LOVE AND CARE EDUCATIONAL CHILD CARE CENTER 2

Regulation: 3270.151(a)

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

Noncompliance Area: The two most recent health assessments for Staff #2 (01.24.2024 and 02.02.2026) were dated more than 24 months apart.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The two most recent PA State Police Clearances (09.03.2020 and 09.05.2025) and Child Abuse Clearances (10.23.2020 and 02.02.2026) for Staff #3 were dated more than 60 months apart. (SEE LIS CODE SHEET) The two most recent Child Abuse Clearances (10.23.2020 and 07.16.2024) for Staff #2 were dated more than 60 months apart. (SEE LIS CODE SHEET) The two most recent FBI Clearances (10.01.2020 and 10.22.2025) for Staff #1 were dated more than 60 months apart. (SEE LIS CODE SHEET)

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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Older Toddler Room, in the main room, next to the main entrance on a 3 x 3 wooden bookcase was a broken green lid that poses a potential cutting 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.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The Child Service Report(s) for child(ren) #5 did not include a six-month update from the last report. (SEE LIS CODE SHEET)

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)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact form(s) for child(ren) file(s) #2 lacked the "Address of the Listed Release Person." (SEE LIS CODE SHEET)

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The file for child #5 contained an emergency contact form that was not updated within 6 months of the previous update. (SEE LIS CODE SHEET)

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: The file for Child #1 (OT) reflects that the most recent Updated Health Assessment was completed more than 12 months after the Initial Health Assessment. (SEE LIS CODE SHEET) The file for Child #2 (OT) lacked an Updated Health Assessment (SEE LIS CODE SHEET)

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: 3270.151(a)

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

Noncompliance Area: The two most recent health assessments for Staff #4 (Dated: 01.12.2023 and 09.26.2025) were dated more than 24 months apart.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The file for child #5 contained a Financial Agreement form that had updates more than six months apart. (SEE LIS CODE SHEET)

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.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The last two fire safety trainings in the file for Staff #1 are dated more than one year apart. (SEE LIS CODE SHEET)

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file(s) for Staff Person(s) #2 contained Child Abuse Clearance and NSOR Certificate that were dated more than 60 months apart. (SEE LIS CODE SHEET) The file(s) for Staff Person(s) #3 contained an FBI Clearance that were dated more than 60 months apart. (SEE LIS CODE SHEET) The file(s) for Staff Person(s) #4 and #5 contained PA State Police and Child Abuse Clearances that were dated more than 60 months apart. (SEE LIS CODE SHEET)

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.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the infant room, on the right side, next to the exit door, one protective receptacle covers were missing which was accessible to children 5 years of age or younger.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the infant room, next to the birthday sign, above the middle crib was peeling paint.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A clear bin with baby dolls was cracked on the side posing a cutting hazard. In the School Age Room, a blue and yellow bin on the right wall on a six-shelf bookcase were broken posing a cutting 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.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The Child Service Report for child #1 was lacking a six-month update from the last. (SEE LIS CODE SHEET)

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for Staff #2 lacked a Health Assessment and TB Test. (SEE LIS CODE SHEET)

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff #3 was lacking two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (SEE LIS CODE SHEET)

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: 3270.21

Description: General Health and Safety

Noncompliance Area: In an unlocked, teacher's desk bottom right drawer, in the Pre School-Room, a red lighter and a pair of adult scissors which posed a cutting, puncture or fire hazard were accessible to children

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #14 had not completed the following required pre-service training within 90 days of their date of hire: Health and Safety Training Part 1 (03.05.2025) and Part 2 (10.02.2024). (SEE LIS CODE SHEET)

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #14 -- will have until April 2, 2025 to complete the required training. Until such time as the required training has been completed, staff person #14--- must be supervised, when interacting with children, by an (AGS, primary staff person, or family childcare home staff person) who has completed the required training related to this citation.

