Calvary Before And After School Care

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: During a renewal inspection on 1/8/26 Cert rep observed plastic bags in an unlocked cabinet under the changing table in Room 209. The children who receive care in Room 209 are toddlers who may still be placing objects in their mouth.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During a renewal inspection on 1/8/26 Child 1's emergency contact form did not have the address of the child's physician or 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)/3270.124(b)(7)

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

Noncompliance Area: During a renewal inspection on 1/8/26 Children 3 and 4's emergency contact forms did list the work phone numbers for the children's respective parents, and Child 4's emergency contact forms did not list the work address for the child parents. Additionally Child 3's emergency contact form did not list the addresses for all release persons listed.

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: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: During a renewal inspection on 1/8/26 preschool Child 2's health report dated 5/16/25 was a school physical which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease (See LIS code sheet for DOB).

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: During a renewal inspection on 1/8/26 Cert rep observed a child's Butt paste with expiration date 5/2024 in Room 209.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: During a renewal inspection on 1/8/26 Cert rep observed Staff 6 using their hand to lift the lid of the trash can during a diaper change.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.151(a)

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

Noncompliance Area: During a renewal inspection on 1/8/26 Staff 2's initial health assessment was dated 9/17/25, which is after their first day working with children(See LIS code sheet for first day working with children). Staff 5 had health assessments dated 5/18/23 and 7/2/25, which is more than 24 months between staff health assessments. It was reported that Staff 5 worked as staff between 6/1/25-7/2/25.

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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: During a renewal inspection on 1/8/26 Cert rep observed pudding that appeared to be homemade in a lunch box in Room 201/203, previously cooked leftovers with meat in a lunchbox in Room 205/207, and previously cooked leftovers with cheese in a lunch box in Room 206/208. The lunchboxes and potentially hazardous food items were not refrigerated.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During a renewal inspection on 1/8/26 Child 2's emergency contact form was most recently reviewed by parents on 3/4/25, and Child 3's fee agreement was most recently reviewed on 5/12/25. These are more than 6 months between parental reviews of emergency contact forms and fee agreements.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection on 1/8/26 Cert rep noted the following violations of the CPSL(See LIS code sheet for first day with children): Staff 1 had a NSOR clearance dated 9/18/25, which is after their first day with children. Staff 2 had a FBI clearance dated 9/16/25 and a FBI clearance request dated 9/16/25, which is after their first day with children. Staff 2 also had a PSP clearance request dated 9/12/25. A PSP clearance dated 9/12/25 was obtained for Staff 2 on 1/8/26 however this was after Staff 2 was observed to be providing care to children. Staff 2 is beyond their 45 day provisional hire window.

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. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (related to protective Services. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a checklist for staff and facility persons files that addresses all necessary staff and facility persons file paperwork and time frames for renewals of paperwork as appropriate. The staff and facility persons file paperwork that must be addressed in this checklist includes but is not limited to PA clearances, Out of State clearances and trainings as required by the CPSL and all documents required for staff and facility persons to be hired. The checklist must be submitted to the Regional Office for approval. Once approved this checklist shall be used by the person responsible for hiring and maintaining facility persons records. The provider shall provide a date for when this portion of the plan shall be completed.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During a renewal inspection on 1/8/26 Staff 3 had staff evaluations dated 5/21/24 and 8/11/25, which is more than 12 months between staff evaluations. Staff 4 did not have a staff evaluation available for review. Staff 4 has been employed for more than 12 months (See LIS code sheet for DOH).

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: 3270.66(a)/3270.133(4)

Description: Locked or inaccessible/Locked

Noncompliance Area: During a renewal inspection on 1/8/26 Cert rep observed a child's butt paste, Clorox, and Disinfecting wipes in an unlocked cabinet under the changing table in Room 209. These items were 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. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During a renewal inspection on 1/8/26 Cert rep observed tape was missing from the first aid kit in the Youth Room.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During a renewal inspection on 1/8/26 there was one incident of more than 30 days between fire detection testing: 11/12/25-12/19/25.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 7/23/25 during an unannounced allocated monitoring inspection Staff person 1 was observed to be caring for children unsupervised. Staff person 1 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid and CPR from a PQAS approved trainer and a PQAS approved curriculum. See LIS code sheet for Date of hire.

