Jewish Community Center-south Hills Branch

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The most recent Child Service Reports in the files for Child #1, #2, #4 and #5 exceeded 6 months between reports: March, 2025-November, 2025. The file for Child #3 did not include a Child Service Report conducted within the past 6 months (March, 2025).

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact forms in the files for Child #2, #3, #4 and #5 did not include the work addresses and phone numbers of the enrolling parents.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact forms in the files for Child #2, #3, #4 and #5 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: Emergency Transportation Plans were not posted in 124I (105), 124G (108), and 124E (102).

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: 3270.131(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, a young toddler, did not include an updated health report conducted within the past 6 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.151(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 assessments in the files for Staff Person #1, #2, #4, #6, #7 and #8 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files for Staff Person #5, #9 and #12, who have worked at the facility for more than 90 days, did not include documentation of emergency plan training (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)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The most recent fire safety trainings in the files for Staff Person #1 and #2 exceeded 12 months between trainings.

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 person #5 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 in an approved curriculum from a certified PQAS instructor.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children at a minimum by, an AGS or higher who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The most recent Mandated Reporter Trainings in the files for Staff Person #4 and #7 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 State Police Clearance, Child Abuse Clearance and NSOR Certificate in the file for Staff Person #10 were acquired after the staff person's first day working in childcare. The file for Facility Person #12, did not include an NSOR Certificate acquired within the past 60 months (6/11/20).

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 #12 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 #5 did not contain verification of 1 year childcare experience required for an AGS with 25 credit hours in education/human services. The file for Staff Person #11 did not contain verification of two years childcare experience for an AGS with 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 file for Staff Person #9, who has been working at the facility for more than 12 months, 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: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed protruding bolts, which lacked covers, from the bases of the toilets for Room 124I (105) and 124H (106). Observed multiple torn areas, which create potential tripping hazards, in the blue matting of the outdoor preschool play area.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire drill/fire system test log documents six times when monthly fire system tests exceeded 30 days between tests: 3/4-4/4, 5/2-6/4, 7/4-8/4, 8/4-9/4, 10/3-11/3 and 1/2-2/2.

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: 3270.107

Description: Refrigerator

Noncompliance Area: There was no thermometer in the refrigerator used to store children's milk in the prep area.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in the gym.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The emergency contact information for child #1 was not reviewed by a parent in the past 6 months. The emergency contact information for child #2 was reviewed by a parent on 2/3/2025, more than 6 months following the date the emergency contact form was completed on 7/5/2024. The emergency contact information for child #3 was reviewed by a parent on 2/3/2025, more than 6 months following the date the emergency contact form was completed on 7/18/2024.

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

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

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

Noncompliance Area: The record for child #3 and #4, a preschool child, included a current health report dated more than 12 months following the date of their previous health report.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not include the prevention and identification of child maltreatment, as required per Announcement C-22-03.

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 record for staff person #1 and #4 did not include a health assessment conducted within the past 24 months. The record for staff person #2 included a current health assessment dated more than 24 months following the date of their previous health assessment. The record for facility person #7 included an initial health assessment dated following their first day working in childcare (See LIS Code Sheet). The record for facility person #6 included results of initial TB test read more than 12 months prior to providing initial service in a child care setting (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.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The operator did not notify local traffic safety authorities annually in writing of the program's use of pedestrian and vehicular routes around the child care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: Written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The financial agreement for child #3 was reviewed by a parent on 2/3/2025, more than 6 months following the date the financial agreement was completed on 7/18/2024.

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

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: Based on a conversation with staff, it was determined that the facility has not been retaining a copy in the children's files.

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.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: A pair of sharp adult scissors were observed in a bin on a shelf, where they were accessible to children in care and posed a potential threat to their health and safety.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Annual emergency drills were not documented and on file at the facility.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Facility person #5, #6 and #7 and staff person #8 and #9, who have worked in child care more than 90 days, did not receive training regarding the 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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The operator did not send a copy of the subsequent updates to their emergency plan to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Staff person #3 did not obtain an annual minimum of 12 clock hours of child care training.

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

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

Description: Age and Training

Noncompliance Area: Staff person #2 renewed their certification in pediatric first aid and pediatric CPR on 8/18/2023, following the expiration of their previous certification on 6/30/2023.

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: Staff person #8 participated in fire safety training on 9/11/2024, more than 12 months following their first day working in childcare (See LIS Code Sheet).

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #3 completed mandated reporter training on 1/10/2025, more than 60 months following the completion of their previous training on 12/18/2019.

