Mt Pleasant U P Church Child Day Care

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement for child #3 does not include the child's date of admission.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information for child #2 and child #4 does not include the work telephone number or work address of enrolling parent.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The current health assessment for child #1 is dated 10/24/24, which is more than one year ago. The current health assessment for child #5 is dated 10/15/25, which is more than 12 months after the previous one that is dated 4/15/24. The current health assessment for child #6 is dated 1/9/26, which is more than 12 months after the previous health assessment that is dated 11/9/24.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.151(a)

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

Noncompliance Area: The current health assessment for staff #10 is dated 1/2/25, which is more than 24 months after the previous health assessment that is dated 12/29/22.

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(e)(4)(i)

Description: Age and Training

Noncompliance Area: The current pediatric first aid and CPR training for staff #9 is dated 1/8/26, which is after the expiration of the previous training that is dated 12/18/23.

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(f)(10)

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

Noncompliance Area: The current pediatric first aid and CPR training for staff #7 is dated 12/13/25, which is more than 90 days after their date of hire (see LIS code sheet). The current pediatric first aid and CPR training for staff #8 is dated 12/12/25, which is more than 90 days after their date of hire (see LIS code sheet).

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The current NSOR certificate for staff #1 is dated 7/10/25, which is more than 60 months past the date on the previous certificate that is dated 7/2/20. The current mandated reporter training for staff #2 is dated 12/18/25, which is more than 60 months after the previous training that is dated 11/9/20. The current PA State Police clearance for staff #3 is dated 8/12/25, which is more than 60 months after the previous clearance that is dated 7/27/20. The current NSOR certificate for staff #3 is dated 12/25/25, which is more than 60 months after the previous certificate that is dated 7/27/20. The current Child Abuse clearance for staff #4 is dated 12/31/25, which is more than 60 months after the previous clearance that is dated 7/23/15. The current mandated reporter training for staff #4 is dated 12/26/25, which is more than the previous training that is dated 7/8/20. The current NSOR certificate for staff #5 is dated 7/11/25, which is more than 60 months after the previous certificate that is dated 7/2/20. The current mandated reporter training for staff #6 is dated 1/17/25, which is more than 60 months after the previous training that is dated 1/14/20.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information for child #4 did not include the phone number of the child's physician or 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.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact information for child #1, child #3, child #4, child #5, and child #6 did not include information on the child's special needs, which is needed in an emergency situation.

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.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information for child #4 did not include health insurance coverage 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: 3270.131(a)

Description: Health information

Noncompliance Area: The initial health assessment for child #2 is dated more than 60 days after the child's date of admission. (See LIS code sheet)

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: 3270.131(b)(2)

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

Noncompliance Area: Health assessments for child #1, an older toddler, are dated more than 12 months apart. The assessments are dated 2/22/22, 7/13/23, and 10/15/24. The updated health assessment for child #4 is dated more than 12 months after the previous assessment. Previous assessment is dated 3/30/23 and updated assessment is dated 4/4/24.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: Written verification of immunizations for child #2 was not provided within 60 days of the child's date of admission. (See LIS code sheet) Written verification of immunizations for child #2 was attached to the initial health assessment which was dated 11/7/24.

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(a)

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

Noncompliance Area: The current health assessment for staff person #1 is dated more than 24 months after the previous health assessment. The previous health assessment is dated 12/5/22 and the current health assessment is dated 1/8/25.

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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: There was not an emergency drill documented in 2024. The date of the most recent emergency drill is 12/15/23.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The current child abuse and DHS FBI clearances and mandated reporter training for staff #2 were obtained more than 60 months after the previous clearances and training were dated. The date of the previous child abuse clearance is 6/9/19 and the date of the current clearance is 1/2/25. The date of the previous DHS FBI clearance is 6/4/19 and the date of the current clearance is 12/31/24. The date of the previous mandated reporter training is 7/17/19 and the current training is dated 12/30/24.