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 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person1, staff person 1 may not work in a child-care position or have direct contact with children at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During an allocated unannounced inspection on 7/23/25 Staff 3 and 4 had one written reference in their staff files.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an allocated unannounced inspection on 7/23/25 Facility Person 2 had PSP clearance dated 4/17/24 with a purpose of "Volunteer" and did not have a request for a PSP clearance with a purpose of Employment. Facility Person 2 is not a volunteer. Facility Person 2 obtained a PSP clearance dated 7/23/25 with a purpose of Employment, however this is after their first day working with 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: 3270.75(d)

Description: On excursions

Noncompliance Area: During an allocated unannounced inspection which including a swimming inspection on 7/23/25 Cert rep observed that each care group did not have a first aid kit during the excursion to the pool. One first aid kit was taken for the 8 care groups and the first aid kit did not include a water bottle.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During a renewal inspection on 2/12/25 Children 1, 2 and 3 did not have the parents' work addresses or work phone numbers.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During a renewal inspection on 1/31/24 Cert rep observed that the facilities plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not in the excursion bags for rooms 201/203, 205/207, 206/208, and 209. Staff reported this plan was not being taken with staff when leaving the facility with children for an excursion.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During a renewal inspection on 1/31/25 the facility's emergency plan did not address continuity of operations.

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. The Facility Emergency plan must address continuity of operations.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During a renewal inspection on 1/31/25 Cert rep noted the facility did not have a written policy that addressed: 1. Recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma and 2. Strategies for coping with a crying, fussing, or distraught child

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. The facility must have a written policy to address the following: 1. Recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma 2. Strategies for coping with a crying, fussing, or distraught child 3. The prevention and identification of child maltreatment

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: During a renewal inspection on 2/12/25 Cert rep noted Staff 3 had a TB test dated 8/22/24. This is after her date of hire (see code sheet).

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During a renewal inspection on 2/12/25 cert rep noted the most recent parent review of Child 2's emergency contact information was done and signed by the parent on 7/24/24. This is more than 6 months since the previous review.

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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During a renewal inspection on 1/31/25 Cert rep noted the facility did not have a means for the parents to access the 3270 regulations electronically.

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)(5)

Description: Emergency plan

Noncompliance Area: During a renewal inspection on 1/31/25 Cert rep noted the emergency plan did not address the facility accommodations for infants and toddlers. The facility does not currently have infants enrolled.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During a renewal inspection on 2/12/25 Cert rep noted Staff 5 had emergency plan training on 5/22/24. This was more than 90 days after her date of hire. See code sheet for date of 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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During a renewal inspection on 2/12/25 Cert rep noted Staff 5 received Pediatric First Aid and CPR training on 5/22/24. This is more than 90 days after her date of hire. See code sheet for date of hire.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an unannounced inspection on 12/12/24 Cert rep noted that Facility person 1 had a NSOR request dated 8/8/24 on file. Facility person 1 did not have the NSOR certificate on file at the facility. Facility person 1 is outside of her provisional hire window (See LIS code sheet for date of hire). An acceptable plan of correction was received on 12/12/24 with a correction date of 12/12/24. During an unannounced renewal inspection on 1/31/25 Cert rep noted that Staff 2 had a NSOR that was dated 11/6/2019. This is more than 60 months since the clearance was obtained therefore the NSOR was expired. Staff 2 had an NSOR request dated 1/13/24 on file. Staff 2 was not in a provisional hire window (See code sheet for date of hire). Staff 2 was observed to be working at the facility in a childcare position during renewal inspection. Cert rep noted Facility person 1 did have a valid NSOR certificate on file.

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 or volunteer in a child care position at the facility until such time as the required clearances are obtained.

Regulation: 3270.35(b)(3)/3270.35(b)(4)

Description: Associate's + 2 yrs/Associate's, 30 + 3 yrs

Noncompliance Area: During a renewal inspection on 2/12/25 Staff 4 had an associate's degree in early childhood education and 1.856 years (2320 hours) of experience documented on file. Staff 3 had an associate's degree in a non-human services field, which included 30 credits of education or human services credits. Staff 3 had no experience verified on file. Staff 3 and 4 have been working as a group supervisors.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children. A group supervisor shall have an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During a renewal inspection on 1/31/25 Cert rep observed electrical outlets that did not have protective outlet covers in the following locations: The youth room in the unlocked cabinet under the sink and the fellowship hall on the wall by door number 19. Children who would have access to these rooms could be 5 years old or younger.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During a renewal inspection on 1/31/25 Cert rep observed the following cleaning products in the following locations All locations were accessible to children. All Cleaners were labeled "keep out of reach of children": 1. Clorox wipes, Lysol disinfecting spray, scrubbing bubbles cleaner, and Bio-renewable glass cleaner (Under the unlocked sink in the boy's bathroom on the 2nd floor) 2. Fantastic, Clorox wipes, and disinfecting wipes (Under the unlocked sink in the youth 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: 3270.75(a)

Description: In child care spaces

Noncompliance Area: During a renewal inspection on 1/31/25 Cert rep observed the fellowship hall did not have a first aid kit. This room is licensed as child care space.

