Lehigh Valley Childrens Centers/south Mount

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

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

Noncompliance Area: On 3/26/27 Staff person #1 left child #1 unsupervised in the preschool room for 5 minutes. Staff person was terminated on 3/31/26.

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. 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. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to attend a staff meeting to go over the supervision policy and review the use of the attendance sheets and have all staff sign off they understand. The operator shall provide a date for when this will be completed.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff person #4 is missing two written nonfamily references.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 6/26/20. Staff person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 8/31/20. Staff person #3 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 6/13/20. Staff person #4 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 9/27/20. Staff person #5 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 9/20/20. Staff person #6 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 8/31/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff persons #1, 2, 3, 4, 5 & 6 will have until 10/31/25 to complete the mandated reporter training. Until such time as the required training has been completed, staff persons #1, 2, 3, 4, 5 & 6 must be supervised when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff persons available to supervise staff persons #1, 2, 3, 4, 5 & 6, staff persons may not work in a childcare position at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Cert Rep observed 2 water stained ceiling tiles in the hallway near the office. Cert Rep observed several holes in the drywall near the preschool sinks.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #2 is missing proof of the required 1 hour health and safety training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.. Staff person #2 must be supervised when interacting with children, by an AGS, primary staff person or higher who has completed the required health and safety training. If there are no staff persons available to supervise staff #2, staff person #2 may not work in a childcare position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #4 has not completed the following required pre service training within 90 days of their date of hire.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #4 will have until 10/24/24 to complete the required training. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by a AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff #4, staff person #4 may not work in a childcare position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff person #1, 2, 3, 4, 5, 6, & 7 do not have annual written evaluations on file.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log reflects the last fire drill conducted was on 6/7/24, which exceeds the requirement of conducting a fire drill every 60 days.

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

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: The fire system check log reflects the last system check was conducted on 6/7/24, which exceeds the requirement of testing the fire system every 30 days.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child 3 had an outdated child service report. The child service report was last updated 4/21/2022. Children 7 and 8 did not have child service reports on file. Please see LIS for dates of admission.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child 2 did not have a health insurance policy number on file.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: Children 3 and 6 did not have an updated fu shot or exemption letter 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).

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Children 1 and 2 currently have updated emergency forms on file. There was previously more than 6 months between between. Children 1 and 2 had updates in 09/2022 and not again until 09/2023. Children 4, 5 and 7 currently need updated emergency forms. Child 4 last had the emergency form updated 11/4/2022, child 5's emergency form was updated 7/7/2022 and child 7's emergency form was last updated 3/9/2023.

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff 1 did not have proof of child care experience on file.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2 and 4 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #2 and 4 shall complete the required one-hour 2022 update to the health and safety training by 11/17/2023.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff 1 did not have an approved pediatric first aid/cpr training curriculum or trainer on file during the annual renewal inspection on 10/18/2023.

Correction Required: Staff person 1 shall complete professional development in the topics of 3270.31(f)(10). Staff 1 will have until 11/17/2023 to complete the required training. Until such time as the required training has been completed, staff person 1 must be supervised by an AGS when interacting with children who has completed the required training related to this citation.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff 3 had a volunteer child abuse clearance on file.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the downstairs infant/toddler area, there were cleaning supplies accessible to children in an unlocked cabinet.

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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: In the back downstairs toddler room, the hot water temperature measured at 112 degrees.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the upstairs school age bathroom and the gross motor room, plaster was crumbling.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was exposed foam from a mat in the school age classroom.

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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child 7 did not have the health insurance policy number on file.

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: 3270.131(b)(1)/3270.131(e)(1)

Description: Infant: updated health report every 6 months/Exemption documentation from parent/guardian

Noncompliance Area: Child 1 and 3 need updated health assessments and immunizations (See LIS code sheet for date of birth (DOB) and date of admission (DOA). Child 1's updated health assessment was on 4/11/2022 and did not have updated Rotavirus, DTAP, HIB, Pneumococcal, Polio, MMR and Varicella vaccines. Child 3's last updated health assessment was on 7/27/2021 and did not have MMR, Varicella and Hepatitis A updated.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. 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: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: Child 2 (See LIS code sheet for date of birth (DOB) and date of admission (DOA) had a physical that was last updated on 1/25/2021, making it more than 12 months since the last update.

