Saucon Valley Community Center Day Care

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection on 7/15/26, staff person #1 did not have a completed clearance or a submission receipt for the PA State Police background check on file. Staff person #1 was observed having direct contact and routine interaction with children. Staff person #1 was incorrectly hired as a provisional hire under the CPSL requirements.

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. The OCDEL Announcement C-25-01, effective 2/1/25, states that an individual may be employed on a provisional basis in a certified child care facility when the following conditions are met, and documentation is maintained on file: Have results of the following, no older than 60 months: 1. PA Child Abuse History Clearance; 2. NSOR verification; 3. Out-of-state clearances (if applicable); 4. Signed Disclosure Statement for Child Care Employment; and 5. Either FBI Criminal History Clearance; or PSP Criminal History Clearance In addition to those obtained, the following clearances must be applied for prior to starting provisional employment: 1. FBI Criminal History Clearance; or 2. PSP Criminal History Clearance

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of the inspection, the refrigerator in the toddler room contained a sticky brown substance on the inside of it. There were pieces of dirt and food crumbs under the changing table pad. In the toddler nap room, there were food crumbs and wrappers observed on the table. The door of the play kitchen in the Preschool Nap area was broken, and an exposed bolt was hanging off the door. The rest mats in the Preschool Nap room were torn, and the inside foam was exposed.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: At the time of the inspection, in the toddler room where children were still placing objects in their mouth, plastic bags were observed hanging by the changing table and were accessible to children.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: At the time of the inspection, the foam floor mats in the toddler room were taped with duct tape where the inside foam was previously exposed. The duct tape was rolling at the edges and collecting dirt, making these unable to be easily and properly cleaned.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: At the time of the inspection, child #3 and child #5 did not have any child service reports or approved assessments on file and have been enrolled at the facility for more than 6 months.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: At the time of the inspection, the agreement on file for child #3 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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: At the time of the inspection, there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted in the toddler "nap" room.

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

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

Noncompliance Area: At the time of the inspection, staff person #3 and staff person #9 did not have a health assessment and a TB screening on file. Staff person #8's health assessment did not contain a date for when the TB screening was completed. Staff person #11 did not update their health assessment every 24 months, as required and did not have a current health assessment on file. This is evidenced by the health assessment on file dated 12/7/23.

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. 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(5)

Description: Two written references

Noncompliance Area: At the time of the inspection, staff person #8 only had one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file.

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(b)

Description: Plan reviewed/updated annually

Noncompliance Area: At the time of the inspection on 4/7/26, the emergency plan at the facility was not updated annually. This is evidenced by the emergency plan on file dated 11/26/24.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: At the time of the inspection, there was no emergency plan training at initial employment for staff person #1, staff person #8, staff person #13 and staff person #15 (see LIS code sheet for date of hire). Staff person #12, staff person #14, staff person #16 and staff person #17 did not have documentation of emergency plan training being completed annually. This is evidenced by the emergency plan training on file dated 1/26/24, 6/6/24, 12/6/24 and 12/6/24, respectively.

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)

Description: Age and Training

Noncompliance Area: At the time of the inspection, staff person #2 only had 5 clock hours of childcare training during the 12/2024-12/2025 training period. Staff person #10 only had 10.5 hours of childcare training during the 1/25-1/26 training period. Staff person #11 only had 10.5 clock hour of childcare training during the 12/24-12/25 training period.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of childcare training. Staff person #2 must take 7 hours of professional development to fulfill requirement for training year 12/2024-12/2025. Staff person #10 must take 1.5 hours of professional development to fulfill requirement for training year 1/2025-1/2026. Staff person #11 must take 1.5 hours of professional development to fulfill requirement for training year 12/2024-12/2025. Hours used to fulfill the previous training year may not be used to fulfill current training year.

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

Description: Fire safety - 1 yr.

Noncompliance Area: At the time of the inspection, staff person #7 did not participate in fire safety training during their 6/24-6/25 training period. The training was not completed until 12/8/25. Staff person #16 does not have current fire safety training on file. This is evidenced by the training dated 12/10/24.

Correction Required: Staff persons shall participate, at least annually, in fire safety 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(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #5 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): health and safety training and mandated reporter training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: At the time of the inspection, there was no written annual evaluation on file for staff person #6, staff person #7, staff person #12, staff person #14 and staff person #16 (see LIS code sheet for date of hire).

