Cheder Menachem

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The outdoor embedded climbing equipment was observed to be in disrepair with cracks in the plastic with rough edges within reach of children. A sensory bottle in the Toddler #2 room was cracked and broken and within reach of children.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The inspector observed a rusted metal storage locker in Nursery #1 room within reach of children. A broken art easel was observed in the Nursery #2 room within reach of children and a bookshelf in classroom #308 to be broken and unsafe.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Updated child service reports were missing from child files #1, and #2.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact information was missing from room #317.

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: The written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was missing from rooms #301 and #315.

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 childcare space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.133(1)/3270.133(5)

Description: Original container/Original label

Noncompliance Area: The inspector observed a prescription medication for a child that was not in the original container and was missing the original label and instructions for use.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: Staff #8 obtained a tuberculosis screening result after their initial employment (see LIS Code Sheet for DOH).

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: Staff #5 had a health assessment on file that did not include the physician's or CRNP's assessment of the person's suitability to provide childcare.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide childcare.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff #9, #14, and # 15 did not update their emergency plan training timely as evidenced by both staff having previous emergency plan training dated 8/27/24 and the most recent being dated for 9/5/25.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

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

Description: Age and Training

Noncompliance Area: Staff #1 had an expired pediatric first aid/CPR training on file. This is evidenced by the previously documented pediatric first aid/CPR training on file which expired 7/2025 and a renewal pediatric first aid/CPR training dated 08/28/25. Staff #2 had an expired pediatric first aid/CPR training on file. This is evidenced by the previously documented pediatric first aid/CPR training on file which expired 5/2025 and a renewal pediatric first aid/CPR training dated 08/07/24.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff #6, did not update their fire safety training timely as evidenced by having previous fire safety training dated 3/26/24 and the most recent being dated for 12/2/25. Staff #17, did not update their fire safety training timely as evidenced by having previous fire safety training dated 8/07/24 and the most recent being dated for 12/2/25.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person # 3 did not complete mandated reporter training within the last 60 months. This is evidenced by the previous documented mandated reporter training on file being dated 5/27/18 and the most current being dated 8/8/23. Staff # 4 did not complete mandated reporter training within the last 60 months. This is evidenced by the previous documented mandated reporter training on file being dated 5/30/19 and the most current being dated 8/5/24. Staff #11 did not complete mandated reporter training within the last 60 months. This is evidenced by the previous documented mandated reporter training on file being dated 7/25/17 and the most current being dated 8/21/22.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #3 did not update their clearances every 60 months as evidenced by a previous NSOR clearance dated 08/21/20 and an updated NSOR clearance dated 2/02/26. and was working in direct care with children since hire (See LIS Code Sheet for DOH). Staff #4 did not update their clearances every 60 months as evidenced by a previous Pa State Police clearance dated 6/17/19 and an updated Pa State Police clearance dated 8/26/24, a previous PA Child Abuse clearance dated 6/26/19 and an updated PA Child Abuse clearance dated 9/5/24, and a previous FBI clearance dated 6/13/19 and an updated FBI clearance dated 8/28/24. Staff #11 did not update their clearances every 60 months as evidenced by a previous Pa Child Abuse clearance dated 7/23/17 and an updated PA Child Abuse dated 8/2/22. Staff #12 did not update their clearances every 60 months as evidenced by a previous NSOR clearance dated 8/25/20 and an updated NSOR clearance dated 1/14/26. Staff #15 did not update their clearances every 60 months as evidenced by a previous NSOR clearance dated 10/30/20 and an updated NSOR clearance dated 1/28/26. Staff # 10, #12, #13, #14, and #16 did not have the most current disclosure statements signed and on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The CPSL was revised to include a requirement that all clearances be updated and on file at least every 60 months. As of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL.

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

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

Noncompliance Area: Staff #7 and #9 were identified as holding the positions of assistant group supervisor on the staff data sheets and neither staff had proof of a high school diploma or a general educational development certificate and 2 years' experience with children.

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

Description: Original container

Noncompliance Area: The inspector observed bread on the same shelf as Glass Plus and Dawn dish detergent in the Nursery room.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: The inspector observed tissues in garbage can with a broken lid in the Nursery 1 classroom.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: The inspector found the window in room 317, on the third floor, to have a broken chain allowing the window to open over 6-inches.

