Kce Champions Llc Steelton Highspire Elem School

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: A written plan of daily activities was not posted in the gymnasium, Computer Lab or Room 133.

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

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 conspicuously in the cafeteria, gymnasium, computer lab, or Room 133 while children were receiving care in each 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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The operator did not notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. A letter was last sent on 08/02/2024 with no subsequent letter sent after this date.

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: 3270.18(a)

Description: On file at facility

Noncompliance Area: The facility did not have a current copy of the liability insurance policy on file at the facility; the copy of file was dated 12/01/2024 - 12/01/2025.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: Following the outset of employment, the file for staff person #1 did not include the final results of the criminal history clearance, the file included a copy of the request for the criminal history record dated 06/12/2025.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility did not have a copy of the current provisional certificate of compliance posted in a conspicuous location used by parent. The certificate of compliance posted was dated 02/12/2025 - 08/12/2025. Instructions for contacting the Central Regional Child Care Office was not posted with the certificate of compliance.

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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: An annual emergency drill was not conducted within the past 12 months. The facility opened in 08/2024 and does not have documentation of an emergency drill 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(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The operator did not review the emergency plan within 12 months; the emergency plan was initially written in 08/2024 and did not have documentation in writing of a subsequent review and update of the emergency plan on file at the facility.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The operator did not have a copy of the emergency plan posted in a conspicuous location at the facility.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter provided to the parent of each enrolled child explaining the emergency procedures was unable to be located, the information regarding the emergency plan information listed in the parent handbook did not include complete information as required in 3270.27(a). The following information was missing, Shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. Evacuation of children from the facility building and evacuation of children to a location away from the facility premises. Accommodations will be made for children with disabilities and children with chronic medical conditions or a statement that emergency drills will be conducted annually.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Complete emergency contact information was not present in the child care space for the children receiving care in the space. A spreadsheet which included the child's name, address, date of birth, parent's name address and telephone number and the Emergency Contact individuals' names, addresses, and phone numbers was present in lieu of copies of the complete Emergency Contact information for each child.

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff person #1 and #2 were observed caring for a mixed group of 17 younger and older school age children. Staff person #1 and #2 were not assigned the responsibility of caring for the supervision of specific children. Provider failing to follow plans to maintain compliance regarding same violations from inspection(s) of 12/09/2024. Provider's plan to maintain compliance submitted on 02/28/2025 stated, "Primary care groups will be posted in the work space, and staff will be made aware daily of any changes to the posting. This will be visible upon entering the workspace. Each staff person will be assigned the responsibility for supervision of specific children. The staff person will know the names and whereabouts of the children in his assigned group. The staff person will be physically present with the children in his group on the facility premises and on facility excursions off the facility premises."

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)

Description: Signed

Noncompliance Area: The agreement for child #1 and #3 was not signed by the operator. Provider failing to follow plans to maintain compliance regarding same violations from inspection(s) of 12/09/2024 & 02/14/2025. Provider's plan to maintain compliance submitted on 02/28/2025 stated, "Upon enrollment agreements will be signed by the operator will ensure that all agreements are signed." Provider's plan to maintain compliance submitted on 01/17/2025/2025 stated, "All agreements will have required signatures of both parent and operator at time of intake by the operator. All paperwork will be reviewed for needed signatures and completion."

Correction Required: An agreement shall be signed by the operator and the parent. The operator must submit a complete file for all prospective/new child enrollments to the Central Regional Office of Child Development and Early Learning. The file must include completed Emergency Contact and Finacial Agreement Forms for each child. Child Health reports must be submitted no later than 60 days following the first day of attendance. All prospective/new child enrollments will not be permitted to attend the facility until the file is reviewed and approved by the Department. The Department's Certification Representative and/or Certification Supervisor will review and provide a response about each submission of documentation within 2 business days. Submission of files for prospective/new child enrollments must occur for a period of 3-months from the acceptance date of the plan of correction.

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

Description: Health information/Initial health report for school age; accordance with school attendance

Noncompliance Area: The file for child #2 did not include an initial health report within 60 days following the first day of attendance at the facility. Continued noncompliance previously cited on 12/09/2024, 02/14/2025 & 05/09/2025. Provider failing to follow plans to maintain compliance regarding same violations from inspection(s) of 02/14/2025 & 06/04/2025. Provider's plan to maintain compliance submitted on 02/28/2025 stated, "Any newly enrolled student will have no more than 30 days after first day of enrollment to produce a health assessment that is current and completed and signed by the physician. Student will not be permitted in program after the 30-day requirement." Provider's plan to maintain compliance submitted on 06/04/2025 stated, "All children will have a health report within 60 days for continued compliance."

