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Child Care Center ✓ Licensed

Little Sproutz Early Learning Center

Claysburg, PA · Blair County
323 Corporate Blvd, Claysburg, PA 16625
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Quick Facts

Capacity
169 children
Subsidized Program
Participates
State Rating
4

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Contact Information

📞 (814) 239-6039
323 Corporate Blvd
Claysburg, PA 16625
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✓ Licensed Child Care Center
Active License
License Number
CER-00246677
License Issued
Dec 13, 2025
Active Through
Dec 13, 2026
Issued By
Pennsylvania Department of Education and Public Welfare
District Office
Early Learning Resource Center for Region 6

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About the Provider

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LITTLE SPROUTZ EARLY LEARNING CENTER is a Child Care Center in CLAYSBURG PA, with a maximum capacity of 169 children. It is open Monday - Friday, 4:45 AM - 6:00 PM. The provider also participates in a subsidized child care program.

Hours of Operation

  • Monday4:45 AM - 6:00 PM
  • Tuesday4:45 AM - 6:00 PM
  • Wednesday4:45 AM - 6:00 PM
  • Thursday4:45 AM - 6:00 PM
  • Friday4:45 AM - 6:00 PM
  • Saturday Closed
  • Sunday Closed

Inspection/Report History

Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.

Inspection Date Reason Description Status
2026-05-20 Allocated Unannounced Monitoring 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test Compliant - Finalized

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The files of staff #1 and #5 had documentation of obtaining health assessments after their first day in care with children.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #5 had an appropriate health assessment, one provided by the state, and completed.
2026-05-20 Allocated Unannounced Monitoring 3270.151(b) - Conducted by physician, PA or CRNP Compliant - Finalized

Regulation: 3270.151(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The file of staff #2 had a health assessment not dated. The file of staff #3 had a health assessment without the medical professional's title and signature, and date.

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

Provider Response: (Contact the State Licensing Office for more information.)
A date will be obtained for the health assessment for staff#2 from the physician. For staff#3, a new health assessment will be obtained and will be written and signed by a physician, physician assistant or CRNP. The signature will include the individual's professional title and date of physical obtained.
2026-05-20 Allocated Unannounced Monitoring 3270.161(a) - Wholesome Compliant - Finalized

Regulation: 3270.161(a)

Description: Wholesome

Noncompliance Area: Observed a lunchbox with yogurt not refrigerated in the K Prep room labeled for child #1.

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

Provider Response: (Contact the State Licensing Office for more information.)
Moved all lunchboxes to the kitchen to be refrigerated. This change was discussed with all staff during Professional Development Day 5/22/26
2026-05-20 Allocated Unannounced Monitoring 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #1 had documentation of obtaining the NSOR clearance after their date of hire due to the fact it was dated 4-8-26 (see LIS code sheet). The file of staff #2 had documentation of obtaining the FBI clearance after their date of hire due to the fact it was dated 3-19-26 (see LIS code sheet). The file of staff #4 had lacked a Disclosure statement at the time of rehire. The file of staff #5 had documentation of obtaining the PA State Police clearance and signed Disclosure Statement after their date of hire due to the fact PSP was dated 10-14-26 and Disclosure Statement was dated 10-14-26 (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Provider Response: (Contact the State Licensing Office for more information.)
Spreadsheet has been completed and updated for frequent review. Staff #4 completed a Disclosure statement.
2026-05-20 Allocated Unannounced Monitoring 3270.36(b)(5)/3270.192(2)(ii) - HS/GED + 2 yrs/Exp, educ., training prior to facility Compliant - Finalized

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

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

Noncompliance Area: The file of staff #1, an AGS lacked proof of education.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff#1 will obtain HS Diploma prior to returning to employment
2025-09-23 Renewal 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos Compliant - Finalized

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file of children #3 and #4 lacked documentation of parents reviewing the emergency contact forms and financial agreements every 6 months.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Have parents sign forms after review for accuracy. Child #$ is no longer at the center.
2025-09-23 Renewal 3270.133(5) - Original label Compliant - Finalized

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: Observed medication for child #5 with an expiration date of 12-2023.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Provider Response: (Contact the State Licensing Office for more information.)
Threw expired medication away.
2025-09-23 Renewal 3270.133(7) - Medication log Compliant - Finalized

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: There was no medication log for the prescription medication observed for child #5.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Provider Response: (Contact the State Licensing Office for more information.)
Cleaned out medication box. Got rid of medications for children no longer attending and/or expired.
2025-09-23 Renewal 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test Compliant - Finalized

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Observed a health assessment for staff #1 that was dated after their initial employment. Observed health assessments more than 24 months apart for staff #3 due to the fact they were dated 8-30-24 and 8-23-22.

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.

Provider Response: (Contact the State Licensing Office for more information.)
All health assessments are current.
2025-09-23 Renewal 3270.192(2)(iv) - Transcript, diploma and letters Compliant - Finalized

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: The file of staff #6 completed Mandated Reported more than 60 months apart due to the fact they were dated: 8-15-23 and 5-15-18.

