Dream Garden Daycare And Learning Center Llc

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Facility staff # 1 has not had a staff evaluation completed by the facility director in over 12 months since 1/5/24.

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: 3270.181(e)

Description: Emergency master file updated

Noncompliance Area: Emergency contact form for child # 1 in the toddler classroom emergency bag has not been updated since 1/3/24.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Facility has not conducted an emergency drill in over 12 months since 1/4/24.

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

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Facility staff # 1 did not have fire safety training in over 12 months from 1/18/23 to 1/16/25.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Facility fire alarm was not tested in over 30 days from 12/14/24 to 1/14/25.

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: 3270.108(c)

Description: No styrofoam

Noncompliance Area: At the time of the inspection, styrofoam plates and bowls were observed in the classrooms of the facility.

Correction Required: Styrofoam cups and plates may not be used.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: At the time of the inspection, the emergency contact form for child #4 did not include the phone number of the child's physician 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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of the inspection, the enrolling parent's work address and phone number was not on the emergency contact form for child #3 and child #4.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of the inspection, the address of the individual designated by the parent to whom the child may be released was not on the emergency contact form for child #4.

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: At the time of the inspection, the parent of child #4 last signed the agreement and emergency contact form on 7/1/23 and not every 6 months as required.

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)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: At the time of the inspection, child #3 did not have Hep A #2 and is not in compliance with immunization schedule according to the ACIP.

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 #3 must be dismissed from care by close of business on 2/16/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of the inspection, the operator did not have continuity of operations in the emergency plan.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The emergency plan must contain continuity of operations.

Regulation: 3270.151(a)

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

Noncompliance Area: At the time of the inspection, staff person #3 did not obtain a health assessment until 11/13/23 and not at initial service in a childcare 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.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: At the time of the inspection, the health assessment for staff person #4 stated the person had communicable diseases but did not provide the results of the examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.171(b)/3270.171(c)

Description: Safe pick-up and drop-off in writing/Safe routes posted

Noncompliance Area: At the time of the inspection, the pick up and drop off procedures were not posted in the facility.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: At the time of the inspection, the emergency plan at the facility was not posted.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: At the time of the inspection, staff person #5 did not have any training hours during the 12/22-12/23 training period. Staff person #6 only had 8 clock hours of child care training during the 12/22-12/23 training period.

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 the inspection, staff person #1, staff person #4, staff person #5 and staff person #6 took fire safety training on 12/2023, 1/22/24, 1/24/24 and 10/14/23 respectively. The previous training date was 10/3/22, 2/17/22. 12/28/22 and 1/26/22, respectively. These timeframes reflects longer than the annual requirement for taking 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)

Description: Health and Safety Training

Noncompliance Area: At the time of the inspection, staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training requirements.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -9), within 90 days of hire. Staff person #3 will have until 3/2/24 to complete the required training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, staff person #3 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: At the time of the inspection, staff person #3 did not obtain the NSOR certificate until 1/31/24, which was past the 45 day provisional hiring timeframe for obtaining clearances. Staff person #3 also did not sign the disclosure statement until 1/5/24 and not at initial employment as required. The Child Abuse clearance that was provided at initial employment was dated 9/15/23 and was of volunteer status and not employment. The clearance was not re-obtained under employment purposes until 1/26/24. (See LIS code sheet for date of hire). Staff person #6 had a previous child abuse clearance on file dated 6/24/18. She did not obtain an updated child abuse clearance until 8/8/23. The previous mandated reporter training was dated 6/18/18 and was not updated until 8/4/23. These timeframes reflect more than the 60 month requirement for updating clearances and mandated reporter training.

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. The CPSL was amended to provide a 45 day provisional hiring basis to obtain the NSOR certificate. The Child Abuse clearance is required prior to employment. The CPSL was revised to include that clearances and mandated reporter training must be updated within 60 months.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: At the time of the inspection, the last evaluation for staff #6 was completed on 1/2023 and not annually as required.

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

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

Noncompliance Area: At the time of the inspection, staff person #4 did not have 2,500 hours on file to accompany the high school diploma on file and therefore can not be qualified 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: 3270.71

Description: Heat Source

Noncompliance Area: At the time of the inspection, the heat vent in the infant room exceeded 110° F degrees and was accessible to children.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.75(c)/3270.178

Description: Has all items/Transportation First Aid Kit

Noncompliance Area: At the time of the inspection, the first aid kit in the Honda Odyssey did not include gloves, scissors or tweezer.

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. A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of the inspection, the ceiling tiles throughout the facility had extensive water damage. The operator had admitted that the ceiling is actively leaking. The local health bureau visited the facility and found the roof was leaking and there was open and spliced electrical wiring above the ceiling.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: At the time of the inspection, the manual monthly monitoring of the fire detection system was last conducted on 1/2/24 and not every 30 days as required.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection, there was no child service report providing information to the family about the child's growth and development on file for child #1.

