Crafton Childrens Corner

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Based on discussion with staff and video evidence, Staff #1 was observed to aggressively pick up a child, who was standing while holding onto a shelf, under their arms and place the child roughly in a sitting position on the floor. Staff #1 then picked the child up again, cradled them in their arms and proceeded to rock the child up and down using rapid, aggressive motions.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed dirt and debris under the mat of the diaper changing table in the Infant Room.

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: 3270.107

Description: Refrigerator

Noncompliance Area: Observed food residue and dried juice on the floor of the refrigerator in the Young Toddler Room.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The daily activity schedule was not posted in the Infant Room.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact Form in the file for Child #2 did not include the address of the release persons.

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: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The most recent updated health reports in the file for Child #3, a preschool child, exceeded 12 months between reports.

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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The most recent health assessments in the file for Staff Person #3 exceeded 24 months between assessments.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: The bottles for Child #1, an Infant, were not labeled.

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

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: The Emergency Contact Form in the file for Child #1 did not contain signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid procedures by facility staff. The parent had only initialed the consent.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The current Pediatric First Aid/CPR Certificate in the file for Staff Person #3 was acquired after the previous certificate had expired.

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(f)

Description: Health and Safety Training

Noncompliance Area: The Pediatric First Aid/CPR Certificate in the file for Staff Person #4 was acquired more than 90 days after the staff person's date of hire (See LIS Code Sheet). Staff person #7 has not completed the following required pre- service training within 90 days of their date of hire: Pediatric First Aid/CPR in an approved curriculum from a licensed PQAS instructor (See LIS Code Sheet).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #7 must be supervised, when interacting with children at a minimum by an AGS or higher 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)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The most recent Child Abuse Clearances in the file for Staff Person #1 and the most recent NSOR certificates in the file for Staff Person #2 exceeded 60 months between clearances. The disclosure statements in the files for Staff Person #5, 6, 7 and 8 are on outdated forms and not valid.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: The rubber baseboard was peeling away from the wall near the diaper changing area of the Infant Room.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log documents one time when fire drills exceeded 60 days between drills: 10/10/25-12/10/25.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days.

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The fee agreement on file for child #1 was missing the date of admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for child #1 and child #2 were missing release persons address.

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 emergency contact form and financial agreement form on file for child #2 were no updated within the required 6 months (9/6/24-3/12/25).

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: 3270.133(3)

Description: Name on bottle

Noncompliance Area: In the infant room there was a bottle of children's Tylenol that was not labeled with a child's name.

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

Regulation: 3270.133(7)(ii)

Description: Name of child receiving medication

Noncompliance Area: There was no medication log to go along with the children's gas drops that were labeled for a child that was no longer in that room.

Correction Required: A medication log shall include the name of the child receiving the medication.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The health and safety training on file for staff person #1 was completed after their 90 days of hire on 1/20/25 (SEE LIS CODE SHEET) Staff person #4 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer's name is not on the certificate therefore it cannot be assessed for whether or not they are PQAS-certified in that training topic.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The mandated reporter training on file for staff person #2 was completed after their 90 days of hire on 3/12/25 (SEE LIS CODE SHEET). The mandated reporter training on file for staff person #3 was completed on 7/14/19 and 2/2/25, more than the required 60 months apart. The state police clearance on file for staff person #5 is missing the dissemination date.

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

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

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

Noncompliance Area: The file for staff person #1was missing proof of 2 years of experience to qualify them as an assistant group supervisor.

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 prior to service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A door located by the restrooms was unlocked and inside there were two large gallons of Fabuloso cleaning solution that was accessible to children. The door to the kitchen was unlocked and inside there was a floor level cleaning cabinet that was unlocked and contained bleach that was accessible to 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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The restroom by the pre-k classroom had a small toilet that did not have a hand washing sign located above or near it.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill 60-day test log includes test dates 6/21/24-8/21/24 (61) and 8/21/24-11/8/24 (79), which are more than 60 days apart.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: There were more than 12 months between the last fire detection report on 1/18/24 and the most recent which had not yet been completed . Per Chapter 3270 Act 62 regulation updates on May 24, 2021, the fire detection device or system must be tested annually by 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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the 2 y/o room there were foam blocks with teeth marks and missing pieces that were not in good repair as well as toy beans that were cracked and were a pinch point that could cause injury. In the 2-year-old/toddler room, there was a cracked bin with pinch points and sharp edges, that could cause injury.