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

Provider Response: (Contact the State Licensing Office for more information.)
Admin assistant will go through all files to ensure compliance.
2025-09-23 Renewal 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2 has completed Pediatric First-aid and CPR training, however (the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum. Staff person #4 has completed Pediatric First-Aid and CPR training, however (the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum/ the trainer has not provided documentation that they are PQAS-certified in that training curriculum).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff persons #2 and #4 must be supervised, when interacting with children at a minimum by, an (AGS, primary staff person, or family child care home staff person) 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 persons #2 and #4, staff persons #2 and #4 may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
We have scheduled a first aid and CPR training for 10-27-25.
2025-09-23 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #1 lacked an FBI clearance at the time of hire. The file of staff #3 had NSOR clearance late due to the fact they were dated 4-15-25 and 1-16-20. The file of staff #5 had an invalid PSP clearance due to the fact the one on file lacked a disseminated date.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #5 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #5 may not work in a child care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 has FBI sent to licensor via email. Staff #3 has NSOR. Staff #5 corrected while licensor was on site.
2025-09-23 Renewal 3270.66(a) - Locked or inaccessible Compliant - Finalized

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed Desitin in the bookbag for child #1 and Sun Bum brand sunscreen in the bookbag for child #2 both labeled, "keep out of the reach of children" and both stored in cubbies accessible to children in care.

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

Provider Response: (Contact the State Licensing Office for more information.)
Sent a message to all families and staff via My Bright Day app asking everyone to hand all ointments and sunscreens and anything that says, "keep out of the reach of children" to the teacher.
2025-09-23 Renewal 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Based on the fire detection testing log the system was tested more than 30 days apart on the following dates: 3-6-25 to 4-9-25 = 34 days and 4-19-25 to 5-30-25 = 40 days.

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.

Provider Response: (Contact the State Licensing Office for more information.)
We have called and emailed Sheetz as they conduct our testing. We will make sure testings are no more than 30 days apart.
2024-09-19 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed in the "K-Prep" room a wooden market sign in the dramatic play area that was not secure causing a potential crush hazard.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Teachers were made aware that the wooden market stand needed to be secured. When in use, the stand will be secured between furniture or with a weight such as a box of sand weighing 20-25 pounds.
2024-09-19 Renewal 3270.124(b)(7) - Name/address/phone release person Compliant - Finalized

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The files of children #1 and #3 lacked emergency contact forms with the complete addresses of the individuals designated by the parents to whom the children may be released.

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

Provider Response: (Contact the State Licensing Office for more information.)
Parents of children #1 and #3 were immediately contacted and asked to provide the complete addresses of the individuals designated by the parents to whom the children may be released in the parent portal.
2024-09-19 Renewal 3270.124(e) - Written emergency plan posted Compliant - Finalized

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: At the time of the inspection, there was not a posting of the transportation plan in the Pre-School 1 room.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Provider Response: (Contact the State Licensing Office for more information.)
The emergency transportation plan from the Ready to Respond emergency plan was copied and inserted into Preschool #1 emergency plan.
2024-09-19 Renewal 3270.133(4) - Locked Compliant - Finalized

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: At the time of the inspection, observed in the "K-Prep" room a staff's purse hanging in a child's cubby accessible to children. Upon inspection of the purse, observed over the counter medication packets.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Provider Response: (Contact the State Licensing Office for more information.)
Staff in the Kindergarten Prep room were immediately informed that over the counter and prescription medications were not allowed to be in the room in the reach of children. All medications need to be fully labeled with the name of staff/child and placed in the locked medication box in the locked cupboard in the classroom.
2024-09-19 Renewal 3270.181(c) - Emergency info/agreement updated 6 mos Compliant - Finalized

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The file of child #2 lacked documentation of parent review of the financial agreement every 6 months.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Provider Response: (Contact the State Licensing Office for more information.)
The parent of child #2 was contacted and asked to update the form with a signature and date. Parent was also reminded to be watchful of email reminders informing them of forms that need to be updated for their children.
2024-09-19 Renewal 3270.27(a)(6) - Emergency plan Compliant - Finalized

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: At the time of reviewing the most recent Emergency Plan Drill log, the log lacked the names of participants.

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

Provider Response: (Contact the State Licensing Office for more information.)
The center will use PA form CD356 to document all emergency drills.
2024-09-19 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files of staff #1, #2, #3, #4, and #5 lacked the current signed dated Disclosure Statement.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The director has downloaded, printed, and had staff #1, #2, #3, #4, and #5 re-sign the correct Disclosure statement and the form has been places in each staff member's file.
2024-09-19 Renewal 3270.66(a) - Locked or inaccessible Compliant - Finalized

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: At the time of the inspection, observed in the "K-Prep" room a staff's purse hanging in a child's cubby accessible to children. Upon inspection of the purse, observed Stain removal spray labeled "keep out of the reach of children".

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

Provider Response: (Contact the State Licensing Office for more information.)
All staff have been advised during our staff meeting that all personal items, purses, backpacks, etc., should be in a locked cupboard or closet if it is in the classroom. If they would like to have it in another location, the staff lounge, has a closet those items can be stored in. If they have anything in their purse or backpack that states, "keep out of the reach of children" it must be locked in a cupboard or closet or left in the staff lounge out of the children's reach. Administration will spot check daily to ensure teachers' purses and backpacks are stored as required.
2024-09-19 Renewal 3270.82(h) - Handwashing signs Compliant - Finalized

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: At the time of the inspection, the restroom on the right in the "K-Prep" room lacked a handwashing sign.

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.

