Puzzlers Preschool

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: While at the facility unannounced at naptime the inspector observed staff using weighted blankets on children who did not have documentation from a physician, IEP, IFSP, or Behavioral Support Plan, to support their use.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for child #1 was missing the address for 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The inspector observed staff #1 in direct care with children on 1/16/26 and that staff #1 was hired (see LIS Code Sheet for Hire Date) with an incomplete PA State Police Clearance as observed in the file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). As of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL. Facility Person # 1 may not work in a childcare position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Durning the unannounced annual inspection on 1/28/24 the inspector observed the file for staff #1 and found that this staff was working in direct care and did not have a completed FBI on file, nor proof of submission of fingerprinting until 1/29/24 (see LIS code sheet for DOH).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance prior to employment. and a signed disclosure statement, Facility received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. The applicant has applied for the remaining required checks and the applicant provides a copy of the appropriate completed request forms to the employer, administrator, supervisor or other person responsible for employment decisions. The outstanding checks are: Pennsylvania State Police Criminal Record Check OR the FBI Criminal History Background Check, the National Sex Offender Registry (NSOR) check, and for an applicant who, in the past five years has resided outside of Pennsylvania, criminal history, child abuse, and sex offender registry checks from every state where the applicant lived within the past five years. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires health assessments to be completed every 24 months. The following staff health assessments were not updated every 24 months. Staff # 1 had a health assessment dated for 11/23/21 and not updated until 12/2823. Staff # 2 had a health assessment dated for 11/19/21 and not updated until 12/29/23.

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(5)

Description: Two written references

Noncompliance Area: A renewal inspection occurred at the facility. A review of files was conducted. The files of Facility Person's # 4, # 5 and # 6 did not contain two letters of written 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: A renewal inspection occurred at the facility. A review of files was conducted. At the time of the inspection, the facility was unable to provide documentation that Facility Person # 4 had reviewed the facility's emergency plan on an annual basis.

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(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of files was conducted. 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 topics.

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 2/8/24 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: A renewal inspection occurred at the facility. A review of files was conducted. Facility person # 4 was present during this inspection and children were in care. The file of Facility Person # 4 did not complete mandated reporter training as required by the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Facility Person # 4 will have until 2/8/24 to complete the mandated reporter training. Until such time as the required training has been completed, facility person # 4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise facility person # 4, facility person # 4 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: A renewal inspection occurred at the facility. A review of files was conducted. Facility person # 4 was present during this inspection and children were in care. The file of Facility Person # 4 did not contain the appropriate DHS FBI clearance as required by the CPSL.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's fire safety system testing log was completed. Regulation requires the fire safety system to be tested at least every 30 days. The following tests did not occur at least every 30 days: 4/14/23-5/15/23 8/4/23-9/8/23 12/1/23-1/2/24.

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)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's fire drill log was conducted. Fire drills documented as follows, were not conducted at least once every 60 days as required by regulation: 5/13/22 7/14/22 9/23/22 11/22/22

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's fire system testing log was conducted. Fire system tests documented as follows, were not conducted at least once every 30 days as required by regulation: 6/8/22 7/14/22 8/22/22 9/23/22 10/3/22 11/22/22 12/7/22 1/30/23

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.