Lehigh Childrens Academy

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Facility staff # 1 only has 10 hours of childcare training for the year.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Facility staff # 2 hired and working more than 90 days does not have pediatric first aid and cpr.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility person # 3 hired and working in childcare does not have their NSOR on file, only the application they applied.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 1/13/26 Child # 1 was observed on video to be placing a vape to their mouth that fell out of a facility staff #1's pants pocket. The investigation was determined to be verified by a state police officer from Lehigh County investigating the complaint also. The state police determined the object fell out of facility staff # 1's pants pocket while they were sitting on the floor attending to another child. The state police conducted an intense video investigation and said the object was a vape. As soon as the state police notified the provider of their investigation, facility staff # 1 was terminated from the facility.

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

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

Noncompliance Area: Facility staff person # 1 was observed sleeping by another facility staff person while being responsible to care for 2 children in the gym on 4/25/25.

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 IS 1. Children must be supervised at all times. This correction will be immediate. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of PQAS approved training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. 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. The operator shall provide a date for when this training will be completed.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Facility staff person #1 was observed on video and by another adult at the facility restraining child #1's movement by yanking them by the hood of their sweatshirt to stop them from doing something they were not supposed to be doing. This incident occurred on 3/28/25.

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: 3270.182(7)

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

Noncompliance Area: Facility staff did not give child #1's parent or guardian an incident report for an incident that happened with staff # 1 on 3/28/25.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The cots in the Pre-K A classroom are not labeled for each individual child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: There is no thermometer in the Pre-K A classroom refrigerator.

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: 3270.133(5)/3270.133(6)

Description: Original label/Written consent

Noncompliance Area: Child # 1 does not have a written consent form with the epipen in the classroom emergency bag with the medication. Child # 4 has expired Baby organic sunscreen. The sunscreen expired 5/2024.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Facility emergency plan does not address 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: 3270.181(e)

Description: Emergency master file updated

Noncompliance Area: The emergency contact forms in the emergency binders for child # 2 and # 3 have not been updated in over 6 months.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

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

Description: Age and Training

Noncompliance Area: Facility staff person # 6 has pediatric first aid and cpr that expired on 10/1/24.

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

Regulation: 3270.31(f)(9)

Description: Health and Safety Training - Transporting Children

Noncompliance Area: Facility staff # 1did not have pediatric first aid and cpr until more than 90 days from DOH on 2/27/25. Facility staff # 2,3, & 4 do not have pediatric first aid and cpr and were all hired more than 90 days ago.

Correction Required: Staff persons shall complete professional development in precautions when transporting children within 90 days of hire.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility staff # 4 hired and working over 45 days, does not have the NSOR clearance on file. Only the application they applied for it on 5/4/24 is on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 4 may not work in a childcare position at the facility.

Regulation: 3270.66(e)

Description: Arts and crafts non-toxic

Noncompliance Area: There is Barbasol shaving cream and Xtra Care shaving cream in the younger and older toddlers classrooms used by facility staff to make sensory bags filled with the shaving creams for the children. The shaving creams both say Keep Out of Reach of Children.

Correction Required: Arts and crafts materials shall be nontoxic.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of the inspection, the lid to the plastic toy bin in the school age room was cracked posing sharp corners.

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

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: During the renewal inspection on 3/22/24, the large, embedded climber in the play yard had a fall height of four feet high and was required to be installed on top of six inches of shredded rubber mulch. There was only three inches of shredded rubber mulch at the base of the slide.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair. The large, embedded climber in the play yard shall be made inaccessible and will not be used by the children until such time as the loose impact absorbing material meets the recommendations of the United States Consumer Product Safety Commission. For this piece of equipment there needs to be six inches of loose-fill impact absorbing material under the climber and base of slide.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: During the renewal inspection on 3/22/24, the large, embedded climber in the play yard had a fall height of four feet high and was required to be installed on top of six inches of shredded rubber mulch. There was only three inches of shredded rubber mulch at the base of the slide.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair. The operator shall add more loose-fill impact absorbing material to bring the depth into compliance with the recommendations of the United States Consumer Product Safety Commission

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: At the time of the inspection, the emergency contact form and/or agreements for child #2, #3, #4, child #6, child #7, child #8, child #9 and child #10 were not updated every 6 months as required. This is evidenced by a current review date of 3/1/24, 2/9/24, 2/29/24, 3/5/24, 3/6/24, 2/29/24, 3/6/24 and 3/6/24, respectively. The previous date of review was documented as 5/24/23, 5/23/23, 5/1/23, 5/5/23, 5/19/23, 5/18/23, 6/21/23, 5/24/23, respectively.