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(a)

Description: In child care spaces

Noncompliance Area: The first aid kits were missing from childcare rooms 309 and 317.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The ceiling in Pre-Nursery 3 classroom was missing ceiling panels. Pre-K #1 classroom had a hole in the wall behind the door of the bathroom. Childcare classroom #316 was found to have a heater cover broken as well as the mechanical door associated with the heater.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Damaged paint was observed in the Nursery #1 classroom's rear wall within reach of children.

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

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The inspector observed garbage cans with broken lids in the second-floor childcare bathroom and third-floor childcare bathroom.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The inspector observed the fire drill/detection log and found that the facility did not conduct a manual test of the fire alarms every 30 calendar days. The inspector observed a manual test dated for 10/03/25 and the next having been dated for 11/11/25.

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: 3270.20(a)(1)

Description: Inpatient hospitalization or ER treatment of child

Noncompliance Area: An incident involving child #1 needing emergency medical care occurred at the facility on 2/9/26 and was not reported to the Northeast Regional Office until 2/11/26. Child #1 received emergency treatment from the ambulance crew and was taken to the hospital for additional treatment.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: During the course of the annual renewal the inspector observed plastic gloves within reach of children in the Toddler 3 room, and the Pre-Nursery 2 room, and the 2nd floor Nursery room. Plastic bags were observed to be within reach of children in the Nursery room as well. The inspector also observed mulch chips in the infant and toddler outdoor play area.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: During the course of the annual renewal the inspector observed several chairs in the gym and in the second-floor nursery room that had rips in the fabric exposing the foam underneath.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During the course of the annual renewal the inspector observed the emergency contact information in each childcare space to only have the parent names and phone numbers and not the completed emergency contact form.

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(1)

Description: Original container

Noncompliance Area: During the course of the annual renewal the inspector observed Benadryl tablets for child #1 to be missing the original container.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: During the course of the annual renewal the inspector observed a broken hands-free garbage can in the diapering area in the infant room. The inspector observed a diaper genie in the diapering area of the Toddler 3 room and Nursery room. The inspector observed an unlined hands-free garbage can in the diapering area of the Prenursery 2 room.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff #9 completed health and safety training on 1/1/25 which was over 90 days since hire (see LIS Code Shee for start date). Staff #31 completed health and safety training on 3/17/25 which was over 90 days since hire (see LIS Code Sheet for start date). Staff #37 completed health and safety training on 2/27/25 which was over 90 days since hire (see LIS Code Sheet for start date).

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. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training is completed, staff persons #4 and #5 must be supervised when interacting with children by an Assistant Group Supervisor who has completed the required training related to the citation. If there are no staff available to supervise staff persons #4 and #5, staff persons #4 and #5 may not work in a childcare position at the facility.

Regulation: 3270.151(a)

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

Noncompliance Area: During the course of the annual renewal the inspector observed the staff files and found that staff #2 had a health assessment on file dated 2/13/24, which was over one year old at the time of hire (see LIS Code Sheet for start date). Staff #5 had a previous health assessment on file dated 10/23/20 and did not update the health assessment until 5/4/23. Staff #19 had a health assessment on file dated 1/10/25 which was obtained after working in direct care with children (see LIS Code Sheet for start date). Staff #20 had a previous health assessment on file dated 9/1/21 and did not update this health assessment until 1/16/24.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.151(c)(1)

Description: Physical examination

Noncompliance Area: During the course of the annual renewal the inspector observed the staff files and found that staff #34 and #27 had health assessments that did not indicated that a physical examination was conducted.

Correction Required: An adult health assessment must include a physical examination.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: During the course of the annual renewal the inspector observed the staff files and found that staff #3 had a health assessment that did not an examination for communicable diseases and the results of that examination. Staff #14 had a health assessment on file that indicated that this staff has a communicable disease.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: During the course of the annual renewal the inspector observed unlabeled bottles in the Infant A, and Infant A1 rooms.

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

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: During the course of the annual renewal the inspector observed the staff files and found that staff #10, #11, #23, #30, #33, #34, #35, and #36, did not have their education (degree, diploma, or transcripts) from a foreign country and/or foreign language evaluated by an approved organization as is required. Until this has been completed, the proof and level of education cannot be evaluated.

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: 3270.192(4)

Description: CPSL information

Noncompliance Area: During the course of the annual renewal the inspector observed the staff files and found that staff #1, #2, #7, #8, #21, #22, #26,, #27, #28, #29, #30, #31, and #32 did not have the correct disclosure statement signed and on file.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3270.31(b)

Description: Staff person - 18 yrs.

