Moppets on Mulberry Child Enrichment Center

Regulation: 3270.113(c)/3270.162(c)

Description: No ridicule or threaten harm/Not withheld as discipline

Noncompliance Area: A complaint investigation was conducted on 7/1/26. It was determined through staff and children's interviews, that three children were singled out by staff person #1 and snacks were withheld as a form of discipline, and the children had to watch the other children in the class eat snacks during snack time.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. Food may not be withheld from a child for purposes of discipline. Tiered LIS: 1. A staff person may not single out children for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. Food may not be withheld from a child for purposes of discipline. This portion of the plan shall have an immediate correction date. 2. For a period of 3 months, the facility shall have no occurrences of non-compliance related to a staff person singling out children for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. For a period of 3 months, the facility shall have no occurrences of non-compliance related to a staff person withholding food from a child for purposes of discipline. The operator shall demonstrate compliance on unannounced visits over the next 3 months. This provider shall provide a date for this portion of the plan which is 3 months from the date an acceptable plan is submitted.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Continued Non-Compliance: An unannounced inspection was conducted on 5/6/26. Cert Rep observed staff person #1 to be frustrated with the PS children. Staff person #1 was screaming at the children and directing the children loudly in a harsh tone. Staff person #1 repeatedly told Cert Rep in front of the PS children, "that they wanted to quit, didn't know why they were here anymore and is frustrated because they never have help." Staff person #1 yelled repeatedly for child #1, "To go to their calming house and sit." An acceptable plan of correction was received on 6/12/26 with a Tier 1 correction date of 5/6/26. A complaint investigation was conducted on 7/1/26. It was determined through staff and children's interviews, staff person #1 is continually screaming at the PS children in a harsh tone. Staff person #1 was frustrated with Cert Rep's presence and continually stated, "that they wanted to quit, didn't know why they were here anymore and is frustrated," this was stated in the presence of the PS children.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children. Tiered LIS: 1. A facility person may not use harsh, demeaning or abusive language in the presence of children. This portion of the plan shall have an immediate correction date. 2. The Legal Entity will update the child discipline policy to include staff responsibility to report inappropriate discipline policy and staff consequences for not following the Child discipline policy. The legal entity must submit the policy to the regional office for approval. All existing staff and new hires must be trained on the policy and sign an acknowledgment that must be kept on file. The operator must provide a correction date for when this portion of the plan will be completed. 3. For a period of 3 months, the facility shall have no occurrences of non-compliance related to staff person's not using harsh, demeaning or abusive language in the presence of children. The operator shall demonstrate compliance on unannounced visits over the next 3 months. This provider shall provide a date for this portion of the plan that is 3 months from the date an acceptable plan is submitted.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: An unannounced inspection was conducted on 7/1/26. Staff person #2 did not have a tb screening at initial hire. Staff person #3 did not receive a health assessment and tb screening at initial hire. Staff person #4's health assessment on file is dated 1/15/25. The health assessment is not within 12 months of date of hire. (SEE code sheet for DOH's).

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. Tier LIS: 1. A staff 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 childcare setting and every 24 months thereafter. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. This portion of the plan shall have an immediate correction date. 2. The legal entity will create a hiring checklist for what documents are required for new hires to begin working and have timeframes listed for when documents are due for all new hires. The operator shall provide a date for when this will be completed. The legal entity will submit the hiring checklist to the Regional office for approval. Once approved the operator will begin using the hiring checklist. The operator shall provide a date for when this will be completed.

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

Description: Exp, educ., training prior to facility/Two written references

Noncompliance Area: An unannounced inspection was conducted on 7/1/26. Staff person #2 and #3 was observed providing childcare (see code sheet for DOH). Staff person #2's file does not contain educational experience or childcare experience and does not contain two non-family references. Staff person #3's file does not contain childcare experience and does not contain two non-family references.

Correction Required: A staff person's record shall include verification of child care experience, education and training prior to service at the facility. A staff person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a staff person.

Regulation: 3270.24(a)

Description: Immediate access

Noncompliance Area: An unannounced inspection was conducted on 7/1/26. The director was not present, and staff could not access staff files while inspector was present. The facility had three new hires present and inspector could not review their staff files or any of the staff presents files. The director emailed partial staff files the next day.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: An unannounced inspection was conducted on 7/1/26. Staff person #2's staff file did not contain a disclosure statement. Cert Rep observed staff person #2 working with children.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: An unannounced inspection was conducted on 5/6/26. In the school age area, Cert Rep observed a plastic crib mattress on the floor with several rips and exposed stuffing coming out. The crib mattress can't be easily cleaned and is not appropriate size for school aged children to use.

