Childrens Community School

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Observed cots without having at least 2 feet of space on three sides in Juneberry classroom.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Observed cup unlabeled in Juneberry Classroom.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed toxins low and in reach of children in Juneberry classroom.

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: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: Observed classrooms with emergency telephone numbers not posted.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: In indoor play space observed hole in top floor. Also observed chipped tile in Oak classroom and chipped plaster on Magnolia Bathroom doorway.

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: Observed chipped paint in indoor play space, Red Bud, and Magnolia classrooms.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: During the renewal inspection on 05/27/25 the fee agreement reviewed for child #1, child #2, child #3, and child #4 was not reviewed/updated within 6-month period. The emergency contact form reviewed for child #1 was not reviewed/updated within 6-month period.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: During the renewal inspection on 05/27/25 staff person was observed not washing child's hands after being diapered.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection on 05/27/25 staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed pre- service training required prior to caring for children. Facility did not have a written policy to address shaken baby syndrome/abusive head trauma.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: During the renewal inspection on 05/27/25 the file reviewed for staff person #1, staff person #2, staff person #3 and staff person #4 did not contain a health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.152

Description: Adult Hygiene

Noncompliance Area: During the renewal inspection on 05/27/25 staff person was observed not washing their hands after diapering a child.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During the renewal inspection on 05/27/25 there was no documentation that annual emergency drills were not conducted.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 05/27/25 the file reviewed for staff person #2 hired (see code sheet) did not contain a DHS FBI clearance, NSOR certificate or New York clearances. Furthermore, staff person #2 was observed working unsupervised with 6 children. The file reviewed for staff person #3 and staff person #4 hired (see code sheet) did not contain a DHS FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff person #2, staff person #3 and staff person #3 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 renewal inspection on 05/27/25 there were missing electrical outlet covers observed in Redbuds and Magnolias classroom.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During the renewal inspection on 05/27/25 there were missing handwashing signs observed in the Redbuds, Juneberry and Magnolia classrooms.

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: Observed torn couch in Magnolia classroom. Also observed a torn chair in Oak classroom.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Observed cups unlabeled in Redbud classroom.

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

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: Observed no emergency telephone numbers posted in Magnalia class room.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed chipped paint in Juneberry, Redbud, Magnolia, and Oak child care space. There was also chipped paint in Oak bathroom and indoor play space.

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: Observed Juneberry, Redbud, and Magnolia classrooms with no 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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Upon arrival at the facility on 7/13/2023 for a renewal inspection, OCDEL staff observed a child care staff escort a child from the outdoor play space into the building. The child care staff returned outside without the child. OCDEL staff was waiting for the director to let her in when the child opened the door. OCDEL staff asked if child needed help opening the door. Child replied not. OCDEL staff did not observe any staff in the vicinity of this child. At this moment, the director came through the door. OCDEL staff asked about the child being alone. The director stated that he would find out.

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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: During the renewal inspection on 7/13/2023, OCDEL staff reviewed children's files. Files for children #1,# 2 and #3 did not contain health assessment that was completed in the last 12 months.

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

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: During renewal inspection on 7/13/2023, OCDEL staff reviewed children's files for immunizations. Two children had incomplete immunizations. Child #2 did not have documentation for pneumococcal and influenza. Child #4 did not have documentation of immunizations for polio and MMR.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the hybrid renewal inspection on 4/28/23, verification of the required Pennsylvania Health and Safety Update 2022 was not submitted for staff member #7. Non-compliance continues from renewal inspection on 3/28/23.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: During the hybrid renewal inspection on 4/28/23, health assessments with tuberculosis screening were not submitted for staff members #2, #3, #5, #6, #8, and #9. A current health assessment was not submitted for staff member #7. Health assessment submitted dated for 8/24/20. Non-compliance continues from renewal inspection on 3/28/23.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the hybrid renewal inspection on 4/28/23, two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person was not submitted for staff members #3 and #5. One written, nonfamily reference from individuals attesting to the person's suitability to serve as a facility person was not submitted for staff members #4, #5, #8, and #9. Non-compliance continues from renewal inspection on 3/28/23.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the hybrid renewal inspection on 4/28/23, verification of annual emergency plan training was not submitted for staff members #8 and #10.

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)

Description: Age and Training

Noncompliance Area: During the hybrid renewal inspection on 4/28/23, 12 hours of annual childcare training was not submitted for staff members #7, #8 and #9.

