Kindercare Learning Center/Mccandless

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Discovery PS 1 Room a child's blue upholstery chair was observed to be torn on the seat cushion exposing the foam inside causing it not to be in good repair.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The child file for Child #1 and Child #3 contained an initial child service report on file dated 6/29/26 which was completed more than 6 months after the child's date of admission. The child file for Child #2 contained an initial child service report on file dated 7/1/26 which was completed more than 6 months after the child's date of admission. The child file for Child #4 contained a current child service report dated 6/26/26 which was completed more than 6 months from the previously dated 4/1/24 service report. The child file for Child #5 contained an initial child service report on file dated 6/26/26 which was completed more than 6 months after the child's date of admission. The child file for Child #6 lacked a child service report. The child file for Child #7 contained a current child service report dated 7/1/26 which was completed more than 6 months from the previously dated 9/3/25 service report. The child file for Child #8 contained a current child service report dated 7/1/26 which was completed more than 6 months from the previously dated 5/11/24 service report. The child file for Child #9 contained an initial child service report on file dated 6/17/26 which was completed more than 6 months after the child's date of admission.

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

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

Noncompliance Area: The child file for Child #2, who is a preschool child, was observed to lack an updated health report; the most recent health report on file is dated 4/15/25. The child file for Child #4, who is a preschool child, was observed to lack an updated health report; the most recent health report on file is dated 12/12/24. The child file for Child #5 who is an older toddler. was observed to lack an updated health report; the most recent health report on file is dated 4/12/25.

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

Regulation: 3270.133(1)

Description: Original container

Noncompliance Area: In the PreK Room, an epi-pen for Child #10 was accepted without the original container.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: In the Infant Room, a child's allergy medication was observed to lack the name of the child for whom it is intended for.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: In the PreK Room an epi-pen for Child #11 was observed to have expired as of 8/2025.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The staff file for Staff person #1, contained a current health assessment dated 11/25/25 which was conducted more than 24 months from the previously dated 10/3/23 health assessment on file. The staff file for Staff person #2, contained a current health assessment dated 3/31/26 which was conducted more than 24 months from the previously dated 10/4/23 health assessment on file. The staff file for Staff person #3 lacked an updated health assessment; the last health assessment on file is dated 4/24/24. The staff file for Staff person #4, contained a current health assessment dated 6/24/26 which was conducted more than 24 months from the previously dated 3/26/24 health assessment on file. The file for staff person #6 was observed to lack a health assessment. The staff file for Staff person #7, contained a current health assessment dated 6/19/26 which was conducted more than 24 months from the previously dated 11/30/23 health assessment on file.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for staff person #6 was observed to lack a tuberculosis screening at initial employment.

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

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The staff file for Staff person #9 contained a current health assessment that lacked examination for communicable diseases and the results of that examination.