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

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: An unannounced inspection was conducted on 5/6/26. During the inspection Cert Rep observed several occasions where the PS children were not being supervised by staff person #1. During the morning bathroom break all the PS children came back into the classroom with staff person #1 and child #2 was locked in the bathroom stall unattended. Staff person #1 went back into the bathroom to get child #2 and left the preschool children unattended. During lunch, all the PS children were eating lunch in the lunch area and Cert Rep came out of another room and observed child #2 underneath a classroom table alone. Cert Rep walked child #2 back over to the lunch tables. Cert Rep observed child #1 run away from the lunch tables during lunch and ran into the main classroom into a playhouse. He could not be seen by staff person #1 or any other staff while he was in the playhouse.

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. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan must have an immediate correction date. 2. For a period of 3 months, the facility shall have no occurrences of non-compliance related to supervision of children. The operator shall demonstrate compliance on unannounced visits over the next 3 months. This provider shall provide a date for this portion of the plan. 3. The legal entity must arrange for all facility staff hired as of the date of the training to receive a minimum of 3 hours of PQAS-approved in person training regarding supervision. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when this training will be completed.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: An unannounced inspection was conducted on 5/6/26. Cert Rep observed staff person #1 to be frustrated with the PS children. Staff person #1 was screaming at the children and directing the children loudly in a harsh tone. Staff person #1 repeatedly told Cert Rep in front of the PS children, "that they wanted to quit, didn't know why they were here anymore and is frustrated because they never have help." Staff person #1 yelled repeatedly for child #1, "To go to their calming house and sit."

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children. Tiered LIS: 1. A facility person may not use harsh, demeaning or abusive language in the presence of children. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff hired as of the date of the training to receive a minimum of 2 hours of PQAS-approved live training regarding stress management for educators. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when this training will be completed. 3. The Legal Entity will establish a discipline policy that includes acceptable strategies for dealing with children's behaviors and must also address the actions that are prohibited by regulation. The legal entity must submit the policy to the regional office for approval. All existing staff and new hires must be trained on the policy and sign an acknowledgment that must be kept on file. The operator must provide a correction date for when this portion of the plan will be completed.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: An unannounced inspection was conducted on 5/6/26. In the main classroom there are several water damaged ceiling tiles throughout the facility. In the toddler town area in the main classroom there are several boxes, toys, items stacked up in the area, and it is creating a tipping hazard. The area is not in a state for children to receive care.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: An unannounced inspection was conducted on 5/6/26. The facility could not demonstrate an operable smoke detector system at this inspection because the Fire system contains a sprinkler system. Facility has a hard-wired interconnected sprinkler system and has this system tested by professionals. The operator provided last year's annual inspection report from Davis Ulmer Fire Protection dated 2/28/25. This is more than 1 year ago and is out of compliance.

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: 3270.192(2)(iii)

Description: Exp, educ., training at facility

Noncompliance Area: On 10/9/25, an unannounced inspection was conducted. Staff #1 was observed providing childcare (see code sheet for DOH). The staff file does not contain proof of education.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: CONTINUED NONCOMPLIANCE: A renewal inspection was conducted on 7/28/25. Child(ren) #1-6's fee agreements did not contain a release person. An acceptable plan of correction was received on 8/11/25 with a correction date of 8/10/25. On 9/15/25, cert rep arrived at the facility and staff was unable to present child(ren) #1-6's fee agreements containing a release person.

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

Regulation: 3270.151(a)/3270.151(c)(2)(i)

Description: 12 months prior to service and every 24 months thereafter/Record on file if positive TB

Noncompliance Area: CONTINUED NONCOMPLIANCE: A renewal inspection was conducted on 7/28/25. Staff person #1 did not receive a health assessment at initial hire. The health assessment on file is dated 4/19/24.Staff person #3 did not update their health assessment every 24 months as required by regulation. Staff person #3's health summary on file is dated 3/30/23 and it does not indicate if staff person has communicable diseases and may work in childcare setting. Staff person #4 did not update their health assessment every 24 months as required by regulation. The is evidenced by the health assessments on file dated 7/27/22 and 8/8/24. An acceptable plan of correction was received on 8/11/25 with a correction date of 8/10/25. On 9/15/25, cert rep arrived at the facility and staff was unable to present staff person #3's updated health assessment.

