Little People Big Dreams Llc

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #1 hired on (see code sheet) does not have completed NJ child abuse clearance on file. Continued noncompliance from renewal inspection conducted on 04/23/26.

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 #1 may not work in a childcare position at the facility.

Regulation: 3280.123(a)(6)/3280.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: During the renewal inspection conducted on 4/23/26 the file reviewed for child #2 did not contain child's date of admission.

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

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the renewal inspection conducted on 4/23/26 the emergency contact form reviewed for child #1 and child #2 did not contain physician's name. The emergency contact form reviewed for child #3 did not include physician's name and telephone number.

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

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection conducted on 4/23/26 the emergency contact form reviewed for child #1 and child #3 did not include health insurance coverage and policy number. The emergency contact form reviewed for child #2 did not include health insurance coverage.

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: 3280.131(b)(2)/3280.182(1)

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

Noncompliance Area: During the renewal inspection conducted on 4/23/26 the health assessment reviewed for child #4 was more than 12 months old.

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 must contain initial and subsequent health reports.

Regulation: 3280.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: During the renewal inspection conducted on 4/23/26 the file reviewed for staff person #1 did not include 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.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection conducted on 4/23/26 staff person #1 hired on (see code sheet) did not have completed NJ state criminal and NJ child abuse clearances on file. Staff person # 2 hired on (see code sheet) did not have a completed NJ child abuse clearance on file.

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 #1 and staff person #2 may not work in a childcare position at the facility.

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection conducted on 4/23/26 there were missing receptable covers observed in middle childcare space.

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

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: During the renewal inspection conducted on 4/23/26 there was hand sanitizer observed on the front desk and in the indoor play space accessible to children.

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

Regulation: 3280.75(a)

Description: In facility

Noncompliance Area: During the renewal inspection conducted on 4/23/26 there was no first aid kit observed in front childcare space.

Correction Required: A first-aid kit shall be in the facility.

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection conducted on 4/23/26 ceiling tiles in the indoor play space were observed in need of repair.

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: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: During the unannounced monitoring visit on 01/22/06 the file reviewed for staff person #1 did not contain completed mandated reporter training within 90 days of their date of hire.

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

Regulation: 3280.23(a)

Description: Immediate access

Noncompliance Area: During the allocated unannounced monitoring on 12/10/25 staff was unable to provide access to children & staff files upon request.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

Regulation: 3280.26(d)

Description: Plan posted

Noncompliance Area: During the allocated unannounced monitoring on 12/10/25 the emergency plan was not posted in the facility.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the allocated unannounced monitoring on 12/10/25 uncovered electrical outlets were observed in the facility.

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

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: During the allocated unannounced monitoring on 12/10/25 the documentation reviewed did not reflect fire drills being conducted every 60 days. Last fire drill documented was 5/20/25.

Correction Required: Fire drills are conducted at least once every 60 days.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection on 04/30/25 the file reviewed for child #2 and child #3 did not contain a child service report providing information about the child's growth and development.

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: During the renewal inspection on 04/30/25 the file reviewed for child #1 did not contain initial health assessment.

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 must contain initial and subsequent health reports.

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: During the renewal inspection on 04/30/25 the documentation reviewed did not reflect annual emergency drill. Last drill conducted 04/04/24.

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

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection on 04/30/25 the file reviewed for staff person #1 and staff person #2 did not reflect 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.

Regulation: 3280.31(e)/3280.192(2)(iii)

Description: Age and training/Exp, educ., training at facility

Noncompliance Area: During the renewal inspection on 04/30/25 the file reviewed for staff person #1 did not contain 12 hours of annual childcare training.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 04/30/25 the file reviewed for staff person#1 hired (see code sheet) contained a child abuse clearance, DHS FBI clearance and NSOR certificate that were more than 60 months old. The file reviewed for staff person #2 hired (see code sheet) did not contain a mandated reporter training.

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 childcare position at the facility. 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.

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: During the renewal inspection on 04/30/25 the first aid kit located in the infant room did not contain scissors, soap or tape. The first aid kit located in the front room did not contain tweezers and 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.

