Masonic Village At Sewickley

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: The certification representative observed 2 children in the Young Toddler room, 4 children in the Preschool Room, 2 children in K-Prep 1 and 4 children in K-Prep 2 sleeping on rest equipment that did not have 2 feet of space on 3 sides of the mat.

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.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The child service report on file for Child #1 is dated 10.1.25, more than 6 months after enrollment.

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)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The file for Child #2 does not include written parental permission for the facility to obtain emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health assessment on file for Child #3 is dated 12.13.25, more than 60 days after enrollment.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

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

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

Noncompliance Area: The two most recent health assessments on file for Child #4, who is a preschool age child, are dated 10.16.24 and 11.13.25, more than 12 months apart.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file for Child #5, who is over 6 months old, included 2 of 3 DTAP vaccines recommended by the ACIP for a child this age; and 2 of 3 pneumococcal vaccines recommended by the ACIP for a child this age.

Correction Required: ·Child #5 must be dismissed from care by close of business on 1.21.26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. 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).

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: There was an Albuterol inhaler labeled for use by a specific child in K-Prep 2 that was stored where it was accessible to children in care.

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(6)

Description: Written consent

Noncompliance Area: There was an Albuterol inhaler labeled for use by Child #6 in K-Prep 2 that did not have written parental permission to administer. There was an EpiPen and Zyrtek labeled for use by Child #7 in the Young Toddler room that did not have written parental permission to administer.

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

Regulation: 3270.151(c)(3)/3270.192(3)

Description: Exam communicable disease/Health assessment, TB test

Noncompliance Area: The current health assessment on file for Staff person #1 indicates that the staff person has a communicable/contagious disease, with no additional information given.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. 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: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The file for Child #2 does not include written parental permission for the facility to administer minor first aid procedures.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #2 includes criminal history clearances dated 12.8.20 & 12.18.25 and NSOR certificates dated 12.4.20 & 1.13.26, both more than 60 months apart.

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: 3270.66(b)

Description: Original container

Noncompliance Area: There was a spray bottle in the Young Toddler room that was not in the original bottle or labeled with the contents of the bottle.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The water in the sink used by children for washing hands in the Older Toddler room measured 116° F.

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

Regulation: 3270.31(e)(4)(iv)/3270.192(2)(iii)

Description: Water safety/Exp, educ., training at facility

Noncompliance Area: The file for Staff person #1, who was observed assisting in swimming activity, did not have proof of current water safety training.

Correction Required: Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

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 two most recent health assessments on file for Child #3, who is a preschool age child, are dated 10.24.23 and 11.13.24, more than 12 months apart. The two most recent health assessments on file for Child #4, who is a preschool age child, are dated 2.8.23 and 4.5.24, more than 12 months apart.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for Child #1 does not include an immunization record or a personal or religious written exemption from the parent. The immunization record on file for Child #2, who is 19 months old, includes 3 of 4 DTAP immunizations recommended by the ACIP for a child this age.

Correction Required: ·Child #1 and #2 must be dismissed from care by close of business on 1.9.25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: There was a bottle of Zyrtec in the Older Toddler room, labeled for use by a specific child, that was expired.

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

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: There was an Epi-pen in the Young Toddler room, labeled for use by a specific child, that did not have written parental permission to administer. There was medication in the Older Toddler room, labeled for use by a specific child, that did not have written parental permission to administer.

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

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 2 most recent health assessments on file for Staff person #4 were dated 9.2.21and 1.11.24, more than 24 months apart. The 2 most recent health assessments on file for Staff person #6 were dated 12.8.22 and 1.1.25, more than 24 months apart. The 2 most recent health assessments on file for Staff person #7 were dated 9.22.22 and 1.1.25, more than 24 months apart. The 2 most recent health assessments on file for Staff person #8 were dated 7.26.22 and 10.13.24, more than 24 months apart. The 2 most recent health assessments on file for Staff person #9 were dated 9.23.21 and 1.24.24, 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. 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: The file for Staff person #7 includes only 1 written nonfamily reference; the second reference is from a relative.

