Future Foot Prints Child Care Center

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: At the time of the inspection the Older Toddler class did not have their rest equipment labeled for the use of a specific child and used only by the specified child. Child #3 was sharing rest equipment with another child.

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

Regulation: 3270.27(a)(2)

Description: Emergency plan

Noncompliance Area: At the time of the inspection the facility's emergency plan did not have an evacuation plan in place.

Correction Required: The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

Regulation: 3270.27(a)(4)

Description: Contact when ended

Noncompliance Area: At the time of the inspection the facility did not have an emergency plan that provided 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.

Correction Required: 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)

Description: Emergency plan

Noncompliance Area: At the time of the inspection facility's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of the inspection the toys in the infant room were very worn, dirty and need to be replaced.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: At the time of the inspection the Older Toddler class did not have their rest equipment labeled for the use of a specific child and used only by the specified child. Child #3 was sharing rest equipment with another child.

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: At the time of the inspection the written plan of daily activities was not posted in the infant room.

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

Regulation: 3270.112

Description: Infant/Toddler Stimulation

Noncompliance Area: At the time of the inspection the infant class teacher was feeding one child while the other three children were not being stimulated by being held, rocked, talked to, played with or carried. There was only an ipad playing videos which was not age appropriate for infants but for older toddler.

Correction Required: Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: At the time of the inspection there were no emergency contact forms in the Older Toddler / Pre K School room, child #1 in the younger toddler class and child #2 in the infant class did not have emergency contact forms.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.135(e)

Description: 2 hour diaper check

Noncompliance Area: At the time of the inspection the facility did not have a diaper changing schedule for any of the children in diapers or pull ups to document that they were checked or changed every 2 hours.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of the inspection facility did not have the following two policies written: 1. Strategies for coping with a crying, fussing, or distraught child and 2. The prevention and identification of child maltreatment. Also, the facility's emergency plan did not address the continuity of operations. At the time of inspection, facility person #5 was working unsupervised without having completed the pre-service training, including mandated reporter training.

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: 3270.161(c)

Description: Food served discarded

Noncompliance Area: At the time of inspection there were two containers of baby food that had been previously served and put back in the refrigerator.

Correction Required: Food that has been previously served to a person or returned from a table shall be discarded.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: At the time of the inspection the infant class did not have a feeding schedule for any of their children.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: At the time of inspection, the infant class had two bottles in the refrigerator that were not labeled.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: At the time of the inspection the facility did not 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 childcare 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: 3270.182(8)

Description: Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: At the time of the inspection children #2, #4, #5, and #6 did not have an updated and signed by parent emergency contact forms or financial agreements on file.

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of the inspection facility person #1 did not have two written nonfamily references 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: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: At the time of the inspection the facility's emergency plan did not have a shelter and lock down procedure in place.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3270.27(a)(2)

Description: Emergency plan

Noncompliance Area: At the time of the inspection the facility's emergency plan did not have an evacuation plan in place.

Correction Required: The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

Regulation: 3270.27(a)(3)

Description: Contact when arises

Noncompliance Area: At the time of the inspection the facility did not have a method for the facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

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.

Regulation: 3270.27(a)(4)

Description: Contact when ended

Noncompliance Area: At the time of the inspection the facility did not have an emergency plan that provided 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.

Correction Required: 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)

Description: Emergency plan

Noncompliance Area: At the time of the inspection facility's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: At the time of the inspection the facility did not have an emergency drill conducted annually as required.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: At the time of the inspection the facility's legal entity did not review their emergency plan at least annually and update the plan as needed. The legal entity did not document in writing each review or update of the emergency plan and nothing was kept on file at the facility.

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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: At the time of inspection facility persons #2 & #5 did not have emergency plan training on file.

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: At the time of the inspection the facility did not have a copy of the emergency plan and subsequent plan updates sent 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.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: At the time of the inspection facility persons 1, 2 and 3 did not have 12 hours of annual professional development training on file.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection facility person #5 was working alone in the infant room without having all of their clearances (missing Child abuse, DHS FBI, and NSOR Certificate) on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 05 may not work alone in a childcare position at the facility until all clearances are on file. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #05 may not work alone in a childcare position at the facility.