Regulation: 3280.78

Description: Lighting

Noncompliance Area: During the renewal inspection on 04/30/25 the lighting in the infant room was inoperable.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Regulation: 3280.23(a)

Description: Immediate access

Noncompliance Area: During the unannounced monitoring visit on 01/14/25 staff person #1, who was identified as the designated person, was unable to provide certification representative immediate access to child and staff files for review.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

Regulation: 3280.23(a)

Description: Immediate access

Noncompliance Area: During the unannounced monitoring visit on 01/04/25 staff person #1, who was identified as the designated person, was unable to provide certification representative immediate access to child and staff files.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

Regulation: 3280.105(a)

Description: Clean, age appropriate

Noncompliance Area: Children were observed napping on rest equipment that were not labeled for the use of a specific child and used only by the specified 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. Develop a labeling system to ensure that rest equipment is labeled for the use of a specific child and used only by the specified child.

Regulation: 3280.106

Description: Refrigerator

Noncompliance Area: The refrigerator had a meat thermometer that not capable of registering the temperature to ensure that the refrigerator was capable of maintaining food at 45° F or below.

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. Install a thermometer that is capable of reading the temperature to ensure that the refrigerator is maintaining food at 45° F or below.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: Two children's records did not contain a child service report that had been completed within the past 6 months. (#3 and #4)

Correction Required: An agreement shall specify 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 at § 3280.124(f). Complete and submit a current up-to-date child service report for the indicated child. Ensure that child service reports are completed for all children as specified in this regulation.

Regulation: 3280.123(a)(6)

Description: Admission date

Noncompliance Area: Several children's agreement did not specify the date of the child's admission. (#1, #3 and #4)

Correction Required: An agreement shall specify the date of the child's admission. Specify the date of admission on the child's agreement and submit a copy of the properly completed agreement for verification of compliance. Ensure that all agreements include the date of the child's admission.

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: Several children's records did not contain emergency contact and financial agreement information that had been reviewed and updated within the past 6 months. (#1 and #5)

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. Obtain and submit written verification of the updated emergency contact and financial agreement information for the identified children.

Regulation: 3280.131(b)(2)

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

Noncompliance Area: One child's record did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#3)

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. Obtain and submit a current up-to-date health report for the indicated children. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Two staff persons were observed caring for children unsupervised and there was no verification that their record contained verification of completed required CCDBG training. (#2 and #3)

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 persons cannot work unsupervised with children until the CCDBG training has been completed. Submit written verification of the required completed CCDBG training.

Regulation: 3280.171(b)/3280.171(c)

Description: Safe pick-up and drop-off in writing/Safe routes posted

Noncompliance Area: Safe routes, including safe pedestrian crossways, pick-up and drop-off points and bike routes were not appropriately determined in the vicinity of the facility, communicated to the children and parents in writing and posted.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility. Develop, post and submit written safe routes notification as specified.

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: There was no verification that facility person's records included two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person as the information was not presented at the time of the inspection. Each record only had one. (#1, #2 and #3)

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. Obtain and submit the required written references as specified for the identified staff person. Ensure that all facility staff records contain written references as specified.

Regulation: 3280.26(b)

Description: Emergency plan

Noncompliance Area: There was no written documentation indicating that the emergency plan had been reviewed and updated when there was a change in the responsible staff person. The person listed no longer works at the facility.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility. Submit a written copy of the updated emergency plan. Ensure that the plan is reviewed and documented in writing annually as specified.

Regulation: 3280.26(d)

Description: Plan posted

Noncompliance Area: The emergency plan was not posted at a conspicuous location in the facility.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location. Post the emergency plan at a conspicuous location in the facility.

Regulation: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: One staff person's record contained pediatric first aid and CPR training that was not PQAS approved training. (#1)

Correction Required: Competence is the completion of training by a professional in the field of first-aid and 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. Obtain and completed PQAS approved pediatric first aid and CPR training for the identified staff person. Submit written verification of the completed training.

Regulation: 3280.34(b)(5)/3280.192(2)(ii)

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

Noncompliance Area: One staff person's record did not contain written verification of education and experience for their assistant group supervisor position. (#2)

Correction Required: A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Obtain and submit written verification of education and experience for the identified staff person. Ensure that all staff records have written verification of education and experience for their positions.

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: The carpet in the main room was stained and in need of cleaning, replacement or removal.

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. Clean, replace or remove the carpet and ensure that surfaces in the facility are kept clean. Submit written documentation to verify compliance.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: One child's records did not contain a child service report that had been completed within the past 6 months. (#2

Correction Required: An agreement shall specify 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 at § 3280.124(f). Complete and submit a current up-to-date child service report for the indicated child. Ensure that child service reports are completed for all children as specified in this regulation.