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(6)/3270.133(7)

Description: Written consent/Medication log

Noncompliance Area: At the time of the inspection, there was no medication log signed by the parent for child #11's Epi-Pen that was present at the facility.

Correction Required: A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.20(e)/3270.182(7)

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

Noncompliance Area: At the time of the inspection, the facility did not have their own file to keep child incidents, accidents and illness reports in.

Correction Required: Copies of reports of injury, death or fire shall be kept in a file at the facility. 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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: At the time of the inspection, staff person#31 has not completed Pediatric First Aid/CPR training within the last 60 months. This is evidenced by the previously documented Pediatric First Aid/CPR training on file being dated 10/13/21.

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 person(s) shall complete professional development in the topics of 3270.31(f)(10). Staff person #31 will have until 4/6/24 to complete the required training. Until such time as the required training has been completed, staff person #-31 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 #31, staff person #31 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: At the time of the inspection, staff person #36 and staff #37 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and safety training. This is evidenced by the health and safety training on file dated 9/1/23 and 3/12/24, respectively.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, staff person #4 did not have a witness signature on the disclosure statement at time of hire (see LIS code sheet for date of hire).

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

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: At the time of the inspection, staff person #1 and staff person #28, both qualified as aides were observed to be working together unsupervised in the young toddler room during rest time.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: During the renewal inspection on 6/7/23, the large, embedded climber in the play yard had a fall height of four feet high and was required to be installed on top of six inches of shredded rubber mulch. There was only two inches of shredded rubber mulch underneath the climber. A plan of correction was received stating the correction would be implemented on 6/30/23. A follow-up inspection occurred on 7/5/23. The surfacing under and surrounding the large, embedded equipment did not measure 6 inches of loose fill material. Areas directly under the equipment measured between 3 and 5 inches of rubber mulch.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair. The large, embedded climber in the play yard shall be made inaccessible and will not be used by the children until such time as the loose impact absorbing material meets the recommendations of the United States Consumer Product Safety Commission. For this piece of equipment there needs to be six inches of loose-fill impact absorbing material under the climber.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: During the renewal inspection on 6/7/23, the large, embedded climber in the play yard had a fall height of four feet high and was required to be installed on top of six inches of shredded rubber mulch. There was only two inches of shredded rubber mulch underneath the climber. A plan of correction was received stating the correction would be implemented on 6/30/23. A follow-up inspection occurred on 7/5/23. The surfacing under and surrounding the large, embedded equipment did not measure 6 inches of loose fill material. Areas directly under the equipment measured between 3 and 5 inches of rubber mulch.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair. The operator shall add more loose-fill impact absorbing material to bring the depth into compliance with the recommendations of the United States Consumer Product Safety Commission.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During the renewal inspection, the outdoor climbing equipment located on the preschool playground contained wooden logs that are used as top handrails for the children. The logs are splintered and pose a hazard to children.

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

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: During the renewal, the large, embedded climber in the play yard has a fall height of four feet high and is required to be installed on top of six inches of shredded rubber mulch. There is only two inches of shredded rubber mulch underneath the climber.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair. The large embedded climber in the play yard shall be made inaccessible and will not be used by the children until such time as the loose impact absorbing material meets the recommendations of the United States Consumer Product Safety Commission. For this piece of equipment there needs to be six inches of loose-fill impact absorbing material under the climber.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: During the renewal, the large, embedded climber in the play yard has a fall height of four feet high and is required to be installed on top of six inches of shredded rubber mulch. There is only two inches of shredded rubber mulch underneath the climber.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair. The operator shall more loose-fill impact absorbing material to bring the depth into compliance with the recommendations of the United States Consumer Product Safety Commission.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: During the renewal, child #1's immunization record was missing the following vaccinations: DTAP #2, DTAP #3, HIB#2, PNUMOCOCCAL #2, PNUEMOCOCCAL #3 and POLIO #2. Child #6 was missing the influenza vaccine and did not have an exemption letter written by the parent on file.