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: The rest mats in the 2 y/o room were seen to have exposed foam sticking out of three of the rest mats causing a potential choking hazard.

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(a)

Description: Clean, age appropriate

Noncompliance Area: In the 2 y/o room, the rest equipment was not labeled for use by a specific child.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At naptime ratio check, Staff #2 and Staff #3 were only able to name 1 preschool aged child each in the group of 12 children they were supervising during nap in the preschool room. Staff #2 and #3 each stated that they only had one tag each and that the other tags were with another teacher who had stepped into another classroom to help out, but the tags were later found in the room.

Correction Required: 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. the staff at Greentree have been quizzed daily on ratio/supervision from center coordinator since the date of inspection, 4/15/2024. Staff #2 and Staff #3 were instructed to complete a training on supervision/training by Better Kid Care due by 6/15/2024.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #1 does not include the name, address, and telephone number for the child's pediatrician or source of medical care. The emergency contact form on file for Child #2 does not include the address, and telephone number for the child's pediatrician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: While observing diapering, staff person #3 was observed to finish diapering without washing the child's hands.

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: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: While in the Infant room, diapering was observed by staff person #3 who was observed to finish diapering without cleaning or wiping the diapering area.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.152

Description: Adult Hygiene

Noncompliance Area: While observing diapering, staff person #3 was observed wearing gloves while changing the diaper but did not wash or wipe hands after finishing.

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

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: A child's lunchbox was observed in the Pre-k classroom unrefrigerated, and a yogurt was observed inside of the lunchbox.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: The bottles in the infant room were observed to be in the refrigerator and in a labeled basket for each child, but the bottles themselves were not labeled for each individual child.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 included an NSOR certificate dated more than 45 days after hire required for provisional hiring under the CPSL.Staff person #1 had a request date of 6/14/23 for their NSOR and the completed was not in the file until 10/3/2023 which was past the 45 days.

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: 3270.66(b)

Description: Original container

Noncompliance Area: In the PK room, a bottle of lotion labeled "cranky cream" was observed on a desk. The lotion did not contain original label and could be toxic to children. In the infant room glass cleaner was observed to be on top of the fridge, which could cause contamination of the food below if leaking occurred.

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: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: In the restroom labeled "Mens" there were two toilets, both of which had large bolts sticking out of the bottom of the toilets which could cause a danger to a child.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill 60-day test log includes test dates 10/23-3/24, which are more than 60 days apart.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: There were more than 12 months between the last fire detection report on 10/4/2023 and the most recent report on 5/2022. Per Chapter 3270 Act 62 regulations updated on May 24, 2021, the fire detection device or system must be tested annually by 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)).

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 10:10 am, facility persons #1 and #2 were in the outdoor play space with their classrooms. Upon entering the play space, facility persons #1 and #2 were going through the cards of the 16 children in the play space stating an assistant teacher in one of the classrooms was off unexpectantly and the rooms were combined. When asked, facility person #1 identified 10 children and facility person #2 identified 5 children, leaving 1 child unaccounted for. When asked again, facility person #2 identified a total of 8 children and facility person #1 identified 9 children. Of the children identified, 2 of the children were identified by each facility person and 1 was not identified at all. Facility person #3 then pulled the children together and facility persons #1 and #2 identified their respective supervisory groups.

Correction Required: 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.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility had documentation of an annual inspection of the fire detection system by a fire safety professional dated 5/31/2022, but did not have documentation of a current inspection completed in the past 12 months.

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 wooden play refrigerator, in the PS room, was a canvas container with two (2) metal prongs poking through the fabric, which created a scraping/cutting hazard for children in care.

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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact form, in the file for Child #1, did not contain the address or telephone number of the physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The Immunization Record, in the file for Child #1, did not contain documentation of the influenza vaccination in 2022.

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). Child #1 must be dismissed from care by close of business on 5.30.23, 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)/3270.192(3)

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

Noncompliance Area: The file for Staff #6 (see IS Code Sheet), contained documentation of a Health Assessment and Mantoux test, completed after initial service at the facility. The two most recent Health Assessments, in the file for Staff #10, exceeded the 24-month renewal requirement.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff #6 (see IS Code Sheet) did not contain documentation of any Emergency Plan training.

