Clubhouse Kidz Childcare Center Inc

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a crib in the infant room which had a loose crib rail support screw. Observed a crib in the infant room which had a broken crib rail protector. Observed a torn diaper changing pad in the older toddler diaper changing area.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed a staple, accessible to children who still place objects in their mouths, on the floor under the bulletin board in the older toddler room.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Observed child files #1, #2, #3, #4, and #5 did not contain a child service report completed within the previous 6 months.

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: 3270.123(b)

Description: Parent receives original

Noncompliance Area: Observed child file #1, 2, 3, 4, and 5 contained original agreements.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3270.124(b)(4)/3270.182(5)

Description: Written consent/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Observed the emergency contact form for child file #4 did not contain written consent signed by a parent for emergency medical care or signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. 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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Observed the emergency contact form for child file #2 did not contain the complete 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(2)

Description: Written instructions

Noncompliance Area: Observed prescription Nyastin diaper cream which did not have a prescription label or written instructions from the individual who prescribed the medicine.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: Observed the facility did not have an established accident file to store reports of injuries or accidents.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Observed staff file #1 contained updated criminal background clearance and child abuse clearance which were dated more than 60 months after the previous valid clearances. Observed staff file #2 contained an updated NSOR verification letter which was dated more than 60 months after the previous valid clearance. Observed staff file #2 contained an updated mandated reporter training which was dated more than 60 months after the previous valid training.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: Observed the first aid kit in the preschool room did not contain tweezers and soap.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed in the older toddler room, damaged drywall behind the staff chair near the desk and both ceiling vents need cleaned. Observed the kitchen area ceiling vent needed cleaned. Observed the ceiling grids in the infant room needed cleaned.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a detached/loose support screw on the wooden ladder climber. Observed a damaged support base for the wooden ladder climber. Observed an exposed screw head on the side platform of the wooden climber.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed disinfecting wipes accessible to children on a low counter in the older toddler eating room. Observed sunscreen and loctite glue accessible to children on top of the cubbies in the preschool 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: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed exposed bolts at the bottom of the caterpillar climber in the young toddler play area. Observed exposed bolts on the fence inside the young toddler play area. Observed exposed bolts on the separation fence in the preschool and school age play areas. Observed an exposed bolt on the back fence of the embedded climber play area. Observed rotten and detached mulch support wood by the entrance to the preschool play area.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: Observed a ladder blocking a marked exit in the storage area behind the older toddler room.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a shelf with a rough damaged plastic edge in the infant/toddler room. Observed a black metal cabinet in the preschool room which had a detached front panel on the bottom drawer creating a pinch point.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed objects with a diameter of less than 1 inch, accessible to older toddlers in the older toddler eating area on the low counter and in an unlocked drawer. Observed plastic bags accessible to older toddlers in an unlocked drawer in the older toddler eating 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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Observed in the infant/toddler room, cribs which did not have 2 feet of space on three sides while there were infants sleeping in them.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Observed child files #2, #3, and #4 contained updated child service reports which were dated more than 6 months after the previous completed child service report.

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(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Observed the emergency contact information for child file #5 contained the incomplete address for 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(f)/3270.181(c)

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

Noncompliance Area: Observed the child files #1, #2, #3, and #5 contained documentation of parental review of the emergency contact information and the financial agreement which was completed more than 6 months after the previous parental review.

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: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: Observed the updated health assessment for child file #1, a young toddler, was dated more than 12 months after the previous valid health assessment.

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(b)(2)

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

Noncompliance Area: Observed the updated health assessment for child files #2, #3, and #5, all preschool-age children, contained updated health assessments which were dated more than 14 months after the previous valid health assessment.

