La Willow Grove Llc

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: At time of inspection, room # 7 did not have an operating thermometer inside to ensure it is maintaining a temperature of 45 degrees or less for the food that is being stored for the children to eat.

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)(5)

Description: Designated release persons

Noncompliance Area: At time of inspection, the agreement form for child#2 did not have names of release persons documented as required per regulations.

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

Regulation: 3270.123(a)/3270.123(a)(1)

Description: Signed /Amount of fee

Noncompliance Area: At time of inspection, the agreement form for the parents of child #1 did not have the fee amount to be paid documented and it was not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.131(d)(5)/3270.182(1)

Description: Immunization record/Initial and subsequent health reports

Noncompliance Area: At time of inspection, child #2 did not have an updated review of immunized status documented in their record.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At time of inspection, staff person #4 did not have required child abuse clearance documented in their record. In addition, Staff person # 4 - #6 did not have required out of state clearances of state (NJ) that they resided within the last 5 years.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 4-6-- may not work in a childcare position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #4-6-- may not work in a childcare position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: At time of inspection, staff person #3 did not have an annual written evaluation completed by the director.

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

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

Noncompliance Area: At time of inspection, staff person # 1,2 did not have proof of experience documented in their records to qualify them for their positions as AGS at facility

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: 3270.37(b)/3270.192(2)(iv)

Description: Aide qualifications/Transcript, diploma and letters

Noncompliance Area: Staff person # 6 and #7 did not have proof of education documented in their records to help qualify them for their positions of Aide at facility.

Correction Required: An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3). A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: At time of inspection, room # 4 did not have tweezers contained in the first aid kit.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: At time of inspection, staff persons # 3, 4 and 8 did not have current health assessments documented in their records.

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

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: At time of inspection, staff person # 6-8 did not have proof of negative TB screening or x-ray reading documented in their record at initial employment.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. 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: 3270.191

Description: Individual Records

Noncompliance Area: At time of inspection, staff person # 5 did not have an individual record documented at facility.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At time of inspection, staff persons #1, 3-4 and 7 did not have two nonfamily references documented in their records.

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(c)/3270.192(2)(iii)

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

Noncompliance Area: At time of inspection, staff persons # 1-7 did not have required emergency plan training documented in their records.

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(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: At time of inspection, staff persons #1 and #2 did not have required pediatric first aid and CPR training documented in their records.

Correction Required: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

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

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

Noncompliance Area: Staff persons # 2-3 and 6 did not have required health and safety training completed and documented in their records.

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 prior to service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At time of inspection, staff person #3 did not have FBI and NSOR certificate documented in their record. Staff person #4 did not have child abuse clearance documented in their record. Staff person #7 did not have required state police clearance documented in their record. In addition, staff person # 2 who has lived outside of PA did not have required out of state clearances documented in their record.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2-4 and 7-may not work in a childcare position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2- 4 and 7 may not work in a childcare position at the facility.

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

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

Noncompliance Area: Staff person # 1, 4,6 and 7 did not have proof of education and/or experience documented in their records to help quality them for their positions as Assistant Group Supervisors at facility.

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: 3270.106(a)/3270.106(f)

Description: Clean, age appropriate/2 feet apart

Noncompliance Area: At time of inspection, room #9 did not have appropriate names listed on chart and/or labeled on the rest equipment children were using in the space. In addition, the rest equipment was not placed with 2 ft of space on 3 sides as required.

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. At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: At time of inspection, child #1 did not have an agreement from with the fee listed.

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

Regulation: 3270.124(b)(6)/3270.124(b)(7)

Description: Insurance coverage information/Name/address/phone release person

Noncompliance Area: At time of inspection, Children # 1 and #3 did not have the address of release person documented on their emergency contact forms. In addition, the emergency contact form for child# 4 did not have the health insurance policy number documented on form as required.

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. 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: At time of inspection, the emergency contact form for all the children in care was not present in room#7 and #8.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: At time of inspection, Child #1 did not have health assessment with immunization documented in their record. Child # 5 did not have an updated health assessment documented in their record.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: At time of inspection, staff person # 3-5,7 and 13 did not have a current health assessment with documented negative TB screening documented in their records.

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: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: At time of inspection, the parents of children # 1 and #2 did not provide signed parental consent for emergency medical care and administration of minor first aid documented in their records.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At time of inspection, staff person # 5,7,9,13 and 17 did not have two non-family references documented in their records.

