Little Scholars Academy Of Efforts Inc

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires the emergency contact and agreement forms to be reviewed and updated at least every 6 months. These forms for the following children were not updated at least every 6 months: Child #4 (previous 4/2025, no current) and Child #5 (previous 8/8/24, no current).

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(b)(2)/3270.182(1)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of birth. Regulation requires older toddler and preschool aged children to provide an updated health report at least every 12 months. The following children's files were missing the 12-month updated health report: Child #3 (previous 3/12/25, no current) and Child #4 (previous 8/22/24, no current).

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to renew their pediatric first aid/CPR training prior to the current certification expiring. The following staff did not renew their pediatric first aid/CPR prior to the current certification expiring: Staff #6 (previous 4/18/13 and current 6/30/25) and Staff #9 (pervious 4/18/23, current6/28/25).

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required pre- service trainings are completed, staff #6 and #9 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff #6 and #9, staff #6 and #9 may not work in a child-care position at the facility.

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

Description: Fire safety - 1 yr.

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in annual fire safety training. The following staff did not participate in annual fire safety training: Staff #1, #2, #3, #4, #5, #6, #7, #8 and #9. (previous training for all 3/25/25, current training for all 4/23/26)

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. In the outdoor play area, blue and orange seats were observed. These seats were cracked and rusting. The seats were identified and discussed with staff during this inspection.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires children's emergency contact and agreement forms to be updated at least every 6-months. The following children's forms were not updated at least every 6-months: Child #1 emergency contact and agreement forms previous 5/23/24 and current 3/31/25 and Child # 5 emergency contact and agreement form previous 2/9/24 and current 1/25/25.

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: 3270.161(a)

Description: Wholesome

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. Children's lunchboxes were observed not refrigerated that contained meat and dairy. These items require refrigeration for proper storage. These food items needing refrigeration were discussed with staff.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's emergency plan was conducted. Regulation requires the facility to conduct an annual emergency drill. At the time of the inspection, the director was only able provide documentation that the last emergency drill the facility participated in was conducted on 3/22/24, which was conducted over a year ago from the date of this inspection.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to complete 12 hours of annual child care training. At the time of the inspection, the following staff did not have 12 hours of annual child care training: Staff #2 (10 hours needed), Staff #3 (10 hours needed), Staff #4 (5 hours needed) and Staff #7 (8 hours needed).

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training. Staff #2 completed this training on 12/13/22, which was after the staff's 90-day hire date.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for The CPSL requires staff to update their mandated reporter training at least every 60 months. The following staff did not update their mandated reporter training at least every 60 months: Staff #1 (pervious 11/1/19, current 4/23/25), Staff #4 (previous 4/27/20, no current) and Staff #5 (previous 3/10/20, current 4/22/25). The CPSL requires staff to obtain mandated reporter training within 90 days of their hire date. Staff #2 did not participate in mandated reporter training until 9/30/22, which was after 90 days of the staff's hire date.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Until such time as the required training has been completed, staff persons #1, #2, #4 and #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #1, #2, #4 and #5, staff persons #1, #2, #4 and #5 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. The CPSL requires staff to update their clearances at least every 60 months. The following staff did not update their clearances at least every 60 months: Staff #1 (child abuse previous 10/21/19 and current 1/6/25), Staff # 6 (FBI previous 5/10/17 and current 4/20/43) and Staff #8 (NSOR previous 4/24/20, no current) The following staff were not hired correctly per the CPSL: Staff #2 did not receive a child abuse clearance prior to their hire date per the CPSL. Staff #2 also did not apply for the FBI clearance prior to their hire date per the CPSL. Staff #2 did not apply for the child abuse clearance until 6/16/22 and the FBI clearance until 7/8/22, which both were after the staff's hire date. Staff #3 did not apply for the FBI clearance prior to their hire date per the CPSL. Staff #3 did not apply for the FBI clearance until 12/8/22, which was after the staff's hire date. Staff #5 did not receive their NSOR clearance prior to their hire date per the CPSL. Staff #5 received the NSOR clearance on 10/22/21, which was after the staff's hire date.

