Homewood-brushton Ywca
Quick Facts
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Contact Information
📞 (412) 361-6433Reviews
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About the Provider
Hours of Operation
- Monday7:30 AM - 5:30 PM
- Tuesday7:30 AM - 5:30 PM
- Wednesday7:30 AM - 5:30 PM
- Thursday7:30 AM - 5:30 PM
- Friday7:30 AM - 5:30 PM
- Saturday Closed
- Sunday Closed
Inspection/Report History
Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.
| Inspection Date | Reason | Description | Status |
|---|---|---|---|
| 2026-06-04 | Change in Location Capacity | Change in Location Capacity | Compliant - Finalized |
| 2025-11-07 | Renewal | 3270.131(b)(1)/3270.182(1) - Infant: updated health report every 6 months/Initial and subsequent health reports | Compliant - Finalized |
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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 #1, contained a health report dated 8/15/25 which was obtained more than 6 months from the previous health report dated 1/12/24 when the child was an infant. The file for Child #2, contained a health report dated 10/22/25 which was obtained more than 6 months from the previous health report dated 2/12/24 when the child was an infant. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) During a review of child file the administrative team(Director, Program Manage & Administrative Assistant) found that health reports for child #1 and child #2 were due to be outdate. The administrative team informed the parents of child #1 and child #2 of this. The parents worked on getting scheduled doctor appointments to get updated health reports for their child that fit into their schedule as well as fir into the next available open appointment in their doctor's office. |
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| 2025-11-07 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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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 files for Staff #2 and Staff #3 contained health assessments and TB screening results obtained more than 12 months prior to providing initial service in a child care setting. The file for Staff #2 contained a health assessment dated 5/10/24 and TB results dated 3/22/24 which was more than 12 months prior working in a child care position (See LIS Code Sheet). The file for Staff #3 contained a health assessment dated 1/29/24 and TB results dated 1/19/24 which were obtained more than 12 months prior to working in a child care position (See LIS Code Sheet). 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. |
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Provider Response: (Contact the State Licensing Office for more information.) When the director was informed about the health assessments for staff #2 and staff #3 she informed both staff that they would need to get a health assessment. |
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| 2025-11-07 | Renewal | 3270.31(e)(4)(ii) - Fire safety - 1 yr. | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii) Description: Fire safety - 1 yr. Noncompliance Area: The file for Staff Person #1contained fire safety training dated 9/25/25 which was obtained more than 12 months from the previous fire safety training dated 4/18/24. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) When Staff Person #1 became aware that the Safety Training was out of date, staff #1 immediately took the said training. |
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| 2025-11-07 | Renewal | 3270.66(b) - Original container | Compliant - Finalized |
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Regulation: 3270.66(b) Description: Original container Noncompliance Area: In Room 122, Goo Gone spray and Sanitizer marked "Keep out of reach of children" were stored next to cups and plastic utensils used by the children for meals and snacks. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) When the bottle of Goo Gone was located during inspection, the director removed the spray from the classroom, immediately. The bottle was moved to a locked cabinet, outside of administrative offices. |
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| 2025-11-07 | Renewal | 3270.77(a) - No peeling paint or plaster | Compliant - Finalized |
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Regulation: 3270.77(a) Description: No peeling paint or plaster Noncompliance Area: Peeling paint was observed in the following areas in Room 122: the door frame of the closet closest to the entry door; wall by the closet closest to the windows; wall under the windows; and the wall opposite the sink in the classroom restroom. Peeling paint was observed in the following areas in Room 116: the door frame closest to the entry and the wall behind the TV. Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director brought the issue to the attention of the Director of Building Services the Monday after the inspection 11/10/25. Maintenance corrected all the issues of chipped and peeling paint in the following areas. Room 122: the door frame of the closet closest to the entry door; wall by the closet, closest to the windows; wall under the windows; and the wall opposite the sink in the classroom restroom. Room 116: the door frame closest to the entry and the wall behind the TV. |
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| 2025-11-07 | Renewal | 3270.82(h) - Handwashing signs | Compliant - Finalized |
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Regulation: 3270.82(h) Description: Handwashing signs Noncompliance Area: In Room 116, the far stall in the classroom restroom lacked a hand washing 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. |
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Provider Response: (Contact the State Licensing Office for more information.) On the date of the inspection the Director immediately corrected the violation by placing a handwashing sign in the far stall in classroom 116. |
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| 2025-08-28 | Allocated Unannounced Monitoring | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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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 health assessment on file for Staff #1 was dated 5/22/24 which was obtained more than 12 months prior to initial date of hire (See LIS Code Sheet). 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director provided staff #1 with a blank child care health assessment form for staff #1 to get completed by a physician before the end of the month. |
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| 2025-08-28 | Allocated Unannounced Monitoring | 3270.151(c)(5) - Physician/CRNP assessment | Compliant - Finalized |
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Regulation: 3270.151(c)(5) Description: Physician/CRNP assessment Noncompliance Area: The health assessment on file for Staff #2 lacked the physician's or CRNP's assessment of the person's suitability to provide child care. Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director provided staff #2 with a blank child care health assessment form for staff #2 to get completed by physician before the end of the month. However, staff #2 will no longer work at the site until this form can be returned completed. |
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| 2025-08-28 | Allocated Unannounced Monitoring | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: The file for Staff #1 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) On the date of the inspection the Director reached out to HR and received a copy of staff #1 two letters of reference that was inside of staff #1 HR file. |
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| 2025-08-28 | Allocated Unannounced Monitoring | 3270.33(a) - Each staff person meets quals | Compliant - Finalized |
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Regulation: 3270.33(a) Description: Each staff person meets quals Noncompliance Area: The file for Staff #1, identified as a GS, lacked documentation of educational qualifications for the position in which they are performing. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) On the date of the inspection the Director reached out to HR and received a copy of staff #1 college transcript that was inside of staff #1 HR file. |
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| 2024-11-07 | Renewal | 3270.103 - Small Toys and Objects | Compliant - Finalized |
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Regulation: 3270.103 Description: Small Toys and Objects Noncompliance Area: In Room 116, the younger toddler room, foam blocks were observed with teeth and bite marks on them. Pieces of foam were missing from the areas where they had been bitten. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The director immediately removed the foam blocks from Room 116, the younger toddler room. |
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| 2024-11-07 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: The file for Child #2 lacked a current Child Service Report, 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 most recent Child Service Report for Child #2 contained in the file was dated 1/31/24, greater 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). |
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Provider Response: (Contact the State Licensing Office for more information.) The director has spoken to the classroom teacher to inform her that a child service report must be completed on all children every 6 months. The director has provided the classroom teacher with a blank copy of the child service report for her to complete for child #2. |