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. The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Observed staff did not ensure that the children's hands were washed before the children were served their snack.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.34(a)

Description: Director responsibilities

Noncompliance Area: The director / designated person in charge is failing to ensure child files are completed with all required documentation and information at the time of enrollment.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6). The legal entity must arrange for staff person #1 and the Site director / Designated person in charge to complete the following online trainings - Record Keeping: Forms for Staff and Children (1 hr) and Director Support (2 hr) listed on the PA Keys website. Documentation of completed training must be submitted to the Regional Office and be kept in the facility person's file.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The updated agreement form for child #1 did not include the services to be provided to the family and the child. Continued noncompliance previously cited on 12/09/2024 & 02/14/2025. Provider failing to follow plans to maintain compliance regarding same violations from inspection(s) of 02/14/2025. Provider's plan to maintain compliance submitted on 02/28/2025 stated, "All enrolled students will be provided an agreement with fees and services provided."

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form to replace the missing forms for child #2 did not include the complete address of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form completed to replace the missing forms for child #3 did not include the complete work address of the enrolling parent. Continued noncompliance previously cited on 02/14/2025. Provider failing to follow plans to maintain compliance regarding same violations from inspection(s) of 02/14/2025. Provider's plan to maintain compliance submitted on 02/28/2025 stated, "Upon enrollment and with welcome packet paperwork, all emergency contact paperwork will be filled out completely prior to first day of enrolled child in program to ensure the enrolling parent home and work addresses and telephone numbers are completed."

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form completed to replace the missing form for child #4 did not include the address for the individuals designated by the parent to whom the child may be released. The emergency contact form completed to replace the missing forms for child #5 & #6 did not include the complete address for the individuals designated by the parent to whom the child may be released. Continued noncompliance previously cited on 02/14/2025. Provider failing to follow plans to maintain compliance regarding same violations from inspection(s) of 02/14/2025. Provider's plan to maintain compliance submitted on 02/28/2025 stated, "Upon enrollment and prior to the first day in care the enrolling parent will provide all necessary paperwork, and the paperwork will be filled out in its entirety to ensure the name, address and telephone number of the individual designated by the parent to whom the child may be released is complete."

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

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

Description: Health information/Initial health report for school age; accordance with school attendance

Noncompliance Area: The file for child #2, #3, #5, #7 and #8 did not include an initial health report within 60 days following the first day of attendance at the facility. Continued noncompliance previously cited on 12/09/2024 & 02/14/2025. Provider failing to follow plans to maintain compliance regarding same violations from inspection(s) of 02/14/2025. Provider's plan to maintain compliance submitted on 02/28/2025 stated, "Any newly enrolled student will have no more than 30 days after first day of enrollment to produce a health assessment that is current and completed and signed by the physician. Student will not be permitted in program after the 30-day requirement."

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. The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

Regulation: 3270.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: The emergency contact form completed to replace the missing form for child #3 did not include a signature from the parent providing consent for emergency medical care, the signature line was left blank. Continued noncompliance previously cited on 02/14/2025. Provider failing to follow plans to maintain compliance regarding same violations from inspection(s) of 02/14/2025. Provider's plan to maintain compliance submitted on 02/28/2025 stated, "All child records will contain signed parental consent for emergency medical care for the child. Written consent will be provided prior to admission."

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.182(5)

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

Noncompliance Area: The emergency contact form completed to replace the missing forms for child #3 did not include a signature from the parent providing consent for administration of minor first-aid procedures, the signature line was left blank. Continued noncompliance previously cited on 02/14/2025. Provider failing to follow plans to maintain compliance regarding same violations from inspection(s) of 02/14/2025. Provider's plan to maintain compliance submitted on 02/28/2025 stated, "All child files will have the signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission."

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: 3270.123(a)

Description: Signed

Noncompliance Area: The file for child #1 and #3 did not include an updated agreement form which included the signature of the operator.   Continued noncompliance, previously cited on 12/09/2024. The agreement form used by the facility does not include the signature of 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 file for child #1 and #3 did not include an updated agreement form which included the services to be provided to the family and the child. Continued noncompliance, previously cited on 12/09/2024. The agreement form used by the facility does not include the services to be provided to the family and the child.

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 file for child #1 and #3 did not include an updated agreement form which included the child's arrival and departure times. Continued noncompliance, previously cited on 12/09/2024. The agreement form used by the facility does not specify the child's arrival and departure times.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form completed to replace the missing forms for child #5 did not include the work address and telephone number of 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)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form completed to replace the missing forms for child #4 did not include the address for an individual designated by the parent to whom the child may be released.

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(c)

Description: Each child care space

Noncompliance Area: The bag containing the emergency contact information for the children in care was left in the office and was not taken to the cafeteria where the children were receiving care. The bag included a spreadsheet with some emergency contact information in lieu of complete emergency contact information. The spreadsheet did not include contact information for 10 of the 19 children present. Child #1, #2, #3, #4, #5, #6, #7, #8, #9 and #10 were not listed on the spreadsheet. Continued noncompliance, previously cited on 12/09/2024. The operator did not have emergency contact information present in the child care space for the children receiving care in the space. Staff person #1 stated the files were removed by a former staff person and they are no longer onsite. An electronic data base with some information was available for each child, but not the complete emergency contact information.

