Penn Wynne Presbyterian Church Latchkey Club

Regulation: 3270.111(a)/3270.111(b)

Description: Written plan/Posted in group space

Noncompliance Area: Observed 3/11/2026 No written plan of daily activities and routines, including a time for free play for each group could be seen nor were any hanging on the walls or in a conspicuous location at the time of the inspection.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

Regulation: 3270.151(a)/3270.151(c)(1)

Description: 12 months prior to service and every 24 months thereafter/Physical examination

Noncompliance Area: Observed 3/11/2026 staff #2 file did not contain a health assessment.

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

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: Observed 3/11/2026 Staff person #1 has not completed the following required pediatric first aid and pediatric cardiopulmonary resuscitation pre-service training within 90 days of their date of hire (see LIS code sheet)

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 will have until (actual date 3/26/2026 15 days from POC requested date) to complete the required training. Until such time as the required training has been completed, staff person #1must 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, staff person #1 may not work in a child-care position at the facility

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Observed 3/17/2025 staff #3 was observed supervising 12 Preschool age children alone in the classroom while staff #4 had 1 child leaving staff #3 exceeding the ratio for the appropriate age group.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: Observed 3/17/2025 child #1 were missing an updated health report on file, the current health report on file dated 1/29/2024.

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)/3270.192(3)

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

Noncompliance Area: Observed 3/17/2025 staff # 1 medical assessment on file was dated for 1/26/2023 and staff #2 was 3/9/2023, both medical assessments exceeded the 24-month of the signature date.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: Observed 3/17/2025 Staff #5 file did not include an acceptable verification of education letter signed by a representative of the experiential, educational or training entity, staff #5 degree was not evaluated to U.S. equivalency.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Observed 3/17/2025. Staff #1 file did not contain a completed DHS required Child Abuse clearance on file. The requirement to have the completed DHS required clearances on file was not met.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed 3/17/2025 in the Story Room the bookcase had peeling wood and damaged on the side that contained sharp edges that could be easily accessible to children and not free from visible hazards

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

Regulation: 3270.94(a)(1)/3270.94(a)(9)

Description: Every 60 days/Written record

Noncompliance Area: Observed 3/17/2025, Fire drills were not conducted since February 2024 to September 2024, and there was not a written record of the fire drills conducted on file.

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. The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Observed 3/18/2024 child file # 1,2,3,4, and 5 emergency contact form were missing the addresses of the individual 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.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: Observed 3/18/2024 child file #1 did not contain an updated health report on file. Child #1 last physical was 11/2/2022. An updated health report at least every 12 months for an older toddler or preschool child.

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: 3270.31(f)/3270.31(g)

Description: Health and Safety Training/Professional development certificate

Noncompliance Area: Observed 3/18/2024 staff #3 did not complete the one-hour health and safety training course update for staff members hired or have taken the health and safety course prior to 10/4/2022.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Observed 3/18/2024 The file for staff # 2 and 4 not contain a completed DHS required (staff #4) FBI and (staff #2) Child Abuse clearance. Staff #1 did not contain out of state clearances for the state of New York. The requirement to have the completed DHS required clearances on file were not met.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1, 2 and 4 may not work in a childcare position at the facility.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Observed 3/16/2023 Children # 2 file did not contain medical insurance policy # on the emergency contact form.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Observed 3/16/2023 children #1-8 file did not contain addresses from the individual designated by the parent to whom the child may be released to on the emergency contact form.

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(a)(3)

Description: Initial health report for older toddler/preschool no more than 1 year

Noncompliance Area: Observed 3/16/2023 Children # 4 did not contain a health assessment on file. Children enrollment date is passed 60 days of their admission date.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

Regulation: 3270.131(c)

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

Noncompliance Area: Observed On 3/16/2023 observed child # 2 health assessment was incomplete and not signed by a physician/ CRNP.

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

Regulation: 3270.131(e)(1)/3270.131(e)(2)(i)

Description: Exemption documentation from parent/guardian/Exemption documentation from parent/guardian

Noncompliance Area: Observed On 3/16/2023 observed child # 3 file did not contain an exemption letter for the vaccinations not completed in accordance with the schedule recommended by the ACIP.

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. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.133(1)/3270.133(5)

Description: Original container/Original label

Noncompliance Area: Observed 3/16/2023 Child #9 &10 EPI Pen was not in its original container. The medication shall remain in the container in which it was received. Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.151(a)

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

Noncompliance Area: Observed 3/16/2023 staff #3 file was missing a health assessment in their file. A health assessment conducted within 12 months prior to providing initial service in a childcare setting and every 24 months thereafter.

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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: Observed 3/16/2023 staff #3 was missing a tuberculosis screening by the Mantoux method at initial employment.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Observed 3/16/2023 staff #1, 2, 4, 5 and 6 did not complete the one-hour health and safety training course update for staff members hired prior to 10/4/2022.

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: Observed 3/16/2023 Staff person #6 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 7-5-2017.

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 #6 may not work in a childcare position at the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 3/22/22, the tumbling mat located in the facility's gross motor room was torn in multiple places exposing the foam interior and causing a trip hazard.

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.

Regulation: 3270.131(a)/3270.131(a)(3)

Description: Health information/Initial health report for older toddler/preschool no more than 1 year

Noncompliance Area: On 3/22/22, Child #1 file did not contain an initial health assessment (only immunization record was 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. The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.