Regulation: 3270.34(a)/3270.192(2)(ii)

Description: Director responsibilities/Exp, educ., training prior to facility

Noncompliance Area: At the time of inspection, facility persons #2 & #3 did not have verified experience of 3 years on file to qualify them as a director since their degree was an AA was in Early childhood education.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: At the time of the inspection the Older Toddler class's first aid kit was missing gauzes.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.78

Description: Lighting

Noncompliance Area: At the time of the inspection the Older Toddler class had one section of lights out causing it to be poorly it for safety and supervision.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Regulation: 3270.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: At the time of the inspection facility did not ensure that evacuation routes were posted in a conspicuous location on each floor of the facility. There was floor plans posted instead of evacuation routes.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure evacuation routes are posted in a conspicuous location on each floor of the facility.

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 facility did not have proof of purchase of interconnected fire detection system or Act 62 attestation form on file at the facility.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: At the time of annual renewal inspection facility mixed ratio was 16:2 and the youngest child was 2 years old.

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: 3270.111(a)

Description: Written plan

Noncompliance Area: At the time of investigation, it was verified that facility did not create a daily schedule to accommodate child's needs.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At the time of the complaint child #1 was not supervised.

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. 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.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At the time of inspection child #1 did not have specific staff assigned to her while in care at the facility.

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: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: At the time of investigation child #1 was being singled out by staff #1 (not able to play with children i.e. ball dues to disability).

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: At the time of inspection staff #1 did not have verified education on file (the education needs to be evaluated).

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. 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: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: At the time of investigation staff #1 and 2 who are aides were alone in classrooms caring for 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: 3270.72(a)

Description: Provided

Noncompliance Area: At the time of inspection there was no ventilation in the basement (indoor play space) .

Correction Required: Natural or mechanical ventilation shall be provided in child care spaces.

Regulation: 3270.78

Description: Lighting

Noncompliance Area: At the time of inspection the light to the basement and the light to the bilco door were both not working.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Regulation: 3270.80(b)

Description: Non-skid surfaces

Noncompliance Area: At the time of inspection steps leading to the fire exit (the bilco doors) did not have a handrail.

Correction Required: Inside stairs shall be equipped with nonskid surfaces.

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: At the time of inspection staff #1 and 2 did not have verified education on file (the education needs to be evaluated).

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. 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: 3270.21

Description: General Health and Safety

Noncompliance Area: At the time of inspection the basement (indoor play space) did not have any fire/ carbon monoxide detectors, and smelled really bad (as if there was old water or mold).

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.72(a)

Description: Provided

Noncompliance Area: At the time of inspection there was no ventilation in the basement (indoor play space) .

Correction Required: Natural or mechanical ventilation shall be provided in child care spaces.

Regulation: 3270.78

Description: Lighting

Noncompliance Area: At the time of inspection the light to the basement and the light to the bilco door were both not working.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Regulation: 3270.80(a)

Description: Three steps handrail

Noncompliance Area: At the time of inspection steps leading to the fire exit (the bilco doors) did not have a handrail.

Correction Required: Inside and outside stairs with three or more steps shall be equipped with a handrail.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: At the time of inspection the doors leading to the fire exit (bilco doors) was blocked by the play mat, trash, dirt and other items. The doors also were blocking egress by not being able to open or open properly. Bilco door had a huge hole allowing water and small rodents acess.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for Child #2, who has been enrolled for more than 6 months, did not contain a child service report. The Child Service Reports in the files for Child #3 and #4 were conducted more than 6 months after the child's first day in child care. Child #3: 12/14/22. Child #4: 11/30/22.

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(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form in the file for Child #2 did not include the name, address and telephone 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)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form in the file for Child #3 did not include health insurance coverage and policy number for the child.

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: The emergency contact form in the file for Child #3 did not include the release person's address.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health report in the file for Child #4 was conducted more than 60 days after the child's first day of attendance at the facility.

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(b)(1)/3270.182(1)

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

Noncompliance Area: The file for Child #5, a young toddler, did not include an updated health report conducted within the past 6 months.

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

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

Noncompliance Area: The file for Child #1, a Preschool Child, did not contain an updated health report conducted within the past 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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan for the facility did not include requirements for continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster).