Provider Response: (Contact the State Licensing Office for more information.)
On the day of the inspection, after being made aware that the sign was missing from the Kindergarten K Prep classroom, a new sign was printed, laminated, and hung in the bathroom.
2023-09-25 Renewal 3270.102(a) - Clean and good repair Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 9/25/23 observed a frayed carpet square and approximately a 1-inch tear with exposed foam on the green and tan mat in The Heart. On 9/25/23 observed a frayed basket containing musical instruments and approximately a 3-inch crack in a Geoboard in the Preschool 1 Room.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Carpet squares were removed from the area, basket was removed from the room, mat was repaired, and the cracked Geoboard was thrown away.
2023-09-25 Renewal 3270.102(c) - Outdoor equip.- protective surfacing Compliant - Finalized

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: On 9/25/23 observed embedded equipment in the preschool outdoor play space with approximately 1 to 3 inches of rubber mulch. The Consumer Product Safety Commission recommends 6 inches of rubber mulch as protective surface covering.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Provider Response: (Contact the State Licensing Office for more information.)
The preschool outdoor climbing apparatus was fenced off, pending delivery of additional mulch to ensure the 6 inch depth.
2023-09-25 Renewal 3270.106(f) - 2 feet apart Compliant - Finalized

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: On 9/25/23 observed 2 children sleeping in cribs located beside each other in the Infant 2 Room with approximately 2 inches between the cribs.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Provider Response: (Contact the State Licensing Office for more information.)
The cribs in the infant room were rearranged on 9/25/23 in order to allow for two feet of space between each crib.
2023-09-25 Renewal 3270.123(a)(3) - Services proceeded Compliant - Finalized

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files of Children #1, #2, and #3 lacked child service reports completed at least every 6 months. The file of Child #1 contained Child Service Reports dated 4/21/22, 9/23/22, and 6/16/23. The file of Child #2 contained Child Service Reports dated 6/14/22, 9/20/22, and May 2023. The file of Child #3 contained Child Service Reports dated 9/20/22 and May 2023.

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).

Provider Response: (Contact the State Licensing Office for more information.)
Children #1, #2, and #3 have current child service reports. The center has calendared the next due dates for the child service reports for Children#1, #2, and #3 and will ensure that child assessments are performed by the 6 month timeframe.
2023-09-25 Renewal 3270.124(c) - Each child care space Compliant - Finalized

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: On 9/25/23 emergency contact information was not present for Children #5, #6, and #7 in the Preschool 2 Room when receiving care in that room.

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.

Provider Response: (Contact the State Licensing Office for more information.)
On 9/25/23, emergency contact information forms were added to the Preschool 2 classroom for children 5, 6, and 7.
2023-09-25 Renewal 3270.124(e) - Written emergency plan posted Compliant - Finalized

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously and did not accompany a staff person when children were taken outside in the following rooms: Infant 1, Infant 2, Toddler 1, Toddler 2, Two's 1, Two's 2, Preschool 1, Preschool 2, and Kindergarten Prep.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Provider Response: (Contact the State Licensing Office for more information.)
An addendum was added to the emergency response plan indicating the means of transporting a child to emergency care and included statements of who would accompany the child until parents were able to arrive to assume responsibility for the child. The statement was added to each emergency plan in each classroom cited as well as any common area of the center that displays the emergency plan on 9/25/2023
2023-09-25 Renewal 3270.131(b)(1) - Infant: updated health report every 6 months Compliant - Finalized

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file of Child #3 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #3 contained health reports dated 1/27/22, 12/13/22, 12/30/22, and 7/5/23.

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

Provider Response: (Contact the State Licensing Office for more information.)
All child health reports were updated and are in compliance.
2023-09-25 Renewal 3270.131(b)(2) - Toddler/preschool: updated health report every 12 months Compliant - Finalized

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file of Child #1 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #1 contained a current health report dated 3/16/23 with a previous one dated 12/9/21.

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.

Provider Response: (Contact the State Licensing Office for more information.)
All child health reports were updated and in compliance.
2023-09-25 Renewal 3270.131(d)(5)/3270.131(e)(3) - Immunization record/Dismissal policy Compliant - Finalized

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

Description: Immunization record/Dismissal policy

Noncompliance Area: Child #4, a 21-month-old, lacked an influenza immunization according to the recommendations of the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Provider Response: (Contact the State Licensing Office for more information.)
Child #4's parent was contacted immediately on 9/26/23 and the center received an exemption note from the parent stating they object to the flu vaccine.
2023-09-25 Renewal 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file of Staff #12 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022. The file of Staff #12 contained documentation of completing the health and safety update on 1/6/23.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The staff file had a copy of the Pennsylvania Health and Safety Update 2022. The certificate was dated 1.6.23, which was after the deadline.
2023-09-25 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

Regulation: 3270.151(a)

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

Noncompliance Area: The files of Staff #2 and #5 lacked a health assessment conducted every 24 months. The file of Staff #2 contained a current health assessment dated 8/22/23 with a previous one dated 8/11/21. The file of Staff #5 contained a current health assessment dated 8/23/22 with a previous one dated 4/13/20. The file of Staff #3 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #3 contained a health assessment dated 6/22/23.

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.

Provider Response: (Contact the State Licensing Office for more information.)
All staff have current physicals in their file.
2023-09-25 Renewal 3270.151(c)(2) - Mantoux TB Compliant - Finalized

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file of Staff #3 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). Staff #3 had a Mantoux test read date of 11/12/21.

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #3 scheduled and received an updated Tuberculosis screening on 10/16/23.
2023-09-25 Renewal 3270.151(c)(3) - Exam communicable disease Compliant - Finalized

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The file of Staff #9 contained an adult health assessment which did not include an examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #9 contacted the physician on 9/26/23 and had an updated physical form faxed which included assessment that the staff member did not have a communicable disease.
2023-09-25 Renewal 3270.151(c)(5) - Physician/CRNP assessment Compliant - Finalized

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The files of Staff #9 and #10 contained an adult health assessment which did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #9 had an updated assessment sent on 9/26/23 and staff #10 received an updated health assessment on 9/27/23 that include the medical provider's assessment that they are suitable to provide childcare.
2023-09-25 Renewal 3270.165 - Menus Compliant - Finalized

Regulation: 3270.165

Description: Menus

Noncompliance Area: The operator did not conspicuously post the menu at least 1 week in advance.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Provider Response: (Contact the State Licensing Office for more information.)
On 9/25/23, the October Menu was posted on the parent board and sent to all families.
2023-09-25 Renewal 3270.171(a) - Pick-up and drop-off points Compliant - Finalized

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The operator did not 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.