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 hybrid renewal inspection on 4/28/23, verification of completion of annual fire safety training was not submitted for staff members #7, #8, #9 and #10. Non-compliance continues from the renewal inspection on 3/28/23.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the hybrid renewal inspection on 4/28/23, verification of completed pre-service training including pediatric 1st aid /pediatric CPR training was not submitted for staff members #4, #5, #6, #8, and #10. Non-compliance continues from the renewal inspection on 3/28/23.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the hybrid renewal inspection on 4/28/23, completed out-of-state clearances were not submitted for staff members #2 and #10. A completed Pennsylvania FBI and National Sex Offender Registry (NSOR) was not submitted for staff member #2. Current Pennsylvania FBI clearance was not submitted for staff member #10. Mandated and Permissive reporting in Pennsylvania training was not submitted for staff members #4 and #9. Non-compliance continues from the renewal inspection on 3/28/23.

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 #2 and #10 may not work in a childcare position at the facility.

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: During the hybrid renewal inspection on 4/28/23, file was received and reviewed for staff member #10. However, documents do not verify what title the staff member was hired for under childcare regulations.

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: 3270.35(b)/3270.192(2)(ii)

Description: Group sup qualifications/Exp, educ., training prior to facility

Noncompliance Area: During the hybrid renewal inspection on 4/28/23, the file for staff members #3 and #8 did not have verification of education and experience that qualifies the staff member for the position performing at the facility. Non-compliance continues from the renewal inspection on 3/28/23.

Correction Required: A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.36(b)(1)/3270.192(2)(ii)

Description: HS/GED + 30 credits/Exp, educ., training prior to facility

Noncompliance Area: During the hybrid renewal inspection on 4/28/23, the file for staff members #4, #5, and 9 did not have verification of education or experience that qualifies the staff member for the position performing at the facility. Non-compliance continues from the renewal inspection on 3/28/23.

Correction Required: An assistant group supervisor shall have attained one of the qualification levels specified at §3270.36(b)(1)-(5).

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the hybrid renewal inspection on 3/28/23, children rest mats were not labeled in the Redbud and Juneberry rooms.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the hybrid renewal inspection on 3/28/23, verification of the required Pennsylvania Health and Safety Update 2022 was not submitted for staff member #1 (DOH 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.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: During the hybrid renewal inspection on 3/28/23, health assessments were not on file for staff members #2, #3, #4, #5 and #6 prior to providing initial service in a child care setting.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: During the hybrid renewal inspection on 3/28/23, staff member #10 was observed as a staff member in the Magnolia room. A file for staff member #10 was not submitted for review. Files for staff members #7, #8 and #9 were requested but not received.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the hybrid renewal inspection on 3/28/23, two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person was not submitted for staff members #2, #3, #4, #5 and #6.

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: During the hybrid renewal inspection on 3/28/23, verification of annual fire safety training was not submitted for staff member #1.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the hybrid renewal inspection on 3/28/23, required pre-service training was not submitted for staff members #1, #2, #4, #5 and #6 (See LIS code sheet for DOH).

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the hybrid renewal inspection on 3/28/23, the FBI and NSOR (National Sex Offender Registry) was not submitted for staff members #2 and #5. All required completed out-of-state clearances were not submitted for staff member #2. The out-of-state criminal clearance submitted for staff member #6 was not an acceptable clearance. All out-of-date clearances are required for staff member #6. Mandated and Permissive reporting in Pennsylvania training was not submitted for staff members #4 and #6.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2, #5 and #6 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2, #5 and #6 may not work in a child care position at the facility.

Regulation: 3270.35(b)/3270.192(2)(ii)

Description: Group sup qualifications/Exp, educ., training prior to facility

Noncompliance Area: During the hybrid renewal inspection on 3/28/23, the file for staff member #3 did not have verification of education and experience that qualifies the staff member for the position performing at the facility.