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, #2, #3, #5, #6, #7 and #8 may not work in a child care position with direct contact with children at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. At the time of the inspection, the following staff were employed with the facility for more than 1-year, and the director was unable to provide an evaluation of these staff: Staff #7, #8 and #9.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. Regulation requires toxic materials and items to be kept locked or inaccessible to children. In the toddler area, 2 diaper creams were found. In the changing areas near the preschool areas, several diaper creams were found along with staff purses. Children were observed to be receiving care in these areas that had items that were accessible to children and these items indicated the need to be kept out of reach of children. In small back-room bathroom, several diaper creams were found. All these accessible items were discussed with staff.

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

Regulation: 3270.31(f)(10)

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

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staff's start date. Staff #2 did not complete pediatric first aid/CPR training within 90 days of hire as required by regulation. Staff #2 completed this training on 10/31/24 which was 90 days after the start date of Staff #2.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: An unannounced inspection occurred at the facility on 3/10/25. A review of staff files was conducted. The CPSL and regulation requires staff to have applied and or received the state police clearance prior to working in a child care role. See the code sheet for the start date. Staff #2 did not have a state police clearance on file until 3/10/25 which was after working in a child care role at the facility. The CPSL and regulation require staff to update their clearances at least every 60 months. Staff #4 had a child abuse clearance dated for 11/27/18, which expired on 11/27/23, and was not updated until 3/21/24.

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 #2 and #$ may not work in a child care position at the facility.

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. Full and complete files for the following staff was requested for review at the time of the inspection: Staff #1, #2, #3 and #4. Full and complete files were not provided for review of the following Staff: #1, #2, #3 and #4.

Correction Required: An individual record is required for each facility person.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: An unannounced inspection occurred at the facility. A physical site review was conducted. In the preschool middle section, cleaning supplies were found accessible to children in the black cabinet. In the 3- and 4-year-old section, cleaning supplies and other items that indicated to keep out of reach of children were found near the teacher's desk. In the front older toddler section, Lysol spray and wipes were found in the file cabinet and on the windowsill. In the walk area to the bathroom, diaper creams, laundry detergent and soap were found accessible. Cleaning material was found near the sick of this area as well. In the closet near the bathroom, paint, Lysol Cleaner, tile foam, bug spray and spackle were found accessible to children. All of the areas listed were shown and discussed with the Legal Entity. The items all indicated the need to be kept out of reach of children and children were observed receiving care in these areas.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: An unannounced inspection occurred at the facility. A review of the facility's fire drill log was conducted. At the time of the inspection, Staff #5 was only able to provide documentation of a fire drill that occurred on 1/8/25. Staff #5 indicated that Staff #3 had thrown away all previous documentation and this is why they were unable to provide any other fire drill documentation.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: An unannounced inspection occurred at the facility. A review of the facility's fire safety system testing log was conducted. At the time of the inspection, Staff #1 was only able to provide documentation a fire safety system test that occurred on 1/8/25. Staff #1 indicated that Staff #2 had thrown away all previous documentation and this is why they were unable to provide any other fire safety system testing logs.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Fourteen red and blue vinyl rest mats in the Preschool 1 Room and nine blue and red vinyl rest mats in the older toddler room were observed to have edges that were torn, exposing the inner foam.

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

Regulation: 3270.111(a)/3270.111(b)

Description: Written plan/Posted in group space

Noncompliance Area: A written plan of daily activities and routines, including a time for free play, was not observed in the Infant Room.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: There was no documentation on file that showed that a child care agreement had been signed by Child #1 and Child #2's parents.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child #2, Child #5, and Child #6 (see code sheet for date of admission) did not have a child service report on file which included information about the child's growth and development in the context of the services being provided.