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: At the time of the inspection, in the lower-level bathroom, a tube of diaper rash cream that read "keep out of reach of children" was observed in a bin on the table and was 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: 3270.67(a)

Description: Trash removed once a day

Noncompliance Area: In the toddler nap room, the trash can in the bathroom was full and contained a strong odor when opened. There were plastic cups with remnants of coffee and mold inside the cup. The larger trash can by the door was full of trash and debris. Right outside the toddler nap room, was a Rubbermaid bin which was also full of trash and food remnants. Staff person #2 acknowledged that the trash was not taken in quite some time.

Correction Required: Trash shall be removed from the facility at least once per day.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of the inspection, in the toddler nap room, the carpet seem was frayed and pulling apart. The wood on the stairs leading to the lower level was filled with cobwebs. The carpet on the stairs leading to the lower level was not cleaned as there were brown soiled spots. The floor at the bottom of the steps contained tiny pieces of paper along the edges of the walls. In the upstairs level, in the hallway by the toddler nap room, brown soiled areas were observed.

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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: At the time of the inspection, there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted in the resting room.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)10. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 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 9/23/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person#1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person # 1, staff person #1 may not work in a child-care position at the facility

Regulation: 3270.76/3270.102(a)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: At the time of the inspection, the blue chair in the resting room was in poor repair. It had the outside vinyl material removed in strips exposing the inside foam, making it unable to be properly cleaned. The cork board on the wall in the toddler room was observed to have been picked at and was in poor repair.

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. 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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of the inspection, in the preschool room, the small sofas were not in good repair and the inside foam is exposed.

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: 3270.111(a)

Description: Written plan

Noncompliance Area: At the time of the inspection, there was no daily activity schedule posted in the gym space for the school age children.

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.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: While swimming at the pool on 6/20/25, staff person #10 named the 6 children assigned to the staff's responsibility She was able to identify the children prior to entering the pool. At a later supervision check, and once the children entered the pool, the staff was unable to locate child #8 for approximately 1 1/2 minutes. Staff person #7 was heard to ask Staff #8 if the staff knew the whereabouts of the child, though she was assigned the responsibility for that child.

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. 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. TIERED LIS: 1.) Children must be supervised at all times. This portion of the plan requires an immediate correction date. 2.) The legal entity must develop or update their written supervision policies and procedures to be implemented in the facility and while at the pool. The written policy must address that staff will be able to hear, see, direct and assess children at all times, including while children are swimming. The policy must include a procedure for how staff will easily identify the children they are responsible for while children are swimming in the pool. The legal entity will submit their policies and procedures to the Northeast 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. The operator shall provide a date for when acceptable policies are received.

Regulation: 3270.121(a)/3270.121(b)

Description: Review policies and procedures/Given parents in writing

Noncompliance Area: At the time of the inspection, the facility did not have supervision policies in the parent handbook.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: At the time of the inspection, child service reports were not on file for child #3 and child #4. These children have been enrolled at the facility for more than 6 months (see LIS code sheet for date of admission).

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.123(a)(5)/3270.124(b)(7)

Description: Designated release persons/Name/address/phone release person

Noncompliance Area: At the time of the inspection, the agreement for child #6 did not specify the persons designated by a parent to whom the child may be released. The emergency contact form for child #1 and child #3 did not include the address of the individual designated by the 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. 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(b)(3)/3270.124(b)(6)

Description: Parent home/work address, phone/Insurance coverage information

Noncompliance Area: At the time of the inspection, the emergency contact form for child #2 and child #4 did not include the work address of the enrolling parent. The emergency contact form for child #4 did not have the health insurance policy number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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(e)

Description: Written emergency plan posted

Noncompliance Area: At the time of the inspection, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the gym space.

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: 3270.131(b)(2)

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

Noncompliance Area: At the time of the inspection, there was no updated health assessment on file for child #4. This is evidenced by the health assessment on file dated 2/9/24.