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)/3270.192(3)

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

Noncompliance Area: The file for Staff Person #2 did not contain an updated health assessment conducted within the past 24 months. The most recent health assessments in the file for Staff Person #4 exceeded 24 months between assessments.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact forms and fee agreements in the files for Child #2, #4 and #5, who have been enrolled for more than 6 months, did not contain parent updates. The first parent update for the emergency contact form and fee agreement in the file for Child #3 were conducted on 12/13/22 and 12/14/22, which were more than 6 months after the child's enrollment date.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: The files for Staff Person #1 and Staff Person #5 did not contain two letters of reference.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The most recent pediatric first aid/CPR certification in the file for Staff Person #4 was completed on 4/2/22, which was after the previous certification expired (September 2021).

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The Health and Safety Training (8/26/22) and Pediatric First Aid/CPR training (11/18/22) in the file for Staff Person #3 was conducted more than 90 days after the staff person's first day working in child care (See LIS Code Sheet).

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The Mandated Reporter Training in the file for Staff Person #3 was conducted on 9/11/22, which was more than 90 days after the staff person's first day working in child care. (See LIS Code Sheet). The Mandated Reporter Training in the file for Staff Person #4 was conducted on 4/29/22, which was more than 90 days after the staff person's first day working in child care. (See LIS Code Sheet).

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #1 did not contain a Child Abuse Clearance. Although the file for Staff Person #1 contained a receipt for fingerprints, the lack of a Child Abuse Clearance makes this an invalid provisional hire. Staff Person #1 may not work at the facility until the Child Abuse and FBI clearances are in file. The required clearances in the file for Staff Person #3 were applied for and obtained after the staff person's first day working in child care. (See LIS Code Sheet). State Police: 5/24/22, Child Abuse: 5/20/22, FBI: 5/10/22, NSOR: 5/20/22. The most recent State Police and FBI Clearances in the file for Staff Person #4 exceeded 60 months between clearances: State Police: 9/15/16-5/18/22. FBI: 10/18/16-5/10/22. The Child Abuse Clearance in the file for Staff Person #4 was conducted on 5/27/22, which was after the staff person's first day working in child care. (See LIS 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 a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed two electrical outlets that lacked protective covers in the downstairs play space.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed cleaning products, which were accessible to children, in an unlocked cabinet in the Preschool Room.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed in the following areas: flaking rust on the baseboard heater of the girl's restroom. Torn carpet on the exit ramp between the Preschool Room and Older Toddler Room. A gap at the bottom of the wall under the fire extinguisher by the exit of the Preschool Room. Exposed nails at the bottom of the wall where baseboard was missing in the room between the Preschool Room and School Age Room. Crack at the bottom of the wall next to the diaper changing table in the Infant Room. Downstairs play area: crack in the wall above the outlet opposite from steps and cracked bottom of door frame next to the storage room door.

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: The fire drill/sire system check log documented that fire system checks were conducted more than 30 days apart between 9/29/22 and 11/1/22. On the day of the inspection, a fire system check had not been conducted within the past 30 days: 11/1/22-12/14/22.

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: 3270.191

Description: Individual Records

Noncompliance Area: Staff #5 did not have a file submitted to OCDEL for review and there was no way to determine if that staff's file is complete at the time of the renewal inspection.

Correction Required: An individual record is required for each facility person.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Review of the files reveal that Staff #1 did not have their required clearances in accordance with the OCDEL regulations with regard to their Child Abuse/ FBI and State clearance from the region at the time of the renewal. Staff #3 did not have her current State Criminal Clearance; FBI; or NSOR at the time of the renewal inspection. Staff #4 had a State Clearance dated -1/13/16 and Child abuse dated 2/18/16 which too has expired.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: Scissors; soap; gloves and bandages were missing from the first aid kit that was reviewed in the Pre-k room observed during the renewal inspection.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There were multiple stained ceiling tiles throughout the facility in the infant; toddler; pre-k and lunchroom at the time of the renewal inspection's site review.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was a severe amount of chipped paint throughout the Infant, toddler and school age room at the time of the renewal inspection.

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

Noncompliance Area: There were several children using cots in Room #2 during rest time that did not have 2 feet of space on three sides as required at the time of the inspection.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: The refrigerator in the infant room did not have a thermometer at the time of the renewal inspection.

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.

Noncompliance Area: Review of files reveal that Child # 4 did not have their release person's name on their Agreement forms at the time of the renewal inspection.

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

Noncompliance Area: Review of files reveal that Child #4 did not have their parent's work address or work phone number listed on their Emergency Contact form at the time of the renewal inspection.

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

Noncompliance Area: Review of files revealed that Child #2 and #4 did not have their medical insurance policy number listed on their Emergency Contact forms at the time of the renewal inspection.