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 record for staff person #1 included a current state police clearance dated 9/13/2024, which was more than 60 months following the date of their previous clearance on 8/7/2019 and a current FBI clearance dated 9/17/2024, which was more than 60 months following the date of their previous clearance on 8/13/2019; The record for staff person #3 included a current child abuse clearance dated 1/15/2025, which was more than 60 months following the date of their previous clearance on 1/12/2020; and the record for staff person #9, who has lived outside of Pennsylvania in the past 5 years, did not include a child abuse clearance from the state where the staff person resided.

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 #9 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The director did not complete a minimum of one written evaluation of staff person #8, who has worked in child care for more 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 (See LIS Code Sheet).

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Trader Joe's lip balm labeled keep out of the reach of children was observed in an unlocked drawer in room 124-G, where it was accessible to children in care. Hand sanitizer labeled keep out of the reach of children was in a wall mounted dispenser in the gym, where it was accessible to children in care.

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

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: A Raven ZZ plant, which was identified as being toxic to humans, was observed in room 124-G; and a Pothos plant and Snake plant, which were identified as being toxic to humans, were observed in room 124-C.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: Trash that appeared to have been contaminated by human secretions was contained in open receptacles in the gym and rooms 124-C and I.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The hot water temperature in the bathroom sink used by children in room 124-E and 124-G was measured to be 118° F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: An excursion bag containing a first-aid kit was observed in a cubby in the hallway and on a window sill in room 124-E, accessible to children in care.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There were approximately 5 sharp bolts protruding from the fence surrounding the backyard (triangle) outdoor play space.

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: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: There were no lids on (2) waste receptacles in the bathroom in room 124-E.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: A source of running water was not present in the diapering areas in rooms 124-B and C.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire detection system was not tested every 30 days during the time periods between 3/9 to 4/24/2024; 5/20 to 6/21/2024; and 9/6 to 10/17/2024.

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: 3270.113(d)

Description: No harsh language

Noncompliance Area: On 3/19/24 at approximately 9:30AM the director was passing by a classroom and observed Staff Person #1 yelling and using harsh and demeaning language towards a child.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a cracked Magna Tile in Room 102. There was a toy figurine with 2 broken pieces, an arm and a leg.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There were yarn puff balls measuring smaller than 1 inch in size, reportedly used for craft projects, in Room 106, on a shelf accessible to children still placing objects in their mouths.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The 2 most recent child service reports, including information for the family about the child's growth and development, on file for Child #2, #3, #4, #5, #6, #7, #8, #9 are dated more than 6 months apart.

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

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement on file for Child #1 and #9 does not include 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.

Regulation: 3270.124(b)(1)

Description: Child's name, birth date

Noncompliance Area: The emergency contact form on file for Child #9 does not include the child's birthdate.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #5 does not include the address for the child's pediatrician/source for medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #1, #2, and #9 does not include the work address and/or telephone number for the enrolling parent.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The current emergency contact form on file for Child #2, #5, and #6 does not indicate if the child has any special medical needs, which is needed in an emergency situation.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The most recent 6-month review signature for the emergency contact form on file for Child #2, #4, #5, #6, #7, #8, and #9, is dated more than 6 months after the previous 6-month review signature.

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

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

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

Noncompliance Area: The two most recent health assessments on file for Child #4, who was a Young Toddler, are dated 10/5/22 and 7/17/23, more than 6 months apart.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

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

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

Noncompliance Area: The two most recent health assessments on file for Child #5, who is a preschool age child, are dated 8/23/22 and 10/9/23, more than 12 months apart. The two most recent health assessments on file for Child #6, who is a preschool age child, are dated 10/10/22 and 11/20/23, more than 12 months apart. The two most recent health assessments on file for Child #7, who is a preschool age child, are dated 1/6/23 and 2/7/24, more than 12 months apart. The two most recent health assessments on file for Child #8, who is a preschool age child, are dated 3/12/21 and 3/3/23, more than 12 months apart.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file for Child #7, who is 3 years old, includes 3 of 4 DTAP vaccines recommended by the ACIP for a child this age.

Correction Required: ·Child #7 must be dismissed from care by close of business on 2/21/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: There was an Albuterol inhaler in Room 102, labeled for use by a specific child, that had an expiration date of 11/2023, and was therefore not in accordance with the manufacturer's original label. There was a bottle of liquid Benadryl in Room 100, labeled for use by a specific child, that had an expiration date of 1/2023, and was therefore not in accordance with the manufacturer's original label.

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)/3270.192(3)

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

Noncompliance Area: The 2 most recent health assessments on file for Staff person #7 are dated 6/24/21 and 9/2/23, more than 24 months apart. The 2 most recent health assessments on file for Staff person #8 are dated 6/24/21 and 8/23/23, more than 24 months apart. The two most recent staff evaluations on file for Staff person #9 are dated 4/17/21 and 7/24/23, 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. 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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff person #10 does not include 2 written non-family references attesting to the staff person's suitability to work in child care.