Noncompliance Area: During the course of the annual renewal the inspector observed the staff files and found that staff # 12 was hired prior to being 18 years old.

Correction Required: A staff person shall be 18 years of age or older.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the course of the annual renewal the inspector observed the staff files and found that staff #13, #17, did not have the required 12 hours of annual childcare 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: During the course of the annual renewal the inspector observed the staff files and found that staff # 6 has a previous fire safety dated 8/27/23 and did not update this training until 2/4/25. Staff #13 had a previous fire safety training dated 8/28/23 and did not update this training until 2/19/25. Staff #17 had a previous fire safety training dated 8/23/23 and did not update this training until 2/12/25.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the course of the annual renewal the inspector observed the staff files and found that staff # 3 had been a resident of California in the last five years and did not have proof of the required California clearances prior to hire. Staff #8 had a Pa State Police clearance that was incomplete., Staff #17 had been a resident of Florida in the last five years and did not have proof of the required Florida clearances prior to hire. Staff #18 did not update their clearances within 60 months as evidenced by a previous Pa State Police clearance on file dated 12/20/18 and did not update this until 12/26/23, Staff #23 began working in direct care with children without proof of submission for the Pa State Police Clearance and did not obtain this clearance until 12/24/25 (see LIS Code Sheet for start date). Staff #25 did not have proof of having the required FBI clearance. Staff #30 had a volunteer Pa State Police clearance on file, and did not obtain a PA Child Abuse clearance until 3/18/25, which was after direct care with children. Staff #37 had been a resident of New York in the last five years and did not obtain the necessary New York clearances until 9/23/24 and 3/6/25, which were both several months after working in direct care with children (see LIS Code Sheet for start date). Staff #36 did not update their clearances within 60 months as evidenced by a previous Pa State Police clearance on file dated 6/18/19 and did not update this until 8/19/25, a previous Pa Child Abuse clearance dated 6/18/19 and did not update this until 8/24/24.

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. As of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL. Facility Persons #3, #17, #25, #30 may not work in a childcare position at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the course of the annual renewal the inspector observed missing outlet covers in the Nursery 3 room.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: During the course of the annual renewal the inspector observed Cheerios and a hand sanitizer and Palmolive dish washing liquid next each other in the Toddler 2 room, bran flakes and Amazon Basics glue on the same shelf in the PreK room, and Purell Hand Sanitizer Amazon Basic glue and oranges together on top of a cubby in the Nursery 2 room.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the course of the annual renewal the inspector observed a broken wire that appeared to be part of the heater taped to the wall in the infant room, ceiling tiles with nails in them hanging from the ceiling in the Nursery room, missing ceiling tiles, strips of peeling caulking, and exposed wires on the upper wall in the Infant 3 room, a large cord hanging in the outdoor play space within reach of children, molding missing in the 2nd floor Nursery room, Nursery 3 room and PreK 3 room, gapping around the electrical outlet in the Nursery 3 room, broken wooden heater covers in room 304 and room 305, ceiling paint flaking from the ceiling in the PreK 2 room as well as a black foam insert covering a large hole in the ceiling, wires exposed and hanging from the ceiling in the Toddler 1 room, and a broken locker on the third floor.

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: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: During the course of the annual renewal the inspector observed a broken toilet and sink in the first-floor bathroom.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During the course of the annual renewal the inspector observed that the first-floor bathroom was missing the required handwashing sign.

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.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: During the course of the renewal the inspector observed two changing mats in room #116 and in the upstairs child bathroom rendering both unable to be cleaned.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During the course of the renewal the inspector observed that the refrigerator in room #120 was missing a thermometer as is required.

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: 3270.133(5)

Description: Original label

Noncompliance Area: During the course of the renewal the inspector observed a child's bottle of Benadryl that had expired on 2/2024.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the course of the renewal inspection the inspector reviewed the file for staff #2 and found that staff person #2 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Correction Required: Staff person #2 shall complete the required one-hour 2022 update to the health and safety training by August 1st, 2024.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: During the course of the renewal the inspector observed that staff #6 was hired with a health assessment dated 12/14/20, which was over 12 months from hire date. This staff did not update their health assessment until 1/11/23. Staff #7 was hired with a health assessment dated 6/6/21, which was over 12 months from hire date. This staff did not update their health assessment until 1/17/24. Staff #9 was hired with a health assessment dated 10/9/20, which was over 12 months from hire date. This staff did not update their health assessment until 9/19/22. Further staff #9 was hired with an outdated TB screening dated 10/14/20. Staff #15 was hired with a health assessment dated 12/17/21, which was over 12 months from hire date. This staff did not update their health assessment until 4/1/24. Staff #17 was hired with a health assessment dated 11/2/21, which was over 12 months from hire date. This staff did not update their health assessment until 5/6/24. Staff #23 was hired with a health assessment dated 6/8/23, which was roughly 4 months from hire date. This staff also was hired with a TB screening dated 7/21/21.