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

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The two most recent fire safety trainings on file for Staff person #9 are dated 5.30.23 and 10.22.24, more than 1 year apart.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The most recent FBI clearance on file for Staff person #2 is dated 11.1.19, more than 60 months ago. The file for staff person #10, who lived in New York in the 5 years prior to employment, does not include of a New York state child abuse clearance and New York state sex offender registry search, (See LIS CODE SHEET), required under the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2, #10 may not work in a childcare position at the facility.

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

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

Noncompliance Area: The file for Staff person #10, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The two most recent staff evaluations on file for Staff person #9 are dated 9.15.22 and 4.12.24, more than 1 year apart.

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: There was an outlet in the bathroom in the Pre-K II room that was missing an outlet cover and was accessible to children.

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: There were cans of Equate and Barbasol shaving cream, labeled "Keep out of the reach of children", reportedly used for arts and crafts projects, in the Pre-K I classroom.

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(i)

Description: Lidded waste receptacles

Noncompliance Area: There was no lidded trashcan in the bathroom in the Pre-K II classroom.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log on file included fire drills conducted 2.28.24-4.29.24 and 8.15.24-10.29.24, more than 60 days apart.

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

Regulation: 3270.133(2)

Description: Written instructions

Noncompliance Area: There was an Epi-Pen on site at the swimming pool during a swim monitoring visit labeled for use Child #1 which did not have written instructions from the individual who prescribed the medicine.

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: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: During a swimming inspection, a review of paperwork indicated that Child #2, #3, #4 and #5 did not have written permission for the child to go swimming.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A wooden knob was observed to have been broken off a children's play kitchen sink in the PreK-2 room, and a nail was observed to be protruding out from the area on the sink that was a visible 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The two most recent health assessments in the file for staff person #2 are dated more than 24 months apart: 12/17/21 and 1/5/24. Staff person #3 has not had a health assessment in the last 24 months. The most recent health assessment on file is dated 9/2/21. The file for staff person #4 had documentation of a health assessment completed on 10/10/23 but was not at initial employment (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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The health assessment on file for staff person #1 lacked documentation of the results of the TB screening completed by the physician. The health assessment on file for staff person #4 lacked documentation of a TB screening at initial employment (See LIS Code Sheet).

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file for staff person #4 had documentation of pediatric first aid/CPR training that was not renewed before the expiration date of the most current certification. The two most recent trainings are dated 11/22/21 and 12/6/23.

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.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for staff person #2 did not contain documentation of fire safety training completed in 2022. The file now contains fire safety training dated 10/3/23.

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: 3270.31(f)(10)

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

Noncompliance Area: Staff person #2 completed pediatric first aid/CPR training on 9/18/23 but was not within 90 days of hire (See LIS Code Sheet).

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #4, hired provisionally, had documentation of application for New Hampshire child abuse and neglect clearance dated 3/14/23 that was after their date of hire (See LIS Close Sheet).

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 file for staff person #2 did not contain documentation of an evaluation completed in 2022. The file now contains a current evaluation dated 12/5/23.

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: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: The file for staff person #4, functioning as an assistant group supervisor, lacked verification of 2 years of experience with children to qualify as an assistant group supervisor.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the PreK-2 bathroom, a gallon of paint that states "keep out of reach of children" was observed next to the sink.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A wooden dollhouse in the PS room was observed to have rough edges and splinters exposed making it now in good repair.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Rest equipment in the PS room was observed to lack labels with the names of the specific children in the classroom.

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: 3270.131(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 lacked an updated health report conducted within 12 months of previous health report. The most recent health report on file is dated 10/21/21. The two most recent health reports on file for child #2, who is a preschool child, are dated more than 12 months apart: 9/18/21 and 11/21/22.

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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for staff person #13 was observed to lack completion of the following pre-service training by December 30, 2022: Pennsylvania Health and Safety Update 2022.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #2, #3, #8, #9, #10, #13, and #14 were observed to be caring for children unsupervised. Staff person #2, #3, #8, #9, #10, #13, and #14 have not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #2, #3, #8, #9, #10, #13, and #14- 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 #2, #3, #8, #9, #10, #13, and #14, staff people #2, #3, #8, #9, #10, #13, and #14 may not work in a child-care position at the facility.

Regulation: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: The file for staff person #1 lacked documentation of a health assessment conducted within 12 months prior to providing initial service in a child care setting. The file for staff person #16 was observed to have documentation of a health assessment that was not renewed before the expiration date of the most current certification: 7/26/19 and 9/2/21.