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. If a person's medical record demonstrates a positive tuberculin skin test, that record shall be placed on file at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: CONTINUED NONCOMPLIANCE: A renewal inspection was conducted on 7/28/25. Staff person #2 had one nonfamily reference on file. An acceptable plan of correction was received on 8/12/25 with a correction date of 8/15/25. On 9/15/25, cert rep arrived at the facility and staff was unable to present staff person #2's 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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 8/7/25, an unannounced inspection was conducted. Staff person #2 did not have 2 non-family references on file. The file for staff person #2 was not presented to the cert rep during the renewal inspection.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: On 8/7/25, an unannounced inspection was conducted. Staff person #1 identified 11 PS children on the playground. Staff person #1 reported that one PS child did not want to go in with their group and stayed outside with staff person #1's group. One PS child was taken inside to bring staff person #1 into ratio.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: 1. The required staff: child ratios must be maintained at all times. This portion of the plan must have an immediate correction date. 2. The legal entity must submit an updated ratio policy including: maintaining ratio during outside activities and at times when behavioral issues occur. The policy should also address that staff from outside agencies may not be used to satisfy the adult: child ratios. The legal entity must submit the policy to the NE regional office for approval. Once approved all existing staff and new hires must be trained on the policy and sign an acknowledgment that must be kept on file. The operator shall provide a date for when this training will be completed.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: A renewal inspection was conducted on 7/28/25. In the infant classroom, cert rep observed a play stepping block that had rips on all the corners exposing the inside foam. The object is accessible to children that are still putting objects in their mouths.

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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: A renewal inspection was conducted on 7/28/25. In the infant classroom, cert rep observed the refrigerator to contain a sticky brown substance throughout the entire refrigerator bottom, doors, and shelves.

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

Regulation: 3270.121(a)

Description: Review policies and procedures

Noncompliance Area: A renewal inspection was conducted on 7/28/25. The parent handbook does not contain a supervision policy or the facility's general daily schedule.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: A renewal inspection was conducted on 7/28/25. Child(ren) #1-6's fee agreements did not contain a release person.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: A renewal inspection was conducted on 7/28/25. Child #3's initial health assessment was not received within 60 days following the first day of attendance at the facility. Child #3's initial health assessment is dated 4/7/25. (See code sheet for date of admissions).

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.

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

Description: 12 months prior to service and every 24 months thereafter/Exam communicable disease

Noncompliance Area: A renewal inspection was conducted on 7/28/25. Staff person #1 did not receive a health assessment at initial hire. The health assessment on file is dated 4/19/24.Staff person #3 did not update their health assessment every 24 months as required by regulation. Staff person #3's health summary on file is dated 3/30/23 and it does not indicate if staff person has communicable diseases and may work in childcare setting. Staff person #4 did not update their health assessment every 24 months as required by regulation. The is evidenced by the health assessments on file dated 7/27/22 and 8/8/24.

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 an examination for communicable diseases and the results of that examination.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: A renewal inspection was conducted on 7/28/25. Staff person #1 did not receive a tb screening at initial hire. The TB screening on file is dated 4/19/24. (See code sheet for DOH).

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: 3270.192(5)

Description: Two written references

Noncompliance Area: A renewal inspection was conducted on 7/28/25. Staff person #2 had one nonfamily reference on file.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection was conducted on 7/28/25. Staff person #1 did not complete the following required pre- service training within 90 days of their date of hire: Pediatric First Aid and CPR. This is evidenced by the Pediatric First Aid and CPR on file dated 8/21/24. (See code sheet for DOH).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10: Pediatric First Aid and CPR.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection was conducted on 7/28/25. The facility is unable to test the fire detection system due to the fire system containing a sprinkler system. The last documentation on file of annual testing from a fire safety professional is dated 2/22/24, which is more than 12 months ago.

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: 3270.133(4)

Description: Locked

Noncompliance Area: An unannounced inspection was conducted on 4/4/25. In the young toddler classroom cert rep observed a prescription inhaler in a child's backpack that was accessible to the children.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: An unannounced inspection was conducted on 4/4/25. Cert rep observed 18 water damaged ceiling tiles in the following areas: Over the infant area, above the sink near the bathroom, and near the entrance door.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Facility's emergency plan does not contain Continuity of Operations.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Infant bottles were not labeled with child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.192(2)(iv)/3270.192(5)

Description: Transcript, diploma and letters/Two written references

Noncompliance Area: File for Staff # 1 did not contain verification of education, childcare experience and 2 non-family references.