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(c)/3270.192(2)(ii)

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

Noncompliance Area: At time of inspection, there was no documentation to prove that staff person #7,12 and 13 received initial and/or annual 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. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

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

Description: Age and Training/Health and Safety Training

Noncompliance Area: At time of inspection, staff person # 12,14 and 16 did not have required pediatric first aid /CPR training documented in their records as required per regulations. In addition, staff person #17 did not have required health and safety training completed and documented in their record as required.

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

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

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

Noncompliance Area: Staff person # 1,2 4,8,10,11,12,15 and 16 did not have the proof of completion of 12hours of childcare training documented in their records.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person # 9 and #13 did not have a signed disclosure statement. Staff person # 16 and 17 did not have required NSOR certificate documented in their records.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #16 and 17 -- may not work in a childcare position at the 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 #16 and 17 may not work in a childcare position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: At time of inspection, the following staff persons (#2,4,10,11 and 12) did not have an annual written evaluation completed by the director.

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

Regulation: 3270.35(b)(3)/3270.36(b)(5)

Description: Associate's + 2 yrs/HS/GED + 2 yrs

Noncompliance Area: At time of inspection, staff persons # 3, #9, #13 and 17 did not have two years of experience to qualify them for their positions of AGS at facility. In addition, staff # 7 did not have proof of education and experience to qualify her for her position as AGS at facility. Staff person # 11 did not her foreign degree evaluated to qualify her for her position as GS at facility.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children. An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: At time of inspection, the first aid kit for room # 8 did not have tweezers and room #7 and 9 did not have gloves inside of the first aid kit.

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: 3270.182(7)

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

Noncompliance Area: Facility had a gap in reporting incidents that had occurred at facility between March 24th to March 26th.

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

Regulation: 3270.123(a)(5)/3270.124(b)(7)

Description: Designated release persons/Name/address/phone release person

Noncompliance Area: At time of inspection, child #1 do not have the name of release person documented on agreement form. Child #2 did not have the addresses of release person documented on the emergency contact form.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. 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(b)(4)/3270.182(3)

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

Noncompliance Area: At time of inspection, the parents of child #1 did not provide written consent from emergency medical care and administration of minor first aid.

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

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

Description: Initial health report for young toddler no more than 6 months/Initial and subsequent health reports

Noncompliance Area: At time of inspection, child # 1 did not have an initial health assessment documented in their record.

Correction Required: The initial health report for a young toddler must be dated no more than 6 months prior to 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: At time of inspection, child #2 did not have updated annual health assessment documented in their record. (last health assessment dated 12/13/21)

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(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: Staff person #10 and #18 did not have required health assessment with negative TB screening documented in their records.

Correction Required: An adult health assessment must include a physical 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: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: At time of inspection, staff person # 11,13, and 20 did not have negative TB screening documented in their records.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At time of inspection, staff person #5 and 10 did not have required non-family references documented in their records.

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: 3270.31(b)/3270.192(2)(i)

Description: Staff person - 18 yrs./Age

Noncompliance Area: At time of inspection, Staff person # 10,#16 and #17 did not have proof o age documented in their records.

Correction Required: A staff person shall be 18 years of age or older. A facility person's record shall include verification of age.

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

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

Noncompliance Area: Staff person # 1 and #5 did not have required fire safety training documented in their records.

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: At time of inspection, staff person # 2, #11, #12, #14, #17 did not have required 12 hours of childcare training documented in their records.

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)/3270.192(2)(iii)

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

Noncompliance Area: At time of inspection, staff person #10, #16 did not have required health and safety training documented in their records.

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(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At time of inspection, staff person # 2 did not have required updated FBI clearance (2/27/19) documented in her record. Staff person # 8 did not have required NSOR certificate documented in her record.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 & # 8 -- may not work in a childcare position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: At time of inspection, the director had not completed annual written evaluations for staff person #1,4,6, 9,14,15 and 19.

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: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: During time of inspection, the maximum grouping sizes were not being maintained in several rooms within the facility. (room #6,8 and 9)

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During unannounced inspection on Friday, 08/04/23, a compliant investigation was conduction regarding mold in the infant room. Per staff interview it was confirmed mold was detected in facility due to broken compressor in air conditioning unit.

