Mechanicsburg Area School District

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: Staff #1 does not have on file verification of education.

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: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: Staff #1 does not have on file a health assessment.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff #3 does not have 2 written references on file

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1 and Staff #3 do not have on file a copy of the request or copy of the DHS required FBI clearance. Staff #2 does not have on file a copy of the request, or copy of, the DHS required FBI clearance and NSOR certificate.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons # 1, #2 and #3 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #1 , #2 and #3 may not work in a child care position at the facility.

Regulation: 3270.134(a)/3270.134(d)

Description: Child's hands washed/Liquid or powdered soap

Noncompliance Area: No hand washing was observed prior to snack. Staff indicated that they use hand sanitizer.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. Liquid or powdered soap shall be used for handwashing.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff Person #2 did not include documentation of 12 hours of child care training having been completed within the past year.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff Persons #1 and #2 have not completed the following required pre-service training withing 90 days of their hire date (see LIS code sheet): Pediatric First Aid and CPR from a PQAS approved trainer and a PQAS approved curriculum

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff Persons #1 and #2 will have until 12/30/22 (15 days from the POC requested date) to complete the required training. Until such time as the required training has been completed, Staff Persons #1 and #2 must be supervised when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff available to supervise Staff Persons #1 and #2, they may not work in a child-care position at the facility.

Noncompliance Area: There was not a complete address on the emergency contact form for child #1's 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 for child #1 did not include a work telephone number for the enrolling parent.

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

Noncompliance Area: The emergency contact form for child #2 did not include addresses for 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.

Noncompliance Area: The health assessment for facility person #1 did not include documentation of results of a tuberculosis screening.

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.

Noncompliance Area: The health assessment on file for facility person #1 did not include an examination for communicable disease or an assessment of the person's suitability to provide child care.

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

Noncompliance Area: The last parental signatures for review on the emergency contact forms for children #1 and #3 were not dated.

Correction Required: Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Noncompliance Area: The file of facility person #1, hired 11/27/18, did not contain documentation of emergency plan training until 8/19/19.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: The file of facility person #1, hired 11/27/18, did not contain a disclosure statement or mandated reporter training as required under the CPSL. The file did not contain a DHS FBI clearance, as required under a CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: There was not documentation that any staff members present while children are in care are competent in first-aid techniques.

Correction Required: One or more facility persons competent in first-aid techniques shall be at the facility when one or more children are in care.

Noncompliance Area: There was a period of time between 3/27/19 and 5/31/19 in which no fire drills were conducted, per the facility's fire drill log.

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

Noncompliance Area: The mulch under the outdoor play equipment did not measure 9 inches in depth, as recommended by the United States Consumer Product Safety Commission.

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

Noncompliance Area: At the time of inspection, a child was observed to go to the water fountain, with the door closing behind the child in the process, leaving the child out of sight of any staff members.

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.

Noncompliance Area: The file for staff person #1 contained only one written, nonfamily reference.

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

Noncompliance Area: There was not documentation that staff person #1 had received emergency plan training at the time of initial employment.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: The file of facility person #1, hired 2/18/19, does not contain a signed employee disclosure statement 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 #1 may not work in a child care position at the facility.

Noncompliance Area: The daily schedule of activities was not posted in the facility.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: The agreements for children #1, 3, and 5 did not include arrival times.

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

Noncompliance Area: The emergency contact forms for children #1 - #5 did not include emergency contact information for who shall be contacted in an emergency.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: The emergency contact form for child #2 did not include a work address for the enrolling parent.

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

Noncompliance Area: The emergency contact form for child #4 did not include a complete address for 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.

Noncompliance Area: There was not written consent from a parent for the administration of the Ventolin on site for child #7.

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

Noncompliance Area: The medication logs for child #8's Ventolin and child #7's Ventolin did not include the name of the medication.

Correction Required: A medication log shall include the name of the medication.

Noncompliance Area: The medication log for child #6's Advil did not include a requirement for refrigeration.

Correction Required: A medication log shall include a requirement for refrigeration of medication.

Noncompliance Area: There was not a health assessment or tuberculosis screening results on file for staff person #1. There was a health assessment with tuberculosis screening results on file for staff person #2 at the time of inspection, however both were dated after the staff person's start date. There was not a health assessment on file for staff person #3, and the tuberculosis screening results were dated after the staff person's start date. There were not tuberculosis screening results on file for staff person #4. There was a health assessment, with results of tuberculosis screening results on file for staff person #5, however both were dated more than 1 year prior to the staff person's start date.

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 part of the emergency plan indicating how parents will be contacted when an emergency arises and how parents will be notified that the emergency has ended and how they can be reunited with their children was not posted in a conspicuous location within the facility.

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

Noncompliance Area: There was not documentation of education or experience on file for staff person #2, who is being utilized as an aide. There was not documentation of experience on file for staff person #5, who is being utilized as an assistant group supervisor. There was documentation of 18 college credits on file, but no experience.

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.

Noncompliance Area: At the time of initial inspection, there was not documentation that staff persons #1 and #2 had been trained in the emergency plan.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: At the time of inspection, there was a disclosure statement on file for staff person #2, however it had not been signed by a witness, and the staff person's signature was not dated.

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

Noncompliance Area: Staff person #1, being utilized as the director, had documentation of a bachelor's degree in an acceptable field, but did not have documentation of 1250 hours of child care experience on file at the time of inspection.

Correction Required: A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

Noncompliance Area: Staff person #2, being utilized as an assistant group supervisor, had documentation of a high school diploma on file, but did not have documentation of 2500 hours of child care experience on file at the time of inspection.

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