff #2 did not contain documentation of Fire Safety training in 2024.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #1 contained documentation of a State Police Clearance dated 1.2.20, which has expired, and a new State Police Clearance was not in the file. The file for Staff #1 contained documentation of Mandated Reporter training on 1.1.20, which has expired, and documentation of a new Mandated Reporter training was not in the file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #1 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: The file for Staff #2 (see IS Code Sheet) contained a Disclosure Statement dated 12.1.23, which was signed after the first date of caring for children.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff #1 did not contain documentation of a written evaluation in by 1.5.24 or 1.5.25.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: There was no documentation of Fire Drills being conducted.

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: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement on file for child #1 did not specify the persons designated by the parent 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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for child #1 did not include information on the health insurance coverage and policy number for the child.

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(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for child #2 did not include the telephone numbers of the individuals designated by the parent to whom the child may be released.

Correction Required: 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: 3270.18(a)

Description: On file at facility

Noncompliance Area: The legal entity did not have a copy of the insurance policy on file at the facility. The most current copy of liability insurance on file was observed to be dated 6/11/22 to 6/11/23.

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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The most current certificate of compliance was not posted in a conspicuous location used by parents. The certificate of compliance that was observed to be posted was dated 3/11/22 to 3/11/23.

Correction Required: 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.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility has not conducted an emergency drill within the last 12 months. The most recent documentation on file is dated 6/8/22.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety. The Health and Safety training on file is dated 6/1/23.

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: The file for staff person #2 lacked documentation of current PA Child Abuse clearance results. This is evidenced by the previously documented PA Child Abuse clearance results on file have an expiration date of 8/17/23.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #2 may not work in a child care position at the facility.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The facility did not have documentation of conducting a fire drill within the last 60 days. The most recent documentation on file is dated 4/11/23.

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: 3270.241(c)(1)(i)

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

Noncompliance Area: *SECOND VIOLATION The director has not been present at the facility at least 20% of the program's operational hours each week. Previously cited on SIN-00216466 on 12/19/22.

Correction Required: 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: 3270.123(a)

Description: Signed

Noncompliance Area: The file for child #4 lacked an agreement form and was not signed by the operator and the parent.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency form on file for child #5 lacked the enrolling parent's work telephone number.

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

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The emergency form on file for child #1 lacked written consent signed by a parent for emergency medical care which is required prior to admission.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency form on file for child #2 and #3 lacked the address of the individuals designated by the parent to whom the child may be released.

Correction Required: 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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for child #3 lacked an initial health report within 60 days following the first day of attendance at the facility. The file for child #4 lacked an initial health report within 60 days following the first day of attendance at the facility. The health report on file for child #4 was observed to be dated 12/1/22.

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: The emergency plan for the facility did not include requirements for continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster). The facility lacked policies regarding recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with crying, fussing, or distraught children, and 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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 has been caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pennsylvania Health and Safety Update 2022. Staff person #4 has been caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first aid/CPR from a PQAS approved trainer.

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. Until such time as the required pre-service trainings are completed, staff person #1 and #4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #1 and #4, staff persons #1 and #4 may not work in a child-care position at the facility.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for staff person #3 was observed not to contain documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The health assessment on file for staff person #3 was observed to be dated 9/1/22.

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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for staff person #3 lacked documentation of a tuberculosis screening at initial employment. (See LIS CODE SHEET). The TB test on file for staff person #3 was observed to be dated 9/8/22.

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The facility lacked written documentation of notifying the local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

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: 3270.181(a)

Description: Each child

Noncompliance Area: The provider was unable to access individual records for each child enrolled in the facility.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Regulation: 3270.182(5)

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

Noncompliance Area: The emergency form on file for child #1 lacked written consent signed by a parent for administration of minor first-aid procedures by facility staff, which is required prior to admission.

