St Josephs Hill Lutheran Church Day Care Cente

Regulation: 3270.123(a)(5)/3270.123(a)(6)

Description: Designated release persons/Admission date

Noncompliance Area: During a renewal inspection on 9/17/25 Child 6 did not have the release persons on their fee agreement. Children 3, 4, 5, 7, 8, and 10's fee agreements did not list their date of admission.

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

Regulation: 3270.124(e)/3270.175(c)

Description: Written emergency plan posted/Manufacturer's instructions used

Noncompliance Area: During a renewal inspection on 9/11/25-9/17/25 Cert rep observed Rooms 1 and 6 did not have the facility emergency medical transportation plan posted. Cert rep observed the Ford Transit 350 did not have the emergency medical transportation plan present. It was reported staff would not have been taking the emergency medical transportation plan with them when using the Ford Transit 350 to transport children to and from school. Cert rep observed the Ford Transit 350 did not have the manufacture instructions present for the child booster seats that were used in this vehicle.

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. Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: During a renewal inspection on 9/17/25 it was noted that the most recent health report for Child 8, an older toddler, was dated 4/23/24, which is more than 12 months ago.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.151(a)

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

Noncompliance Area: During a renewal inspection on 9/11/25 it was noted the following staff had more than 24 months between their health assessments. Staff 2 (2/7/23 & 3/17/25), Staff 3 (3/23/23 & 5/8/25), Staff 4 (3/6/23 & 4/21/25), Staff 8 (7/22/22 & 8/23/24), Staff 10 (2/3/23 and 3/24/25), and Staff 15 (6/8/22 & 8/22/25). Staff 15 was on leave from 8/23/24-6/2/25 and returned to providing care 6/9/25. It was reported Staff 2, 3, 4, 8, and 10 worked in a childcare role between the date when their previous health assessment expired and when the new health assessment was obtained.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During a renewal inspection on 9/17/25 it was noted Child 2's emergency contact form and fee agreement were most recent reviewed by the child's parent on 2/11/25, which is more than 6 months ago.

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: During a renewal inspection on 9/11/25 Staff 9 had emergency plan trainings dated 6/10/24 and 7/18/25, which is more than 12 months between trainings.

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(a)

Description: Age and Training

Noncompliance Area: During a renewal inspection on 9/11/25 it was noted Facility Person 17 is a volunteer and was 15 years old at date of hire. See LIS code sheet for Date of hire and date of birth.

Correction Required: A volunteer shall be 16 years of age or older and shall be directly supervised at all times by a staff person.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During a renewal inspection on 9/11/25 the following staff did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Staff 6 (Pediatric first aid and CPR), and Staff 14 (PA Required Health and Safety for Centers-Group Child Care Part 1 and Part 2). Staff 6 completed Pediatric first aid and CPR on 1/8/25, and Staff 14 completed PA Required Health and Safety for Centers-Group Child Care Part 1 on 4/22/25 and Part 2 on 6/1/25.

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: During a renewal inspection on 9/11/25 Facility Person 16 had FBI clearance dated 11/17/24 and NSOR clearance dated 2/11/25, which are after the volunteer's first day with children. Volunteer 16 had FBI request date 11/15/24(after first day with children), and NSOR request dated 10/16/24(before first day with children), however Facility Person 16 was working as a volunteer and was not able to be provisionally hired. (See LIS code sheet for first day 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.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During a renewal inspection on 9/11/25 Cert rep noted the following staff had more than 12 months between their staff evaluations: Staff 1(9/1/23 & 9/1/25), Staff 5 (11/28/23 & 8/29/25), Staff 7 (9/3/23 & 9/3/25), Staff 11 (11/20/23 & 8/7/25), Staff 12 (12/7/23 & 8/28/25), and Staff 15 (5/13/24 & 9/5/25).

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: 3270.74/3270.111(b)

Description: Emergency Numbers Posted/Posted in group space

Noncompliance Area: During a renewal inspection on 9/11/25 Cert rep observed the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center was not posted by the telephone in Room 1. Cert rep observed the daily schedule was not posted in Rooms 1 and 6.