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. 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the course of the renewal inspection the inspector reviewed the file for staff #14 and found that that this staff did not complete emergency plan at the time of initial employment and/or annually as is required.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

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

Description: Fire safety - 1 yr.

Noncompliance Area: During the course of the renewal inspection the inspector reviewed the file for staff #4, #9, #17, #20, #26 and found that these staff either did not have fire safety or did not have at least annual fire safety training completed timely.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Durning the renewal inspection the inspector found that staff #5 began working in direct care (see LIS Sheet for DOH) with children and has not applied for out of state clearances as they resided out of Pa in the last five years. Staff # 12 began working in direct care (see LIS Sheet for DOH) with children and has not applied for out of state clearances as they resided out of Pa in the last five years. Staff #13 began working in direct care (see LIS Sheet for DOH) with children and has not applied for out of state clearances as they resided out of Pa in the last five years. Staff # 21 began working in direct care (see LIS Sheet for DOH) with children and has not applied for out of state clearances as they resided out of Pa in the last five years. Staff # 22 began working in direct care (see LIS Sheet for DOH) with children and has not applied for out of state clearances as they resided out of Pa in the last five years. Staff #24 began working in direct care (see LIS Sheet for DOH) with children and has not applied for out of state clearances as they resided out of Pa in the last five years.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance prior to employment. and a signed disclosure statement, Facility received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. The applicant has applied for the remaining required checks and the applicant provides a copy of the appropriate completed request forms to the employer, administrator, supervisor or other person responsible for employment decisions. The outstanding checks are: Pennsylvania State Police Criminal Record Check OR the FBI Criminal History Background Check, the National Sex Offender Registry (NSOR) check, and for an applicant who, in the past five years has resided outside of Pennsylvania, criminal history, child abuse, and sex offender registry checks from every state where the applicant lived within the past five years. Facility Persons #5, #12, #13, #21, #22, and #24 may not work in a childcare position at the facility.

Regulation: 3270.62(b)/3270.62(c)

Description: Play space - 65 square feet/child/Space safe for large muscle activity

Noncompliance Area: During the course of the renewal the inspector observed childcare children utilizing an outdoor fenced in play space that has not been measured and licensed for play space. This outdoor area has both concrete and a mulched area.

Correction Required: Outdoor or indoor play space shall be measured at 65 square feet per child. Outdoor or indoor play space shall be safe for large muscle activity.

Regulation: 3270.35(e)

Description: 46 or more children- additional group sups

Noncompliance Area: As of the renewal inspection on 5/16-5/17/23, there were four Group Supervisors identified for 259 children attending the program. At least six Group Supervisors would be needed for the amount of children being served at any one time. The facility provided an acceptable plan of correction stating that by 7/28/23 they will have sufficient group supervisors hired. On 8/2/23 during a follow up visit to the facility to verify corrections, the facility had provided documentation for only four staff that qualify for the Group Supervisor position.

Correction Required: In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

Regulation: 3270.104(a)/3270.135(b)

Description: Clean, good repair, proper size/Surfaces cleaned

Noncompliance Area: During the renewal inspection, the changing pad in the U-Shaped Room was torn and the foam was exposed making it impossible to properly sanitize.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the renewal inspection on 5/16/23, Child #2 was sleeping in a crib that was labeled for another child. On 5/17/23, there were a set of twins sleeping in the same crib that was labeled for another child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: During the renewal inspection, a written plan of daily activities was not posted in Rooms #63, 72, 77, 78, and 79.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: As of the renewal inspection, the facility had not been providing information to the family about the child's growth and development using a form approved by the Department. Child #1, 3, 4, 5, 6, 7, 8, 9, and 10 did not have an assessment on a state approved form.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: During the file review for the renewal inspection, the health assessment on file for child #4 (see LIS code sheet for start date) was dated 10/13/22, more than 60 days after the first day of attendance. The health assessment on file for child #6 (see LIS code sheet for start date) was dated 7/14/22, more than 60 days after the first day of attendance. The health assessment on file for child #7 (see LIS code sheet for start date) was dated 8/19/22, more than 60 days after the first day of attendance. The health assessment on file for child #8 (see LIS code sheet for start date) was dated 8/10/22, more than 60 days after the first day of attendance. The health assessment on file for child #9 (see LIS code sheet for start date) was dated 8/23/22, more than 60 days after the first day of attendance. The health assessment on file for child #10 (see LIS code sheet for start date) was dated 9/7/22, more than 60 days after the first day of attendance.