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

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: The file for staff person #15 was observed to lack verification of acceptable verification of experience.

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.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The two most recent fire safety trainings in the files for staff persons #2, #5, and #10 were observed to be dated more than one year apart.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #2, #3, #7, #8, #9, #10, #11, #12, and #14 have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Correction Required: Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff persons #2, #3, #7, #8, #9, #10, #11, #12, and #14 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #4 and #13 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Correction Required: Staff persons shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #4 and #13 will have until 1/30/23 to complete the required training. Until such time as the required training has been completed, staff persons #4 and #13 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 #4 and #13, staff persons #4 and #13 may not work in a child-care position at the facility.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: The two most recent pediatric first aid/CPR trainings for staff person #6 are dated more than two years apart: 2/4/20 and 5/15/22.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #2 was observed to have documentation of PA State Police clearance results that was not renewed before the expiration date of the most current certification required under CPSL: 9/1/17 and 9/19/22. The file for staff person #2 was observed to lack current FBI clearance results.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #2 may not work at the facility until FBI clearance results are submitted and verified.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for staff person #5 and #11 was observed to have written evaluations by the director that were not within 12 months of hire.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: A bottle of disinfectant sanitizing spray was observed on the counter next to food and accessible to children in the Pre-K/K-Prep 2 room.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: A trash receptacle in the hallway across from the YT room and a trash receptacle in the hallway by the entrance doors, contained human secretions and was not contained in a closed, plastic-lined receptacle.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A handwashing sign was observed not to be posted above the toilet in the Pre-K/K-Prep 2 restroom and above two toilets and one sink in the OT 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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: In the YT room, a garbage can and a highchair were observed placed in front of the door to exit the room making it not unobstructed.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement on file for Child #2 is not signed by the operator.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement on file for Child #4 does not include the fee to be paid for services.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #3 does not include a complete address for all listed release persons.

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(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health assessment on file for Child #2, with an enrollment date of 9/13/21, is dated 1/12/22, more than 90 days after enrollment, as per Announcement C-20-04.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

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

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The 2 most recent influenza vaccinations on file for Child #4 are dated more than 1 year apart.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.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.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The current health assessment on file for Child #3 does not indicate if 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.

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The immunization record on file for Child #1, with an admission date of 8/9/21, is dated 11/2/21, more than 60 days (10/8/21) after admission. The immunization record on file for Child #2, with an admission date of 9/11/21, is dated 1/12/22, more than 60 days (11/12/21) after admission.

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

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The current health assessment on file for Staff person #8 does not indicate that the staff person was examined 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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The operator does not have a written log to document when the annual emergency drill was completed; the operator states a drill was conducted on 11/29/21.

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

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: The Emergency Plan that was posted at the facility was dated 12/5/20.

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

Regulation: 3270.31(e)(4)(i)/3270.192(2)(iii)

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

Noncompliance Area: The file for Staff #5 contained documentation of pediatric first-aid and CPR which expired 6/17/21.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)(10)/3270.192(2)(iii)

Description: Health and Safety Training - Pediatric First Aid and CPR/Exp, educ., training at facility

Noncompliance Area: The completed Pediatric First Aid/CPR training on file for staff person #1, #7, and #8 is dated 10/16/21, more than 90 days after hire (See LIS CODE SHEET). The files for Staff person #2 and #3 do not include completed Pediatric First Aid/CPR which was due within 90 days of hire (See LIS CODE SHEET).

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for Staff person #4, #5, #6, and #9, include a staff evaluation which were completed more than 12 months after hire.

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: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: There was a garbage can located in the PreK room which had food remains in it and did not have a lid.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility does not have verification of the purchase or installation of the fire alarm system, as required per current regulation, effective 12/19/20.

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.

Noncompliance Area: The most recent health assessment on file for Staff person #1 is dated 4/20/18, more than 24 months ago.

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.

Noncompliance Area: The temperature in the sink used by children in the Older Toddler room measured 112 degrees Fahrenheit.

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

Noncompliance Area: There was no handwashing sign in the first toilet stall in the preschool room.

