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Child Care Center ✓ Licensed

La Salle Academy

Reading, PA · Berks County
440 Holland St, Reading, PA 19607
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Quick Facts

Capacity
54 children
Subsidized Program
Participates
State Rating
1

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Contact Information

📞 (610) 777-7392
440 Holland St
Reading, PA 19607
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✓ Licensed Child Care Center
Active License
License Number
CER-00261405
License Issued
Sep 22, 2026
Active Through
Feb 4, 2027
Issued By
Pennsylvania Department of Education and Public Welfare
District Office
Early Learning Resource Center for Region 13

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About the Provider

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La Salle Academy is a Child Care Center in Reading PA, with a maximum capacity of 54 children. The provider also participates in a subsidized child care program.

Hours of Operation

  • HoursNot listed

Inspection/Report History

Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.

Inspection Date Reason Description Status
2025-11-20 Renewal 3270.124(b)(3) - Parent home/work address, phone Compliant - Finalized

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: A renewal inspection was conducted on 11/20/2025. At that time, a sample of children's files were reviewed. Emergency contact form for child #1 was missing both parents' work addresses and work telephone numbers and father's address.

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

Provider Response: (Contact the State Licensing Office for more information.)
This was corrected 11/21/2025 and sent and placed in child's file.
2025-11-20 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

Regulation: 3270.151(a)

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

Noncompliance Area: A renewal inspection was conducted on 11/20/2025. At that time, staff files were reviewed. Last health assessment on file for staff person #4 is dated 12/29/2022.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Updated health assessment was obtained and placed in staff person #4's file.
2025-11-20 Renewal 3270.151(c)(3)/3270.151(c)(5) - Exam communicable disease/Physician/CRNP assessment Compliant - Finalized

Regulation: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: A renewal inspection was conducted on 11/20/2025. At that time, staff files were reviewed. Health assessment on file for staff person #5 does not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability 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.

Provider Response: (Contact the State Licensing Office for more information.)
Updated health assessment was obtained for staff person #5.
2025-11-20 Renewal 3270.192(2)(iv) - Transcript, diploma and letters Compliant - Finalized

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: A renewal inspection was conducted on 11/20/2025. At that time, staff files were reviewed. File for staff person #5 did not include acceptable verification of experience, education, or training.

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.

Provider Response: (Contact the State Licensing Office for more information.)
A copy of Staff#5's PA State Teaching Certification has been placed in their file.
2025-11-20 Renewal 3270.31(e) - Age and Training Compliant - Finalized

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: A renewal inspection was conducted on 11/20/2025. At that time, staff files were reviewed. The following staff persons did not receive 12 hours of annual child care training: Staff person #1: 5.5 hours of annual child care training for training year 6/10/2024-6/10/2025. Staff person #2: 6.5 hours of annual child care training for training year 8/1/2024-/8/1/2025. Staff person #4: 2 hours of annual child care training for training year 9/6/2024-9/6/2025. Staff person #6: 7 hours of annual child care training for training year 9/3/2024-9/3/2025.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person #1 must take 6.5 hours of professional development to fulfill requirement for training year 6/10/2024-6/10/2025. Hours used to fulfill training year 6/10/2024-6/10/2025 may not be used to fulfill current training year. Staff person #2 must take 5.5 hours of professional development to fulfill requirement for training year 8/1/2024-/8/1/2025. Hours used to fulfill training year 8/1/2024-/8/1/2025 may not be used to fulfill current training year. Staff person #4 must take 10 hours of professional development to fulfill requirement for training year 9/6/2024-9/6/2025. Hours used to fulfill training year 9/6/2024-9/6/2025 may not be used to fulfill current training year. Staff person #6 must take 5 hours of professional development to fulfill requirement for training year 9/3/2024-9/3/2025. Hours used to fulfill training year 9/3/2024-9/3/2025 may not be used to fulfill current training year.

Provider Response: (Contact the State Licensing Office for more information.)
Staff members #1,2,4,6 will complete online professional development hours for the 2024-2025 year using the Better Kid Care online trainings.
2025-11-20 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted 11/20/2025. At that time, staff files were reviewed. The following staff files had clearances/mandated reporter training certificates updated past 60 months: Staff person #2: Mandated reporter training certificates on file are dated 11/1/2020 and 11/2/2025. Staff person #3: Mandated reporter training certificates on file are dated 10/29/2020 and 1/27/2025. PSP clearances on file are dated 10/15/2020 and 11/10/2025. Last child abuse clearance on file is dated 10/21/2020. Staff person #3 cannot work in a child care position with direct contact and routine interaction with children until updated child abuse clearance is on file. Staff person #5: PSP clearance on file is dated 9/5/2025, which was after start date. There is no receipt on file to suggest that staff person #5 had requested the clearance prior to start date. Child abuse clearance on file is dated 10/10/2025, which was after start date (see LIS code sheet for start date). Staff person #6: Last mandated reporter training certificate on file is dated 10/27/2020.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff person #6 must obtain updated mandated reporter training certificate. Until such time as the required training has been completed, staff person #6 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #6, staff person #6 may not work in a child-care position at the facility. Staff person #3 cannot work in a child care position with direct contact and routine interaction with children until updated child abuse clearance is on file. TIERED LIS 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff person #6 must obtain updated mandated reporter training certificate. Until such time as the required training has been completed, staff person #6 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #6, staff person #6 may not work in a child-care position at the facility. Staff person #3 cannot work in a child care position with direct contact and routine interaction with children until updated child abuse clearance is on file. This portion of the plan shall have an immediate correction date 2. The operator will schedule a technical assistance session with the Cert Rep to review requirements for staff files including CPSL requirements. The operator and the certification representative shall mutually agree on a correction date for completing the session that is acceptable to both parties.