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

Regulation: 3270.124(b)(2)/3270.124(b)(7)

Description: Physician name, address, phone/Name/address/phone release person

Noncompliance Area: The emergency contact information on file for Child #2 and Child #6 did not include the telephone number of the child's physician or source of medical care. Also, emergency contact information on file for Child #6 did 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 child's physician or source of medical care. 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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information on file for Child #5 did not include health insurance coverage or policy number information.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The only emergency contact information on file for Child #2 was dated 3/11/21; for Child #4 was dated 9/14/21; for Child #5 was dated 7/6/22; and for Child #6 was dated 3/31/23. The financial agreement on file for Child #2 was not dated; for Child #4 was dated 4/14/23; for Child #5 was dated 7/6/22; and for Child #6 was dated 4/3/23. For each child, more than 6 months had passed since emergency contact and financial agreement forms were signed, updated, and reviewed by parents.

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: The record for Child #5 (see code sheet for date of admission) did not contain an initial health assessment on file within the first 60 days of enrollment. The only health assessment on file was dated 8/14/23.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff #5 (see code sheet for date of hire) had documentation that they completed the Health and Safety Update on 4/14/23. The Health and Safety update was required to be completed by 12/30/2022 for existing staff.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR.

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. Until such time as the required pre-service trainings are completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The provider's written policy did not include the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child, or the prevention and identification of child maltreatment.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The OCDEL ANNOUNCEMENT C-22-03 requires child care providers to have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan on file did not include a continuity of operations.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Regulation: 3270.151(a)

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

Noncompliance Area: Staff #3 (see code sheet for date of hire) had a health assessment on file dated 2/29/24 and Staff #6 (see code sheet for date of hire) had a health assessment on file dated 8/31/23. Both health assessments should have been completed prior to the staff working with children. Staff #6 had no health assessment on file.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: There was no documentation on file indicating that the local traffic safety authorities were notified of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

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

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: Written notification of safe routes were not observed at a conspicuous location in the child care facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: The comprehensive general liability insurance documents on file were dated 2/13/23 to 2/13/24 and 3/31/24 to 3/31/25. There was a lapse in the required insurance from 2/14/24 to 3/30/24.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: The file for Child #2 and Child #3 did not have signed parental consent for emergency medical care or the administration of minor first-aid procedures by facility staff.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff #2, Staff #6, and Staff #9 only had one written, nonfamily reference on file. Staff #5 had no nonfamily references on file.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2 had not completed the following required pre-service training within 90 days of their date of hire (see code sheet for date of hire): pediatric first aid/CPR. Staff person #2 completed the training on 4/18/23.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1- 10) within 90 days of hire.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #4 and staff person #5 had not completed mandated reporter training prior to the previous training expiring. This is evidenced by the documented mandated reporter training on file being dated 11/17/15 and 4/13/23 for staff person #4 and 5/20/15 and 4/14/23 for staff person #5.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #2 (see code sheet for date of hire) showed that they did not request the FBI Clearance until 4/20/23, which is after they began working with children. The file for Staff #3 (see code sheet for date of hire) showed that they did not request the NSOR Certificate until 2/22/24 or the DHS FBI Clearance until 2/15/24, which is after they began working with children. Staff #4 had state police clearances on file dated 10/12/17 and 7/28/23 and child abuse clearances on file dated 11/8/15 and 12/13/21. These clearances were obtained after the previous ones had already expired. Staff #6 (see code sheet for date of hire) did not have an NSOR Certificate on file or proof that they requested the NSOR Certificate prior to working with children. The file for Staff #8 (see code sheet for date of hire) showed that they did not request the NSOR Certificate until 3/27/23 and did not have a completed NSOR Certificate until 4/19/23. The file for Staff #9 (see code sheet for date of hire) contained an NSOR certificate dated 3/13/23, which is after the staff began working with children, and did not contain a request for the NSOR showing that they requested the clearance prior to working with children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A staff 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 #6 may not work in a child care position until the completed clearance is on file at the facility.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: Staff #9 had foreign education on file, which was not evaluated prior to them working with children, and there was no proof on file which indicated that staff #9 had met the minimum education requirements for them to qualify as a staff.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The last staff evaluation on file for Staff #8 was dated 3/30/23 and for Staff #9 was dated 3/29/23. An updated staff evaluation should have occurred by March 31, 2024.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: A protective receptable cover was missing from the electrical outlet that was located on the wall to the right of the brown couch in the Infant Room, accessible to the mobile infants in the room.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Hand sanitizer, labeled keep out of reach of children, was observed on a desk, about hip height, in the Pre-K 2 room. Also, hand sanitizer was observed on a wooden shelf, about hip height, in the restroom that was located in the Infant Room. This hand sanitizer was accessible to the toddlers who were using that restroom.