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.

Provider Response: (Contact the State Licensing Office for more information.)
On 9/27/23, an updated emergency plan was sent to local and county officials, which included the traffic pattern for Little Sproutz.
2023-09-25 Renewal 3270.181(c) - Emergency info/agreement updated 6 mos Compliant - Finalized

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact and agreement for Child #2 were not reviewed and updated at least once in a 6-month period. Child #2's emergency contact was reviewed 3/3/22, 8/8/22, and 6/20/23. Child #2's agreement was reviewed on 9/28/22.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Provider Response: (Contact the State Licensing Office for more information.)
Parents of Child #2 will update the emergency contact by October 30th, 2023 and the financial agreement was immediately updated on 9/26/23 and in October and April to remain in compliance with regulations.
2023-09-25 Renewal 3270.27(a)(5) - Emergency plan Compliant - Finalized

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility did not have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The facility added a section to the emergency plan that specifically addresses Special Medical, Physical, Behavioral Needs or Disabilities. The Bright Horizons Child and Employee Accommodations Form is also included with the Emergency Response plan.
2023-09-25 Renewal 3270.27(a)(6)/3270.27(f) - Emergency plan/Emergency plan Compliant - Finalized

Regulation: 3270.27(a)(6)/3270.27(f)

Description: Emergency plan/Emergency plan

Noncompliance Area: The facility created an emergency drill log, but it did not address the names of facility persons and any other adults that participated in the drill, special accommodations the facility used for any category of children, the total number of adults and children participating in the drill, and problems encountered or observations during the drill.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Provider Response: (Contact the State Licensing Office for more information.)
The facility will use the state of PA form to document emergency drills, which will include the names of facility persons and any other adults that participated in the drill, any special accommodations for children, the total number of adults and child who participated in the drill and any problems encountered or observations made during the drill.
2023-09-25 Renewal 3270.27(c) - Training regarding plan Compliant - Finalized

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file of Staff #12 lacked documentation of training regarding the emergency plan on an annual basis. The file of Staff #12 contained documentation of emergency plan training on 8/14/23 with previous training on 2/24/22.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #12 has current emergency plan training. Center director will ensure that staff receive training on the emergency plan at initial employment, at each update and annually.
2023-09-25 Renewal 3270.31(e)(4)(ii) - Fire safety - 1 yr. Compliant - Finalized

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

Description: Fire safety - 1 yr.

Noncompliance Area: The files of Staff #11 and #12 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #11 contained documentation of fire safety training completed on 3/6/23 with previous training completed on 2/4/22. The file of Staff #12 contained documentation of fire safety training completed on 1/15/23 with previous training completed on 5/27/21.

Correction Required: Staff persons shall participate, at least annually, in firesafety 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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #11 and #12 have current fire safety training.
2023-09-25 Renewal 3270.32(a)/3270.192(2)(iii) - Comply with CPSL/Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: Staff #5 and #7 lacked documentation of completing mandated reporter training every 60 months. Staff #5 had documentation of mandated reporter training completed on 8/23/23 with previous training completed on 5/9/18. Staff #7 had documentation of mandated reporter training completed on 8/15/23 with previous training completed on 5/15/18.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #5 and #7 have current mandated reporter training. Center director created an individualized spreadsheet for each staff person to ensure they were aware of due dates for all PA licensing required trainings and clearances.
2023-09-25 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files of Staff #1 and #8 lacked documentation of application for the National Sex Offender Registry Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #1 contained a NSOR dated 5/16/23. The file of Staff #8 contained a NSOR dated 4/13/23. The file of Staff #5 lacked a State Police Clearance, Child Abuse Clearance, and DHS FBI Clearance updated every 60 months. The file of Staff #5 contained a State Police Clearance dated 7/13/23 with a previous one dated 4/17/18. The file of Staff #5 contained a Child Abuse Clearance dated 7/19/23 with a previous one dated 4/25/18. The file of Staff #5 contained a DHS FBI Clearance dated 7/31/23 with a previous one dated 4/30/18. The file of Staff #11 lacked a State Child Abuse and Neglect Registry and Sex Offender Registry Check updated every 60 months from the State(s) in which Staff #11 resided in the last 5 years. The file of Staff #11 contained a State Child Abuse and Neglect Registry dated 7/2/18. The file of Staff #12 lacked a DHS FBI Clearance updated every 60 months. The file of Staff #12 contained a DHS FBI Clearance dated 4/5/23 with a previous one dated 4/4/18. The file of Staff #12 lacked documentation of the National Sex Offender Registry Verification Certificate by July 1, 2020 (SEE LIS Code Sheet). Staff #12 had a NSOR dated 10/5/21.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #11 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #11 may not work in a child care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
All staff have current clearances. Person #11 -- immediately (on 9/26/23) submitted a request for the appropriate clearance from out of the state of PA. Results were received within two hours of request via fax and given to the licensing representative on the 26th. The licensing representative called on 9/27/23 to inform the center that a second clearance was required. We immediately requested through the state of Michigan and received an immediate result which was forwarded to the licensing representative on the 9/27/2023.
2023-09-25 Renewal 3270.34(a)(6) - Staff evaluations Compliant - Finalized

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files of Staff #2, #4, #5, and #12 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The file of Staff #2 contained a written evaluation dated 1/19/23. The file of Staff #4 contained a written evaluation dated 1/13/23. The file of Staff #5 contained a written evaluation dated 3/7/23 with a previous one dated 5/10/21. The file of Staff #12 contained a written evaluation dated 2/16/23 with a previous one dated 11/19/19.