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)(5)

Description: Designated release persons

Noncompliance Area: During the renewal inspection, there was nothing on the agreement for child #1 specifying the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the renewal inspection, on the emergency contact form, there was no address or telephone number of the child's physician on the emergency contact form for child #1.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection, there was no health insurance coverage/policy number on the emergency contact form for child #2.

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: During the renewal inspection, the address of the individual designated by the parent to whom the child may be released was missing from the emergency contact form for child #3.

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)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: During the renewal inspection, child #2 had a health assessment on file dated 5/3/22. There should have been another health assessment 6 months later. Child #3 had a health assessment on file dated 6/6/22. There should have been another health assessment 6 months later.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: During the renewal inspection, child #2 was missing DTAP#3, Pnuemococcal#3 child #5 did not have verification of an influenza vaccination on file or a letter of exemption for the influenza vaccine.

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# 5_ must be dismissed from care by close of business on 1/23/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection, the operator did not update the sections of the emergency plan to include volunteer emergency preparedness training, practice drills, and continuity of operations.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall update the sections of their emergency plans that must address volunteer emergency preparedness training, practice drills, and continuity of operations.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During the renewal inspection, the operator did not have annual documentation of notification to the local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.171(b)/3270.171(c)

Description: Safe pick-up and drop-off in writing/Safe routes posted

Noncompliance Area: During the renewal inspection, the pickup and drop off procedures were not posted in the facility.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection, staff #2 did not have verification of emergency plan training completed within the past 12 months.

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(f)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, the operator did not have verification that the emergency plan was sent to the local and county emergency management agencies for review.

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: During the renewal inspection, staff #2 did not have verification of completing 12 clock hours of child care training during the previous training year.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the renewal inspection, staff person #4 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. Staff person #5 did not complete the required one-hour 2022 update to the health and safety training until 1/3/23. This was required to be completed by 12/30/2022.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #4 shall complete the required one-hour 2022 update to the health and safety training by 2/9/22.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During, the renewal inspection, staff #5 completed the health and safety training, "Health & Safety Basics: Requirements for Certification," on 2/11/22, but this training was no longer acceptable after 6/30/2018.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -9), within 90 days of hire. Staff person #5 will have until 2/9/23 to complete the required training. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #5, staff person #5 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: During the renewal inspection, staff #2 did not have a current PA State Police clearance, FBI clearance or Child Abuse clearance on file. All three of these clearances were dated during August 2017 and therefore expired in August 2022. Staff #2 did not have an NSOR certificate on file. Staff #2 was observed working alone. (See LIS sheet for date of hire). Staff #3 had a State Police clearance dated 12/30/22 with the previous one dated 9/11/17. A Child Abuse Clearance was dated 1/4/23 with the previous one dated 9/10/17. A FBI clearance dated 1/3/23 with the previous one dated 10/19/17. All of the current clearance dates show a timeframe of when the clearances were not current from the previous clearances obtained for staff #3.

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 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During the renewal inspection, staff #2 did not have a written evaluation dated within the past 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: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: During the renewal inspection, staff #5, an aide, was observed working alone in the preschool room.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection, throughout the facility, there were water damaged ceiling tiles.

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: 3270.131(b)(2)/3270.131(d)(7)

Description: Toddler/preschool: updated health report every 12 months/Free from contagious/communicable disease

Noncompliance Area: A renewal inspection occurred on 1-19-22 and during that time the last health report on file for child #2 was dated 1-13-21 and needs to be updated. Also on this health report, the statement that the child is able to be in care and free of communicable diseases was missing. A plan of correction was obtained stating all corrections would be completed by 3-4-22. During an unannounced visit on 3-7-22, the certification representative could not verify that child #2 has obtained a health assessment that the child is able to be in care and free of communicable diseases was missing.

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 health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.171(b)/3270.171(c)

Description: Safe pick-up and drop-off in writing/Safe routes posted

Noncompliance Area: A renewal inspection occurred on 1-19-22 and during that time there was no verification of pick up and drop off points and safe routes posted in the facility. A plan of correction was obtained stating all corrections would be completed by 3-4-22. During an unannounced visit on 3-7-22, the certification representative could not verify verification of pick up and drop off points and safe routes posted in the facility.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of the inspection, staff #8 who was a new staff person since the renewal inspection that was conducted on 1/19/22 did not have 2 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: A renewal inspection occurred on 1-19-22 and during that time there was no verification that the operator provides 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. A plan of correction was obtained stating all corrections would be completed by 3-4-22. During an unannounced visit on 3-7-22, the certification representative could not verify that the operator provides 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.

