Kaptivating Kidz Talent Development

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's files and the file for child#1,and child #2 did not have an initial or subsequent health report.

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

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's files and the files for child #1 and child #2 did not have an updated record of vaccinations on file.

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

Regulation: 3270.14

Description: Pertinent Laws & Regulations

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files, and the emergency plan was not updated to include continuity of operations or specific staff duties per announcement c-22-04, issued 4/19/22.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation.

Regulation: 3270.27(a)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files, and the emergency plan did not include a method for facility persons to contact parents as soon as reasonably possible when an emergency arises and did not provide a method for facility persons to contact parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the emergency plan, and it did not include accommodations for infants, toddlers, children with special needs and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection staff #1 was missing the NSOR and state police clearance clearance and staff #2 was missing the child abuse, criminal clearance and mandated reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 and staff #2 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: In review of children files, emergency contacts and files failed to have signed parental consent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: In review of children's files, child's 1 emergency contact and fee agreement failed to be updated within a 6-month period.

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: In review of children files, child 1, enrolled more than 60 days, failed to have a health assessment included in file. File only included a copy of the child's immunization record.

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: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: In review of children files, files failed to have signed parental consent for administration of minor first-aid procedures.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: In review of staff files, staff person 3 file failed to include two nonfamily letters of 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff 2 has not completed 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 protective services). Until such time as the required training has been completed, staff person 2 must be supervised, when interacting with children at a minimum by, an (AGS, primary staff person, or family child care home staff person) 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 2, staff person 2 may not work in a child-

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: In review of staff files, staff person 1 file failed to include out of state criminal clearance. Criminal clearances that were included in file was last completed on for 12/18/19.

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

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: In review of staff files, staff person 3, file failed to have verification of education and 2 years (2500 hours) of experience working with children prior to employment at the facility.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During follow-up inspection on Tuesday, 08/27/24, cert rep observed facility failed to have a written plan identifying the means of transporting a child to emergency care and staffing provisions, plan also failed to be posted in each child care space.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: In review of health and safety documents, staff person 1 had not completed health and safety professional development training updates required by OCDEL within the prescribed timeframe, 12/30/22.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Staff person 1 will have until 09/11/24 to complete the required training. Until such time as the required training has been completed, staff person 1, must be supervised, when interacting with children, by an AGS, at minimal, who has completed the required training related to this citation. If there are no staff 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 persons 3, 5 and 6 was observed to be caring for children unsupervised. Staff persons has not completed the following pre-service training required prior to caring for children unsupervised. Staff persons 3 and 6 failed to have completed health and safety training topics, staff person 5 and 6 failed to have Pediatric First Aid/CPR and mandated reporter training. This is continued noncompliance from the renewal inspection on Monday 07/01/24. The facility's acceptable plan of correction indicated the correction would be implemented by 08/10/24. On Tuesday, 08/27/24 an unannounced inspection was conducted. Staff person 3 still has not completed the following pre-service training required prior to caring for children unsupervised: health and safety training topics.

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 training has been completed, staff persons 3, 5 and 6 must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff persons 3, 5 and 6, staff persons 3, 5 and 6 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: In review of emergency plan and health and safety documents, facility's emergency plan failed to include statement regarding continuity of operations and policy addressing shaken baby syndrome and abusive head trauma and child maltreatment, failed to address the prevention and identification of child maltreatment. This is continued noncompliance from renewal inspection on Monday, 07/01/24.

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: In review of staff files, staff person 5 file failed to include an updated health assessment. Health assessment included in file was last completed on 03/25/22. Staff person 7 file failed to include a health assessment. This is continued noncompliance from the renewal inspection on Monday, 07/01/24.

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)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: In review of staff files, staff person 7 file failed to include TB results by the Mantoux method.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: In review of staff files, staff persons 3, 5, 6 and 7 file failed to include two nonfamily letters of references. Staff person 5 file only contained 1 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(f)

Description: Emergency plan

Noncompliance Area: Facility failed to have verification that a copy of plan was sent to the local municipality and the county's emergency management agency. This is continued noncompliance from the renewal inspection on Monday, 07/01/24.