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. The written plan of daily activities shall be posted in the group space.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: During an unannounced inspection on 4/30/25 Cert rep observed Plastic bags and gloves on the changing table in the infant room. Children in this room may still be putting things in their mouths. These items would be accessible while the children are being changed.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During unannounced inspection on 4/30/25 Staff person 1 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 training. This is evidence by PA Required Health and Safety training dated 10/2/24

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During an unannounced inspection on 4/30/25 Cert rep observed Desitin and butt paste in an unlocked accessible cabinet under the changing table in the infant room and Start Right water conditioner and Sludge destroyer in an unlocked cabinet under the sink in the big room. These items are labeled "keep out of reach of 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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an unannounced inspection on 4/30/25 Cert rep noted 3 incidents of more than 30 days between fire detection testing: 10/9/24-12/9/24, 12/9/24-2/7/24, and 3/5/25-4/30/25.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility does not have a policy to address continuity of operations.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #1 has a volunteer state police clearance dated 8/23/23, and a volunteer child abuse clearance dated 8/29/23.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 9/5/2023, the review of staff files showed that the FBI clearance for Staff #1 was not requested until 8/25/2023. The child abuse clearance on file was for Staff #1 was dated 8/29/2023. The completed National Sex Offender Registry (NSOR) clearance on file for Staff #2 was dated 8/23/2023. See LIS code sheet.

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. All staff that are working as provisional hires must have the requests for all required clearances on file along with the completed child abuse clearance and the FBI or state police clearance prior to working in a childcare position. Provisional hires may not work in a childcare position for more than 45 days.

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): The required pre-service health and safety training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-9. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-9. Staff person #2 will have until 10/14/2022 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #2 and #3 have not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #2 and #3 will have until 10/14/2022 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #2 and #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 person(s) available to supervise staff person #2 and #3, staff person #2 and #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: Staff #1 had all required clearances on file except the National Sex Offender Registry (NSOR) at the time of hire. The NSOR was requested prior. However, the completed NSOR clearance still had not been received as of 9/21/2022. Staff #1 is well beyond the 45 day provisional hire period. See LIS code sheet.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff person #1 may not work in a child care position at the facility.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: The fire detection log at the facility is currently up to date. However, the log shows that the system has not been getting tested at least once every 30 days during the previous 12 months.

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)).

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: During the Renewal Inspection on 9/10/2021, an expired EpiPen was observed in a lockbox in the Pre-K/Kindergarten classroom. The EpiPen showed an expiration date of June 2021.

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

Regulation: 3270.151(a)

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

Noncompliance Area: Staff files were reviewed on 9/10/2021. The most recent health assessment on file for Staff #1 was dated 9/6/2019.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: On 9/10/2021, Staff #1, #2, #3 and #4 did not have written evaluations on file completed within the previous 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: 3270.76

Description: Building Surfaces

Noncompliance Area: During the Renewal Inspection on 9/10/2021, two cracked fence posts were observed on the playground located where the black top is. The cracked fence posts left sharp edges exposed.

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: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: During the Renewal Inspection on 9/10/2021 the fire drill/fire detection log showed that the fire detection system has not been tested at least once every 30 days since December 2020. The system is not currently inspected at least annually by a fire safety professional.

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)).

Noncompliance Area: A renewal inspection was conducted on 9/28/2020. At that time, a cracked toy sink was observed in the older toddler room presenting a pinching hazard. A cracked playhouse and cracked lid to a toy bin was observed on the young playground.

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.

Noncompliance Area: A renewal inspection was conducted on 9/28/2020. At that time, a plastic bag was observed in a child's cubby in the older toddler room. The plastic bag was accessible to the older toddlers in the classroom.

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.

Noncompliance Area: During the renewal inspection, the file for Facility Person #1 was reviewed. At that time, Facility Person #1 did not have TB test results on file that had been completed within 12 months of the 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.

Noncompliance Area: During the renewal inspection, the file for Facility Person #1 was reviewed. At that time, Facility Person #1 did not have an FBI Clearance through DHS on file at the facility. Facility Person #1 date of hire: 1/27/20, PDE FBI Clearance: 12/1/15. The Child Protective Service Law requires all new staff to have an FBI Clearance conducted through DHS on file at the facility at the onset of their employment.

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

Noncompliance Area: Multiple bicycle seats in the shed were observed to be torn, exposing the inner foam of the seats. Old, broken bicycles and equipment were observed behind the same shed, with rusted, sharp areas, accessible to children.

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.

Noncompliance Area: During the renewal inspection on 9/30/19, the Infant and Toddler classrooms were observed to be too dark at nap time for the staff persons to provide proper supervision. The rooms were too dark to see the location and coloring of the children's faces who were present and napping.

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.

Noncompliance Area: Through a review of children's files at the facility, it was observed that the facility was keeping the original agreement, and parents were receiving the copy.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: The emergency contact form for Child #1 did not contain the address or phone number of the child's physician or source of medical care. The emergency contact form for Child #4 did not contain the phone number of the child's physician or source of medical care. The emergency contact forms for Child #1 and Child #3 do not contain completed insurance policy information.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: The file for Child #2 does not contain the address of the individuals 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.