Provider Response: (Contact the State Licensing Office for more information.)
1. 11/20/2025. 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. Clearances/mandated reporter training on file for staff person #2 and staff person #5 are current. Staff person #3 obtained updated child abuse clearance dated 11/14/2025. Staff person #6 obtained updated mandated reporter training certificate and was supervised at all times by at least an AGS with all trainings until updated training certificate was on file. 2. 1/8/2026. The operator scheduled a technical assistance session with the Cert Rep to review requirements for staff files including CPSL requirements.
2025-11-20 Renewal 3270.34(a)(6) - Staff evaluations Compliant - Finalized

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: A renewal inspection was conducted on 11/20/2025. At that time, staff files were reviewed. Last staff evaluation on file for staff person #4 is dated 6/2023.

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

Provider Response: (Contact the State Licensing Office for more information.)
An evaluation will be written for the Staff member #4 and signed on January 7, 2026.
2024-11-04 Renewal 3270.111(b) - Posted in group space Compliant - Finalized

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: During renewal inspection, daily activities were not posted in Room 2.

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

Provider Response: (Contact the State Licensing Office for more information.)
The daily activities were posted on the wall in Room #2.
2024-11-04 Renewal 3270.123(a)/3270.123(a)(6) - Signed /Admission date Compliant - Finalized

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

Description: Signed /Admission date

Noncompliance Area: During renewal inspection, the following information was missing from children's fee agreements: Child #1: Date of admission. Signed by operator. Child #2: Date of admission.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

Provider Response: (Contact the State Licensing Office for more information.)
The data of Admission and directors' signature was signed for Child #1. Date of admission was added for Child #2.
2024-11-04 Renewal 3270.124(a) - Each child emergency contact person Compliant - Finalized

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: During renewal inspection, emergency contact information was not present for child #2.

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

Provider Response: (Contact the State Licensing Office for more information.)
Parent is a teacher in the building. Child #2's emergency card was copied from the School Emergency Log and placed in the DHS folder.
2024-11-04 Renewal 3270.124(b)(3) - Parent home/work address, phone Compliant - Finalized

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During renewal inspection, emergency contact form for child #1 did not contain father's work address or work telephone number.

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

Provider Response: (Contact the State Licensing Office for more information.)
A new Emergency contact form was given to the parent to be completed with the father's work address and telephone numbers.
2024-11-04 Renewal 3270.124(c) - Each child care space Compliant - Finalized

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During renewal inspection, three preschool-aged children were napping in Room 4. Emergency contact information for the children was not present in the child care space.

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

Provider Response: (Contact the State Licensing Office for more information.)
The Emergency contact information was placed in the First Aid bag that was put into Room #4.
2024-11-04 Renewal 3270.133(6) - Written consent Compliant - Finalized

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: During renewal inspection, medication for child #3 did not contain signed parental consent for administration or a medication log.

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

Provider Response: (Contact the State Licensing Office for more information.)
Director will have parental consent form for the administration of medication signed and placed in the first aid bag and present whenever child #3 in is the space.
2024-11-04 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

Regulation: 3270.151(a)

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

Noncompliance Area: During renewal inspection, the following staff health assessments have not been updated within 24 months: Staff person #2: Last health assessment on file is dated 9/21/2022, which is past 24 months. Staff person #3: Last health assessment on file is dated 8/31/2022, which is past 24 months. Staff person #4: Last health assessment on file is dated 8/27/202, which is past 24 months.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Updated health assessment dated 11/29/2024 is on file for staff #2. Updated health assessment dated 12/2/2024 is on file for staff #3. Staff #4 has a scheduled appointment for Jan. 8, 2025.
2024-11-04 Renewal 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During renewal inspection, file for staff person #7 did not contain two written, nonfamily references. File for staff person #8 contained two references; however, one was from an uncle.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #7 had 2 written references on file. Staff #8 was asked to have another reference letter sent.
2024-11-04 Renewal 3270.27(a)(6) - Emergency plan Compliant - Finalized

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During renewal inspection, facility did not have emergency drill log on file.

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

Provider Response: (Contact the State Licensing Office for more information.)
Emergency drill was completed and log will remain in the file cabinet in the Main Office labeled DHS.
2024-11-04 Renewal 3270.31(e) - Age and Training Compliant - Finalized

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During renewal inspection, the following staff persons did not complete 12 hours of annual child care training: Staff person #1: completed 6.5 hours of annual child care training for training year 9/3/2023-9/3/2024. Staff person #2: completed 5.5 hours of annual child care training for training year 9/3/2023-9/3/2024. Staff person #3: completed 5.5 hours of annual child care training for training year 9/3/2023-9/3/2024. Staff person #4: completed 5.5 hours of annual child care training for training year 9/3/2023-9/3/2024.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person #1 must take 5.5 hours of professional development to fulfill requirement for training year 9/3/2023-9/3/2024. Staff person #2, staff person #3, and staff person #4 must take 6.5 hours of professional development to fulfill requirement for training year 9/3/2023-9/3/2024.

