Kindercare Learning Center/mt Lebanon

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: The file for child #4 lacks emergency contact information.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for child #5 lacks health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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 file for child #6 lacks the address of the individual designated by the parent to whom the child may be released.

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

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

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

Noncompliance Area: The flies for children #1, #2, #4 contain health assessments that were update late. #1 due 7/2025 and obtained 9/2025; #2 due 5/2025 and obtained 7/2025; #4 due 6/2025 and obtained 8/2025.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The files for staff #12 and #13 lack a current health assessment that was conducted every 24 months from the previous health assessment. #12 was due 5/2025 and #13 was due 3/2025.

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(b)/3270.192(3)

Description: Conducted by physician, PA or CRNP/Health assessment, TB test

Noncompliance Area: The health assessments on file for staff #2 and #3 were 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. 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)(5)/3270.192(3)

Description: Physician/CRNP assessment/Health assessment, TB test

Noncompliance Area: The health assessment for staff #3 lacked 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: Observed yogurt and cheese in a lunch bag in PS B that was not refrigerated.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.182(5)

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

Noncompliance Area: The file for child #3 lacks signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility had a documented emergency drill on file for 5/15/25. The facility could not locate the previous emergency drill, therefore, DHS was unable to determine if the drill was conducted timely.

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

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

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

Noncompliance Area: The file for staff #11 contains fire safety training that was renewed late. It was due 1/2025 and obtained 9/2025.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 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. Staff person #14 completed the following required pre-service training beyond 90 days of their date of hire (see LIS code sheet): health and safety training. It was due 1/2025 and completed 3/2025.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 11/25/25 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #4 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff person #8 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/2020. Staff person #10 had completed mandated reporter training late. (not within a 60 month period) This is evidenced by the previously documented mandated reporter training on file being dated 9/2020 and updated training being completed 10/2025.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff persons #4 and #8 will have until 11/25/25 to complete the mandated reporter training. Until such time as the required training has been completed, staff persons #4 and #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 person(s) available to supervise staff person #4 and #8, staff persons #4 and #8 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #5 lacks an updated child abuse clearance. It was due 9/24/24. The file for staff #8 lacks an updated NSOR clearance. It was due 1/2025. The file for staff #5 contains late criminal, FBI and NSOR clearances. They were due 9/24/24 and obtained 9/25/24 and 10/11/24. The file for staff #9 contains late criminal, child abuse and NSOR clearances. Criminal was due 7/2025 and obtained 8/2025; child abuse was due 3/2025 and obtained 9/2025; NSOR was due 2/2025 and obtained 8/2025.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #5 and #8 may not work in a child care position at the facility until valid clearances are on file. 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 following staff files lack verification of child care experience or education prior to service at the facility to qualify as an assistant group supervisor: #3 lacks 2300 hours of child care experience; #4, #5, #6 and #7 lack high school diplomas that are interpreted and evaluated to determine their equivalency to an approved high school diploma by a DHS approved evaluation body.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed damaged faucets in the PreK A and discovery PS rooms. The metal on the faucets were deteriorating and created sharp pieces that were accessible to the children.

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: 3270.107

Description: Refrigerator

Noncompliance Area: The top shelf in the refrigerator in the Infant A room was dirty.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for children #1, #3, #4, and #6 lack 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. (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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for child #5 lacks the health insurance coverage and 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(f)/3270.181(c)

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

Noncompliance Area: The files for children #2, #3, #4, #6 and #7 contain agreements and emergency contact forms that were not reviewed and updated at least once in a 6-month period. The forms were being updated annually.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for child #1 lacks an initial health report no later than 60 days following the first day of attendance at the facility. The health report was due 2/1/24.

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

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

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

Noncompliance Area: The file for child #2 contains a health assessment that was updated late. It was due 1/2024 and obtained 5/2024.

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

Regulation: 3270.131(e)(3)/3270.182(1)

Description: Dismissal policy /Initial and subsequent health reports

Noncompliance Area: The file for child #1 lacks immunization records due no later than 60 days following the first day of attendance at the facility. The immunizations were due 2/1/24. Child #1 must be dismissed from care until the immunizations are on file.

Correction Required: The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). A child's record shall contain initial and subsequent health reports.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Health assessments for the following staff were obtained or updated late: #1 due 11/2023 and obtained 5/2024; #4 due 9/2023 and obtained 5/2024; # due 10/2023 and obtained 6/2024; #8 due 4/2024 and obtained 5/2024; #11 due 6/2024 and obtained 7/2024; #12 due 4/2023 and obtained 9/2024; #13 due 4/2023 and obtained 8/2024; #15 due 11/2023 and obtained 5/2024.