Correction Required: A first-aid kit shall be in a child care space.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During a renewal inspection on 1/31/25 cert rep observed peeling plaster in the youth room to the right of the door way.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an unannounced inspection on 12/12/24 cert rep noted there was more than 30 days between fire detection testing the following times: 1/24/25-2/25/24, 4/4/24-5/6/2024 and 10/24/24-12/9/24 An acceptable plan of correction was received on 12/12/24 with a correction date of 12/12/24 During an unannounced renewal inspection on 1/31/25 it was noted there was more than 30 days between fire detection testing the following times: 12/9/24-1/31/25

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: During an unannounced inspection on 12/12/24 Cert Rep observed staff in the toddler room discarding soiled diapers into a plastic lined trash can that required the staff to push the lid of the trash can in order to dispose of the diaper. This trash can was not hands free.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During an unannounced inspection on 12/12/24Staff person/facility 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 12/11/2019.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Facility person 2 will have until 12/27/2024 to complete the mandated reporter training. Until such time as the required training has been completed, facility person 2-- must be supervised, when interacting with children, by an (AGS, GS, or director) who has completed the required training related to this citation. If there are no staff person(s) available to supervise facility person 2, facility 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: During an unannounced inspection on 12/12/24 Cert rep noted that Facility person 1 had a NSOR request dated 8/8/24 on file. Facility person 1 did not have the NSOR certificate on file at the facility. Facility person 1 is outside of her provisional hire window (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. Facility Person 1 may not work in a child care position at the facility until the NSOR certificate is in the staff's file.

Regulation: 3270.94(a)(1)/3270.94(a)(4)

Description: Every 60 days/Hypothetical locations

Noncompliance Area: During an unannounced inspection on 12/12/24 Cert rep noted that the fire drill log did not have a hypothetical location of the fire noted for the fire drill on 1/8/24. Cert rep also noted that there was one incidence of more than 60 days between fire drills: 9/27/24-12/9/24.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an unannounced inspection on 12/12/24 cert rep noted there was more than 30 days between fire detection testing the following times: 1/24/25-2/25/24, 4/4/24-5/6/2024 and 10/24/24-12/9/24

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: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: During the Renewal Inspection, the emergency contact information forms for Child #1, #2, #3, #4 and #5 were each last dated March of 2023.

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.

Regulation: 3270.151(a)

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

Noncompliance Area: On 1/26/2024, the most recent health assessment on file for Staff #1 was dated 6/2/2021. See LIS code sheet.

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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During the Renewal Inspection on 1/26/2024, the facility had not conducted an emergency drill within the previous 12 months. The most recent emergency drill was conducted on 6/16/2022.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff #2 did not complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) within 90 days of hire. Staff #2 completed pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on 1/8/2024. See LIS code sheet.

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

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: During the Renewal Inspection on 1/25/2023, Child #1, #2, #3 and #4 all preschool children did not have health reports on file that were completed within the previous 12 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the Renewal Inspection on 1/25/2023, Staff #1 had a volunteer child abuse clearance on file. Staff #2 had all required clearances on file on 1/25/2023. However, the state police clearance was dated 11/2/2022 and the child abuse clearance was dated 11/5/2022. The prior state police and child abuse clearances on file for Staff #2 were dated 8/23/2017. Staff #2 completed mandated reporter training on 11/1/2022. The previous mandated reporter training on file for Staff #2 was dated 8/27/2017.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). All staff clearances and the mandated reporter training must be renewed at least once every 60 months. Volunteer clearances are not permitted for child care employees. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 1 may not work in a childcare position at the facility.

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

Description: Age and Training

Noncompliance Area: During the Renewal Inspection on 1/13/2022, none of the staff for the files that were reviewed had current certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) that was completed through an approved provider. The course that was completed for the most current certifications 2021 did not have an in-person or a live component.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During the Renewal Inspection on 1/13/2022, the mandated reporter training was up to date for Staff #1. However, this training was completed on 12/29/2021. The most recent mandated reporter training on file that Staff #1 completed was dated 5/7/2015.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). As required by the CPSL, all staff persons must complete an approved mandated reporter training at least once every 60 months.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the Renewal Inspection on 1/13/2022, the following was observed: Loose tiles that left sharp edges exposed in the church level bathroom Room 115 and a cracked switch plate that left sharp edges exposed in the Youth 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.