Provider Response: (Contact the State Licensing Office for more information.)
Staff will have the opportunity to complete the hours of training by January 6, 2025. Staff will be asked to complete the hours using the Better Kid Care training.
2024-11-04 Renewal 3270.31(e)(4)(ii) - Fire safety - 1 yr. Compliant - Finalized

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

Description: Fire safety - 1 yr.

Noncompliance Area: During renewal inspection, files for staff person #1, staff person #2, staff person #3, staff person #4, and staff person #5 contained fire safety certificates dated 12/20/2022 and 10/1/2024, which is past 12 months.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Fire safety trainings on file for all staff is current. All staff will participate in fire safety training annually. All staff will receive smoke detector and fire extinguisher training.
2024-11-04 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection, files for staff person #6 and staff person #7 indicated that they have resided in NY within the past 5 years. Files did not contain requests or results for out-of-state clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #6 and staff person #7 may not work in a DHS licensed child care position at the facility until the out of state clearance is obtained and placed in file.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #6 and staff person #7 have been suspended from working in a DHS licensed child care position at the facility until the out-of-state clearances are obtained and placed in their individual files. Staff #6 and #7 were provided links to obtain the clearances from the state of NY. Both have received badge numbers as of Dec. 2, 2024.
2024-11-04 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection, files for staff person #6 and staff person #7 indicated that they have resided in NY within the past 5 years. Files did not contain requests or results for out-of-state clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. The legal entity must arrange for the director to register for and attend the existing provider orientation conducted by the NE Regional Office on 11/20/2024.

Provider Response: (Contact the State Licensing Office for more information.)
The director registered for and attended the existing provider orientation conducted by the NE Regional Office on 11/20/2024.
2024-11-04 Renewal 3270.65 - Protective Outlet Covers 5 yrs. or less Compliant - Finalized

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During renewal inspection, outlets in Room 6 were observed to be uncovered and accessible to preschool-aged children.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Provider Response: (Contact the State Licensing Office for more information.)
Outlets in Room 6 were covered.
2024-11-04 Renewal 3270.67(d) - Contaminated trash in closed plastic-lined receptacle Compliant - Finalized

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: During renewal inspection, a trash can containing used tissues was observed to be uncovered in Room 2.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Provider Response: (Contact the State Licensing Office for more information.)
Trash cans with lids were purchased and lined appropriately. Staff was reminded to do a morning sweep of the room to make sure all lids are on before students arrive.
2024-11-04 Renewal 3270.75(a) - In child care spaces Compliant - Finalized

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: During renewal inspection, a first-aid kit was not present in Room 4 which is measured child care space.

Correction Required: A first-aid kit shall be in a child care space.

Provider Response: (Contact the State Licensing Office for more information.)
A first aid kit was placed in Room 4 with all the required information and supplies.
2024-11-04 Renewal 3270.94(a)(1) - Every 60 days Compliant - Finalized

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: During renewal inspection, facility's fire drill log reflected that fire drills were conducted on 11/29/2023 and 2/9/2024, which is past 60 days.

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

Provider Response: (Contact the State Licensing Office for more information.)
A fire drill log will be used to record the fire drills that we have monthly.
2023-11-29 Renewal 3270.131(e)/3270.131(e)(3) - ACIP recommended immunization record /Dismissal policy Compliant - Finalized

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

Description: ACIP recommended immunization record /Dismissal policy

Noncompliance Area: File for child #1, see code sheet for enrollment and birth date, did not contain documentation of the status of all immunizations recommended by the ACIP. File for child #1 was missing documentation regarding the influenza vaccine.

Correction Required: 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. 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).

Provider Response: (Contact the State Licensing Office for more information.)
Parents were notified and documentation will be obtained either providing the shot record, an exemption note, or a doctor's note giving a medical exemption or an appointment scheduled to obtain the shot. The child will be suspended if not received.
2023-11-29 Renewal 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: It was observed and stated that the facility did not have a Continuity of Operations Plan (COOP) created or established for the facility.

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.

Provider Response: (Contact the State Licensing Office for more information.)
A Continuity of Operations Plan (COOP) will be created and added to the facility's emergency plan.
2023-11-29 Renewal 3270.171(a) - Pick-up and drop-off points Compliant - Finalized

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: It was observed that the facility did not resend the traffic letter to the local traffic authority annually. The last verified date of submission for this letter was 9/1/22.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Traffic letter will be reviewed and sent to local police department.
2023-11-29 Renewal 3270.18(a) - On file at facility Compliant - Finalized

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: It was observed that a copy of the facility's comprehensive general liability insurance coverage was not on file at the time of inspection.

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.

Provider Response: (Contact the State Licensing Office for more information.)
A copy of the facility's comprehensive general liability insurance was obtained during inspection and placed on file.
2023-11-29 Renewal 3270.27(c) - Training regarding plan Compliant - Finalized

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: It was stated that staff person #1 received annual emergency plan training, however, documentation was not observed on file verifying that this training was completed.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 will have written documentation placed on file verifying that they were trained in the emergency plan annually as required.
2023-11-29 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: File for staff person #2, see code sheet for hire date, did not contain a valid FBI clearance for the purposes of working in a DHS licensed program.

