Jewish Community Center Of Greater Pittsburgh

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form in the file for child #1 did not contain the health insurance coverage and policy number for the child.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The initial health report in the files for children #1 and #2 were dated more than 60 days following the first day of attendance at the facility.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Facility files did not contain documentation of a written policy that addresses recognition of potential signs/symptoms of abusive head trauma, strategies for coping with a crying, fussing, distraught child, and the prevention and identification of child maltreatment.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The two most recent health assessments in the files for Staff Persons #5 and #7 are dated more than 24 months apart. The file for Staff Person #15 contained a health assessment that lacked a name; therefore, it could not be determined whether a health assessment was completed for Staff Person #15 at the time of initial employment. The file for Staff Person #18 contained a health assessment dated 3/5/25 but was after the staff person's first day working in a child care setting.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for Staff Person #15 contained documentation of a TB screening but lacked a name on the document; therefore, it could not be determined that a TB screening was completed at the time of initial employment for Staff Person #15. The file for Staff Person #18 contained documentation of TB Screening results dated 2/27/25 but was after the staff person's first day working in a child care setting.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff Person #8 contained documentation of emergency plan training dated 8/24/25 but was not at initial employment.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The files for Staff Persons #7, #11 and #20 contained documentation of fire safety trainings that were dated more than 12 months apart.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #1, #2, #3, #4, #8, #9, #10, #13, #14, #15, #16, #21, and #22 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid/CPR. The files for Staff Persons #8 and #12 contained documentation of completing the PA Required Health and Safety for Centers-Groups Part 2 training but was not completed within 90 days of hire (See LIS Code Sheet). The file for Staff Person #18 contained documentation of completing the PA Required Health and Safety for Centers-Groups Part 2 training and pediatric first aid/CPR training but were not completed within 90 days of hire (See LIS Code Sheet).

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The files for Staff Persons #5 and #6 contained NSOR clearance results that were not renewed prior to the expiration date of the most current certification. Staff person #5: 10/8/20 and 10/10/25. Staff person #6: 7/31/20 and 8/27/25. The files are now current. The file for Staff Person #7 contained Mandated Reporter training that was not renewed prior to the expiration date of the most current certification. The file for Staff Person #7 contained Child Abuse, FBI, and NSOR clearance results that were not renewed prior to the expiration date of the most current certification. The file is now current. The file for Staff Person #8 contained Child Abuse clearance results dated 2/21/25 but was after the staff person's first day working in a child care setting (See LIS Code Sheet). The file for Staff Person #17 contained NSOR clearance results but was after but was after the staff person's first day working in a child care setting (See LIS Code Sheet). The file for Staff Person #22 contained Child Abuse and NSOR clearance results but were after the staff person's first day working in a child care setting as (See LIS Code Sheet).

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff Person #7 contained written evaluations dated 12/1/23 and 9/29/25, which is more than 12 months apart. The file for Staff Persons #19 contained documentation of a written evaluation dated 9/29/25 but was not within 12 months of their date of hire (See LIS Code Sheet).

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In Room 161 and the Lobby, children's tables were observed to have large holes on the top surface that had rough edges and were not in good repair.

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

Regulation: 3270.123(b)/3270.182(8)

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

Noncompliance Area: The child files for all children enrolled were observed to contain documentation of the original financial agreement form, in which the parents of children enrolled shall receive the original agreement.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for facility person #5 had documentation of a health assessment conducted on 11/8/24 but was after the persons date of hire (See LIS Code Sheet). The file for facility person #11 had documentation of a health assessment conducted on 11/13/24 but was after the persons date of hire (See LIS Code Sheet). The two most recent health assessments on file for facility person #16 are dated more than 24 months apart: 1/5/21 and 10/5/23.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for facility person #5 had documentation of TB Screening results dated 11/8/24 but was after the persons date of hire (See LIS Code Sheet). The file for facility person #11 had documentation of TB Screening results dated 11/15/24 but was after the persons date of hire (See LIS Code Sheet).

