Childhood Dreams Daycare Inc

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: During the inspection, volunteer #1 did not have a signed disclosure statement on file at the start of volunteering (see LIS code sheet for start date).

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: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of the inspection, volunteer #1 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of the inspection, the emergency contact form for child #3 did not include the work addresses and telephone numbers of the enrolling parent.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: At the time of the inspection, child #3 and child #4 did not have an updated health assessment at least every 12 months, as required. This is evidenced by the health report on file dated 10/28/24 and 3/31/25, respectively.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the inspection on 7/17/26, staff person #6 was observed to be caring for children unsupervised. Staff person #6 has not completed the following pre- service training required prior to caring for children unsupervised: mandated reporter training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #6 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #6, staff person #6 may not work in a child-care position at the facility.

Regulation: 3270.151(a)

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

Noncompliance Area: Staff person #5 did not have a health assessment that was completed within 12 months of date of hire. The only health assessment on file was dated 7/22/24 (see LIS code sheet for date of hire). Staff person #8 had an initial health assessment on file that appeared to have the date of 6/22/26 altered. The date of 6/22/26, appeared as though it was previously photocopied and the date changed by someone whiting out a prior date and writing in this new date. The doctor's office confirmed that staff person #8 did not have a health assessment on this date. Staff person #8 later acknowledged that they changed the date on the health assessment and did not have a physical on that date. Staff person #15 did not update their health assessment every 24 months, as required. This is evidenced by the current health assessment dated 5/28/26 and the previous health assessment dated 3/9/24.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of the inspection, staff person #2 only had one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: At the time of the inspection, the letter provided to parents at enrollment regarding emergency plan procedures did not include lockdown procedures and accommodations for infants, toddlers and children with special needs during an emergency.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #7 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): PQAS approved Pediatric First Aid/CPR training

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)10. Until such time as the required training has been completed, staff person #7 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #7, staff person #7 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: At the time of the inspection, staff person#6 has not completed mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #6 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #6, staff person #6 may not work in a childcare position at the facility

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Previously, on 7/22/25, the requirement for using the newest disclosure statement going forward was provided as technical assistance with Staff #11. On 7/17/26, during a review of staff files, it was observed that an old version of the disclosure statement was signed for new hires, Staff #2, staff #4, staff #8 on 5/27/26 and 5/11/26, 6/1/26, respectively. Staff person #5 did not receive the NSOR certificate at time of hire. It was not received until 6/16/26 and staff person #11 acknowledged that staff person #5 had routine interaction and direct contact with children during the time they were waiting for the NSOR (see LIS code sheet for date of hire). Staff person #8 did not have a legible PA State Police clearance as the clearance was enlarged that portions of it were missing. There was no submission for FBI fingerprinting at the time of hire, and the completed FBI clearance was dated 6/22/26 which was after the date of hire. Staff person #11 acknowledged that staff person #8 had routine interaction and direct contact with children during the time they were waiting for the FBI clearance. (see LIS code sheet for date of hire). Staff person #13 did not update their NSOR certificate every 60 months, as required. This is evidenced by the current NSOR on file dated 7/2/26 and the prior one dated 9/23/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #8 may not work in a child care position at the facility until a legible PA State Police clearance is received and on file.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: At the time of the inspection, staff person #6, an aide, was observed working unsupervised in the Preschool room.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

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

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

Noncompliance Area: While swimming at the pool on 7/23/25, staff person #8 named the 6 children assigned to the staff's responsibility. When asked to identify them while they were swimming in the pool, staff person #8 was unable to locate child #12 for approximately 2 minutes. Staff person #8 raised her orange-colored flag as a sign for the children with orange wrist bands to come to where staff person #8 was. Even with the flag raised, staff person #8 was unable to locate child #12. Child #12 was then observed on the opposite side of the pool.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in 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. TIERED LIS: 1.) Children must be supervised at all times. This portion of the plan requires an immediate correction date. 2.) The legal entity must develop or update their written supervision policies and procedures to be implemented in the facility and while at the pool. The written policy must address that staff will be able to hear, see, direct and assess children at all times, including while children are swimming. The policy must include a procedure for how staff will easily identify the children they are responsible for while children are swimming in the pool. The legal entity will submit their policies and procedures to the Northeast Regional Office for approval. Once approved, all existing staff and any new hires must be trained on the approved policy and procedure and it must be documented in their files. The operator shall provide a date for when acceptable policies are received.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of the inspection, the emergency contact for child #6 did not include the work addresses and telephone numbers of the enrolling parent.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: At the time of the inspection, the last documented health assessment on file for child #2 was conducted on 10/23/24 and not every 6 months as required.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: At the time of the inspection, child #4 did not have the following immunizations and were not in compliance with the recommendations of the ACIP: Hep A #2.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Children #4 must be dismissed from care by close of business on 7/22/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.151(a)

