Lancaster Ywca Child Enrichment Center

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Staff person #1 restrained child #1 when child #1 was fighting with another child.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: Staff person #1's file did not contain a current Disclosure statement. Staff person #1's rap sheet, clearances, and disclosure statement were not sent to the Regional Office for review and has been caring for children at the facility (see Code Sheet).

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: Upon onsite inspection of each childcare space, it was observed that a written plan of daily activities was not posted in the Pre K #3 childcare space.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Upon inspection of facility child files, it was found that the facility/parental agreement on file for Child #1, Child #2, Child #3, Child #4, Child #5 and Child #6 lack a description of the specific services to be provided to the family and the child. This was previously cited on 1.6.25 and recited on 2.4.25 for the same regulatory noncompliance, with an approved plan of correction being accepted on 2.17.25 including a regulatory compliant form presented by the facility at that time. This demonstrates that the facility is not implementing their approved plan of corrective action.

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). Directed Plan of Correction: Facility Director must submit a complete list of ALL enrolled children, along a properly signed regulatory compliant agreement form for each child enrolled at the facility.

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: Upon inspection of child files, it was found that the same date of admission was utilized for Child #1, Child #2, Child #3, Child #4, Child #5 and Child #6, regardless of their actual date of admission to the childcare program, which was factually inconsistent with other records.

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

Regulation: 3270.123(a)(7)

Description: Services considered extra

Noncompliance Area: Upon inspection of facility child files, it was found that the facility/parental agreement on file for Child #1, Child #2, Child #3, Child #4, Child #5 and Child #6 lack a description of the services which are to be considered extra to the family and the child. This was previously cited on 1.6.25 and recited on 2.4.25 for the same regulatory noncompliance, with an approved plan of correction being accepted on 2.17.25 including a regulatory compliant form presented by the facility at that time. This demonstrates that the facility is not implementing their approved plan of corrective action.

Correction Required: An agreement shall specify the services which are to be considered as extra. Directed Plan of Correction: Facility Director must submit a complete list of ALL enrolled children, along a properly signed regulatory compliant agreement form for each child enrolled at the facility.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: Upon onsite inspection of each childcare space, it was observed that a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the gymnasium [large group play-space].

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.

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

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: Upon inspection of facility child files, it was found that the health assessment on file for Child #2 was missing 1 dose of the HIB immunization or an approved exemption on file. Further, it was found that the health assessment on file for Child #4 was missing 1 dose of the Hepatitis B immunization, 3 doses of Pneumococcal immunization and 2 doses of Polio immunization. A parental exemption form was presented with the file, which was not dated, nor specific as to which immunization and exemption[s] were being claimed.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Upon onsite inspection of each childcare space, it was observed that lunch was served to the children in the Pre K #3 childcare space and no child was observed to have washed their hands prior to being seated with food.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: Upon onsite inspection of each childcare space, it was observed that under and around the changing surface of the diaper changing table in the 2-year-old childcare space contained a buildup of foreign matter.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Upon inspection of staff records, it was found that the health assessment on record for Staff Person #1 was dated 5.30.19 [expired 5.31.24]. Staff Person #1 was observed to have handled prepared food for the children in care.