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The health assessments on file for facility persons #6 and #21 did not include an 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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The two most recent emergency plan trainings in the file for facility person #9 are dated 8/27/23 and 10/30/24, which are more than 12 months apart. The file for facility person #12 had documentation of emergency plan training dated 8/25/24, but did not have any documentation of a previous training 12 months prior. The file for facility person #13 had documentation of emergency plan training dated 8/26/24, but did not have any documentation of a previous training 12 months prior.

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

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file for facility person #13 did not include documentation of current pediatric first aid/CPR training at the time of inspection. The most recent training on file is dated 10/3/22.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for facility persons #1, #2, #7, #9, #11, #12, #13, #16, #18, #20, and #21 have not had fire safety training within the last 12 months.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for facility person #11 completed Pediatric First Aid/CPR on 12/4/24 and the PA Required Health and Safety for Centers Part 1 and Part 2 on 1/8/25 but did not complete the trainings within 90 days of hire (See LIS Code Sheet). The files for facility persons #14, #15, and #19 completed the Health and Safety training, Getting Started with Center-Based Care-Revised, but did not complete within 90 days of hire (See LIS Code Sheet). The file for facility person #17 completed Pediatric First Aid/CPR on 12/14/24, but did not complete within 90 days of hire (See LIS Code Sheet).

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Facility persons #5 and #8 have not completed the following required pre-service trainings within 90 days of their date of hire (see LIS code sheet): Facility person #5 has not completed Pediatric first aid/CPR. Facility person #8 has not completed Health and Safety training.

Correction Required: Facility persons shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Until such time as the required training has been completed, facility persons #5 and #8 must be supervised, when interacting with children, by a AGS who has completed the required training related to this citation. If there are no staff available to supervise facility persons #5 and #8, facility persons #5 and #8 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for facility person #3, hired provisionally, had a NSOR clearance application dated 10/10/24 but was after the facility persons date of hire (See LIS Code Sheet). The file for facility person #3 now has current NSOR clearance results. The file for facility person #15, hired provisionally, had a NSOR clearance application dated 9/6/24 but was after the facility persons date of hire (See LIS Code Sheet). The file for facility person #15 now has current NSOR clearance results.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for facility person #4 did not have documentation of PA State Police clearance results prior to date of hire (See LIS Code Sheet). The file for facility person #10 contained application of NSOR clearance dated 11/12/24 but did not contain NSOR clearance results within 45 days of hire (See LIS CODE SHEET). The file for facility person #11 did not contain documentation of state sex offender clearance results from New Jersey where the individual resided in the 5 years prior to employment (See LIS Code Sheet). The file for facility person #19 did not contain documentation of child abuse and state sex offender clearance results from Ohio, where the individual resided in the 5 years prior to employment (See LIS Code Sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #4, #10, #11 and #19 may not work in a child care position at the facility.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for facility person #5, identified as an assistant group supervisor, lacked qualification documents at the time of inspection.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for facility persons #2, #7, #12 and #13 had documentation of an evaluation dated 12/13/24 but did not have documentation of an evaluation 12 months prior to the current evaluation on file. The file for facility person #9 had documentation of an evaluation dated 12/13/24 and the file for facility person #18 had documentation of an evaluation dated 11/15/24 but were not completed within one year of hire. The two most recent evaluations in the file for facility person #21 are dated more than 24 months apart.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: *SECOND VIOLATION The file for facility persons #1, #4, #6, #7, #8, #9, #11, #12, #13, #14, #15, #16, #17 and #18 did not include a health assessment conducted at initial employment. (See IS CODE SHEET). Previously cited on SIN-00252488 on 9.25.24.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: *SECOND VIOLATION The file for facility persons #1, #4, #6, #7, #8, #9, #11, #12, #13, #14, #16, #17, #18, and #20 did not include documentation of a TB screening at initial employment. (See LIS CODE SHEET) Previously cited on SIN-00252488 on 9.25.24.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: *SECOND VIOLATION The health assessment on file for facility person #5 did not include an examination for communicable diseases and the results of that examination. Previously cited on SIN-00252488 on 9.25.24.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: *SECOND VIOLATION The file for facility person #4 did not include one written, nonfamily reference. The file for facility person #6 did not include two written, nonfamily references. The file for facility person #7 did not include one written, nonfamily reference. The file for facility person #14 did not include one written, nonfamily reference. Previously cited on SIN-00252488 on 9.25.24. The file for facility person #3 is now in compliance.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: *SECOND VIOLATION On 9.25.24, an unannounced inspection was conducted at the facility. Facility persons #18, #20 and #22 had not completed the following required pre-service trainings within 90 days of their date of hire (see LIS code sheet): Facility person #18- Pediatric first aid/CPR and Health & Safety; Facility person #20- Pediatric First Aid/CPR, and Facility person #22- Health & Safety. The facility's acceptable plan of correction indicated the correction would be implemented by 10.15.24. On 10.25.24, an unannounced inspection was conducted. Facility persons #18, #20, and #22 still have not completed the required pre-service trainings. Previously cited on SIN-00252488 on 9.25.24.