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: There were numerous children on mats/ cots that did not have 2 feet of space as required on three sides as required at the time of the renewal inspection. The room included the following: both preschool rooms; older toddler; infant room;

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: The refrigerator that was in the cafeteria during the renewal inspection did not have a thermometer at the time of the renewal inspection.

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.

Noncompliance Area: Upon review of the files, it was revealed that the agreement form for Child #1 was not signed by the operator and parent at the time of the renewal inspection.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: The fee amount was not for Child #1 was not present on their Agreement Form at the time of the renewal inspection.

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

Noncompliance Area: The fee date for payment was not present on the Agreement form for Child #1 at the time of the renewal inspection.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: Arrival and departure times for Child #1 were not present on the Agreement form at the time of the renewal inspection.

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

Noncompliance Area: Release person's name was not present on the Agreement form for Child # 1 at the time of the renewal inspection.

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

Noncompliance Area: The date of admission was not present on the Agreement form for Child # 1 at the time of the renewal inspection.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: Review of files reveal that the parent's work address and work telephone number were not present on the Emergency Contact form for Child #3 at the time of the renewal inspection.

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

Noncompliance Area: The insurance policy number was not present on the Emergency Contact form Child #5 at the time of the renewal inspection.

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: Review of the files reveal that the release person's address for Child # 3 and #5 were not present on their Emergency Contact forms at the time of the renewal inspection.

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.

Noncompliance Area: Review of files reveal that Child #1,2,4,5, and 6 did not have an updated signature and date on their Emergency Contact or Agreement forms to indicate a review at the time of the renewal inspection.

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: Child #2 and #5 did not have current health assessments on file at the time of the renewal inspection.

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

Noncompliance Area: Review of files reveal that Child # 3, 5 and 6 did not have parental signatures as required for the consent of minor first aid and or emergency medical care at the time of the renewal inspection.

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.

Noncompliance Area: Staff #3 and #6 has health assessments that exceeded the two year allowance at the time of the renewal inspection.

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: The regulation book and OCDEL contact information was not present and available on the parent wall as required at the time of the renewal inspection.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: Review of files reveal that Staff #1, 2, 5, and 6 did not have a current written evaluation from the Director or Provider at the of the renewal inspection.

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

Noncompliance Area: There were two outlet covers missing from receptacles at the time of the renewal inspection in the older toddler room.

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

Noncompliance Area: Review of files reveal that the first aid kit in the preschool room was missing the tweezers; scissors; and soap at the time if the renewal inspection.

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: ON 04/16/2018, DURING THE COMPLAINT INVESTIGATION, 8 CHILDREN WERE OBSERVED ENTERING THE FACILITY AFTER EXITING A BLACK SUV DRIVEN BY STAFF #2. STAFF #2 ACKNOWLEDGED THAT SHE PICKED UP 8 CHILDREN AND NONE OF THE CHIDREN WERE ALLOWED TO SIT IN THE FRONT SEAT. INSPECTION OF THE BLACK SUV CONFIRMED THAT THE VEHICLE WAS AN EIGHT PASSENGER VEHICLE, THE SECOND ROW CONTAINED 3 SAFETY RESTRAINTS, THE THIRD ROW CONTAINED 3 SAFETY RESTRAINTS AND NO BOOSTER SEATS WERE BEING USED IN THE VEHICLE FOR THE CHILDREN. STAFF #1 ACKNOWLEDGED THAT THE AGE OF THE 8 CHILDREN THAT STAFF #2 TRANSPORTED WERE 6-12 YEARS OLD.

Correction Required: A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. 4581 (relating to restraint systems). Safety restraints installed in the vehicle at the time of manufacturing shall be used by all occupants.

Noncompliance Area: ON DECEMBER 11, 2017 DURING THE UNANNOUNCED MONITORING INSPECTION, UPON OBSERVING THE VIDEO TAPE FOR 12/5/17 IT WAS OBSERVED THAT THE PRESCHOOL CLASSROOM WAS NOT IN RATIO, STAFF #1 AND STAFF #2 WERE IN THE CLASS WITH 20 CHILDREN PRESENT STAFF #3 ACKNOWLEDGED THAT THEY PLACED A 2 YEAR OLD CHILD IN THE CLASSROOM, THE YOUNGEST CHUILD WAS 2 YEARS OF AGE.

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).