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)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: A renewal inspection occurred on 1-19-22 and during that time, in the emergency plan, there was no method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and no 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. A plan of correction was obtained stating all corrections would be completed by 3-4-22. During an unannounced visit on 3-7-22, the certification representative could not verify a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and no method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

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

Regulation: 3270.27(a)(5)/3270.27(b)

Description: Emergency plan/Plan reviewed/updated annually

Noncompliance Area: A renewal inspection occurred on 1-19-22 and during that time in the emergency plan, there was no accommodations for infants or toddlers identified. Also, in the emergency plan, it named staff members who were no longer employed; therefore, there was no verification that this plan is reviewed annually and/or updated when changes occur. A plan of correction was obtained stating all corrections would be completed by 3-4-22. During an unannounced visit on 3-7-22, the certification representative could not verify accommodations for infants or toddlers identified or that the emergency plan has been updated annually.

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.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(a)(6)

Description: Emergency plan

Noncompliance Area: A renewal inspection occurred on 1-19-22 and during that time there was no verification that the provider is conducting emergency drills annually. A plan of correction was obtained stating all corrections would be completed by 3-4-22. During an unannounced visit on 3-7-22, the certification representative could not verify that the provider is conducting emergency drills annually.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: A renewal inspection occurred on 1-19-22 and during that time staff #7 did not have verification of being trained in the emergency plan at the time of initial employment. A plan of correction was obtained stating all corrections would be completed by 3-4-22. During an unannounced visit on 3-7-22, the certification representative could not verify that staff #7 was trained in the emergency plan. Staff #8 was not trained in the emergency plan and was not employed at the time of the renewal inspection that was conducted on 1-19-22.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection occurred on 1-19-22 and during that time the operator was unable to provide documentation of installation of the fire detection system. The provider was also unable to provide documentation that manual monthly monitoring of the fire detection system is conducted every 30 days; therefore, the provider is not in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). A plan of correction was obtained stating all corrections would be completed by 3-4-22. During an unannounced visit on 3-7-22, the certification representative could not verify installation documentation of fire detection system.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: At the time of the inspection, there was no fee amount on the agreement for child #5.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: At the time of the inspection, the emergency contact form on file for child # 2 did not contain the address of the child's 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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of the inspection, the home address of the enrolling parent was not listed on the emergency contact form for child #1-5.

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: At the time of the inspection, there was no health insurance policy number or coverage listed on the emergency contact forms for child #2 and 5.

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: At the time of the inspection, there was no address of the individual designated by the parent to whom the child may be released on the emergency contact form for child #4.

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)/3270.131(d)(7)

Description: Toddler/preschool: updated health report every 12 months/Free from contagious/communicable disease

Noncompliance Area: At the time of the inspection, the last health report on file for child #2 was dated 1-13-21 and needs to be updated. Also on this health report, the statement that the child is able to be in care and free of communicable diseases was missing.

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 health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: At the time of the inspection, there was nothing on the health report for child #3, 4 and 5 stating that the child has received the influenza vaccine within the past 12 months. There was no exemption from this vaccine for these children on file.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: At the time of the inspection, there was no verification that the provider is notifying the local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.171(b)/3270.171(c)

Description: Safe pick-up and drop-off in writing/Safe routes posted

Noncompliance Area: At the time of the inspection, there was no verification of pick up and drop off points and safe routes posted in the facility.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: At the time of the inspection, there was no previous child care experience on file for staff # 5 or 7.

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(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: At the time of the inspection, there was no verification of education on file for staff #7.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of the inspection, there was no verification of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file for staff #7.

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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: At the time of the inspection, there was no verification that the operator provides 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.

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)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: At the time of the inspection, in the emergency plan, there was no method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and no method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

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

Regulation: 3270.27(a)(5)/3270.27(b)

Description: Emergency plan/Plan reviewed/updated annually

Noncompliance Area: At the time of the inspection, in the emergency plan, there was no accommodations for infants or toddlers identified. Also, in the emergency plan, it named staff members who were no longer employed; therefore, there was no verification that this plan is reviewed annually and/or updated when changes occur.

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 .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. The emergency plan will be sent to the local and county emergency management agencies for review.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, there was no verification that the provider is conducting emergency drills annually.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: At the time of the inspection, staff #7 did not have verification of being trained in 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 the inspection, staff #5 only had 11 hours of child care training on file.

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 the inspection, the last fire safety training on file for staff #5 was dated 9-18-19 and was not conducted annually.