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.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: During the file review for the renewal inspection, the health assessment on file for child #3, a young toddler, was dated 6/30/22.

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

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: During the file review for the renewal inspection, Child #1 was missing Hepatitis B, Pneumococcal, Influenza, and subsequent doses of DTAP, HIB, Hepatitis A, and Polio vaccines. Child #3, 4, 5, 6, 8, and 10 had no documentation of influenza vaccine. Child #6 and #10 have no documentation of Hepatitis A. The most recent influenza vaccine for child #7 was dated 12/4/19. The most recent influenza vaccine for child #9 was dated 11/10/20. There were no exemption letters on file for these missing vaccinations. All have been attending more than 60 days, and all must be removed from care.

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: 3270.133(3)

Description: Name on bottle

Noncompliance Area: During the renewal inspection, there was an EpiPen and Diphenhydramine in Room #61 that was not labeled with the name of the child for whom the medication is intended.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: During the renewal inspection, there was no written consent for administration of an EpiPen and Diphenhydramine in Room #61.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: As of the renewal inspection, the 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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff persons #9 and #14 have not completed the Pennsylvania Health and Safety Update 2022 training required by 12/30/22 (see LIS code sheet):

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. Staff persons #9 and #14 will have until 6/14/23 to complete the required training.

Regulation: 3270.151(c)(1)

Description: Physical examination

Noncompliance Area: During the file review for the renewal inspection, the health assessment form for staff #5 did not indicate that a physical exam had been completed.

Correction Required: An adult health assessment must include a physical examination.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: During the file review for the renewal inspection, the health assessments for staff #5 and #11 did not indicate that an examination for communicable diseases had been conducted and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: During the renewal inspection, there were bottles in Infant A that were not labeled with the child's name.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: As of the renewal inspection, there was no documentation that the operator had notified 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.

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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: As of the renewal inspection, the facility had not provided 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.

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: 3270.31(e)

Description: Age and Training

Noncompliance Area: As of the renewal inspection, staff #2 and #6, who have been employed for over a year, did not have documentation of 12 hours of training.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #13 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety topics.

Correction Required: Staff persons shall complete professional development in the topics of 3270.31(f)(1 -- 9) within 90 days of hire. Staff person #13 will have until 6/15/23 to complete the required training. Until such time as the required training has been completed, staff person #13 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff available to supervise staff person #13, staff person #13 may not work in a child-care position at the facility.

Regulation: 3270.35(e)

Description: 46 or more children- additional group sups

Noncompliance Area: As of the renewal inspection, there were four Group Supervisors identified for 259 children attending the program. At least six Group Supervisors would be needed for the amount of children.

Correction Required: In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection there was an uncovered outlet accessible to children in the library area in Room 68.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection, there was baseboard damage in several areas of Room #65. There were dirty and dusty ceiling vents in Rooms #63 and #68. There were grapes smooshed on the floor throughout Room #68 that had not been cleaned up several hours after the last meal/snack. Numerous floor tiles were missing or damaged in room #79. There was trash throughout the outdoor play space.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During the renewal inspection, there was no handwashing sign posted in the bathroom in room #68.

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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There are fans located in some of the child care rooms that are accessible to children and create a potential safety hazard

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: There is a container of allergy medication that has expired for child #1 that is located in the pre-nursery room

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

Regulation: 3270.21/3270.76

Description: General Health and Safety/Building Surfaces

Noncompliance Area: There is a broken window located on the 3rd floor the boys bathroom. The window has been covered with cardboard.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. 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: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: The phone number for poison control is not listed on the emergency phone number list that is posted by each phone

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.82(f)

Description: Location accompany children

Noncompliance Area: There are tinfoil containers and a roll of tin paper that are used to contain and cover food located under the changing table located in the pre-nursery bathroom

Correction Required: Toilets and training chairs may not be located in an area used for cooking or eating.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The trash cans located in the bathrooms are not lidded

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: An initial inspection occurred at the facility. A physical site review was conducted on all 3 floors of the facility. Of the 28 classrooms in the facility, electrical outlets in several of these classrooms had been accessible to children. The exact and accessible electrical outlets were addressed with Staff # 1 and Staff # 2 during the inspection. An acceptable plan of correction was received on 12/13/21. A verification visit occurred on 1/12/22. Outlet covers were missing in outlets in Room 79, Room 75, Café and Gym.

