Faithful Hands Academy

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 4/16/26, a staff person was unable to assess and direct the activity of a group of children when she was inattentive and failed to maintain active supervision.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times by 4/23/26. The legal entity must ensure that staff persons are able to properly supervise children by being physically present and be able to see, hear and assess and direct the activity of the children by 5/23/26. Develop and submit written verification of a supervision plan to ensure compliance.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Several children's records did not contain a child service report that had been completed within the past 6 months. (#1, #3, #4 and #5)

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). Complete and submit a current up-to-date child service report for the indicated child. Ensure that child service reports are completed for all children as specified in this regulation.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Emergency contact and financial agreement information in four children's records were not being updated every 6 months. The last updates were being done (#1, #2, #3 and #5)

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. Revise and submit written policies and procedures to ensure that children's emergency contact and financial agreement information is updated at least every 6 months or as soon as the information changes.

Regulation: 3270.131(a)(4)

Description: Initial health report for school age; accordance with school attendance

Noncompliance Area: The child's record did not contain the initial health report for a school-age child in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). (#2)

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

Regulation: 3270.131(b)(2)

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

Noncompliance Area: One child's record did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#1)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age.

Regulation: 3270.151(a)

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

Noncompliance Area: One staff person's records did not contain a health assessment completed within 12 months prior to the date of hire or within the past 24 months. (#2 and #3)

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. Obtain and submit a current up-to-date health assessment for the identified staff persons. Ensure that staff health assessments are completed within the required timeframes as specified in this regulation.

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: Two children's record did not contain the parent's signature indicating written consent for emergency medical care and for administration of minor first-aid procedures by facility staff. (#1 and #5-corrected) (#2-not corrected)

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. Obtain and submit written verification of signed parental consents that includes the parent's signatures. Ensure that all children's records contain the required parental consents prior to admission.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: One facility person's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#2)

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. Obtain and submit the required written references as specified for the identified staff person. Ensure that all facility staff records contain written references as specified.

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: There was no written documentation indicating that the emergency plan had been reviewed and updated within the past 12 months in accordance with 55 PA CODE 3270 regulations.

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. Submit a written copy of the updated emergency plan. Ensure that the plan is reviewed and documented in writing annually as specified.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: One staff person's record did not contain written verification of annual emergency plan training. (#4)

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. Provide and submit written verification of annual emergency plan training for the identified staff person. Ensure that all facility staff receive emergency plan training at the time of initial employment and annually.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: There was no documentation indicating that the operator sent a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. Send a copy of the emergency plan to the appropriate authorities as specified in this regulation. Submit written documentation of delivery.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Two staff person's record did not contain the required CPSL hiring documents. (#1- NSOR more than 60 months old) (#2-hired 10/3/25 -NSOR not completed prior to working with children-none on file.)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 and #2 may not work in a child care position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required, completed CPSL clearance documents for the identified staff persons. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: One child's record contained a health report completed more than 60 days (7 months) following the first day of attendance at the facility. Child was enrolled on 3/25/24--health report completed 10/24/24. (#1)

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. Revise and submit written policies and procedures to ensure that children's initial health reports are completed and provided within the required timeframe as specified in this regulation to ensure ongoing compliance.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: Several children's records did not contain health reports completed every 12 months as required for children older toddler age to preschool age. (#2-not updated) (#3. #4 and #5- updated after 12 months)

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. Submit the current up to date health report for the identified child. Revise and submit written policies and procedures to ensure that health reports are obtained every 12 months for children older toddler to preschool age.

Regulation: 3270.27(f)/3270.181(c)

Description: Emergency plan/Emergency info/agreement updated 6 mos

Noncompliance Area: Emergency contact information in several children's record was not being updated every 6 months. (#2, #3 and #5)

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. 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. Revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes.

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: Several children's records did not contain the parent's signature indicating written consent for emergency medical care and for administration of minor first-aid procedures by facility staff.