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.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: At the time of the inspection, child #4 was not immunized according to the recommendations of the ACIP. Child #4 was missing the following immunizations: HIB #4. Pneumococcal #4 and IPV #4.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #4 must be dismissed from care by close of business 6/13/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: At the time of the inspection, there was no label identifying the medication and the name for the child for whom the medication was intended for the Fluticasone Propionate, Fluticasone Inhaler and the Albuterol that was present for child #7. There were no labels on the EPI Pen and Albuterol for child #9 indicating the medication and the child for whom the medication was intended.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

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

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

Noncompliance Area: At the time of the inspection, staff person #1 did not update the health assessment every 24 months, as required. This is evidenced by the health assessment on file dated 9/26/22. There were no TB results on file for staff person #1.

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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: At the time of the inspection, in the gym area, Lunchables containing lunch meat, cheese and yogurt were observed in children's lunchboxes. These perishable items are required to be refrigerated.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: At the time of the inspection, the emergency contact form for child #1, #3, #4, #5 and #6 were not updated every 6 months as required. This is evidenced by the current review date of 6/11/25, 6/11/25, 6/11/25, 6/10/25 and 6/10/25, respectively. The previous review dates are 11/27/24, 11/8/24, 10/28/24, 6/11/23 and 8/23/24, respectively. The agreement for child #3 was not completed until 1/9/25 and not at time of admission (see LIS code sheet for date of admission). The agreement for child #4, child #5 and child #6 were not updated every 6 months as required. This is evidenced by the current agreement on file dated 10/29/24, 11/4/24 and 4/9/25, respectively. The previous review date of the agreement for child #6 was dated 2/28/24.

Correction Required: 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: At the time of the inspection, staff person #1, #3, #4, #10 did not have any documentation of any emergency plan training on file.

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)

Description: Age and Training

Noncompliance Area: At the time of the inspection, staff person #1 only had 2 clock hours of child care training on file during the 9/23-9/24 training period. Staff person #3 only had 1 clock hour of child care training during the 12/23-12/24 training period. Staff person #12 does not have any clock hours of child care training during the 4/24-4/25 training period.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

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

Description: Fire safety - 1 yr.

Noncompliance Area: At the time of the inspection, staff person #1 did not update fire safety training annually. This is evidenced by the fire safety training on file dated 12/10/24 and the previous training dated 10/24/23. Staff person #3 and staff person #12 do not have current fire safety training on file. This is evidenced by the fire safety training in the file dated 10/24/23.

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: At the time of the inspection, the disclosure statement on file for staff person #14 did not contain a witness signature.

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.

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

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

Noncompliance Area: At the time of the inspection, there was no education documentation on file for staff person #1, #12 and #13.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: At the time of the inspection, there was no written evaluation once every 12 months for staff person #1, #3, #7 and #11.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of the inspection, in the toddler room, the fridge was dirty and contained a brown, sticky residue. The skinny shelf was not mounted to a surface and posed a tipping hazard. The carpets throughout the facility were soiled with brown spots.

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: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: At the time of the inspection on 5/12/25, there were 11 children in the preschool classroom. Staff person #5 named 6 children she was responsible for. Staff person #7 then named the same 6 children that staff person #5 named, and claimed them as the children she was responsible for. Both staff #5 and staff #7 were then asked again which children they were specifically assigned to. They both could not identify the specific children that they were supervising.

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. 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. TIERED LIS: 1.) Children must be supervised at all times. 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. This portion of the plan shall have an immediate correction date. 2.) The legal entity must develop or update their written supervision policies and procedures to be implemented in the facility. The written policy must ensure that each child is seen, heard, assessed and able to be directed at all times. The policy must include how the facility will ensure appropriate supervision during transition times and while in the outdoor play area. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in his/her assigned group and be physically present with the children in his/her group on the facility premises and on facility excursions off the facility premises. The policy must also address how these groups will be transitioned from one staff person to another during staffing changes. The facility must create and implement specific procedures using a tangible supervision system, e.g. supervision cards, supervision lists, or another approved method, to ensure appropriate supervision at all times. Both the updated supervision policies and new supervision procedures must be submitted to the Northeast Regional Office for approval prior to implementation. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on the policies and procedures, and it must be documented in their files. The operator shall provide a date for when the updated policies and procedures for a tangible supervision system will be submitted for review.