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: 3270.152

Description: Adult Hygiene

Noncompliance Area: Upon onsite inspection of each childcare space, it was observed that lunch was served to the children in the Pre K #3 childcare space and the staff persons were not observed to have washed their hands prior to handling and serving food to children.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Upon inspection of the required facility records on file, it was found that the required annual emergency drill had not been conducted since 2.5.24.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Upon onsite inspection of each childcare space, it was observed that a bottle of hand sanitizer labeled 'Keep out of reach of children' was placed on a table accessible to children in the school-aged childcare space. Further, in the hallway adjacent to the school-aged childcare space, a floor mop with a commercial cleaning product cartridge labeled 'Keep out of reach of children' was accessible.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: Upon onsite inspection of each childcare space, it was observed that spray bottles containing an unknown/unlabeled product were placed in the following childcare spaces: Infants, One-year olds and Pre K #3.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: Upon onsite inspection of each childcare space, it was observed that the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not posted in the school-aged childcare space.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: Upon onsite inspection of each childcare space, it was observed that the first aid kit in the Pre K #3 childcare space was missing sterile gauze.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Upon onsite inspection of each childcare space, it was observed that the restroom in the Pre K #3 childcare space had visibly dirty floor and wall areas near the toilets.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Upon onsite inspection of each childcare space, it was observed that there was peeled and/or damaged paint/caulking in the following areas: 1] on entry doorway, vertical column, stage & several walls on left side of the school-aged childcare space; 2] around the windowsills/frames of the infant childcare space; 3] multi-use restroom outside the PreK childcare space on wall to left of the sink; AND 4] wall outside the PreK childcare space. This demonstrates that the facility is not implementing the previously approved plan of corrective action dated 9.23.25 related to the same violation type.

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)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: It was verified through multiple written and verbal statements that Child #1 was left unsupervised on a bus for a total period of 22 minutes as a result of Staff Person #1 and #2 not completing name/face checks of each primary care group and not completing a thorough visual check of the bus seats after unloading children. The initial directed plan of correction for inspection #00269297 [7.8.25] resulted in approved plan of correction from the provider. However, on 10.9.25 the provider did not satisfy the requirements of that directed and accepted plan that multiple specific staff positions were mandated to attend.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. 1] Children must be supervised at all times. [immediate correction date required] 2] The facility must schedule and complete the participation of the Facility Director and each assistant director in the Existing Provider Orientation scheduled for January 2026. [Correction date to be set as the date of orientation completion].

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 has completed the health and safety course titled (Get Started with Center-Based Care: Building Blocks for Quality (10 hours)) but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Staff person #1 must complete (PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2).

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR training. Staff person #3 has completed Pediatric first aid and CPR training, however (the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum/ the trainer has not provided documentation that they are PQAS-certified in that training curriculum). Staff person #4 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Required Health and Safety training topics training AND Pediatric First Aid/CPR training. Staff person #7 has completed Pediatric first aid and CPR training, however (the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum/ the trainer has not provided documentation that they are PQAS-certified in that training curriculum).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #2 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 #2, staff person #2 may not work in a child-care position at the facility. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #3 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 #3, staff person #3 may not work in a child-care position at the facility. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #4 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 #4, staff person #4 may not work in a child-care position at the facility. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #7 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 #7, staff person #7 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of facility person #1 contains a National Sexual Offender Registry dated 3.3.20 which is more than 60 months old. The file for facility person # 4 does not contain a completed National Sexual Offender Registry [NSOR]. Although the LE could hire this person provisionally, the requirement to have the NSOR on file prior to begin working with children under the CPSL has not been met. The file of facility person #5 contains a National Sexual Offender Registry dated 3.3.20 which is more than 60 months old. The file of facility person #6 contains a PA Child Abuse Clearance dated 3.24.20 which is more than 60 months old. The file also does not contain a completed PA State Police Criminal Clearance.

Correction Required: Facility person #1 must be removed from a childcare position by the close of business because she/he does not have all the required clearances [effective 9.2.25]. Facility employee #4 must be removed from childcare position by close of business [effective 9.2.25]. All required clearances must be obtained before facility person#4 may resume a childcare position. Facility person #5 must be removed from a childcare position by the close of business because she/he does not have all the required clearances [effective 9.2.25]. Facility person #6 must be removed from a childcare position by the close of business because she/he does not have all the required clearances [effective 9.2.25].

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Upon completion of an unannounced monitoring inspection, it was observed that a bottle of hand sanitizer [labeled 'Keep out of Reach of Children'] was left accessible to children in care in the school-aged childcare space.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Upon completion of an unannounced monitoring inspection, it was observed that 2-3 damaged ceiling tiles were in the Pre K #4 childcare space AND damage drywall along the right side of the room was also observed.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Upon completion of an unannounced monitoring inspection, it was observed that there were multiple areas [at least 20+] of peeling paint around the perimeter of the school-aged childcare space.