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: 3 unlabeled baby bottles were observed in the Infant A room.

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

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

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

Noncompliance Area: Emergency plan training for the following staff was obtained or updated late: #2 obtained 5/2024 and was due 4/2024; #3 obtained 5/22/2024 and was due 5/12/2024; #5 obtained 5/2024 and was due 4/2024.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

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

Noncompliance Area: Fire safety training for the following staff was obtained or updated late: #1 due 5/2024 and obtained 7/2024.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The following staff persons had not completed the following required pre-service training within 90 days of their date of hire making the training late (see LIS code sheet): #2 was due 4/8/24 and completed 4/10/24 (pediatric first aid and cpr); #3 was due 4/24 and completed 7/24 (pediatric first aid and cpr); #10 was due 7/24 and completed 8/24 (health and safety basics); #16 was due 8/23 and completed 10/23 (pediatric first aid and cpr); #18 was due 6/22 and completed 11/22 (pediatric first aid and cpr); #18 was due 6/22 and completed 8/24 (health and safety basics).

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #15 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (health and safety update 1 hour).

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 # 15 will have until 10/30/24 to complete the required training. Until such time as the required training has been completed, staff person #-15 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 #15, staff person 15- may not work in a child-care position at the facility.

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

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

Noncompliance Area: Staff #16 updated mandated reporter training late. It was due 8/23 and obtained 10/23.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The following staff files have clearances that were obtained late: #1 child abuse due 2/24 and obtained 8/24; #13 child abuse, fbi, criminal due 3/24 and obtained 7/24; #18 child abuse, fbi, nsor due 3/11/22 and obtained 3/16/22, 3/15/22 and 3/21/22. The disclosure was due 3/11/22 and obtained 3/14/22.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #7 contains an invalid FBI clearance from the Department of Education. DHS does not recognize these clearances as approved. The file for staff #12 lacks the out of state sex offender registry clearance for Maryland. It was due in 2021. The file for staff #15 lacks clearances from the state of Nevada that were due in 2020.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons # 7, #15 and #12 may not work in a child care position at the facility until valid clearances are on file. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The following staff files contain evaluations that were obtained late: #4, #6, #7, and #9 all done. Previous evaluations were unavailable.

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: 3270.37(b)(1)/3270.192(2)(ii)

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

Noncompliance Area: The file for staff #3 lacks a high school diploma.

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

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: SELF REPORTED: The facility self reported that on 7/30/24, staff #1 threatened to place child #1 in the closet at naptime in response to the child's behavior.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff persons #2 and #3 were observed to be caring for children unsupervised. Staff persons #2 and #3 have neither completed the following pre-service training required prior to caring for children unsupervised: health and safety training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person2 and #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #2 and #3, staff persons #2 and #3 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #1 and #2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety basics training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff persons #1 and #2 will have until 10/15/2024 to complete the required training. Until such time as the required training has been completed, staff persons #1 and #2 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 persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were 2 cracked Lego blocks and 2 cracked Magna Tiles in Preschool B; cracked Lego blocks in Discovery B; 2 cracked Lego blocks and 2 cracked Magna Tiles in Pre-K A.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There was a hole in the 1/4 circle mat in the Quiet Corner in Toddler B that had exposed foam, which creates a choking hazard.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Preschool A contained rest equipment that was not labeled for the use by 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: 3270.111(a)

Description: Written plan

Noncompliance Area: There was no written daily activity schedule in Pre-K B.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During a supervision-ratio check at 2:08 PM, naptime, 2 children were observed in Infant B with their faces covered with their blankets so they could not be adequately supervised.

