Concordia Child Care Center

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for child #1 who is a preschool child lacked a child health report that was completed 12 months from the previous child health report. The child health reports in the file are dated 5/20/25 and 6/5/26.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 who was hired as an assistant group supervisor on (See LIS Code Sheet) lacked a child abuse clearance that was completed prior to the staff person working with the children. The child abuse clearance in the file is dated 1/16/26.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for staff persons #1 - #6 lacked NSOR verification certificates that were completed 60 months from the previous NSOR verification certificates. The NSOR verification certificates in the files were dated 11/6/19 and 11/8/24.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The file for child #1 lacked emergency contact information that included information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.151(a)

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

Noncompliance Area: The file for staff person #1 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file are dated 12/17/21 and 2/5/24.

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: 3270.133(6)

Description: Written consent

Noncompliance Area: The medication for Child #1 lacked written parental consent.

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

Regulation: 3270.166(6)

Description: Infant/toddler - no bottle in mouth to sleep

Noncompliance Area: Observed an Infant, in the Infant Room sleeping with a bottle in his mouth.

Correction Required: Neither an infant nor a toddler is permitted to sleep with a bottle in his mouth.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: Based on conversations with staff, the facility did not send a copy of the emergency plan to the local and county municipalities.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #1 contained a volunteer disclosure statement. It was observed during the renewal inspection that the file for Staff #1, who has lived out of state in the previous five years, lacked out of state clearances or requests of out of state clearances.

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 #1 may not work at the facility.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: There was more than 24 months between the previous and most current and updated health assessments on file for staff #2.

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: 3270.31(e)

Description: Age and Training

Noncompliance Area: The files for staff #1 and 5 contained 4 of the required 12 hours of child care training from 12/19/20 thru 12/19/21.

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

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

Description: Age and Training

Noncompliance Area: The files for staff #2, 3 and 4 lacked verification that the staff renewed their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. Dates are as follows: Staff #2 - expiration date of January 2021 and then renewed 6/24/21 Staff #3 and 4- expiration date of June 2021 and then renewed 7/20/21.

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

Regulation: 3270.31(h)

Description: Health and Safety Training

Noncompliance Area: Staff were required to have training in CPR/FA by 6-17-21 due to the regulation change that took effect on 12-19-20. Staff #1 did not obtain the training until 6/24/21.

Correction Required: All staff persons shall complete the professional development under subsection (f).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: There was more than 60 months between the Child Abuse and FBI clearances on file for staff #2. Dates are as follows: Child Abuse - 8/9/16 and 8/24/21 and FBI - 7/25/16 and 8/6/21. There was more than 24 months between the Child Abuse and FBI clearances on file for staff #5. Dates are as follows: Child Abuse - 11/15/16 and 11/22/21 and FBI - 12/6/16 and 2/12/22.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility file lacked proof of purchase of 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. Proof of purchase of interconnected fire detections system/devices shall be on file at the facility.