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

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: Testing of the fire-detection system exceeded 30 days on the following dates: 4/19/24-5/22/24 and 10/11/24-11/11/24.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Regulation: 3270.122

Description: Admissions Interview

Noncompliance Area: The child file for Child #2 contained a current child service report dated 8/31/23 that was not completed every 6 months from the previous report dated 1/11/23. The child file for Child #3 contained a current child service report dated 8/16/23 that was not completed every 6 months. The child file for Child #4 contained a current child service report dated 12/18/23 that was not completed every 6 months from the previous report dated 2/16/23. The child file for Child #5 contained a current child service report dated 8/18/23 that was not completed every 6 months from the previous report dated 1/6/23. The child file for Child #7 contained a current child service report dated 8/11/23 that was not completed every 6 months.

Correction Required: A child shall be interviewed or observed by the operator and when possible shall have the opportunity to visit the facility prior to being admitted for care. The child shall be told as much about the service being planned as he can understand. If the parent indicates that the child has a special need, the operator shall discuss the condition with the parent, and comply with §§3270.17, 3270.124 and 3270.131 (relating to service to a child with special needs; emergency contact information; and health information).

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The child file for Child #2, contained an initial health report dated 3/13/23 which is more than 60 days after initial enrollment. The child file for Child #8 lacked an initial health report.

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)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The child file for Child #2, a YT, lacked an updated health report; the most recent health report on file is dated 3/13/23. The child file for Child #3, a YT, lacked an updated health report; the most recent health report on file is dated 12/29/22.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

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 staff file for Staff person #3, lacked a valid health assessment. The staff file for Staff person #4, contained a current health assessment dated 12/28/23 which was conducted more than 24 months from the previously dated 11/9/21 health assessment on file.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The child file for Child #1 and Child #4 contained a current financial agreement and emergency contact form that were not reviewed and updated by the parent every 6 months; the two most recent reviews were dated 12/18/23 and 2/16/23. The child file for Child #2 contained a current financial agreement and emergency contact form that were not reviewed and updated by the parent every 6 months; the two most recent reviews were dated 10/10/23 and 2/24/23. The child file for Child #3 contained a current emergency contact form that was not reviewed and updated by the parent every 6 months; the two most recent reviews were dated 8/28/23 and 12/31/22. The child file for Child #5 contained a current financial agreement and emergency contact form that were not reviewed and updated by the parent every 6 months; the two most recent reviews were dated 12/11/23 and 2/9/23. The child file for Child #7 contained a current financial agreement and emergency contact form that were not reviewed and updated by the parent every 6 months; the two most recent reviews were dated 12/8/23 and 3/15/23. The child file for Child #8 contained a current financial agreement and emergency contact form that were not reviewed and updated by the parent every 6 months; the two most recent reviews were dated 1/5/24 and 2/6/23.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: In the PreK B room two staplers were observed stored in an unlocked cabinet drawer and accessible to the preschool age children in care.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 and Staff person #2 had not completed the following required pre-service training within 90 days of their date of hire: Pediatric First Aid/CPR; Staff person #1 completed the training on 7/19/23 and Staff person #2 completed the training on 12/18/23.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the PreK B room a spray bottle of Lysol was observed on top of the counter and accessible to the preschool age children in care.

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

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: The Fellowship Hall/Young Preschool Room was observed to lack a first-aid kit.

Correction Required: A first-aid kit shall be in a child care space.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The girl's bathroom located in the west wing was observed to lack a handwashing sign above the sink.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The child file for Child #4 was observed to lack a child service report.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The child file for Child #1 contained a financial agreement form that lacked the name(s) of the person(s) designated by a parent to whom the child may be released.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The child file for Child #3 contained an emergency contact form that lacked the health insurance 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: 3270.131(b)(2)/3270.182(1)

