KINDERCARE LEARNING CENTER 3056

Regulation: 3270.20(a)(1)

Description: Inpatient hospitalization or ER treatment of child

Noncompliance Area: Certification representative conducted an unannounced monitoring visit. The facility had an incident where a child was hurt and letter taken to the emergency room for stitches. The facility did not report this incident or hospitalization of OCDEL within 24 hours.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: Certification representative conducted a complaint investigation. After reviewing sign in sheets and interviewing opening staff, it was verified that the facility has been out of ratio during the morning hours.

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). The required staff:child ratios must be maintained at all times.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Certification representative conducted a renewal inspection. The record for child #3 and #5 did not include CSR assessments.

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: Certification representative conducted a renewal inspection. The emergency contact form for child #1 did not include 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: Certification representative conducted a renewal inspection. The emergency contact form for child #1 did not include release persons address.

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: Certification representative conducted a renewal inspection. The record for child #1 and #2 did not include an initial health assessment.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: Certification representative conducted a renewal inspection. The facility had not notified local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

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

Regulation: 3270.171(b)/3270.171(c)

Description: Safe pick-up and drop-off in writing/Safe routes posted

Noncompliance Area: Certification representative conducted a renewal inspection. The facility did not have the required pickup and drop off procedures posted at a conspicuous location in the child care facility.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Certification representative conducted a renewal inspection. The emergency contact form and fee agreement for child #1, #4 and #5 was outdated.

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

Regulation: 3270.182(3)/3270.182(4)

Description: Consent for emergency medical care required prior to admission/Consent for administration of medications or special dietary needs

Noncompliance Area: Certification representative conducted a renewal inspection. The record for child #2 did not include signed parental consent for emergency medical care or signed parental consent for administration of medications.

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. A child's record shall contain signed parental consent for administration of medications or special dietary needs.

Regulation: 3270.182(5)/3270.182(6)

Description: Consent for administration of minor first-aid required prior to admission/Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: Certification representative conducted a renewal inspection. The record for child #2 did not include signed parental consent for administration of minor first-aid or signed parental consent for transportation, walking excursions.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Certification representative conducted a renewal inspection. The record fit staff person #4 did not include verification of childcare experience.

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(3)

Description: Health assessment, TB test

Noncompliance Area: Certification representative conducted a renewal inspection. The record for staff person #3 did not include health assessment or TB testing. In addition, the health assessment for staff person #2 was outdated. The health assessment for staff person #4 did not include documentation necessary to confirm freedom from communicable deceases.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Certification representative conducted a renewal inspection. The record for staff person #4 did not include two written, nonfamily references.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: Certification representative conducted a renewal inspection. The facility did not have information on how to access the regulations in this chapter electronically or with instructions for contacting the appropriate regional child care office.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Certification representative conducted a renewal inspection. The emergency drill documentation on file was outdated.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Certification representative conducted a renewal inspection. The record for staff person #1 did not include an updated emergency plan training.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: Certification representative conducted a renewal inspection. The record for staff person #2 did not include an updated for safety training.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Certification representative conducted a renewal inspection. The record for staff person #4 did not have proof of FBI fingerprinting.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: Certification representative conducted a renewal inspection. The first aid kit in room #5 preschool room missing tweezers.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Certification representative conducted a renewal inspection. At the time of inspection, there was a huge portion of the roof shingles on the playground.

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: Certification representative conducted a renewal inspection. Toilet #1 located in the transition classroom was leaking water. In addition, the sink #2 was clogged and water was not going down.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: Certification representative conducted a renewal inspection. Handwashing signs were not posted at each toilet and sink throughout the facility.

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: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: Certification representative conducted a renewal inspection. Bathroom #1 in the preschool classroom did not have a lidded trash can.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: Certification representative conducted a renewal inspection. At the time of inspection there were several storage items blocking the closet hallways paths that lead to other classroom and exit doors.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Certification representative conducted a renewal inspection. The fire drill log on file at the facility was outdated.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Certification representative conducted a complaint investigation. After completing a full investigation and gathering all documents, it was determined that staff person #1 stepped away from the classroom leaving the case worker (who does not work for the facility) unattended with the children in the classroom.

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.

