Sewickley Ymca/osborne Elementary

Regulation: 3270.133(2)

Description: Written instructions

Noncompliance Area: There was an AuviQ pen in the book bag labeled for use by a specific child which did not have written instructions from the individual who prescribed the medicine.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: In the Book bag there was Children's Benadryl with an expiration date of 7/2024.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: In the book bag there was Children's Benadryl and Albuterol HFA that did not have a log with written consent from a parent for administration.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: According to staff interviews, Child #1 was left unsupervised in the cafeteria for approximately 5-10 minutes when 2 staff left the cafeteria with 10 children to go to the gym. No staff person was present with Child #1.

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.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: According to staff interviews, Child #1 was left unsupervised in the cafeteria for approximately 5-10 minutes when 2 staff left the cafeteria with 10 children to go to the gym. No staff person was physically present with Child #1, who was not being supervised for that period of time.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for Child #4 does not include the policy number for the medical insurance policy.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #2 and #4 does not include a complete address for all listed release persons.

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

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: The file for Child #3, with an enrollment date of 8.20.25, which is more than 60 days ago, does not include an initial health report or immunization record.

Correction Required: Child #3 must be dismissed from care by close of business 2.23.26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file for Child #1, who is 3 years old, included 0 of 1 MMR vaccines recommended by the ACIP for a child this age and 1 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age.

Correction Required: ·Child #1 must be dismissed from care by close of business on 2.23.26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. 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).

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The 2 most recent health assessments on file for Staff person #5 were dated 10.4.23 and 1.5.26, more than 24 months apart.

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

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

Description: Exam communicable disease/Health assessment, TB test

Noncompliance Area: The current health assessment on file for Staff person #2 indicates that the staff person has a communicable/contagious disease, with no additional information given.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. 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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The most recent documentation of an emergency drill on file at the facility is dated 2.11.26, more than 1 year following the previous emergency drill, dated 1.8.25.

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

Regulation: 3270.27(c)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The file for Staff person #2 does not include verification of emergency plan training completed within 90 days of hire (See LIS Code Sheet); the training was completed on 1.9.26. The file for Staff person #3 does not include verification of emergency plan training completed within 90 days of hire (See LIS Code Sheet); the training was completed on 1.9.26. The file for Staff person #4 does not include verification of emergency plan training completed within 90 days of hire (See LIS Code Sheet); the training was completed on 1.9.26.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

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

Description: Age and Training

Noncompliance Area: The file for Staff person #1 includes verification of First Aid/CPR training dated 2.16.25, after the expiration date of the previous training, 12.31.22.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2, #4 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Part 1 & 2, Staff person #2 completed the training on 12.31.25. Staff person #4 completed the training on 1.12.26 & 1.13.26. Staff person #2, #4 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.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #2, #4 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, #4, staff person #2, #4 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: Staff person #1 completed their current mandated reporter training on 2.17.25, more than 60 months after the previous training dated 2.18.19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #2 includes a PA Criminal History clearance dated 8.26.25, a PA Child Abuse Clearance dated 10.22.25, an FBI clearance dated 10.24.25, and an NSOR certificate dated 9.2.25, all dated after the date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL The file for Staff person #3 contains an FBI clearance that did not include a rap sheet with the FBI clearance, which indicated the person has a record (See IS CODE SHEET) required for CPSL compliance. The file for Staff person #6 includes a PA Child Abuse Clearance dated 12.23.25 and an NSOR certificate dated 12.10.25, both dated after the date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for Staff person #6 also includes an FBI clearance that did not include a rap sheet with the FBI clearance, which indicated the person has a record (See IS CODE SHEET) required for CPSL compliance. The file for Staff person #6, who resided in Texas within 5 years prior to employment did not include a Texas Sex Offender Registry check or a TX Child Abuse clearance required for provisional hiring under the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3, #6 may not work in a childcare position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Hand Sanitizer and Lysol disinfectant were located in an unlatched cabinet in the bathroom in Room A116, making them accessible to children in care.

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: 3270.133(2)

Description: Written instructions

Noncompliance Area: There was an Albuterol inhaler in Room 116, labeled for use by Child #1 which did not have written instructions from the individual who prescribed the medicine.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: There was an Albuterol inhaler in Room 116 labeled for use by Child #2 which did not have written parental permission to administer.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: Yogurt, cheese, and lunch meats were observed in lunchboxes in Room 116 and Room 119 that were not refrigerated.