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. 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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Power strip on the desk in the Preschool Room was missing protective covers.

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

Regulation: 3270.106(j)/3270.119

Description: Prohibit items in crib/Infant sleep position

Noncompliance Area: On 7/2/24 Children # 1 and # 2 were observed sleeping in a crib on bobby pillows. Child # 3 was observed asleep in a bouncer seat, with a bottle propped in his mouth. Staff # 1 was responsible for children at time of observation.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib. Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. The Legal Entity must arrange for all facility staff to receive a minimum of 2 hours of PQAS approved, in-person or live training regarding Health & Safety-Infant Safe Sleep. It does not matter if the PQAS approved training is done through ELRC. The Legal Entity must receive DHS approval of the training content prior to scheduling the training. The training may not be completed while children are in care.

Regulation: 3270.106(j)/3270.119

Description: Prohibit items in crib/Infant sleep position

Noncompliance Area: On 7/2/24 Children # 1 and # 2 were observed sleeping in a crib on bobby pillows. Child # 3 was observed asleep in a bouncer seat, with a bottle propped in his mouth. Staff # 1 was responsible for children at time of observation.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib. Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person # 1 has not completed the following required pre-service training within 90 days of their date of hire: Health and Safety Topics including 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 # 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: 3270.166(6)

Description: Infant/toddler - no bottle in mouth to sleep

Noncompliance Area: On 7/2/24 Child # 3 was observed asleep in a bouncer seat with a bottle propped in child's mouth. Staff # 1 was responsible for child at time of incident.

Correction Required: Neither an infant nor a toddler is permitted to sleep with a bottle in his mouth.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person # 1 has not completed the following required pre-service training within 90 days of their date of hire: Health and Safety Topics including pediatric first aid/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. Health and Safety Topics including pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Staff person shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person # 1 will have until 7/27/24 to complete the required training. Until such time as the required training has been completed, staff person # 1 must be supervised, when interacting with children, by a staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person # 1, staff person # 1 may not work in a child-care position at the facility.

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: On 6/12/24 Child # 1 fell on the playground and was taken to the hospital for a broken femur. An injury report was not completed and given to parent.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.20(a)(1)/3270.20(b)

Description: Inpatient hospitalization or ER treatment of child/Mail or deliver written report to regional office within 72 hours

Noncompliance Area: On 6/12/24 Child # 1 fell on the playground and was taken to the hospital for a broken femur. An incident report was not completed in Pelican within 72 hours. Regional Office was not notified within 24 hours.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department.

Regulation: 3270.25(a)/3270.25(b)

Description: Availability of certificate of compliance and applicable regulations/Post the inspection summary

Noncompliance Area: Facility was issued a Provisional Certificate of Compliance and it was not posted in a conspicuous location used by parents. Facility does not have Inspection Summaries posted in a conspicuous location used by parents.

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. The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Staff # 1 and # 2 admitted to being out of ratio on 3/19/24, two staff with 22 Preschool children.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Staff # 1 and # 2 admitted to being out of ratio on 3/19/24, two staff with 22 Preschool children.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. Director will develop a Ratio Policy and procedures. Policy must be approved by Regional Office. All current and new staff must be trained, and verification of training must be in staff file.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During a complaint investigation, Staff # 1 and # 2 admitted that on 11/29/23 Child # 1 walked out of the facility, unnoticed. Child # 1 was outside unsupervised for 7 minutes.

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. 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. The Legal Entity must arrange for all facility staff to receive a minimum of 2 hours of PQAS approved, in-person or live training regarding Supervision of children. It does not matter if the PQAS approved training is done through ELRC. The Legal Entity must receive DHS approval of the training content prior to scheduling the training. The training may not be completed while children are in care.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During a complaint investigation, Staff # 1 and # 2 admitted that on 11/29/23 Child # 1 walked out of the facility, unnoticed. Child # 1 was outside unsupervised for 7 minutes.

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. 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: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During a complaint investigation, Staff # 1 and # 2 admitted that on 11/29/23 Child # 1 walked out of the facility, unnoticed. Child # 1 was outside unsupervised for 7 minutes.

