Pen Ryn School

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: On 4/7/26, at time of inspection, Child #1 and Child #2 have been enrolled at the facility more than 60 days. Child #1 and Child #2 files did not contain initial heath reports. (Only immunization records were observed in the file)

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 4/7/26, at time of inspection, Staff #1 file contained an NSOR clearance dated more than 60 days. The NSOR clearance was dated 1/21/21.

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. 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.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Continued noncompliance from inspection dated 11/17/25: Staff #1 file did not contain an initial health assessment, including results of tuberculosis testing. Additionally, Staff #3 file contained a health assessment dated more than 24 months. Staff #3 health assessment was dated 10/30/23.

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)/3270.31(f)(10)

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

Noncompliance Area: Staff #1 and #2 files contained expired Pediatric First Aid/CPR training. The Pediatric First Aid/CPR training was conducted on 11/3/23.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff # 1 has not completed Health & Safety Training Part 1 and Part 2 within 90 days of hire.

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

Regulation: 3270.124(f)/3270.181(e)

Description: Updated every 6 months/Emergency master file updated

Noncompliance Area: On 11/18/25, at time of inspection, the emergency contact information located in the cafeteria where children were receiving care was not updated at least in a 6-month period. The emergency contact information located in the childcare space was dated 2024. (Emergency contact information was updated in the child master files located in the office).

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. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

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

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

Noncompliance Area: On 11/18/25, at time of inspection, Child #1 file did not contain a health report dated within 12 months. The health report was dated 6/28/24.

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. 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: On 11/18/25, at time of inspection, facility persons #3 and #7 files did not contain initial health assessment, including results of tuberculosis testing. Additionally, facility person #4 health assessment was dated more than 24 months. The health assessment on file was dated 10/30/23.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(1)/3270.192(2)(i)

Description: Name, address, and phone/Age

Noncompliance Area: On 11/18/25, at time of inspection, facility person #3 file did not contain verification of age and address.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person. A facility person's record shall include verification of age.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 11/18/25, at time of renewal, facility person #1 #3, #6 and #7 files did not contain two 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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: On 11/28/25, at time of inspection, facility person #3 has not completed the following required pre-service training within 90 days of their date of hire: Health & Safety Training Part 1 and Part 2.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 11/18/25, at time of inspection, facility person #1 file did not contain a PA Criminal Clearance required by CPSL. Facility person #2 file contained an expired FBI clearance. The FBI clearance on file was dated 2/18.20. Facility person #3 file did not contain results of FBI and NSOR clearances required by CPSL. Facility persons #5 and #6 files did not contain a signed disclosure statement as required by CPSL. Additionally, facility person #5 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/1/16.

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

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

Description: Each staff person meets quals/Transcript, diploma and letters

Noncompliance Area: on 11/18/25, at time of inspection, facility persons #3 and #7 files did not contain verification of education.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: On 11/19/24, at time of renewal, Staff #4 and Staff #5 file did not contain annual training in the facility's emergency plan. The last training was dated 9/29/23.

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)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: On 11/19/24, at time of renewal, Staff #4 and Staff #5 files did not contain annual Fire Safety Training. The last Fire Safety training on file was dated 10/25/23.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 11/19/24, at time of renewal, Staff #1 file did not contain completed PA Criminal, Child Abuse and NSOR Clearances required by CPSL. Additionally, Staff #2 file did not include a DHS approved FBI clearance. The FBI clearance on file dated 3/2/22 was obtained through the Dept of Education.

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 #--- may not work in a child care position at the facility.

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

Description: Each staff person meets quals/Transcript, diploma and letters

Noncompliance Area: On 11/19/24, at time of renewal, Staff #3 file did not contain verification of education in order to ensure qualifications for the position performing in the afterschool program.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: On 12/20/23, at time of unannounced inspection, Facility person #1 file did not contain results of initial tuberculosis testing dated within 12 months.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Continued noncompliance: On 12/20/23, at time of unannounced inspection, Staff #1 file did not contain results of the PA Criminal Clearance and the NSOR Clearance as required by CPSL.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 11/16/23, at time of renewal, Staff #2, #3, #4 and #6 were observed on the outdoor PlaySpace with 26 children (the youngest were 3 yrs old). Staff #2, #3, #4 and #6 were not assigned specific children for the purpose of supervision.

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.

Regulation: 3270.124(b)(1)

Description: Child's name, birth date

Noncompliance Area: On 11/16/23, at time of renewal inspection, emergency contact information did not include the date of birth for Child #1, #2, #3, #4 and #5.