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

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

Description: Age and Training

Noncompliance Area: The file for Staff #4, contained documentation of Pediatric First-Aid/CPR on 11.29.18 and 8.4.21, which exceeded the expiration date of the previous training. The files for Staff #8 and Staff #9, contained documentation of Pediatric First-Aid/CPR on 3.7.20 and 3.15.22, which exceeded the expiration date of the previous training.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #2 contained documentation of Mandated Reporter training on 3.30.23 (see IS Code Sheet), which exceeded the 90-day requirement.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #1 contained a "Volunteer" Child Abuse Clearance, dated 12.16.21. The file for Staff #3, contained an NSOR Application dated 10.1.22 (see IS Code Sheet), which was not at initial hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #1 may not work at the child care 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. Staff #1 may not work at the child care facility

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff #4 contained evaluations dated 8.11.21 and 3.24.23, which exceeded the 12-month requirement.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: Nonporous gloves were not located in the first-aid kit in the 2 year-old room.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The two (2) most recent fire drills were conducted on 12.12.22 and 3.7.23, which exceeded the 60-day requirement.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the larger outdoor space, a Wesco sliding/walking, plastic structure was cracked on the blue section in multiple locations, creating a pinching/scraping hazard for children in care.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: In the 5s room, a wooden table for children, was cracked approximately 12 inches on the top surface, and created a pinching/scraping hazard for children in care.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact forms, for the 4 children who transferred from the Thornburg location, were not present in the child care space for children receiving care in the PS/SA room.

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: 3270.131(e)(1)/3270.182(1)

Description: Exemption documentation from parent/guardian/Initial and subsequent health reports

Noncompliance Area: The Immunization Record in the file for Child #1 did not contain documentation of the rotavirus or influenza vaccine, according to the ACIP recommendations.

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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for Staff #4 contained Health Assessments dated 12.2.18 and 2.12.21, which exceeded the 24-month renewal requirement. The file for Staff #5 (see IS code sheet) contained a Health Assessment dated 1.7.21, which is after providing direct services to children.

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)(4)(i)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: The files for Staff #1 and Staff #4 contained Pediatric First-Aid/CPR training on 2.18.19 and 8.4.21, which exceeded the 24-month renewal requirement.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The following staff files did not contain fire safety training within 12 months: The file for Staff #2 contained Fire Safety training on 10.4.20 and 2.21.22. The file for Staff #3 contained Fire Safety training on 7.30.20 and 2.21.22. The file for Staff #4 contained Fire Safety training on 8.20.20 and 2.21.22. The file for Staff #5 contained Fire Safety training on 8.10.20 and 2.21.22. The file for Staff #6 contained Fire Safety training on 8.2.20 and 2.21.22. The file for Staff #7 contained Fire Safety training on 7.30.20 and 2.21.22.

Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. 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(2)(iii)

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

Noncompliance Area: The file for Staff #1 contained Mandated Reporter training on 1.23.17 and 3.7.22, which exceeded the 60-month renewal requirement.

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 #4 (see IS code sheet) contained a Child Abuse Clearance dated 12.10.18, without a provisional hire application. The following clearances exceeded the 60-month renewal requirement: The file for Staff #1 contained Child Abuse Clearances dated 8.19.16 and 4.28.22, and FBI Clearances dated 8.19.16 and 4.30.22. The file for Staff #2 contained FBI Clearances dated 5.9.16 and 5.28.21. The file for Staff #3 contained Child Abuse Clearances dated 12.21.15 and 1.5.21. The file for Staff #7 contained State Polices Clearances dated 7.11.16 and 8.10.21, and Child Abuse Clearances dated 7.12.16 and 9.2.21.

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 #1 and Staff #4 contained Evaluations dated 5.20.19 and 5.24.21, which exceeded 12 months.

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: A protective outlet cover was missing from the bottom electrical outlet, on the back wall by the sink, in the Older Toddler room, and was accessible to children 5 years of age or younger. A protective outlet cover was missing from the top electrical outlet, on the green wall near the diaper changing table, and was accessible to children 5 years of age or 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 the unlocked, metal cupboard in the OT room, the following toxics were accessible to children in care: Bleach Spray and Air Wick Air Freshener, both of which are to be kept out of the reach of children, according to their labels.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling/chipped paint was present on the purple wall in the PS/SA room, and was accessible to children in care.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A proof of purchase was not produced 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.