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

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The staff file for Staff person #9 contained a current health assessment that lacked the physician's or CRNP's assessment of the person's suitability to provide childcare.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The child file for Child #1 contained a financial agreement and emergency contact form that were not reviewed and signed by the parent at least once every 6 months; the last review was signed on 11/21/25. The child file for Child #2 contained a financial agreement and emergency contact form that were not reviewed and signed by the parent at least once every 6 months; the last review was signed on 12/5/25. The child file for Child #3 contained a financial agreement and emergency contact form that were not reviewed and signed by the parent at least once every 6 months; the last review of the financial agreement form was signed on 10/7/25 and emergency contact form was signed on 10/6/25. The child file for Child #4 contained a financial agreement and emergency contact form that were not reviewed and signed by the parent at least once every 6 months; the last review was signed on 11/26/25. The child file for Child #5 contained a financial agreement and emergency contact form that were not reviewed and signed by the parent at least once every 6 months; the last review was signed on 11/6/25. The child file for Child #6 contained a financial agreement and emergency contact form that were not reviewed and signed by the parent at least once every 6 months; the last review was signed on 12/30/25. The child file for Child #7 contained a financial agreement and emergency contact form that were not reviewed and signed by the parent at least once every 6 months; the last review was signed on 12/5/25. The child file for Child #8 contained a financial agreement and emergency contact form that were not reviewed and signed by the parent at least once every 6 months; the last review of the financial agreement form was signed on 6/19/25 and emergency contact form was signed on 11/6/25. The child file for Child #9 contained a financial agreement and emergency contact form that were not reviewed and signed by the parent at least once every 6 months; the last review was signed on 11/21/25.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #8 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Family Child Care Part 2 and Pediatric First Aid/CPR. The Pediatric First Aid/CPR training on file dated 8/5/25 was not an approved curriculum nor taught by a PQAS instructor.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #8 will have until 7/25/26 to complete the required training. Until such time as the required training has been completed, staff person #8 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #8, staff person #8 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The staff file for Staff person #3 contained current mandated reporter training dated 6/25/26 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 2/26/21.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The staff file for Staff person #1 contained a current Child Abuse clearance dated 6/22/26 which was not renewed within 60 months of the previously dated 4/14/21 Child Abuse clearance expiring. The disclosure statement in the file for person #6 was from previous employment with the legal entity. The file for staff person #8 was observed to lack a DHS FBI clearance prior to first day working with children (See IS CODE SHEET) required for provisional hiring under the Child Protective Service Law (CPSL).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #8 may not work in a childcare position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The staff file for Staff person #4 contained current staff evaluation dated 6/25/26 which was not completed at least once every 12 months from the previous staff evaluation on file dated 3/20/25. The staff file for Staff person #5 contained current staff evaluation dated 6/28/26 which was not completed at least once every 12 months from the previous staff evaluation on file dated 10/25/24.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the PreK Room a bin of approximately 15 sunscreens was observed inside a storage cabinet, and the internal locking mechanism would not engage in the locked position therefore making those sunscreens accessible to the children in care.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the Toddler 2 Room, damaged paint and plaster was observed on the wall to the right of the changing table where the lid of the garbage can makes contact with the wall when opened. In the PreK Room damaged paint and plaster were observed on the wall where to cots are kept. In the Preschool 2 Room damaged paint and plaster was observed above the lidded trash can located to the left of the dramatic play area. In the Preschool 1 Room damaged paint and plaster was observed to the right of the play sink in the dramatic play area. In the Discovery PS 2 Room damaged paint and plaster was observed on the wall near the career costume display and underneath the window to the right of the display behind the blue chair.

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: In the Preschool 2 Room the single-handle faucet located on the sink in the child's bathroom was observed to be loose and slightly detached from the sink when lifting the handle upward to turn on the water on.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 5/19/26 to 6/29/26 (41 days).

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Ten cots in the Toddler 3 Room and thirteen cots in Preschool 2 Room that are used for naptime were observed to not be labeled for use of a specific child.

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.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 1:55pm, during naptime in the Preschool 2 Room, one staff and 12 preschool age children were observed. During the onset of a supervision/ratio check, when staff were asked to identify and name all of the children who they were responsible for Staff person #11 identified and named only 6 children thus leaving the other 6 children unaccounted for. When asked who was responsible for the 6 unnamed children Staff person #11 said Staff person #8, who was out of the room on their break, was responsible for those children. At approximately 2:00pm, during naptime in the Discovery Preschool 1 Room, one staff and 12 older toddlers and preschool age children were observed. During the onset of a supervision/ratio check, when staff were asked to identify and name all of the children who they were responsible for Staff person #12 identified and named only 6 children thus leaving the other 6 children unaccounted for. When asked who was responsible for the 6 unnamed children Staff person #12 said Staff person #7, who was out of the room on their break, was responsible for those children. At approximately 2:10pm, during naptime in the Toddler 3 Room, one staff and 10 young and older toddlers were observed. During the onset of a supervision/ratio check, when staff were asked to identify and name all of the children who they were responsible for Staff person #5 identified and named only 5 children thus leaving the other 5 children unaccounted for. When asked who was responsible for the 6 unnamed children Staff person #5 said Staff person #2, who was out of the room on their break, was responsible for those children.