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

Regulation: 3270.31(e)(4)(iv)/3270.192(2)(iii)

Description: Water safety/Exp, educ., training at facility

Noncompliance Area: The file for Staff person #1 and #2, who were observed assisting in swimming activity, did not have proof of current water safety training.

Correction Required: Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

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): Pediatric First Aid/Pediatric CPR; Get Started with Center-Based Care; Building Blocks for Quality; Mandated Reporter training. Staff person #4, has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality. Staff person #5 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the training was completed 7.15.25.

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

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

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for Staff person #3, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years of experience with children.

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 verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The thermometer in the refrigerator in Room A116 where children's lunches are stored, measured 48 degrees Fahrenheit at the time of the inspection.

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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #6, #7, #8 does not include the telephone number for the child's pediatrician/source for medical care.

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

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

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

Noncompliance Area: The file for Child #1 and #3 does not include written parental consent for the facility to obtain 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: The emergency contact form on file for Child #6 does not include a telephone number for all listed release persons. The emergency contact form on file for Child #8 does not include a complete address for all listed release persons.

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health assessment on file for Child #5 with an enrollment date of 8.21.24, is dated 2.4.25, more than 60 days after enrollment.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file for Child #2, who is 4 years old, included 3 of 4 DTAP Vaccines recommended by the ACIP for a child this age; 3 of 4 HIB vaccines recommended by the ACIP for a child this age; 3 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age; and 1 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age. The immunization record on file for Child #4, who is 4 years old, included 3 of 4 pneumococcal vaccines recommended by the ACIP for a child this age

Correction Required: ·Child # 2 and #4 must be dismissed from care by close of business on 2.19.25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Prior to serving snack, it was observed that none of the children washed their hands before eating and staff acknowledged that they had not insured hands were washed.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #2 was observed to be caring for children unsupervised. Staff person # has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid/CPR and Health & Safety (CDDBG) training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The 2 most recent health assessments on file for Staff person #6 were dated 9.2.21 and 1.11.24, more than 24 months apart. The 2 most recent health assessments on file for Staff person #7 were dated 1.29.22 and 2.10.24, more than 24 months apart. The most recent health assessment on file for Staff person #9 is dated 10.1.22, more than 24 months ago.

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

Regulation: 3270.182(5)

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

Noncompliance Area: The file for Child #1 and #3 does not include written parental consent for the facility to administer minor first aid procedures.

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: 3270.182(8)

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

Noncompliance Area: The file for Child #7 does not include a copy of the initial agreement.

Correction Required: 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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff person #1 includes only 1 written nonfamily reference attesting to the staff person's suitability to work in childcare. The file for Staff person #2, #3 does not include 2 written non-family references attesting to the staff person's suitability to work in childcare.

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)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The most recent training regarding the emergency plan on file for Staff person #7 is dated 11.12.19, more than 1 year ago. The most recent training regarding the emergency plan on file for Staff person #9 is dated 2.27.23, more than 1 year ago.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

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

Description: Age and Training

Noncompliance Area: The file for Staff person #1 includes verification of First Aid/CPR training dated 1.15.25, after the expiration date of the previous training, 12.31.22. Staff person #8 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification; the previously documented Pediatric first aid and CPR training on file expiring 12.31.24 and documentation of updated Pediatric first aid and CPR training is not on file.

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. Until such time as the required training has been completed, staff person #8 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 #8, staff person #8 may not work in a child-care position at the facility.

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: The most recent fire safety training on file for Staff person #4 is dated 11.3.23, more than 12 months ago. The most recent fire safety training on file for Staff person #5 is dated 5.24.23, more than 12 months ago. The file for Staff person #7, #9 does not include documentation of fire safety training (See LIS Code Sheet).

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(e)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: The file for Staff person #1, includes verification of 9.5 of the required 12 hours of annual training between 6.2023-6.2024; an additional 3 hours of training from 12.11.24 are borrowed to meet the requirement. The file for Staff person #7, includes verification of 3.5 of the required 12 hours of annual training between 5.2023-5.2024.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

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

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for Staff person #7, who was classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience.

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 verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The two most recent staff evaluations on file for Staff person #1 are dated 3.10.23 and 12.18.24, more than 1 year apart. The two most recent staff evaluations on file for Staff person #4 are dated 2.28.23 and 11.19.24, more than 1 year apart. The most recent staff evaluation on file for Staff person #5 is dated 2.28.23, more than 1 year ago. The most recent staff evaluation on file for Staff person #7 is dated 3.26.21, more than 1 year ago. The file for Staff person #9 does not include a staff evaluation within 1 year of hire (See LIS Code Sheet).