Correction Required: Facility persons shall complete professional development in the topics of 3270.31(f) (1 -- 10) within 90 days of hire. Facility persons #18, #20, and #22 will have until 11.16.24 to complete the required training. Until such time as the required training has been completed, facility persons #18, #20, and #22 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff persons available to supervise facility persons #18, #20, and #22, facility persons #18, #20, and #22 may not work in a child-care position at the facility.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: *SECOND VIOLATION The file for facility person #5 identified as an Assistant Group Supervisor and facility persons #12 and #16 identified as Aides did not include qualification documents for the positions they are performing. Previously cited on SIN-00252488 on 9.25.24. The files for facility persons #1 and #10 are now in compliance.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Facility persons #2, #3, and #17 were observed to be caring for children unsupervised. Facility persons #2, #3, and #17 have not completed the following pre-service trainings required prior to caring for children unsupervised: Pediatric first aid/CPR and the Health and Safety (CCDBG) training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff persons #2, #3 and #17 must be supervised, when interacting with children, by an AGS who has completed the required trainings related to this citation. If there are no staff persons available to supervise staff persons #2, #3 and #17, staff persons #2, #3 and #17 may not work in a child-care position at the facility.

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 facility persons #1, #4, #6, #7, #8, #9, #11, #12, #13, #14, #15, #16, #17 and #18 did not include a health assessment conducted at initial employment. (See IS CODE SHEET). The file for facility person #10 had documentation of a health assessment dated 9/26/24 but was not at initial employment. The file for facility person #23 had documentation of a health assessment dated 3/15/24 but was not at initial employment.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The files for facility persons #1, #4, #6, #7, #8, #9, #11, #12, #13, #14, #16, #17, #18, and #20 did not include documentation of a TB screening at initial employment. (See LIS CODE SHEET) The file for facility person #23 had documentation of a TB screening dated 3/15/24, but was after the facility persons start date.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessment on file for facility person #5 did not include an examination for communicable diseases and the results of that examination.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for facility person #3 did not include one written, nonfamily reference. The file for facility person #4 did not include one written, nonfamily reference. The file for facility person #6 did not include two written, nonfamily references. The file for facility person #7 did not include one written, nonfamily reference. The file for facility person #14 did not include one written, nonfamily reference.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files for facility persons #18 and #20 did not include emergency plan training at initial employment.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Facility persons #17, #18, #19, #20, #21, and #23 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid/CPR. Facility persons #19 and #21 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Mandated Reporter training. Facility persons #17, #18, #19, #21 and #22 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety.

Correction Required: Facility persons shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Facility persons #17, #18, #19, #20, #21, #22 and #23 will have until 10/15/24 to complete the required trainings. Until such time as the required trainings have been completed, facility persons #17, #18, #19, #20, #21, #22 and #23 must be supervised, when interacting with children, by an AGS who has completed the required trainings related to this citation. If there are no staff available to supervise facility persons #17, #18, #19, #20, #21, #22 and #23, facility persons #17, #18, #19, #20, #21, #22 and #23 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for facility person #1, hired provisionally, contained documentation of application of NSOR clearance dated 9/8/24, which was after the facility persons start date. (See IS CODE SHEET) The file for facility person #3 did not include documentation of a signed Disclosure Statement, PA State Police and PA Child Abuse clearance results prior to the facility persons start date. (See IS CODE SHEET) The files for facility persons #5, #6, #7, #8, #9, and #16 did not include documentation of NSOR application or NSOR clearances results prior to their start date. (See IS CODE SHEET) The file for facility person #10 lacked a signed disclosure statement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #1, #3, #5, #6, #7, #8, #9, and #16 may not work in a child care position at the facility.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The files for facility persons #1 and #5 identified as Assistant Group Supervisors, did not include qualification documents. The files for facility persons #10, #12, and #16, identified as Aides, did not include qualification documents.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a crack, which creates a sharp edge, on the gray toy box in Room 156.