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: An initial inspection occurred at the facility. A physical site review was conducted on all 3 floors of the facility. In room 73, on the 3rd floor, multi-purpose cleaner was accessible to children. Also on the 3rd floor, the janitor's closet was left unlocked and inside were several cleaning supplies that were accessible to children. In the bathroom to the left, on the 2nd floor joint compound was found accessible to children. In the boys bathroom, on the 1st floor, near the extra large sinks, blown in insulation solution was accessible to children. All of these items indicated the need to be kept out of reach of children. An acceptable plan of correction was received on 12/13/21. A verification visit occurred on 1/12/22. Clorox Wipes were found accessible to children in Room 64 and these wipes had a warning to keep out of reach of children on the label. A storage room was found unlocked between Room 65 and Room 67 that had a container of acrylic floor finish accessible to children. A fire extinguisher was found accessible to children in a lower cabinet in the infant 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: 3270.71

Description: Heat Source

Noncompliance Area: An initial inspection occurred at the facility. A physical site review was conducted on all 3 floors of the facility. In the 'U' shaped room, the door to the furnace room was left unlocked and these furnace pipes were accessible to children. An acceptable plan of correction was received on 12/13/21. A verification visit occurred on 1/12/22. The metal covering and grates over the heating system in the following rooms was very hot to the touch: Room 73, Room 67 and the Infant room.

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: 3270.75(a)/3270.75(c)

Description: In child care spaces/Has all items

Noncompliance Area: An initial inspection occurred at the facility. A physical site review was conducted. First aid kits were reviewed in all 28 classrooms. Some of these classrooms did not contain a first aid kit and some first aid kits were missing specific items. The exact classrooms that did not have a first aid kit were discussed with Staff # 1 and Staff # 2 during this inspection. The exact items missing from the first aid kits in certain classrooms were discussed with Staff # 1 and Staff # 2 during this inspection. An acceptable plan of correction was received on 12/13/21. A verification visit occurred on 1/12/22. In the first room to the right through the café, the first aid kit was missing tweezers. In the pole room, the first aid kit was missing scissors.

Correction Required: A first-aid kit shall be in a child care space. 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: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: An initial inspection occurred at the facility. A physical site review was conducted. All 28 classrooms were reviewed and the exact areas needing to be address were discussed with Staff # 1 and Staff # 2 during the inspection. Classrooms contained areas of exposed wires, peeling paint/plaster, holes in the walls/dividers, areas of water damage, what appeared to be mold, stains on the floors/walls/ceilings, broken windows, broken grates that covered heating vents and doors, molding coming off the walls, exposed insulation, rusty surfaces and floors that contained dirt and food. Metal poles were also being stored on the floor in the gym. An acceptable plan of correction was received on 12/13/21. A verification visit occurred on 1/12/22. It was discussed with the Administrators that all child care spaces needed a thorough cleaning including bathrooms, play space, stair wells, and hallways. The following rooms also had areas of the physical site that were not in good repair: Room 79, 78, 77, 76B, 76A, 75, 71, 72, 70, 64, café, 1st room to the right in the café, and the middle room had cords in walking areas. Room 76A, 75, 73, 71, 63, and the bathroom across from the 2nd room to the right in the café had peeling paint/plaster hanging from the ceiling. Room 74 contained a broken heating grate. Room 71 had holes in the walls, the floor had broken and missing tiles, and the countertop near the heater was broken. Room 62, 61, 65, and 67 had molding on the floor that had come loose from the wall. Room 61, and the girls locker room had spider webs. The girl's locker room ceiling vents contained leaves and other debris and a hole in the wall. The steps at the front of the building had holes in the wall under the railing and had a black protective piece covering a corner that contained several pieces of chewed gum. In the gym, the partition had a hole in the wall and gum was stuck to this partition. The rear right bleachers at the bottom had a piece of wood that had come loose and was sharp. These bleachers also contained a metal plate that was also sticking out on to the children's play area. The café, 1st room to the right in the café, 2nd room to the right in the café, and the U-shaped room had broken and falling ceiling tiles. The ceiling, walls, floors and other surface in the café had food on them and also in the hallway that contained the piano, there was a brown substance on the piano and on the wall across from the piano. The middle room had holes in the wall.