Regulation: 3270.21/3270.113(a)

Description: General Health and Safety/Supervised at all times

Noncompliance Area: Certification representative conducted a complaint investigation. After completing a full investigation and gathering all documents, it was determined that staff person #1 stepped away from the classroom leaving the case worker (who does not work for the facility) unattended with the children in the classroom.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Certification representative conducted an allocated unannounced inspection. Staff person #1 and #2 located in the infant (B) room did not have assigned primary care groups indicating responsibility for specific 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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Certification representative conducted a renewal inspection. Staff person #2 and #3 did not have primary care groups indicating they had responsibility of supervision for specific 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: Certification representative conducted a renewal inspection. The record for child #1, #2, #3, #4, #5, #6 and #7 did not have CSR assessment or other approved assessments.

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: Certification representative conducted a renewal inspection. The fee agreement for child #6 did not specify the persons 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: Certification representative conducted a renewal inspection. The fee agreement for child #1, #3, #5, #6, #7, #8 and #9 did not specify the date of the child's admission.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Certification representative conducted a renewal inspection. The record for child #6, #9 and #10 did not include the physicians telephone number.

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)(6)

Description: Insurance coverage information

Noncompliance Area: Certification representative conducted a renewal inspection. The record for child #5 did not include 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: Certification representative conducted a renewal inspection. The record for child #3, #5 and #8 did not include release persons addresses.

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(f)/3270.181(c)

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

Noncompliance Area: Certification representative conducted a renewal inspection. The emergency contact form and fee agreement for child #10 was outdated.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: Certification representative conducted a renewal inspection. The record for child #3, #7 and #8 did not have an initial health assessment on file.

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

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: Certification representative conducted a renewal inspection. The record for staff person #1 did not include an initial health assessment or tuberculosis screening by the Mantoux method

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. 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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Certification representative conducted a renewal inspection. Bottled and sippy cups located in the infant and toddler classrooms were not labeled with children names.

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

Regulation: 3270.182(3)/3270.182(4)

Description: Consent for emergency medical care required prior to admission/Consent for administration of medications or special dietary needs

Noncompliance Area: Certification representative conducted a renewal inspection. The record for child #3 and #10 did not include signed parental consent for emergency medical care or for administration of medications.

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. A child's record shall contain signed parental consent for administration of medications or special dietary needs.

Regulation: 3270.182(5)/3270.182(6)

Description: Consent for administration of minor first-aid required prior to admission/Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: Certification representative conducted a renewal inspection. The record for child #1, #4, #5, #6 and #8 did not include signed parental consent for administration of minor first-aid procedures or for transportation, walking excursions.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Certification representative conducted a renewal inspection. At the time of inspection there was a toxic stray bottle (in young toddler room) in reach of the children. In addition, there was Fabulosos cleaning solution on the lower shelf in the preschool classroom. (Corrected on site).

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: 3270.72(c)

Description: Good repair

Noncompliance Area: Certification representative conducted a renewal inspection. At the time if inspection there were several damaged screens throughout the facility.

Correction Required: Screens shall be in good repair.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: Certification representative conducted a renewal inspection. There was a first aid kit on lower shelf (in reach of the children) located in prek room #2 and #4. (Corrected on site).

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: Certification representative conducted a renewal inspection. The first aid kit in the school age classroom was missing tweezers. (Corrected on site).

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. The record for child #1, #2, #7, #8, #9 and #10 did not include an updated developmental assessment.

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: On March 12, 2024, certification representative conducted a renewal inspection. The fee agreement for child #4, #5, #6, #7, #8, #9 and #10 did not specify the child's arrival and departure times.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. The fee agreement for child #1, #3, and #5 did not specify the persons 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)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. The fee agreements for children #2, #3, #5, #6, #7, #8, #9 and #10 did not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. The emergency contact form for child #2 and #6 did not include address and telephone number of the child's physician.

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)(4)/3270.182(3)

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

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. The record for child #3 and #4 did not include written consent signed by a parent for emergency medical care.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On March 6, 2024, certification representative conducted a renewal inspection. The emergency contact form for child #3, #4 and #6 did not include health insurance coverage or policy numbers.

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: On March 12, 2024, certification representative conducted a renewal inspection. The emergency contact form for child #3, #4 and #6 did not include the names, addresses or telephone numbers 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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. The emergency contact forms for child #2, #3, #4, #5, #6, #7, #8 and #9 were outdated. In addition, the fee agreements for child #1, #2, #5, #6, #7, #8, #9 and #10 were outdated.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. The record for child #2, #3, #4, #6, #8 and #9 did not include an updated health assessment.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. The facility did not have a written policy to address strategies for coping with crying fussy children or prevention and identification of child maltreatment.