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)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The most recent emergency plan training on file for Staff person #5 is dated 1/3/23, more than 1 year ago,

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. 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)(1)(iv)/3270.192(2)(iii)

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

Noncompliance Area: The file for Staff person #4 included documentation of 9 of 12 required hours of annual training between 12/2022-12/2023. The file for Staff person #6 included documentation of 10 of 12 required hours of annual training between 12/2022-12/2023. The file for Staff person #8 included documentation of 9 of 12 required hours of annual training between 12/2022-12/2023. The file for Staff person #9 included documentation of 9 of 12 required hours of annual training between 12/2022-12/2023.

Correction Required: Training conducted with audio-visual materials recognized by child care professionals is acceptable and may count toward the annual requirement for 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(e)(4)(iii)/3270.192(2)(iii)

Description: Lifeguard/Exp, educ., training at facility

Noncompliance Area: The file for Staff person #2, the facility lifeguard, includes verification of Lifeguard Certification training dated 7/6/23, after the previous certification expired on 6/11/23.

Correction Required: Competence in lifeguard training is demonstrated by completion of lifeguard training, including first-aid training and cardiopulmonary resuscitation (CPR) for child and infant. 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)

Description: Health and Safety Training

Noncompliance Area: Staff person #1, #5, #6, #10 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality. Staff person #10 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1, #5, #6, #10 will have until 4/3/24 to complete the required training. Until such time as the required training has been completed, staff person #1, #5, #6, #10 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 #1, #5, #6, #10 staff person #1, #5, #6, #10 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1, #5 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the pre-service training on file for staff person # 1, #5 was dated 8/18/23.

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: Staff person #10 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person/facility person/volunteer #10 will have until 4/3/24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #10 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 #10, staff person #10 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 staff person #3 does not include documentation of application of an NSOR certificate prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL; the NSOR on file is dated 9/11/23.

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 current FBI clearance on file for Staff person #6 is dated 1/22/19, more than 60 months ago. The file for Staff person #10, who resided in Louisiana within 5 years prior to hire, included a Louisiana Criminal History clearance dated 6/8/18, and which expired on 6/8/23, prior to the hire date for Staff person #10, making it invalid.

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 #6, #10, 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 #10, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years 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 most recent staff evaluations on file for Staff person #8 is dated 1/13/23, more than 12 months 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: 3270.76

Description: Building Surfaces

Noncompliance Area: There was cracked paint and caulk around the window in Room 103 with sharp edges, which could cause in injury to a child.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were cracked magnet tiles in Room 101 and in Room 100. There was a wooden block in Room 102 that was splintered, creating a possible hazard to a child.

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(a)

Description: Signed

Noncompliance Area: The agreement on file for Child #6 is not signed by the operator.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The two most recent child service reports on file for Child #3, #4, #5, #6, #7, and #8 are dated more than 6 months apart.

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

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement on file for Child #6 does not include the child's arrival and departure times.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement on file for Child #3 does not include the persons to whom the child can be released.

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

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement on file for Child #3, #6, and #7 does not include 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.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #7 and #8 does not include the work address and/or telephone number for the enrolling parent.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The current emergency contact form on file for Child #1, #3, and #8 does not indicate if the child any special medical needs, which is needed in an emergency situation.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for Child #3, #6, and #8 does not include the health insurance coverage and/or policy number for the medical insurance policy.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #1, #2, #3, #7, and #8 does not include a complete address for all listed 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.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: There was no medical emergency transportation plan posted in Room 103.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The two most recent emergency contact form 6-month review signatures on file for Child #2 are dated 8/9/21 and 8/2/22, more than 6 months apart. The two most recent agreement 6-month review signatures on file for Child #2 are dated 8/4/21 and 3/22/222, more than 6 months apart; and the most recent review signature is dated more than 6 months ago. The two most recent agreement and emergency contact form 6-month review signatures on file for Child #3 are dated 8/25/21 and 3/22/22, more than 6 months apart, and more than 6 months ago. The two most recent emergency contact form 6-month review signatures on file for Child #4 are dated 8/9/21 and 8/2/22, more than 6 months apart. The two most recent agreement 6-month review signatures on file for Child #4 are dated 8/9/21 and 3/7/22, which are more than 6 months apart and more than 6 months ago. The 2 most recent emergency contact form 6-month review signature on file for Child #5 are dated 1/3/21 and 8/3/22, more than 6 months apart; and the 2 most recent agreement 6-month review signatures are dated 1/3/21 and 3/7/22, more than 6 months apart and more than 6 months ago. The two most recent agreement and emergency contact form 6-month review signatures on file for Child #6 are dated 3/7/22 and 8/9/22. The two most recent emergency contact form 6-month review signatures on file for Child #7 are dated 8/13/21 and 8/13/22, more than 6 months apart; and the agreement 6-month review signatures are dated 8/23/21 and 3/11/22, more than 6 months apart and more than 6 months ago. The two most recent emergency contact form 6-month review signatures on file for Child #8 are dated 8/9/21 and 8/16/22, more than 6 months apart; and the agreement 6-month review signatures are dated 8/9/21 and 3/23/22, more than 6 months apart and more than 6 months ago.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #3, with an enrollment date of 8/28/21, does not include a health assessment. The file for Child #6, with an enrollment date of 8/21/22, does not include a health assessment. The file for Child #8, with an enrollment date of 8/23/21, does not include a health assessment.