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 #2 may not work in a DHS licensed child care position at the facility until the corrected clearance is obtained and placed on file.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person was removed from care until the clearance was obtained and placed on file. The clearance was received and dated 11/30/23.
2023-11-29 Renewal 3270.34(a)(6) - Staff evaluations Compliant - Finalized

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: It was observed that files for staff person #1, #3, #4, and #5, did not contain written evaluations completed by the director within the last 12 months as required.

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

Provider Response: (Contact the State Licensing Office for more information.)
An evaluation will be completed for all staff by the director and will be placed on file.
2023-11-29 Change in Location Capacity Change in Location Capacity Compliant - Finalized
2023-08-18 Unannounced Monitoring Unannounced Monitoring Compliant - Finalized
2023-04-11 Renewal 3270.65 - Protective Outlet Covers 5 yrs. or less Compliant - Finalized

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: It was observed in the multi-purpose room that several outlets were left uncovered.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Provider Response: (Contact the State Licensing Office for more information.)
All outlets were covered the day of inspection.
2023-03-22 Unannounced Monitoring 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Although staff person #1-#3 already completed their 10 hour health and safety training topics, they have not completed the following professional development training by the required due date of 12/30/22 (see code sheet for date of hire): the 1 hour Pennsylvania Health and Safety Update 2022.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10). All current child care staff who completed the previous health and safety pre-service training modules, prior to October 4, 2022, are required to complete the Pennsylvania Health and Safety Update 2022 by December 30, 2022. Staff person #1-#3 will have until 4/7/23 to complete the required training.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1-#3 will complete the 1 hour health and safety training update by 4/7. The certificate will be printed and placed on file.
2023-03-22 Unannounced Monitoring 3270.82(h) - Handwashing signs Compliant - Finalized

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: It was observed in Room #2 and #6 the sinks in the classrooms were missing a hand washing sign.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Hand washing signs were immediately purchased and posted by both sinks.
2023-02-02 Unannounced Monitoring 3270.121(a)/3270.121(b) - Review policies and procedures/Given parents in writing Compliant - Finalized

Regulation: 3270.121(a)/3270.121(b)

Description: Review policies and procedures/Given parents in writing

Noncompliance Area: Repeated noncompliance observed, although the facility did create a supervision policy, an adequate dismissal policy was not created and therefore was not provided to all enrolled parents in writing as required. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Provider Response: (Contact the State Licensing Office for more information.)
A dismissal policy will be created and given to all families.
2023-02-02 Unannounced Monitoring 3270.123(a) - Signed Compliant - Finalized

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: Repeated noncompliance observed on 2/2/23, although the agreement for child #1 and #4 are now signed by both the parent and operator, an agreement for child #2 was not found on file. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

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

Provider Response: (Contact the State Licensing Office for more information.)
An agreement using the DHS agreement form will be completed and placed on file. Both the operator and parent will be required to sign this form before it is filed.
2023-02-02 Unannounced Monitoring 3270.123(a)(2) - Date fee to be paid Compliant - Finalized

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: Repeated noncompliance observed on 2/2/23, although the agreement for child #1 and #4 now specify the date in which the fee is to be paid, an agreement for child #2 was not found on file. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Provider Response: (Contact the State Licensing Office for more information.)
The missing information using the DHS agreement form will be completed and placed on file.
2023-02-02 Unannounced Monitoring 3270.123(a)(5) - Designated release persons Compliant - Finalized

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: Repeated noncompliance observed on 2/2/23, although the agreement for child #1 and #4 now specify the designated release persons, an agreement for child #2 was not found on file. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

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

Provider Response: (Contact the State Licensing Office for more information.)
The missing information using the DHS agreement form will be completed and placed on file.
2023-02-02 Unannounced Monitoring 3270.123(a)(6) - Admission date Compliant - Finalized

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: Repeated noncompliance observed on 2/2/23, although the agreement for child #1 and #4 now specify the child's admission date, an agreement for child #2 was not found on file. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

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

Provider Response: (Contact the State Licensing Office for more information.)
The missing information using the DHS agreement form will be completed and placed on file.
2023-02-02 Unannounced Monitoring 3270.124(b)(3) - Parent home/work address, phone Compliant - Finalized

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Repeated noncompliance observed on 2/2/23, although the emergency contact form for child #1 now includes the enrolling parent's work address, emergency contact forms for child #2 and #4 did not include the enrolling parent's work address. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

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

Provider Response: (Contact the State Licensing Office for more information.)
The missing information will be obtained and placed on file by using a fully completed DHS emergency contact form.
2023-02-02 Unannounced Monitoring 3270.124(b)(7) - Name/address/phone release person Compliant - Finalized

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Repeated noncompliance observed on 2/2/23, although the emergency contact form for child #1 and #4 now includes the release person's address, emergency contact forms for child #2 did not. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The missing information will be obtained and placed on file by using a fully completed DHS emergency contact form.
2023-02-02 Unannounced Monitoring 3270.124(c) - Each child care space Compliant - Finalized

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Repeated noncompliance observed on 2/2/23, the facility did not have the required emergency contact information present in the child care spaces for children that were receiving care in those spaces at the time of inspection. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The missing information will be obtained and placed on file by using a fully completed DHS emergency contact form. These forms will be added to each classroom. An emergency contact form will be maintained in each space where a child is receiving care.
2023-02-02 Unannounced Monitoring 3270.182(5) - Consent for administration of minor first-aid required prior to admission Compliant - Finalized