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)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: It was verified through multiple written and verbal statements that Child #1 was left unsupervised on a bus for a total period of 22 minutes as a result of Staff Person #1 and #2 not completing name/face checks of each primary care group and not completing a thorough visual check of the bus seats after unloading children.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Tiered Lis: 1] Children must be supervised at all times. [immediate correction date required] 2] The facility must schedule and complete the participation of the Facility Director and each assistant director in the Existing Provider Orientation scheduled for October 9, 2025. [Correction date to be set as the date of orientation completion]. 3] Provider agrees to periodic unannounced visits by DHS representative in order to monitor supervision and regulatory compliance for a period of 3 months. [The correction date for this portion of the plan shall be a minimum 3 months from the date the Regional Office approves the plan of corrections].

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: It has been confirmed by both verbal statements/internal investigation results provided by Staff Person #2 and Staff Person #3, as well as by direct observation of the incident from facility video footage that Staff Person #1 did in fact leave Child #1 unsupervised in the childcare space while she was sleeping for 2:45.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: 1. Children must be supervised 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 must specifically provide an immediate correction date for this required plan] 2. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children [name-to-face recognition] is followed at each transition point throughout the day [e.g., a checklist] for each childcare space. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. [Provider must provide a correction date which falls 3 months from the approval of this plan of correction].

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: 1. Required Health & Safety training; 2. Pediatric First Aid/CPR.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Upon re-inspection of the children's files to verify implementation of corrective plans, it was found that the admission agreement document for Child #1 - Child #6 continued to lack a description of the specific services to be provided to the family and the child.

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

Regulation: 3270.123(a)(7)

Description: Services considered extra

Noncompliance Area: Upon re-inspection of the children's files to verify implementation of corrective plans, it was found that the admission agreement document for Child #1 - Child #6 continued to lack the services which are to be considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3270.21/3270.66(a)

Description: General Health and Safety/Locked or inaccessible

Noncompliance Area: Upon re-inspection of the physical site to verify implementation of correction plan, it was found that in the Gymnasium play space, a construction area remained unsecured/accessible, which contained chemicals, tools and other items of a hazardous nature.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.25(b)

Description: Post the inspection summary

Noncompliance Area: Upon inspection of the facility to verify the implementation of corrective plans, it was found that a copy of the currently open and active renewal inspection summary was not posted in a conspicuous location used by parents.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Upon re-inspection of the physical site to verify implementation of corrective plans, it was found that in the large group room, hand sanitizer and disinfecting wipes remained accessible to children in care.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Upon inspection of the children's files, it was found that the admission agreement document for Child #1 - Child #6 did not contain a description of the specific services to be provided to the family and the child.

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

Regulation: 3270.123(a)(7)

Description: Services considered extra

Noncompliance Area: Upon inspection of the children's files, it was found that the admission agreement document for Child #1 - Child #6 did not specify the services which are to be considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Upon inspection of personnel files, it was found that Facility Person #2 had a health assessment dated 5.26.22 [expired on 5.26.24].

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

Regulation: 3270.166(3)

Description: Disposable nursers or parents

Noncompliance Area: Upon inspection of the physical site, it was observed that in the infant childcare space, bottles were being hand-washed for later use and the staff in that space confirmed that a commercial dishwasher was not used.

Correction Required: Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

Regulation: 3270.21/3270.66(a)

Description: General Health and Safety/Locked or inaccessible

Noncompliance Area: Upon inspection of the physical site, it was found that in the Gymnasium play space, a construction area was unsecured/accessible, which contained chemicals, tools and other items of a hazardous nature.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.27(a)(3)

Description: Contact when arises

Noncompliance Area: Upon inspection of the facility's most up-to-date Emergency Plans, it was found that a specific method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises was not included.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Regulation: 3270.27(a)(4)