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: 3270.106(a)/3270.106(f)

Description: Clean, age appropriate/2 feet apart

Noncompliance Area: During renewal inspection on Friday, 06/09/23, cert rep observed cribs in the room 2 failed to have 2 feet of space on 3 sides while in use and rest equipment in room 6 failed to be labeled with child's name.

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. At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: In review of children's files, children enrolled 6 months or more failed to have a service report proving information about the child's growth and development.

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(c)

Description: Each child care space

Noncompliance Area: During renewal inspection on Friday, 06/09/23, cert rep observed children receiving care in rooms 1, 5, 6 and 8 failed to have their emergency contact information present in childcare space.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: In review of emergency plan documents, facility's emergency plan failed to include statement regarding continuity of operations.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: In review of health and safety documents, staff persons 4, 8, 10 and 20 had not completed health and safety professional development training updates required by OCDEL within the prescribed timeframe of 12/30/22.

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. Staff persons 4, 8, 10 and 20 will have until 06/27/23 to complete the required training. Until such time as the required training has been completed, staff persons 4, 8, 10 and 20 must be supervised, when interacting with children, by an AGS, at minimal, who has completed the required training related to this citation. If there are no staff available to supervise staff persons 4, 8, 10 and 20, staff persons 4, 8, 10 and 20 may not work in a child-care position at the facility.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: In review of staff files, staff persons 14, 18, 23, 24 and 25 file failed to include 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: In review of staff files, staff persons 1, 14, 18, 23 and 24 file failed to include TB results.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: In review of staff files, staff persons 1, 5, 23 and 25 file failed to include two written nonfamily letters.

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

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

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

Noncompliance Area: In review of staff files, staff persons 10 and 21 failed to have completed 12 hours of annual professional development. Staff person 10 file contained only 9.5 hours of PD training.

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)(10)/3270.192(2)(iii)

Description: Health and Safety Training - Pediatric First Aid and CPR/Exp, educ., training at facility

Noncompliance Area: In review of health and safety documents, staff persons 7, 9, 11, 12 and 16 failed to have completed required health and safety training in pediatric first aid/CPR within 90 days of hire. Staff person 9 first aid/CPR training was completed online and staff persons 11 and 12 received pediatric first aid/CPR that does not meet PQAS requirements.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff persons 7, 9, 11, 12 and 16 will have until 07/18/23 to complete the required training. Until such time as the required training has been completed, staff persons 7, 9, 11, 12 and 16 must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff persons 7, 9, 11, 12 and 16, staff persons 7, 9, 11, 12 and 16 may not work in a child-care position 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(f)/3270.192(2)(iii)

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

Noncompliance Area: In review of health and safety documents, staff persons 12 and 17 failed to have completed required training in health and safety topics within 90 days of hire. Staff person 17 completed Health and Safety Basics: Requirements for Certification after 06/30/18, which is no longer counted towards the new Health and Safety Professional development requirements.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons 12 and 17 will have until 07/18/23 to complete the required training. Until such time as the required training has been completed, staff persons 12 and 17 must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff persons 12 and 17, staff persons 12 and 17 may not work in a child-care position 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: In review of staff files, staff persons 4 and 13, employed more than 45 days, file failed to include FBI clarences. Staff persons 6, 14 and 19, employed more than 45 days, file failed to include PA state police clearance. Staff persons 6 and 19 file included the request and not the completed PA state clearance. Staff persons 9 and 15, employed more than 45 days and has resided outside the state of PA within 60 months, file failed to include out of state criminal history, child abuse clearance and sex offender registry check. Staff person12, employed more than 45 days, file failed to include NSOR certificate.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons 4, 6, 9, 12, 13, 14, 15 and 19 -- may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

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

Description: Bachelor's/Transcript, diploma and letters

Noncompliance Area: In review of staff files, staff persons 1 and 25 file failed to inlcude transcripts verifying area of studies/major in which degree was received in.