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: The child file for Child #1 through Child #5, and Child #7 through Child #10 was observed to lack valid child service reports on file; Brigance assessments were being used which are considered obsolete as of 7/1/2023.

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)(6)

Description: Insurance coverage information

Noncompliance Area: The child file for Child #6 was observed to contain a current emergency contact information form that lacked the health insurance policy number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The child file for Child #9 was observed to contain a current emergency contact information form that lacked the address for one of the designated release persons listed.

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)

Description: Health information

Noncompliance Area: The child file for Child #7, contained an initial health report that is dated more than 60 days after initial enrollment.

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

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

Noncompliance Area: The child file for Child #1, who is a young toddler, was observed to contain an updated health report dated 1/30/25 which was conducted more than 6 months from the previously dated 5/21/24 health report on file. The child file for Child #7, who is a young toddler, lacked an updated health report every 6 months; the last heath report on file is dated 12/11/24.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The staff file for Staff person #1, contained a current health assessment dated 4/24/24 which was conducted more than 24 months from the previously dated 3/9/22 health assessment on file.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The staff file for Staff person #6 contained current mandated reporter training dated 5/27/24 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 4/2/19.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #4 was observed to contain a DHS FBI clearance dated 5/14/25 and there was no DHS FBI fingerprint receipt dated prior to first day working with children (See IS CODE SHEET) as required for provisional hiring under the Child Protective Service Law (CPSL). Staff file #4 also was observed to contain a current State Criminal check dated 3/5/25, a State Sex Offender check dated 3/4/25, and a State Child Abuse and Neglect check dated 3/7/25 all of which were not obtained prior to their first day working with children (See IS CODE SHEET) as required under the CPSL. The file for Staff person #5 was observed to lack documentation of having a State Criminal background check and a Sex Offender check from the State in which they resided in within the previous five years as required by the CPSL. The staff file for Staff person #6 contained a current State Police clearance and a Child Abuse clearance dated 4/15/24 and a current FBI clearance dated 5/17/24,all of which were not renewed within 60 months of the previously dated 4/1/19 State Police clearance and Child Abuse clearance and 4/2/19 DHS FBI clearance expiring.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The staff file for Staff person #1, Staff person #3, and Staff person #6 lacked a written evaluation every 12 months; their last evaluation on file is dated 1/16/24. The staff file for Staff person #2 lacked a written evaluation every 12 months; their last evaluation on file is dated 2/27/24. The staff file for Staff person #7 contained a current staff evaluation dated 3/20/25 which was completed more than 12 months from the previously dated 1/25/24 evaluation.

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

Regulation: 3270.35(b)(2)/3270.192(2)(iv)

Description: Bachelor's, 30 credits + 1 yrs/Transcript, diploma and letters

Noncompliance Area: The staff file for Staff person #8 who is functioning as a Group Supervisor, lacked proof of 30 credit hours in education or the human services field.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the Toddler 2 Room, peeled paint was observed on the wall to the right of the changing table where the lid of the garbage can makes contact with the wall when opened.

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: Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 3/10/25 to 4/10/25 (31 days) and 5/1/25 - 6/12/25 (42 days).

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Upon review of the facility's 30-day fire testing documentation, more than 30 days has passed since the last test which was conducted on 8/12/24.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The child file for Child #1 through Child #7 as well as Child #9 lacked a child service report once every 6 months.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The child file for Child #8 contained a current emergency contact information form that lacked the name, address and telephone number of the designated release person.