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

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

Description: Health information/Initial health report for school age; accordance with school attendance

Noncompliance Area: The file for child #3 did not include a health report, only an immunization record was on file. Continued noncompliance, previously cited on 12/09/2024. The operator did not have initial health reports on file within 60 days of the first day of attendance for the children enrolled at the facility. Staff person #1 stated that the files were removed by a former staff person and are no longer at the facility.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: Observed prescription medication stored in a backpack which was not locked or in an area that is out of reach of children. Staff person #3 stated the bag is kept on one of the cafeteria tables.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: Observed prescription medication for child #14 which did not include written consent from the parent for the administration of the medication.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #2 and #3 were observed to be caring for children unsupervised. Staff person #2 and #3 have not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid & CPR in a PQAS approved curriculum by a PQAS approved trainer.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #2 and #3 must be supervised, when interacting with children at a minimum by, an AGS 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 and #3, staff person #2 and #3 may not work in a child-care position at the facility.

Regulation: 3270.181(a)

Description: Each child

Noncompliance Area: The file for child #7, #11 was empty and did not have emergency contact information, an agreement or health report. The file for Child #9, #13, #17 did not include emergency contact information. The files for child #8, #12, #14, #15, #18 were incomplete and did not include emergency contact information, an updated agreement form or a health report. Continued noncompliance, previously cited on 12/09/2024. On the date of the inspection, individual records were not established and maintained for each child enrolled in the facility. The operator did not have completed emergency contact information, financial agreements or health reports for each child enrolled at the facility. Staff person #1 stated that the child files were removed from the facility by a former staff person, and they are working on restoring the files. Staff person #1 stated she has been working at the facility since 10/14/2024 without complete files for the children. Files for child #1, #2, #3, #4 and #5 were requested on 12/10/2024 to be sent to the Certification Representative. The emergency contact form and agreement form for child #1 dated 12/10/2024 and an immunization record dated 02/20/2024 was received on 12/19/2024, A health report for child #2 dated 12/11/2024 was received on 12/23/2024. No additional files for the children were received for review.

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

Regulation: 3270.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: The emergency contact form completed to replace the missing forms for child #2, #3, #10 and #16 did not include a signature from the parent providing consent for emergency medical care, the signature line was left blank.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.182(5)

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

Noncompliance Area: The emergency contact form completed to replace the missing forms for child #2, #3, #10 and #16 did not include a signature from the parent providing consent for administration of minor first-aid procedures, the signature line was left blank.

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(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #3, did not include a copy of a transcript with the diploma to verify 30 credit hours in early childhood education, child development, special education, elementary education or the human services field to qualify as the director.

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

Regulation: 3270.241(c)(1)(i)

Description: 30 or fewer hours a week, director or director/GS present at least 20% of operational hours.

Noncompliance Area: The facility did not have an individual that qualifies as a director present at the facility site a minimum of 20% of the program's operational hours. Staff person #3 was hired as the Site Director and did not meet the qualifications to be a director.

Correction Required: In a program operating 30 or fewer hours a week, a director or director/group supervisor shall be present at a facility as required at §3270.34 (relating to director qualifications and responsibilities) at least 20% of the program's operational hours.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: ***The file for staff person #3 did not include the required provisional hire documents at the time of initial hire (see LIS code sheet). The file included a PSP request pending status dated 12/17/2024, without the final clearance results on file. The results of a child abuse clearance dated 01/08/2025. The results of an FBI clearance dated 01/08/2025. The results of an NSOR clearance dated 03/05/2020 & 12/20/2024. A disclosure statement was signed on 12/17/2024. The file did not include a copy of the request for the FBI clearance. Staff person #3 was observed to be working alone with children without the final PSP results on file.

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. Staff person #1 and the Site director will be required to attend the Central Region Existing Provider Orientation in-person training to be conducted on 04/10/2025. The staff person #1 shall contact the Central Regional Office to schedule the training. Documentation of completed training must be submitted to the Regional Office and be kept in the facility person's file.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: **The file for staff person #3 did not include the required provisional hire documents at the time of initial hire (see LIS code sheet). The file included a PSP request pending status dated 12/17/2024, without the final clearance results on file. The results of a child abuse clearance dated 01/08/2025. The results of an FBI clearance dated 01/08/2025. The results of an NSOR clearance dated 03/05/2020 & 12/20/2024. A disclosure statement was signed on 12/17/2024. The file did not include a copy of the request for the FBI clearance. Staff person #3 was observed to be working alone with children without the final PSP results on file.