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. Obtain and submit written verification of signed parental consents that includes the parent's signatures. Ensure that all children's records contain the required parental consents prior to admission.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Several staff person's record did not contain written verification of annual minimum 12 hours of child care training. (#1, #2, #3, #4)

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Obtain and submit written verification of annual minimum 12 hours of child care training for the identified staff person.

Noncompliance Area: During renewal inspection on 11/21/19, cert rep observed missing signed parental consent for emergency medical care in the file of Child 1.

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

Noncompliance Area: During renewal inspection on 11/21/19, cert rep observed a missing initial health assessment after the sixty day period in the file of Child 2.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: During renewal inspection on 11/21/19, cert rep observed out of date health assessment (9/17/18) in the file of Child 1.

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: During renewal inspection on 11/21/19, cert rep observed the local traffic authority was not annually notified in writing the program's use of pedestrian and vehicular routes around the day 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 day care facility.

Noncompliance Area: During renewal inspection on 11/21/19, cert rep observed the financial agreement in the file of Child 3 had not been updated within the six month period.

Correction Required: 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.

Noncompliance Area: During renewal inspection on 11/21/19, cert rep observed missing signed parental consent for minor first aid procedures in the file of Child 1.

Correction Required: 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.

Noncompliance Area: During renewal inspection on 11/21/19, cert rep observed facility had not conducted a fire drill since April of 2019.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/11/18, CERT REP OBSERVED REST EQUIPMENT AT THE FACILITY WAS NOT LABELED FOR THE USE OF 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.

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/11/18, CERT REP OBSERVED MISSING DATE OF BIRTH ON THE EMERGENCY CONTACT FORM OF CHILD 1.

Correction Required: Emergency contact information must include the name and birth date of the child.

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/11/18, CERT REP OBSERVED MISSING NAME, ADDRESS AND TELEPHONE NUMBER FOR THE SOURCE OF MEDICAL CARE FOR CHILD 2 AND CHILD 3.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/11/18, CERT REP OBSERVED MISSING HEALTH INSURANCE INFORMATION FROM THE EMERGENCY CONTACT INFORMATION OF CHILD 2 AND CHILD 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.

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/11/18, CERT REP OBSERVED MISSING WRITTEN PLAN DESCRIBING THE METHOD OF TRANSPORTING A CHILD TO EMERGENCY CARE.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/11/18, CERT REP OBSERVED OUTDATED SIGNATURE UPDATING THE EMERGENCY CONTACT INFORMATION FOR CHILD 1.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/11/18, CERT REP OBSERVED A CHILD DID NOT HAVE HIS HANDS WASHED AFTER DIAPERING IN THE INFANT ROOM. THE DIAPER CHANGING SURFACE WAS ALSO NOT CLEANED BETWEEN USES.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/11/18, CERT REP OBSERVED OUT OF DATE SIGNATURES ON THE AGREEMENTS OF CHILD 1 AND CHILD 2.

Correction Required: 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.

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/11/18, CERT REP OBSERVED MISSING PARENTAL CONSENT FOR EMERGENCY MEDICAL CARE FROM THE EMERGENCY CONTACT FORMS OF CHILD 3, CHILD 4, AND CHILD 5.

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.

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/11/18, CERT REP OBSERVED MISSING PARENTAL CONSENT FOR ADMINISTRATION OF MEDICATIONS OR DIEATARY NEEDS FROM THE EMERGENCY CONTACT FORMS OF CHILD 3 AND CHILD 4.

Correction Required: A child's record shall contain signed parental consent for administration of medications or special dietary needs.

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/11/18, CERT REP OBSERVED MISSING PARENTAL CONSENT FOR ADMINISTRATION OF FIRST AID FROM THE EMERGENCY CONTACT FORMS OF CHILD 3, CHILD 4 AND CHILD 5.

Correction Required: 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.