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. 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. Legal Entity will demonstrate compliance by having no instances of non-compliance related to supervision for the next three months.

Regulation: 3270.113(b)/3270.113(e)

Description: No physical punishment /Restraints prohibited

Noncompliance Area: On 11/8/23 during a complaint inspection it was reported to Cert. Rep. that Staff # 1 has grabbed children by the arm, kicked children and has restrained children with behavior issues.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.113(b)/3270.113(e)

Description: No physical punishment /Restraints prohibited

Noncompliance Area: On 11/8/23 during a complaint inspection it was reported to Cert. Rep. that Staff # 1 has grabbed children by the arm, kicked children and has restrained children with behavior issues.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. The Legal Entity must arrange for all facility staff to receive a minimum of 2 hours of PQAS approved, in-person or live training regarding supervision and positive behavior modification. It does not matter if the PQAS approved training is done through ELRC. The Legal Entity must receive DHS approval of the training content prior to scheduling the training. The training may not be completed while children are in care and may not be counted to the annual training requirement.

Regulation: 3270.113(b)/3270.113(e)

Description: No physical punishment /Restraints prohibited

Noncompliance Area: On 11/8/23 during a complaint inspection it was reported to Cert. Rep. that Staff # 1 has grabbed children by the arm, kicked children and has restrained children with behavior issues.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. Facility must demonstrate compliance over the next three months during unannounced visits.

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: On 11/8/23 during a complaint inspection it was reported to Cert. Rep. that Staff person # 1 has threated to hit children and to cut a child's tongue out, if they keep sticking it out.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. Facility must demonstrate compliance over the next three months during unannounced visits.

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: On 11/8/23 during a complaint inspection it was reported to Cert. Rep. that Staff person # 1 has threated to hit children and to cut a child's tongue out, if they keep sticking it out.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.67(c)

Description: No insects or rodents

Noncompliance Area: On 11/8/23 during a complaint inspection, staff admitted that the facility has a cockroach issue in the kitchen and in the Infant Room.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Emergency Contact Forms for children # 1, # 2, # 3, # 4, #5 and # 6 do not contain health insurance name and policy number.

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

Regulation: 3270.151(a)

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

Noncompliance Area: Files for Staff # 1, # 2 and # 3 did not contain health assessments every 24 months. Health assessments for Staff # 1 were dated 2/5/21 and 7/19/23, Staff # 2 10/21/19 and 7/11/22, Staff # 3, 9/2/19 and 7/27/22.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person # 5 did not complete the following required pre-service training within 90 days of their date of hire: Health and Safety Topics including pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Staff person # 5 was not caring for children unsupervised at time of inspection.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person # 5 will have until 8/1023 to complete the required training. Until such time as the required training has been completed, staff person # 5 must be supervised, when interacting with children, by a staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person # 5, staff person # 5 may not work in a child-care position at the facility.

Regulation: 3270.75(a)/3270.75(c)

Description: In child care spaces/Has all items

Noncompliance Area: First-aid kit in the Preschool was missing tweezers. Older toddler room could not locate the first-aid kit.

Correction Required: A first-aid kit shall be in a child care space. A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: Staff person #1 admitted that when child #1 said that he was going to hurt himself she told him to "do it" and then sarcastically said "oh, I'm not supposed to say that. I'm supposed to say that your family will miss you."

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: Staff person #1 admitted that when child #1 said that he was going to hurt himself she told him to "do it" and then sarcastically said "oh, I'm not supposed to say that. I'm supposed to say that your family will miss you."

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. Staff # 1 must take 2 hours of PQAS approved training related to positive interactions with children. It does not matter if the PQAS approved training is done through ELRC. The Legal Entity must receive DHS approval of the training content prior to scheduling the training. Training may not be counted to the annual training requirement.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: On 4/5/23 Staff # 1 admitted that on 3/27/23 staff gave child the keys to unlock the facility. Staff #1 was witnessed to turn her back and was unable to see child. On 4/5/23 Staff # 2 admitted that on 3/27/23 staff was changing a diaper and was unable to see all of the children.

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. 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. Director will develop a Supervision Policy that addresses supervision at all times, including diaper changing, outside and transition times. Ratio must also be addressed in policy. Policy must be approved by Regional Office. All staff must be trained, and verification of training must be in staff file.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: On 4/5/23 Staff # 1 admitted that on 3/27/23 staff gave child the keys to unlock the facility. Staff #1 was witnessed to turn her back and was unable to see child. On 4/5/23 Staff # 2 admitted that on 3/27/23 staff was changing a diaper and was unable to see all of the children.