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

Regulation: 3270.131(a)(4)/3270.182(1)

Description: Initial health report for school age; accordance with school attendance/Initial and subsequent health reports

Noncompliance Area: The file for Child #1, who is in 6th Grade, lacked a health report conducted for the 6th Grade School Year.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). A child's record shall contain initial and subsequent health reports.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff persons #13, 20 and 26 were observed to be caring for children unsupervised. Staff persons #13, 20 and 26 have not completed the following pre-service training required prior to caring for children unsupervised: Staff Persons #13 and 26: Pediatric CPR/First Aid from in an approved curriculum from a PQAS Instructor. Staff Person #20: Health and Safety Training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education, and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff persons #13, 20 and 26 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #13, 20 and 26, staff persons #13, 20 and 26 may not work in a child-care position at the facility.

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 initial health assessments and TB screenings in the files for Staff Persons #4, 5, 6, 8 and 18 were conducted after the staff person's first day working in child care at the facility. The initial health assessment in the file for Staff Person #20 was conducted after the staff person's first day working in child care at the facility. The file for Staff Person #22, a rehire, did not include documentation of a TB Screening conducted within 12 months prior to rehire date. The file for Staff Person #23, a rehire, did not include documentation of a health assessment or TB Screening conducted within 12 months prior to rehire date (See LIS Code Sheet). The most recent health assessments in the files for Staff Person #10 and 16 exceeded 24 months between assessments.

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

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: Pick-up and Drop-Off Procedures were not posted at the facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff Person #25 contained only one written letter of reference.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files for Staff Person #8 and #20, who have been working at the facility for more than 90 days, did not include documentation of initial training in the facility's emergency plan (See LIS Code Sheet).

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff Person #10 contained only one hour of child care training for most recent full year of service (9/13/22-9/13/23).

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The most recent fire safety trainings in the files for Staff Persons #3, 10, 12, 13, 14, 15, 16, 26 and 27 exceeded 12 months between trainings. The files for Staff Persons #7, 9 and 19 did not include documentation of fire safety training conducted within the past 12 months.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #10, 13, 15, 16, 20, 24 and 26 have not completed the following required pre-service training within 90 days of their date of hire: Staff Persons #10, 13, 15, 16, and 26: Pediatric CPR/First Aid from in an approved curriculum from a PQAS Instructor. Staff Person #20: Health and Safety Training (see LIS code sheet). Staff Person #24: Pediatric CPR/First Aid Training in an approved curriculum from a PQAS Instructor and Health and Safety Training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff persons #10, 13, 15, 16, 20, 24 and 26 will have until 3/6/24 to complete the required training. Until such time as the required training has been completed, Staff persons #10, 13, 15, 16, 20, 24 and 26 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff persons #10, 13, 15, 16, 20, 24 and 26, Staff persons #10, 13, 15, 16, 20, 24 and 26 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The Health and Safety Trainings in the files for Staff Persons #1, 2 and 17 were completed more than 90 days after the staff person's first day working in child care. The Pediatric First Aid/CPR Training and Health and Safety Training in the file for Staff Person #11 was completed more than 90 days after the staff person's first day working in child care (See LIS Code Sheet).