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(h)

Description: Health and Safety Training/Health and Safety Training

Noncompliance Area: At the time of the inspection, staff #7 did not have the required CCDBG Health and Safety training completed within 90 days of hire.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: 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: At the time of the inspection, facility person #2, who is listed as a volunteer did not have a completed FBI clearance on file. Facility person #6 who is also listed as a volunteer did not have a completed NSOR certificate on file. Staff person #7 did not have a completed Child Abuse clearance, completed NSOR certificate or Florida State required clearances. Staff #7 had a Florida ID in her file showing that she has resided in there within the past 5 years. She was also observed alone in a classroom with children.

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, 6, AND 7 MAY NOT WORK IN A CHILD CARE POSITION UNTIL ALL CLEARANCES ARE OBTAINED AND REVIEWED BY DHS.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: At the time of the inspection, staff #7 was alone with 4 children in the Preschool room. Staff #7 does not have the qualifications to be left alone with children. Staff # 5 was left alone with 2 Infants in the Infant room. Staff #5 does not have the qualifications to be left alone with children.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At the time of the inspection, the certification representative observed staff #5 in the kitchen cooking around 10:30am and then back in the infant room around 12:00pm. When the certification representative asked staff #5 who was watching the 4 children in the infant room while she was in the kitchen, she replied staff #1 who had 4 young toddlers in her classroom. Staff #1 would have had 8 children, under the age of 2, with 2 of those children being under the age of 1 while staff #5 was in the kitchen.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At the time of the inspection, the certification representative observed staff #5 in the kitchen cooking around 10:30am and then back in the infant room around 12:00pm. When the certification representative asked staff #5 who was watching the 4 children in the infant room while she was in the kitchen, she replied staff #1 who had 4 young toddlers in her classroom. Staff #1 would have had 8 children, under the age of 2, with 2 of those children being under the age of 1 while staff #5 was in the kitchen.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: At the time of the inspection, there was no verification of emergency phone numbers being posted in the preschool room by the operable phone.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: At the time of the inspection, the last recorded fire drill being conducted was done on 11-17-21 and not within 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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: At the time of the inspection, the operator was unable to provide documentation of installation of the fire detection system. The provider was also unable to provide documentation that manual monthly monitoring of the fire detection system is conducted every 30 days; therefore, the provider is not in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

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.

Noncompliance Area: Child 2 had an outdated child service report on file. The last child service report was completed on 6/11/2019.

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).

Noncompliance Area: Child 1 had an outdated immunization record on file. Child 1 needs an additional DTAP and Pneumococcal immunization or a letter on file stating why child 1 cannot receive them.

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.

Noncompliance Area: The emergency plan that was on file was last dated 8/16/2017.

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.

Noncompliance Area: Upon entering the preschool room from the main entrance, the wall to the left had multiple round holes about half way up the wall.

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.

Noncompliance Area: Child 3 was missing fee amount and the date to be paid on the fee agreement.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: The services provided section on the fee agreement was blank for children 2 and 3. Children1, 3 and 4 also had outdated child service reports. Child 1 last had his child service report updated on 7/2/2018. Child 3 last had his/her child service report last dated 6/28/2018 and child 4 last had his child service report last updated 6/2018.

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).

Noncompliance Area: Children 1, 3 and 4 had out dated emergency forms and fee agreements. Their emergency forms and fee agreements were last updated July 1st, 2018 making them past the 6 month time frame.

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 informationA 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.

Noncompliance Area: The emergency plan was last reviewed on 6/20/2017. The date of the annual inspection was 1/3/2019. Staff 1-5 also had outdated emergency plan training. The training for staff 1-5 was last taken in August of 2017.

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.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.

Noncompliance Area: Staff 4 and 5 did not have 6 hours of annual training on file.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: One of the first aid kits utilized for transportation was missing 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.

Noncompliance Area: Child 1's fee agreement and emergency forms were past the 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 informationA 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.

Noncompliance Area: Child 1 had a health assessment last dated for 1/12/2017 during the inspection on 1/24/2018. As a result, the health assessment was over one year old.

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.

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

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

Noncompliance Area: Staff 1 did not have 6 hours of annual training on file.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: Child 2's fee agreement does not specify the amount of the fee to be charged per day or per week and does not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: Children 2-5 do not have child service reports on file and have been enrolled for more than 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).

Noncompliance Area: Children 2-4 is missing a release persons address on the emergency contact form. Child 5 is missing release persons on the fee agreement.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. 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.

Noncompliance Area: Child 4 - DOB - 4/12/16 - does not have a 6 month updated health assessment on file. Child 4 has a health assessment on file dated 9/7/16.

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

Noncompliance Area: Staff 1 - DOH - 1/23/17 - does not have a health assessment or tb screening on file. Staff 2 - DOH - 3/1/17 - does not have a tb screening on file. Staff 3 - DOH - 10-17-16 - did not have health assessment and tb screening on file at initial hire. Staff 3 has a health assessment on file dated 10/26/16 and a tb screening on file dated 10/28/16.

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.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.