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

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. The record for staff #3 and #5 did not include an initial health assessment or tuberculosis screening by the Mantoux method. In addition, the health assessment on file for staff person #6 was last completed in 2019.

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. 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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. The facility did not send an annual letter to the local traffic safety authorities about the program's use of pedestrian and vehicular routes.

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: On March 12, 2024, certification representative conducted a renewal inspection. At the time of inspection, the liability insurance on file was expired.

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(b)

Description: Current

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. The record for child #3 and #4 did not include a signed completed emergency contact form. In addition, the record for child #7, #9 and #10 did not include a completed fee agreement.

Correction Required: Information in a child's record shall be kept current by the operator.

Regulation: 3270.182(4)

Description: Consent for administration of medications or special dietary needs

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. The record for child #3 and #4 did not include signed parental consent for administration of medications or special dietary needs.

Correction Required: A child's record shall contain signed parental consent for administration of medications or special dietary needs.

Regulation: 3270.182(5)/3270.182(6)

Description: Consent for administration of minor first-aid required prior to admission/Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. The record for child #3 and #4 did not include signed parental consent for administration of minor first-aid procedures or signed parental consent for transportation and walking excursions.

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

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. At the time of inspection, staff person #2 did not have an individual record on file at the facility.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. At the time of inspection, the record for staff person #3, #4 and #6 did not include verification of child care experience or proof of education.

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: On March 12, 2024, certification representative conducted a renewal inspection. At the time of inspection, the record for staff person #3 did not include two written, nonfamily references.

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

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. The facilities emergency plan did not include a Lock-down plan.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. The current emergency plan did not have accommodations for infants, toddlers, children with disabilities, or children with chronic medical conditions.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. The facility did not have an emergency drill log indicating the time or different types of drills.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. The facility emergency plan had not been sent to the local municipality and to the county emergency management agency.

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

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

Description: Age and Training

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. The record for staff person #1, #4, #6 and #7 did not include an updated First Aid/CPR training.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. The record for staff person #3, #5 and #7 did not include the Health and Safety training.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. At the time of inspection, the record for staff person #4, #5 and #7did not include an NSOR clearance. In addition, the record for staff person #1, #3, #4, #5 and #7 did not have an updated fingerprint clearance on file. The record for staff person #5 did not have a child abuse clearance on file. The mandated reporter training for staff person #1 needed to be updated.

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 #1, #3, #4, #5, #7 may not work in a child care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. At the time of inspection, there was an unlocked lower cabinet in the toddler classroom #2A that had toxic cleaning supplies (Corrected on site).

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: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. The First aid kit located in the toddler A classroom was hanging from a lower cubby in reach of the children. (Corrected on site).

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. The first aid kit in the infant classroom Toddler B and #2A was missing soap. The first aid kit in classroom #2B was missing tweezers and soap. The first aid kit in preschool room #1 was missing tweezers, scissors and soap. The first aid kit in preschool room #2 was missing soap and gauze. The first aid kit in the prekcounts classroom was missing tweezers. The first aid kit in toddler A classroom was missing scissors, gloves and soap.

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

Regulation: 3270.75(d)/3270.124(d)

Description: On excursions/Excursions

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. The first aid kits located in the infant room A, infant room B, Toddler A, Toddler B, Toddler 2A, Toddler 2B, preschool 1, preschool 2 and prek counts classroom did not have a bottle of water. In addition, the first aid kits in classroom infant room A, infant room B, Toddler A, Toddler B, Toddler 2A, Toddler 2B, preschool 1, preschool 2 and prek counts classroom (used for excursion) did not have emergency contact information specific to each child.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c). When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On March 12, 2024, certification representative conducted a renewal inspection. There was no documentation showing that the fire alarm system is being checked every 30 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: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: ON MARCH 28, 2022 DURING THE RENEWAL INSPECTION, THE FEE AGREEMENT OF CHILD #1 AND CHILD #2 DID NOT CONTAIN EVIDENCE OF DESIGNATED RELEASE PERSONS