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: One child's record contained agreements that did not specify the persons designated by a parent to whom the child may be released. (#3)

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. Update the agreements to specify the persons designated by a parent to whom the child may be released. Submit a copy of the updated agreement/s.

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: Several children's records did not contain emergency contact and financial agreement information that had been updated within the past 6-months. (#1, #2, #3-agreement, #4-agreement)

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. Obtain and submit a written copy of the current up-to date emergency contact and financial agreement information for the identified children. Ensure that children's emergency contact and financial agreement information is updated at least every 6 months or as soon as the information changes.

Regulation: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. Provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional childcare office. Submit written verification.

Regulation: 3280.33(c)

Description: Age and training

Noncompliance Area: On 1/29/24, five children were observed in care and there was no written verification that the one staff person present had pediatric first aid and CPR training. (#3) On 3/12/24, children were in care and there was no written verification that the one staff person present had pediatric first aid and CPR training. (#4). Staff person's records did not contain written verification of completed pediatric first aid and CPR.

Correction Required: One or more facility persons competent in pediatric first aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care. Obtain completed pediatric first aid and CPR training for the identified staff person. Submit written verification of the completed training.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: One child's records did not contain a child service report that had been completed within the past 6 months. (#2)

Correction Required: An agreement shall specify 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 at § 3280.124(f). Complete and submit a current up-to-date child service report for the indicated child. Ensure that child service reports are completed for all children as specified in this regulation.

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: Several children's records contained agreements that did not specify the persons designated by a parent to whom the child may be released. (#2, #3 -not corrected and #4)

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. Update the agreements to specify the persons designated by a parent to whom the child may be released. Submit a copy of the updated agreement/s.

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: Several children's records did not contain emergency contact and financial agreement information that had been updated within the past 6-months. (#1, #2, #3-agreement, #4-agreement)

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. Obtain and submit a written copy of the current up-to date emergency contact and financial agreement information for the identified children. Ensure that children's emergency contact and financial agreement information is updated at least every 6 months or as soon as the information changes.

Regulation: 3280.131(b)(2)/3280.182(1)

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

Noncompliance Area: There was no verification that children's records contained subsequent updated health reports completed in the post 12 months as they were not made available at the time of the inspection. (#4 and #5).

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 must contain subsequent updated health reports completed within the past 12 months as specified. Obtain and submit the subsequent updated health reports for the identified children. Ensure that each child's record contain initial and subsequent health reports.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: One staff person's record did not contain written verification of health and safety training topics required in order to work unsupervised with children. This staff person was the only staff person present.(#3)

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. Obtain and submit written verification of the required health and safety training for the identified staff persons. Staff will complete the required health and safety training and written verification of the completed training will be submitted. Staff will not work unsupervised unless the training has been completed.

Regulation: 3280.182(3)/3280.182(5)

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

Noncompliance Area: One child's record did not contain written verification of signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff prior to admission. (#4)

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Obtain and submit written verification of signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff prior to admission for the indicated children. Ensure that this information is in all children's records.

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: One facility person's record/s did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#3)

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. Obtain and submit the required written references as specified for the identified staff person. Ensure that all facility staff records contain written references as specified.

Regulation: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. Provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional childcare office. Submit written verification.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: One staff person's record did not contain written verification of annual minimum 12 hours of child care training. (#1)

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training. Obtain and submit written verification of annual minimum 12 hours of child care training for the identified staff person.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Two facility person's record did not contain the required CPSL hiring documents. (#2-no proof of out of state clearances (NJ) (#3 -no proof of request for FBI and no signed DISCLOSURE STATEMENT prior to working with children).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 #2 and #3 may not work in a child care position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required, completed CPSL clearance documents for the identified staff persons. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

Regulation: 3280.33(c)

Description: Age and training

Noncompliance Area: On 1/29/24, five children were observed in care and there was no written verification that the one staff person present had pediatric first aid and CPR training. (#3) On 3/12/24, children were in care and there was no written verification that the one staff person present had pediatric first aid and CPR training. (#4). Staff person's records did not contain written verification of completed pediatric first aid and CPR.

Correction Required: One or more facility persons competent in pediatric first aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care. Obtain completed pediatric first aid and CPR training for the identified staff person. Submit written verification of the completed training.

