Saints Philip And James School Pre-School

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for staff #1 did not include the required health and safety trainings.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for staff #2 did not include a physical or TB test results.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

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

Noncompliance Area: The file for staff #4 did not have a verification of childcare experience.

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: During the renewal inspection, the file for staff #1 is missing an fbi clearance and the file for staff #4 has a nsor certificate with no date. The files for staff #1, staff #3 and staff #4 did not include 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: staff person #1 and staff person #4 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. Staff #1 and staff #4 may not work in a child care position at the facility.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's files, and the agreement forms for child #1, child #2, child #3, child #4 and child #5 didn't include release persons.

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

Regulation: 3270.124(b)(4)/3270.182(3)

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

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's files, and the emergency contact forms for child #1, child#3 and child #4 didn't have a signed parental consent for emergency medical care.

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)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's files, and the emergency contact forms for child #1 didn't have an address or phone number for the release person 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)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's files and the files for child #2 does not have an initial health report and immunizations.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files, and the emergency plan was not updated to include continuity of operations or specific staff duties per announcement c-22-04, issued 4/19/22.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection, certification representative reviewed facility files and the policy for Shaken Baby Syndrome and Child Maltreatment did not address the identification and prevention of child maltreatment per Announcement C-22-03 that was issued on January 24,2022.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During the renewal inspection, certification representative reviewed facility files and there was no written notification letter that was sent to the local traffic authorities.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and there was no record of current liability insurance.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's files, and the emergency contact forms for child #1, child #3and child #4 didn't have a signed parental consent for minor first aid.

Correction Required: 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: 3270.27(a)(2)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files, and the emergency plan did not include information on how staff are to respond in the event of an evacuation or relocation and did not include the address for staff and children to relocate to.

Correction Required: The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed facility files and there was no documentation to show that the emergency plan was sent to the local municipality and county emergency management agency. Provider will submit the updated emergency plan to the local municipality/county emergency management agency and keep a record of the submission on file. Provider will ensure that the emergency plan is submitted to the office of emergency management by reviewing files biannually to ensure compliance.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

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: During the renewal inspection, certification representative reviewed 3 staff files and the file of staff #1 did not include pqas certified pediatric cpr and first aid training.

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 pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

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

Description: Fire safety - 1 yr.

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 staff files and the files for staff #2 did not include 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During the renewal inspection, certification representative reviewed during 3 staff files and the files for staff #1 did not include 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: Staff #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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 staff files and the file for staff #1 and staff #2 is missing an FBI clearance.

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: Staff # 1 and staff #2 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. sTAFF#1 AND sTAFF#2 may not work in a child care position at the facility.

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

Description: Bachelor's, 30 credits + 1 yrs/Exp, educ., training prior to facility

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 staff files for staff #1 did not include employment verification.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: During the renewal inspection on 1/25/23, the provider did not have agreements that referenced the required information on OCDEL form CY321.

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

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: During the renewal inspection on 1/25/23, the provider did not have emergency contact information that referenced all the required information on OCDEL form CY867.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During the renewal inspection on 1/25/23, child #1 did not have complete emergency contact information in the childcare space during 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.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: During the renewal inspection on 1/25/23, staff person #1 did not have tuberculosis testing completed and in file.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 1/25/23, staff persons #1 and 2 did not have mandated reporter training completed within the last 5 years.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 and 2 may not work in a childcare 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.

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: On 6/6/2022 observed Staff # 1 did not include a copy of FBI, National Sex Offender Registry, and disclosure statement in their file, a copy of the completed clearance information are required under the CPSL.

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 # 1 may not work in a child care position at the facility prior to issuance of certificate of compliance.

Regulation: 3270.27(a)(3)

Description: Contact when arises

Noncompliance Area: On 6/6/2022 observed that emergency plan did not include a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises prior to issuance of certificate of compliance.

Regulation: 3270.27(a)(4)

Description: Contact when ended

Noncompliance Area: On 6/6/2022 observed emergency plan did not include a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children prior to issuance of certificate of compliance.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: On 6/6/2022 observed emergency plan did not include accommodations for children with disabilities and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions prior to issuance certificate of compliance.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: On 6/6/2022 observed Pre- K 3 & 4 and Cares classroom were missing scissors from first aid kit.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves prior to issuance of certificate of compliance.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: On 6/6/2022 Fire Exit hallway outside of the Pre-K 4 classroom that's connected to the back entrance of the kindergarten classroom were not accessible. The area was restricted from exiting and could not be accessed in case of an emergency. The area contained bins and children's play equipment.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed prior to issuance of certificate of compliance.

Regulation: 3270.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: On 6/6/2022 observed Pre- K 3 & 4 and Cares 3 & 4 classrooms were missing evacuation routes posted in each classroom.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.