Correction Required: Emergency contact information must include the name and birth date of the child.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 11/16/23, at time of renewal, Child #1, #2, #3, #4 and #5 emergency contact information did not include the address of designated release persons.

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

Regulation: 3270.124(c)/3270.181(e)

Description: Each child care space/Emergency master file updated

Noncompliance Area: On 11/16/23, at time of renewal, emergency contact information was not present in the outdoor space where children were receiving care.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: On 11/16/23, at time of renewal, Child #1, #3, and #5 have been enrolled at the facility more than 60 days. Child #1, #3, #5 files did not contain initial health reports. (Immunization records were on file)

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: On 11/16/23, at time of renewal, Staff #3 file did not contain an updated health assessment. The health assessment on file was dated 3/5/21.

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(d)

Description: Dated signature affixed

Noncompliance Area: On 11/16/23, at time of renewal, the emergency contact information and financial agreement belonging to Child #1, #2, #3, #4 and #5 were not dated.

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

Regulation: 3270.31(b)

Description: Staff person - 18 yrs.

Noncompliance Area: On 11/16/23, at time of renewal, Facility Person #5 is being utilized as a staff person. Facility Person #5 is not 18 yrs old.

Correction Required: A staff person shall be 18 years of age or older.

Regulation: 3270.31(f)/3270.31(f)(10)

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

Noncompliance Area: On 11/16/23, at time of renewal, Staff person #2 and #4 have not completed the following required pre-service training within 90 days of their date of hire: Pediatric First Aid/CPR. The trainings observed in Staff #2 and #4 files was not an approved curriculum and was not conducted by an approved PQAS Trainer).

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 11/16/23, at time of renewal, Staff #1 file did not contain results of NSOR . Staff #2 file did not contain Mandated Reporter Training from an approved training organization as required by CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 -- may not work in a child care position at the facility.

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

Description: Each staff person meets quals/Transcript, diploma and letters

Noncompliance Area: On 11/16/23, at time of renewal, Staff #1 file did not contain verification of education and verification of 2 yrs experience in order to qualify as an aide.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include 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: 3270.37(b)/3270.37(b)(3)

Description: Aide qualifications/8th grade + 2 yrs

Noncompliance Area: On 11/16/23, at time of renewal, Staff #1 file did not contain verification of education and verification of 2 yrs experience in order to qualify as an aide. On 11/29/23, at follow up inspection, Staff #5 is 18 yrs old. Staff #5 file did not contain verification of education and verification of 2 yrs experience in order to qualify as an aide.

Correction Required: An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3). An aide shall have a minimum of an 8th grade education and 2 years of experience with children.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On 11/16/23, at time of inspection, a log ensuring the fire detection system is tested at least every 30 days was not on site at the facility as required by Fire and Panic Act 62 of 2020. Additionally, documentation noting the installation date of the facility's fire detection system was not on file at the facility as required by the Fire and Panic Act 62 of 2020.

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: 3270.123(a)(1)/3270.123(a)(7)

Description: Amount of fee/Services considered extra

Noncompliance Area: During renewal inspection certification rep reviewed child files. Child 9 was missing the amount of the fee to be charged per day or per week.During renewal inspection certification rep reviewed child files. The fee agreements for child 1,2,3,4,5,6,7,8,9 and 10 did not specify the services which are to be considered as extra.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the services which are to be considered as extra.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: During renewal inspection certification rep reviewed child files. Fee agreements for child 2,3,7,8 and 9 did not specify the persons 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: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: During renewal inspection certification rep reviewed child files. The fee agreement for child 1,2,3,4,5,6,7,8,9,and 10 did not specify the date of the child's 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)(2)/3270.124(b)(5)

Description: Physician name, address, phone/Information re: special needs

Noncompliance Area: During renewal inspection certification rep reviewed child files. Child 1,2,3,4,5,6,7,8,9,and 10 were missing the name, address and telephone number of the child's physician or source of medical care.During renewal inspection certification rep reviewed children's file. Child 1,2,3,4,5,6,7,8,9 ,and 10 were missing 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.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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)(4)/3270.182(3)

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

Noncompliance Area: During renewal inspection certification rep reviewed children's file. Child 1,2,3,4,5,6,7,8,9 and 10 were missing signed parental consent for emergency medical care for the child. Written consent is required prior to admission

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During renewal inspection certification rep reviewed children's file. Child 1,2,3,4,5,6,7,8,9 ,and 10 were missing information on health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits,

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: 3270.182(4)/3270.182(5)

Description: Consent for administration of medications or special dietary needs/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During renewal inspection certification reviewed children's file. Child 1,2,3,4,5,6,7,8,9, and 10 were missing signed parental consent for administration of medications or special dietary needs.During renewal inspection certification reviewed children's file. Child 1,2,3,4,5,6,7,8,9, and 10 were missing signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

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

Regulation: 3270.182(6)

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

Noncompliance Area: During renewal inspection certification rep reviewed children's file. Child 1,2,3,4,5,6,7,8,9 and 10 were missing signed parental consent for transportation, walking excursions, swimming and wading.

