Footprints In The Sand Daycare

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: A little tykes play structure on the outside play space had a crack in it that caused a pinch hazard.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for Child #1, 2, 3, 4, and 6 all contain 2 Child Service Reports that are more than 6 months apart.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The files for Child #1, 2, 3 , 4, 5, and 6 all contained two emergency contact parental updates that are more than 6 months apart.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: In the T-2 Room there was a tube of pain reliever& infection protection that was lacking the name of the child to whom the medication was intended.

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

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: In the T-2 Room there was a tube of pain relieving &infection protection with no name and tylenol labeled for Doug that were both lacking written permission for administration from a parent.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The files for Staff #2 and 5 both contained two health assessments that were more than 24 months apart. The file for Staff #6 contained a TB test that was obtained after their start date.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The files for Child #1, 2, 3, 4, 5, and 6 all contained two fee agreement parental updates that were more than 6 months apart.

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.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The files for Staff #4 and 5 both contain Fire Safety trainings that are more than 12 months old.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for Staff #6 contained a certificate for Health and Safety Part 2 that was obtained more than 90 days after the staff's date of hire.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #2 contained two Mandated Reporter trainings that were more than 60 months apart. The file for Staff #3 contained two state police clearances, two child abuse clearances, two FBI clearances, and two NSOR clearances that were all more than 60 months apart.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff #1 was lacking an evaluation within the last 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: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: The toilet seat in Stall #4 was very loose.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The top refrigerator in the infant room was lacking a thermometer.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for Child # 5, 6, 7, 9, 11, and 12 all contained two child service reports that were more than 6 months apart. The file for Child #8 who has been enrolled for more than 6 months was lacking a child service report.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for Child #5, 6, 7, 10, 11, and 12 all contained two updates that were more than 6 months apart.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: Child #1 had children's Ibuprofen at the facility but there was no written consent from a parent for the administration of the medication.

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

Regulation: 3270.133(7)(i)

Description: Name of medication

Noncompliance Area: There was a medication log with Child #2, 3 and 4 names on it that had no medication name on the log.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file for Staff #4 contained two health assessments that were obtained more than 24 months apart. The file for Staff #5 was lacking a Health Assessment prior to start date. The file for Staff #9 contained a Health Assessment that was obtained after the staff's start date.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file for Staff #2 contained a pediatric first aid and CPR certification that was obtained after the previous one expired.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for Staff #1, 2, 3 and 4 all contained two fire safety trainings that were more than 12 months apart.

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: The file for Staff #6 and 8 contained documentation of completion of the Health and Safety professional development more than 90 days after the staff's date of hire.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: The files for Staff #6, 7 and 8 all contained Pediatric First Aid/CPR training that was obtained more than 90 days after their date of hire.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #3 contained two NSOR clearances that were more than 60 months apart. The files for Staff #7 and 8 were lacking the actual state police clearance certificate required to make the clearance complete. The file for Staff #6 contains a mandated reporter training that was obtained more than 90 days after their start date.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The young toddler classroom contained a green and blue vinyl pillow which the vinyl was peeling in multiple areas of the pillow. The older toddler classroom contained a purple bin which was cracked and broken. The preschool classroom contained a plastic play donut which was cracked. A shelf in the school-age classroom contained sleep mats, 3 of which were pulling at the seams exposing the foam inside. The outdoor play space on the right contained 2 sandboxes each having a cracked lid.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 9:45 am, 14 children were present in the older toddler classroom. When certification representatives were walking into the older toddler classroom as staff #3 stated they were a taking a child to the restroom. Staff #4 was asked which children were in their primary supervisory group and 5 children all 3 years of age were identified. When staff #1 was asked, 2 children were identified, and she stated her other 2 children went to the bathroom with staff #3. Staff #1 was asked who was responsible for the other children in the classroom and staff #1 stated the children were in the primary group of staff #3, who took the 2 children to the restroom. At this time, 6 children in the classroom were not identified and accounted for by a staff person. Staff #3 returned to the classroom with one child. Staff #1 assumed 2 children from their primary group were taken to the restroom by staff #3. These unidentified children were still in the classroom and not identified as part of staff #1's primary supervisory group. When all staff were present, staff #4 identified 5 children all 3 years of age, staff #1 identified 4 children ages 2 and 3 years of age and staff #3 identified 5 children all 3 years of age.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The financial agreement of child #2 did not contain the arrival and departure times of the child.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form of child #3 did not contain the home and work addresses and telephone numbers of the enrolling parent.

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

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

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The file of child #4 contained a health assessment dated 5/17/2023 but did not contain documentation of an updated health assessment within 6 months as the child was a young toddler.

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

Regulation: 3270.133(7)(i)

Description: Name of medication

Noncompliance Area: A medication log in the infant room for child #6 did not contain the name of the medication which was administered.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: Documentation of the initial tuberculosis screening of staff #1 was dated 8/7/2022, which was more than 12 months prior to them starting at the facility (see coded LIS sheet).

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.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file of staff #2 contained documentation of an FBI clearance which did not have a disposition to the charges listed.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Documentation of the latest 2 annual inspections of the fire detection system were dated 6/1/2022 to 6/2/2022 and 11/14/2023 to 11/15/2023 exceeding 12 months.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: The older toddler classroom contained glue sticks, markers, and small glitter containers all of which are less than an inch in diameter or have removeable parts less than an inch in diameter accessible to children in an unlocked cabinet. The preschool age classroom contained an empty Dollar Tree plastic bag which stated "keep out of the reach of children."