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| 2024-11-07 | Renewal | 3270.123(a)(4) - Arrival/departure times | Compliant - Finalized |
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Regulation: 3270.123(a)(4) Description: Arrival/departure times Noncompliance Area: The agreement form for Child #4 lacked arrival and departure times. Correction Required: An agreement shall specify the child's arrival and departure times. |
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Provider Response: (Contact the State Licensing Office for more information.) The director spoke with the parent and had the parent make the corrections on the agreement form by adding arrival and departure times for child #4. A copy of the agreement form was made and placed in the child #4 files and the original was given to the parent. |
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| 2024-11-07 | Renewal | 3270.123(a)(5) - Designated release persons | Compliant - Finalized |
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Regulation: 3270.123(a)(5) Description: Designated release persons Noncompliance Area: The agreement form for Child #1 lacked the persons designated by the parent to whom the child may be released. Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. |
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Provider Response: (Contact the State Licensing Office for more information.) The director spoke with the parent and had the parent make the corrections on the agreement form by adding persons designated by the parent to whom the child may be released for child #1. A copy of the agreement form was made and placed in the child #1 files and the original was given to the parent. |
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| 2024-11-07 | Renewal | 3270.123(b) - Parent receives original | Compliant - Finalized |
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Regulation: 3270.123(b) Description: Parent receives original Noncompliance Area: The files for Child #1 and Child #5 contained the original agreement forms. Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. |
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Provider Response: (Contact the State Licensing Office for more information.) On the following day after the inspection visit the director made copies of child #1 and child #5 files and gave the original copy of the agreement forms to the parents during the drop-off or pick-up times. |
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| 2024-11-07 | Renewal | 3270.124(b)(3) - Parent home/work address, phone | Compliant - Finalized |
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Regulation: 3270.124(b)(3) Description: Parent home/work address, phone Noncompliance Area: The emergency contact form for Child #4 lacked the parent's work address. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. |
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Provider Response: (Contact the State Licensing Office for more information.) The director spoke with the parent and had the parent make the corrections on the agreement form by adding her work address. A copy of the emergency contact form was made and placed in the child #4 files and the original was given to the parent. |
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| 2024-11-07 | Renewal | 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos | Compliant - Finalized |
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Regulation: 3270.124(f)/3270.181(c) Description: Updated every 6 months/Emergency info/agreement updated 6 mos Noncompliance Area: The emergency contact form and fee agreement on file for Child #2 were not reviewed or updated at least every 6 months. The current review/update was dated 9/11/24 more than 6 months after the previous review dated 11/2/23. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The director will speak with the parent to have the parent sign the emergency contact form and fee agreement forms. The director will then have the parent sign another form within 5 months to get the review process back on to the original review of every 6 month review and update cycle. |
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| 2024-11-07 | Renewal | 3270.131(b)(1) - Infant: updated health report every 6 months | Compliant - Finalized |
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Regulation: 3270.131(b)(1) Description: Infant: updated health report every 6 months Noncompliance Area: The file for child #3 lacked an updated health report. The previous health report was dated 11/3/22. The child was a young toddler at the time of the previous health report (See LIS Code Sheet). The file for Child #4, a young toddler, (See LIS Code Sheet) lacks an updated health report. The previous health report is dated 1/26/24. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The program manager worked with the parents of child #3 to have them submit the updated health report by 11/14/24. This paperwork was submitted to the licensing representative via email. The director and/or program manager will speak with the parent of child #4 to aks for an updated health report to be submitted. |
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| 2024-11-07 | Renewal | 3270.131(b)(2) - Toddler/preschool: updated health report every 12 months | Compliant - Finalized |
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Regulation: 3270.131(b)(2) Description: Toddler/preschool: updated health report every 12 months Noncompliance Area: The file for Child #3 lacked a current health report. The most recent health report on file for Child #3, a preschooler, is dated 11/3/22. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The program manager worked with the parents of child #3 to have them submit the updated health report by 11/14/24. This paperwork was submitted to the licensing representative via email. |
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| 2024-11-07 | Renewal | 3270.131(e)(1)/3270.131(e)(3) - Exemption documentation from parent/guardian/Dismissal policy | Compliant - Finalized |
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Regulation: 3270.131(e)(1)/3270.131(e)(3) Description: Exemption documentation from parent/guardian/Dismissal policy Noncompliance Area: The file for child #3 lacked an updated verification of vaccines. 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. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #3 will be dismissed from care by close of business 11/15/24 until either the immunization record is updated or a parent provides a written, signed exemption letter. |
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Provider Response: (Contact the State Licensing Office for more information.) The program manager worked with the parents of child #3 to have them submit the updated verification of vaccines by 11/14/24. This paperwork was submitted to the licensing representative via email. |
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| 2024-11-07 | Renewal | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Compliant - Finalized |
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Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: The file for staff person #1 contained a current health assessment dated 8/8/24. The health assessment was obtained greater than 24 months from the previous health assessment dated 3/14/22. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The director will have staff person #1 produce a current health assessment. |
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| 2024-11-07 | Renewal | 3270.171(a) - Pick-up and drop-off points | Compliant - Finalized |
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Regulation: 3270.171(a) Description: Pick-up and drop-off points Noncompliance Area: The facility lacked written notification to the local traffic authority of the location of the facility and about the program's use of pedestrian and vehicular routes around the child care center. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) : The director will review and update if needed the program traffic letter and submit via mail and email it to local traffic authority. |
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| 2024-11-07 | Renewal | 3270.192(2)(ii)/3270.192(2)(iv) - Exp, educ., training prior to facility/Transcript, diploma and letters | Compliant - Finalized |
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Regulation: 3270.192(2)(ii)/3270.192(2)(iv) Description: Exp, educ., training prior to facility/Transcript, diploma and letters Noncompliance Area: The file for Staff Person #3 lacked documentation of education and experience prior to working at the facility. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The director will have staff person #3 submit a completed employee verification form to show verification of child care experience, and get a copy of staff person #3 degree/transcripts from the HR team. |
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| 2024-11-07 | Renewal | 3270.27(a)(5) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(5) Description: Emergency plan Noncompliance Area: The facility's emergency plan lacked accommodations for infants and toddlers. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director has reviewed the Emergency Plan and has updated the plan to include a statement about accommodations for infants, toddlers, children, children with disabilities, and children with medical conditions during any evacuation. A copy of the updated Emergency Plan will be provided to the licensing representative. All updates will be highlighted in yellow. |