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

Regulation: 3270.151(a)

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

Noncompliance Area: Staff 2 (see LIS code sheet for date of hire (DOH), did not have a health assessment on file that was within 12 months of hire.

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.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Children 4 and 5 did not have updated fee agreements on file. Child 4's fee agreement was last dated 3/4/2022 and child 5's was last dated 3/21/2022.

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: 3270.182(3)/3270.182(5)

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

Noncompliance Area: Child 6 did not have updated consent for emergency medical care and minor first aid on file.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff 1 had a DOE clearance on file, which is no longer accepted by DHS. Staff 1 also lived in New York within the past 5 years and did not have out of state clearances on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 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. Facility Person #1 may not work in a child care position at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There was an uncovered outlet in the gross motor room.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: In the infant room, both sinks measured at 112 degrees.

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: During the annual renewal inspection on 10/14/2022, the fire alarm testing was last completed on 9/6/2022, making it more than 30 days since the last fire alarm test.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 completed the pre-service health and safety training on 7/6/2016, which is before 9/30/2016. If the "Health & Safety Basics: Requirements for Certification", which is the training staff 1 took, was taken before 9/30/2016 or after 6/30/2018, it is considered not acceptable.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f). Staff person #1 will have until 10/1/2022 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the first floor play area, there was a missing outlet cover against the back wall.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: In the infant room, the temperature of the sink was 114 degrees.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the upstairs preschool room, behind the school age room, 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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: The mixed tods classroom had peeling paint on the right wall. The first floor gym had peeling paint by the exit door.

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)/3270.95(b)

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

Noncompliance Area: Facility did not have proof of purchase on file for the fire alarm system.

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: Certification Rep observed 3 rest mats that are torn and the foam is accessible to the children in the young toddler room.

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.

Noncompliance Area: Facility person #1, 2 & 3 do not have updated annual written evaluations on file.

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

Noncompliance Area: Certification Rep observed paint under the sink in the Pre K room, safety lock was broken. Certification Rep observed pure bright bleach and dish detergent both state keep out of reach of children under the sink in the young toddler room. There was not a child safety lock on the cabinet and both items were accessible to the children.

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

Noncompliance Area: In the Pre K 3 bathroom there is a tile that is broken near the floor by the door. In the young toddler room there is a piece of molding falling off the wall near the door in the back of the 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.

Noncompliance Area: Facility person #1 stated Facility person #2 left her alone with 8 one and two year old children for approximately a few minutes. This group requires two facility persons

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times.

Noncompliance Area: The changing mat in the young toddler 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: Child #1 is missing the health insurance policy number.

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

Noncompliance Area: Facility person #1, 2 & 3 do not have proof of annual emergency plan training.

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

Noncompliance Area: The tile is broken and loose on the floor in the first bathroom stall in the school age bathroom.

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.

Noncompliance Area: In the young toddler room the temperature in the refrigerator read 60 degrees.

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.

Noncompliance Area: Certification Rep observed a 3 month old infant sleeping in a bouncy seat.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: The following child files are missing the date of the child's admission; #2, 3, 5, 6, 7, 8, & 9.

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

Noncompliance Area: Child #4 is missing the physician's address.

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

Noncompliance Area: Child #4 is missing the health insurance policy number.

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

Noncompliance Area: Certification Rep observed Amoxicillin in the school age room refrigerator that was accessible to the 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.

Noncompliance Area: Child #1 does not have an updated emergency contact on file. Date of last review 1/24/17.

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.

Noncompliance Area: Facility person #1 does not have proof of education on file.

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

Noncompliance Area: Facility person #2 has a volunteer state police clearance on file dated 9/14/15.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 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: Certification Rep observed used tissues in the preschool room and in the infant toddler gym garbage cans. Neither one had lids and both were accessible to the children.

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

Noncompliance Area: The preschool first aid kit is missing soap.

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

Noncompliance Area: There is a hole in the floor near the heating unit in the school age/preschool gym.

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.

Noncompliance Area: There is damaged plaster near the window wall in the school age/preschool gym. There is peeling paint near the door in the infant/toddler gym.

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

Noncompliance Area: As per staff 1, child 1 has slept in carseat for up to 45 minutes in the morning upon drop off. Certification representative was not presented any medical documentation that the child should be sleeping in the carseat.

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.Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.