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 agreement on file for Child #2, #3, #4, #5, #7 is not signed by the operator.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: There were no Child Service reports on file for Child #1, #2, #3, #4, #5, #6, #7, #9, #10, who have all been enrolled for more than 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: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement on file for Child #2, #3, #4, #5 does not include the child's date of admission.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #4 and #6 does not include the work address and/or telephone number for the enrolling parent.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The current emergency contact form on file for Child #1, #2, #4, #8, and #10 does not indicate if the child has any special medical needs, which is needed in an emergency situation.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for Child #5 does not include the health insurance coverage and policy number for the medical insurance policy.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #7 does not include a complete address for all listed release persons.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: There were 2 children receiving care in Toddler B whose emergency contact forms were not in the room where they were receiving care.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The 2 most recent 6-month review signature for the emergency contact form and agreement on file for Child #1, are dated 5/31/22-1/20/23 more than 6 months after the previous 6-month review signature, and more than 6 months ago. The 2 most recent 6-month review signature for the emergency contact form and agreement on file for Child #5, are dated 6/2/22-1/20/23, more than 6 months after the previous 6-month review signature, and more than 6 months ago. The most recent 6-month review signature for the emergency contact form and agreement on file for Child #2, #3, #4, #7 is dated more than 6 months ago. The 6-month review signature for the emergency contact form and agreement on file for Child #6, dated 1/19/23 is dated more than 6 months after the previous 6-month signature, 5/21/22. The 6-month review signature for the emergency contact form and agreement on file for Child #7, dated 1/20/23 is dated more than 6 months after the previous 6-month signature, 5/24/22. The 6-month review signature for the emergency contact form and agreement on file for Child #9, dated 1/25/23 is dated more than 6 months after the previous 6-month signature, 6/14/21. The 2 most recent 6-month review signature for the emergency contact form and agreement on file for Child #10, are dated 1/19/23-8/24/23, more than 6 months apart.

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

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

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

Noncompliance Area: The file for Child #2, who was a young toddler, includes 2 health assessments dated 4/8/22 and 1/19/23, more than 6 months apart. The file for Child #8, who is an infant, includes a health assessment dated 2/1/23, more than 6 months ago.

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

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

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

Noncompliance Area: The most recent health assessment on file for Child #1, a preschool child, is dated 8/29/22, more than 12 months ago. The 2 most recent health assessments on file for Child #4, a preschool child, are dated 9/24/21 and 1/24/23, more than 12 months apart. The 2 most recent health assessments on file for Child #5, a preschool child, are dated 9/17/20 and 12/8/22, more than 12 months apart. The 2 most recent health assessments on file for Child #6, a preschool child, are dated 10/4/21 and 1/20/23, more than 12 months apart. The 2 most recent health assessments on file for Child #9, a preschool child, are dated 12/30/20 and 12/30/22, more than 12 months apart.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The most recent influenza vaccination on file for Child #1, who is 5 years old, is dated 8/26/21, more than 1 year ago, as is recommended annually by the ACIP. The file for Child #3, who is 16 months old, includes 3 of 4 PCV vaccines recommended by the ACIP for a child this age. The most recent influenza vaccination on file for Child #5, who is 5 years old, is dated 10/12/21, more than 1 year ago, as is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #9, who is 4 years old, is dated 12/30/21, more than 1 year ago, as is recommended annually by the ACIP. The immunization record on file for Child #10, who is 18 months old, does not include an influenza vaccination, as is recommended annually for a child this age. The immunization record on file for Child #8, who is 11 months old, includes 1/2 Hepatitis B vaccines; 1/2 Rotavirus; 1/3 DTAP vaccines; 1/2 HIB vaccines; 1/3 Pneumococcal vaccines; and 1/2 Polio vaccines recommended by the ACIP for a child this age.

Correction Required: ·Child #1, #3, #5, #9, #10 must be dismissed from care by close of business on 9/27/23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Children were observed in Toddler B eating snack, after being outside, without washing 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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: During an observed diaper change in Discovery B, a staff person was observed placing the soiled diaper on the changing table, rather than immediately disposing of the diaper, and was then observed opening the hands-free can with her hand.

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 file for Staff Person #3 did not contain the Pa. Health and Safety update 2022 which was required to be completed by 12.30.22, as per Announcement C-22-06.

Correction Required: Staff Person #3 will have until 11/21/23 to complete this training. 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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility does not have documentation verifying that the most recent emergency plan was submitted to the local municipality 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(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality.

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 #6 will have until 11/21/23 to complete the required training. Until such time as the required training has been completed, staff person #6 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 #6, staff person #6 may not work in a child-care position at the facility.

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

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

Noncompliance Area: Staff person #4 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality; the training was completed on 9/16/23. Staff person #2. #4 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR; the training was completed on 10/9/23.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

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

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

Noncompliance Area: The 2 most recent mandated reporter training certificates on file for Staff person #7 are dated 10/24/16 and 11/14/22, more than 60 months apart.

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 child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #2 did not contain documentation of application of a PA Criminal History clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for Staff person #7 includes criminal history clearances dated 7/9/20 and 9/26/22; child abuse clearances dated 3/5/15 and 11/11/22; and FBI clearances dated 10/28/16 and 11/14/22, all more than 60 months apart.

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: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for Staff person #1, #3, #4, #5, who are classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience. The file for Staff person #6 does not include verification of a high school diploma or general educational development certificate; or a minimum of an 8th grade education and 2 years of child care experience.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: The cupboard under the sink in Toddler A, which contains toxic cleaning supplies marked "Keep out of reach of children" unlocked, making the items accessible to children.