Noncompliance Area: The written plan identifying the means of transporting a child to emergency care and staffing provisions was not posted in the Big 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.

Noncompliance Area: Child #3 began attending the facility on 1/30/18, but a health report was not provided to the facility until 4/9/18.

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.

Noncompliance Area: The health assessment and immunization report for Child #3 does not show any proof of vaccination against the flu, and a letter of exemption was not observed in the file.

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

Noncompliance Area: Three diaper creams were observed in the infant classroom, but parental permission to apply these medications were not on file. Infant tylenol in the office, labeled for a specific child, was found to have observed in 07/2019.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: Staff #1, who began working at the facility on 2/11/19, did not obtain a health assessment until 2/28/19, and did not obtain TB test results until 2/28/19. Facility person #9 began volunteering at the facility on 11/16/18, but did not obtain TB test results until 11/19/18. Facility person #10 began volunteering at the facility on 6/17/19, but did not obtain TB test results until 7/24/19. The following existing staff persons did not update their health assessments within the required 24-month period: #4, #5, #6 and #7. Staff #8 has a health assessment on file dated 10/24/16, but an updated has not yet been obtained.

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.

Noncompliance Area: Staff #1 began working at the facility on 2/11/19, but the state police record was not requested until 3/7/19, the child abuse clearance was not requested until 2/18/19 and the FBI fingerprinting was not completed until 3/9/9. Staff #2 began working at the facility on 9/24/18, but a state police clearance was not requested until 9/26/18, and FBI fingerprinting was not completed until 9/26/18. The file for Staff #3, who began working at the facility on 8/26/19, did not have a completed certificate for the state police clearance on file. Facility Person #3, a volunteer who began at the facility on 11/16/18, did not request the state police clearance until 1/18/19 and did not request the child abuse clearance until 1/21/19. Facility person #4, a volunteer who began at the facility on 6/17/19, did not request the state police clearance until 6/24/19, and did not request a child abuse clearance until 6/25/19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include 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.

Noncompliance Area: The wallpaper was observed to be peeling in multiple spots in the Infant classroom, close to ground level and accessible to mobile infants. A ceiling tiles in the Tykes' room was observed to have a brown stain. The bathroom ceiling and wall surfacing in the Big Room was observed to be damaged and 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.

Noncompliance Area: A renewal inspection was conducted on 9/4/18. At that time, an infant was observed sleeping in a pack-n-play in the infant room that did not have 2 feet of space on three sides. One side was against the wall, one side was against a high chair and one side had toys and another pack-n-play against it.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: A renewal inspection was conducted on 9/4/18. At that time, expired Benadryl was observed in the three-year old classroom for Child #2. An expired epi-pen for Child #3 was observed in the school-age room.

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

Noncompliance Area: A renewal inspection was conducted on 9/4/18. At that time, the file for Staff Person #3 did not contain a health assessment with TB test results conducted within 12 months of date of hire. (Date of hire: 11/6/17, health assessment: 7/20/15, TB date: 9/14/15). The file for Staff Person #4 did not contain TB test results conducted within 12 months of date of hire. (Date of hire: 12/4/17, TB test date: 1/24/18) The file for Staff Person #5 did not contain a health assessment with TB test results conducted within 12 months of date of hire. (Date of hire: 12/13/17, health assessment: 1/2/18, TB date: 1/22/18). The file for Staff Person #6 did not contain a health assessment with TB test results conducted within 12 months of date of hire. (Date of hire: 1/25/18, health assessment: 4/16/18, TB date: 2/23/18). The file for Staff Person #7 did not contain a health assessment with TB test results. (Date of hire: 8/24/18). The file for Staff Person #8 did not contain a health assessment with TB test results. (Date of hire: 8/27/18).

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.

Noncompliance Area: A renewal inspection was conducted on 9/4/18. At that time, emergency contact information for Child #4 was observed in a first-aid bag in the two-year old room that had not been updated since 1/22/18.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: A renewal inspection was conducted on 9/4/18. At that time, the file for Staff Person #5 did not contain documentation of education or experience prior to employment at the facility.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: A renewal inspection was conducted on 9/4/18. At that time, the file for Staff Person #5 did not contain emergency plan training.

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.

