Cambridge School

Regulation: 3270.63/3270.77(a)

Description: Unsafe Areas in Outdoor Space/No peeling paint or plaster

Noncompliance Area: The Picnic bench in the outdoor play space of the facility had several areas of peeling paint and exposed splinted wood.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: At the time of the inspection on the third floor in the older toddler room there were two electrical outlets lacking protective receptacle covers

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

Regulation: 3270.77(f)

Description: Debris disposed of properly

Noncompliance Area: At the time of the inspection the hallway on the second floor had work materials left behind from a construction project in from of the emergency exit.

Correction Required: Dust and debris generated by paint removal shall be disposed of in accordance with applicable Federal, State and local regulations.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: At the time of the inspection in the infant room there were at least 6 cribs and two of them contained sleeping children and those occupied cribs did have 2 feet of space, however it was only on one of the sides.

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: 3270.107

Description: Refrigerator

Noncompliance Area: At the time of the inspection two of the refrigerators at the facility were reading a temperature of at least 60 degrees.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: At the time of the inspection on the second floor of the facility, in room 2, there was bleach being stored under the sink in a cabinet with no working child proof locking mechanism.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: At the time of the inspection the diaper changing mat in the infant room was torn and had exposed and accessible filling.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: At the time of the inspection the records of children #1, #2, #3 had not been updated in over 6 months.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of the inspection the ramp leading up to the entrance of the shed in the outdoor play area was splintering, unstable and losing its integrity.

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: 3270.51/3270.113(a)(1)

Description: Similar Age Level/Staff assigned to specific children

Noncompliance Area: On 4/4/23, at approximately 11:15am, Staff #1 was observed out of ratio with 8 one year old children Young Toddler Room while Staff #2 left the room to use the restroom.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. 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 his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: On 3/7/23, at time of inspection, the outdoor embedded equipment located on the PS/School Age play space did not have the required loose fill (mulch) that meets the recommendations of the USCPSC.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: On 3/7/23, at time of inspection, an annual emergency drill was not conducted at the facility.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: On 3/7/23, at time of inspection, documentation that the facility's updated emergency plan was sent to the local municipality and to the county emergency management agency was not on file.

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: 3270.64/3270.76

Description: Outside Walkways/Building Surfaces

Noncompliance Area: On 3/7/23, at time of renewal, dead leaves and debris were observed on the steps outside back steps leading to the facility's lower level.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards. 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: 3270.71

Description: Heat Source

Noncompliance Area: On 3/7/23, at time of inspection, exposed hot water pipes were observed accessible to children in the second-floor bathroom. (The pipes were hot to the touch)

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: On 3/7/23, at time of insepction, the window guard preventing the windows on the second floor to open more than 6" were not engaged on windows located in Room 2. (Three windows opened more than 10". )

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: On 3/7/23, at the time of inspection, first aid kits were observed accessible to children in the YT Room, Room #2, the OT Room and the 1st Floor PS Room.

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.82(h)/3270.82(i)

Description: Handwashing signs/Lidded waste receptacles

Noncompliance Area: On 3/7/23, at time of inspection, handwashing signs were not observed in the the Upper-Level Preschool Bathroom (back facility) and the Older Toddler bathroom and diapering areas. Additionally, lidded waste receptacles were not observed by the diapering station located in the Infant Room and Older Toddler Room.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: On 10/13/22, Child #1 emergency contact information did not include the address and telephone number 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)

Description: Parent home/work address, phone

Noncompliance Area: On 10/13/22, Child #1 emergency contact information did not include the home and work address/work telephone number of the enrolling parent.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On 10/13/22, Child #1 emergency contact information did not include the policy number of the health insurance coverage.

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: On 10/13/22, Child #1 emergency contact information did not include the addresses of the designated release persons to whom Child #1 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: 3270.124(d)/3270.178

Description: Excursions/Transportation First Aid Kit

Noncompliance Area: On 10/13/22, at approximately 12:15am, Staff #3 was observed with 4 Kindergarten children getting into the school van to be transported to PM Kindergarten session. A first aid kit was not observed in the school van. Additionally, emergency contact information was not present in the van for the children being transported to school.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion. 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: On 10/13/22, during the inspection, Child #1 had a seizure in the childcare space resulting in emergency medical care and being transported by ambulance to the hospital. Emergency contact information did not contain signed consent for emergency medical care and administration of minor first aid procedures by the facility. (Child #1 parent was notified and gave consent verbally on the telephone)

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: 3270.51/3270.113(a)(2)

Description: Similar Age Level/Supervision on and facility premises

Noncompliance Area: On Oct 13, 2022 at approximately 12:15pm, Staff #1 and Staff #2 were observed out of ratio with 12 children in the YT Room (one year old).