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)(4)(i)/3270.34(b)

Description: Age and Training/Director qualifications

Noncompliance Area: In review of staff files, staff person 4 failed to have completed pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) by a PQAS-approved trainer and PQAS-approved curriculum.

Correction Required: A director shall have attained one of the following qualifications: Competence is the completion of training by a PQAS-approved trainer and PQAS-approved curriculum in the field of pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR).

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

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

Noncompliance Area: In review of staff files, staff persons 2, 3 and 5 failed to have completed 12 hours of annual professional development training. This is continued noncompliance from renewal inspection on Monday, 07/01/24

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)

Description: Health and Safety Training

Noncompliance Area: In review of health and safety documents, staff persons 2 and 3 has not completed the following required pre-service training within 90 days of their date of hire: Health and Safety Topics. This is continued noncompliance from renewal inspection on Monday, 07/01/24. The facility's acceptable plan of correction indicated the correction would be implemented by 08/10/24. On Tuesday, 08/27/24 an unannounced inspection was conducted. Staff persons 2 and 3 still has not completed the following required pre-service training: health and safety training topics.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons 2 and 3 will have until 09/11/24 to complete the required training. Until such time as the required training has been completed, staff persons 2 and 3, must be supervised, when interacting with children, by an AGS, at minimal, who has completed the required training related to this citation. If there are no staff available to supervise staff persons 2 and 3, staff persons 2 and 3 may not work in a child-care position at the facility.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: In review of staff files, staff person 5 has not completed the following required pre-service training within 90 days of their date of hire: Pediatric First Aid/CPR from a PQAS-approved trainer and PQAS-approved curriculum.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person 5 will have until 09/11/24 to complete the required training. Until such time as the required training has been completed, staff person 5 must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person 5, staff person 5 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: In review of staff files, staff person 1 file failed to include current PA state police, child abuse, FBI clearances and out of state child abuse clearances. PA state police contained in file was last completed on 07/29/19, child abuse clearance was last completed on 08/05/19, and DHS FBI clarence was last completed on 07/31/19. Staff person 5 file failed to contained DHS FBI clearance and staff person 7, a provisional hire, file failed to include request and/or completed PA state police clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person 5 and 7 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person 1 may not work in a child care position at the facility.

Regulation: 3270.32(a)/3270.34(b)

Description: Comply with CPSL/Director qualifications

Noncompliance Area: In review of staff files, staff person 4 file failed to include completed PA state police clearance. File only contained request for PA state police.

Correction Required: A director shall have attained the following qualification: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person 4 may not work in a child care position at the facility.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: In review of staff files, staff persons 3, 5 and 7, file failed to have verification of education and 2 years (2500 hours) of experience working with children prior to employment at the facility. This is continued noncompliance from the renewal inspection on Monday, 07/01/24.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.37(b)(1)/3270.37(b)(3)

Description: HS/GED/8th grade + 2 yrs

Noncompliance Area: In review of staff files, staff person 6, an aide, file failed to include proof of high school diploma or verification of an 8th grade education and verification of 2 years (2500 hours) of child care experience prior to employment at facility.

Correction Required: An aide shall have a high school diploma or a general educational development certificate. An aide shall have a minimum of an 8th grade education and 2 years of experience with children.

Regulation: 3270.52/3270.113(a)

Description: Mixed Age Level/Supervised at all times

Noncompliance Area: During renewal inspection on Monday, 07/01/24, cert rep observed facility out of ratio and staff not properly supervising children. Staff observed 2 staff with 9 children with one of the 9 children being of infant age.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). TIERED LIS: The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.52/3270.113(a)

Description: Mixed Age Level/Supervised at all times

Noncompliance Area: During renewal inspection on Monday, 07/01/24, cert rep observed facility out of ratio and staff not properly supervising children. Staff observed 2 staff with 9 children with one of the 9 children being of infant age.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding staff:chilld ratios and supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During follow-up inspection on Tuesday, 08/27/24, cert rep observed damaged floor tiles and the side glass door that leads to the outdoor play space was shattered. This is continued noncompliance from the renewal inspection on Monday, 07/01/24.

