GPY Spring Valley BASE

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

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

Noncompliance Area: On July 8, 2024 during the renewal inspection, the file of Staff #1, Staff #2, Staff #9and Staff #10 did not contain evidence of a health assessment, the file of Staff #1 and Staff #2 did not contain evidence of tuberculosis screening.

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.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: On July 8, 2024 during the renewal inspection, the file of Staff #1, Staff #2, and Staff #4 did not contain evidence of verification of education.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On July 8, 2024 during the renewal inspection, the file of Staff #4 did not contain evidence of two written nonfamily references.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: On July 8, 2024 during the renewal inspection, the file of Staff #1 and Staff #2 did not contain evidence of being trained 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.

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

Description: Age and Training

Noncompliance Area: On July 8, 2024 during the renewal inspection, the file of Staff #7, Staff #10, Staff #12 and Staff #13 did not contain evidence of updated Pediatric First Aid/ CPR.

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: On July 8, 2024 during the renewal inspection, the file of Staff #8 and Staff #10 did not contain evidence of fire safety training.

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(e)(4)(iv)

Description: Water safety

Noncompliance Area: On July 8, 2024 during the renewal inspection, the file of Staff #1 and Staff #2 did not contain evidence of water safety training.

Correction Required: Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: On July 8, 2024 during the renewal inspection, the file of Staff #14 did not contain evidence of Health and Safety training.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On July 8, 2024 during the renewal inspection, the file of Staff #1 did not contain evidence of NSOR clearance and Child Abuse clearance, the Child Abuse clearance was issued for a volunteer; the file of Staff #4, Staff #5 and Staff #6 did not contain evidence of NSOR clearance

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #1, Staff #4, Staff #5 and Staff #6 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: On July 8, 2024 during the renewal inspection, the file of Staff #11 did not contain evidence of staff evaluation

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

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

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

Noncompliance Area: As of the file review on 8/15/23 for the renewal inspection, there was no health assessment and TB screening for staff #6. An acceptable plan of corrections was received that stated that Staff #6 was no longer employed for the season. Subsequent conversation on 9/20/23 and email from the director on 9/20/23 indicated that Staff #6 was still working and would submit her physical and TB.

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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Continued Non-Compliance: On 8/15/23 a renewal inspection was conducted at the facility. Staff person #10, #23, and #33 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and Pediatric CPR with a PQAS certified instructor. The facility's acceptable plan of correction indicated the correction would be implemented by 9/5/23. On 9/18/23 an unannounced inspection was conducted. Staff person #10, #23, #33 still have not completed the following required pre-service training: Pediatric First Aid and Pediatric CPR with a PQAS certified instructor

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 #10, #23, and #33 will have until 10/7/23 to complete the required training. Until such time as the required training has been completed, staff person #10, #23, and #33 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #10, #23, and #33, staff person #10, #23, and #33 may not work in a child-care position at the facility.

Regulation: 3270.51/3270.113(a)(2)

Description: Similar Age Level/Supervision on and facility premises

Noncompliance Area: On 9/18/23 during an unannounced inspection, there were 21 kindergarten children with one staff person.

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. The required staff:child ratios must be maintained at all times. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55. The legal entity must develop or update their written ratio policies and procedures to be implemented in the facility. The written policy must address how the program will ensure that ratios will be maintained at all times. The legal entity will submit their policies and procedures to the Southeast Regional Office for approval. Once approved, all existing staff and any new hires must be trained on the approved policy and procedure and it must be documented in their files.

Regulation: 3270.51/3270.113(a)(2)

Description: Similar Age Level/Supervision on and facility premises

Noncompliance Area: On 9/18/23 during an unannounced inspection, there were 21 kindergarten children with one staff person.

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. The required staff:child ratios must be maintained at all times. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the renewal inspection on 8/8/23, there were cleaning products in an unlocked cabinet below the sink in Room 2. An acceptable plan of corrections was received stating that "A child safety lock was added to the cabinet below the sink in room 2. Staff will ensure all cleaning products are kept in a locked cabinet." The provider's date of correction was 8/23/23. On 9/18/23 during an unannounced inspection, the cabinet remained unlocked with cleaning materials still 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: 3270.123(a)

Description: Signed

Noncompliance Area: As of the file review on 8/15/23 for the renewal inspection, the fee agreements for child #2, #3, #4, #5, #6, #7, #8 and #9 were not signed by the operator. The fee agreements for child #4 and #9 were also not signed by the parent.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: As of the file review on 8/15/23 for the renewal, the agreement of child #4, #5, and #7 did not specify the amount of the fee to be charged.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: As of the file review on 8/15/23 for the renewal inspection, the agreement for child #10 did not include an admission date.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During the renewal inspection on 8/8/23, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in the Large Conference Room and in Room 1.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: As of the file review on 8/15/23 for the renewal inspection, the emergency contact information for child #1, #3, and #8 had not been updated in the previous 6 months. The fee agreement for child #3 had not been updated in the previous 6 months. The fee agreements for child #4 and #9 were not dated. There were no fee agreements for child #1, #2, and #10.

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

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

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

Noncompliance Area: As of the file review on 8/15/23 for the renewal inspection, there was no health assessment and TB screening for staff #6, #13, #28, and #31. There were TB screenings but no health assessment for staff #10, #21, and #29.

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.

Regulation: 3270.151(c)(3)/3270.151(c)(4)

Description: Exam communicable disease/Information re: medical problems

Noncompliance Area: As of the file review on 8/15/23 for the renewal inspection, the health assessment for staff #4 did not include the physician's assessment that the staff is free from communicable disease and able to care for children.