Regulation: 3270.32(a)/3270.192(3)

Description: Comply with CPSL/Health assessment, TB test

Noncompliance Area: Mandated Reporter Trainings for staff #3 and #14 were dated more than 60 months apart. (SEE LIS CODE SHEET)

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 written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The two most recent FBI Clearances for Staff #1 were dated more than 60 months apart. (SEE LIS CODE SHEET) The file for Staff #1 lacked an updated NSOR (02.25.2020). (SEE LIS CODE SHEET) The two most recent NSOR's for Staff #4 were dated more than 60 months apart. (SEE LIS CODE SHEET)

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 8/21/24, at approximately 1:30 PM, observed 3 preschool age children alone in the gross motor room.

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.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 8/21/24, at approximately 1:30 PM, observed 3 preschool age children alone in the gross motor room at nap time.

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: 3270.55(a)

Description: Toddler and preschool children

Noncompliance Area: On 8/21/24, at approximately 1:30 PM, observed 3 preschool age children alone in the gross motor room at nap time. Ratio 0:3.

Correction Required: The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR (2/13/24) and Get Started with Center-based Care: Building Blocks for Quality - Revised 2022 (3/13/24).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: SECOND CITATION At the time of the Renewal Inspection on 2.6.24 the Facility lacked verification of an annual inspection of the fire detection system. The facility was able to obtain an Inspection Report dated 8.17.23, however the Report indicated that not all areas of the inspection had passed. A follow up inspection was completed on 5.10.24. This inspection indicated there continued to be areas that did not pass and are in need of repair. FACILITY PREVIOUSLY CITED ON 2.6.24.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: In the Older Toddler area of the Main Classroom the rest mats were observed to be labeled with numbers. A chart was in place with the children's names; however, the chart did not include which number belonged to which child.

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

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The files for Children #1, #2, #3, #4, #5, #6 and #7 were observed to contain the original agreements..

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for Child #6 lacked the address and the telephone number for the child's physician.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for Child #7 lacked the home address of the enrolling parent.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for Children #6 and #7 lacked the complete addresses for the release persons listed.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The updates to the health assessments on file for Child #2, a young toddler, exceeded 6 months between examinations on 1.27.23 and 9.26.23.

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.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The files for Children #4, and #7, preschool age children, lacked a current health report that had been completed within the last 12 months. The most recent health report on file for Child #4 is dated 8.2.21. The most recent health report on file for Child #7 is dated 2.7.22.

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.

Regulation: 3270.133(2)

Description: Written instructions

Noncompliance Area: Physician instructions were missing for a prescription Nystatin Ointment in the Older Toddler area of the main classroom.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: Written parental consents were missing for an Albuterol Inhaler and Nystatin Ointment in the Older Toddler area of the Main Classroom and for an Albuterol Inhaler in the Preschool Classroom.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessment on file for Staff Person #3 lacked information related to 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.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: The facility lacked a copy of the current liability insurance policy to cover the persons on the premises. The policy on file expired on 2.24.23.

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)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: The emergency contact form for Child #5 lacked signed parental consent for obtaining emergency medical care.

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.

Regulation: 3270.241(b)(10)

Description: Child health. Sections 3270.131-3270.134(a) and 3270.136-3270.138.

Noncompliance Area: The file for Child #6, a school age child, lacked an acceptable health report for attendance in a school setting. The file only contained immunizations.

Correction Required: An equivalent health report completed by a school is acceptable as documentation of child health for a school-age child.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff Person #1 lacked 11 of their 12 hours of child care training in their respective training year (December 2022-December 2023).

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The updates to the fire safety trainings on file for Staff Person #1 exceeded 12 months between trainings on 4.3.22 and 11.5.23.

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.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The signed disclosure statement on file for Staff Person #2 lacked a witness signature.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The written staff evaluations on file for Staff Person's #1, #3, and #4 were not completed by the Director. The written evaluations were completed by the Operator.

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: One uncovered outlet was observed in the Infant Classroom.