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

Provider Response: (Contact the State Licensing Office for more information.)
Every single staff member had an evaluation on or before October 6, 2023 and will have another evaluation on or before October 6th, 2024.
2023-09-25 Renewal 3270.36(b)(5)/3270.192(2)(ii) - HS/GED + 2 yrs/Exp, educ., training prior to facility Compliant - Finalized

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

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

Noncompliance Area: The files of Staff #3 and #6, who were designated as assistant group supervisors, lacked documentation of 2 years' experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Employee #3 and #6 have provided the Employee Verification form to show they are in compliance. The Employee Verification form has been added to each staff file.
2023-09-25 Renewal 3270.74 - Emergency Numbers Posted Compliant - Finalized

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: The telephone number of the nearest hospital was not posted by each telephone in the following rooms: Infant 1, Infant 2, Toddler 1, Toddler 2, Two's 1, Two's 2, Preschool 1, Preschool 2, and Kindergarten Prep.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The emergency phone information for each phone was updated to include nearest hospital, police, fire department, ambulance and poison control on the day of inspection -- 9/25/23
2023-09-25 Renewal 3270.82(j) - Running water - diapering Compliant - Finalized

Regulation: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: On 9/25/23 the sink at the diapering area in the Toddler 2 Room was not operable. Staff indicated they were taking children to the sink located on the other side of the room to wash hands after diapering.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Provider Response: (Contact the State Licensing Office for more information.)
The sink in the Toddler 2 room was repaired on 9/27/2023.
2023-09-25 Renewal 3270.94(a)(9) - Written record Compliant - Finalized

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: The Director or designated staff person who is responsible for compliance with this chapter conducted fire drills but did not ensure that the written record maintained on file at the facility indicated the hypothetical location of the fire when a drill was conducted on 2/13/23.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Provider Response: (Contact the State Licensing Office for more information.)
Center Leadership updated the fire drill log to conform with all information required by the PA state fire drill/emergency drill log.
2022-11-02 Unannounced Monitoring 3270.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: *2nd citation. Previously cited on 9/20/22. At approximately 1:00 PM Certification Staff observed 2 children lying on rest equipment behind 2 bookshelves in the Two's Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisees.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The staff person supervising repositioned themselves to see, hear, direct, and assess the activity of all children being supervised.
2022-11-02 Unannounced Monitoring 3270.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: ***2nd citation. Previously cited on 9/20/22. At approximately 1:00 PM Certification Staff observed 2 children lying on rest equipment behind 2 bookshelves in the Two's Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisees.

Correction Required: ***The operator will identify where staff should be sitting during nap time on a map of the classroom identifying where staff and children should be placed during naptime. This map will be posted in the classroom.

Provider Response: (Contact the State Licensing Office for more information.)
Staff and administration worked together to create a Nap Map for each classroom -- toddlers, two's and preschool. The map clearly shows where cots should be placed, along with where the teacher should be located if they are seated. The map also describes where classroom furniture should be moved to ensure all children are within sight and sound of the teacher.
2022-11-02 Unannounced Monitoring 3270.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: **2nd citation. Previously cited on 9/20/22. At approximately 1:00 PM Certification Staff observed 2 children lying on rest equipment behind 2 bookshelves in the Two's Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisees.

Correction Required: **The Legal Entity will arrange for all staff to attend a minimum of 3 hours of training on supervision conducted by ELRC Region 6. The training will be submitted to the regional office for approval prior to attendance. Proof of training will be submitted upon completion.

Provider Response: (Contact the State Licensing Office for more information.)
The Director has arranged for STARS Start Up Specialist for ELRC Region 6 to provide onsite training to the Director and Health & Safety Director on November 30th, 2022 from 9:00 AM to 11:00 AM. Start Up Specialist will also provide onsite training to the Little Sproutz Staff at a 3-hour training on Monday, December 5th, 2022 from 6:00 PM to 9:00 PM.
2022-11-02 Unannounced Monitoring 3270.151(c)(3) - Exam communicable disease Compliant - Finalized

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: 2nd citation. Previously cited on 9/22/22. Staff #1 had a health assessment which did not include an examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 requested and received a new health appraisal from her doctor showing that there were no communicable diseases during her health examination. Appraisal was dated 11/4/22.
2022-09-20 Renewal 3270.102(a) - Clean and good repair Non Compliant - Finalized

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 9/20/22 observed 3 torn baskets containing animals in the Kindergarten Prep Classroom. On 9/20/22 observed cracked Magna Tiles in the Kindergarten Prep Classroom. On 9/20/22 observed a torn basket containing tiles in the Preschool 2 Classroom. On 9/20/22 observed cracked Magna Tiles in the Two's 2 Classroom. On 9/20/22 observed cracked Magna Tiles in the Two's 1 Classroom. On9/20/22 observed a torn yellow bean bag star in the Toddler 1 Classroom. On 9/20/22 observed approximately a 3 inch tear on a large pillow in The Heart.

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.