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

Description: Age and Training

Noncompliance Area: At the time of the inspection on 5/12/25, staff persons #2, #3, #6 and #11 did not update their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. This is evidenced by the current date of certification of 5/6/25 and the previous date of certification of 4/27/23.

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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of the inspection on 4/23/25, staff person #11 was observed to be caring for children unsupervised. Staff person #11 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 10/9/19.

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. Until such time as the required pre- service trainings are completed, staff person #11 must be supervised, when interacting with children, at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #11, staff person #11 may not work in a child-care position at the facility.

Regulation: 3270.151(a)

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

Noncompliance Area: At the time of the inspection, staff person #2 did not update the health assessment every 24 months as required. This is evidenced by the health assessment on file dated 11/15/22.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: At the time of the inspection, staff person #11 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 10/9/19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #11 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #11, staff person #11 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: At the time of the inspection on 4/23/25, staff person #5 did not have a current FBI clearance or NSOR certificate on file. This is evidenced by the FBI clearance dated 1/18/20 and the NSOR certificate dated 2/12/20. Staff person #4 acknowledged that staff person #5 worked earlier the morning of 4/23/25 and had direct contact with children. Staff person #11 did not have a current PA State Police clearance on file. This is evidenced by the PA State Police clearance dated 12/7/19. Staff person #11 did not update the FBI clearance every 60 months prior to the current certificate's expiration. This is evidenced by the current FBI clearance on file dated 10/15/24 and the previous clearance dated 10/2/19. Staff person #11 was observed having direct contact with children.

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. OCDEL Announcement C-25-01 states all required clearances need to be renewed prior to expiration of each certificate, every 60 months. Staff Person #5 and staff person #11 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: At the time of the inspection, the manual monthly monitoring of the fire detection system was not conducted every 30 days as required. This is evidenced by the current testing date of 4/14/25 and the previous testing date of 3/13/25.

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)(3)

Description: Services proceeded

Noncompliance Area: At the time of the inspection on 11/20/24, there were no child service reports to review for child #3, #4 and #5. An acceptable plan of correction was received stating the correction would be implemented by 12/27/24. An inspection occurred on 1/3/25. There were still no child service reports to review for child #3, #4 and #5 and these children have been enrolled for more than 6 months (see LIS code sheet for date of enrollment).

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

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

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

Noncompliance Area: Staff person #2 did not receive an updated health assessment every 24 months as required. This is evidenced by the current health assessment on file dated 11/5/24 and the previous health assessment dated 9/2/22. Staff person #3 and staff person #8 do not have a health assessment or TB screening on file. Staff person #5 did not receive a TB screening at initial service in the facility. This is evidenced by the TB screening on file dated 7/8/20 (see LIS code sheet for date of hire). Staff person #9 does not have a health assessment on file. An acceptable plan of correction was received stating the correction would be implemented by 12/27/24. An inspection occurred on 1/3/25. Staff person #10 does not have a health assessment or TB screening on file at time of hire (see LIS code sheet for date of hire).

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(5)

Description: Two written references

Noncompliance Area: At the time of the inspection on 11/20/24, staff persons #3 and 5 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file. Staff person #8 and #9 only had one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file. An acceptable plan of correction was received stating the correction would be implemented by 12/6/24. A follow up inspection occurred on 1/3/25. Staff person #10 did not have 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(a)(6)