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. The operator must submit a complete file for all prospective/new staff to the Central Regional Office of Child Development and Early Learning. All prospective/new staff will not be permitted to work in a childcare position at the facility until the file is reviewed and approved by the Department. The Department's Certification Representative and/or Certification Supervisor will review and provide a response about each submission of documentation within 2 business days. Submission of files for prospective/new staff must occur for a period of 3-months from the acceptance date of the plan of correction. The file must include CPSL documentation, health assessment w/TB results, verification of education & experience and two written-nonfamily references.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #3 did not include the required provisional hire documents at the time of initial hire (see LIS code sheet). The file included a PSP request pending status dated 12/17/2024, without the final clearance results on file. The results of a child abuse clearance dated 01/08/2025. The results of an FBI clearance dated 01/08/2025. The results of an NSOR clearance dated 03/05/2020 & 12/20/2024. A disclosure statement was signed on 12/17/2024. The file did not include a copy of the request for the FBI clearance. Staff person #3 was observed to be working alone with children without the final PSP results on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 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.

Regulation: 3270.33(a)/3270.34(b)

Description: Each staff person meets quals/Director qualifications

Noncompliance Area: Staff person #3 was hired as the Site Director, the file for staff person #3 included a diploma for an associate's degree in a field of study that is not accepted. Upon review, it was observed the transcript lacked 30 credit hours in early childhood education, child development, special education, elementary education or the human services field from an accredited college or university. The transcript included 9 credit hours in a human services field.

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 director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4).

Regulation: 3270.33(d)

Description: General requirements for facility persons

Noncompliance Area: On the date of the inspection, an individual competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques was not present at the facility when one or more children are in care. Staff person #2 and #3 were working together caring for a group of 19 school age children. Staff person #2 and #3 have not completed pediatric first aid & CPR training.

Correction Required: One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator used to store snack items for the children did not have a 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: Upon arrival, staff were asked to identify the names and whereabouts of the children in their assigned group. There were 18 school age children with 3 staff members. A total of 12 children were identified out of the 18. Staff person #1 identified 4 young school age children and 3 older school age children. Staff person #2 identified 5 young school age children. Staff person #3 stated that she was helping but did not have an assigned group yet.

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)

Description: Signed

Noncompliance Area: The agreement form used by the facility does not include the signature of 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 agreement form used by the facility does not include the services to be provided to the family and the child.

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 form used by the facility does not specify the child's arrival and departure times.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: The operator did not have emergency contact information present in the child care space for the children receiving care in the space. Staff person #1 stated the files were removed by a former staff person and they are no longer onsite. An electronic data base with some information was available for each child, but not the complete emergency contact information.

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

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

Description: Health information/Initial health report for school age; accordance with school attendance

Noncompliance Area: The operator did not have initial health reports on file within 60 days of the first day of attendance for the children enrolled at the facility. Staff person #1 stated that the files were removed by a former staff person and are no longer at the facility.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Observed Lysol cleaning wipes on a table in the cafeteria which were accessible to the children.

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(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for staff person #2 did not include the results of a tuberculosis screening at the time of initial hire (see LIS code sheet).

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

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: A current copy of the comprehensive general liability insurance policy was not on file at the facility. The copy onsite had an effective date of 12/01/2023 - 12/01/2024.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.181(a)

Description: Each child

Noncompliance Area: On the date of the inspection, individual records were not established and maintained for each child enrolled in the facility. The operator did not have completed emergency contact information, financial agreements or health reports for each child enrolled at the facility. Staff person #1 stated that the child files were removed from the facility by a former staff person, and they are working on restoring the files. Staff person #1 stated she has been working at the facility since 10/14/2024 without complete files for the children. Files for child #1, #2, #3, #4 and #5 were requested on 12/10/2024 to be sent to the Certification Representative. The emergency contact form and agreement form for child #1 dated 12/10/2024 and an immunization record dated 02/20/2024 was received on 12/19/2024, A health report for child #2 dated 12/11/2024 was received on 12/23/2024. No additional files for the children were received for review.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #2 did not include verification of child care experience or education prior to service at the facility (see LIS code sheet).

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #2 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #2 did not include complete provisional hire documentation at the time of initial hire (see LIS code sheet). The file for staff person #2 did not include documentation of a request for the FBI clearance prior to their initial start date. The signed disclosure statement was not dated at the time it was signed.

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #2 did not include verification of child care experience to qualify as an assistant group supervisor.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Training regarding the emergency plan was not documented for staff person #1 and #2.

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(e)

Description: Letter to parents

Noncompliance Area: The letter provided to the parent of each enrolled child explaining the emergency procedures did not include information regarding accommodations will be made for children with disabilities and children with chronic medical conditions or a statement that emergency drills will be conducted annually.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The operator did not have documentation that a copy of the emergency plan was sent to the local municipality and 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.