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/11/18, CERT REP OBSERVED MISSING PARENTAL CONSENT FOR WALKING, TRANSPORTAION, SWIMMING AND WADING FROM THE EMERGENCY CONTACT FORMS OF CHILD 3, CHILD 4 AND CHILD 5.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/11/18, CERT REP OBSERVED MISSING AGREEMENT FORM FROM THE FILE OF CHILD 4.

Correction Required: A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/11/18, CERT REP OBSERVED SEVEN CHILDREN WITH AGES RANGING FROM YOUNGER TO OLDER TODDLER YEARS WITH ONE STAFF MEMBER AT 09:40 IN THE FRONT FIRST FLOOR CLASSROOM. CERT REP OBSERVED TEN CHILDREN WITH AGES RANGING FROM OLDER TODDLER TO PRESCHOOL YEARS WITH ONE STAFF MEMBER AT 09:45 IN THE FRONT SECOND FLOOR CLASSROOM. AT 11:00, CERT REP OBSERVED STAFF MEMBER 1 TAKE ONE CHILD FROM THE FRONT SECOND FLOOR CLASSROOM INTO THE BATHROOM ON THE SECOND FLOOR TO WASH HANDS WITH THE DOOR CLOSED. THIS CREATED A SUPERVISION ISSUE CONCERNING THE OTHER NINE CHILDREN WITH JUST ONE STAFF MEMBER PRESENT IN THE FRONT SECOND FLOOR CLASSROOM.

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). IF USING TIERED LIS: The required staff:child ratios must be maintained at all times.The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/11/18, CERT REP OBSERVED A TOTAL OF EIGHT CHILDREN IN THE FRONT FIRST FLOOR CLASSROOM THAT HAS A CAPACITY OF 5 CHILDREN. CERT REP OBSERVED A TOTAL OF TEN CHILDREN IN THE REAR FIRST FLOOR CLASSROOM THAT HAS A CAPACITY OF 6.

Correction Required: The capacity established for an indoor space may not be exceeded.

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/11/18, CERT REP OBSERVED THE FIRST AID KIT IN THE FRONT FIRST FLOOR ROOM BEING STORED ON A SHELF AT A LEVEL THAT IS ACCESSIBLE TO CHILDREN.

Correction Required: A first-aid kit must be inaccessible to children.

Noncompliance Area: DURING RENEWAL INSPECTION ON 10/11/18, CERT REP OBSERVED FIRST AID KIT IN THE REAR FIRST FLOOR CLASSROOM MISSING SOAP, THE FIRST AID KIT IN THE FRONT SECOND FLOOR CLASSROOM MISSING TAPE, AND THE FIRST AID KIT ON THE BUS MISSING SOAP AND WATER.

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.

Noncompliance Area: On 12/8/17, at approximately 12:15pm, a mixed age group of 5 infants/ young toddlers were left alone and unattended in the baby room for a brief period of time. At approximately 12:20pm, 13 preschool age children were observed eating lunch alone and unattended in the upper level preschool classroom for a brief period of time with no staff supervision. In both occurrences, staff persons left the children to attend to other tasks.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

Noncompliance Area: Written parental information to be given to parents at the time of enrollment did not include the facility`s general daily schedule, hours for which care is provided, fees, responsibilities for meals, health policies, supervision policies, night care policies, dismissal policies and pick-up arrangements.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. Amend the parental information to include the specified written policies in accordance with 55 PA Code 3280/3290/3270 regulations. Submit a copy of the amended parent handbook/information for verification of compliance.

Noncompliance Area: One child's emergency contact information did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released. (#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. Obtain and submit a written copy of this missing information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

Noncompliance Area: Several staff person's records did not contain a health assessment completed within 12 months prior to the date of hire or within the past 24 months. (#4- contained no date) (#7-none)

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. Obtain and submit a current up-to-date health assessment for the identified staff persons. Ensure that health assessments are dated and completed within the required timeframes.