Description: Emergency plan

Noncompliance Area: A renewal inspection occurred on 11/20/24 and the operator could not locate documentation of any emergency drills being conducted. An acceptable plan of correction was received stating the plan would be implemented by 12/27/24. A follow up inspection occurred on 1/3/25. The operator admitted to still not completing an emergency drill.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: An inspection occurred on 11/20/24. Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training requirements. Staff person #5, #8 and #9 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR. An acceptable plan of correction was received stating the correction would be implemented by 11/20/24. An inspection occurred on 1/3/25. Staff person #8 still has not completed Pediatric First Aid/CPR.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #8 will have until 1/24/25 to complete the required training. Until such time as the required training has been completed, Staff persons #8 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 persons #8, then staff persons #8 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 inspection on 11/20/24, staff person #1 did not have a current PA State Police Clearance on file. This is evidenced by the PA State Police clearance dated 6/25/19. Staff person #2 does not have a current NSOR certificate on file. This is evidenced by the NSOR on file dated 11/6/19. Staff person #3 does not have an NSOR certificate on file and is past the 45 day provisional hiring period (see LIS code sheet for date of hire). Staff person #3 was also observed to be working unsupervised in the Toddler room during rest time. Staff person #5 does not have a current Child Abuse clearance on file. This is evidenced by the Child Abuse clearance on file dated 12/13/18. There was no witness signature on the disclosure statement dated 3/4/24. Staff person #8 does not have a dissemination date on the PA State Police clearance making this an incomplete clearance. There is no complete FBI clearance or NSOR certificate on file and staff person #8 is past the 45-day provisional hiring period. Staff person #9 does not have a signed disclosure statement on file. Staff person #9 was observed to be working unsupervised in the Preschool room during rest time (see LIS code sheet for dates of hire). An acceptable plan of correction was received stating the correction would be implemented by 11/20/24. A follow up inspection occurred on 1/3/25. Staff person #10 was observed working in the Toddler room and did not have a request for or completed NSOR certificate on file at the time of hire (see LIS code sheet for 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. The legal entity will submit complete files for any new hires for a period of three months to the NE Regional Office. During that time, new hires may not begin to work in child care until their file has been approved by the NE Regional Office. Submitted files will be reviewed within 1 week of submission.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: As of the inspection on 11/20/24, staff person #1 did not have a current PA State Police Clearance on file. This is evidenced by the PA State Police clearance dated 6/25/19. Staff person #2 does not have a current NSOR certificate on file. This is evidenced by the NSOR on file dated 11/6/19. Staff person #3 does not have an NSOR certificate on file and is past the 45 day provisional hiring period (see LIS code sheet for date of hire). Staff person #3 was also observed to be working unsupervised in the Toddler room during rest time. Staff person #5 does not have a current Child Abuse clearance on file. This is evidenced by the Child Abuse clearance on file dated 12/13/18. There was no witness signature on the disclosure statement dated 3/4/24. Staff person #8 does not have a dissemination date on the PA State Police clearance making this an incomplete clearance. There is no complete FBI clearance or NSOR certificate on file and staff person #8 is past the 45-day provisional hiring period. Staff person #9 does not have a signed disclosure statement on file. Staff person #9 was observed to be working unsupervised in the Preschool room during rest time (see LIS code sheet for dates of hire). An acceptable plan of correction was received stating the correction would be implemented by 11/20/24. A follow up inspection occurred on 1/3/25. Staff person #10 was observed working in the Toddler room and did not have a request for or completed NSOR certificate on file at the time of hire (see LIS code sheet for 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. The Legal Entity, Director or any facility persons responsible for hiring must register for and attend the Existing Provider Orientation presented by the Northeast Regional Office on 02/12/2025. Registration must be completed by calling: 1-800-222-2108.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: As of the inspection on 11/20/24, staff person #1 did not have a current PA State Police Clearance on file. This is evidenced by the PA State Police clearance dated 6/25/19. Staff person #2 does not have a current NSOR certificate on file. This is evidenced by the NSOR on file dated 11/6/19. Staff person #3 does not have an NSOR certificate on file and is past the 45 day provisional hiring period (see LIS code sheet for date of hire). Staff person #3 was also observed to be working unsupervised in the Toddler room during rest time. Staff person #5 does not have a current Child Abuse clearance on file. This is evidenced by the Child Abuse clearance on file dated 12/13/18. There was no witness signature on the disclosure statement dated 3/4/24. Staff person #8 does not have a dissemination date on the PA State Police clearance making this an incomplete clearance. There is no complete FBI clearance or NSOR certificate on file and staff person #8 is past the 45-day provisional hiring period. Staff person #9 does not have a signed disclosure statement on file. Staff person #9 was observed to be working unsupervised in the Preschool room during rest time (see LIS code sheet for dates of hire). An acceptable plan of correction was received stating the correction would be implemented by 11/20/24. A follow up inspection occurred on 1/3/25. Staff person #10 was observed working in the Toddler room and did not have a request for or completed NSOR certificate on file at the time of hire (see LIS code sheet for 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. Staff Person #10 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: At the time of the inspection on 11/20/24, staff persons #3, #8 and #9 did not have any education documentation on file. Staff persons #8 and staff person #9 did not have experience (2,500 hours) on file and therefore, these staff cannot qualify as assistant group supervisors. An acceptable plan of correction was received stating the correction would be implemented by 12/27/24. An inspection occurred on 1/3/25. Staff person #8 still did not have any education and experience documents in their file. Staff person #10, a new hire, did not have any education documents on file.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: An inspection occurred on 1/3/25. The last recorded fire drill being conducted was done on 10/21/24 and not every 60 days as required.