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| 2024-11-07 | Renewal | 3270.27(e) - Letter to parents | Compliant - Finalized |
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Regulation: 3270.27(e) Description: Letter to parents Noncompliance Area: The parent letter explaining the emergency procedures lacked the following: lockdown information; accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions; method on how to communicate with parents at the beginning and end of an emergency situation, including how to reunite with their children. Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director has reviewed and updated the Parent Letter under the Emergencies section of the parent handbook, to make sure that the letter explains to parent the lockdown information; accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions; method on how to communicate with parents at the beginning and end of an emergency situation, including how to reunite with their children. A copy of the updated letter will be provided to the licensing representative. All updates will be highlighted in yellow. |
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| 2024-11-07 | Renewal | 3270.31(f)(10) - Health and Safety Training - Pediatric First Aid and CPR | Compliant - Finalized |
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Regulation: 3270.31(f)(10) Description: Health and Safety Training - Pediatric First Aid and CPR Noncompliance Area: The file for Staff Person #4 contained pediatric first aid and CPR by a PQAS certified instructor dated 9/28/24 more than 90 days after date of hire (See LIS Code Sheet). The previous documentation for FA/CPR training for Staff Person #4 included in the file was dated 10/16/22 and was not PQAS certified. Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director contacted the sub company Child Care Careers to explain the situation. Child Cares Careers immediately forwarded an updated copy of staff person #4(sub) file that contained pediatric first aid and CPR by a PQAS certified instructor. |
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| 2024-11-07 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for Staff Person #2 contained a DHS FBI Clearance dated 10/28/24 obtained after their date of hire (See LIS Code Sheet). Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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Provider Response: (Contact the State Licensing Office for more information.) Director reviewed staff files prior to inspection visit and saw that HR accepted PDE fingerprints for staff person #2. Once the Director saw this, she immediately had staff person #2 get the acceptable DHS fingerprints. |
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| 2024-11-07 | Renewal | 3270.65 - Protective Outlet Covers 5 yrs. or less | Compliant - Finalized |
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Regulation: 3270.65 Description: Protective Outlet Covers 5 yrs. or less Noncompliance Area: There was a multiplug with 3 uncovered electrical outlets in Room 122, the older toddler room; there were 7 uncovered outlets in Room 225, the middle preschool room; and there were 2 uncovered electrical outlets in the gym accessible to children 5 years of age or younger. Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. |
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Provider Response: (Contact the State Licensing Office for more information.) On the day of inspection the Director covered all electrical outlets in the multiplug with 3 uncovered electrical outlets in Room 122, the older toddler room; there were 7 uncovered outlets in Room 225, the middle preschool room; and there were 2 uncovered electrical outlets in the gym. |
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| 2024-11-07 | Renewal | 3270.75(a) - In child care spaces | Compliant - Finalized |
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Regulation: 3270.75(a) Description: In child care spaces Noncompliance Area: Room 225, the middle preschool room, lacked a first aid kit. Correction Required: A first-aid kit shall be in a child care space. |
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Provider Response: (Contact the State Licensing Office for more information.) After speaking with the Program Manager the Director was informed that the emergency bag with first aid kit was located inside of the closet of room 225. At the time of inspection room 225 was not being used as a classroom since the Director was under the impression that room 225 was removed from the certificate of compliance from the previous year. The director then removed the emergency bag from the closet and placed it on the doorknob of the closet, which is up out of the reach of children so that all entering the room would see the emergency bag which houses the first aid kit, for when the classroom could be used again. |
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| 2024-11-07 | Renewal | 3270.75(c) - Has all items | Compliant - Finalized |
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Regulation: 3270.75(c) Description: Has all items Noncompliance Area: In Room 116, the younger toddler room, the first aid kit lacked scissors. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) On the day of inspection the director immediately placed a pair of child scissors in the first aid kit in room 116, the young toddler room. |
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| 2024-11-07 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: In Room 120, the infant room, the bottom of the wooden cabinet under the sink was covered in large round water stains. The stains were black and there was a musty odor under the sink. In the second floor restroom, there was a plastic bin, approximately 2 ft long, 1 ft wide and 1 ft deep, under the sink with approximately 1 inch of standing water. Black spots that appeared to be mold were floating in the water. The bin and water were accessible to children using the second floor restroom. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director brought the issues to the attention of the Director of Building Services, and he checked to make sure that there was not a current leak in the second-floor child restroom and removed the plastic bin from under the sink on 11/8/24. The director of Building services will have maintenance come and replace the bottom of the wooden cabinet under the sink in the infant room. |
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| 2024-11-07 | Renewal | 3270.77(a) - No peeling paint or plaster | Compliant - Finalized |
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Regulation: 3270.77(a) Description: No peeling paint or plaster Noncompliance Area: Peeling paint was observed on the wall behind the toilet in the first stall of the second floor restroom; and in Room 225, the middle preschool room, on the wall next to the dramatic play area, the wall above the light table, and the wall near the door. Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director brought the issue to the attention of the Director of Building Services the day after the inspection. Mainantance corrected all the issues with the pealing paint on the wall behind the toilet in the first stall of the second-floor restroom; and in Room 225, the middle preschool room, on the wall next to the dramatic play area, the wall above the light table, and the wall near the door. Photos will be sent to our licensing representative. |
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| 2024-11-07 | Renewal | 3270.82(h) - Handwashing signs | Compliant - Finalized |
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Regulation: 3270.82(h) Description: Handwashing signs Noncompliance Area: The larger stall in the bathroom on the second floor lacked a hand washing sign above the toilet. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director immediately went and replaced the missing hand washing sign in the larger stall in the bathroom on the second floor. |
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| 2024-11-07 | Renewal | 3270.95(a) - Devices must be compliant | Compliant - Finalized |
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Regulation: 3270.95(a) Description: Devices must be compliant Noncompliance Area: According to the fire alarm test log, the system was tested on 6/14/24 and 7/18/24, as well as 8/16/24 and 9/16/24 which was more than 30 days apart. 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)). |
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Provider Response: (Contact the State Licensing Office for more information.) Starting with the date of 11/7/24 administrative staff (Director, Program Manager and/or Administrative Assistant) with use this date and test the fire alarm every 30 days. |
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| 2024-04-25 | Self-Reported Non Compliance | 3270.107 - Refrigerator | Compliant - Finalized |
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Regulation: 3270.107 Description: Refrigerator Noncompliance Area: In the younger toddler room, the bottom shelf of the refrigerator was unclean from what appeared to be the result of a spill. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The director had the staff person in the young toddler clean/wipe out the refrigerator. |