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

Noncompliance Area: The child file for Child #2, a preschooler at the time an update was due, was observed to contain an updated health report dated 8/18/22 which was conducted more than 12 months from the previously dated 1/18/19 health report on file. The child file for Child #7, a preschooler at the time an update was due, was observed to contain an updated health report dated 10/12/22 which was conducted more than 12 months from the previously dated 13/29/21 health report on file.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The staff file for Staff person #4, contained a current health assessment dated 1/2/23 which was conducted more than 24 months from the previously dated 11/10/20 health assessment on file.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The child file for Child #2 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of the most recent updates were for the financial agreement and the emergency contact information form were 1/3/23 and 6/8/22. The child file for Child #4 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of the most recent updates were for the financial agreement and the emergency contact information form were 10/4/22 and 2/2/22. The child file for Child #5 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of the most recent updates were for the financial agreement and the emergency contact information form were 8/22/22 and 8/18/21. The child file for Child #6 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of the most recent updates were for the financial agreement and the emergency contact information form were 9/8/22 and 2/14/22.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility lacked a means to provide parents of enrolled children a way to access the regulations in this chapter electronically.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The staff file for Staff person #2 contained 7 out of 12 clock hours of childcare training completed for 12/19/21 - 12/19/22.

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

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

Description: Age and Training

Noncompliance Area: The staff file for Staff Person #2, Staff Person #3, Staff Person #4, Staff Person #6, Staff Person #7, and Staff Person #9, contained current pediatric first aid/CPR training dated 3/8/22 which was not renewed prior to the previous pediatric first aid/CPR training dated 2/8/20 expiring. The staff file for Staff Person #8 contained current pediatric first aid/CPR training dated 3/31/22 which was not renewed prior to the previous pediatric first aid/CPR training dated 1/6/20 expiring. The staff file for Staff Person #10 contained current pediatric first aid/CPR training dated 11/10/22 which was not renewed prior to the previous pediatric first aid/CPR training dated 2/8/20 expiring.

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 staff file for Staff person #4 contained current fire safety training that was not participated annually; the dates of the last two trainings 12/16/22 and 11/29/21.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training; the Health and Safety training on file was completed after to 6/30/18 and is not considered an acceptable training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #3 will have until 2/19/23 to complete the required training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3 staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The staff file for Staff person #1 contained current mandated reporter training dated 4/29/20 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 4/24/15. The staff file for Staff person #2 contained current mandated reporter training dated 4/15/20 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 2/17/15. The staff file for Staff person #5 contained current mandated reporter training dated 5/15/20 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 3/18/15.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The staff file for Staff person #1 contained a current Child Abuse clearance dated 4/28/20 and a current State Police clearance dated 4/28/20 both of which were not renewed within 60 months of the previously dated 4/17/15 Child Abuse clearance and 3/19/15 State Police clearance expiring.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the Fellowship Hall/Young Preschool room, a six-outlet power strip located in an unlocked storage cabinet, on the second shelf up from the bottom, was observed to be missing five protective covers and accessible to children 5 years of age or younger.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Upon review of the facility's fire drill log, the following fire drills were observed to not be conducted at least once every 60 days: 9/19/22 - 12/13/22 (85 days)

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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact forms in the files for child #3 and #4 did not include the physician's address.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form in the file for child #3 did not include the enrolling parent's work address. The emergency contact forms in the files for child #4 and #5 did not include the enrolling parent's work address or work phone number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form in the file for child #2 did not include one of the release person's phone numbers.

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(e)(1)/3270.182(1)

Description: Exemption documentation from parent/guardian/Initial and subsequent health reports

Noncompliance Area: The most recent immunization records in the files for child #1, #4 and #5 did not include documentation of a flu shot administered in the past year or a letter of exemption from the parent or physician.

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

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: The first aid kit in the preschool room contained alcohol wipes, which did not include the name of the child for whom the medication was intended.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The most recent updated health assessments in the files for staff person #3 and #4 exceeded 24 months between assessments.

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

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

Noncompliance Area: The most recent pediatric first aid/CPR certificate in the file for Staff person #2 was acquired after the previous certificate expired. 5/11/19-6/22/21.

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

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

Noncompliance Area: The most recent mandated reporter trainings in the file for staff person #1 exceeded 60 months between the trainings. 6/12/15-11/9/20.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The required clearances for staff person #1 exceeded 60 months between clearances. State police: 12/3/15-1/26/21 Child Abuse: 12/10/15-1/26/21

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: One documented fire safety system check exceeded 30 days. 9/16/21-10/18/21.