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: 3270.133(1)

Description: Original container

Noncompliance Area: An epi-pen for Child #10 was observed to lack the original container.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: At approximately 1:15pm in Discovery PS 1 Room, during a diaper change, Staff placed a soiled diaper inside a clear plastic bag, placed it on the side of the changing table, and did not discard it into a plastic-lined, hands-free covered can until completing the diaper change.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.151(a)

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

Noncompliance Area: The staff file for Staff person #2, contained a current health assessment dated 11/27/23 which was conducted more than 24 months from the previously dated 10/22/21 health assessment on file. The staff file for Staff person #3, contained a current health assessment dated 12/16/23 which was conducted more than 24 months from the previously dated 7/28/21 health assessment on file.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: In Infant Room 2 a bottle used by an infant in care was observed to not be labeled with that child's name.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The child file for Child #5 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the two most recent reviews of the emergency contact form and financial agreement form were signed on 7/9/24 and 12/13/23.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: In the PreK Room, a stapler was observed stored inside an unlocked cabinet drawer and accessible to the preschool age children in care. In the Preschool 1 Room, a stapler and staples were observed stored inside the teacher supply drawer that contained a lock however the lock was broken thus making those items accessible to the preschool age children in care. In the Preschool 2 Room, a stapler and adult scissors were observed inside an unlocked cabinet drawer accessible to the preschool age children in care.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: An annual emergency drill conducted on 4/3/24 lacked the names of staff, special accommodations the facility used for any category of children, and any problems encountered that is required to be documented when conducting the emergency drill, per announcement C-22-04.

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: Upon review of the facility emergency plan, it was observed to not have been reviewed annually; the last documented review was dated 4/3/23.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The staff file for Staff person #1 contained a current Child Abuse clearance dated 4/28/23 which was not renewed within 60 months of the previously dated 4/25/18 Child Abuse clearance expiring.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

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

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

Noncompliance Area: The staff file for Staff person #4 who is functioning as an Assistant Group Supervisor, lacked proof of two years' experience working with children.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: In the PreK Room the first-aid kit was observed to lack gloves.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: In Toddler 2 Room multiple EduBlock Set pieces were observed to have chunks bitten off presenting a potential choking hazard to children still placing objects in their mouths.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The child file for Child #1, #2, #3, #4, #5, #6, #7, #8, #9, #10 lacked a child service report.

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: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The child file for Child #2, who is a young toddler, was observed to contain health reports that were conducted more than 6 months apart; those health report dates are dated 9/30/22 and 12/13/21. The child file for Child #5, who was a young toddler at the time, was observed to contain an updated health report dated 12/15/23 which was conducted more than 6 months from the previously dated 5/11/22 health report on file. The child file for Child #6, who was a young toddler at the time, was observed to contain an updated health report dated 9/11/23 which was conducted more than 6 months from the previously dated 6/6/22 health report on file. The child file for Child #10, who was a young toddler at the time, was observed to contain an updated health report dated 10/5/23 which was conducted more than 6 months from the previously dated 8/22/22 health report on file. The child file for Child #9 lacked an updated health report; the last health report on file is dated 4/25/23.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The child file for Child #3, who is a preschool age child, was observed to contain an updated health report dated 10/3/23 which was conducted more than 12 months from the previously dated 5/25/22 health report on file. The child file for Child #8, who is a preschool age child, was observed to contain an updated health report dated 1/6/24 which was conducted more than 12 months from the previously dated 12/19/22 health report on file.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: In Discovery Preschool 1, at approximately 9:35am, an older toddler was observed using the restroom, which is located inside of the classroom, and once done, came out and picked up a toy to play with without having washed their hands.

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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The staff file for Staff person #8 contained a current tuberculosis screening and results dated 8/30/23 which was not conducted prior to providing initial service in a childcare setting.

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

Regulation: 3270.182(1)

Description: Initial and subsequent health reports

Noncompliance Area: The child file for Child #9 lacked an updated health report; the last health report on file is dated 4/25/23.