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| 2023-11-01 | Renewal | 3270.103 - Small Toys and Objects | Compliant - Finalized |
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Regulation: 3270.103 Description: Small Toys and Objects Noncompliance Area: There were small tears in the mat on the changing table in the toddler room, exposing foam. In the gym near a detached floor tile there were small pieces (with a diameter less than one inch) of the tile on the floor. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The director immediately replaced the mat on the changing table in the toddler room. The director spoke with the director of building services about the small pieces of tile on the floor, and maintenance came to sweep them up. |
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| 2023-11-01 | Renewal | 3270.107 - Refrigerator | Compliant - Finalized |
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Regulation: 3270.107 Description: Refrigerator Noncompliance Area: There was no thermometer in the refrigerator in the infant room. Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator. |
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Provider Response: (Contact the State Licensing Office for more information.) The director immediately replaced the refrigerator thermometer. |
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| 2023-11-01 | Renewal | 3270.111(b) - Posted in group space | Compliant - Finalized |
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Regulation: 3270.111(b) Description: Posted in group space Noncompliance Area: The daily activity schedule was not posted in the PreK 1 Room. Correction Required: The written plan of daily activities shall be posted in the group space. |
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Provider Response: (Contact the State Licensing Office for more information.) The director had the staff post the daily activity schedule in PreK 1 classroom. |
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| 2023-11-01 | Renewal | 3270.113(a)(1) - Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)(1) Description: Staff assigned to specific children Noncompliance Area: At approximately 10:45 AM, Facility Persons #5 and #6 were supervising 4 older toddlers and 3 young toddlers in the Toddler Room. When asked to identify the children they were supervising, Facility Person #5 identified each of the young toddlers. Facility Person #6 first said they were not responsible for any children, when asked again, they stated they were responsible for the older toddlers. Facility Person #6 then stated it was their first day and they didn't know the names of the children in their group. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The director spoke with facility person #5 to remind her that when subs come into her classroom, she must explain to the sub who he/she is responsible for and give the sub the name card for those children. The director also spoke with facility person #6 to remind her that when she comes into a classroom, if the full-time staff person does not inform you who you are responsible for, please make sure to ask before continuing in the classroom. |
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| 2023-11-01 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: There was no child service report form completed and a copy given to the parent on file for child #2, enrolled at the facility more than 6 months. Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information). |
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Provider Response: (Contact the State Licensing Office for more information.) Staff will complete a child service report/approved assessment for child #2 and give a copy to the parent. |
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| 2023-11-01 | Renewal | 3270.123(a)(4) - Arrival/departure times | Compliant - Finalized |
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Regulation: 3270.123(a)(4) Description: Arrival/departure times Noncompliance Area: The agreement on file for child #4 did not specify the child's arrival and departure time. Correction Required: An agreement shall specify the child's arrival and departure times. |
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Provider Response: (Contact the State Licensing Office for more information.) The director spoke with the parent to confirm the correct arrival and departure time for child #4 and had the parent write in the correct times. |
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| 2023-11-01 | Renewal | 3270.123(a)(6) - Admission date | Compliant - Finalized |
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Regulation: 3270.123(a)(6) Description: Admission date Noncompliance Area: The agreement on file for child #3 did not specify the child's date of admission. Correction Required: An agreement shall specify the date of the child's admission. |
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Provider Response: (Contact the State Licensing Office for more information.) The director immediately looked in the center database to confirm the start date of child #3 and then entered the start date on the agreement form. |
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| 2023-11-01 | Renewal | 3270.124(b)(3) - Parent home/work address, phone | Compliant - Finalized |
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Regulation: 3270.124(b)(3) Description: Parent home/work address, phone Noncompliance Area: The emergency contact form on file for child #3 did not include the enrolling parents work contact information. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. |
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Provider Response: (Contact the State Licensing Office for more information.) We will have the parent's complete work information added. |
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| 2023-11-01 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: The emergency contact form on file for child #1 did not include the addresses of all release persons. Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. |
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Provider Response: (Contact the State Licensing Office for more information.) The director spoke with the parent for the parent to confirm the addresses of all release persons. The parent completed that section of the emergency contact form. |
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| 2023-11-01 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: The agreements on file for children #1-#4 were the originals. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The director made copies of the agreement forms of the children enrolled at the center and gave originals to parents. |
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| 2023-11-01 | Renewal | 3270.124(c) - Each child care space | Compliant - Finalized |
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Regulation: 3270.124(c) Description: Each child care space Noncompliance Area: There was not an emergency contact in the gym for one of the children receiving care in that space. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The director worked with the administrative assistant to make copies of the emergency contacts of the enrolled child and provided those copies to the classroom staff so that classroom staff can place copies of emergency contacts in each of their classroom emergency bags. |
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| 2023-11-01 | Renewal | 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos | Compliant - Finalized |
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Regulation: 3270.124(f)/3270.181(c) Description: Updated every 6 months/Emergency info/agreement updated 6 mos Noncompliance Area: The emergency contact forms and agreements on file for children #1 and #5 were not reviewed and updated by a parent in writing in the previous 6 months. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The director spoke with the parents of children #1 and #5 to have them review and update if needed the emergency contact and agreement forms. |
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| 2023-11-01 | Renewal | 3270.131(b)(1) - Infant: updated health report every 6 months | Compliant - Finalized |
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Regulation: 3270.131(b)(1) Description: Infant: updated health report every 6 months Noncompliance Area: The most recent health assessments on file for children #2 (a young toddler) and #5 (an infant) were not completed within the previous 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. |
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Provider Response: (Contact the State Licensing Office for more information.) A health report was received and is on file for child #5. We will obtain an updated health report for child #2. |
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| 2023-11-01 | Renewal | 3270.131(d)(5)/3270.131(e)(3) - Immunization record/Dismissal policy | Compliant - Finalized |
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Regulation: 3270.131(d)(5)/3270.131(e)(3) Description: Immunization record/Dismissal policy Noncompliance Area: The immunization record on file for child #5 did not indicate the child had the appropriate doses of the DTAP, Hib, pneumococcal and polio vaccines as recommend by the ACIP based on the age of the child. Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).Child #5 must be dismissed from care by close of business and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. |