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

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

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

Noncompliance Area: The most recent health assessment on file for Child #2, who is 4 years old, is dated 1/24/22, more than 1 year ago.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The most recent influenza vaccination on file for Child #2, who is 4 years old, is dated 10/23/21, is dated more than 1 year ago, and is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #3, who is 4 years old, is dated 9/25/20, is dated more than 1 year ago, and is recommended annually by the ACIP. The immunization record on file for Child #5 includes 3 of 4 recommended DTAP immunizations for a child this age. The file for Child #6, with an enrollment date of 8/21/22, does not include aa immunization record. The file for Child #8, with an enrollment date of 8/23/21, does not include an immunization record.

Correction Required: ·Child #2, #3, #5, #6, and #8 must be dismissed from care by close of business on 4/4/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: There was no written parental consent to administer medication. saline spray, for a child in Room 105.

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

Regulation: 3270.133(7)(i)

Description: Name of medication

Noncompliance Area: There was a medication log on file in Room 108 with a child's name, signed by a parent, that did not include the name of the medication to be administered.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The Health and Safety professional development training update on file for Staff person #2 is dated 1/2/23, after the deadline of 12/30/22, as per Announcement C-22-06. The Health and Safety professional development training update on file for Staff person #4 is dated 1/8/23, after the deadline of 12/30/22, as per Announcement C-22-06. The Health and Safety professional development training update on file for Staff person #6 is dated 1/10/23, after the deadline of 12/30/22, as per Announcement C-22-06. The file for Staff member #9 does not include the 1-hour Health & Safety update, due to be completed by 12/30/22, as per Announcement C-22-06.

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 2 most recent health assessments on file for Staff person #2 were dated 5/21/19 and 7/2/21, more than 24 months apart. The 2 most recent health assessments on file for Staff person #3 were dated 5/17/19 and 9/13/21, more than 24 months apart. The 2 most recent health assessments on file for Staff person #4 were dated 4/5/19 and 7/11/22, more than 24 months apart. The 2 most recent health assessments on file for Staff person #5 were dated 6/10/19 and 7/7/22, more than 24 months apart. The 2 most recent health assessments on file for Staff person #6 were dated 5/29/20 and 7/5/22, 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. 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)/3270.192(3)

Description: Exam communicable disease/Health assessment, TB test

Noncompliance Area: The current health assessment on file for Staff person #2 indicates that the staff person has a communicable/contagious disease, with no additional information given.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that 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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: There were infant feeding bottles in Room 105 that were not labeled with the name of the child for whom they were intended.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff person #4 includes only 1 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: 3270.31(e)(1)(iii)/3270.192(2)(iii)

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

Noncompliance Area: The file for Staff person #4 was observed not to have completed 12 hours of annual training between 12/19/21-12/19/23.

Correction Required: Training conducted in conferences or workshops is acceptable and may count toward the annual requirement for 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)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality; the training was completed on 2/14/23. Staff person #8 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality. Staff person #9 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 included a Child Abuse clearance dated after hire (See IS CODE SHEET), required for provisional hiring under the CPSL; the clearance is dated 8/26/22.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The two most recent staff evaluations on file for Staff person #2 are dated 12/6/21 and 1/13/23, more than 12 months apart. The two most recent staff evaluations on file for Staff person #4 are dated 12/6/21 and 1/9/23, more than 12 months apart. The two most recent staff evaluations on file for Staff person #5 are dated 12/7/21 and 1/13/23, more than 12 months apart. The two most recent staff evaluations on file for Staff person #6 are dated 12/17/21 and 1/13/23, more than 12 months apart. The two most recent staff evaluations on file for Staff person #7 are dated 6/7/19 and 1/13/23, more than 12 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: 3270.76

Description: Building Surfaces

Noncompliance Area: The cabinet door in Room 102 which was loose from the hinge, creating a potential hazard if it fell off the hinge.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was peeling paint behind the teacher's chair in Room 108.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility does not have proof of purchase for the fire detection system, which is required as per Act 62.

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.