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The most recent Mandated Reporter Trainings in the files for Staff Person #7 and 10 exceeded 60 months between trainings.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The NSOR Application in the file for Staff Person #4 was dated after the staff person's first day working in child care at the facility. The disclosure statement in the file for Staff Person #8 was signed and dated after the staff person's first day working in child care at the facility. The most recent FBI Clearances in the file for Staff Person #10 exceeded 60 months between clearances. The file for Staff Person #17 lacked a receipt for fingerprinting prior to the staff person's first day in child care. The State Police Clearance in the file for Staff Person #18 was applied for and received after the staff person's first day working in child care. The file for Staff Person #23, a rehire, did not include an updated disclosure statement. The file for Staff Person #20, who has been working at the facility for more than 45 days, did not include an FBI Clearance. (See LIS Code Sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #20 may not work in a child care position at the facility.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for Staff Person #21, an Assistant Group Supervisor, did not include documentation of a high school diploma.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The first annual written evaluation in the file for Staff Person #24 was conducted more than one year after the staff person's first day working in child care. The file for Staff Person #9, who has been working in a child care position for more than one year at the facility, did not include an annual written evaluation (See LIS Code Sheet).

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Continued Non-Compliance: On 3/28/23 a unannounced correction visit was conducted at the facility. Staff person #1 was observed to be caring for children unsupervised. Staff person #1 had not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid/CPR and Health and Safety Basic Training). The facility's acceptable plan of correction indicated the correction would be implemented by 4/8/23. On 4/11/23 an unannounced inspection was conducted. Staff person #1 still has not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid/CPR and Health and Safety Basics).

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. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid and CPR and Health and Safety Basic Training).

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 4:00 PM there were two staff members and 19 children in Room 156. When asked to name the group of children that Staff #2 was currently responsible for, Staff #2 named 14 young school aged children. After naming the 14 young school aged children, Staff #2 admitted that he had exceeded the regulatory ratio by two children. Staff #3 went on to name the additional 5 children in the classroom. Therefore, at the time of the inspection ratio for the young school aged children was 1:14 for Staff #2, and 1:5 for Staff #3.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 5:00 PM one staff was observed in the gym with 5 children. When the staff was asked to name the children that they were responsible for they named the 5 children in the gym and also the two children that were in the gym lounge. It was observed that the staff was not physically present with the children in the gym lounge.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: Room 154 and Room 156 lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

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

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: A bottle of liquid Motrin observed at the facility intended for Child #2 was not labeled.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: The Epi Pen in the facility for Child #1 was expired.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The files for Staff #3, #9, #11, #12, #13, and #14 contained a Health Assessment at the time of inspection, but it was observed they did not have a Health Assessment before their first day working in childcare. The last two health assessments for Staff #7 were dated more than 24 months apart.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The files for Staff #3, #9, #11, #13, and # 14 contained a tuberculosis screening by the Mantoux method at the time of inspection, but it was observed they did not have a tuberculosis screening by the Mantoux method before their first day working in childcare. The file for Staff #1 contained TB screening that was conducted more than 12 months prior to their first day working in childcare.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The file for Staff #4 contained a Health Assessment that did not answer the question regarding communicable diseases. The file for Staff #7 contained a Health Assessment that stated they had a communicable disease. There was no accompanying documentation stating the condition and the risk it might pose to others exposed to this individual.

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

Regulation: 3270.151(c)(4)

Description: Information re: medical problems

Noncompliance Area: The file for Staff # 4 contained a Health Assessment that lacked information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Correction Required: An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: The file for Staff # 3 lacked proof of qualifications for education in the form of a diploma, transcript, or letter signed by a representative or the experiential, educational or training entity.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff #3, lacked one written, nonfamily references from individuals attesting to the 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.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The last two fire safety trainings in the file for Staff #5, #7, and #15 were dated more than 12 months apart.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Although the files for Staff #2, #5, #8, #10, #12, and #15 contained Pediatric First Aid and CPR at time of Renewal Inspection, it was observed that Staff #2, #5, #8, #10, #12, and #15 did not complete Pediatric First Aid and CPR within 90 days of hire. Staff person #16 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Pediatric First Aid/CPR). Although the files for Staff #8, #12, #13, and #14 contained Health and Safety Basic training at time of Renewal Inspection, it was observed that Staff #8, #12, #13, and #14 did not complete Health and Safety Basic Training within 90 days of hire. Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health and Safety Basic Training).