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: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: There was no lidded trashcan in Room A116 and A119 where children were observed throwing away soiled facial tissues, used plastic utensils, and unfinished food from lunches.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The bathroom in Room A119 did not include a lidded waste receptacle.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The resting mats in Room A116 were observed to be ripping apart on the corners of the mats and were not in good repair.

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: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement form in the file for child #2 did not include operator's signature.

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

Regulation: 3270.123(b)/3270.182(8)

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

Noncompliance Area: The file for child #2 contained the original agreement form.

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(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact forms for children #2 and #3 did not include the phone number of the child's physician.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form in the file for child #1 lacked the addresses of the individuals designated by the parent to whom the child may be released.

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

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact and the parent agreement form in the file for child #3 were updated by the parent on 1/23/23 and 8/23/23, which exceeded 6-months between updates.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The two most recent health assessments on file for staff persons #1, #5, and #7 are dated more than 24 months apart. Staff person #1: 9/23/21 and 1/24/24. Staff person #5: 5/26/20 and 4/12/23. Staff person #7: 9/5/21 and 10/4/23.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff person #3 has not had emergency plan training within the last 12 months. The most recent training on file for staff person #3 is dated 2/15/22.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

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

Description: Age and Training

Noncompliance Area: The file for staff person #7 was observed to have documentation of Pediatric First Aid/CPR training certificate that was not renewed before the expiration date of the most current certification: 9/5/21 and 10/4/23.

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Staff persons #3 and #9 have not had fire safety training within the last 12 months. The most recent training on file for staff person #3 is dated 3/3/22 and for staff person #9 is dated 3/3/22. The two most recent fire safety trainings in the files for staff persons #4, #7, and #8 are dated more than 12 months apart.

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 #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.

Correction Required: Staff person shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #2 will have until 2/30/24 to complete the required training. Until such time as the required training has been completed, staff person #2 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 #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: The file for staff person #6 has documentation of pediatric first aid/CPR training dated 6/20/23, which was not within 90 days of hire (See LIS Code Sheet).

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The two most recent evaluations in the file for staff persons #1 and #3 are dated more than 12 months apart. Staff person #1: 9/15/22 and 1/12/24. Staff person #3: 7/11/21 and 1/20/24. The file for staff person #8 did not include a written evaluation on the staff person within the last 12-months.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: In Room 119, the first aid kit did not include sterile gauze pads.

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.

Regulation: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: The hypothetical location on the facilities fire drill log was observed to state "Front of School" for the past 6 consecutive drills and did not rotate around the facility (PS and After School Programs).

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: The fire drill logs on file at the facility did not include the specific date of each drill conducted (PS and After School).

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: In Room A119, rest equipment lacked labels with the names of the specific children receiving care.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in Room A119 was observed to lack an operating thermometer.

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)

Description: Written plan

Noncompliance Area: A written plan of daily activities was not posted in the afterschool program in the cafeteria.

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: 3270.123(a)

Description: Signed

Noncompliance Area: The file for child #6 lacked an agreement form that shall be signed by the operator and the parent.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement on file for child #7 lacked the operator's signature.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for child #5 and #7 lacked the telephone number of the child's physician.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for child #3 lacked the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The files for children #1, #2, #4, and #5 lack an initial health report and have been enrolled in the facility for more than 60 days.

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.

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: The file for child #5 lacked a review of the child's immunized status according to recommendations of the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The files for children #1, #2, and #4 lack an immunization record and have been enrolled in the facility for more than 60 days.

Correction Required: Children #1, #2, and #4 must be dismissed from care by close of business 2/10/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The files for staff persons #1 and #2 were observed to lack completion of the following pre-service training by December 30, 2022: Pennsylvania Health and Safety Update 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The files for staff persons #4. #5, and #6 lacked documentation of a health assessment conducted within 12 months prior to providing initial service in a child care setting.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The agreement on file for child #7 has not been reviewed and updated by the parent within the last 6 months.

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: 3270.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: The emergency form on file for child #7 lacked signed parental consent for emergency medical care.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.182(5)

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

Noncompliance Area: The emergency form on file for child #7 lacked parental consent for administration of minor first-aid procedures by facility staff.