Regulation: 3270.182(5)

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

Noncompliance Area: Repeated noncompliance observed on 2/2/23, although files for child #2 and #4 now contain signed parental consent for administration of minor first-aid procedures by facility staff, files for child #1 and #6 do not. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The missing signatures will be obtained and placed on file by using a fully completed DHS emergency contact form.
2023-02-02 Unannounced Monitoring 3270.52/3270.113(a)(1) - Mixed Age Level/Staff assigned to specific children Compliant - Finalized

Regulation: 3270.52/3270.113(a)(1)

Description: Mixed Age Level/Staff assigned to specific children

Noncompliance Area: It was observed in the after care program that two staff were present with 16 children; the youngest being a young school ager. When staff were asked about primary care groups, they stated that the children were not assigned to be under the supervision of any specific staff person at that time. When staff were asked about the after care's dismissal process, staff described that on certain days when one staff person leaves the gym to answer the door for parents as they arrive, the remaining staff person in the gym would be out of ratio, and they regularly care for preschool through school aged children in the after care program.

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). Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. 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.

Provider Response: (Contact the State Licensing Office for more information.)
Cards are being made with child's picture and information. These cards will be separated into the staff's daily primary care groups each morning for preschool and each afternoon for after care in order to help staff remember who is in their group. Groups will be created daily based on staff child ratios. In the preschool room staff will have no more than 10 children in their group at any given time, and in the after care program no more than 12 at any given time (10 if their groups contain a preschool aged child). Staff will create groups based on the age of the youngest child in their group. Staff must be physically present with their group at all times. The dismissal process for after care will be changed. The after care program will either use the cafeteria, which has the ability for staff to buzz in a parent without leaving the cafeteria space, or if the gym is used, parents will be asked to go around to the rear of the building and use the gym doors. This will allow for staff to adequately supervise and maintain ratios at all times. A third option is making sure at least 1 extra staff person is present to help answer the door for parents so that the other staff present can maintain the correct ratios and supervision at all times.
2023-02-02 Unannounced Monitoring 3270.94(a)(1)/3270.94(a)(9) - Every 60 days/Written record Compliant - Finalized

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

Description: Every 60 days/Written record

Noncompliance Area: Repeated noncompliance observed on 2/2/23, facility did not have a fire drill log documenting all required information for fire drills that are to be conducted at least once every 60 days. The last fire drill was conducted in November of 2022, and was not logged according to the requirements. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Provider Response: (Contact the State Licensing Office for more information.)
A fire drill log was given to provider from OCDEL. This fire drill log contains the information that is needed and will be used moving forward. Facility mistakenly used the wrong form to log fire drills and a fire drill was missed in January. There will be a fire drill conducted and accurately logged in February.
2022-12-14 Renewal 3270.106(b) - No bed linens alone Non Compliant - Finalized

Regulation: 3270.106(b)

Description: No bed linens alone

Noncompliance Area: It was observed that children were using blankets alone as rest equipment in the preschool rooms.

Correction Required: Bed linens may not be used alone as age-appropriate rest equipment.

Provider Response: (Contact the State Licensing Office for more information.)
A letter was sent home to parents that children are now to bring in a sleeping bag instead of a blanket for resting.
2022-12-14 Renewal 3270.111(b) - Posted in group space Non Compliant - Finalized

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: It was observed that a written plan of daily activities was not posted in the cafe where the before and after school care program is located.

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

Provider Response: (Contact the State Licensing Office for more information.)
The aftercare schedule was posted onto the wall of the cafeteria and a black removable board in the gym.
2022-12-14 Renewal 3270.121(a)/3270.121(b) - Review policies and procedures/Given parents in writing Non Compliant - Finalized

Regulation: 3270.121(a)/3270.121(b)

Description: Review policies and procedures/Given parents in writing

Noncompliance Area: It was observed that the facility did not have created a dismissal policy or supervision policy for neither the preschool program nor the before or after school care program. These two specific policies were therefore also not provided to all enrolled parents in writing as required.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Provider Response: (Contact the State Licensing Office for more information.)
Policy for dismissal and supervision was created and sent to families for review.
2022-12-14 Renewal 3270.123(a) - Signed Non Compliant - Finalized

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: Agreements for child #1-5 were neither signed by the parent nor the operator.

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

Provider Response: (Contact the State Licensing Office for more information.)
Agreements were sent to families to sign and were signed by the operator. Child #3 and #5 are no longer enrolled.
2022-12-14 Renewal 3270.123(a)(2) - Date fee to be paid Non Compliant - Finalized

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: Agreement for child #1-5 did not specify the date in which the fee is to be paid for neither the preschool nor the before and after school care programs.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Provider Response: (Contact the State Licensing Office for more information.)
Fee schedule was sent to families and DHS agreement is now sought for every student in 3 & 4 yr old rooms as well as in the after care program. Child #3 and #5 are no longer enrolled.
2022-12-14 Renewal 3270.123(a)(5) - Designated release persons Non Compliant - Finalized

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: Agreements for child #1-5 did not specify a release person.