Correction Required: A child's record shall contain initial and subsequent health reports.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The staff file for Staff person #1, #2, #3, #4, #5, #7, #9, #10, #11, #12 lacked a written staff evaluation.

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

Regulation: 3270.35(b)(1)/3270.192(2)(iv)

Description: Bachelor's/Transcript, diploma and letters

Noncompliance Area: The staff file for Staff person #8 and Staff person #13, who is functioning as a Group Supervisor, contained a foreign diploma that lacked additional documentation to show that the diploma had been evaluated to determine its validity and whether or not it meets qualifications for the position.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

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

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

Noncompliance Area: The staff file for Staff person #6, who is functioning as an Assistant Group Supervisor, lacked 2500 hours of children care experience; only 1,662 hours were documented.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the PreK Room bits of damaged paint/plaster were observed on the wall near the sensory table area.

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: Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 8/11/23 - 9/27/22 (47 days).

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: During staff interviews it was verified that a bottle labeled with a different child's name was given to Child #1.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: *During a complaint investigation conducted on 7/28/23, according to staff statements, on 7/19/23 at approximately 10:30am, while transitioning from the infant/toddler playground Child #1, who is a young toddler, was left outside for approximately one minute without being supervised by any staff person.

Correction Required: 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.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: **During a complaint investigation conducted on 7/28/23, according to staff statements, on 7/19/23 at approximately 10:30am, while transitioning from the infant/toddler playground Child #1, who is a young toddler, was left outside for approximately one minute without being supervised by any staff person.

Correction Required: The legal entity shall arrange for all staff persons to attend an in-person training conducted by the ELRC in the area of supervision and transitioning within three months of the acceptance of the plans of correction. Proof of training will be submitted to the OCDEL Western Region Certification Rep upon completion and may be counted towards annual training hours.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: ***During a complaint investigation conducted on 7/28/23, according to staff statements, on 7/19/23 at approximately 10:30am, while transitioning from the infant/toddler playground Child #1, who is a young toddler, was left outside for approximately one minute without being supervised by any staff person.

Correction Required: The director and assistant directors will physically observe and manually evaluate various transition periods where staff are moving groups of children from one area of the facility to another for at least 3 transition periods per month for the next 3 months following the approval of this plan of correction. During the observations, the director and assistant directors will develop a log to manually document the date, time, classroom. number of staff persons, number and ages of children, where transitioning to/from, and if the transition was done correctly. The director will confirm continuing compliance by sending copies of the documentation to the Western Region Office on a monthly basis for a period of three months after DHS approves the documentation format. The log will be made available to OCDEL-DHS representatives upon request.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During a complaint investigation conducted on 7/28/23, according to staff statements, on 7/19/23 at approximately 10:30am, while transitioning from the infant/toddler playground Child #1, who is a young toddler, was left outside for approximately one minute. No staff person was physically present with the child.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: During a complaint investigation conducted on 7/28/23, according to staff statements, on 7/19/23 at approximately 10:30am, while transitioning from the infant/toddler playground Child #1, who is a young toddler, was left outside for approximately one minute without any staff present resulting in the staff:child ratio being 0:1.

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).

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: In the Infant 2 Room at approximately 11:10am four infants were observed to be sleeping in the crib area and two staff were sitting in the rocking chairs near the crib area with their backs to those infants who were sleeping in the cribs. Due to staffs positioning in the room it was determined they could not adequately supervise all the infants who were sleeping in the cribs. In the Infant 3 Room at approximately 11:25am two infants were observed to be sleeping in the crib area, and depending on where staff were positioned in the room, they could not adequately supervise those two infants who were sleeping in the cribs due to the plexiglass room divider having a frosted mosaic privacy screen decal preventing staff from adequately supervise all the infants who were sleeping in the cribs. In the PreK Room at approximately 1:23pm, depending on where staff were positioned in the room, they could not adequately supervise one of the napping children due to where the child's mat was placed, and furniture obstructing the Staff's ability to see and assess that child who was napping.