Correction Required: Staff persons shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #6 and #16 will have until 2/16/23 to complete the required training. Until such time as the required training has been completed, staff person #6 and #16 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #6 and #16, staff person #6 and #16 may not work in a child-care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for Staff #7 and #15 contained a written evaluation that was conducted in an interval greater than 12 months.

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

Regulation: 3270.61(e)

Description: Halls, etc. not included

Noncompliance Area: At approximately 3:30 PM, three children were observed to be receiving care in the office space. The office space is not measured as a childcare space.

Correction Required: Measured indoor space excludes space occupied by halls, bathrooms, offices, kitchens and locker rooms.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Located on the front wall of Room 156 was a cracked electrical face plate that created a pinch point for the children in care.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Based on Fire Drill documentation, fire drills are not being held at least every 60 days; 1/13/22-3/24/22, and 10/7/22-12/12/22.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: Based on fire drill documentation, the hypothetical location has been the same for the previous three consecutive fire drills.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The previous two fire detection letters attesting to the operability of the facilities Fire Detection system were dated more than a year apart: 1/28/22 and 2/6/23.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement on file for Child #1 and Child #2 does not include the amount to be paid for child care services.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement on file for Child #2 does not include the names of the release persons.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: There was a child receiving care in Room 156 whose emergency contact form was not in the room where she was receiving care.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The health assessment on file for Child #1, with an enrollment date of 9/13/21, is dated 12/19/21, more than 90 days after enrollment, as allowed according to Announcement C-20-04.

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

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The immunization record on file for Child #1, with an enrollment date of 9/13/21, is dated 12/21/21, more than 60 days after enrollment.

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

Regulation: 3270.133(7)(i)

Description: Name of medication

Noncompliance Area: There was a medication log in the facility for a child that did not list the name of the medication on the log.

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

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 most recent health assessment on file for Staff person #9 is dated 12/26/21, more than 24 months after the previous health assessment, dated 9/19/19. The initial health assessment on file for Staff person #11, with a hire date of 1/3/22, is dated 1/4/22. The most recent health assessment on file for Staff person #12 is dated 1/5/21, more than 24 months after the previous health assessment, dated 9/11/18. The initial health assessment on file for Staff person #14 is dated 9/1/20, after the first day working with children, 8/31/20. The file for Staff person #16, with a hire date of 1/18/22, does not include an initial health assessment. The file for Staff person #18, with a hire date of 1/20/22, does not include an initial 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.

Regulation: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: The initial health assessment on file for Staff person #7 states the doctor did not complete a physical examination.

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

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The initial health assessment on file for Staff person #6 , whose first day working with children is 9/30/21, does not include a Tuberculosis screening. The file for Staff person #16, with a hire date of 1/18/22, does not include a Tuberculosis screening. The file for Staff person #18, with a hire date of 1/20/22, does not include a Tuberculosis screening. The initial health assessment on file for Staff person #19 , whose first day working with children is 1/20/22, does not include a Tuberculosis screening.

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.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessment on file for Staff person #6 does not include as assessment for communicable diseases.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff person #17, with a hire date of 1/18/22 does not include 2 written, mon-family references. The file for Staff person #19, with a hire date of 1/20/22 does not include 2 written, mon-family references.

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

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The most recent documented fire safety training on file for Staff person #4 is dated 9/1/20, more than 1 year ago.. The most recent documented fire safety training on file for Staff person #9 is dated 9/16/20, more than 1 year ago. The file for Staff person #12 and #13 does not include documentation of fire safety training completed within a year of the last training, dated 9/16/20. The most recent fire safety training on file for Staff person #14 is dated 9/16/20, more than 1 year ago.

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.

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

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

Noncompliance Area: The files for Staff person #4, #9, #12, #13, #14, who were hired prior to 12/19/20, do not include 12 hours of annual training to be completed between 12/19/20-12/19/21.