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Provider Response: (Contact the State Licensing Office for more information.) The director spoke with the parent of child #5 to explain that their child did not have information that they received the appropriate dose of the DTAP, Hib, pneumococcal, and polio vaccines as recommended by the ACIP based on the age of the child. Because of that, their child could not attend until. The parent could provide documentation of the updated or written immunizations and a signed exemption letter. |
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| 2023-11-01 | Renewal | 3270.133(3) - Name on bottle | Compliant - Finalized |
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Regulation: 3270.133(3) Description: Name on bottle Noncompliance Area: There were sample packets of medication (aspirin, ointment, first aid cream) in the first aid kits in the infant and Pre-K 2 rooms, not labeled for use by a specific child. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) : The director immediately removed the medication packets from the infant and PreK 2 first aid kits since they were not for any children currently enrolled. |
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| 2023-11-01 | Renewal | 3270.135(a)(3) - Disposable diapers | Compliant - Finalized |
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Regulation: 3270.135(a)(3) Description: Disposable diapers Noncompliance Area: The trash can used for diaper disposal in the infant room was not hands-free. Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. |
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Provider Response: (Contact the State Licensing Office for more information.) The director immediately replaced the trash can in the infant room with a hands-free trash can. |
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| 2023-11-01 | Renewal | 3270.151(a)/3270.151(c)(2) - 12 months prior to service and every 24 months thereafter/Mantoux TB | Compliant - Finalized |
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Regulation: 3270.151(a)/3270.151(c)(2) Description: 12 months prior to service and every 24 months thereafter/Mantoux TB Noncompliance Area: The health assessment and TB test on file for Facility Person #1 were completed more than 12 months prior to their start in a child care position at the facility. The TB test on file for Facility Person #6 was completed more than 12 months prior to their start in a child care position at the facility. Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. |
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Provider Response: (Contact the State Licensing Office for more information.) The director had facility person #1 complete an updated physical with TB. The director spoke with the sub-company regarding facility person #6 and asked that this person not return to the center until they have completed and updated TB test. Facility Person #1 will complete a health assessment/TB test. |
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| 2023-11-01 | Renewal | 3270.171(a) - Pick-up and drop-off points | Compliant - Finalized |
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Regulation: 3270.171(a) Description: Pick-up and drop-off points Noncompliance Area: There was no traffic safety letter sent within the last 12 months. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The director reviewed and updated the center¿s traffic safety letter and sent out a letter. |
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| 2023-11-01 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: There were no written nonfamily references on file for Facility Person #3. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The director removed facility person #3 from the childcare space until she was able to provide two written nonfamily references. |
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| 2023-11-01 | Renewal | 3270.21 - General Health and Safety | Compliant - Finalized |
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Regulation: 3270.21 Description: General Health and Safety Noncompliance Area: There were sharp adult scissors on the desk in Pre-K Room, accessible to children. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) On the day of inspection, the director removed the adult scissors from the desk in the Pre-K room and placed them in a space that was not accessible to children. |
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| 2023-11-01 | Renewal | 3270.27(a)(5) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(5) Description: Emergency plan Noncompliance Area: The facility's emergency plan did not include accommodations for infants and toddlers in the event of an emergency. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director reviewed the Emergency Plan and made changes to the plans to include work that stated what accommodations would be made for infant and non-mobile toddlers in the event of an emergency. |
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| 2023-11-01 | Renewal | 3270.27(a)(6) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(6) Description: Emergency plan Noncompliance Area: The current emergency plan was dated 2/4/22. Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director reviewed the Emergency Plan and made changes to the plan to update the plan. |
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| 2023-11-01 | Renewal | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Regulation: 3270.27(c) Description: Training regarding plan Noncompliance Area: Documentation of initial emergency plan training on file for Facility Persons # 2 and #5 indicate the training was completed more than 90 days after their start dates. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) At the time of the visit, facility persons # 2 and # 5 had completed their emergency plan training on 10/9/23. |
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| 2023-11-01 | Renewal | 3270.27(e) - Letter to parents | Compliant - Finalized |
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Regulation: 3270.27(e) Description: Letter to parents Noncompliance Area: The letter to the parents explaining the emergency plan did not include information regarding the lockdown plan, accommodations, or the annual emergency drill. Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. |
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Provider Response: (Contact the State Licensing Office for more information.) The director reviewed the Parent Handbook and made updates to include/mention information regarding our lockdown plan, accommodations, and practicing annual emergency drills. |
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| 2023-11-01 | Renewal | 3270.27(f) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(f) Description: Emergency plan Noncompliance Area: There was no documentation the emergency plan was 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The director reviewed the Emergency Plan and made updates to the emergency plan, and then mailed copies to the local police station and to the City-County building. |
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| 2023-11-01 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: Facility Person #2 lived in another state in the previous 5 years. There was no documentation of a criminal history clearance for this state on file for Facility Person #2. There was no NSOR clearance or signed disclosure statement on file for Facility Person #3. The most recent completed criminal history clearance on file for Facility Person #4 was completed more than 60 months prior. The current mandated reporter training documentation on file for Facility Person #4 indicates the training was completed more than 60 months after the prior training documented and on file. There was an FBI clearance on file for Facility Person #6, still within their 45 day provisional hiring period, but there no criminal history clearance or current proof of application for a criminal history clearance on file for Facility Person #6. 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 Persons #2, #3 and #6 may not work in a child care position at the facility without all current CPSL documents on file. |
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Provider Response: (Contact the State Licensing Office for more information.) The director removed facility person #2 from the childcare space until the facility person can get criminal history clearance from another state in which the facility person previously lived. The director removed facility person #3 from the Child Care Staff data form and child care space since facility person # 3 does not work in a classroom. Facility person #4 has updated criminal history clearance as of 10/10/2023, and the current mandated report was completed as of 10/21/2023. The director contacted the sub-company that facility person #6 was contracted from and asked that the sub not return to the center until the sub-company can provide proof of the sub's criminal history application and clearance. |
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| 2023-11-01 | Renewal | 3270.33(a) - Each staff person meets quals | Compliant - Finalized |