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Regulation: 3270.61(h)

Description: Exceeding Capacity

Noncompliance Area: On 10/13/22, Room #7 located on the 1st floor of the Main Building has a child care capacity of 8 children. At the time of inspection, there were 12 children present in Room #7. Additionally, the classroom located on the 1st floor of the back building has a child care capacity of 11 children. There were 19 preschool children present in the child care space during the inspection.

Correction Required: The capacity established for an indoor space may not be exceeded.

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: On 10/13/22, Staff #1 and Staff #2 acknowledged that Child #1 is afraid of the "baby room" which is located in the basement of the main carriage house. The "baby room" is an Older Toddler Room. Staff #1 and Staff #2 stated that in order to get Child #1 to listen and knowing that the it upsets Child #1, threats are made to Child #1 to be taken to the "baby room."

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: On 8/25/22, certification representative observed 50 children on the outside play space. Emergency contact information was not present with the children receiving care in the play space.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: On 8/25/22, Staff #1 file did not contain initial health assessment, including results of TB testing to confirm freedom from communicable tuberculosis.

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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: On 8/26/22, potentially hazardous food observed in lunch boxes located on the 1st and 2nd floor of the back building were not refrigerated.

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

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: On 8/25/22, Staff #1 file did not contain verification of education.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: On 8/25/22, Staff #1 file did not contain documented training of the facility's emergency plan at time of initial 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 8/25/22, Staff #1 file did not have completed Pa Criminal Clearance, Child Abuse Clearance or FBI Clearance required by CPSL. A signed disclosure statement was not observed in Staff #1 file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 -- may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1--- may not work in a child care position at the facility.

Regulation: 3270.51/3270.113(a)(1)

Description: Similar Age Level/Staff assigned to specific children

Noncompliance Area: On 8/25/22, at approximately 10:45am, Staff #1 Staff #2 and Staff #3 were observed out of ratio with 20 children (youngest were 2 yrs old). Staff #4 and Staff #5 were observed out of ratio with 11 Young Toddlers. Staff #6 was out of ratio with 13 Preschool children. Additionally, children on the play space were observed going into the classroom unsupervised by a staff person to use the classroom restroom. (Bathroom located on the main floor of back building)

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. 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 his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.61/3270.61(h)

Description: Measurement and use of indoor child care space/Exceeding Capacity

Noncompliance Area: On 8/25/22, Staff #9 and Staff #10 were observed with 19 school age children in Room #1. Room #1 has a measured capacity of 8 children. Staff #7 and Staff #8 were observed with 18 PK children on the second floor of the back building. The second floor back building has a measured capacity of 12 children.

Correction Required: Measurement and use of inodoor child care spaceThe capacity established for an indoor space may not be exceeded.

Regulation: 3270.62(c)/3270.63

Description: Space safe for large muscle activity/Unsafe Areas in Outdoor Space

Noncompliance Area: On 8/25/22, two dead trees, with large dead branches hanging over play space, were observed in the middle of the preschool/school age outdoor play space. Staff #1 acknowledged that a local tree company determined the two trees are dead and the facility received an estimate to remove them from the play space.

Correction Required: Outdoor or indoor play space shall be safe for large muscle activity. If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 8/26/22, hand lotion, sunscreen and hand sanitizer all instructing to keep out of reach of children were observed accessible to children in the School Age room located on the second floor of main building.

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: 3270.124(c)

Description: Each child care space

Noncompliance Area: On 3/17/22, ten children were observed receiving care in the PK room located on the second floor of the back building. Staff #2 stated that emergency contact information was not present in the PK room where 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: 3270.133(4)

Description: Locked

Noncompliance Area: On 3/17/22, medication belonging to Staff #2 was observed on a shelf accessible to children in the lower level back building.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 3/17/22, the file belonging to Staff #1(hired 4/1/21) did not contain a completed NSOR clearance as required by CPSL.

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

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

Description: Each staff person meets quals/Transcript, diploma and letters

Noncompliance Area: On 3/17/22, the file belonging to Staff #1(hired 4/1/21) did not contain verification of education.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 3/17/22, hand sanitizer was observed accessible to children on the second floor (main building) preschool room and on the first floor of the preschool back building. Toilet bowl cleaner was observed in an unlocked sink cabinet accessible to children in the PK room (second floor back building). A unlocked utility closet containing toxins and hazards was observed in the downstairs OT room (main building).

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: 3270.76

Description: Building Surfaces

Noncompliance Area: On 3/17/22, the counter, window sill and sink area in the back part of the OT room were dirty.

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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: On 3/17/22, during renewal inspection, a ladder and packages of lightbulbs were observed in the second floor back stairwell landing, obstructing the means of egress in case of an emergency.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.