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. 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: 3270.51

Description: Similar Age Level

Noncompliance Area: On 4/5/23 during a complaint inspection, Staff # 1 admitted that on 3/27/23 staff was alone with 11 Preschool children for approximately 5-10 minutes.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 10/28/22 Staff # 1 admitted that in order to stop a child from running into the parking lot, she grabbed him by the hood and dragged him backwards. On 11/8/22 Staff # 2 admitted that in order to stop a child from running into the parking lot, she grabbed him by the hood and dragged him back into the building.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Rubber gloves were observed on a shelf in the children's bathroom, accessible to children, who are still placing objects in their mouths.

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.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: Fee Agreement for children # 1, # 2 and # 7 did not contain arrival and departure times.

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

Regulation: 3270.124(b)(3)/3270.124(b)(6)

Description: Parent home/work address, phone/Insurance coverage information

Noncompliance Area: Emergency Contact Form for children $ 3, # 4, # 5, # 6 and # 7 did not contain work address and/or phone numbers for parents. Emergency Contact Form for children # 1, # 2 , # 3, # 4, # 5, # 6 and # 7 did not contain child's health insurance name and policy number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: Facility did not have a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

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.

Regulation: 3270.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: Health assessments for children # 2 and # 6 did not contain a physician's signature.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Purell hand sanitizer, hand lotion and Tums antacids were observed on a shelf in the Preschool room accessible to 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: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: Staff admitted that during nap time a child and a worker from another agency are out of sight of staff.

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. 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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: During an unannounced visit to facility on 6/18/22 milk was observed on the counter for over 1 hour. Director admitted that the milk is left out during breakfast 7:30-8:30 and lunch 10:00-12:30.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person # 1 - 8 has 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. Training was received prior to 4/29/22.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: Staff person # 1 - 8 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: 3270.76

Description: Building Surfaces

Noncompliance Area: Several ceiling tiles in the facility were water stained, due to a past water leak.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: On 1/12/22 during a Complaint Investigation it was observed that in the Infant Room, there were 8 Infants with only 6 cribs. The director advised that the infants share cribs.

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

Noncompliance Area: Staff number 1,2,3,4,5,6,7 and 8 have not obtained a National Sex Offenders Registry Clearance a requirement of the Child Protective Services Law.

Correction Required: The operator/director shall complete the OCDEL provider training class.

Noncompliance Area: During inspection on 2/4/20 staff number 1 stated that children were not assigned to specific staff.

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.

Noncompliance Area: ON 11/19/19 per observation and interviews verified that the Graco Dream Glider Swing was being used as infant sleep equipment, this equipment is not approved for use by the CPSC and is not age appropriate sleep equipment for infants.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement. Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: Staff number 1 & 2 were not hired under the requirements of the CPSL in regards to application of clearances prior to starting childcare. All valid clearances are now on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: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: On 1/22/19, staff number 1 threatened to put child number 1, a pre-school age child, in a crib in the baby room as a time out.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Noncompliance Area: Observed paint chips on outdoor walkway surface in front of the outdoor play space.

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

Noncompliance Area: Interviews with staff number 2 and 3 and individual number1 verified that on 9/22/17 child number 1 was left alone in the toddler room for a time period of minutes. Individual number 1 stated that he heard a child crying hysterically when he entered the facility and located the child alone within the toddler room. Staff number 2 and 3 stated that they heard a child crying for minutes and both staff stated that they assumed the child was in a childcare space with a staff person. The child was assigned to staff number 1. Staff number 1 had previously relocated her group from the toddler room to the big classroom. Staff estimated that the time of the relocation of the group until child number 1 was located in the toddler room was a time period of minutes.

Correction Required: : Children must be supervised at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: Little Tykes play equipment was observed with a broken piece causing rough edges and pinch points.

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

Noncompliance Area: Infant bottles were not labeled with child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child`s name.

Noncompliance Area: Emergency Contact Form and Fee Agreement for Child # 1 have not been updated every 6-months.

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

Noncompliance Area: File for Staff # 1 did not contain verification of receiving a high school 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.

Noncompliance Area: File for Staff # 2 did not contain State Police, Child Abuse and FBI Clearances. Staff # 2 began employment on 5/22/17.

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.