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: 3270.101(a)

Description: Age appropriate

Noncompliance Area: Based on and physical site inspection on 11/22/21, a climber was observed in the Toddler Play Space. "Ages 2 and up" was printed on the climber, but the play area is used by children 1 year old.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Noncompliance Area: Observed splintering wood and a hole in the rock climber in the outdoor play space.

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: The Emergency Contact Form in the file for Child #2 did not include the physician's telephone number.

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 most recent updated health reports in the file for Child #2, a Young Toddler, exceeded 6 months between reports. The most recent health report in the file for Child #2 is current.

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

Noncompliance Area: The files for Child #3, #4 and #5, did not include documentation of a flu shot administered within the past 12 months. Child #3: December, 2018. Child #4: None. Child #5: October, 2018.

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

Noncompliance Area: The most recent health assessments in the files for Staff Person #1 and #2 exceeded 24 months between assessments. The most recent assessments in the files for both staff persons are current.

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 first parental updates to the emergency contact form and fee agreement in the file for Child #1 were more than 6 months after the child's enrollment date: 2/18/19. Update: 9/25/19. The most recent parental updates to the emergency contact form and fee agreement in the file for Child #4 exceeded 6 months between updates: 9/17/18 - 8/9/19. The most recent parental updates for both children are current.

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: The file for Facility Person #5 did not include two written letters of 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: The file for Staff Person #5 does not include current documentation of training in the facility's 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: Documentation of Mandated Reporter Training in the file for Staff Person #4 was dated more than 90 days after the Staff Person's first day working in child care. Start Date: 6/11/18. Mandated Reporter Training: 12/27/18. This training is now current.

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

Noncompliance Area: The NSOR Application in the file for Staff Person #3 was dated 12/18/19. This was two days after Staff Person #3's first day in child care: 12/16/19. The file for Staff Facility Person #5, a volunteer, did not include a disclosure statement. The Volunteer State Police Clearance and Child Abuse Clearance in the file for Facility Person #5 have not been updated in the past 60 months. State Police: 8/2/02. Child Abuse: 2/13/04.

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 #3 and #5 may not work in a child care position at the facility.

Noncompliance Area: Observed air freshener sprays, which were accessible to children, in an unlocked cabinet in the hallway restroom. Observed a can of paint, which was accessible to children, in the foyer area, which leads to the outdoor play space.

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

Noncompliance Area: Observed four nails protruding from the wall-mounted door stops in the foyer area.

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.

Noncompliance Area: The glass doors in the foyer area, which exit to the outdoor play space, lacked visual strips or other visual identification.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Noncompliance Area: On January 29, 2019 at 12:45 PM, Child #1 was observed sleeping in a propped position in a Rock-n-Play. Staff Person #2 informed the certification representative that the child had been sleeping in this position for approximately one hour.

Correction Required: 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.

Noncompliance Area: The file for Child #3, who has been enrolled for more than six months (6/6/18) did not include a Child Service Report.

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 Emergency Contact Form in the file for Child #2 did not include the policy number for the health insurance coverage. The Emergency Contact Form in the file for Child #3 did not include the health insurance coverage or the 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.

Noncompliance Area: The most recent health reports in the file for Child #2, a young toddler, exceeded six months between reports. The most recent health report in the file for Child #2 is current.

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

Noncompliance Area: The most recent health reports in the file for Child #4, a preschool child, exceeded 12 months between reports. The most recent health report in the file for Child #4 is current.

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.

Noncompliance Area: The most recent health assessments in the files for Staff Person #2, #6 and #7 exceeded 24 months between assessments. The most recent health assessments in the files for all three staff persons are current.

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 initial tuberculosis screening in the file for Staff Person #8 was dated more than one year prior to the staff person's first day in child care. The tuberculosis screening in the file for Staff Person #8 is not valid.