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: 3270.151(a)

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

Noncompliance Area: Observed staff file #1 contained an updated health assessment which was dated more than 24 months after the previous valid 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.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed an electrical outlet in the preschool room, on the decorative lights by the door and by the Christmas tree, which did not have protective receptacle covers.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed diaper cream, labeled "keep out of the reach of children", accessible to children in a low bin in the older toddler bathroom. Observed disinfecting wipes and germ wipes accessible to in a low drawer in the older toddler eating area.

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 the required emergency numbers were not posted by the telephone in the preschool room and in the young toddler 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: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed a fluorescent light bulb accessible to children on a bench in the entrance way to the older toddler area. Observed loose cords to a swing, radio speaker, and a swing, accessible to crawling children in the infant/toddler room, creating a visible hazard to the children.

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 a few spots of damaged paint above the low refrigerator in the older toddler eating area.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: Observed an emergency exit hallway which was partially blocked by a ladder and rubber mats.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of the inspection, observed rest equipment labeled for child #3 and child #5 torn at the corners.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: At the time of the inspection, observed in the preschool room foam letters with teeth marks and plastic bags stored in the second and third drawers of cabinet left of the stove, accessible to children due to the fact the gate was opened.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file of child #3 lacked an emergency contact form with the full 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 the inspection, there was no emergency contact information for child #6 in the preschool room where the child was receiving care.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The files of children #1, #2, #3, and #4 lacked documentation of the emergency contact forms and financial agreements reviewed every 6 months due to the fact the documentation showed parents' signatures November 2022 and November 2023. Therefore, they were reviewed annually rather than every 6 months.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file of staff #1 had documentation of completing the 1-hour Health and Safety Training update late due to the fact it was dated 11-27-23. The file of staff #2 lacked documentation of completing the 1-hour Health and Safety Training update.

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 person #2 will have until 1-6-24 to complete the required training. Until Such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by a GS or AGS who has completed the required training related to this citation. If there are no staff available to supervise staff #2, staff #2 may not work in a child care position at the facility.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Observed an Avent brand bottle not labeled with the child's name.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: There was no documentation of testing the smoke detection system every 30 days, nor was there documentation of proof of purchase for the smoke detectors.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed in the preschool room a blue, triangular shapes broken Magnatile with a sharp corner.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 12:45, cert rep observed 6 older toddlers sleeping in the toddler room while staff #4 was in the adjoining dining room.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files of children #1, #2, #3, #4, #5, and #6 lacked child service reports.

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: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The file of child #7 lacked an agreement with the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files of children #4, #5, and #6 lacked emergency contact forms with the parents full work addresses.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file of child #1 lacked information about health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The files of children #2 and #4 lacked emergency contact forms with the full addresses of the individuals designated by the parents to whom the children may be released. The file of child #3 lacked an emergency contact form with the address and telephone number 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(f)/3270.181(c)

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

Noncompliance Area: The file of children #1, #2, #3, #4, #5, and #6 lacked documentation of parents reviewing the emergency contact form and financial agreement at least once in a 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: 3270.131(d)(5)/3270.131(e)(2)(i)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The files of children #1, #2, #4, and #7 lacked documentation of receiving the flu vaccine or an exemption letter.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: The facility lacked a policy for Shaken Baby, Abusive Head Trauma, and Child Maltreatment.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The emergency plan lacked accommodations for children with disabilities.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: At the time of reviewing the files, the file of staff #2 lacked documentation of reviewing the emergency plan annually. The last date documented was 11-2021.

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(d)

Description: Plan posted

Noncompliance Area: The emergency plan was not posted in the facility at a conspicuous location.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: There was not documentation the emergency plan was sent to the local municipality and to the county emergency management agency.

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: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file of staff #3 lacked documentation of completing 12 clock hours of childcare training. There were 11 hours documented in the file.

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

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The file of staff #1 had late mandated reporter training due to the fact the documents on file were dated 2-13-16 and 1-26-22 The file of staff #2 had late mandated reporter training due to the fact the documents on file were dated 3-16-16 and 1-27-22. The file of staff #4 had late mandated reporter training due to the fact it was dated 3-6-19 (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

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

Description: HS/GED + 2 yrs/Exp, educ., training at facility

Noncompliance Area: The files of staff #3 and #5, assistant group supervisors, lacked documentation to support their positions due to the fact there was no experience in their files.