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

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: The telephone number of the nearest fire department, ambulance, and poison control center were not posted by the telephone in the Infant Room.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The doors leading to the outdoor play area were covered in small rusty holes and one of the doors had a fist-sized hole with sharp, jagged edges.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A handwashing sign was not observed by the kitchen sink or the diapering area in the Infant Room.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: The exit door in the Young Toddler Room was locked shut while children were observed in care.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Fire drills were not conducted every 60 days as evidenced by the following fire drill logs that were on file: 7/28/23 to 9/28/23, and 11/21/23 to 2/1/24.

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

Regulation: 3270.31(a)/3270.191

Description: Age and Training/Individual Records

Noncompliance Area: During the inspection, the operator admitted to the certification representative that child #1 and child #2, who are younger than 16 years of age, are part of a "summer work program" and have been volunteering at the facility (see LIS code sheet for date of birth). No volunteer file was on site.

Correction Required: A volunteer shall be 16 years of age or older and shall be directly supervised at all times by a staff person. An individual record is required for each facility person.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the onsite inspection, there was no PA State Police clearance for staff person #1.

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 may not work in a child care position at the facility.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: During the onsite inspection, the last documented fire drill being conducted was on 4/21/23 and is past the 60 day requirement.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an onsite inspection, the operator was unable to test their fire detection system and did not have an annual fire inspection report completed within the past 12 months.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an onsite inspection, the operator was unable to test their fire detection system and did not have an annual fire inspection report completed within the past 12 months.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. The operator will cease operation by the close of business on 8/2/23 unless a temporary smoke detection system can be put in place and operability of the temporary smoke detection system is demonstrated. This demonstration may be done live or in-person. This temporary measure must remain in place until the applicable testing report is submitted to DHS.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person/#- 3 have not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person # 3- will have until 5/10/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #-3 must be supervised, when interacting with children, by an AGS, e staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #-3, staff person#-3 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Per inspection on 4/24/23 record review revealed that staff # 2 is working at the facility with an expired FBI clearance and staff persons # 1& 3 do not have a record of a NSOR clearance.

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, child abuse registry clearance information, NSOR Clearance information, copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #-2-&-3 may not work in a childcare position at the facility.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During inspection on 2/23/23 observed 17 pre-school children within the Pre-School room. Staff number 1 identified 5 children as assigned to her. Staff number 2 identified 8 children that were assigned to her. Interview revealed a 3rd staff was late arriving at the facility resulting in four children not assigned to a specific staff person.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During inspection on 2/23/23 observed staff #3 with a group of 5 older toddlers and one infant. This was observed from 9:50 until 9:53 when another staff arrived and was assigned.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff: child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Inspection on 4/29/22 revealed that staff numbers; 1,2,3,4,5 & 6; the pre-school and toddler staff are not assigned to specific children.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: Review of emergency plan revealed that the operator does not have a plan for accommodations of 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(b)/3270.51

Description: Staff person - 18 yrs./Similar Age Level

Noncompliance Area: Inspection on 4/29/22 per record review revealed that 10 young toddlers were being cared for by staff number 4. Facility person number 6 who was with the group does not qualify as staff per this facility person is 17.