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Regulation: 3270.33(a) Description: Each staff person meets quals Noncompliance Area: Facility Person #2 was classified as an assistant group supervisor, but did not meet the educational and/or experiential requirements for the classification. 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 listed under 3270.36(b). |
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Provider Response: (Contact the State Licensing Office for more information.) Facility person #2 was removed from the childcare space until she met the educational and experience requirements. |
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| 2023-11-01 | Renewal | 3270.65 - Protective Outlet Covers 5 yrs. or less | Compliant - Finalized |
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Regulation: 3270.65 Description: Protective Outlet Covers 5 yrs. or less Noncompliance Area: There was an uncovered outlet on the wall in the older toddler room near a desk area. Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. |
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Provider Response: (Contact the State Licensing Office for more information.) The director went and got a protective receptacle cover to place in the uncovered outlet in the older toddler room. |
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| 2023-11-01 | Renewal | 3270.75(c) - Has all items | Compliant - Finalized |
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Regulation: 3270.75(c) Description: Has all items Noncompliance Area: The first aid kits in the PreK 1 & 2 rooms did not contain soap. Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. |
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Provider Response: (Contact the State Licensing Office for more information.) The director brought soap into the first aid kits in PreK 1 & 2. |
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| 2023-11-01 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: There was a detached floor tile in the gym, creating a tripping hazard. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) : The director informed the Director of Building Services about the detached floor tile. That floor section was blocked off when the gym was in use during indoor gross motor play. The maintenance team fixed the detached floor tile when the childcare center was closed. |
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| 2023-11-01 | Renewal | 3270.77(a) - No peeling paint or plaster | Compliant - Finalized |
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Regulation: 3270.77(a) Description: No peeling paint or plaster Noncompliance Area: Peeling paint was observed in the following areas: -in the toddler room behind a diaper disposal can in the restroom area; near the door to the infant room, on a wall behind table & chairs; on a wall in the dramatic play area behind furniture -in the older toddler room on a wall near the entrance to the room, and on the wall below the hallway observation window -in the gym on walls on two sides of the room, lower, near the floor Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The director informed the Director of Building Services about the peeling paint in the different areas. The maintenance team painted to cover the peeling paint in the different areas when the childcare center was closed. |
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| 2023-11-01 | Renewal | 3270.82(h) - Handwashing signs | Compliant - Finalized |
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Regulation: 3270.82(h) Description: Handwashing signs Noncompliance Area: There were no handwashing signs at 2 toilets in the preschool restroom an at a toilet in the toddler room. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) : The director replaced the signs immediately. |
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| 2023-10-12 | Complaints- Legal Location | 3270.111(c) - Promote development | Compliant - Finalized |
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Regulation: 3270.111(c) Description: Promote development Noncompliance Area: Per a facility self-reported incident and staff statements, on 10/5/23 child #1, an older toddler, hit child #2, an older toddler, in the face. Staff #1, instructed child #2 to hit child #1 back, in order to stop child #1 from hitting other children. Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. |
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Provider Response: (Contact the State Licensing Office for more information.) Once the Director returned to work on 10/6/23 she conducted an internal investigation and spoke with staff that were present during the incident on 10/5/23. During the internal investigation staff #1 confirmed that she did instruct child #2 to hit child #1. The director immediately removed staff #1 from the childcare space following the YWCA Greater Pittsburgh¿s policy. Staff #1 was then terminated by HR on 10/6/2023 for violating the Violence in the Workplace Prevention policy. |
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| 2023-10-12 | Complaints- Legal Location | 3270.113(c) - No ridicule or threaten harm | Compliant - Finalized |
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Regulation: 3270.113(c) Description: No ridicule or threaten harm Noncompliance Area: Per a facility self-reported incident and staff statements, on 10/5/23 child #1, an older toddler, hit child #2, an older toddler, in the face. Staff #1, instructed child #2 to hit child #1 back, in order to stop child #1 from hitting other children. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Once the Director returned to work on 10/6/23 she conducted an internal investigation and spoke with staff that were present during the incident on 10/5/23. During the internal investigation staff #1 confirmed that she did instruct child #2 to hit child #1. The director immediately removed staff #1 from the childcare space following the YWCA Greater Pittsburgh¿s policy. Staff #1 was then terminated by HR on 10/6/2023 for violating the Violence in the Workplace Prevention policy. |
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| 2023-10-12 | Unannounced Monitoring | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: The files for staff # 1 and 2 lacked the one-hour updated health and safety training course, Pennsylvania Health and Safety Update 2022 by the deadline of 12/30/22. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director had staff #1 and #2 complete the Health and Safety Update. |
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| 2023-10-12 | Complaints- Legal Location | 3270.21 - General Health and Safety | Compliant - Finalized |
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Regulation: 3270.21 Description: General Health and Safety Noncompliance Area: Per a facility self-reported incident and staff statements, on 10/5/23 child #1, an older toddler, hit child #2, an older toddler, in the face. Staff #1, instructed child #2 to hit child #1 back, in order to stop child #1 from hitting other children. Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. |
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Provider Response: (Contact the State Licensing Office for more information.) Once the Director returned to work on 10/6/23 she conducted an internal investigation and spoke with staff that were present during the incident on 10/5/23. During the internal investigation staff #1 confirmed that she did instruct child #2 to hit child #1. The director immediately removed staff #1 from the childcare space following the YWCA Greater Pittsburgh¿s policy. Staff #1 was then terminated by HR on 10/6/2023 for violating the Violence in the Workplace Prevention policy. |
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| 2023-10-12 | Unannounced Monitoring | 3270.31(e)(4)(i) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(i) Description: Age and Training Noncompliance Area: The file for staff # 1 lacked an updated First - Aid and CPR training. The previous training certificate expired on 4/9/23. The file for staff # 3 lacked an updated First - Aid and CPR training. The previous training certificate expired on 8/23/23. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff are scheduled for CPR/1st Aid Training on 10/14/23. |
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| 2022-11-28 | Renewal | 3270.107 - Refrigerator | Compliant - Finalized |
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Regulation: 3270.107 Description: Refrigerator Noncompliance Area: In Room 224, there was no thermometer in the refrigerator to determine the temperature of the refrigerator. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The Program Manager placed a thermometer in the classroom refrigerator before the inspection was completed. |
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| 2022-11-28 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: The file for child #3 did not contain a child service report which was due by the mandatory date of 10-31-2022. 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). |
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Provider Response: (Contact the State Licensing Office for more information.) The Director and Program Manager will work with the classroom staff to create a calendar alert/reminder system to ensure that child service reports are completed every 6 months for each child. |
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| 2022-11-28 | Renewal | 3270.123(a)(6)/3270.182(2) - Admission date/Application, admission, withdrawal dates | Compliant - Finalized |