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

Provider Response: (Contact the State Licensing Office for more information.)
We now use the DHS agreement and will either require the parent to add the release person to that form or add a statement to the agreement referencing the DHS emergency contact form for release person information. Child #3 and #5 are no longer enrolled.
2022-12-14 Renewal 3270.123(a)(6) - Admission date Non Compliant - Finalized

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: Agreements for child #1-5 did not specify the child's admission date.

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

Provider Response: (Contact the State Licensing Office for more information.)
The agreement form now used shows the admission date. Child #3 and #5 are no longer enrolled.
2022-12-14 Renewal 3270.124(b)(2) - Physician name, address, phone Non Compliant - Finalized

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Emergency contact information for child #1-5 did not contain the address of the child's physician or source of medical care.

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

Provider Response: (Contact the State Licensing Office for more information.)
DHS emergency contact forms are now being used. All information required on those forms will be completed fully. Child #3 and #5 are no longer enrolled.
2022-12-14 Renewal 3270.124(b)(3) - Parent home/work address, phone Non Compliant - Finalized

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information for child #1-5 did not contain the enrolling parent's work address.

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

Provider Response: (Contact the State Licensing Office for more information.)
DHS emergency contact forms are now being used. All information required on those forms will be completed fully. Child #3 and #5 are no longer enrolled.
2022-12-14 Renewal 3270.124(b)(7) - Name/address/phone release person Non Compliant - Finalized

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact information for child #1-5 did not include the release person's 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.

Provider Response: (Contact the State Licensing Office for more information.)
DHS emergency contact forms are now being used. All information required on those forms will be completed fully. Child #3 and #5 are no longer enrolled.
2022-12-14 Renewal 3270.124(c) - Each child care space Non Compliant - Finalized

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: It was observed that the facility did not have the required emergency contact information present in the child care spaces for children that were receiving care in those spaces at the time of inspection.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Copies of newly completed emergency contact forms will be made and these copies will be placed in the space where that child is receiving care.
2022-12-14 Renewal 3270.124(e) - Written emergency plan posted Non Compliant - Finalized

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: It was observed that the emergency transportation plan was not posted in any of the child care spaces.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Provider Response: (Contact the State Licensing Office for more information.)
The program's emergency transportation plan was posted in each classroom space including the after care areas.
2022-12-14 Renewal 3270.131(a) - Health information Non Compliant - Finalized

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: It was observed at the time of inspection that the facility did not have completed physicals, also known as child health reports, available on file for children #1-5, and it was stated by director that these children were enrolled more than 60 days at the facility.

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

Provider Response: (Contact the State Licensing Office for more information.)
These have been requested for all children that currently are missing a child health report. These will be obtained and placed on file. Child #3 and #5 are no longer enrolled.
2022-12-14 Renewal 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Non Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: It was observed that the facility did not have a written policy addressing shaken baby, head trauma, or maltreatment of children.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The provider's written policy must include, but is not limited to: Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma. Strategies for coping with a crying, fussing, or distraught child; and Address the prevention and identification of child maltreatment.

Provider Response: (Contact the State Licensing Office for more information.)
Policy was drafted. Policy was added to aftercare and preschool (3 yr old) and PreK (4 yr old) program policy guidelines for new families. Policy was sent to all enrolled 3 yr and 4 yr old program and aftercare families the week of Jan 1.
2022-12-14 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Non Compliant - Finalized

Regulation: 3270.151(a)

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

Noncompliance Area: File for staff person #1 did not contain a 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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 had a health assessment 12/29/22.
2022-12-14 Renewal 3270.171(c) - Safe routes posted Non Compliant - Finalized

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: It was observed that the facility did not have pick up and drop off procedures posted in a conspicuous location for both the preschool and the before and after school care programs.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Provider Response: (Contact the State Licensing Office for more information.)
These pick up and drop off procedures were posted in the hallway outside of the office and on a board used by the aftercare program.
2022-12-14 Renewal 3270.182(5) - Consent for administration of minor first-aid required prior to admission Non Compliant - Finalized

Regulation: 3270.182(5)

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

Noncompliance Area: Files for child #1-5 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Signed parental consent for administration of minor first aid procedures will be captured as parents send in medical forms. Child #3 and #5 are no longer enrolled.
2022-12-14 Renewal 3270.192(1)/3270.192(2)(i) - Name, address, and phone/Age Non Compliant - Finalized

Regulation: 3270.192(1)/3270.192(2)(i)

Description: Name, address, and phone/Age

Noncompliance Area: File for staff person #3 did not contain the staff person's address or verification of their age.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person. A facility person's record shall include verification of age.

Provider Response: (Contact the State Licensing Office for more information.)
Verification of missing information for staff person #3 was obtained and placed on file.
2022-12-14 Renewal 3270.192(2)(ii) - Exp, educ., training prior to facility Non Compliant - Finalized

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: File for staff person #1, #3, and #7 did not contain verification of child care experience, education and training prior to service at the facility.

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

Provider Response: (Contact the State Licensing Office for more information.)
Documentation of education and experience will be obtained and placed on file. Staff person #3 provided education but not experience, therefore staff person #3 will be used as an aide until they obtain 2500 hours of documented experience on file. Staff person #1 provided education and experience to qualify as an AGS. Staff person #7 was suspended until all paperwork is provided.
2022-12-14 Renewal 3270.192(5) - Two written references Non Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: File for staff person #1 and volunteer #2 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 obtained ref 1 - 1/5/23, ref 2 - 12/7/22 Staff person #2 obtained ref 1 - 12/7/22, ref 2 - 1/9/23 These were placed on file.
2022-12-14 Renewal 3270.25(a) - Availability of certificate of compliance and applicable regulations Non Compliant - Finalized

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: It was observed and the operator verified that the facility did not provide to the parents of each enrolled child information on how to access the regulations in Chapter 3270 electronically and did not provide them with instructions on how to contact the NE 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.