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

Regulation: 3270.101(a)

Description: Age appropriate

Noncompliance Area: An initial inspection occurred at the facility. A physical site review was conducted. The 2nd floor contained the following rooms: # 61, # 63, # 65, and a classroom labeled women's locker room. The 1st floor contained the following rooms: infants, young toddler, toddler, todds, older toddler A, and older toddler B. These rooms were identified as child care space and the rooms did not contain age appropriate play equipment or materials for children.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Regulation: 3270.102(a)/3270.104(a)

Description: Clean and good repair/Clean, good repair, proper size

Noncompliance Area: An initial inspection occurred at the facility. A physical site review was conducted. The 2nd floor contained the following rooms: # 61, # 63, # 65, and a classroom labeled women's locker room. The 1st floor contained the following rooms: infants, young toddler, toddler, todds, older toddler A, and older toddler B. These rooms were identified as child care space and the rooms did not contain age appropriate play equipment or materials for children, toys, or furniture.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: An initial inspection occurred at the facility. A review of the facility's emergency plan was conducted. A lock-down plan was missing from the facility's emergency plan.

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(c)

Description: Training regarding plan

Noncompliance Area: An initial inspection occurred at the facility. A review of the facility's emergency plan was conducted. The operator did not have documentation that the facility's emergency plan had been reviewed with Staff # 1, Staff # 2, and Staff # 3.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: An initial inspection occurred at the facility. A review of the facility's emergency plan was conducted. The operator did not have documentation that the facility's emergency plan had been sent to the local municipality.

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: 3270.33(a)/3270.34(b)

Description: Each staff person meets quals/Director qualifications

Noncompliance Area: An initial inspection occurred at the facility. A review of staff files was conducted. Staff files # 1, # 2 and # 3 were presented for review. None of these staff qualified to be the director of the facility.

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 director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4).

Regulation: 3270.33(b)

Description: No more than 50% aides

Noncompliance Area: An initial inspection occurred at the facility. A review of staff files was conducted. Staff files # 1, # 2 and # 3 were presented for review. Staff # 1 and Staff # 2 only qualified as an aide. Staff # 3 could not be appropriately qualified as this staff does not have a degree in a related child care field and the transcripts of Staff # 3 were not available for review.

Correction Required: At least 50% of the staff persons in a facility shall be individuals qualified and functioning as directors, group supervisors and assistant group supervisors. No more than 50% of the staff persons may be of aide qualification level.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: An initial inspection occurred at the facility. A physical site review was conducted on all 3 floors of the facility. Of the 28 classrooms in the facility, electrical outlets in several of these classrooms had been accessible to children. The exact and accessible electrical outlets were addressed with Staff # 1 and Staff # 2 during the inspection.

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: An initial inspection occurred at the facility. A physical site review was conducted on all 3 floors of the facility. In room 73, on the 3rd floor, multi-purpose cleaner was accessible to children. Also on the 3rd floor, the janitor's closet was left unlocked and inside were several cleaning supplies that were accessible to children. In the bathroom to the left, on the 2nd floor joint compound was found accessible to children. In the boys bathroom, on the 1st floor, near the extra large sinks, blown in insulation solution was accessible to children. All of these items indicated the need to be kept out of reach of children.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: An initial inspection occurred at the facility. A physical site review was conducted on all 3 floors of the facility. All sink temperatures were checked. This Certification Representative was unable to hold their finger under the water for 10 seconds without the water temperature burning their finger.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: An initial inspection occurred at the facility. A physical site review was conducted on all 3 floors of the facility. In the 'U' shaped room, the door to the furnace room was left unlocked and these furnace pipes were accessible to children.

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: An initial inspection occurred at the facility. A physical site review was conducted. All of the 11 classrooms, on the 3rd floor contained windows that opened greater than 6 inches. All of the 13 classrooms, on the 2nd floor contained windows that opened greater than 6 inches. All of these windows that opened greater than 6 inches were discussed with Staff # 1 and Staff # 2 during the inspection.

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.