Description: Contact when ended

Noncompliance Area: Upon inspection of the facility's most up-to-date Emergency Plans, it was found that a specific method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children was not included.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: Upon inspection of the facility's letter to parents regarding emergency procedures, it was found that specific methods of communication in the event of an emergency and at the conclusion of an emergency were not included in the information provided in the letter.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR training. Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR training [documentation on file expired on 11.9.24]. Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until January 17, 2025 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #2 will have until January 17, 2025 to complete the required training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #3 will have until January 17, 2025 to complete the required training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Upon inspection of the physical site, it was found that in the 1-year-old room, there was non-prescription skin cream in one child's cubby; floor cleaner accessible and an unlocked cabinet with cleaning chemicals. In addition, it was found that in the large group room, hand sanitizer and disinfecting wipes were accessible to children in care.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: Upon inspection of the physical site, it was found that in the school-aged AND preschool childcare space, the first aid kit was missing tweezers.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Upon inspection of the physical site, it was found that in the Infant childcare space that three ceiling tiles were damaged and one was missing; in the older toddler childcare space that four ceiling tiles were damaged; in the 1-year-old childcare space that one ceiling tile was damaged.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Upon inspection of the physical site, it was found that in the older toddler childcare space that there was chipping paint around the columns; in the 1-year-old childcare space that there was chipped paint on the outside perimeter wall area.

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

Regulation: 3270.81

Description: Glass

Noncompliance Area: Upon inspection of the physical site, it was found that in the large group room, no visual strips or other visual identification was placed on the glass located within the space.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: Upon inspection of the physical site, it was found that in the school-aged childcare space that a table was placed in front of and was blocking a viable exit from the space.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During the time of inspection, the facility could not provide documentation of an annual emergency drill being conducted at the facility.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: Documentation of the agreement on file for child 4 did not include persons designated by a parent to whom the child may be released.

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: Documentation of the agreement on file for child 1 and child 4 did not include the date of the child's admission.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During the time of inspection, it was observed that the emergency transportation plan was not posted in the sensory room.

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.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: Documentation of the influenza vaccine was not on file for child 3. Documentation on file for child 2 did not include the recommended 15-18 month dose of the DTAP vaccine.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: During the time of inspection, it was observed that the medication for child 1 was in the child's bookbag which was within the reach of children.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: During the time of inspection, it was observed that medication for child 5 was at the facility but didn't have documentation of a medication log.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff member 1 and staff member 4 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR Staff member 2 and staff member 4 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety (CCDBG) Training

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. POC REQUIRED AND DIRECTED PLAN: Staff member 1, staff member 2 and staff member 4 shall complete professional development topics 3270.31 (f)(1-10) within 90 days of hire. Staff member 1, staff member 2, and staff member 4 have until 1/17/24 to complete the required training. Until such time as the required training has been completed, staff member 1, staff member 2 and staff member 4 must be supervised when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff member 1, staff member 2 and staff member 4, staff member 1, staff member 2 and staff member 4 may not work in a child-care position at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Documentation on file for staff member 1, staff member 2, staff member 3, and staff member 9 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. This was corrected on site for staff member 2.

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)(5)

Description: Emergency plan

Noncompliance Area: Documentation of the letter that the parents receive about the emergency plan did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During the time of inspection, the facility could not provide documentation of an annual emergency drill being conducted at the facility.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: The emergency plan on file did not include an annual review.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Documentation on file for staff member 1, staff member 2, staff member 4 and staff member 10 did not include emergency plan training.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: A copy of the emergency plan on file was not sent to the county emergency management agency,

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

Regulation: 3270.31(e)(1)(ii)

Description: Age and Training

Noncompliance Area: Documentation of 12 annual training hours was not on file for staff member 7 and staff member 10.

Correction Required: Training conducted by an entity that is licensed or certified professionally competent in the training topic is acceptable and may count toward the annual requirement for 12 clock hours of child care training.

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

Description: Fire safety - 1 yr.