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 information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: During the renewal inspection on 8/8/23, there was yogurt, cheese, and other potentially hazardous food in children's lunchboxes in the cubbies outside of Room 2.

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

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: As of the file review for the renewal inspection on 8/15/23, there was no file for staff #1, who was in the classroom during a walk through on 8/8/23.

Correction Required: An individual record is required for each facility person.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: As of the file review on 8/15/23 for the renewal inspection, the files of staff #6, #7, #13, #14, #18, #21, #28 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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: As of the file review on 8/15/23 for the renewal inspection, there was no documentation of emergency plan training for staff #29.

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.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: As of the renewal inspection, the letter to parents regarding the emergency procedures did not include information about lock down.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

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

Description: Fire safety - 1 yr.

Noncompliance Area: As of the file review on 8/15/23 for the renewal inspection, there was no fire safety training in the previous year for staff #11, #12, #24, and #29.

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(e)(4)(iv)

Description: Water safety

Noncompliance Area: As of the file review on 8/15/23, there was no documentation of water safety training for staff #2, #9, #26, #27, all of whom supervise swimming with children.

Correction Required: Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: As of the file review for the renewal inspection on 8/15/23, Staff persons #3, #16, #22, #23, #28, and #29 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and Pediatric CPR. Staff persons #3, #7, #13, #14, #19, #21, #25, and #29 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety topics. Staff persons #5, #8, #15, #16, #20, #24, and #30 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety 1 hour update. Staff person #10, #32, and #33 have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #3, 5, 7, 8, 10, 13, 14, 15, 16, 19, 20, 21, 22, 23, 24, 25, 28, 29, 30, 32, and 33 will have until 9/2/23 to complete the required training. Until such time as the required training has been completed, staff person #3, 7, 13, 14, 16, 19, 21, 22, 23, 25, 28, and 29 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, 7, 13, 14, 16, 19, 21, 22, 23, 25, 28, and 29, staff person #3, 7, 13, 14, 16, 19, 21, 22, 23, 25, 28, and 29 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: As of the file review for the renewal inspection on 8/15/23, the child abuse clearance for staff #9 was a "volunteer" clearance. Staff #9 is not a volunteer at the facility and must be removed from care (see code sheet for hire date). Staff person #13 did not have NSOR or Mandated Reporter training (see code sheet for hire date) and must be removed from care. Staff #28 did not have Mandated Reporter training (see code sheet for hire date) within 90 days of the date of hire.

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 #9, #13 may not work in a child care position at the facility. Staff person #13 will have until 9/2/23 to complete the mandated reporter training. Staff person #28 will have until 9/2/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #28 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #28, staff person #28 may not work in a child-care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: As of the file review on 8/15/23 for the renewal inspection, there was no written evaluation for staff #12 and #29 who have been employed for over one year.

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

Regulation: 3270.35(b)

Description: Group sup qualifications

Noncompliance Area: As of the file review for the renewal on 8/15/23, staff person #3, #6, #9, #26 did not have documentation to qualify for the stated Group Supervisor position.

Correction Required: A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4).

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: As of the file review for the renewal inspection on 8/15/23, there was insufficient documentation to qualify staff #17, #19, #21 for the reported Assistant Group Supervisor position.

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

Regulation: 3270.37(b)

Description: Aide qualifications

Noncompliance Area: As of the file review for the renewal inspection on 8/15/23, there was insufficient documentation to qualify staff #13, #18, #28, and #31 for the reported Aide position.

Correction Required: An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3).

Regulation: 3270.61(h)

Description: Exceeding Capacity

Noncompliance Area: During the renewal inspection on 8/8/23 there were 31 children in the large conference room that measures for 20; and there were 27 children in Room 1 that measures for 24.

Correction Required: The capacity established for an indoor space may not be exceeded.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the renewal inspection on 8/8/23, there cleaning products in an unlocked cabinet below the sink in Room 2.

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(b)/3270.113(c)

Description: No physical punishment /No ridicule or threaten harm

Noncompliance Area: Staff member #1 touched and held a special needs child on his lap even when the child was screaming "let me go", Staff member #1 also secluded the same special needs child and forced him to sit on his lap even when the child resisted and tried to refuse.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The files for staff members #1 and #2 did not include an initial or subsequent health assessment. The file for staff member #3 included a health assessment dated 10/22/20. The file for staff member #4 included a health assessment dated 10/7/2020.

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)

Description: Age and Training

Noncompliance Area: The file for staff member #2 did not contain a pediatric first aid and CPR certificate. The file for staff member #3 included an expired pediatric first aid and CPR certificate dated 4/19/2017.

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 facility did not have verification of annual fire safety training for staff members #1, #2 and #3.

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(e)/3270.192(2)(iii)

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

Noncompliance Area: The files for staff members #1, #2, and #4 did not contain verification of the annual 12 clock hours of childcare training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. 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 file for staff member #1, hired 7/8/02; did not include an FBI clearance. The file for staff member #2, hired 5/6/19; included a request for a NSOR dated 5/27/21 but did not include the NSOR clearance letter. The file for staff member #3, hired 10/2018; include an invalid PA Child Abuse Clearance dated 4/19/2017.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility.

Regulation: 3270.35(b)/3270.192(2)(iii)

Description: Group sup qualifications/Exp, educ., training at facility

Noncompliance Area: The file for staff member #1, hired as a Group Supervisor: did not include verification of one of the qualification levels specified at §3270.35(b)(1)-(4).

Correction Required: A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.37(b)(3)

Description: 8th grade + 2 yrs

Noncompliance Area: The file for staff member #3, hired as an Aide; did not include verification of education and experience necessary to qualify for the position.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children.