Noncompliance Area: A renewal inspection was conducted on 9/4/18. At that time, the file for Staff Person #1 did not contain training hours completed within the past year.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: A renewal inspection was conducted on 9/4/18. At that time, the file for Staff Person #1 contained clearances that had not been updated since 2011. (Date of Hire: 11/23/11, State Police Clearance: 11/23/11, Child Abuse Clearance: 11/23/11, FBI Clearance: 11/23/11). The file for Staff Person #2 contained a volunteer state police clearance. (Date of Hire: 10/2/17, Volunteer State Police Clearance: 6/4/15). The file for Staff Person #5 contained a Child Abuse Clearance that had not been updated since 2013. The file for Staff Person #5 did not contain mandated reporter training. (Date of Hire: 12/13/17, Child Abuse Clearance: 3/13/13). Clearances must be updated every 60 months. Volunteer clearances can not be used for employment. Mandated reporter training must completed by the end of the provisional hire period for new staff.

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 may not work in a child care position at the facility until all three clearances have been updated and are on file at the facility. Staff Person #2 may not work in a child care position at the facility until a State Police Clearances for employment is on file at the facility. Staff Person #5 may not work in a child care position at the facility until the Child Abuse Clearance has been updated and is on file at the facility.

Noncompliance Area: A renewal inspection was conducted on 9/4/18. At that time, the hot water in the sink in the school age (Big Room) classroom reached 119 F. The sink is accessible to the children in the classroom.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: A renewal inspection was conducted on 9/4/18. At that time, a water damaged ceiling tile was observed in the two-year old classroom.

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.

Noncompliance Area: THE AREAS AROUND THE TAN ROCK CLIMBER, THE MUSHROOM PEDESTALS AND THE BALANCE BEAM ON THE PLAYGROUND, ALL EMBEDDED EQUIPMENT, WERE MEASURED TO HAVE ONLY 6" OF WOOD CHIP GROUND COVER, AND NOT THE 9" OF WOOD CHIPS RECOMMENDED BY THE CONSUMER PRODUCT SAFETY COMMISSION.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: PLASTIC GROCERY BAGS CONTAINING DIAPERS WERE OBSERVED ON THE STAIRS OF THE DIAPERING TABLE IN THE ONES CLASSROOM, ACCESSIBLE TO CHILDREN STILL PLACING OBJECTS IN THEIR MOUTHS.

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.

Noncompliance Area: BENADRYL AND AN EPI-PEN WERE OBSERVED FOR CHILD #2, BUT PARENT PERMISSION TO ADMINISTER THE MEDICATIONS WAS NOT ON FILE AT THE FACILITY. MUPIROCIN OINTMENT WAS OBSERVED FOR USE ON CHILD #3 IN THE YOUNG TODDLER CLASSROOM, BUT THE DOCTOR'S INSTRUCTIONS FOR ADMINISTRATION WERE NOT PRESENT AT THE FACILITY. A VENTOLIN INHALER FOR CHILD #4 WAS OBSERVED IN THE SCHOOL-AGE CLASSROOM AND DID NOT HAVE PARENT PERMISSION TO ADMINISTER THE MEDICATION ON FILE AT THE FACILITY. AN EPI-PEN FOR CHILD #5 WAS OBSERVED IN THE SCHOOL-AGE CLASSROOM BUT PARENT PERMISSION FOR ADMINISTRATION WAS NOT ON FILE. A VENTOLIN INHALER FOR CHILD #6 WAS OBSERVED IN THE SCHOOL-AGE CLASSROOM, BUT PARENT PERMISSION TO ADMINISTER, NOR DOCTOR'S INSTRUCTIONS FOR ADMINISTRATION WERE ON FILE AT THE FACILITY.

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

Noncompliance Area: FILE FOR STAFF #1 CONTAINS TRANSCRIPTS FOR COLLEGE COURSEWORK, BUT DOES NOT CONTAIN PROOF OF HIGH SCHOOL GRADUATION.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: FILE FOR INDIVIDUAL #1, A VOLUNTEER AT THE FACILITY WORKING IN THE KITCHEN, DOES NOT CONTAIN INITIAL HEALTH ASSESSMENTS OR TB TEST RESULTS.

Correction Required: 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.

Noncompliance Area: STAFF #1 HAS BEEN WORKING WITH CHILDREN AT THE FACILITY SINCE 3/27/17, BUT HAS NOT YET COMPLETED REQUIRED MANDATED REPORTER TRAINING.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: HAND SANITZER WAS OBSERVED ON A STAFF BAG, ACCESSIBLE TO CHILDREN, IN THE PRE-K CLASSROOM. A CHILD LOCK ON THE LARGE GRAY CABINET CONTAINING TEACHER SUPPLIES WAS BROKEN, AND WHITE OUT, SHARP SCISSORS, AND SUPERGLUE WERE OBSERVED ACCESSIBLE TO CHILDREN. A CLEANING BOTTLE CONTAINING SOAP AND WATER SOLUTION WAS NOT LABELED WITH THE CONTENTS.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.