Noncompliance Area: Documentation of annual fire safety training was not on file for staff member 7, staff member 8 and staff member 10.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Documentation of the disclosure statement on file for staff member 2 did not include a date in which the disclosure statement was signed by the staff member and witness. Documentation of the disclosure statement on file for staff member 8 was not signed by a witness. Documentation of the child abuse clearance on file for staff member 5 was obtained after the staff members first day caring for children. Updated child abuse clearance and FBI clearance were not on file for staff member 7. The original child abuse clearance on file was dated 9/17/18 and the original FBI clearance was dated 10/6/18. The state police clearance for staff member 7 was updated after the 60-month time frame. The state police clearance expired on 12/7/18 and was updated on 12/8/23. All clearances are to be updated every 60 months.

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 member 7 may not work in a child care 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: Documentation on file for staff member 2, staff member 5 and staff member 6 did not include documentation of two years' experience working with children. Documentation of two years' experience working with children was obtained and placed on file for staff member 2 during the inspection.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the time of inspection, it was observed that outlet covers were missing in a power strip located in the Pre K classroom and Sensory Classroom. This was corrected during the inspection.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the time of inspection, it was observed that the cleaning solution in the swiffer power mop was within reach of children. The cleaning solution was removed from the mop during the inspection.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the time of inspection, it was observed that the first aid kit in the school age classroom was missing gloves, soap and scissors. The first aid kit in the toddler classroom was missing scissors and there was only one band aid in the first aid kit in the Pre K classroom. All items were added to the first aid kit in the school age classroom, toddler classroom and pre-k classroom during the inspection.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the time of inspection, it was observed that ceiling tiles in the infant classroom and toddler classroom had significant water marks on them indicating a leak.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the time of inspection, it was observed that there was peeling plaster in the older toddler classroom. This was covered with tape during the inspection.

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: During the time of inspection, it was observed that a toilet was covered with a trash bag in the older toddler classroom and not able to be used and the tank of the toilet in the pre k classroom was covered in a trash bag.

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

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: Direct statement from staff person #2, as well as footage from the CC video clearly showed that child #1 was left in the childcare space unsupervised by staff person #1 for a period of time in excess of 9 minutes. Footage indicated that staff person #1 was only 6-8 feet from the sleeping child prior to leaving them unsupervised, and that she also re-entered the childcare space for an unrelated reason and still did not notice the child. Child was observed to be sleeping for part of the time, but then awoke and wandered about the space for a period of time.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: Direct statement from staff person #2, as well as footage from the CC video clearly showed that child #1 was left in the childcare space unsupervised by staff person #1 for a period of time in excess of 9 minutes. Footage indicated that staff person #1 was only 6-8 feet from the sleeping child prior to leaving them unsupervised, and that she also re-entered the childcare space for an unrelated reason and still did not notice the child. Child was observed to be sleeping for part of the time, but then awoke and wandered about the space for a period of time.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times. Facility must participate in a Technical Assistance program to review, evaluate and update a process for supervision of children during transitions, which should include something in the way of a formal checklist conduct by childcare staff to ensure that all children are accounted for and being properly supervised. Other processes or modifications can be made, as needed, as part of the Technical Assistance program to ensure that supervision of children is improved. This checklist should be submitted weekly to the Central Regional Certification Representative for a period of two months.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: Upon the investigation of complaint allegations, it was found that child #1 was participating in an off-site field trip, during which time they were separated from the primary supervision group for an undetermined amount of time greater than 10 minutes. It was determined that the child remained within the excursion location with a related chaperone, while the primary care group and adult were aboard the transportation bus.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: Upon the investigation of complaint allegations, it was found that child #1 was participating in an off-site field trip, during which time they were separated from the primary supervision group for an undetermined amount of time greater than 10 minutes. It was determined that the child remained within the excursion location with a related chaperone, while the primary care group and adult were aboard the transportation bus.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The legal entity must arrange for TA support to address the specific area of off-site excursions, the policies and procedures required for compliance with these events as well as the review and revision of the facility procedures for compliance related to volunteer/chaperone files.