Noncompliance Area: One/several facility person's health assessment did not include written verification of tuberculosis screening by the Mantoux method at initial employment as the health assessment did not include the Mantoux test date. (#8)

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. Obtain and submit written documentation from the staff person's physician verifying negative Manotux TB testing within12 months prior to date of initial employment.

Noncompliance Area: Three children's records did not contain emergency contact and financial agreement information that had been updated within the past 6-months. (#1, #2 and #4)

Correction Required: 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. Obtain and submit a written copy of the current up-to date emergency contact and financial agreement information for the identified children. Ensure that this information is updated every 6 months for all enrolled children as specified.

Noncompliance Area: It could not be determined that one child's record contained signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff prior to admission as the emergency contact form was not dated. (#4)

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. Revise and submit written policies and procedures to ensure that all children's records contain written verification of parental consents prior to admission.

Noncompliance Area: One facility person's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#8)

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. Obtain and submit the required written references as specified for the identified staff person. Ensure that all facility staff records contain written references as specified.

Noncompliance Area: Several staff person's records did not include written verification of emergency plan training at the time of initial employment and annually. (#1-annual) (#2-annual)

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. Revise and submit written facility policies and procedures to ensure that emergency plan training is completed and documented at the time of initial employment and annually. Submit written verification of the completed training for all identified facility persons.

Noncompliance Area: One staff person's record did not contain written verification of annual fire safety training. (#5)

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. Obtain and submit written verification of annual fire safety training for the identified staff person.

Noncompliance Area: The facility indicated that children go swimming and there was no documentation verifying that the training was completed by a certified lifeguard.

Correction Required: Competence in lifeguard training is demonstrated by completion of lifeguard training, including first-aid training and cardiopulmonary resuscitation (CPR) for child and infant. Obtain and submit written documentation verification of the trainer's lifeguard certification.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff person's records did not contain the required CPSL hiring documents. (#3-hired 9/25/17-no proof of STATE POLICE, CHILD ABUSE, FBI and signed DISCLOSURE STATEMENT prior to working with children)(#4-hired 7/7/17-no completed STATE POLICE-clearance dated 11/3/15 was under review')(#6 hired 8/21/17-no proof of CHILD ABUSE prior to working with children)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 #4 cannot work in a child care position at the facility until the required CPSL documents have been obtained and submitted as specified. Submit a copy of the completed STATE POLICE clearance for the identified staff person. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances documents in accordance with the CPSL.

Noncompliance Area: Two staff person's records did not contain written verification of education and/or experience for their assistant group supervisor position. (#7 and #8)

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. Obtain and submit written verification of education and experience for the identified staff persons.

Noncompliance Area: On 12/8/17, at approximately 12:15pm, staff person #1 was observed caring for a mixed age group of 5 infants/ young toddlers (children under 12 months and 1 year old) in the toddler classroom. Staff person #1 verified the ages of the children. CONTINUING DEFICIENCY

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.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.

Noncompliance Area: One child's record did not contain a copy of the initial agreement in accordance with this regulation. (child #1)

Correction Required: An agreement shall be signed by the operator and the parent. Revise and submit written facility policies and procedures to ensure that a copy of the original signed agreement is retained by the facility and that the parent receives the original agreement.

Noncompliance Area: On 11/6/17, at approximately 4pm, staff person #1 was observed caring for a mixed age group of 6 younger/ older toddlers (1 and 2 year olds) in the toddler classroom. Staff person #1 verified the ages of the children.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. 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. Ensure that staff/child ratios are maintained at all times.

Noncompliance Area: Children were observed napping on blankets and bed linens alone may not be used as rest equipment. CONTINUING DEFICIENCY

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. Provide age-appropriate rest equipment for children in accordance with this regulation.