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(c)

Description: Has all items

Noncompliance Area: The first aid kit in Preschool A did not include tape at the time of the inspection.

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: There were toilet bolt covers missing in the following rooms: Pre-K B; Preschool B; Preschool A; Discovery A; Discovery B; Pre-K A; Toddler A; Toddler B.

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(h)

Description: Handwashing signs

Noncompliance Area: There was no handwashing sign at the sink in the diapering area in Toddler A.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The 30-day fire alarm test log showed fire alarm tests completed on the following dates, all more than 30 days apart: 12/30/22-1/30/23; 1/30/23-3/3/23; 3/30/23-4/30/23; 5/30/23-6/30/23; and 7/30/23-8/30/23.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There were 2 soft animal toys in Preschool A which had tears in the seams.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: There was a bookshelf in PreK A that had one side of the shelf that was detached from the rest of the shelf, making it unstable.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement on file for Child #3, #4, #5 and #9 is not signed by the operator.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement on file for Child ##2, #3, and #4 does not include the amount of the fee to be paid by the parent/guardian.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement on file for Child #2, #5, and #9 does not include the child's arrival and departure times.

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement on file for Child #1, #5, and #9 does not include the child's date of admission.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #9 does not include the complete work address for the enrolling parent.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for Child #1 does not include the health insurance coverage and policy number for the child's health care coverage.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #4 does not include a name, and a complete address and telephone number for all release persons listed on the agreement. The emergency contact form on file for Child #9 does not include a complete address and telephone number for all listed release persons.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: There were 2 children in Toddler A and 2 children in Toddler B who were receiving care without their emergency contact form being in the room where they were receiving care.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for Child #3, enrolled 10/1/21, does not include a 6 month review signature for the emergency contact form and financial agreement. The file for Child #9, enrolled in November 2021, does not include a 6 month review signature for the financial agreement or the emergency contact form.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The most recent health assessment on file for Child #3, a young toddler, is dated 10/26/21, more than 6 months ago.

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 most recent health assessment on file for Child #6, a preschool aged child, is dated 3/11/21, more than 12 months ago. The most recent health assessment on file for Child #7, a preschool aged child, is dated 6/14/21, more than 12 months ago. The most recent health assessment on file for Child #8, a preschool aged child, is dated 7/29/21, more than 12 months ago.

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

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

Description: Immunization record/ACIP recommended immunization record

Noncompliance Area: The immunization record on file for Child #1, who is 8 months old, includes 2/3 Rotavirus vaccinations, 2/3 DTAP vaccinations, 2/3 Pneumococcal vaccinations,, and 2/3 HIB vaccinations recommended by the ACIP for a child this age. The immunization record on file for Child #2, who is 6 months old, includes 1/2 Hepatitis B vaccinations recommended by the ACIP for a child this age. The immunization record on file for Child #3, who is 17 months old, includes 3/4 Pneumococcal vaccinations, 3/4 HIB vaccinations, 0/1 MMR vaccinations, and 0/1 Varicella vaccinations recommended by the ACIP for a child this age. The most recent influenza vaccination on file for Child #6, who is 3years old, is dated 9/11/20, more than 1 year ago, as is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #7, who is 3 years old, is dated 12/14/20, more than 1 year ago, as is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #8, who is 4 years old, is dated 9/29/20, more than 1 year ago, as is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #9, who is 4 years old, is dated 11/11/20, more than 1 year ago, as is recommended annually by the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: The current health assessment on file for Child #9 does not indicate if the child has had all age appropriate screenings recommended by the American Academy of Pediatrics.