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

Noncompliance Area: At the time of the inspection, there was no health assessment on file for staff person #15.

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

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: At the time of the inspection in the young school age room, lunchboxes containing perishable items such as Lunchables and lunch meat were observed in lunchboxes in the cubby area.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, staff person #15 did not receive an NSOR until 7/3/25. An FBI clearance was on file dated 7/16/15 and not submitted for until 7/14/25, which was not at time of hire. Staff person #16 did not receive a NSOR certificate until 7/2/25, which was not at time of hire. Staff person #15 and #16 were not hired appropriately under the CPSL and Chapter 3490 and have had routine interaction and direct contact with children (see LIS code sheet for date of hire).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. OCDEL Announcement C-25-01 states" Beginning February 1, 2025, an individual may be employed on a provisional basis in a certified childcare facility when the following conditions are met, and documentation is maintained on file: Have results of the following, no older than 60 months: 1.) PA Child Abuse History Clearance; 2.) NSOR verification; 3.) Out-of-state clearances (if applicable); 4.) Signed Disclosure Statement for Child Care Employment; and 5.) Either FBI Criminal History Clearance; or PSP Criminal History Clearance. 6.) In addition to those obtained, the following clearances must be applied for prior to starting provisional employment: FBI Criminal History Clearance; or PSP Criminal History Clearance.

Regulation: 3270.151(a)

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

Noncompliance Area: Staff person #1 did not have a health assessment on file every 24 months as required. This is evidenced by the current health assessment on file dated 9/4/24 and the previous health assessment on file dated 8/9/22.

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

Regulation: 3270.102(g)

Description: Hazardous toys and equipment

Noncompliance Area: A Fisher Price Infant to Toddler Rocker was observed in the Infant room. The United States Consumer Product Safety Commission deemed this hazardous in June 2022 and may not be used by children at the facility and may not be on the premises at the facility.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

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

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

Noncompliance Area: Staff person #14 was observed sending pairs of children to other side of the pool to use the restroom. The children were unsupervised while in the bathroom area. Staff person #14 was unable to see, hear, direct or assess these children.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The legal entity must develop or update their written supervision policies and procedures to be implemented in the facility. The written policy must ensure that each child is seen, heard, assessed and able to be directed at all times. The policy must include how the facility will ensure appropriate supervision during transition times and while in the pool area. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in his/her assigned group and be physically present with the children in his/her group on the facility premises and on facility excursions off the facility premises. The policy must also address how these groups will be transitioned from one staff person to another during staffing changes or when children at the pool need to use the restroom and others are remaining in the pool area. The updated policy will be sent to the Department for approval. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on the policies and procedures and it must be documented in their files.

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

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

Noncompliance Area: Staff person #14 was observed sending pairs of children to other side of the pool to use the restroom. The children were unsupervised while in the bathroom area. Staff person #14 was unable to see, hear, direct or assess these children.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

Regulation: 3270.121(a)/3270.121(b)

Description: Review policies and procedures/Given parents in writing

Noncompliance Area: The parent handbook which is provided to parents at enrollment did not include supervision policies.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for child #3, child #4 and child #10 did not include the address of the individual designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.133(1)

Description: Original container

Noncompliance Area: The Avi-Q for child #11 was not in the original box.