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

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

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

Noncompliance Area: In review of staff files, staff persons 2 and 6 file failed to include acceptable proof of education and verification of 2 years (2500 hours) of experience working with children. Staff persons 2 and 6 file included education received abroad that had not been evaluated to determine US equivalent. Staff persons 3, 4, 10, 12, 15, 19 and 23 file failed to include verification of 2 years (2500 hours) of experience working with children. Staff person 15 verified 1385.6 hours working with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.75(b)/3270.75(c)

Description: Inaccessible to children/Has all items

Noncompliance Area: During renewal inspection on Friday, 06/09/23, cert rep observed first aid kit located in rooms 1 and 5 failed to contain gloves. Cert rep observed first aid kits throughout the facility was accessible to children.

Correction Required: A first-aid kit must be inaccessible to children. 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: 3270.76/3270.82(g)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: During renewal inspection on Friday, 06/09/23, cert rep observed damaged baseboard by back exit door in room 1 and in room there was a broken toilet that was not flushing.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During renewal inspection on Friday, 06/09/23, cert rep observed chip paint located on the wall in room 1.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During compliant investigation on Friday, 05/12/23, by way of staff interviews, cert rep determined that a staff member was not properly supervising children during bathroom time and not following facility's bathroom procedure.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.51/3270.113(a)(2)

Description: Similar Age Level/Supervision on and facility premises

Noncompliance Area: During unannounced inspection on Tuesday, 03/14/23, cert rep observed classroom 4 out of ratio. There were 11 preschool age children with 1 staff member.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: During compliant inspection on Monday, 07/25/22, cert rep was informed that a staff member did use inappropriate language when speaking of a child.

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During renewal inspection on Wednesday, 06/22/22, cert rep observed cribs in the infant room (Room 2), failed to have 2 feet of space on 3 sides while in use.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During renewal inspection on Wednesday, 06/22/22, cert rep observed refrigerators throughout the facility, thermometers read above 45° F.

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: 3270.108(c)

Description: No styrofoam

Noncompliance Area: During renewal inspection on Wednesday, 06/22/22, cert rep observed children eating meals on Styrofoam plates. erved on

Correction Required: Styrofoam cups and plates may not be used.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During renewal inspection on Wednesday, 06/22/22, cert rep observed a child receiving care in room 2 failed to have their emergency contact information present in childcare space.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: In review of staff files, staff persons 7, 11, 13 and 15 file failed to include 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.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: In review of staff files, staff persons 11, 13 and 15 file failed to include TB results.

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

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: Provider did not have a copy of the facility's current liability insurance on file at the time of the renewal inspection on Wednesday, 06/22/22. Liability insurance on file expired on 06/15/22.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: In review of staff files, staff persons 2, 3, 5, 6, 19, 11, 16 and 18 file failed to include two written nonfamily letters.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: In review of emergency plan documents, facility failed to have conducted an annual drill.

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

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

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

Noncompliance Area: In review of staff files, staff persons 1, 2, 9 and 14, all employed more than 90 days, failed to have completed required professional development training in health and safety requirements.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: 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: In review of staff files, staff person 1 file failed to contain current mandated reporter training. Mandated reporter training included in file was last completed on 02/24/17. Staff persons 2, 5 and 7 file failed to include FBI clearances. Staff persons 5 and 7 file contain DOE FBI clearances. Staff person 9 file failed to include child abuse and FBI clearance. Staff persons 10 and 17 file failed to include NSOR certificate. Staff person 12 file failed to include required FBI clearance and mandated reporter training. Staff person 12 file contain DOJ FBI clearances. Staff person 13, a provisional hire, file failed to include a copy of requests for the PA state clearance. Staff person 14 file failed to include NSOR certificate and mandated reporter training. Staff person 15, a provisional hire, file failed to include required FBI clearance or copy of requests for DHS FBI clearance. DOE FBI clearance was contained in staff person's 15 file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons 2, 5, 7, 9, 10, 12, 13, 14, 15 and 17 -- may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

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

Description: Bachelor's/Transcript, diploma and letters

Noncompliance Area: In review of staff files, staff person 8, a GS, file failed to include verification of education in ECE or related fields.

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

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

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

Noncompliance Area: In review of staff files, staff persons 2, 3, 4, 8, 11, 13 and 18 file failed to include verification of 2 years (2500 hours) of experience working with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: During compliant investigation on Wednesday, 06/01/22, by way of staff interviews, cert rep determined that a staff member use physical punishment towards a child.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: During compliant inspection on Monday, 11/15/21, it was bought to the cert rep's attention that a staff person was witness speaking aggressively to children.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.