Noncompliance Area: On 5/18/17, at approximately 10:00am, 3 infant/ young and older toddler age children were observed in the baby room (classroom #1) alone and unattended with no staff supervision. The staff person assigned to work with the children had left the room to tend to other errands. Documentation submitted on 8/15/17 did not include written verification of the completed training. CONTINUING DEFICIENCY

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Train all facility staff person in proper supervision of children, including the requirement that staff must be physically present and be able to see, hear and assess and direct the activity of the children. Submit written verification of the training content as well as written verification of the completed training for all facility staff persons.

Noncompliance Area: The facility lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency in accordance with this regulation.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. Develop a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency. Post the plan in each child care space and ensure that it accompanies staff persons who leave on excursions with children.

Noncompliance Area: One facility person's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#1) CONTINUING DEFICIENCY

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. Obtain and submit the required written references as specified for the identified staff persons. Ensure that all facility staff records contain written references as specified.

Noncompliance Area: One staff person's records did not contain written verification of initial emergency plan training. (#1) CONTINUING DEFICIENCY

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. Obtain and submit written verification of initial emergency plan training for the identified staff person. Ensure that all facility staff/new hires receive emergency plan training at the time of initial employment, on an annual basis and at the time of each plan update as specified.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff person's records did not contain the required CPSL hiring documents. (#2-hired 3/37/17-no FBI). CONTINUING DEFICIENCY

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 Persons #2 cannot work in a child care position at the facility unitl the completed FBI clearance has been obtained and submitted. Ensure that all new hires have the required CPSL clearance documentation in accordance with the CPSL.

Noncompliance Area: Fire drill records did not specify the hypothetical location of the fire, evacuation time and the names of the staff persons. CONTINUING DEFCIENCY

Correction Required: A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill. Ensure that all of the required information is recorded as specified for each fire drill conducted at the facility. Submit a written copy of fire drills completed for the next 60 days for verification of compliance.

Noncompliance Area: Evacuation routes were not posted in the facility. CONTINUING DEFCIENCY

Correction Required: Evacuation routes shall be posted. Ensure that the evacuation routes remain posted.

Noncompliance Area: Children were observed napping on blankets and bed linens alone may not be used as rest equipment.

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. Provide age-appropriate rest equipment for children in accordance with this regulation.

Noncompliance Area: On 5/18/17, at approximately 10:00am, 3 infant/ young and older toddler age children were observed in the baby room (classroom #1) alone and unattended with no staff supervision. The staff person assigned to work with the children had left the room to tend to other errands.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Ensure that children are supervised at all times.

Noncompliance Area: One child's record did not include emergency contact information as specified in 55 PA Code 3270. (#2)

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. Obtain and submit a written copy of the emergency contact information for the identified children as specified in the regulation. Ensure that all children's records contain the required emergency contact information.

Noncompliance Area: Several children's emergency contact information did not include the health insurance policy number. (#1, #2, #3, #4 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. Obtain the health insurance policy number for the identified child. Ensure that all children's records include the health insurance information as specified in this regulation.

Noncompliance Area: Children were observed being cared for in a classroom and their emergency contact information was not present in the classroom.

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. Ensure that emergency contact information is present in all child care spaces in which children are receiving care.

Noncompliance Area: The facility lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency in accordance with this regulation.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. Develop a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency. Post the plan in each child care space and ensure that it accompanies staff persons who leave on excursions with children.

Noncompliance Area: One child has been enrolled for more than 60 days and their record did not contain a current, up-to-date health report. (#1)

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. Obtain and submit a current up-to-date health report for the indicated child. Ensure that all childrens records include a current, up-to-date health report within 60 days of enrollment.

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

Correction Required: Disposable nursers and bottles shall be labeled with the child`s name. Label the bottle with the child's name and ensure that all children's bottles are properly labeled.

Noncompliance Area: Several staff person's records did not contain verification of age. (#3, #6 and #7).

Correction Required: An individual record is required for each facility person. Obtain and submit written verification of age for the identified staff persons. Ensure that all facility staff records contain written verification of age.