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: 3270.191

Description: Individual Records

Noncompliance Area: An individual record for staff persons #1, #2, #3 and #4 were observed not to be on site and the provider was not able to access them at the time of the inspection.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #2 was observed to lack 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: 3270.241(c)(1)(i)

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

Noncompliance Area: Based on the operator's statement, the director has not been present at the facility since 12/9/22 and has not been present at least 20% of the program's operational hours.

Correction Required: 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: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan lacked accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the faculty's premises.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3270.27(a)(2)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan lacked accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises.

Correction Required: The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

Regulation: 3270.27(a)(3)

Description: Contact when arises

Noncompliance Area: The facility's emergency plan lacked a method for facility persons to contact parents when an emergency situation arises.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The operator lacked reviewing the emergency plan annually. The most current emergency plan on file was observed to be dated 5/1/21.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for staff person #1 lacked an annual of 12 clock hours of child care training.

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: The two most recent fire safety trainings on file for staff person #1 was observed to be dated more than one year apart: 12/29/19 and 12/28/22.

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: Staff person #3 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Correction Required: Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #3 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #2 lacked documentation of child abuse clearance results prior to date of hire (See LIS CODE SHEET) required for provisional hiring under CPSL. The file for staff person #2 lacked application of a NSOR clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. Staff person #2 cannot work in the facility until the NSOR and Child Abuse clearance results are submitted and verified.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #2 may not work in the facility until NSOR and Child Abuse clearance results are submitted and verified.

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: Staff person #1 was observed to be caring for six children alone and there was not a second facility person present.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: There was no fire drill log on file at the facility available for review at the time of inspection.

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)(4)

Description: Arrival/departure times

Noncompliance Area: the agreement on file for Child #2 does not include the child's arrival and departure times.

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement on file for Child #1 and #3 does not include the 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)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #2 and Child #5 does not include the address and/or telephone number for the child's physician/source of medical care.

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)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #1, #2, and #3 does not include the address or telephone number for the enrolling parent's workplace.

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

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The file for Child #5 does not include written parental consent for the facility to obtain emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for Child #2 does not include the name of the health care insurance coverage. The emergency contact form on file for Child #3 does not include the policy number for the child's health care insurance coverage. The emergency contact form on file for Child #5 does not include the name of the health care insurance coverage or the 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(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #2, #3, and #4 does not include a complete address for all listed release persons.

Correction Required: 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: 3270.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: The health assessment on file for Child #5 does not include a date of the exam, making it invalid.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The immunization record on file for Child #2 and #4 are dated more than 60 days after enrollment.

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: 3270.182(5)

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

Noncompliance Area: The file for Child #5 does not include written parental consent for the facility to administer minor first aid procedures..

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff person #2 only includes 1 written nonfamily reference letter

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)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file for Staff person #2, with a hire date of 12/1/21, does not include verification of emergency plan training at hire.

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. 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: The file for Staff person #2, with a hire date of 12/1/22 did not include the criminal history clearance listed as being completed on 11/6/20.

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: There was no daily activity schedule posted in the facility at the time of inspection.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: There were no emergency contact forms for any enrolled child on site at the time of inspection.

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(e)

Description: Written emergency plan posted

Noncompliance Area: There was no emergency transportation plan posted on site at the time of the inspection.

Correction Required: 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.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The provider did not have verification of notifying traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

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: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: Safe drop-off and pick-up procedures were not posted in a conspicuous location for parents and visitors to review.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: The provider did not have verification of the general liability insurance to cover individuals on file and available for review at the facility at the time of inspection.

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: 3270.181(a)

Description: Each child

Noncompliance Area: The child files were not on site and the provider could not access them at the time of the inspection.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: There were no staff files on site and the provider was not able to access them at the time of the inspection.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The current certificate of compliance was not posted in the facility at the time of inspection. The provider did not have verification of providing parents of enrolled children with information on how to access the regulations, Chapter 3270.

Correction Required: 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.

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The provider did not have the emergency plan posted or available for review by the certification representative in the facility at the time of inspection.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: There was no fire drill log on file at the facility available for review at the time of inspection.

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: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: The emergency plan does not include lockdown procedures.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.