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: During follow-up inspection on Tuesday, 08/27/24, cert rep observed chip/damaged paint throughout the facility. This is continued noncompliance from the renewal inspection on Monday, 07/01/24.

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: In review of fire safety documents, facility failed to have tested their smoke detection system once every 30 days and document testing or have verification the smoke detection system was inspected by a fire safety professional. This is continued noncompliance from the renewal inspection on Monday, 07/01/24.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: During renewal inspection on Monday, 07/01/24, cert rep observed cloth chairs in the childcare space was stained and uncleaned. Cert rep also observed facility failed to have age-appropriate tables and chairs for school age children.

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

Regulation: 3270.106(a)/3270.106(f)

Description: Clean, age appropriate/2 feet apart

Noncompliance Area: During renewal inspection on Monday, 07/01/24, cert rep observed playpens in the facility was damaged with holes and uncleaned, rest equipment failed to be labeled with child's name and rest equipment failed to have 2 feet of space on 3 sides while in use

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child. At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During renewal inspection on Monday, 07/01/24, cert rep observed staff not properly supervising children. Staff could not tell cert rep which children were in their assigned care group. Cert rep observed children in the bathroom alone unsupervised. Cert rep observed staff leave napping children alone in the main childcare space.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: In review of children's files, children enrolled 6 months or more failed to have a service report proving information about the child's growth and development.

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)/3270.123(b)

Description: Signed /Parent receives original

Noncompliance Area: In review of children's files, child 1 file failed to include a copy of the agreement between the enrolling parent/guarding and the operator.

Correction Required: An agreement shall be signed by the operator and the parent. A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: In review of children files, child 1 emergency contact and file failed to have signed parental consent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During renewal inspection on Monday, 07/01/24, cert rep observed children receiving care failed to have their emergency contact information present in childcare space.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During renewal inspection on Monday, 07/01/24, cert rep observed facility failed to have a written plan identifying the means of transporting a child to emergency care and staffing provisions, posted in the childcare space.

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: In review of children's files, emergency contact and fee agreement failed to be updated within a 6-month period.

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)

Description: Health information

Noncompliance Area: In review of children files, child 1, enrolled more than 60 days, failed to have a health assessment included in file.

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: Staff persons 2 and 3 was observed to be caring for children unsupervised. Staff persons has not completed the following pre-service training required prior to caring for children unsupervised: Staff person 2 file failed to contained health and safety training and staff person 3 file failed to include Pediatric First Aid/CPR, from a PQAS-approved trainer and PQAS-approved curriculum.

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. Staff persons 2 and 3 will have until 08/10/24 to complete the required training. Until such time as the required training has been completed, staff persons 2 and 3 must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff persons 2 and 3, staff persons 2 and 3 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: In review of emergency plan and health and safety documents, facility's emergency plan failed to include statement regarding continuity of operations and policy on file addressing signs and symptoms of shaken baby syndrome and abusive head trauma 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: In review of staff files, staff person 2 file failed to include an updated health assessment. Health assessment included in file was last completed on 10/25/21.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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: 3270.161(d)/3270.161(g)

Description: Potentially hazardous food refrigerated/Sufficient number of refrigerators

Noncompliance Area: During renewal inspection on Monday, 07/01/24, cert rep observed food provided by the facility failed to be properly stored in a refrigerator. Food was stored in coolers due to the facility's refrigerator tightly packed with other food items.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated. A facility shall provide a sufficient number of refrigerators to contain foods which require refrigeration.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: During renewal inspection on Monday, 07/01/24, cert rep observed bottles failed to be labeled.