Regulation: 3280.113(a)

Description: Supervised at all times

Noncompliance Area: On 9/13/23 at approximately 3pm, two children were observed napping in the rear room and food prep area alone and unattended. At 3:25pm, a group of nine young and older toddlers and preschool age children in the main classroom were left alone and unattended on multiple occasions when the staff persons left the room to attend to other tasks.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3280.123(a)(6)

Description: Admission date

Noncompliance Area: Several children's agreements did not specify the date of the child's admission. (#4, and #5)

Correction Required: An agreement shall specify the date of the child's admission. Specify the date of admission on the child's agreement and submit a copy of the properly completed agreement for verification of compliance. Ensure that all agreements include the date of the child's admission.

Regulation: 3280.124(c)

Description: Each child care space

Noncompliance Area: On 8/23/23 and 9/13/23, children were observed being cared for in the main childcare space and their emergency contact information was not present in the childcare space.

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. Ensure that emergency contact information is present in all childcare spaces in which children are receiving care.

Regulation: 3280.131(a)(3)

Description: Initial health report for older toddler/preschool no more than 1 year

Noncompliance Area: One child's record contained an initial health report dated more than 1 year prior to the first day of attendance at the facility. (#5)

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.  Obtain and submit a current up-to-date health report for the indicated child. Ensure that initial health reports for young toddlers are completed and dated no more than 1 year prior to the first day of attendance.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Several staff persons were observed caring for a child and their record did not contain verification of completed CCDBG training (10 hour) required prior to working with children unsupervised. (#1, #2, and #3)

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 persons must complete the CCDBG training (10 hour) that is required prior to working with children unsupervised. Submit written verification of the completed training.

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: One facility person's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#1)

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. Obtain and submit the required written references as specified for the identified staff person. Ensure that all facility staff records contain written references as specified.

Regulation: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. Provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional childcare office.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several facility person's record did not contain the required CPSL hiring documents. (#1-hired 8/21/23- observed working with children and record contained no proof of requests for FBI, -no completed FBI) (#2- hired 5/15/23- no record of completed NSOR) (#3-hired 6/15/23- no record of completed FBI clearance)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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, #2 and #3 may not work in a child care position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required, completed CPSL clearance documents for the identified staff persons. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

Regulation: 3280.34(b)(5)/3280.192(2)(ii)

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

Noncompliance Area: One staff person's record did not contain written verification of education and experience for their primary staff position. (#1)

Correction Required: A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Obtain and submit written verification of education and experience for the indicated staff person. Ensure that all staff records have written verification of education and experience for their positions.

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: Surfaces in the facility were in need of cleaning and/or repair and presented a visible hazard: (1) the floor planks in the main room were in disrepair and presented a potential hazard.

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. Complete all cleaning and repairs as specified. Ensure that facility surfaces are kept clean, kept in good repair, and free from visible hazards.

Regulation: 3280.113(a)

Description: Supervised at all times

Noncompliance Area: On 8/23/23 at approximately 1pm, a group of five older toddler and preschool age children in the food prep area and a group of seven preschool and school age children were left alone and unattended on two occasions when the staff left the room to attend to other tasks.

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. Ensure that children are supervised at all times.

Regulation: 3280.113(a)

Description: Supervised at all times

Noncompliance Area: On 9/13/23 at approximately 3pm, two children were observed napping in the rear room and food prep area alone and unattended. At 3:25pm, a group of nine young and older toddlers and preschool age children in the main classroom were left alone and unattended on multiple occasions when the staff persons left the room to attend to other tasks.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3280.123(a)

Description: Signed

Noncompliance Area: One child's record lacked an agreement that had been signed by the operator. (#1)

Correction Required: An agreement shall be signed by the operator and the parent. Obtain and submit a completed agreement signed by the operator as specified for the indicated child. Ensure that all agreements are signed by the operator.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: One child's record did not include services to be provided to the family and child. The area on the agreement form in which to write this information was blank. (#3)

Correction Required: An agreement shall specify 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 at § 3280.124(f). Submit an updated agreement for the identified child that contains this information. Ensure that all children's agreements include services to be provided as specified in this regulation.

Regulation: 3280.123(a)(6)

Description: Admission date

Noncompliance Area: Several children's agreements did not specify the date of the child's admission. (#1, #3, #4, and #5)

Correction Required: An agreement shall specify the date of the child's admission. Specify the date of admission on the child's agreement and submit a copy of the properly completed agreement for verification of compliance. Ensure that all agreements include the date of the child's admission.