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). Child(ren) #1 and #6 must be dismissed from care by close of business 6/7/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: During the renewal, child #11 had an AVI-Q at the facility and the prescription label stated to discard after 5/14/23.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection, the provider did not have a written policy identify the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma. There was no policy addressing the prevention and identification of child maltreatment.

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

Regulation: 3270.151(a)/3270.151(b)

Description: 12 months prior to service and every 24 months thereafter/Conducted by physician, PA or CRNP

Noncompliance Area: During the renewal, staff person #2's health assessment did not include a date of when the assessment was conducted and did not contain the signature must include the individual's professional title who conducted the assessment. Staff person #13 and staff person #17's health assessment did not include a date of when the assessment was conducted.

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 health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: During the renewal, staff person #5's health assessment did not have an answer to the question if the person had an examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal, child #3 and child #5 did not have an update to the financial agreement 6 months after the current agreement on file. The current agreement on file is dated 8/2022.

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

Regulation: 3270.27(b)/3270.27(f)

Description: Plan reviewed/updated annually/Emergency plan

Noncompliance Area: During the renewal, the emergency plan on file listed responsibilities for staff members who have not been employed at the facility since March 2023. The plan was not updated when the staff members left the facility.

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. 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the renewal, staff person #1 did not have documentation of emergency plan training in her file and has been employed for more than 90 days (see LIS sheet for date of hire).

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the inspection, staff person #2 only had 10 clock hours of child care training during their 5/22-5/23 training year. Staff person #11, staff person #16, staff person #32 and staff person #36 did not complete 12 clock hours of child care training during their 12/21-12/22 training year. They completed 9.5 clock hours, 7.5 clock hours, 10 clock hours, and 4 clock hours, respectively. Staff person #12 only had 8 clock hour of child care training during their 3/22-3/23 training year.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

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

Description: Age and Training

Noncompliance Area: During the renewal, staff person #26's Pediatric First Aid/CPR certification expired in March 2023 and had not yet been renewed.

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 person(s) shall complete professional development in the topics of 3270.31(f)(10). Staff person # 26 will have until 6/23/23 to complete the required training. Until such time as the required training has been completed, staff person #26 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 #26, staff person #26 may not work in a child-care position at the facility.

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

Description: Fire safety - 1 yr.

Noncompliance Area: During the renewal, staff person #2 has not completed fire safety training and has been employed at the facility for more than 12 months.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the renewal, staff person #1, staff person #2 and staff #18 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): PQAS approved Pediatric First Aid/CPR training. Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training topics.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #1, staff person #2, staff person #3 and staff person #18 will have until 6/23/23 to complete the required training. Until such time as the required training has been completed, staff person #1, staff person #2, staff person #3 and staff person #18 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 #2, staff person #3 and staff person #18, then staff person #1, staff person #2, staff person #3 and staff person #18 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the renewal, staff person #1, staff person #2 and staff person #4 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. Staff person #3 and staff person #5 did not complete the required one-hour Health and Safety training by 12/30/22. It was completed on 1/18/23 and 1/26/23, respectively.

Correction Required: Staff person #1, staff person #2 and staff person #4 shall complete the required one-hour 2022 update to the health and safety training by 6/23/23. Staff will complete any updates to the health and safety training by the required timeframes.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During the renewal, staff person#4 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #4 will have until 6/23/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person # 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 person(s) available to supervise staff person #4, staff person #4 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: During the renewal, staff person #1 did not have a signed disclosure statement on file. Staff person #5 did not have clearances from the state of New York on file at initial employment and has last resided in New York in 2016 (see LIS sheet for date of hire). Staff person #19 did not have clearances for the state of Maine on file at initial employment and has last resided in Maine in 2015 (see LIS sheet for date of hire).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff person #5 and staff person #19 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: During the renewal, staff person #11 did not have 2 years (2,500 hours) of documented prior child care experience on file to be qualified as an assistant group supervisor.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection, the provider did not address volunteer emergency preparedness and continuity of operations in the emergency plan.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall update the sections of their emergency plans that must address volunteer emergency preparedness training, practice drills, and continuity of operations.