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At 9:20 AM on 9/28/22, Staff person #1 was observed to be caring for children in Infant A unsupervised by a qualified staff person. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Getting Started in Center-based Care: Building Blocks for Quality. At 9:27 AM on 9/28/22, Staff person #2 was observed to be caring for children in Discovery Preschool B, unsupervised by a qualified staff person. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/Pediatric CPR. At 9:27 AM on 9/28/22, Staff person #3 was observed to be caring for children in Discovery Preschool B, unsupervised by a qualified staff person. Staff person #3 has the following expired training: Pediatric First Aid/Pediatric CPR. At about 9:35 AM on 9/28/22, Staff person #6 was observed to be caring for children in PreK A, unsupervised by a qualified staff person. Staff person #6 has not completed Pediatric First Aid/CPR or Getting Started in Center-Based Care: Building Blocks for Quality. At 2:39 PM on 9/28/22, Staff person #8 was observed to be caring for children in PreK A unsupervised by a qualified staff person. Staff person #8 has not completed the following pre-service training required prior to caring for children unsupervised: Getting Started in Center-based Care: Building Blocks for Quality.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1, #2, #3, #6, #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 person(s) available to supervise staff person #1, #2, #3, #6, #8, staff person #1, #2, #3, #6, #8 may not work in a child-care position at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan on site does not include provisions regarding volunteer emergency preparedness training, and continuity of operations, required as of 7/1/22, as per Announcement C-22-04.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The 2 most recent health assessments on file for Staff person #5 are dated 8/27/18 and 9/14/21, more than 24 months apart. The 2 most recent health assessments on file for Staff person #7 are dated 10/16/19 and 11/2/21, more than 24 months apart. The initial health assessment on file for Staff person #11 is dated 4/1/21, after the first day working with children (See IS CODE SHEET).

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

Regulation: 3270.151(b)/3270.192(3)

Description: Conducted by physician, PA or CRNP/Health assessment, TB test

Noncompliance Area: The initial health assessment on file for Facility person #10 is not signed by a physician, physician's assistant or CRNP, making it invalid.

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

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

Description: Exam communicable disease/Health assessment, TB test

Noncompliance Area: The initial health assessment on file for Staff person #2 does not indicate that the staff person was examined for communicable/contagious disease, and the results of that examination, and does not include the results of a Tuberculosis skin test.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff person #12 does not include 2 written references attesting to her suitability to provide child care.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: There was no written documentation of an emergency drill being conducted prior to 12/19/21, as per updates to Chapter 3270 regulations, effective 12/19/20.

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: The facility does not have documentation verifying that the most recent emergency plan was submitted 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)/3270.192(2)(iii)

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

Noncompliance Area: The 2 most recent Pediatric First Aid/Pediatric CPR on file for Staff person #5, #7 are dated 4/25/19 and 10/12/21, more than 2 years apart,

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

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

Noncompliance Area: The file for staff person #1 does not include documentation of fire safety training within 1 year of hire (See LIS CODE SHEET). Fire safety Training on file for staff person #1 was dated 5/31/22. The 2 most recent fire safety trainings on file for Staff person #4 are dated 12/20/20 and 5/31/22, more than 1 year apart. The 2 most recent fire safety trainings on file for Staff person #5 are dated 12/29/20 and 5/31/22, more than 1 year apart. The 2 most recent fire safety trainings on file for Staff person #7 are dated 12/29/20 and 5/31/22, more than 1 year apart.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

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

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

Noncompliance Area: The file for Staff person #4, #5, #7 includes 7 of 12 required annual training hours completed between 12/19/20-12/19/21, as per Announcement C-21-09; an additional 7 hours was completed on 2/21/22 which will be used for 12/19/20-12/19/21.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1, #8 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Getting Started in Center-Based Care: Building Blocks for Quality. Staff person #9 did not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Getting Started in Center-Based Care: Building Blocks for Quality; the training was completed on11/11/21.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), Staff person #1, #8 will have until 11/24/22 to complete the required training. Until such time as the required training has been completed, staff person #1, #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 #1, #8, staff person #1, #8 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3 within 90 days of hire. Staff person #2 will have until 11/24/22 to complete the required training. Until such time as the required training has been completed, staff person #2 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 #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

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

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Facility person #10 will have until 11/24/22 to complete the mandated reporter training. Until such time as the required training has been completed, Facility person #10 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise Facility person #10, Facility person #10 may not work in a child-care position at the facility.

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

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

Noncompliance Area: The 2 most recent mandated reporter training certificates on file for Staff person #5 are dated 2/11/15 and 9/14/21, more than 60 months apart.

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 child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #11 did not contain application or completed criminal history clearances, child abuse clearances, or sex offender searches from Texas and Maryland, where the staff person resided in the 5 years prior to employment (See IS CODE SHEET) required for provisional hiring under the 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 #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 file for staff person #1 did not contain documentation of application of a Criminal History clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The Criminal History clearance is dated 9/26/22. The 2 most recent child abuse clearances on file for Staff person #5 are dated 9/8/15 and 9/16/2; the 2 most recent FBI clearances on file for Staff person #5 are dated 9/9/15 and 9/14/21, all more than 60 months. apart. The file for staff person #6 did not contain documentation of a complete Child Abuse clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The Child abuse clearance is dated 8/23/22. The file for staff person #12 did not contain documentation of application of an FBI clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The clearance is dated 9/13/22.

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