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

Regulation: 3270.181(a)

Description: Each child

Noncompliance Area: In review of children files, several children failed to have a record on file at the facility.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: In review of children files, child 1 and 2 file failed to have signed parental consent for administration of minor first-aid procedures.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: In review of children files, child 1 and 2 file failed to have signed parental consent for transportation and walking excursions.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: In review of facility's emergency plan, emergency plan failed to address facility's lock-down procedures.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: In review of facility's emergency plan, emergency plan failed to provide accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: In review of emergency plan documents, facility failed to have conducted an annual drill on the emergency plan procedures.

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

Regulation: 3270.27(c)/3270.192(2)(iii)

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

Noncompliance Area: In review of emergency plan documents, staff persons had not received annual training on the facility's emergency plan at the time of the renewal inspection on Monday, 07/01/24. .

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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: In review of emergency plan documents, facility failed to have verification that a copy of plan was sent to the local municipality and the county's 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)(4)(ii)/3270.192(2)(ii)

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

Noncompliance Area: In review of fire safety documents, staff failed to have received annual fire safety training from a fire safety professional.

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 prior to service at the facility.

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

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

Noncompliance Area: In review of staff files, staff persons 1, 2 and 3 failed to have completed 12 hours of annual professional development training.

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)/3270.192(2)(iii)

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

Noncompliance Area: In review of health and safety documents, staff persons 1, 2 and 3 has not completed the following required pre-service training within 90 days of their date of hire: Health and Safety Topics.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Staff persons 1, 2 and 3 will have until 08/10/24 to complete the required training. Until such time as the required training has been completed, staff persons 1, 2 and 3, must be supervised, when interacting with children, by an AGS, at minimal, who has completed the required training related to this citation. If there are no staff available to supervise staff persons 1, 2 and 3, staff persons 1, 2 and 3 may not work in a child-care position at the facility.

Regulation: 3270.31(f)/3270.31(f)(10)

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

Noncompliance Area: In review of staff files, staff person 3 has not completed the following required pre-service training within 90 days of their date of hire: Pediatric First Aid/CPR, from a PQAS-approved trainer and PQAS-approved curriculum.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person 3 will have until 08/10/24 to complete the required training. Until such time as the required training has been completed, staff person 3 must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person 3, staff person 3 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: In review of staff files, staff person 2 file failed to include DHS FBI clearance and an NSOR certificate. Staff person 2 file contained the DOE FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person 2 may not work in a child care position at the facility. 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: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: In review of staff files, staff person 3 file failed to have verification of education and 2 years (2500 hours) of experience working with children prior to employment at the facility.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.52/3270.113(a)

Description: Mixed Age Level/Supervised at all times

Noncompliance Area: During renewal inspection on Monday, 07/01/24, cert rep observed facility out of ratio and staff not properly supervising children. Staff observed 2 staff with 9 children with one of the 9 children being of infant age.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). TIERED LIS: The required staff:child ratios must be maintained at all times. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times.

Regulation: 3270.52/3270.113(a)

Description: Mixed Age Level/Supervised at all times

Noncompliance Area: During renewal inspection on Monday, 07/01/24, cert rep observed facility out of ratio and staff not properly supervising children. Staff observed 2 staff with 9 children with one of the 9 children being of infant age.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). TIERED LIS: The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.52/3270.113(a)

Description: Mixed Age Level/Supervised at all times

Noncompliance Area: During renewal inspection on Monday, 07/01/24, cert rep observed facility out of ratio and staff not properly supervising children. Staff observed 2 staff with 9 children with one of the 9 children being of infant age.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding staff:chilld ratios and supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During renewal inspection on Monday, 07/01/24, cert rep observed first-aid kit located in back room failed to contained tweezers, scissors and soap.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During renewal inspection on Monday, 07/01/24, cert rep observed missing and water-stained ceiling tiles, damaged floor tiles, damaged ceiling light fixture and the side glass door that leads to the outdoor play space was shattered.