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: One child's emergency contact information did not include health insurance coverage and policy number information. (#3)

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. Obtain and submit a written copy of the missing health insurance information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

Regulation: 3280.124(c)

Description: Each child care space

Noncompliance Area: On 8/23/23 and 9/13/23, children were observed being cared for in the main childcare space and their emergency contact information was not present in the childcare space.

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. Ensure that emergency contact information is present in all childcare spaces in which children are receiving care.

Regulation: 3280.131(a)

Description: Health Information

Noncompliance Area: One child has been enrolled in the facility for more than 60 days and their record contained a health report completed more than 60 days (3 months) following the first day of attendance at the facility. (#4)

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. Revise and submit written policies and procedures to ensure that children's initial health reports are completed and provided within the required timeframes as specified in this regulation to ensure ongoing compliance.

Regulation: 3280.131(a)(3)

Description: Initial health report for older toddler/preschool no more than 1 year

Noncompliance Area: One child's record contained an initial health report dated no more than 1 year prior to the first day of attendance at the facility.  (#5)

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.  Obtain and submit a current up-to-date health report for the indicated child. Ensure that initial health reports for young toddlers are completed and dated no more than 1 year prior to the first day of attendance.

Regulation: 3280.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: One child has been enrolled for more than 60 days and their record did not include written verification of current up-to-date immunizations. (#4)

Correction Required: 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. In accordance with the Department of Health regulations, the child cannot return to care until written verification of current up-to-date immunizations have been obtained and submitted. Submit a copy of the current up-to-date immunizations for the indicated child. Ensure that children's records include current up-to-date immunizations within 60 days following the first day of attendance at the facility The child will not return to care until written verification of current up-to-date immunizations have been obtained.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Several staff persons were observed caring for a child and their record did not contain verification of completed CCDBG training (10 hour) required prior to working with children unsupervised . (#1, #2, #3, and #4)

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 persons must complete the CCDBG training that is required prior to working with children unsupervised. Submit written verification of the completed training.

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: Two staff person's records did not contain a health assessment including negative TB skin testing completed within 12 months prior to the date of hire. (#1 and #3)

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

Regulation: 3280.182(3)/3280.182(5)

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

Noncompliance Area: Several children's records did not contain the parent's signature indicating written consent for emergency medical care and for administration of minor first-aid procedures by facility staff. (#1-both) (#2-consent for emergency medical care) (#4-both)

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Obtain and submit written verification of signed parental consents that includes the parent's signatures. Ensure that all children's records contain the required parental consents prior to admission.

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: Two facility person's records did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#1 and #4)

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. Obtain and submit the required written references as specified for the identified staff person. Ensure that all facility staff records contain written references as specified.

Regulation: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. Provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional childcare office.

Regulation: 3280.26(d)

Description: Plan posted

Noncompliance Area: The emergency plan was not posted at a conspicuous location in the facility. Post the emergency plan at a conspicuous location in the facility.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location. The emergency plan will be posted at the parent information board near the entrance of our facility.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several facility person's record did not contain the required CPSL hiring documents. (#1-hired 8/21/23- observed working with children and record contained no proof of requests for FBI, STATE POLICE and CHILD ABUSE) (#2- hired 5/15/23- no record of completed NSOR) (#3-hired 6/15/23- no record of completed FBI clearance)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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, #2 and #3 may not work in a child care position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required, completed CPSL clearance documents for the identified staff persons. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

Regulation: 3280.34(b)(5)/3280.192(2)(ii)

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

Noncompliance Area: Two staff person's records did not contain written verification of education and/or experience for their primary staff position. (#1 -both and #3 -education)

Correction Required: A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Obtain and submit written verification of education and/or experience for the indicated staff person. Ensure that all staff records have written verification of education and experience for their positions.

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: Surfaces in the facility were in need of cleaning and/or repair and presented a visible hazard: (1) the floor planks in the main room were in disrepair and presented a potential hazard (2) the carpet in the main room was stained and needed cleaning.

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. Complete all cleaning and repairs as specified. Ensure that facility surfaces are kept clean, kept in good repair, and free from visible hazards.

Regulation: 3280.23(a)

Description: Immediate access

Noncompliance Area: On 3/15/23, at approximately 4:00pm, a staff person was unable to provide an agent of the Department immediate access to the files and records. Staff person indicated that the files were locked and there was no key. (#2)

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records. Operator must make provisions to ensure that agents of the Department are provided immediate access to the files and records.