Correction Required: 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.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The child file for Child #2 contained a financial agreement form that was not signed by the operator.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The child file for Child #1, Child #3, Child #4, Child #5, Child #8, and Child #9 lacked a completed child service report on file.

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)(5)

Description: Designated release persons

Noncompliance Area: The child file for Child #3 and Child #8 contained a financial agreement form that lacked the name(s) of the person(s) designated by a parent to whom the child may be released.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The child file for Child #1, Child #2, Child #4, Child #5, Child #8, and Child #9 contained a current financial agreement form that lacked the child's admission date.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The child file for Child #2, Child #3, Child #6, and Child #7 contained an emergency contact information form that lacked addresses for 1 or more of the individuals 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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: At approximately 10:25am in the Discovery Preschool 2 Room, after an observed diaper change the staff person failed to wash the child's hands.

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: At approximately 10:25am in the Discovery Preschool 2 Room, Staff was observed placing a soiled disposable diaper inside a plastic lined bag, place in on the changing table, and was not immediately discarded into a plastic-lined hands-free covered can until after the diaper change was completed.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility emergency plan lacked information regarding a continuity of operations plan. Staff person ##4 and #5 has not completed the one-hour Pennsylvania Health and Safety Update 2022 training by 12/30/22 as required per announcement C-22-06.

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

Regulation: 3270.151(c)(3)/3270.151(c)(4)

Description: Exam communicable disease/Information re: medical problems

Noncompliance Area: The staff file for Staff person #2 contained a current health assessment dated 3/30/23 that had 'Yes' checked off to having a communicable disease and additional information describing the condition and the risk it might pose was not provided.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The child file for Child #3 contained an emergency contact information form that was not reviewed and updated by the parent at least once in a 6-month period; the dates of the two most recent reviews were 11/29/22 and 4/28/22.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The staff file for Staff person #3 contained current mandated reporter training dated 4/23/23 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 1/2/18.

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

Regulation: 3270.32(a)/3270.192(2)(ii)

Description: Comply with CPSL/Exp, educ., training prior to facility

Noncompliance Area: The file for Staff person #1 was observed not to contain a valid State Police clearance within 45 days of hire (See IS CODE SHEET); the State Police documentation on file was 'Under Review'. Staff person #1 now has a valid State Police clearance 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 verification of childcare experience, education and training prior to service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In Discovery Preschool 2 sunscreen spray labeled 'Keep Out of Reach of Children' was observed in the top portion of a child's cubby which is still in reach and accessible to the preschool children in care.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the PreK Room damaged plaster was observed on the wall near the circle time area as well as near the window located to right of the circle time area.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: Handwashing signs were observed to not be posted above the toilets in the following rooms: Toddler 1, Toddler 2, Discovery Preschool 1, Discovery Preschool 2, and PreK.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: After completing a name- to- face check after transitioning what was supposed to be six older toddlers from the Discovery Preschool 1 Room to the Gym, Staff person #1 became aware that only five older toddlers were present in the Gym, meaning that one older toddler had been left in the Discovery Preschool 1 Room alone for anywhere from 30 seconds to a minute, with no adult supervision.

Correction Required: 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.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: **After completing a name- to- face check after transitioning what was supposed to be six older toddlers from the Discovery Preschool 1 Room to the Gym, Staff person #1 became aware that only five older toddlers were present in the Gym, meaning that one older toddler had been left in the Discovery Preschool 1 Room alone for anywhere from 30 seconds to a minute, with no adult supervision. Staff person #1 was not physically present with all of the children that they were responsible for supervising.