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Regulation: 3270.123(a)(6)/3270.182(2) Description: Admission date/Application, admission, withdrawal dates Noncompliance Area: The file for child #2 contained a fee agreement which did not specify the child's date of admission. Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director, Program Manager, and Administrative Assistant will work together as a team to review each child file upon enrollment and then review each child¿s file every three months to make sure that all necessary paperwork is completed and in the child¿s file. |
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| 2022-11-28 | Renewal | 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos | Compliant - Finalized |
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Regulation: 3270.124(f)/3270.181(c) Description: Updated every 6 months/Emergency info/agreement updated 6 mos Noncompliance Area: The file for child #3 contained an emergency contact form and financial agreement form date of 7-23-2021 and 7-25-2022 which exceeded the mandatory date of 1-23-2022 to update the emergency contact and financial agreement information. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director, Program Manager, and Administrative Assistant will work together as a team to review each child file every three months to make sure that the agreement, emergency contact, and financial agreement information is updated on time. |
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| 2022-11-28 | Renewal | 3270.131(d)(5)/3270.131(e) - Immunization record/ACIP recommended immunization record | Compliant - Finalized |
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Regulation: 3270.131(d)(5)/3270.131(e) Description: Immunization record/ACIP recommended immunization record Noncompliance Area: The file for child #1 contained an Influenza Vaccine date of 11-22-2022 which exceeded the mandatory 60 days to receive the vaccine. Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director, Program Manager, and Administrative Assistant will work together as a team to review all enrollment paperwork before providing a family with a start date. As an added step the Flu Shot/Vaccination Exemption form will be added to the enrollment/registration paperwork for parent to complete. |
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| 2022-11-28 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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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 #5 (See IS Code Sheet) contained a health assessment date of 1-27-2022 which exceeded the mandatory date to receive the health assessment. The file for staff #6 (See IS Code Sheet) contained a health assessment date of 11-21-2022 which exceeded the mandatory date to receive the health assessment. The file for staff #7(See IS Code Sheet) contained a health assessment date of 5-20-2022 which exceeded the mandatory date to receive the health assessment. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director and Program Manager will work with HR to include on the new hire onboarding check list that a physical must be completed before the new hire start date. Thereafter the Director, Program Manager and HR will work together to create a calendar alert/reminder system to remind all parties for all staff to complete a physical every two years. |
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| 2022-11-28 | Renewal | 3270.151(c)(2)/3270.192(3) - Mantoux TB/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(c)(2)/3270.192(3) Description: Mantoux TB/Health assessment, TB test Noncompliance Area: The file for staff #5(See IS Code Sheet) contained a tuberculosis screening test date of 1-27-2022 which exceeded the mandatory date to receive the tuberculosis testing. The file for staff #7(See IS Code Sheet) contained a Tuberculosis test date of 5-23-2022 which exceeded the mandatory date to receive the tuberculosis test. The file for staff #6 (See IS Code Sheet) contained a tuberculosis screening test date of 11-18-2022 which exceeded the mandatory date to receive the tuberculosis testing. 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director and Program Manager will work with HR to include on the new hire onboarding checklist that the new hire has completed a tuberculosis testing. |
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| 2022-11-28 | Renewal | 3270.182(1) - Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.182(1) Description: Initial and subsequent health reports Noncompliance Area: The file for child #1 contained an Influenza Vaccine date of 11-22-2022 which exceeded the mandatory 60 days to receive the vaccine. Correction Required: A child's record shall contain initial and subsequent health reports. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director, Program Manager, and Administrative Assistant will work together as a team to review all enrollment paperwork before providing a family with a start date. As an added step the Flu Shot/Vaccination Exemption form will be added to the enrollment/registration paperwork for parent to complete. |
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| 2022-11-28 | Renewal | 3270.27(a)(6) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(6) Description: Emergency plan Noncompliance Area: Based on conversations with the operator, there was not an initial emergency drill conducted by the required date of 12-19-2021. Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director and the Program Manager will work together to create a calendar system to add emergency drills to the rotation of drills that need to be conducted at the center. The calendar system will provide both the Director and Program Manager with monthly alerts to let them know when to conduct the emergency drill. Moving forward, this is how the center will maintain compliance. |
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| 2022-11-28 | Renewal | 3270.31(e)(4)(ii)/3270.192(2)(iii) - Fire safety - 1 yr./Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii) Description: Fire safety - 1 yr./Exp, educ., training at facility Noncompliance Area: The file for staff #3 contained a fire safety training date of 2-5-2021 and 2-11-2022 which exceeded the mandatory date of 2-5-2022 to receive the training. The file for staff #4 contained a fire safety training date of 2-5-2021 and 11-7-2022 which exceeded the mandatory date of 2-5-2022 to receive the training. Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director and Program Manager will work together with HR to develop a calendar system of alerts between them. This alert system will alert all parties a week before the expiration date of the current fire safety training so that the staff will have enough time to complete before the expiration date. |
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| 2022-11-28 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: The file for staff #6 (See IS Code Sheet) contained a Health and Safety training date of 11-23-2022 which exceeded the mandatory 90 days to receive the training. The file for staff #5 (See IS Code Sheet) contained a Pediatric First Aid/CPR training date of 8-21-2022 which exceeded the mandatory 90 days to receive the training. The file for staff #7 (See IS Code Sheet) contained a Health and Safety Training date of 10-3-2022 which exceeded the mandatory 90 days to receive the training. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director will work with the HR department to add the Health and Safety training to the onboarding list of training that must be completed when a new hire goes through onboarding. |
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| 2022-11-28 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff person #-6 has not completed the following required pre-service training within 90 days of their date of hire: Pediatric First Aid/CPR Training from an approved curriculum and completed with a PQAS instructor. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff #6 will have until 12-27-2022 to complete the required training. Until such time as the required training has been completed, staff #6 must be supervised, by an AGS, when interacting with children who has completed the required training related to this citation. If there are no staff available to supervise staff #6, staff #6 may not work in a childcare facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director will work with the HR department to add the Health and Safety training to the onboarding list of training that must be completed when a new hire goes through onboarding. |
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| 2022-11-28 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: The file for staff #5 contained a Mandated Reporter Training date of 5-31-2017 and 11-17-2022 which exceeded the mandatory 60 months to renew the training. The file for staff #6 (See IS Code Sheet) contained a Mandated reporter Training date of 11-3-2022 which exceeded the mandatory 90 days to receive the training. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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Provider Response: (Contact the State Licensing Office for more information.) For all new hires the Director will work with HR to make the Mandated Reporter training part of the onboarding process. Once this is completed during onboarding this date will then be put into a calendar alert system that the Director, Program Manager and HR will have access to so that all parties can be reminded as to when the 60-month expiration will be up. |