Noncompliance Area: Several facility person's records did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#1, #3, #4. #6 and #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. Obtain and submit the required written references as specified for the identified staff persons. Ensure that all facility staff records contain written references as specified.

Noncompliance Area: Several staff person's records did not contain written verification of initial emergency plan training. (#1 - #7)

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. Obtain and submit written verification of initial emergency plan training for the identified staff persons. Ensure that all facility staff/new hires receive emergency plan training at the time of initial employment, on an annual basis and at the time of each plan update as specified.

Noncompliance Area: There were no persons competent in first aid training present at the facility when day care children were observed in care.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.One or more facility persons competent in first-aid techniques shall be at the facility when one or more children are in care. Provide pediatric first-aid training for a sufficient number of staff persons to ensure there is always at least one person competent in first-aid techniques present at the facility when children are in care. Submit written verification of the completed first-aid training.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff person's records did not contain the required CPSL hiring documents. (#3- hired 5/8/16-missing pages from STATE POLICE rap sheet, no FBI, no signed DISCLOSURE STATEMENT) (#4-hired 1/26/17- no completed STATE POLICE, no completed FBI, no mandated, no signed DISCLOSURE STATEMENT, no mandated training) (#5-hired 3/37/17-no FBI, no signed DISCLOSURE STATEMENT) (#6-hired 5/18/17-no proof of requests for STATE POLICE, CHILD ABUSE and FBI prior to working with children, no signed DISCLOSURE STATEMENT) (#7-hired 5/18/17-no proof of requests for STATE POLICE, CHILD ABUSE and FBI prior to working with children, no signed DISCLOSURE STATEMENT)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 Persons # 3, #4, #5, #6 and #7 cannot work in a child care position at the facility unitl the required CPSL hiring documents have been completed and submitted. Obtain and submit a copy of the completed CPSL clearances, disclosure statement and mandated reporter training for the identified staff persons. Ensure that all new hires have the required CPSL clearance documentation prior to working with children in accordance with the CPSL.

Noncompliance Area: Two persons identified as a substitute staff person did not have a record that was available at the time of the inspection, thus written documentation of staff qualifications as specified in 55 PA code 3270 could not be verified.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. An operator shall establish and maintain an individual record for each child enrolled in the facility. Provide the record for the identified facility persons including written verification of the qualifications for their positions. Ensure that the facility maintains a record for each facility person.

Noncompliance Area: Several staff person's records did not contain written verification of education and experience for their assistant group supervisor position. #2,-educarion) (#3-experience) (#4experience) (#5, #6 and #7 education and experience)

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. Obtain and submit written verification of education and experience for the identified staff persons. Ensure that all staff person's records contain written verification of education and experience.

Noncompliance Area: Windows above the ground floor that open directly to the outdoors and that are acceptable to children were not modified or adapted to limit the opening to no more than 6 or fewer inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches. Make the necessary adaptations to limit the opening to no more than 6 or fewer inches.

Noncompliance Area: The facility lacked a first aid kit in several child care spaces. (baby room, K room, and toddler room).

Correction Required: A first-aid kit shall be in a child care space. Obtain a first aid kit for the facility for all child care spaces and ensure that they contain all of the required contents as specified in the 55 PA CODE 328/3290/3270 regulations.

Noncompliance Area: There were no observed hand washing signs posted at each toilet, training chair, diapering area in the facility.

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. Post the hand washing signs at each toilet as specified.

Noncompliance Area: Fire drill records did not specify the hypothetical location of the fire, evacuation time and the names of the staff persons.

Correction Required: A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill. Ensure that all of the required information is recorded as specified for each fire drill conducted at the facility. Submit a written copy of fire drills completed for the next 60 days for verification of compliance.

Noncompliance Area: Evacuation routes were not posted in the facility.

Correction Required: Evacuation routes shall be posted. Post evacuation routes in each child space in the facility. Ensure that the evacuation routes remain posted.