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 verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed an open door to the restroom adjacent to the preschool childcare space. The restroom had a cabinet with a child proof lock not secure. The cabinet had the following: 5 Fabulous brand cleaning bottles, all purpose peroxide cleaner, floor cleaner, mold and mildew cleaner, 3 aerosol cans of hairspray, 1 aerosol can of air freshener, and 1 aerosol can of stainless steel cleaner. All products were labeled "keep out of the 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: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the preschool room lacked tweezers. The first aid kit in the back toddler room lacked sterile gauze pads.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: There was no documentation the smoke detection system was tested every 30 days.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Infant Room there was a jumper that was not in good repair as it had a ripped seat cushion.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In Toddler Room 1 were plastic bags in an unlocked drawer that were accessible to children still placing objects in their mouths.

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: In Toddler Room 1 there was a adult desk chair that was broken.

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

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The health reports for the following children lacked verification of ongoing vaccines in accordance with the schedule recommended by the ACIP. The reports for Child #1, #2, and #3 lacked an influenza vaccination.

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: 3270.151(a)

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

Noncompliance Area: The files for Staff #1 and #3 lacked 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.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The files for Staff #2 and #3 lacked a tuberculosis screening by the Mantoux method.

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. 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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: A bottle which was not labeled with the infant child's name was observed in the refrigerator in the infant room.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff #2 contained one 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: 3270.21

Description: General Health and Safety

Noncompliance Area: In a unlocked desk drawer in the Infant Room there was a pair of scissors that were accessible to the children in care. In the Infant Room there was a mouse trap that was engaged and accessible to the children in care.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not provide the parents of each child enrolled with information on how to electronically access the regulations.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: The facilities emergency plan did not provide for accommodations during an emergency lockdown.

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(a)(5)

Description: Emergency plan

Noncompliance Area: The facilities emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The files for Staff #2 and #3 lacked completion of Health and Safety Basics training within 90 days of hire.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: (1) Prevention and control of infectious diseases (including immunization); (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices; (3) Administration of medication, consistent with standards for parental consent; (4) Prevention of and response to emergencies due to food and allergic reactions; (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (6) Prevention of shaken baby syndrome and abusive head trauma; (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility); (8) Handling and storage of hazardous materials and appropriate disposal of bio contaminants; (9) Precautions when transporting children.

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

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

Noncompliance Area: It was determined that the First Aid/CPR training present in the file for Staff #3 was not approved training.

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

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The files for Staff #1 lacked mandated reporter training that was not completed within 60 months of the previous training. Training in the file was dated 3/16/16.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #1 contained a State Police clearance that was not obtained within 60 months of the previous clearance (2/9/15 and 2/10/20). The file for Staff #1 contained a FBI clearance that was not obtained within 60 months of the previous clearance (2/10/15 and 2/11/20).

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.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff #2 did not contain any staff evaluations.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the Infant Room there were two electrical outlets on a surge protector that lacked protective receptacle covers. In Toddler Room 2 there was a outlet on the wall next to the restroom that lacked a protective receptacle cover. In the Preschool Room there was an extension cord that lacked two protective receptacle covers. All the outlets were accessible to children 5 years of age and younger.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In Toddler Room 1 there were two Mr. Clean Magic Erasers in a unlocked drawer that were accessible to the 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: 3270.66(b)

Description: Original container

Noncompliance Area: In the Infant Room there was a cleaning material that was not in a container that specified the content. Staff stated that is was bleach water.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A Fire Detection Letter was submitted attesting to the operability of the Fire Detection system at the facility. The qualifications of the individual attesting to the system was not able to be verified as a fire safety professional.

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.