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: Upon inspection of complaint allegations regarding facility field excursions, it was found that an individual volunteer file had not been created for multiple 'chaperones' prior to these excursions.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Upon investigation of complaint allegations, it was found that the facility had not created a regulatory compliant volunteer file, including CPSL required clearances/registry, for multiple 'chaperones' prior to off-site excursions.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Each facility chaperone/volunteer file must contain all the clearances/registry required by CPSL. 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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: Upon inspection of the physical childcare spaces, it was found that a written plan of daily activities was not posted in the sensory and school-aged rooms.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: Upon inspection of the physical childcare spaces, it was found that a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency were not posted in the sensory and school-aged rooms.

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 childcare space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Upon inspection of the children's files, it was found that the Emergency contact and financial agreement forms for child #2 were last reviewed on 8.8.22 AND the financial agreement form for child #3 was last reviewed on 8.10.22.

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

Regulation: 3270.133(2)

Description: Written instructions

Noncompliance Area: Upon inspection of the childcare spaces, it was found that a prescription medication was present for child #1 in the PreK 3 room without any written instructions.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: Upon inspection of the physical childcare spaces, it was found that a box of yogurt snacks was placed on the table of the school-aged room at 12:00, which required refrigeration. No staff were present in the room at the time of discovery.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: Upon inspection of the facility, it was found that an annual written notification to local traffic safety authorities regarding the program's use of pedestrian and vehicular routes around the child care facility had not been submitted for the past year [20022-2023].

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Upon inspection of facility personnel files, it was found that staff person #3 did not have a record of training on the emergency plan at the time of initial employment.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pre-Service Health and Safety training topics course. Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pre-Service Health and Safety training topics course.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #1 will have until 4.3.23 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #3 will have until 4.3.23 to complete the required training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of facility person #1 does not contain a completed out of state clearances [MD child abuse]. The file for facility person #2 does not contain a valid mandated reporter training certificate [unapproved course 4.21.22].

Correction Required: Facility person #1 must be removed from a childcare position by the close of business [2.28.23]. Facility person #2 must completed the required training immediately.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: Upon inspection of the physical childcare spaces, it was found that emergency contact phone numbers were not posted in the sensory and school-aged rooms.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Upon inspection of the physical childcare spaces, it was found that a damaged ceiling tile was in evidence in the toddler 1 room.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Upon inspection of the physical childcare spaces, it was found that there was peeling/flaking paint in the PreK 3 room [pillars & doorframes] AND in the PreK 4 room [windowsills].

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

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: Upon inspection of the fire safety records for the facility, it was found that an purchase attestation statement was not available. Further, upon inspecting the system testing dates, the following dates were provided: 1.2022, 2.2022, 3.31.2022, 4.13.22, 5.16.2022, 6.13.22, 7.11.2022, 8.12.2022, 9.20.2022, 10.18.2022, 11.3.22,12.11.2022 and 1.31.23 - which is evidence that the maximum 30 interval between testing was exceeded on several occasions.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Directly observed via video that facility person #1 did physically grab and harshly pull child #2 by the arm during the course of care.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. Provider will continue to conduct and document Director supervision for an additional two months time. As part of this directed plan, it should be updated to include staff observations utilizing video monitoring [instead of in-classroom format] at least 2-3 times per week, each for a period of 15 minutes per childcare space. Documentation should continue to be submitted to Regional Certification Representative as previously established. Supervision training shall be conducted in a targeted 1:1 series of sessions with facility person #1 to establish best practices in childcare AND with Facility Director to focus on recognizing inappropriate staff conduct and the most appropriate actions to be taken.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Upon inspection of facility person #1 file during complaint investigation, it was found that no health assessment was on file.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 12.3.22 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an (AGS, primary staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of facility person #1 does not contain a completed PA Criminal Clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility person # must be1emoved from a child care position by the close of business [11.8.22]

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Upon review of the childcare space video for the entire day of 8.23.22, it was observed that child #1, was placed in the quiet cube at 0824 for unknown cause and was not removed from that area until 0842 [17+ minutes] by staff person #1.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.