Correction Required: A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.36(b)(1)/3270.192(2)(ii)

Description: HS/GED + 30 credits/Exp, educ., training prior to facility

Noncompliance Area: During the hybrid renewal inspection on 3/28/23, the files for staff members #4, #5 and #6 did not have verification of education and experience that qualifies the staff member for the position performing at the facility.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During the hybrid renewal inspection on 3/28/23, handwashing signs were not visible at the sinks in the Oak, Redbud, Magnolia and Juneberry rooms.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of renewal inspection, emergency contact information of child #4 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: 3270.124(c)

Description: Each child care space

Noncompliance Area: At the time of renewal inspection, emergency contact information was not present in Red Bud, Oak , Magnolia and Juneberry classrooms for children receiving care in the space

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: At the time of renewal inspection, emergency contact information and agreement of child #1, #2, #3, #4, #5, #6, and #7 were not updated at least once in a 6-months period.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: At the time of renewal inspection, a health assessment of staff person #3 and #8 was conducted more than 24 months ago. Staff #3 health assessment was conducted on 9/20/19, a health assessment of staff person #8 was conducted on 11/4/19. Health assessment of staff person #9 was from 10/28/19 and was not conducted within 12 months prior to providing initial service in a child care setting. File of staff person #10, #11, #15 did not include an initial health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: At the time of renewal inspection, a health assessment of staff person #5 did not include an examination for communicable diseases 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: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: At the time of renewal inspection, emergency contact form of child #6 did not include signed parental consent for emergency medical care and signed parental consent for administration of minor first-aid procedures by facility staff. Both consents are required prior to admission.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: At the time of renewal inspection, file of staff person #10, #11, #16 did not include verification of education prior to service at the facility.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of renewal inspection, file of staff person #4, #9, #10, #11, #12, #15, #16, #17 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. File of staff person #13 and #14 included only one reference.

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)(1)/3270.27(a)(5)

Description: Emergency plan/Emergency plan

Noncompliance Area: At the time of renewal inspection, an emergency plan did not include information about lock-down and accommodations for toddlers, children with disabilities and chronic medical conditions.

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

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

Description: Contact when arises/Contact when ended

Noncompliance Area: At the time of renewal inspection, Emergency Plan didn't include information of a method of notifying parents when an emergency situation arises, 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(b)

Description: Plan reviewed/updated annually

Noncompliance Area: At the time of renewal inspection, written documentation that an emergency plan was reviewed and updated at least annually was not observed.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: At the time of renewal inspection, file of staff person #10, #11, did not include verification that staff #10, #11, received training regarding the emergency plan at the time of initial employment

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)

Description: Age and Training

Noncompliance Area: At the time of renewal inspection file of staff person #1, #5, #6, #8 did not include verification that staff obtained an annual minimum of 12 clock hours of child care training. Staff person #1 completed 9 hours of training, staff person #5 and #6-6 hours of training, staff person #8-4 hours of 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: At the time of renewal inspection, file of staff person #14 did not include Fire safety training.

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

Regulation: 3270.31(f)/3270.31(f)(10)

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

Noncompliance Area: At the time of renewal inspection, file of staff person #10 did not include verification of completed Health and Safety training and professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. File of staff person #15 did not include verification of professional development in Health and Safety training.

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

Regulation: 3270.31(g)

Description: Professional development certificate

Noncompliance Area: At the time of renewal inspection, file of staff person #5 included Health and Safety training completed on 7/29/16 that does not satisfies the Health and Safety requirement.

Correction Required: Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of renewal inspection, file of staff person #3 did not include Sex Offender verification from the state of Virginia, where staff person #3 resided within the last 5 years. File of staff person #6 included child abuse clearance from 6/21/16 that was conducted more than 60 months ago. File of staff person #9 did not include National Sex Offender Certificate. File of staff person #10 did not include FBI clearance and mandated reporter training. File of staff person #11 did not include NSOR verification, file of facility person #12 did not include child abuse clearance, disclosure statement did not include witness signature, DHS required FBI clearance did not include a rap sheet. File of staff person #13 did not include mandated reporter training, file of staff person #14 did not include child abuse clearance from the state of California, where staff person #14 resided within the last 5 years. File of staff person #15 did not include PA child abuse clearance, mandated reporter training, Texas state police clearance, Texas Child abuse clearance, and Texas sex offender clearance. File of staff person #17 did not include criminal record check from the state of Massachusetts, where staff person #17 lived within the last 5 years.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3, 6, 9, 10, 11, 12, 14, 15, and 17 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: At the time of inspection, the files for staff member #1, #2, #5, #6, #7, #8, #14 did not include an annual staff evaluation. Last staff evaluation for staff #1 was conducted on 12/9/20, for staff person #2 on 12/11/20, for staff person #5-2/8/21, for staff person #6-spring 2019, for staff person #7-2/9/21, for staff person #8-12/18/20.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: At the time of renewal inspection, provider was not able to provide proof of purchase and date of purchase of an interconnected fire detection system.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.