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file of child # 6 did not contain a current Department approved child service report to provide the families information about the child's growth and development. Documentation of the last child service report was dated 7/29/2022 which was more than 6 months ago.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The financial agreements of child #1, #2, #3, #4, #5, #6, #7 and #8 did not contain the arrival and departure times of the child.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form of child #5 did not contain the work telephone number of the enrolling parent and the form of child #8 did not contain the home address of the enrolling parent.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact form of child #4 and #7 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation or documentation this is not applicable to the child.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file of child #7, now identified as a school-age child, did not contain documentation of an initial health assessment within 60 days of starting at the facility or updated physical since enrolled (see coded LIS sheet).

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record of child #1, #3, #5, and #6 did not contain documentation of a current influenza vaccination in the 2022 calendar year or an acceptable exemption from the parent or child's physician.

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).

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: Documentation of the immunization record for child #7 was dated 9/26/2022 which, as a preschool-age child when enrolled (see coded LIS sheet) was more than 60 days from starting in care.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: The preschool classroom contained medication which was not labeled for the child whom it was intended,

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: Prescription medication in the preschool classroom was not labeled with the health professional's instructions.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The additional one-hour training for those who took the Better Kid Care health and safety training before 10/4/2022 was taken after the required date of 12/30/2022 by facility person #1 (1/3/2023), #2 (1/3/2023) and #3 (1/27/2023).

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.

Regulation: 3270.151(a)

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

Noncompliance Area: The health assessments of the following facility persons exceeded 24 months from the prior health assessment: facility person #3 (3/24/2021 & 4/5/2023), #4 (6/15/2020 & 7/29/2022), #5 (6/5/2020 & 3/30/2023), #6 (6/27/2020 & 4/14/2023), #7 (7/3/2020 & 10/11/2022), and #8 (11/20/2020 & 4/7/2023).

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Documentation of review and/or updates of the emergency contact forms and financial agreements for child #1, #2, #4, #5, #6, #7, and #8 exceeded 6 months.

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.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Based on conversation with the operator, an emergency drill was conducted within the past 12 months but was not documented at the time of the inspection.

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: Documentation of the two latest emergency plan trainings exceeded one year for facility person #3 (1/31/2022 & 3/29/2023), #5 (3/15/2022 & 3/22/2023), #6 (4/1/2021 & 3/22/2023), #8 (3/16/2022 & 3/27/2023), and #9 (3/15/2022 & 3/23/2023).

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: Documentation of fire safety training exceeded 1 year for facility person #5 (3/24/2022 & 3/28/2023), #6 (3/22/2022 & 3/30/2023), #8 (3/17/2022 & 3/27/2023), and #9 (3/28/2022 & 4/3/2023).

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(e)/3270.192(2)(iii)

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

Noncompliance Area: The file of facility person #3 contained documentation of 6 training hours during their annual training year lacking 6 hours. The 6 additional hours were taken after their annual training year in 4/2023.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file of facility person #4 contained clearances which were updated more than 60 months from the date of the previous clearance: PA state police (3/6/2018 & 3/15/2023), child abuse (3/13/2018 & 3/21/2023), and FBI (3/14/2018 & 3/16/2023).

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: The infant classroom contained a spray bottle of bleach and water which was not labeled with its contents.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.31(h)

Description: Health and Safety Training

Noncompliance Area: Documentation of 9/10 required health and safety topics for facility person #1 (See CODED LIS SHEET) was not at the facility within 180 days from 12/19/2020.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Based on conversation with the operator, a piece of particle board like material attached to the wall above the ceiling tiles to control air flow, detached and fell through the ceiling tile.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The preschool classroom contained a play grill set in which the plastic faucet was broken exposing the children to rough edges.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The bottom left door on the microwave cart in the older toddler classroom was broken off the bottom hinge.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form of child #1 and 2 did not contain the work address of the enrolling parent.

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

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The immunization record of child #2 did not contain a current dose of the influenza vaccination or a signed and dated exemption from the parent.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: An Epi-Pen in the older toddler classroom expired 10/2021 and the young toddler classroom contained infant fever reducer and pain reliever with an expiration date of 7/2020.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: The older toddler classroom contained a medication log which was not signed by the parent.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The health assessment of facility person #2 was dated 6/16/2020, which is more than 12 months prior to their start date (see IS CODE SHEET) at the facility. The health assessments of facility person #5 exceeded 24 months (10/18/2019 and 4/7/2022).

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(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The initial health assessment of facility person #1 did not contain a date or signature by a physician, physician's assistant or CRNP with their professional title.

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Documentation of emergency plan training for facility person #5 was dated more than 12 months (3/2021 and 4/8/2022).

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: Documentation of annual fire safety exceeded 1 year (8/17/2020 and 3/4/2022) for facility person #4.

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

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

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

Noncompliance Area: The file of facility person #5 contained 6 annual training hours between the training year of 12/19/2020 and 12/19/2021. An additional 6 hours were completed in 1/2022, after 12/19/2021.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Documentation of pediatric first aid and pediatric CPR exceeded 90 days from their date of hire (see IS CODE SHEET) for facility person #1 (3/21/2022) and 3 (3/21/2022).

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

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

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

Noncompliance Area: The file of facility person #1 contained mandated reporter training (dated 11/22/2021) which exceeded 90 days from their date of hire (see IS CODE SHEET).

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of facility person #5 (see IS CODE SHEET) contained a "volunteer" PA state police clearance and a "volunteer" child abuse clearance.

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 # may not work at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Documentation of the annual evaluation of facility person #5 was dated (1/15/2022) more than 12 months from their start date at the facility (see IS CODE SHEET).

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: The green/blue surge protector on the floor by the swings in the infant classroom was missing a protective receptacle cover in one of the electrical outlets.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The 2 diaper changing tables in the young toddler classroom and 1 changing table in the infant classroom did not contain a handwashing sign.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility did not have the proof of purchase of their 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.