Lehigh Valley Childrens Centers Seven Generations

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Facility does not have an annual emergency drill documented and on file at the facility.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Child #2's emergency contact and fee agreements have not been updated by a parent since May 20, 2024.

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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: Child #1 did not have a health assessment on file at the facility.

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

Regulation: 3270.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: Child #2's health assessment was not signed by a physician, physician's assistant or a CRNP.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Regulation: 3270.24(f)

Description: Director ID

Noncompliance Area: The Director was not present at time of the renewal inspection to provide valid photo identification.

Correction Required: A valid photo identification of the director or designated staff person who is responsible for compliance with this chapter shall be provided to the agent of the Department at the time of inspection.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff Person #1's disclosure statement was not signed.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.133(1)

Description: Original container

Noncompliance Area: The facility did not have Child #1's inhaler medication in its original container.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Regulation: 3270.181(c)/3270.181(d)

Description: Emergency info/agreement updated 6 mos/Dated signature affixed

Noncompliance Area: Files for child #1-#3 all contained current agreements signed by the parents dated 3/20/23. However, the previously observed dated signatures on agreements for child #1-#3 were dated more than 6 months prior to 3/20/23.

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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: It was observed and stated during inspection that the facility neither created nor posted an emergency transportation plan which should identify the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: It was observed and stated during inspection that the facility did not provide to all newly enrolled families a letter explaining the facility's emergency plan procedures.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact forms for children 1 and 2 do not include the address of the individual designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.21/3270.136(d)

Description: General Health and Safety/Communicate report to DOH

Noncompliance Area: Provider failed to report to Northeast Regional office that a positive case occurred at the facility on September 3, 2021. Inspector asked about exposures and positive covid cases on September 10, 2021 at renewal inspection at which time inspector was informed there was a positive case on September 3, 2021. Final report was received on September 10, 2021.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.A facility person who knows of a communicable disease for which 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases) requires reporting, or who knows of a group expression of an illness which may be of public concern, whether or not it is known to be of a communicable nature, shall report it promptly to the appropriate division of the Department of Health as specified in Chapter 27, or to a local department of health.

Regulation: 3270.27(a)(1)/3270.27(a)(2)

Description: Emergency plan/Emergency plan

Noncompliance Area: Facility's emergency plan is not site specific to show that it provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The emergency plan also is not site specific in reference to showing accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: Facility's emergency plan was not site specific when addressing accommodations for children with disabilities, and children with chronic medical conditions. Inspector observed a checklist only.

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: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: Inspector arrived at facility at 7:00 am. Inspector observed staff 1 with 1 child. The 2nd child arrived at 7:35, the 3rd child arrived at 7:38, the 4th and 5th children arrive at 7:39, the 6th child arrived at 7:46, the 7th child arrive at 8:01 and the 8th child arrived at 8:05. Staff 1 was alone with all 8 school aged children until 8:05 when another staff person showed up. When asked who was the second staff person, staff 1 admitted staff 2 called out. When inspector spoke with facility person 3, facility person 3 admitted they do not allow their staff to be a second staff person for LVCC.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.