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: During renewal inspection on Monday, 07/01/24, cert rep observed chip/damaged paint throughout the facility.

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

Regulation: 3270.94(a)(1)/3270.94(a)(9)

Description: Every 60 days/Written record

Noncompliance Area: During renewal inspection on Monday, 07/01/24, facility failed to have documentation that a fire drill was conducted at least once every 60 days.

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. 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: In review of fire safety documents, facility failed to have tested their smoke detection system once every 30 days and document testing or have verification the smoke detection system was inspected by a fire safety professional.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 8/10/23: 1. Staff person #1 did not have an NSOR certificate or Mandated Reporter Training. 2. Staff person #2 did not have a Health Assessment dated within the last 2 years.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1,2 may not work in a childcare position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1,2 may not work in a childcare position at the facility.

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: During the renewal inspection on 8/10/23, the provider did not have a written log or inspection by a fire safety professional on file to satisfy the monthly fire detection manual checks for functionality.

Correction Required: 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: DURING THE RENEWAL INSPECTION ON 9/27/22, THE REFRIGERATOR IN THE CHILD CARE SPACE DID NOT HAVE AN OPERATING THERMOMETER.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 9/27/22, STAFF PERSON #7 WAS NOT ABLE TO EFFECTIVELY IDENTIFY/NAME THE CHILDREN IN CARE.

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

Description: Physical examination/Health assessment, TB test

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 9/27/22, STAFF PERSON #6 DID NOT HAVE A HEALTH ASSESSMENT WITH INITIAL RESULTS OF TUBERCULIN SKIN TEST OR OTHER MEDICAL DOCUMENTATION NECESSARY TO CONFIRM FREEDOM FROM COMMUNICABLE TUBERCULOSIS.

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: 3270.191

Description: Individual Records

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 9/27/22, STAFF PERSON #7 DID NOT HAVE AN INDIVIDUAL RECORD/FILE.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 9/27/22, THE OPERATOR DID NOT HAVE INFORMATION ON HOW TO ACCESS THE APPLICABLE REGULATIONS ELECTRONICALLY OR INSTRUCTIONS FOR CONTACTING THE APPROPRIATE REGIONAL OFFICE..

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 9/27/22, STAFF PERSON #1 AND 2 DID NOT HAVE THE ANNUAL MINIMUM 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 9/27/22: 1. STAFF PERSON #3 DID NOT HAVE STATE POLICE CLEARANCE, CHILD ABUSE CLEARANCE, OR MANDATED REPORTER TRAINING IN FILE. 2. STAFF PERSON #4 DID NOT HAVE FBI CLEARANCE, NSOR (NATIONAL SEX OFFENDER REGISTRY), OR MANDATED REPORTER TRAINING IN FILE. 3. STAFF PERSON #5 DID NOT HAVE STATE POLICE CLEARANCE, CHILD ABUSE CLEARANCE, FBI CLEARANCE, NSOR, OR MANDATED REPORTER TRAINING IN FILE. 4. STAFF PERSON #6 DID NOT HAVE MANDATED REORTER TRAINING IN FILE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3, 4, 5, and 6 may not work in a childcare position at the facility. 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 #3, 4, 5, and 6 may not work in a childcare position at the facility.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 9/27/22, THERE WAS PAINT THAT WAS ACCESIBLE TO THE CHILDREN IN THE REAR CHILD CARE SPACE.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 9/27/22, 1. THERE WAS TAPE ADHESIVE ON THE FLOOR IN THE MAIN CHILD CARE SPACE. 2. THE DROP CEILING IN THE REAR CHILD CARE SPACE WAS IN POOR REPAIR, HAVING WATER STAINED DROP CEILING TILES, AND MULTIPLE MISSING TILES. 3. THE REAR CHILD CARE SPACE WAS BEING USED TO STORE CONSTRUCTION MATERIALS AND BOXES.

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.