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

Noncompliance Area: The most recent child service report on file for Child #1, dated 11/20/18, is dated more than 6 months after the previous child service report, dated 3/29/18.

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).

Noncompliance Area: The agreement on file for Child #1, #2, #3, #4, #5, #6,#7, and #8 is the original agreement, which is to be given to the parent and a copy retained at the facility.

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.

Noncompliance Area: The emergency contact form on file for Child #4 does not include the address and telephone number for the enrolling parent's place of employment.

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

Noncompliance Area: The medical emergency transportation plan was not posted in the 2nd floor Pre-K 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.

Noncompliance Area: The current immunization record on file for Child # 2 and #7 does not include verification of an influenza vaccination, as recommended by the ACIP. The immunization record on file for child #3 shows the child last received an influenza vaccination in 2016, more than 12 months ago, as is recommended by the ACIP. The immunization record on file for child #4 and #8 shows the child last received an influenza vaccination in 2017, more than 12 months ago, as is recommended by the ACIP.

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.

Noncompliance Area: There was a medication in the older toddler room which did not have written parental consent to administer.

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

Noncompliance Area: The current health assessment on file for Staff person #1, dated 2/25/19, is dated more than 24 months after the previous health assessment, dated 2/13/17.

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.

Noncompliance Area: There were no copies of the children's emergency contact forms in the pool area while the children were at the pool for swimming activities.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Noncompliance Area: The file for Staff person #1, who is employed as a lifeguard effective 7/9/18, has a health assessment dated 7/24/18, after her first day working with children and a tuberculosis test dated 8/29/13, more than 12 months prior to the staff person's first day working 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.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: The health assessment on file for Staff person #3 did not indicate if the staff person was examined for contagious or communicable diseases.

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

Noncompliance Area: The file for Staff person #1, whose first date working with children was 7/9/18 has an FBI fingerprint receipt dated 7/24/18. The file for Staff person #2, whose first date working with children was 7/16/18, has a child abuse clearance dated 7/19/18 with no verification that the clearance was requested prior to 7/16/18. The file for Staff person #3, whose first date working with children was 7/31/18, does not include a child abuse clearance and has verification of the clearance being applied for that is dated 8/9/18.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 3 may not work in a child care position at the facility.

Noncompliance Area: There was peeling paint on the wall in the back right corner in the K-Prep classroom.

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

Noncompliance Area: There were garbage bags stored in an unlocked drawer in the pre-k room, making them accessible to children.

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.

Noncompliance Area: The file for Child #1 did not include a signed financial agreement.

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

Noncompliance Area: The file for Child #8, who has been enrolled since 8/22/17 does not include a child service report. The most recent child service report for Child #9 is dated 6/26/17, more than 6 months ago. The most recent child service report on file for Child #6, dated 6/26/17, is dated more than 6 months ago. The most recent child service report on file for Child #1 is dated 10/12/15, more than 6 months ago.

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).

Noncompliance Area: The agreement on file for Child #2 did not include the child's arrival and departure times.

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

Noncompliance Area: The agreement on file for Child #1 did not include the child's date of admission.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: The emergency contact form on file for Child #7 and #8 did not include the address for the child's health care professional/source of medical care.

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

Noncompliance Area: The emergency contact form on file for Child #1 did not indicate whether or not the child had any special needs.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Noncompliance Area: The emergency contact form on file for Child #1,#3,#4,#8,and #9 did not include complete addresses for all designated release persons.

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

Noncompliance Area: The most recent 6 month review signature on the emergency contact form and agreement for Child #1 is dated 6/1/17, more than 6 months ago. The most recent emergency contact form and agreement 6 month review signature for Child #3, #4, #5, and #6 is dated more than 6 months after the previous 6 month review.

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 informationA 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.

Noncompliance Area: The initial health assessment on file for Child #8, dated 12/4/17 is dated more than 60 days after the enrollment date of 8/22/17. The only health assessment on file for Child #6, dated 2/2/17, is dated more than 60 days after the enrollment date of 8/22/16.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: The health assessment on file for Child #2, who was a young toddler, dated 3/20/17, is dated more than 6 months after the previous assessment dated 6/30/16. The most recent health assessment on file for Child #3, who was a young toddler, dated 8/25/17, is dated more than 6 months after the previous health assessment dated 9/30/16.

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