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: An inspection occurred on 1/3/25. The manual monthly monitoring of the fire detection system was last tested on 10/21/24 and not every 30 days as required.

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: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The health assessment that was provided for staff #9 indicated that the staff person was not suitable to provide childcare and had been working at the facility (see LIS code sheet for date of hire).

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide childcare.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: As of the inspection on 11/20/24, there were no thermometers in the refrigerators located in the PS or Toddler rooms.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.111(a)/3270.111(b)

Description: Written plan/Posted in group space

Noncompliance Area: As of the inspection on 11/20/24, there were no daily activity schedules posted in the PS room, Gym, or Toddler rooms.

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: 3270.121(a)

Description: Review policies and procedures

Noncompliance Area: As of the inspection on 11/20/24, there were no policies on supervision in the handbook which is provided to parents at enrollment.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: At the time of the inspection, there were no child service reports to review for child #3, #4 and #5.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.123(a)(5)/3270.124(b)(7)

Description: Designated release persons/Name/address/phone release person

Noncompliance Area: At the time of the inspection on 11/20/24, the agreements for children #2 #3, #4 and #5 did not specify the persons designated by a parent to whom the child may be released. The emergency contact form for child #3 and child #4 did not include the address of the individual designated by the 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. 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: 3270.123(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: At the time of the inspection on 11/20/24, the operator admitted that the parents do not receive the original agreement at the time of enrollment.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: As of the inspection on 11/20/24, there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted in any of the childcare spaces.

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: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: At the time of the inspection, staff person #3 did not wash her hands or the hands of the child being diapered after the child was diapered.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan did not include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

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. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: As of the inspection on 11/20/24, the operator did not have a policy which addresses the prevention and identification of child maltreatment.

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. The OCDEL Announcement C-22-03: "Updates to Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment Requirements" states to maintain compliance with 45 CFR 98.41(a)(1)(vi), in addition to the training requirements, child care providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #9 was observed to be caring for children unsupervised. Staff person #9 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR.

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. Until such time as the required pre-service trainings are completed, staff person #9 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 staff person #9, staff person #9 may not work in a child-care position at the facility.

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

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

Noncompliance Area: Staff person #2 did not receive an updated health assessment every 24 months as required. This is evidenced by the current health assessment on file dated 11/5/24 and the previous health assessment dated 9/2/22. Staff person #3 and staff person #8 do not have a health assessment or TB screening on file. Staff person #5 did not receive a TB screening at initial service in the facility. This is evidenced by the TB screening on file dated 7/8/20 (see LIS code sheet for date of hire). Staff person #9 does not have a health assessment on 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. 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: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: As of the inspection on 11/20/24, written notifications of safe routes including pick up and drop off procedures were not posted in the facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: At the time of the inspection, the emergency contact form and agreement on file for child #3, #4 and #5 were not updated every 6 months as required. This is evidenced by the current date of October 2024 and the previous date of February 2024.

Correction Required: 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: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of the inspection on 11/20/24, staff persons #3 and 5 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file. Staff person #8 and #9 only had one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file.

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: As of the inspection on 11/20/24, the provider admitted to not providing Chapter 3270 regulations electronically to the parents of enrolled children.

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)

Description: Emergency plan

Noncompliance Area: As of the inspection on 11/20/24, the emergency plan on file dated 9/2024 did not include lock-down procedures.

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.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: As of the inspection on 11/20/24, the operator could not locate documentation of any emergency drills being conducted.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: As of the inspection on 11/20/24, staff persons #1, #2, #3, #5, #6, and #7 did not have documentation of emergency plan training on file when the plan was updated in September 2024. Staff person #8 and staff person #9 did not have emergency plan training within 90 days of hire (see LIS code sheet for date of hire).