Correction Required: **Director must arrange for the staff person to complete the following one hour training from Better Kid Care titled Supervision: Moving Children. Proof of training will be submitted upon completion and may be counted towards annual training hours. Compliance will be verified through an unannounced monitoring inspection.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: *After completing a name- to- face check after transitioning what was supposed to be six older toddlers from the Discovery Preschool 1 Room to the Gym, Staff person #1 became aware that only five older toddlers were present in the Gym, meaning that one older toddler had been left in the Discovery Preschool 1 Room alone for anywhere from 30 seconds to a minute, with no adult supervision. Staff person #1 was not physically present with all of the children that they were responsible for supervising.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: After completing a name to face check after transitioning what was supposed to be six older toddlers from the Discovery Preschool 1 Room to the Gym, Staff person #1 became aware that only five older toddlers were present in the Gym, meaning that one older toddler had been left in the Discovery Preschool 1 Room alone for anywhere from 30 seconds to a minute, with no adult supervision. During this time, staff: child ratio was 0:1.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: In the Infant 2 and Infant 3 rooms, an infant was observed to be asleep in a crib and there was not at least 2 feet of space on three sides of the crib while it was in use.

Correction Required: 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)

Description: Supervised at all times

Noncompliance Area: At approximately 12:45pm, during naptime in the Discovery Preschool 2, Pre K, and Preschool 1 rooms, depending on where staff were positioned in the room they could not adequately supervise some of the napping children due to multiple pieces of furniture obstructing the Staff's ability to see and assess those children who were napping.

Correction Required: 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.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: The emergency contact information forms for five young toddlers, who were receiving care in the Toddler 3 room, were observed to not be present in the child care 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: 3270.151(a)

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

Noncompliance Area: The file for Facility person #6 was observed to not contain documentation of a health assessment being completed prior to date of hire (See IS CODE SHEET). The health assessment on file for staff person #6 is dated 7/1/22.

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

Regulation: 3270.151(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The staff file for Staff person #5 contained a health assessment that was not signed by a physician, physician's assistant or CRNP.

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The file for Facility person #6 was observed to contain a health assessment dated 7/1/22 that lacked an examination for communicable diseases and the results. The file for Staff person #7 was observed to contain a health assessment dated 3/19/22 that lacked an examination for communicable diseases and the results. The file for Staff person #9 was observed to contain a health assessment dated 3/7/21 that lacked an examination for communicable diseases and the results.

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

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The file for Staff person #9 was observed to contain a health assessment dated 3/7/21 that lacked an assessment of the person's suitability to provide child care. an assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: In Infant room 2 a bottle, used by an infant in care, was observed to not be labeled with the child's name.

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

Regulation: 3270.182(5)

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

Noncompliance Area: The child file for Child #2 contained an emergency contact information form that lacked 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(7)

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

Noncompliance Area: Upon review of Child #1's file an original incident report was observed to have not been given to the parent.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #10 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First-Aid/CPR.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #11 will have until 8/9/22 to complete the required training. Until such time as the required training has been completed, staff person #11 must be supervised, when interacting with children, by an (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 #11, staff person #11 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The staff file for Staff person #1 was observed to lack a Child Abuse clearance on file at time of review; Staff #1 was able to provide a valid Child Abuse clearance dated 5/16/18. The staff file for Staff person #2 contained a State Police clearance on file dated 6/28/22 and the file did not contain documentation of having applied for the State Police clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The staff file for staff person #3 was observed to lack a valid FBI clearance within 45 days of hire (See IS CODE SHEET). The staff file for Staff person #6 and Staff person #8 lacked a valid State Police clearance at time of review; Staff person #6 and #8 were able to provide a valid State Police clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff person #3 is not permitted to work in the facility.

Regulation: 3270.33(a)/3270.35(b)

Description: Each staff person meets quals/Group sup qualifications

Noncompliance Area: The staff file for Staff person #4, who is functioning as group supervisor, only contained documentation of a CDA.

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 group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4).

Regulation: 3270.81

Description: Glass

Noncompliance Area: In the Infant 1, Infant 2, and Infant 3 rooms, the plexiglass room divider was observed to not have a visual strip or identification on the plexiglass.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.