Provider Response: (Contact the State Licensing Office for more information.)
On 9/20/22 all cracked and torn items were removed from the classrooms and disposed.
2022-09-20 Renewal 3270.102(c) - Outdoor equip.- protective surfacing Non Compliant - Finalized

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: On 9/20/22 observed embedded equipment in the outdoor play space with approximately 2 to 4 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Provider Response: (Contact the State Licensing Office for more information.)
Upon citation, center leadership reached out to facilities maintenance on [09/21/2022] to place work order for adding new mulch to the playground area. Facilities maintenance ordered rubber mulch. It is on back order. The embedded equipment will be roped off and not accessible to children until mulch is delivered and distributed under the equipment.
2022-09-20 Renewal 3270.103 - Small Toys and Objects Non Compliant - Finalized

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: On 9/20/22 observed 3 foam blocks with bite marks in the Preschool 1 Classroom.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Provider Response: (Contact the State Licensing Office for more information.)
On 9/20/22 the foam blocks were removed from the Preschool 1 classroom.
2022-09-20 Renewal 3270.113(a) - Supervised at all times Non Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 1:30 PM Certification Staff observed 4 children lying on rest equipment behind an art desk in the Preschool 1 Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The staff person supervising repositioned themselves to see, hear, direct, and assess the activity of all children being supervised.
2022-09-20 Renewal 3270.123(a)(3) - Services proceeded Non Compliant - Finalized

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file of Child #4 lacked the services to be provided to the family and the child on the agreement.

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).

Provider Response: (Contact the State Licensing Office for more information.)
On 9/22/22 the services to be provided to the family and child were added to the agreement.
2022-09-20 Renewal 3270.123(a)(6)/3270.182(2) - Admission date/Application, admission, withdrawal dates Non Compliant - Finalized

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The file of Child #5 lacked the date of the child's admission on the agreement.

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

Provider Response: (Contact the State Licensing Office for more information.)
On 9/22/22 the child's admission date was added to the agreement.
2022-09-20 Renewal 3270.123(b)/3270.182(8) - Parent receives original/Copy of initial and subsequent agreements. Parent receives original. Non Compliant - Finalized

Regulation: 3270.123(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The file of Child #1 contained the original copy of the agreement. The facility did not make a copy for the file and give the original to the parent.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Provider Response: (Contact the State Licensing Office for more information.)
On 9/22/22 the original copy of the agreement was provided to the parents and a copy was placed in the child's file.
2022-09-20 Renewal 3270.124(b)(2) - Physician name, address, phone Non Compliant - Finalized

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file of Child #1 lacked the telephone number of the child's physician or source of medical care on the emergency contact form. The file of Child #3 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

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

Provider Response: (Contact the State Licensing Office for more information.)
On 9/22/22 the telephone number of the child's physician was added to the emergency contact form for child #1 and the complete address of the child's physician was added to the emergency contact form for child #3.
2022-09-20 Renewal 3270.124(b)(3) - Parent home/work address, phone Non Compliant - Finalized

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file of Child #7 lacked the work address and work telephone number of the enrolling parent on the emergency contact form. The file of Child #8 lacked the complete work address of the enrolling parent on the emergency contact form.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Provider Response: (Contact the State Licensing Office for more information.)
On 9/22/22 the work address and work telephone number of the enrolling parent was added to the emergency contact form for #7 and the work address was added to the emergency contact form of child #8.
2022-09-20 Renewal 3270.124(b)(7) - Name/address/phone release person Non Compliant - Finalized

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file of Child #7 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

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.

Provider Response: (Contact the State Licensing Office for more information.)
On 9/22/22 the address of the individual designated by the parent to whom the child may be released was added to the emergency contact form.
2022-09-20 Renewal 3270.131(b)(1) - Infant: updated health report every 6 months Non Compliant - Finalized

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The files of Children #4 and #6 lacked an updated health report at least every 6 months for an infant or young toddler with the reinstating of this regulation on 1/6/22. The file of Child #4 contained health reports dated 6/4/21, 10/26/21, and 7/25/22. The file of Child #6 contained health reports dated 6/22/21, 1/31/22, and 8/3/22.

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

Provider Response: (Contact the State Licensing Office for more information.)
All child health reports were updated with any information available from the physician.
2022-09-20 Renewal 3270.131(b)(2) - Toddler/preschool: updated health report every 12 months Non Compliant - Finalized

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file of Child #7 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #7 contained a health report dated 5/11/21.

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.

Provider Response: (Contact the State Licensing Office for more information.)
All child health reports are updated and in compliance.
2022-09-20 Renewal 3270.131(d)(7) - Free from contagious/communicable disease Non Compliant - Finalized

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The file of Child #2 contained a health report which lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Provider Response: (Contact the State Licensing Office for more information.)
The parent was notified and an updated health form was received.
2022-09-20 Renewal 3270.131(e)(1) - Exemption documentation from parent/guardian Non Compliant - Finalized

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: Child #1, a 3 year old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #2, a 4 year old, lacked Pneumococcal immunizations and a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #2 had documentation of 3 Pneumococcal immunizations. Child #3, a 8 month old, lacked Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, Polio, and a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #3 had documentation of 1 Rotavirus, 1 DTAP/DTP/TD, 1HIB, 1 Pneumococcal, and 1 Polio immunizations. Child #5, a 4 year old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #6. a 20 month old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #7, a 3 year old, lacked Pneumococcal immunizations and a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #7 had documentation of 3 Pneumococcal immunizations. Child #8, a 2 year old, lacked DTAP/DTP/TD, MMR, Varicella, Hepatitis A, and a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #8 had documentation of 3 DTAP/DTP/TD and no documentation of MMR, Varicella, and Hepatitis A immunizations.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Provider Response: (Contact the State Licensing Office for more information.)
Center leadership contacted each family to obtain a current health record from child's physician indicating when the missing immunization(s) was administered. If immunization(s) was not administered according to the schedule recommended by the ACIP, an Immunization Exemption form was completed by the parent and kept in child's file.
2022-09-20 Renewal 3270.135(a)(3) - Disposable diapers Non Compliant - Finalized

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The Preschool 1 Classroom lacked a plastic-lined, hands-free covered can for diapers and pull-ups.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Provider Response: (Contact the State Licensing Office for more information.)
On 9/20/22, a plastic-lined, hands-free covered can for diapers and pull-ups was placed in the Preschool 1 classroom bathroom.
2022-09-20 Renewal 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Non Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan did not address 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.