Regulation: 3270.27(a)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: During the renewal inspection, the provider did not state the method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The 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 also missing from the emergency plan.

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. 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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: During the renewal inspection, staff #1 and staff #3 did not have verification of fire safety training completed within the past 12 months on file.

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: During the renewal inspection, staff #2 did not have a complete FBI RAP sheet to accompany the FBI clearance dated 7/21/22 and is past the 45 day provisional hiring requirement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff person #2 was hired under the amended ACT 12 hiring requirements. Staff person #2 may not work in a child care position at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During an onsite inspection on 7/11/22, staff #3 did not have verification of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person in the file.

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(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #12 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training topics. Staff person #17 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): PQAS approved 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 #12 and staff person #17 will have until 7/29/22 to complete the required training. Until such time as the required training has been completed, staff person #12 and staff person #17 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 #12 and staff #17, staff person #12 and staff #17 may not work in a child-care position at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an onsite inspection on 7/11/22, the provider did not have written documentation of manually testing the fire detection system every 30 days and therefore is not in compliance with ACT 62 requirements.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. Under Act 62, the provider shall manually test all fire detection devices or systems at least once every thirty days, demonstrating the system is operable and maintain a written record of the testing with the facility's fire drill logs.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of the inspection, on the preschool playground, there was brown plastic bench with cracks and broken plastic on the seat area.

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

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: At the time of the inspection, on the Preschool playground, the embedded equipment had recycled rubber mulch surfacing that measured less than 2 inches at the highest fall point and not the 6 inch recommendation of the United States Consumer Product Safety Commission.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: At the time of the inspection, there was no written plan of daily activities and routines, including a time for free play posted in the Infant A room.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of the inspection, the enrolling parent's work address was missing from the emergency contact form for child #5 and 10.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: At the time of the inspection, the health insurance coverage and policy number on the emergency contact form for child #4 was missing.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: At the time of the inspection, in the Infant B room, child #3's emergency contact form was missing. In the Preschool B classroom, child #4's emergency contact form was missing.

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(d)(5)

Description: Immunization record

Noncompliance Area: At the time of the inspection, child #1, 6 and 8 did not have an updated annual influenza vaccine or letter of exemption from the parent on file.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: At the time of the inspection, in the Infant A classroom, the trash can that contained soiled diapers did not have a lid.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: At the time of the inspection, the water temperature in the older toddler room measured 111.4° F. The water in the Preschool A room measured 116° F. The water in the Preschool B room measured 113.2° F. The water in the Pre-K B room measured 114° F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: At the time of the inspection, installation documentation for the fire detection system was not provided, therefore, the provider was not in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Noncompliance Area: The changing mat in the infant room is torn and the foam is exposed.

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

Noncompliance Area: The facility does not have a copy of the applicable regulations with instructions for contacting the regional daycare office in a conspicuous location used by the parents.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: The diapering area in the older toddler and young toddler room are missing a hands free covered can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: Facility person #5 is missing an updated health assessment. Date of last health assessment 9/9/16.

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.

Noncompliance Area: Facility person #2 & 4 has a health assessment that does not include the physician's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: Facility person #1 does not have proof of a high school diploma on file.

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

Noncompliance Area: Facility person #3 has a volunteer child abuse clearance on file dated 2/16/16. Date of hire 4/16/18.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 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.

Noncompliance Area: Staff 1 did not have a high school diploma on file to meet the qualifications of an assistant group supervisor.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours 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 verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: On 5/18/2017, staff 2 observed staff 1 direct children to jump on the cot of another child, who was being disruptive and not napping on his cot. On 5/19/17, staff 3 observed that staff 1 restricted a child's movement on three different occasions by using a bear hug, where staff 1 wrapped her arms around the child to prevent movement, while having other children jump on his cot due to him being disruptive to others and not napping on his cot.

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.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.