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| 2022-11-28 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff #2 contained a State Police Clearance date of 5-24-2017 and 10-31-2022 which exceeded the mandatory 60 months to receive the clearance. The file for staff #2 contained a Child Abuse Clearance date of 6-1-2017 and 10-31-2022 which exceeded the mandatory 60 months to receive the 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director, an Program Manager will work with HR to create a calendar alert system for all current staff to add their 60-month expiration dates for State Police Clearance and Child Abuse Clearance. With this calendar alert system calendar reminders will be given a week before the expiration date so that the Director, Program Manager or HR will have enough time to complete the online process for the clearance needed. |
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| 2022-11-28 | Renewal | 3270.75(b) - Inaccessible to children | Compliant - Finalized |
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Regulation: 3270.75(b) Description: Inaccessible to children Noncompliance Area: In Room 122, the first aid kit was observed on a white and green colored table which was located to the left of the entrance to the room and was accessible to children in care. Correction Required: A first-aid kit must be inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff in the classroom corrected this violation on site and moved the emergency bag up out of the reach of children. |
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| 2022-11-22 | Unannounced Monitoring | 3270.182(7) - Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file | Compliant - Finalized |
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Regulation: 3270.182(7) Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file Noncompliance Area: Documentation of the original incident report that was completed for an injured child on 9-20-22 was observed at the facility, resulting in the parent not receiving the original incident report. Staff stated that a copy of the incident report was provided to the parent of the injured child. Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. |
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Provider Response: (Contact the State Licensing Office for more information.) The administrative staff will train the childcare staff to make the appropriate number of copies and to give the original report to the parent. The administrator on duty at the time of any incident will be responsible for assuring that a copy goes into the accident file and a copy goes into the child file. |
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| 2022-04-26 | Unannounced Monitoring | 3270.94(a)(1) - Every 60 days | Compliant - Finalized |
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Regulation: 3270.94(a)(1) Description: Every 60 days Noncompliance Area: Facility last conducted a fire drill on 11/10/21. Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director along with the Program Manager conducted a fire drill for the children and staff present to participate in. |
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| 2022-04-26 | Unannounced Monitoring | 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(a)/3270.95(b) Description: Devices must be compliant/Director or designated staff person ensure compliance Noncompliance Area: Facility lacked a 30-day testing log or current letter of operability. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The Director conducted a test of the fire alarm system while certification representative was on site. Director documented the date of the test on the new Fire Drill/Detection Log. |
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| 2022-02-08 | Unannounced Monitoring | 3270.106(a) - Clean, age appropriate | Compliant - Finalized |
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Regulation: 3270.106(a) Description: Clean, age appropriate Noncompliance Area: At approximately 9:50 am in the infant room, staff person #10, a substitute staff person, was observed manually bouncing child #1, an 8 month-old, up and down gently in a bouncy seat and the child appeared to be sound asleep. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The child was removed from the seat at the certification rep's request. |
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| 2022-02-08 | Unannounced Monitoring | 3270.113(a) - Supervised at all times | Compliant - Finalized |
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Regulation: 3270.113(a) Description: Supervised at all times Noncompliance Area: 3rd citation: Based on conversation with the operator, staff person #2 through #9 have not completed the 2 supervision trainings on Better Kid Care. Previously cited on 8/19/21 and 11/29/21. Correction Required: The legal entity will arrange for all staff persons to complete the following Better Kid Care trainings within 30 days of acceptance of this POC:: 1. "What about Supervision: What's Required?" 2. "Supervision: Positioning, Where Do I Stand?" |
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Provider Response: (Contact the State Licensing Office for more information.) All staff have either completed both trainings or are working on completion of the trainings. |
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| 2022-02-08 | Unannounced Monitoring | 3270.119 - Infant sleep position | Compliant - Finalized |
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Regulation: 3270.119 Description: Infant sleep position Noncompliance Area: At approximately 9:50 am in the infant room, staff person #10, a substitute staff person, was observed manually bouncing child #1 up and down gently in a bouncy seat and the child appeared to be sound asleep. Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The child was removed from the seat at the certification rep's request. |
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| 2022-02-08 | Unannounced Monitoring | 3270.151(a) - 12 months prior to service and every 24 months thereafter | Compliant - Finalized |
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Regulation: 3270.151(a) Description: 12 months prior to service and every 24 months thereafter Noncompliance Area: 2nd citation: The last health assessment in the file for staff person #3 was dated more than 24 months ago. Previously cited on 11/29/21. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff person now has a current health assessment. |
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| 2022-02-08 | Unannounced Monitoring | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: 2nd citation: The file for facility person #1, observed working at the front desk on 2/8/22, did not include two letters of reference. Previously cited on 11/29/21. 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 |
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Provider Response: (Contact the State Licensing Office for more information.) We will obtain two letters of reference for facility person #1. |
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| 2022-02-08 | Unannounced Monitoring | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Regulation: 3270.27(c) Description: Training regarding plan Noncompliance Area: 2nd citation. The file for facility person #1 did not include evidence of emergency plan training. Based on conversation with the operator, the individual received the training in October 2021, but it was not documented. Previously cited 11/29/21. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility person #1 will sign verification of the emergency plan training. |
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| 2022-02-08 | Unannounced Monitoring | 3270.31(h) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(h) Description: Health and Safety Training Noncompliance Area: 2nd citation: There was no training on health and safety topics #1 through #9 , as required by regulation 31f, in the file for staff person #2 through #9. Previously cited on 11/29/21. Correction Required: All staff persons shall complete the professional development under subsection (f). |
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Provider Response: (Contact the State Licensing Office for more information.) All staff have either completed the training or are working to complete the training |
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| 2022-02-08 | Unannounced Monitoring | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff person #11 included a disclosure statement that was not signed by a witness or dated. The individual was hired through a substitute agency. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The disclosure statement was immediately dated and signed by a witness. |
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| 2022-02-08 | Unannounced Monitoring | 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(a)/3270.95(b) Description: Devices must be compliant/Director or designated staff person ensure compliance Noncompliance Area: 2nd citation: Based on conversation with the director, the legal entity did not have the proof of purchase for the facility's fire detection system. When the system was tested during the inspection, the system was interconnected. Previously cited on 11/29/21. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The attestation form has been completed. |
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