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: In the Infant Classroom, two glue traps were observed on the floor in the classroom. The glue traps were labeled Keep Out of Reach of Children. One glue trap was behind a crib and the other was behind the refrigerator, but both of them could potentially be accessible to children in the classroom. In the School Age area of the Main Classroom a bin was observed to contain a package of disinfecting wipes. In another bin in the School Age area a container of Vaseline and a Secret Dry Spray were observed. All the items were labeled Keep Out of 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.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility lacked verification of an annual fire inspection within the last 12 months showing that the interconnected system in place is operable. The facility was unable to demonstrate an operable system as the system is interconnected to other offices and apartments in the building.

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. Operator purchased a stand alone smoke detector that was able to be heard in all classrooms. Operator will obtain verification of the annual inspection report for the fire system in place at the facility.

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

Description: Age and Training

Noncompliance Area: The file for Staff Person #1 lacked current Pediatric First Aid and CPR training. The trainings on file expired on 9.21.23.

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 Person #1 has until 11.18.23 to renew their Pediatric First Aid and CPR.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: One cracked lid with a potential pinch point was observed in 3 year old area in the Main Classroom

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: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement form for Child #4 lacked the fee amount to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for Child #3 lacked a current child service report. The child service report on file was dated 6.23.22.

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: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement form on file for Children #1 and #4 lacked the arrival and departure times for the child.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement form for Child #4 lacked the release persons designated by the parent to 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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for Children #3, #4 and #5 lacked the completed addresses for the release persons listed.

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

Regulation: 3270.131(d)(1)

Description: Child's health history

Noncompliance Area: The file for Child #2 lacked an initial health assessment within 60 days of starting at the facility (see LIS Code Sheet).

Correction Required: A health report shall include a review of the child's health history. Child needs to be dismissed close of business 2.9.2023.

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: The file for Child #3 lacked verification that the child had received an annual influenza vaccination. The last documented influenza vaccination was in 2020. A written exemption was not on file at the time of the inspection.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Child needs to be dismissed close of business 2.9.2023

Regulation: 3270.131(e)(3)

Description: Dismissal policy

Noncompliance Area: The file for Child #2 lacked an initial health assessment within 60 days of starting at the facility The file for Child #6, a school age child, lacked a current health assessment.

Correction Required: 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). Children needs to be dismissed close of business on 2.9.2023

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: An expired EpiPen was observed in an unlocked desk drawer in the Preschool classroom.

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.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: An expired Albuterol was observed in the Older Toddler medication box. An expired EpiPen was observed in an unlocked desk drawer in the Preschool Classroom.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: A hands free covered can was not in place at the changing area in the Infant Classroom. It was reported that the diapers are bagged and the discarded in the trash can outside the clasroom. This did not meet the regulation requirement.

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.

Regulation: 3270.151(a)

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

Noncompliance Area: The updates to the health assessments on file for Facility Person #1 exceeded 24 months between examinations on 1.29.20 and 3.14.22. The file for Facility Person #6 lacked an initial health assessment that had been completed within 12 months prior to starting at the facility. The updates to the health assessment on file for Facility Person #7 exceeded 24 months between dated assessments on 10.16.20 and 1.22.23.

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.

Regulation: 3270.151(c)(1)

Description: Physical examination

Noncompliance Area: The health assessment on file for Facility Person #7 lacked verification that a physical examination had been completed by the physician.

Correction Required: An adult health assessment must include a physical examination.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for Facility Person #7 lacked a tuberculosis screening that had been completed within 12 months prior to starting at the facility.

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.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessment on file for Facility Person #1 lacked information related to the results of an examination for communicable diseases.

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

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

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

Noncompliance Area: The files for Facility Person's #4 and #5, who are both classified as Aides, lacked acceptable verification of education that had been signed by the educational entity.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Facility Person #2 lacked one of their two written, nonfamily references.

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

Regulation: 3270.241(b)(10)

Description: Child health. Sections 3270.131-3270.134(a) and 3270.136-3270.138.