Provider Response: (Contact the State Licensing Office for more information.)
Signage with the contact information for the NE Regional Child Care Office was posted in the main hallway at school with OCDEL website address. Signage with contact info for NERO and website address was sent in info packet to all families of students in 3 and 4 yr old program and aftercare program.
2022-12-14 Renewal 3270.27(c) - Training regarding plan Non Compliant - Finalized

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: File for staff person #1did not contain documentation to verify the completion of 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.

Provider Response: (Contact the State Licensing Office for more information.)
Emergency plan training was completed and documentation was made and placed on file for staff person #1.
2022-12-14 Renewal 3270.27(d) - Plan posted Non Compliant - Finalized

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: It was observed that the facility's emergency plan was not posted in an conspicuous location for neither the preschool parents nor the before and after school care parents.

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

Provider Response: (Contact the State Licensing Office for more information.)
Because the emergency plan has several pages, the emergency plan letter to the parents with a sign noting that the emergency plan is available upon request is posted at main entrance. Emergency plan copies are available in each DHS approved learning space throughout the building.
2022-12-14 Renewal 3270.31(f) - Health and Safety Training Non Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 and #3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Topics. Although it was stated that staff person #1 obtained pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum, documentation was not found on file. Therefore, there is no verification that staff person #1 has completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

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 and #3 will have until 01/21/23 to complete the required training(s). Until such time as the required training has been completed, staff person #1 and #3 must be supervised, when interacting with children, by a GS or AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 and #3, then staff person # 1 and #3 may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 is scheduled to obtain pediatric first aid/CPR from PQAS approved trainer on Monday January 16, 2023. Staff person #1 and #3 will have PD topics of 3270.31(f)(1-10) completed prior to 1/21/23 and will remain in compliance. Staff person #1 and #3 will not be left alone and will be paired with someone that has these trainings at all time until completed.
2022-12-14 Renewal 3270.32(a) - Comply with CPSL Non Compliant - Finalized

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #3 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). Staff person #3 will have until 01/21/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by a GS or AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, then staff person #3 may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #3 provided a certificate of completion from PA Family Support Alliance on Class Name: Recognizing and Reporting Child Abuse dated 6/10/19. This director notes that the Child Abuse Recognizing and Reporting Training, approved by DHS from 9/8/2022, lists this training on page 5 of 7. This training certificate is currently on file for staff person #3.
2022-12-14 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Non Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: File for staff person #1, see code sheet for hire date, did not contain a DHS approved FBI clearance. File for staff person #3, see code sheet for hire date, did not contain a state police clearance, a child abuse clearance, or a FBI clearance. File for staff person #7, see code sheet for hire date, did not contain a completed state police clearance or the NSOR verification certificate. File for staff person #8, see code sheet for hire date, did not contain a DHS approved FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1, #3, #7, and #8 may not work in a child care position at the facility until clearances are obtained and placed on file.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 - obtained DHS FBI clearance on 12/17/22 and on file Staff person #3 - obtained state police 1/11/23, child abuse 1/11/23, FBI clearance 12/8/22 and on file Staff person #7 - obtained state police 12/16/22 and on file, but NSOR app sent 1/3/22 and original mailed 12/20/22. Staff person #7 is suspended until NSOR is obtained and on file. Staff person #8 - obtained DHS FBI clearance 12/10/22 and on file These and complete CCC inspection worksheet files will be electronically transmitted to DHS official for review and kept on file for site inspections, etc. Staff without clearances on file have been removed.
2022-12-14 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Non Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: File for staff person #1, see code sheet for hire date, did not contain a DHS approved FBI clearance. File for staff person #3, see code sheet for hire date, did not contain a state police clearance, a child abuse clearance, or a FBI clearance. File for staff person #7, see code sheet for hire date, did not contain a completed state police clearance or the NSOR verification certificate. File for staff person #8, see code sheet for hire date, did not contain a DHS approved FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. The Director, Legal Entity Representative, or anyone at the facility responsible for the hiring of staff or maintaining staff files will be required to attend Existing Provider Orientation conducted by the Northeast Regional Office. The legal entity representative must contact the Regional Office in order to schedule this training.

Provider Response: (Contact the State Licensing Office for more information.)
Items for staff person #1, 3, 7, and 8 requested to be completed in the previous violation #7 have been transmitted electronically to DHS office for review and placed on file. Staff person #7 has been suspended pending receipt of their NSOR. The director will call DHS office to schedule and will attend the Existing Provider Orientation training conducted by the Northeast Regional Office.
2022-12-14 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Non Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: File for staff person #1, see code sheet for hire date, did not contain a DHS approved FBI clearance. File for staff person #3, see code sheet for hire date, did not contain a state police clearance, a child abuse clearance, or a FBI clearance. File for staff person #7, see code sheet for hire date, did not contain a completed state police clearance or the NSOR verification certificate. File for staff person #8, see code sheet for hire date, did not contain a DHS approved FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. The legal entity will submit complete files for any new hires, including volunteers or other facility persons, for a period of 90 days to the NE Regional Office. During that time, new hires may not begin to work in child care until their file has been approved by the NE Regional Office. Submitted files will be reviewed by the NE regional office within 1 week of submission.