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)(6)

Description: Emergency plan

Noncompliance Area: The afterschool program at the facility does not have documentation of conducting an emergency drill in 2022.

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: The files for staff persons #1 and #2 lacked documentation of annual emergency plan training. The most recent emergency plan training on file for staff persons #1 is dated 11/1/21 and staff #2 is dated 4/12/21.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for staff person #2 lacked documentation of completing fire safety training annually. The most current training on file was observed to be dated 11/26/21.

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 #3 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 from a PQAS approved trainer and a PQAS approved curriculum.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for staff persons #4 and #6 were observed not to contain documentation of application of an FBI clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #6 was observed not to contain a valid child abuse or state sex offender clearances from the state of Delaware where the staff person resided in the 5 years prior to employment, within 45 days of hire (See IS CODE SHEET). Staff person #6 cannot work in the facility until the child abuse and state sex offender clearance results from the state of Delaware are submitted and verified.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #6 cannot work in the facility until the child abuse and state sex offender clearance results from the state of Delaware are submitted and verified.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for staff persons #1 and #2 have not had a written evaluation completed by the director within the past 12 months.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The bathroom sink in Room A116 was observed to lack a posting of a handwashing sign.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The SA program at the facility has not completed a fire drill within the last 60 days. The most recent documentation of a fire drill being conducted was on 8/31/22. The PS program at the facility had documentation of fire drills being conducted that exceeded 60 days from 10/14-12/22.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file for staff person #1 lacked contain documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The health assessment on file for staff person #1 was dated 5/21/22. The file for staff person #2 was observed to have documentation of a health assessment that was not renewed before the expiration date of the most current certification. The health assessments on file for staff #2 are dated 7/26/19 and 9/2/21.

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

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for staff person #1 was observed not to contain documentation of a tuberculosis screening by the Mantoux method at initial employment (See LIS CODE SHEET). The tuberculosis screening for staff person #1 was dated 5/21/22.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for staff person #2 and #4 lacked documentation of annual emergency plan training in 2021. The two most recent emergency plan trainings on file for staff person #2 are dated 12/15/20 and 2/15/22, and the two most recent staff person #4 are dated 10/19/20 and 2/15/22, which is more than one year after the previous training. The file for staff person #5 lacked documentation of emergency plan training at initial employment. The emergency plan on file for staff person #5 is dated 2/15/22.

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: The file for staff person #2 and #4 lacked documentation of annual 12 clock hours of child care training.

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: The most recent fire safety training on file for staff person #4 is dated 2/15/22, more than one year after the previous training, dated 10/19/20. The most recent fire safety training on file for staff person #5 is dated 6/6/22, more than one year after the start date of 6/1/21.

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 #3, #4, #5 #6, #7 and #8 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Correction Required: Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #3, #4, #5, #6, #7 and #8 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff person #5, was observed not to have completed pre-service training within 90 days of hire (See LIS CODE SHEET). The pre-service training on file for staff person # 5 was dated 11/14/21. The file for staff person #2, was observed not to have completed pre-service training of completing pediatric first aid/CPR by an approved PQAS instructor by April 29, 2022. The pre-service training on file for staff person #8 was dated 8/1/22.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 lacked documentation of child abuse clearance results prior to date of hire as required under the CPSL for provisional hiring. The file for staff person #1 now has a current child abuse.

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: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: On the staff table in the cafeteria room at Osborne Elementary, multiple first aid bags were observed on the table making the first aid kits accessible to children.

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility does not have verification of proof of purchase for the fire alarm system.

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)

Description: Signed

Noncompliance Area: The agreement on file for Child #1 is not signed by the operator.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement on file for Child #8 does not include the fee to be paid for services.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement on file for Child #7 does not include the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #3, #4, and #8 does not include a complete address for the child's physician/source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #5, does not include a work addresses and telephone number of the enrolling parent.

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

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The file for Child #2, #3, #6, with an enrollment date of 8/25/21, does not include a 6 month review signature for the emergency contact form and agreement.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #1, with an enrollment date of 1/3/22, does not include an initial health assessment, which was due within 60 days of enrollment. The file for Child #6, with an enrollment date of 8/25/21, does not include an initial health assessment, which was due within 60 days of enrollment.The file for Child #9, with an enrollment date of 11/1/21, does not include an initial health assessment, which was due within 60 days of enrollment.

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.