Provider Response: (Contact the State Licensing Office for more information.)
The emergency plan was updated on 10/14/2022 to include information on the continuity of operations in the event of a center emergency.
2022-09-20 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Non Compliant - Finalized

Regulation: 3270.151(a)

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

Noncompliance Area: Staff #2, #5, #6, and #11 lacked a health assessment conducted every 24 months. Staff #2 had a current health assessment dated 8/11/22 with a previous one dated 2/19/20. Staff #5 had a current health assessment dated 8/29/22 with a previous one dated 7/23/20. Staff #6 had a current health assessment dated 12/20/21 with a previous one dated 12/9/19. Staff #11 had a current health assessment dated 9/19/22 with a previous one dated 9/10/20. Staff #4 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). Staff #4 had a health assessment dated 7/26/22,

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.

Provider Response: (Contact the State Licensing Office for more information.)
All staff have current health assessments as of 9/19/22.
2022-09-20 Renewal 3270.151(c)(3) - Exam communicable disease Non Compliant - Finalized

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: Staff #5 had a health assessment which did not include an examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Provider Response: (Contact the State Licensing Office for more information.)
Staff member received an updated Health assessment.
2022-09-20 Renewal 3270.181(c) - Emergency info/agreement updated 6 mos Non Compliant - Finalized

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact and agreement for Child #6 and #7 were not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #6's emergency contact form was reviewed on 8/25/21, 5/23/22, and 8/1/22. Child #6's agreement was reviewed on 8/1/21, 5/23/22, and 8/1/22. Child #7's emergency contact and agreement were reviewed on 8/1/21, 2/522, and 9/6/22.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Provider Response: (Contact the State Licensing Office for more information.)
Center leadership has created a tracking chart for all emergency contact and agreement updates, so there are no lapses. .
2022-09-20 Renewal 3270.27(c) - Training regarding plan Non Compliant - Finalized

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file of Staff #1 lacked documentation of training regarding the emergency plan at the time of initial employment (SEE LIS Code Sheet). The file of Staff #1 contained documentation of training on 2/24/22.

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.

Provider Response: (Contact the State Licensing Office for more information.)
All facility persons received training regarding the emergency plan on 8/25/22 and the file has been updated with this information at the facility.
2022-09-20 Renewal 3270.27(d) - Plan posted Non Compliant - Finalized

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The operator did not post the emergency plan in the facility at a conspicuous location.

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

Provider Response: (Contact the State Licensing Office for more information.)
A sign was posted on 9/21/22 on the lobby family information board indicating that the emergency plan is posted in the director's office for review upon request.
2022-09-20 Renewal 3270.27(f) - Emergency plan Non Compliant - Finalized

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The operator did not send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Provider Response: (Contact the State Licensing Office for more information.)
A copy of the emergency plan was sent to the local municipality and the county emergency management agency on 9/22/22.
2022-09-20 Renewal 3270.31(e)(4)(i) - Age and Training Non Compliant - Finalized

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff #5, #7, and #11 lacked documentation of renewing their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. Staff #5 had documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed on 8/26/21 with a previous one completed on 4/2/19. Staff #7 and #11 had documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed on 8/26/21 with a previous one completed on 8/1/19.

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.

Provider Response: (Contact the State Licensing Office for more information.)
All staff persons with insufficient CPR and first-aid credentials completed a renewal course on 9/8/22.
2022-09-20 Renewal 3270.31(e)(4)(ii) - Fire safety - 1 yr. Non Compliant - Finalized

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff #2 ,#3 , #5, #6, and #11 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. Staff #2 had documentation of fire safety training competed on 8/15/22 with previous training on 5/27/21. Staff #3 had documentation of fire safety training completed on 8/12/22 with previous training on 5/27/21. Staff #5 had documentation of fire safety training completed on 8/10/22 with previous training on 5/27/21. Staff #6 had documentation of fire safety training completed on 8/18/22 with previous training completed on 5/27/21. Staff #11 had documentation of fire safety training completed on 8/11/22 with previous training completed on 5/27/21.

Correction Required: Staff persons shall participate, at least annually, in firesafety 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.