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

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: During renewal inspection certification rep reviewed staff/ volunteer files. Staff 3 and 4 had current FBI clearances but the clearances were not from DHS. They were from PDE. Staff 4 was missing NSOR from the file.

Correction Required: 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 4--- may not work in a child care position at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 1 need 2 reference letters. The reference letters on file has another staff person's name.

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: Staff person #1, 2, 3 and 4--- has not completed the following required pre-service training within 90 days of their date of hire. Staff 1,3 and 4 are missing 10 hour health and safety training, Staff person # 2--- 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.

Correction Required: Staff person(s) 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 #1,2, 3 and 4-- will have until 1-26-23 to complete the required training. Until such time as the required training has been completed, staff person #1, 2, 3 and 4--- must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person # 1, 2, 3 and 4--, staff person # 1, 2, 3 and 4-- may not work in a child-care position at the facility. Staff persons shall complete professional development in the topics of 3270.31(f)(10), 3280.31(f) (10), or 3290.31(g)(10) within 90 days of hire. Staff person # 2--- 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person/facility person/volunteer # 3-- has not completed the mandated reporter training within 90 days of their date of hire

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person/facility person/volunteer # 3--- will have until 1-26-23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person/facility person/volunteer # 3-- must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person/facility person/volunteer # 3-, staff person/facility person/volunteer #3 -- 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: During renewal inspection certification rep reviewed staff files. Staff 1 were missing NSOR from the file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. 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: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: During renewal inspection certification rep reviewed children's file. Child 1,2,3,4,6,7,8,9,10 and 11 were missing date of admission on the fee agreement

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: 3270.123(a)/3270.123(a)(5)

Description: Signed /Designated release persons

Noncompliance Area: During renewal inspection certification rep reviewed children's file. Child 1,3, 4, 5, 6, 7, 8,10 and 11 were missing signature of operator. Child 2 was missing parent signature.During renewal inspection certification rep reviewed staff files. Child 8 was missing persons designated by a parent to whom the child may be released

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

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: During renewal inspection certification rep reviewed child files. Child 1,2,3,4,5,6,7,8,9,10 and 11 were missing emergency contacts from their file

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

Regulation: 3270.151(a)

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

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 2 health assessment expired 2-14-19 and 3 health assessment also expired . Staff 4 was missing a health assessment from their 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.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 4 was missing copy of education from their file

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During renewal inspection certification representative reviewed file for staff 4. Staff was missing one reference letter

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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During renewal inspection certification rep did not see instructions for contacting the appropriate regional child care office posted in a conspicuous location. During renewal inspection certification rep did not see a copy of the regulations posted and accessible to families

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: 3270.27(a)(1)/3270.27(a)(6)

Description: Emergency plan/Emergency plan

Noncompliance Area: During renewal inspection certification rep reviewed emergency plan. The emergency plan did not include accommodations for shelter of children during an emergency including lock-downDuring renewal inspection certification asked to see emergency drill log. Facility did not have their emergency drills documented and on file at the facility.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

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

Description: Age and Training/Age and Training

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 1,2,3 and 4 were missing training hours from their fileDuring renewal inspection certification rep reviewed staff files. Staff 2 and 3 had expired first aid/ cpr.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 3 and 4 were missing NSOR from the file. Staff 1, 2 and 4 does not have DHS FBI on file. Dept of Ed FBI clearance is on file. Staff 1 and 2 had expired mandated reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. 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. Staff 1 state police clearance expired

Regulation: 3270.66(a)/3270.66(b)

Description: Locked or inaccessible/Original container

Noncompliance Area: During renewal inspection, certification rep observed cleaning solution accessible to children in the boys and girls bathroom. During renewal inspection, certification rep observed spray bottles not labeled and did not specify the contents inside the bottles

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During renewal inspection certification rep observed missing handwashing sign above the toilets in the girls and boys bathroom

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.