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: 3270.133(6)/3270.133(7)

Description: Written consent/Medication log

Noncompliance Area: There was no signed consent from the parent or medication log for child #11's Benadryl and AVI-Q. There was no signed consent from the parent or medication log for child #3's Tylenol.

Correction Required: A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #9 was observed to be caring for children unsupervised. Staff person #9 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 4/12/19.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required trainings are completed, staff person #9 must be supervised, when interacting with children, by a AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #9, staff person #9 may not work in a child-care position at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of the inspection, the emergency plan on file did not contain continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Regulation: 3270.151(a)

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

Noncompliance Area: Staff person #4 and staff person #11 had a current health assessment dated 3/9/24 and 2/17/23 respectively. The previous health assessment was dated 12/31/21 and 9/29/20, respectively. This reflects a period of longer than the required 24-month update to the health assessment. Staff person #13 did not have a date on the health assessment that was on file. Staff person #18 did not have a health assessment on file at time of hire (see LIS code sheet for date of hire).

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)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The health assessment for staff person #8 and staff person #12 did not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff person #14 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Description: Contact when arises/Contact when ended

Noncompliance Area: The emergency plan on file did not include a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises or a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff person #19, the lifeguard, was not trained in the facility's emergency plan.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #15 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training requirements. This is evidenced by the health and safety training on file dated 7/8/24.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -9) within 90 days of hire.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person#9 and staff person #12 have not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 4/12/19 and 6/5/19, respectively.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #9and staff person #12 will have until 8/7/24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #9 and staff person #12 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #9 and staff person #12, staff person#9 and staff person #12 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #12 had a FBI clearance dated 12/7/22 which was of PDE status and not approved for use in childcare. Staff person #14 did not have a receipt of submission for the FBI clearance on file and did not obtain the FBI clearance until 7/8/24. Staff #14 also did not submit the NSOR certificate application until 6/13/24 which was not at initial hire and did not have a completed NSOR certificate on file (see LIS code sheet for date of hire). Staff person #18 did not have a request for or completed NSOR certificate on file at time of hire (see LIS code sheet for date of hire). Staff person #19, the lifeguard, did not have a signed disclosure statement on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #12, staff person #14, and staff person #18 may not work in a child care position at the facility until all clearances are on file.

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: Staff person #14 did not have any education on file and therefore does not qualify for the position they were performing. Staff person #18 did not have a high school diploma to accompany the college credits that were on file.

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.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The operator did not have proof of installation on file for the interconnected fire detection system.

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: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: STAFF #1 (see code sheet for start date) had an after-visit summary from a physician dated 3/21/22. There was no health assessment form.

Correction Required: An adult health assessment must include a physical examination. 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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During renewal inspection on 7/21/22 cert rep observed mats for rest time in the PS room. The mats had numbers on them, but are not assigned to specific children. Staff said the mats are cleaned daily and just given out to the children.

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: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: During renewal inspection on 7/21/22 cert rep reviewed several children's files. CHILD # 1 whose start date was 8/30/21, did not have a review of the child's immunized status according to recommendations of the ACIP with the health report on file. Health report was completed on 9/27/21.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: During renewal inspection on 7/21/22 cert rep reviewed all staff files. STAFF # 1 has not completed pediatric first aid and CPR within 90 days of hire (see code sheet for start date).

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During renewal inspection on 7/21/22 cert rep reviewed all staff files. STAFF # 2 (see code sheet for hire date) has a PA state police clearance date 7/17/22; a child abuse clearance dated 7/17/22 and was fingerprinted on 7/18/22 for the FBI clearance. Previous clearances were dated as follows: PA state police 1/20/17; child abuse 1/20/17; FBI 1/20/17. The updated clearances are more than 60 months from the previous clearances.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: During the renewal inspection on 7/21/22 cert rep observed the first aid kit in the YSA room on a shelf that was accessible to children.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During renewal inspection on 7/21/22 cert rep observed damaged paint in the YT room by the car table and window. CR observed damaged paint in the PS room by the toy shelf and in dramatic play.

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(h)

Description: Handwashing signs

Noncompliance Area: During renewal inspection on 7/21/22 there were no hand washing signs posted at the sink in the infant room and in the preschool 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.