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)

Description: Age and Training

Noncompliance Area: At the time of the inspection on 11/20/24, staff person #2, #4 and #6 only completed 6.5, 4.5 and 6.5 hours of childcare training during the 12/22-12/23 training period, respectively.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

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

Description: Age and Training

Noncompliance Area: Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 11/18/24.

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 person(s) shall complete professional development in the topics of 3270.31(f)(10). Staff person #1 will have until 12/6/24 to complete the required training. Until such time as the required training has been completed, staff person #1 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 #1, staff person #1 may not work in a child-care position at the facility.

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff person #2, #3, #4, #6 and #7 did not have complete annual fire safety training as required. This is evidenced by the fire safety training on file dated 10/24/23.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training requirements. Staff person #5, #8 and #9 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR.

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 #1, #5, #8 and #9 will have until 12/6/24 to complete the required training. Until such time as the required training has been completed, Staff persons #1, #5, #8 and #9 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 persons #1, #5, #8 and #9, then staff persons #1, #5, #8 and #9 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 inspection on 11/20/24, staff person #1 did not have a current PA State Police Clearance on file. This is evidenced by the PA State Police clearance dated 6/25/19. Staff person #2 does not have a current NSOR certificate on file. This is evidenced by the NSOR on file dated 11/6/19. Staff person #3 does not have an NSOR certificate on file and is past the 45 day provisional hiring period (see LIS code sheet for date of hire). Staff person #3 was also observed to be working unsupervised in the Toddler room during rest time. Staff person #5 does not have a current Child Abuse clearance on file. This is evidenced by the Child Abuse clearance on file dated 12/13/18. There was no witness signature on the disclosure statement dated 3/4/24. Staff person #8 does not have a dissemination date on the PA State Police clearance making this an incomplete clearance. There is no complete FBI clearance or NSOR certificate on file and staff person #8 is past the 45-day provisional hiring period. Staff person #9 does not have a signed disclosure statement on file. Staff person #9 was observed to be working unsupervised in the Preschool room during rest time (see LIS code sheet for dates 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. The CPSL was revised to include a 45 day provisional hiring period. The CPSL was revised to include the requirement for updating clearances every 60 months. Staff Persons #1, 2, 3, 5 and #8 may not work in a childcare position at the facility until all completed clearances are received.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: As of the inspection on 11/20/24, staff person #1 did not have a current PA State Police Clearance on file. This is evidenced by the PA State Police clearance dated 6/25/19. Staff person #2 does not have a current NSOR certificate on file. This is evidenced by the NSOR on file dated 11/6/19. Staff person #3 does not have an NSOR certificate on file and is past the 45 day provisional hiring period (see LIS code sheet for date of hire). Staff person #3 was also observed to be working unsupervised in the Toddler room during rest time. Staff person #5 does not have a current Child Abuse clearance on file. This is evidenced by the Child Abuse clearance on file dated 12/13/18. There was no witness signature on the disclosure statement dated 3/4/24. Staff person #8 does not have a dissemination date on the PA State Police clearance making this an incomplete clearance. There is no complete FBI clearance or NSOR certificate on file and staff person #8 is past the 45-day provisional hiring period. Staff person #9 does not have a signed disclosure statement on file. Staff person #9 was observed to be working unsupervised in the Preschool room during rest time (see LIS code sheet for dates 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. The legal entity will submit complete files for any new hires for a period of two months to the NE Regional Office. During that time, new hires may not begin to work in childcare until their file has been approved by the NE Regional Office. Submitted files will be reviewed within 1 week of submission.

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: At the time of the inspection on 11/20/24, staff persons #3, #8 and #9 did not have any education documentation on file. Staff persons #8 and staff person #9 did not have experience (2,500 hours) on file and therefore, these staff cannot qualify as assistant group supervisors.