Regulation: 3280.31(e)(1)(iii)

Description: Age and training

Noncompliance Area: One staff person's record did not contain written verification of annual minimum 12 hours of childcare training. (staff #4).

Correction Required: Training conducted in conferences or workshops is acceptable and may count toward the annual requirement for 12 clock hours of child care training. Obtain and submit written verification of annual minimum 12 hours of childcare training for the identified staff person.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Two staff person's record did not contain the required CPSL hiring documents (#2-hired 11/14/22- observed working with children and lacked proof of completed Child Abuse and NSOR) (#5 hired 12/5/22 -no proof of requests for NSOR)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 #2 and #5 may not work in a child care position at the facility. until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required , completed CPSL clearance documents for the identified staff person. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

Regulation: 3280.171(a)

Description: Pick up and drop off points

Noncompliance Area: The operator lacked verification of the annual written notification to local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Correction Required: The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility. Provide and submit verification of written notification of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility to the local safety authorities as specified. Ensure that this notification is sent annually.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: Two staff person's record did not contain written verification of annual minimum 12 hours of childcare training. (staff #1 and #4).

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training. Obtain and submit written verification of annual minimum 12 hours of childcare training for the identified staff person.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Three staff person's record did not contain the required CPSL hiring documents (#1- lacked the required clearance documents for a staff person who has lived outside of PA in the past 5 years. (#2-hired 11/14/22- observed working with children and lacked proof of completed FBI, Child Abuse and NSOR ) (#5 hired 12/5/22 -no proof of requests for NSOR)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 and #2 may not work in a child care position at the facility. until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required , completed CPSL clearance documents for the identified staff person. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

Regulation: 3280.131(a)(3)

Description: Initial health report for older toddler/preschool no more than 1 year

Noncompliance Area: It could not be determined that the initial health report had been completed within the past 12 months as required for children older toddler age to preschool age as the form was blackened out and could not be read. (child #1)

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age and that it is eligible.

Regulation: 3280.151(c)(3)/3280.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: One staff person's health assessment did not include an examination for communicable diseases and the results of that examination and the physician`s or CRNP`s assessment of the person`s suitability to provide childcare. (staff #2)

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. Obtain and submit an updated health assessment that includes the missing required information.

Regulation: 3280.171(a)

Description: Pick up and drop off points

Noncompliance Area: The operator lacked verification of the annual written notification to local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

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

Regulation: 3280.23(a)

Description: Immediate access

Noncompliance Area: Provider refused to provide Certification Representative immediate access to the facility to conduct the renewal inspection and only permitted access after multiple requests and recitation of the Public Welfare Code.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records. Develop and submit a written policy regarding providing immediate access to agents of the department and inform all staff of this policy.

Regulation: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility's current certificate of compliance and a copy of the 55 PA CODE 3280 regulations were not posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. Post a copy of the facility's current certificate of compliance and regulations in a conspicuous location as specified.

Regulation: 3280.26(b)

Description: Emergency plan

Noncompliance Area: During the inspection conducted on 11/14/22, there was no documentation observed verifying that the emergency plan had been reviewed annually.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility. Submit written verification of the annual review of the emergency plan. Ensure that the plan is reviewed and updated if needed and documented in writing annually as specified.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: Two staff person's record did not contain written verification of annual minimum 12 hours of childcare training. (staff #1 and #4).

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training. Obtain and submit written verification of annual minimum 12 hours of childcare training for the identified staff person.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Three staff person's record did not contain the required CPSL hiring documents (#1- lacked the required clearance documents for a staff person who has lived outside of PA in the past 5 years. (#2-hired 11/14/22- observed working with children and lacked proof of requests for FBI, STATE POLICE and CHILD ABUSE and at least completed FBI or STATE POLICE) (#5 -no proof of requests for NSOR)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 and #2 may not work in a child care position at the facility. until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required , completed CPSL clearance documents for the identified staff person. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

Regulation: 3280.34(b)(5)/3280.192(2)(ii)

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

Noncompliance Area: One staff person's record did not contain written verification of education and/or experience for their primary staff position (staff #2 and #3)

Correction Required: A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Obtain and submit written verification of education and/or experience for the indicated staff person. Ensure that all staff records have written verification of education and experience for their positions.