Provider Response: (Contact the State Licensing Office for more information.)
All staff persons completed fire safety training prior to 8/25/22.
2022-09-20 Renewal 3270.31(f)(10) - Health and Safety Training - Pediatric First Aid and CPR Non Compliant - Finalized

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff #4, #8, #9, and #14 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS Code Sheet). Staff #4, #8, #9, and #14 had documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed on 9/8/22.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Provider Response: (Contact the State Licensing Office for more information.)
All staff persons with insufficient CPR and first-aid credentials completed a renewal course on 9/8/22.
2022-09-20 Renewal 3270.32(a)/3270.192(2)(iii) - Comply with CPSL/Exp, educ., training at facility Non Compliant - Finalized

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: Staff #2, #3 and #6 lacked documentation of mandated reporter training completed every 60 months. Staff #2 had documentation of mandated reporter training completed on 1/21/21 with previous training completed on 1/11/16. Staff #3 had documentation of mandated reporter training completed on 2/12/20 with previous training completed on 2/8/15. Staff #6 had documentation of mandated reporter training completed on 2/1/21 with previous training completed on 1/17/16. Staff #9 lacked documentation of mandated reporter training completed within 90 days of hire (SEE LIS Code Sheet). Staff #9 had documentation of mandated reporter training completed on 9/19/22.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
All staff have current mandated reporter training. A tracking chart has been created by the Center Director to ensure there is no lapse in completion of this requirement every five years and within 90 days of hire.
2022-09-20 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Non Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1, #9, #12, and #13 lacked a valid disclosure statement (SEE LIS Code Sheet). The disclosure statement on file for Staff #1, #9, #12, and #13 was not the one updated in 2020. Staff #2 lacked a State Police Clearance and FBI Clearance updated every 60 months. Staff #2 had a State Police Clearance dated 1/19/21 with a previous one dated 12/29/15. Staff #2 had a FBI Clearance dated 1/21/21 with a previous one dated 12/29/15. Staff #6 lacked a State Police Clearance, Child Abuse Clearance, and FBI Clearance updated every 60 months. Staff #6 had a State Police Clearance dated 8/5/22 with a previous one dated 8/4/17. Staff #6 had a Child Abuse Clearance dated 8/5/22 with a previous one dated 2/21/17. Staff #6 had a FBI Clearance dated 8/10/22 with a previous one dated 2/25/17. Staff #10. a provisional hire, lacked a FBI Clearance within 45 days of hire (SEE LIS Code Sheet). Staff #10 was observed working on 9/22/22 which was past his/her provisional hire end date without a FBI Clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #10 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #10 may not work in a child care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
All staff have valid disclosure statements. All staff have updated clearances. Staff #10 was placed on administrative leave on 9/22/22 until clearance was obtained. A tracking chart has been created to list all staff required clearances and due dates for updated clearances.
2022-09-20 Renewal 3270.34(a)(6) - Staff evaluations Non Compliant - Finalized

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff #2, #5, #6, and #11 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months. Staff #2 had a written evaluation dated 6/2/22 with a previous one dated 2/22/21. Staff #5 had a written evaluation dated 6/3/22 with a previous one dated 8/2/20. Staff #6 had a written evaluation dated 6/3/22 with a previous one dated 12/14/20. Staff #11 had a written evaluation dated 6/3/22 with a previous one dated 9/11/20.

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

Provider Response: (Contact the State Licensing Office for more information.)
All staff have current written evaluations. A tracking chart has been created to list all staff and their due dates for written evaluations. A reminder for these have also been added to the email calendar to serve as a reminder.
2022-09-20 Renewal 3270.74 - Emergency Numbers Posted Non Compliant - Finalized

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: The telephone number of the nearest fire department was not posted by the telephone in the following classrooms: Kindergarten Prep, Preschool 2, Preschool 1, Two's 2, Two's 1, Toddler 2, Toddler 1, Infant 2, Infant 1, and The Heart.

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.

Provider Response: (Contact the State Licensing Office for more information.)
On 9/21/22 updated phone lists were posted including the emergency number for the fire department.
2022-09-20 Renewal 3270.94(a)(4) - Hypothetical locations Non Compliant - Finalized

Regulation: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: The Director or designated staff person who is responsible for compliance with this chapter did not ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. The facility was unable to provide written documentation of the hypothetical location for fire drills conducted on 2/9/22, 3/31/22/ 5/13/22, 6/6/22, 7/22/22, and 8/24/22.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Provider Response: (Contact the State Licensing Office for more information.)
The Center Director immediately reviewed this regulation with all designated staff, and the fire drill was held on 9/30/2022 immediately following the visit and had a hypothetical location documented.
2022-09-20 Renewal 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Non Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility was unable to provide written documentation that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 10/22/21, 11/19/21, 12/22/21, 1/20/22, 3/4/22, 3/28/22, 4/18/22, 5/31/22, 6/6/22, 7/20/22, and 8/24/22.

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.

Provider Response: (Contact the State Licensing Office for more information.)
On 10/7/22 all systems of the fire detection system were tested.
2022-05-23 Change in Location Capacity Change in Location Capacity Compliant - Finalized
2021-09-23 Renewal 3270.131(e)(1) - Exemption documentation from parent/guardian Compliant - Finalized

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #1 lacked an annual influenza vaccination in accordance with the schedule recommended by the ACIP or a letter from the parent exempting the child from this vaccination.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Provider Response: (Contact the State Licensing Office for more information.)
A letter from the parent exempting the child form this vaccination has been obtained and filed.
2021-09-23 Renewal 3270.27(f) - Emergency plan Compliant - Finalized

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The operator lacked a copy of the updated emergency plan sent to the local municipality and the Blair County Emergency Management Agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Provider Response: (Contact the State Licensing Office for more information.)
A copy of the emergency plan update was sent to the local municipality as well as the emergency management ageny on 10/19/21.
2021-09-23 Renewal 3270.34(a)(6) - Staff evaluations Compliant - Finalized

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff #1 lacked a written evaluation every 12 months. Evaluations observed on file were dated 8/6/20 and 9/22/21, exceeding on an annual basis.

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

Provider Response: (Contact the State Licensing Office for more information.)
Going forward a written evaluation of staff persons will be completed on a regular basis, a minimum of one evaluation every12 months.

If you are a provider and believe any information is incorrect, please contact us. We will research your concern and make corrections accordingly.

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