Noncompliance Area: The file for Child #6, a school age child, lacked an updated health assessment acceptable as documentation of child health for a school age child.

Correction Required: An equivalent health report completed by a school is acceptable as documentation of child health for a school-age child. Child needs to be dismissed by close of business on 2.9.2023.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: Information for accessing the current 3270 Child Care Center regulations were not posted in a conspicuous location at the facility. The facility had the prior regulations posted.

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

Regulation: 3270.27(a)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: The emergency plan on file lacked a parent letter to inform the parents as to how they will be notified an emergency situation has arisen and ended and how they can be safety reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for Staff Person #3, #4 and #6 lacked completion of their required health and safety training within 90 days of starting at the facility. The health and safety training for Staff Person #3 was completed 275 days after starting. The health and safety training on file for Staff Person #4 was completed 157 days after starting. The health and safety training for Staff Person #6 was completed 153 days after starting. The files for Staff Person #2 and #8 lacked completion of the required health and safety update prior to 12.30.22. The health and safety training update on file were dated 1.5.23.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Facility person #6 and #7 have not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). The mandated reporter training on file for Facility Person #6 was completed for Act 126 (school district employees) and not Act 31 (child care employees).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Facility person #6 and #7 will have until February 24, 2023, to complete the mandated reporter training. Facility persons #6 and #7 will not return to the facility until all clearances are submitted and Mandated Reporter training is completed.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Facility Person #1 lacked a completed State Police Clearance within the last 60 months. The file for Facility Person #4, #5 and #6 lacked a current disclosure statement. The disclosure statements on file were older versions that did not include all needed information related to the CPSL. The file for Facility Person #7 lacked a signed disclosure statement and a copy of their completed NSOR Certificate. A request for their NSOR was not on file prior to starting. The file for Facility Person #6 lacked an FBI clearance that had been completed for DHS purposes. The FBI clearance on file was completed for Department of Education and is unacceptable for employment in child care. The file for Facility Person #6 also lacked a completed NSOR Certificate. A request was not on file prior to starting.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #1, #4, #5, #6 and #7 may not work 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 #1, #4, #5, #6 and #7 may not work at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Hand sanitizer was observed on a desk and in another unlocked desk drawer in the Preschool Classroom that could be accessible to children receiving care in the space.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A handwashing sign was missing from the changing area in the Infant Classroom. Handwashing signs were also missing from a potty chair and a toilet in the girl's restroom and a toilet and urinal in the boy's restroom.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1, #2 and #3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 31(f)(1-9).

Correction Required: Staff persons shall complete professional development in the topics of 3270.31(f)(1-10) within 90 days of hire. Staff person #1, #2 and #3 will have until 11/22/22 to complete the required training. Until such time as the required training has been completed, staff person #1, #2 and #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 available to supervise staff person #1. #2 and #3, staff person #1, #2 and #3 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 has not completed an approved mandated reporter training within 90 days of their date of hire (see LIS code sheet). The mandated reporter training on file met the requirements for the Department of Education and not the Department of Human Services.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #1 will have until 11/22/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1 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 #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The files for children #1 through #5 lack an arrival and departure time.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.131(d)(5)/3270.182(1)

Description: Immunization record/Initial and subsequent health reports

Noncompliance Area: The files for children #2 and #4 lack flu vaccinations.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.A child's record shall contain initial and subsequent health reports.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: Observed an antibiotic ointment in a first aid kit without the name of the child for whom it was intended on it.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

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 for staff #3 and #4 contain health assessments that were updated late.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 contains a criminal clearance that is in need of review by DHS. the review is necessary based on criminal convictions.

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 #1 must be supervised by a staff with clearances until a review by DHS is completed.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff contains a disclosure statement that was signed late.

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.

Regulation: 3270.37(b)(3)/3270.192(2)(ii)

Description: 8th grade + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: The file for staff #1 lacks verification of a HS diploma.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.