Correction Required: A staff person shall be 18 years of age or older. When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.31(e)(4)(i)/3270.31(f)(10)

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

Noncompliance Area: Inspection on 4/29/22 revealed that staff number 3, 4 & 6 do not have a valid record of; certification in pediatric first aid and pediatric cardiopulmonary resuscitation.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Inspection on 4/29/22 revealed that staff number ,1 2 & 3 have not completed profeffsonal development training.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:

Noncompliance Area: The thermometer in the refrigerator was broken, therefore no temperature reading was displayed.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: There is a play mat in the toddler room that is torn along the edges making it unable to be properly sanitized.

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

Noncompliance Area: There are two pack and plays in the toddler room that are not labeled for individual use.

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

Noncompliance Area: The agreement on file for Child # 1 does not have release persons provided by the parent.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: The financial agreement on file for Child # 1 was not signed by the operator or the parent.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

Noncompliance Area: There is no release persons addresses listed on the emergency contact forms on file for children # 1 and # 2.

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.

Noncompliance Area: The emergency plan on file was not reviewed annually; the emergency plan was last reviewed by the operator on 2/19/18.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Noncompliance Area: There was no documentation that staff person # 1 had the required minimum of 6 hours of annual child care training.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: Staff person # 1 started in March, 2017 and has not completed annual fire safety training.

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

Noncompliance Area: Staff person # 2 was hired on 8/28/2018. There is a receipt for fingerprinting in their file dated 12/12/2017; there is no copy of the completed FBI clearance. Staff person # 3 was hired on 11/28/2018; there is no receipt of fingerprinting or copy of their FBI 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 Persons # 1 and # 2 may not work in a child care position at the facility.

Noncompliance Area: There are television cords hanging from a shelf that are accessible to the children in the infant/toddler room. There are also stained ceiling tiles in the bathroom behind the infant/toddler classroom.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: There was an easel blocking the exit door in the school age room.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: The agreements on file for children # 1 and # 2 did not specify the persons designated by the parent with whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: There is no health insurance name or policy number on file for children 1, 2, 3, 4, and 5. There is also no name address or phone number of the child's physician on file for children # 1, 2, and 4.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: There is no release persons' address listed on the emergency contact form for child # 4.

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.

Noncompliance Area: The cert rep observed staff person # 1 diaper a child. The staff person wore gloves and did not wash their hands or the child's hands after diapering.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: Staff person #1 was hired on 2/12/18; there is no health assessment or TB test results on file. Staff person # 2 was hired on 3/9/18; there is no health assessment or TB test results on file.

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.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: There is no written consent on file for emergency medical care or the administration of minor first-aid for children # 1, 2, 3, 4, and 5.

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

Noncompliance Area: There is no documentation on file that staff person # 1 and # 2 were trained on emergency plan procedures.

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. The operator shall train all facility persons within one week of hire and within one week of all updates.

Noncompliance Area: Staff person # 2 was hired on 3/9/2018; there is no disclosure statement or proof of state police clearance request on file.

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

Noncompliance Area: Staff person # 1 was hired as an Assistant Group Supervisor; there is no proof of education or experience on file.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The facility opened on 3/9/2018 and there is no documentation that a fire drill was held.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: THERE IS NO WRITTEN HEALTH REPORT OR TB SCREENING ON FILE FOR STAFF PERSON # 1.

Correction Required: 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.

Noncompliance Area: THERE ARE NO REFERENCES IN THE FILES FOR STAFF PERSONS # 1 AND # 2.

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

Noncompliance Area: STAFF PERSON # 2 IS QUALIFIED AS A GROUP SUPERVISOR. THERE IS NO PROOF OF EDUCATION OR EXPERIENCE ON FILE.

Correction Required: A group supervisor shall have attained one of the qualification levels specified at 3270.35(b)(1)-(4). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: THE HOT WATER TEMPERATURE IN THE CHILD BATHROOMS IS 114 DEGEREES.

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

Noncompliance Area: THERE IS NO SCISSORS, TWEEZERS, SOAP OR TAPE IN THE FIRST AID KITS.

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.