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: ON MARCH 28, 2022 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM OF CHILD #1 AND CHILD #2 DID NOT CONTAIN EVIDENCE OF 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: ON MARCH 28, 2022 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #3 AND STAFF #4 DID NOT CONTAIN EVIDENCE OF AN UPDATE HEALTH ASSESSMENT

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

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: ON MARCH 28, 2022 DURING THE RENEWAL INSPECTION, TE FILE OF STAFF #6 DID NOT CONTAIN EVIDENCE OF VERIFICATION OF EDUCATION

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

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

Description: Age and Training

Noncompliance Area: ON MARCH 28, 2022 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #3 DID NOT CONTAIN EVIDENCE OF PEDIATRIC FIRST AID AND CPR TRAINING

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: ON MARCH 28, 2022 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #1, STAFF #3, STAFF #4, STAFF #5 AND STAFF #6 DID NOT CONTAIN EVIDENCE OF FIRE SAFETY TRAINING

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: ON MARCH 28, 2022 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #4 AND STAFF #5 DID NOT CONTAIN EVIDENCE OF NSOR CLEARANCE, THE FILE OF STAFF #6 DID NOT CONTAIN EVIDENCE OF FBI CLEARANCE, THE FILE OF STAFF #7 DID NOT CONTAIN EVIDENCE OF CHILD ABUSE CLEARANCEAND NSOR CLEARANCE, THE FILE OF STAFF #8 DID NOT CONTAIN EVIDENCE OF CRIMINAL BACKGROUND CLEARANCE, CHILD ABUSE CLEARANCE AND FBI CLEARANCE

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Staff Person #4, Staff Person #5, Staff Person #6, Staff Person #7 and Staff Person #8 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. Staff Person #4, Staff Person #5, Staff Person #6, Staff Person #7 and Staff Person #8 may not work in a child care position at the facility.

Noncompliance Area: ON MARCH 22, 2019 DURING THE RENEWAL INSPECTION, THE FEE AGREEMENT OF CHILD #1 AND CHILD #2 DID NOT CONTAIN RELEASE PERSON INFORMATION.

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

Noncompliance Area: ON MARCH 22, 2019 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM OF CHILD #2 DID NOT CONTAIN EVIDENCE OF PHYSICAN NAME, ADDRESS AND TELEPHONE NUMBER.

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

Noncompliance Area: ON MARCH 22, 2019 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM OF CHILD #1 AND CHILD #2 DID NOT CONTAIN SIGNED PARENTAL CONSENT FOR OBTAINING EMERGENCY MEDICAL CARE.

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

Noncompliance Area: ON MARCH 22, 2019 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM OF CHILD #1 AND CHILD #2 DID NOT CONTAIN 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.

Noncompliance Area: ON MARCH 22, 2019 DURING THE RENEWAL INSPECTION THE FILE OF STAFF #1 DID NOT CONTAIN EVIDENCE OF AN INITIAL HEALTH ASSESSMENT.

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

Noncompliance Area: ON MARCH 22, 2019 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #1 DID NOT CONTAIN EVIDENCE OF TUBERCULOSIS SCREENING BY THE MANTOUX METHOD.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: ON MARCH 22, 2019 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM OF CHILD #1 AND CHILD #2 DID NOT CONTAIN SIGNED PARENTAL CONSENT FOR ADMINISTERING MINOR FIRST AID.

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.

Noncompliance Area: ON MARCH 22, 2019 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #1 DID NOT CONTAIN EVIDENCE OF VERIFICATION OF EDUCATION

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

Noncompliance Area: During the renewal inspection on 5/17/18, 2 preschool age children in the preschool classroom were observed unsupervised in the toilet area.

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.

Noncompliance Area: During the renewal inspection on 5/17/18, the record for staff member #1 did not contain a health assessment showing that the staff member has been examined for communicable diseases or is suitable to provide child care.

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 the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: During the renewal inspection on 5/17/18, the financial agreement forms located in the files of the enrolled children has not been pdated in the last 6-month period.

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.

Noncompliance Area: During the renewal inspection on 5/17/18, the record for staff member #2 (hired 9/25/17) did not include a completed criminal history clearance.

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

Noncompliance Area: During the renewal inspection on 5/17/18, the record for staff member #4 did not have two written, nonfamily reference letters.

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

Noncompliance Area: During the renewal inspection on 5/17/18, the record for staff member #4 did not contain verification of education or experience on file that qualifies the staff member for the position performing at the facility.

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