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.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: As of the inspection on 11/20/24, the Director admitted to not conducting annual evaluations for staff person #2, #3, #6, and #7.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Protective outlet covers were missing from the receptacles in the Toddler Rest room.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: At the time of the inspection, in the PS room, there was a bag of potting soil accessible to children which read "Keep out of Reach of Children." In the PS bathroom, there was a spray bottle of Bleach, a can of disinfectant and a spray bottle of Spic & Span located on the lid of the toilet. In the downstairs Multipurpose "extra" room, in the unlocked supply cabinet, there were bottles of soap and hand sanitizer 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: 3270.67(d)/3270.82(i)

Description: Contaminated trash in closed plastic-lined receptacle/Lidded waste receptacles

Noncompliance Area: At the time of the inspection, the trash cans in the PS and Toddler Rest classrooms contained used tissues and were not plastic lined and did not contain lids. The trash can in the PS toilet area did not have a lid.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: As of the inspection on 11/20/24, the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not posted by the phone in the PS room, Gym, or both Toddler rooms.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.76/3270.102(a)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: At the time of the inspection on 11/20/24, the ceiling vents in the toddler room were dusty. The surfacing of the cabinets located under the sink in the toddler room were peeling exposing the inside wooden particles and posing a splinter hazard to children. There was a hole in the wall in the Toddler Rest room.

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. 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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: During the inspection on 5/8/24, staff person #4 did not have tuberculosis screening at initial employment (see LIS code sheet for date of hire). Staff person #6 did not have tuberculosis screening at initial employment. This is evidenced by the tuberculosis screening dated 10/25/21 on file. (see LIS code sheet for date of hire). An acceptable plan of correction was received stating that the correction would be implemented by 5/31/24. An unannounced inspection was conducted on 6/4/24. Staff person #4 still did not have documentation of obtaining tuberculosis screening at initial employment (see LIS code sheet for date of hire).

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: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: During the inspection on 5/8/24, staff person #2, staff person #4 health assessment did not include an examination for communicable diseases and the results of that examination. It also did not include the physician's or CRNP's assessment of the person's suitability to provide child care. An acceptable plan of correction was received stating the plan would be implemented by 5/24/24. An unannounced inspection occurred on 6/4/24. Staff person #2 and staff person #4 health assessment still did not include an examination for communicable diseases and the results of that examination. It also did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

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 the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the inspection on 5/8/24, staff person #3, staff #4, staff person #6, and staff person #7 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. An acceptable plan of correction was received stating the correction would be implemented by 5/13/24. An unannounced inspection occurred on 6/4/24. Staff person #3, staff #4, staff person #6, and staff person #7 still did not have 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: During an inspection on 5/8/24, there was no documentation of annual emergency plan training in the file for staff person #1, staff person #2, staff person #3, staff person #4, staff person #5 and staff person #8. An acceptable plan of correction was received stating the correction would be implemented by 5/10/24. An unannounced inspection occurred on 6/4/24. There was still no documentation of annual emergency plan training in the file for staff person #1, staff person #2, staff person #3, staff person #4, staff person #5 and staff person #8.

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: During an inspection on 5/8/24, staff person #2 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training. Staff person #8 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training and Pediatric First Aid/CPR training. An acceptable plan of correction was received stating the correction would be implemented by 5/24/24. An unannounced inspection occurred on 6/4/24. Staff person #8 has still not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training and Pediatric First Aid/CPR training.

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 #8 will have until 6/20/24 to complete the required training. Until such time as the required training has been completed, staff person #8 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 #8, then staff person #8 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 an inspection on 5/8/24, staff person #1 did not have a completed NSOR certificate on file and has been employed at the facility for more than 45 days (see LIS code sheet for date of hire). Staff person #6 and staff person #7 did not have a witness signature on the disclosure statement. Staff person #7 did not have an updated FBI clearance on file. This is evidenced by the FBI clearance on file dated 3/2/19. Staff person #8 had a receipt dated 10/5/23 for the PA State Police clearance on file. There was no completed clearance with a dissemination date at time of hire (see LIS code sheet for date of hire). An acceptable plan of correction was received stating the correction would be implemented by 5/8/24. An unannounced inspection occurred on 6/4/24. The certification representative was unable to verify a completed NSOR certificate on file for staff person #1 and this person has been employed at the facility for more than 45 days (see LIS code sheet for date of hire). Staff person #7 still did not have an updated FBI clearance on file. This is evidenced by the FBI clearance on file dated 3/2/19. Since 5/8/24, staff person #7 was not permitted to work with children until the FBI clearance was obtained. The operator admitted since this date that staff person#7 did work with children on two different occasions.

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. Staff Person #1 and staff person #7 may not work in a childcare position at the facility until all completed clearances are on file at the facility.