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. 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 most recent health assessment in the file for Staff Person #3 did not include an examination for communicable diseases and the results of that examination, or the physician's or CRNP's 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 documentations for initial training regarding the emergency plan in the files for Staff Person #1, #4, and #5 are dated after the staff persons' initial day providing care for children: Staff #1 First day in Child Care: 12/3/18, Initial training in plan, 12/18/18. Staff #4 First day in Child Care: 12/3/18, Initial training in plan, 1/4/19. Staff #5 First day in Child Care: 9/17/18, Initial training in plan, 10/10/18. The most recent training in the emergency plan for all three staff persons is current.

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

Noncompliance Area: The fingerprint date for FBI Clearance in the file for Staff Person #8 was two days after the Staff Person's first day working in child care: 6/12/18 - 6/14/18. All three clearances in the file for Staff Person #8 are current.

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.

Noncompliance Area: A can of Lysol spray was observed in an unlocked cabinet at floor level in the Toddler 1 Room, which was 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.

Noncompliance Area: Based on interviews, on September 4th, 2018, at approximately 3:45 PM, Staff Person #1 grabbed Child #1 by the arm in a frustrated manner and yanked him to remove him from the diaper changing area in the Toddler Room.

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

Noncompliance Area: Based on interviews, on September 4th, 2018, and on separate occasions, Staff Person #1 has used harsh language towards and in the presence of children.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Noncompliance Area: Less than two feet of space was observed between three Pac n Plays, where Child #1, #2 and #3 were napping. This was observed in the infant room where Staff Person #2 and #3 were providing care.

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.

Noncompliance Area: The thermometer in the large refrigerator in the main kitchen area measured 70 degrees.

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.

Noncompliance Area: The file for Staff Person #1 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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: The file for Staff Person #1, with a hire date of 2/13/18, did not include an FBI clearance. The file for Staff Person #1 did not include the appropriate documentation of a request for FBI clearance required for provisional hires.

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. Facility Person #1 may not work in a child care position at the facility.

Noncompliance Area: The baseboard was missing along an eight-foot section in the rear of the kitchen near the dishwasher. This exposed a hole in the wall and crumbling drywall from age.

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.

Noncompliance Area: The file for child #2 and child #5 had a child service report that exceeded 6 months between reports.

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 file for child #4 had an initial school-age health assessment that was dated after the child's start date for Kindergarten.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code 23.2 (relating to medical examinations).

Noncompliance Area: The file for child #3 had a health assessment that lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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

Noncompliance Area: The file for staff person #1, staff person #2, and staff person #4 had a health assessment that exceeded 24 months between assessments.

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: The file for child #1 had an emergency contact form and agreement that exceeded 6 months between updates.

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: The file for staff person #3 had initial emergency plan training that was dated after her start date.

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 wood chips under the outdoor embedded play equipment measured a depth of less than nine inches.

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: Child #4 had an emergency contact form that lacked the child's health insurance 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.

Noncompliance Area: Child #4 had an emergency contact form that lacked the address for one person designated by the parent to whom the child may be released.

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

Noncompliance Area: Child #5 enrolled 10/24/16 lacked a health assessment,

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: There was a bottle of body lotion in the young toddler room that was not labeled for individual use and was labeled "daycare". There was bottle of tylenol medication in the medication cabinet that was labeled with multiple siblings names. There was a bottle of acetaminophen in the medication cabinet that was not labeled with the intended user's name.

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

Noncompliance Area: Child #1 had itch cream and chewable pain relief medication at the facility for which there was no written consent from the parent to administer. Child #2 had acetaminophen and ibuprofen medication at the faciility for which there was no written consent from the parent to administer. Child #3 had acetaminophen medication at the facility for which there was no written consent from the parent to administer.

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

Noncompliance Area: Staff person #1 had a previous health assessment dated 9-30-14 and a current health assessment dated 1-4-17, which were 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.

Noncompliance Area: Staff person #2 had a state police clearance which documented that the request was still under review, thereby making it an invalid clearance.

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.

Noncompliance Area: There was a bottle of white out accessible to children in an unlocked drawer in the Fellowship Hall.

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

Noncompliance Area: There was a poinsettia plant, which is toxic, accessible to children on a table in the main hallway of the facility near the entrance to the sanctuary.

Correction Required: Toxic plants are not permitted in a child care space.