Provider Response: (Contact the State Licensing Office for more information.)
Clearances for staff person #1, 3, and 8 have been placed on file. Staff person #7 has their state police clearance on file but has been suspended pending receipt of their NSOR. Copies of clearances will be electronically sent to NE Regional Office. New staff files have and will be sent to NE Regional Office for approval.
2022-12-14 Renewal 3270.66(a) - Locked or inaccessible Non Compliant - Finalized

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed in the preschool room that two containers of cleaning wipes, sanitizing and disinfecting, were left accessible to children in care. Both containers stated "keep out of reach of children" on the label.

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

Provider Response: (Contact the State Licensing Office for more information.)
Cleaning materials and other toxic materials were searched for and locked/moved up away from children's reach in the classroom.
2022-12-14 Renewal 3270.94(a)(9) - Written record Non Compliant - Finalized

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: It was observed and stated that the facility did not have a fire drill log documenting all required information for fire drills that are to be conducted at least once every 60 days.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Provider Response: (Contact the State Licensing Office for more information.)
Fire drill log was established. A fire drill log page for each month of the year was created and inserted into the binder.
2022-08-25 Initial review 3270.18(a) - On file at facility Compliant - Finalized

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: It was observed that a current copy of the facility's general liability insurance was not found on file at the facility.

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.

Provider Response: (Contact the State Licensing Office for more information.)
A copy of the facility's liability insurance was obtained and placed on file.
2022-08-25 Initial review 3270.192(2)(ii) - Exp, educ., training prior to facility Compliant - Finalized

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: File for staff person #2 and #3 did not contain verification of education or child care experience.

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

Provider Response: (Contact the State Licensing Office for more information.)
Both staff persons provided written documentation of education and/or experience for their files as required.
2022-08-25 Initial review 3270.192(3) - Health assessment, TB test Compliant - Finalized

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: File for staff person #1, #2, and #3 did not contain an initial health assessment or the written results of an initial TB test.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff persons #1 and #2 have obtained written documentation of a health assessment and TB test results. This documentation was placed on file. Staff person #3 has begun the process of obtaining a health assessment and TB test and will not be allowed in the classroom until a full health assessment and TB is placed on file.
2022-08-25 Initial review 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: File for staff person #1, #2, and #3 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Provider Response: (Contact the State Licensing Office for more information.)
All 3 staff obtained two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. These were placed in staff files.
2022-08-25 Initial review 3270.27(a)/3270.27(f) - Emergency plan/Emergency plan Compliant - Finalized

Regulation: 3270.27(a)/3270.27(f)

Description: Emergency plan/Emergency plan

Noncompliance Area: It was observed that the facility did not have a written emergency plan establish. An emergency plan for the facility was not sent to the local municipality or county emergency management agency.

Correction Required: The facility shall have an emergency plan. 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.

Provider Response: (Contact the State Licensing Office for more information.)
An emergency plan was created and submitted to the local municipality and EMA.
2022-08-25 Initial review 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: File for staff person #2 did not contain a PA state police clearance or child abuse clearance suitable for the purposes of employment. Staff person #2 did not have verification on file of application requests for their DHS FBI clearance or NSOR verification certificate, and did not have a signed disclosure statement on file. File for staff person #3 did not contain a PA state police clearance suitable for the purposes of employment. Staff person #3 did not have verification on file of application requests for their NSOR verification certificate, and did not have a signed disclosure statement on file.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #2 and #3 have a signed disclosure statements that were placed on file. Staff person # 2 has obtained their PA state police clearance and their FBI clearance. Staff person #2 has applied for their NSOR verification certificate and their child abuse clearance. Both of these applications were placed on file. Staff person #2 will be considered a provisional hire and will not be left unsupervised until all clearances are obtained. Staff person #3 obtained their PA state police clearance and NSOR and these were placed on file.
2022-08-25 Initial review 3270.66(a) - Locked or inaccessible Compliant - Finalized

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed that hand sanitizer, which was in a dispenser mounted on the wall in each child care space, would be left accessible to children in each of those spaces.

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

Provider Response: (Contact the State Licensing Office for more information.)
The mounted hand sanitizers were removed from the wall.
2022-08-25 Initial review 3270.75(c) - Has all items Compliant - Finalized

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: It was observed that the first aid kits did not contain 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.

Provider Response: (Contact the State Licensing Office for more information.)
Soap was added to all first aid kits.
2022-08-25 Initial review 3270.82(h)/3270.82(i) - Handwashing signs/Lidded waste receptacles Compliant - Finalized

Regulation: 3270.82(h)/3270.82(i)

Description: Handwashing signs/Lidded waste receptacles

Noncompliance Area: It was observed that the toileting and sink areas throughout the facility did not contain posted hand washing signs or lidded garbage cans.

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

Provider Response: (Contact the State Licensing Office for more information.)
Hand washing signs were added for employees and stickers were added for hand washing in every bathroom throughout the building for the children. Facility obtained lidded garbage cans for each bathroom and sink area.

If you are a provider and believe any information is incorrect, please contact us. We will research your concern and make corrections accordingly.

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