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

Regulation: 3270.31(f)(10)/3270.192(2)(iii)

Description: Health and Safety Training - Pediatric First Aid and CPR/Exp, educ., training at facility

Noncompliance Area: The file for Staff #1, with a hire date of 9/17/21, lacked documentation of current certification in pediatric first-aid and CPR, which was due 90 days after hire, 12/16/21. The file for Staff #2, with a hire date of 9/22/21, lacked documentation of current certification in pediatric first-aid and CPR, which was due 90 days after hire, 12/21/21. The file for Staff #3, with a hire date of 9/13/21, lacked documentation of current certification in pediatric first-aid and CPR, which was due 90 days after hire, 12/12/21. The file for Staff #5, with a hire date of 9/22/21, lacked documentation of current certification in pediatric first-aid and CPR, which was due 90 days after hire, 12/21/21. The file for Staff #6, with a hire date of 9/30/21, lacked documentation of current certification in pediatric first-aid and CPR, which was due 90 days after hire, 12/29/21. The file for Staff #7, with a hire date of 10/28/21, lacked documentation of current certification in pediatric first-aid and CPR, which was due 90 days after hire, 1/26/22. The file for Staff #8, with a hire date of 10/25/21, lacked documentation of current certification in pediatric first-aid and CPR, which was due 90 days after hire, 1/23/22. The file for Staff person #15, with a hire date of 9/14/21, does not include verification of completed Pediatric First aid/CPR training, which was due within 90 days of hire, 12/13/21

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

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

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

Noncompliance Area: The file for Staff #10, whose first day working with children was 9/13/21, includes documentation of health and safety training numbers 1 - 9, as listed in the regulation 3270.31(f), which was completed on 12/19/21, more than 90 days after working with children, 12/12/21.

Correction Required: All staff persons shall complete the professional development under subsection (f). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The NSOR on file for Staff person #2, with a hire date of 9/22/21, and whose provisional hire period ended on 11/6/21, is dated 11/22/21. The NSOR on file for Staff person #3, with a hire date of 9/13/21, includes an NSOR application dated 12/3/21, after hire. The file for Staff person #4, whose first day working with children was 8/30/20, has a disclosure statement signed 11/15/20, after hire. The file for Staff person #8, whose first day working with children was 10/25/21, includes a request for a Washington DC criminal history clearance dated 11/11/21; a Washington DC child abuse clearance request dated 11/11/21; and a New York child abuse clearance request dated 12/7/21. The file for Staff person #9, with a hire date of 8/30/20, includes a sex offender search from Ohio, where she resided in the previous 5 years, dated 10/2/20, after hire. The NSOR on file for Staff person #12, with a hire date of 9/4/18, is dated 9/9/20, after the 7/1/20 deadline for all staff hired prior to 9/30/19. The NSOR on file for Staff person #13, with a hire date of 8/19/19, is dated 8/28/20, after the 7/1/20 deadline for all staff hired prior to 9/30/19. The file for Staff person #14, with a hire date pf 8/31/20, includes criminal history clearances dated 11/22/15 and 12/1/20; child abuse clearances dated 11/23/15 and 12/1/20, more than 60 months apart.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #9, with a hire date of 8/30/20, does not include a child abuse clearance from Ohio, where she resided in the 5 years prior to employment.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #9 may not work in a child care position at the facility.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for Staff person #7, classified as a Group supervisor, does not include verification of a Bachelors degree in education or a related human services field; a Bachelors degree and 30 credits in education or a related human services field and 1 year of experience with children; an Associates degree in education or a related human services field and 2 years of experience with children; or an Associates degree with 30 credits in education or a related human services field and 3 years of experience with children. The file for Staff person #8, classified as an Assistant group supervisor, does not include verification of 30 credits in education or a related human services field; or 15 credits in education or a related human services field and 1 year of experience with children; or 2 years of experience with children.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The 2 most recent staff evaluations on file for Staff person #4, are dated 11/19/19 and 1/20/21, more than 1 year apart.The 2 most recent staff evaluations on file for Staff person #12, are dated 10/28/19 and 12/1/20, more than 1 year apart, and the most recent evaluation is dated more than 1 year ago.

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

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: There was no fire drill log available for review covering the period from January 2021-November 2021.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The provider does not have verification of the purchase of the fire alarm system in the facility.

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

Regulation: 3270.20(a)(1)

Description: Inpatient hospitalization or ER treatment of child

Noncompliance Area: On 11/19/21, the provider notified the certification representative of an injury sustained by a child that required treatment at an emergency room on 11/16/21, not within 24 hours.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.