Lil Village 4 Learning Academy

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: During the complaint investigation, certification representative reviewed 5 children's files and the file for child #2 did not include an initial health assessment or immunizations.(THIS IS CONTINUED NONCOMPLIANCE)

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. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

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

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's files and the file for child #1 did not include an updated health assessment.(THIS IS CONTINUED NONCOMPLIANCE)

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the renewal inspection, certification representative reviewed 2 staff files and the file for staff #1 did not include two non family references.(THIS IS CONTINUED NONCOMPLIANCE)

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)(2)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and the emergency plan did not include information on how staff are to respond in the event of an evacuation or a location for evacuation.(THIS IS CONTINUED NONCOMPLIANCE)

Correction Required: 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(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection, certification representative reviewed 2 staff files and the files for staff #2 did not include emergency plan training.(THIS IS CONTINUED NONCOMPLIANCE)

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 initial inspection, certification representative reviewed 2 staff files and the file for staff #1 did not include 12 hrs of childcare training.(THIS IS CONTINUED NONCOMPLIANCE)

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During the renewal inspection staff #1 did not have an annual employee evaluation.(THIS IS CONTINUED NONCOMPLIANCE)

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: 3270.34(b)(2)/3270.192(2)(iv)

Description: Bachelor's, 30 credits + 2 yrs/Transcript, diploma and letters

Noncompliance Area: During the renewal inspection, certification representative reviewed 2 staff files and the file for staff #1 did not include 30 credit hours in early childhood education, child development, special education, elementary education or the human services field.(THIS IS CONTINUED NONCOMPLIANCE)

Correction Required: A director shall have attained a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

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

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

Noncompliance Area: During the renewal inspection, certification representative reviewed 2 staff files and the file for staff #2 did not include a verification of childcare experience.(THIS IS CONTINUED NONCOMPLIANCE)

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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During the renewal inspection, certification representative conducted a facility walk through, and there were no emergency transportation plans posted in the childcare spaces.

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(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: During the complaint investigation, certification representative reviewed 5 children's files and the file for child #2 did not include an initial health assessment or immunizations.

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. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

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

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's files and the file for child #1 did not include an updated health assessment.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the renewal inspection, certification representative reviewed 2 staff files and the file for staff #1 did not include two non family 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: 3270.27(a)(2)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and the emergency plan did not include information on how staff are to respond in the event of an evacuation or a location for evacuation.

Correction Required: 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(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection, certification representative reviewed 2 staff files and the files for staff #2 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: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the initial inspection, certification representative reviewed 2 staff files and the file for staff #1 did not include 12 hrs of childcare training.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During the renewal inspection staff #1 did not have an annual employee evaluation.

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: 3270.34(b)(2)/3270.192(2)(iv)

Description: Bachelor's, 30 credits + 2 yrs/Transcript, diploma and letters

Noncompliance Area: During the renewal inspection, certification representative reviewed 2 staff files and the file for staff #1 did not include 30 credit hours in early childhood education, child development, special education, elementary education or the human services field.

Correction Required: A director shall have attained a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

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

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

Noncompliance Area: During the renewal inspection, certification representative reviewed 2 staff files and the file for staff #2 did not include a verification of childcare experience.

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: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: During the renewal inspection, certification representative conducted a facility walkthrough, and the fire extinguishers had expired tags,

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files, and 1. the emergency plan was not updated to include continuity of operations or specific staff duties per announcement c-22-04, issued 4/19/22. 2. There was no shaken baby policy on file.

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: 3270.151(b)/3270.192(3)

Description: Conducted by physician, PA or CRNP/Health assessment, TB test

Noncompliance Area: During the renewal inspection, certification representative reviewed 8 staff files and there was no physical form or TB results for staff #2 and staff #7.

Correction Required: 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During the renewal inspection, certification representative reviewed 8 staff files and the file for staff #1, staff #2, staff #3, staff #4, staff #5, staff #6, staff #7 and staff #8 did not include a verification of child care experience. 2. The file for staff #1 did not have a verification of education.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files, and the emergency plan did not include accommodations for infants and toddlers.

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: 3270.31(g)

Description: Professional development certificate

Noncompliance Area: During the renewal inspection, certification representative reviewed 8 staff files and the file for staff #2 staff #3,staff #4 and staff #6 did not contain the required health and safety professional development training(s).

Correction Required: Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, certification representative reviewed 8 staff files and the file for staff #2 is missing all of the required PA clearances and staff #5 is missing the NSOR clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: STAFF # 2 AND STAFF #5 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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 #--1may not work in a child care position at the facility.

Regulation: 3270.151(a)

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

Noncompliance Area: At the time of the Initial Inspection on 09/23/2024 the individual record for Staff Person #1 contained a health assessment dated 07/10/2023.

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 prior to issuance of Certificate of Compliance.