St Vincent Child Care Center

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed on the Toddler playground many pieces of mulch less than one inch in diameter coming under the fence from the preschool playground and accessible to the young toddlers 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.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: While using the outdoor play space, the Pre-K group did not have complete emergency contact information available for the 10 children in care.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.151(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 #2 contains a current health assessment conducted greater than 24 months after the previous health assessment as evidenced by health assessments on file dated 9/1/2023 and 6/18/2026.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #7 contains only 1 of the required 2 reference letters attesting to the person's suitability to serve as a facility person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The files for staff persons #1,2,3,4,5 and 6 contain current fire safety training that was completed greater than 12 months after the previous fire safety training.

Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for staff person #6 contains current mandated reporter training that was completed greater than 60 months after the previous mandated reporter training as evidenced by trainings dated 12/30/2019 and 1/2/2025

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #3, hire date (see IS code sheet) contains current NSOR that was obtained greater than 60 months after the previous NSOR as evidenced by NSOR verifications dated 2/18/2020 and 3/5/2025. The file for staff person #5, hire date (see IS code sheet) contains a criminal history clearance that expired 2/7/2025 and a request for a criminal history check dated 2/5/2025 with a status of 'pending' and is therefore not a complete clearance.

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

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: Observed a pothos plant in the Toddler 1 classroom. The pothos plant is on the list of plants toxic to humans.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3270.72(c)

Description: Good repair

Noncompliance Area: Observed a tear in the screen in the window in the Toddler 1 classroom.

Correction Required: Screens shall be in good repair.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed along the back wall of the facility which borders the play spaces several cracks with sharp edges in the vinyl siding accessible to children. Observed the metal stakes that anchor the plastic landscape timbers on the preschool playground to be protruding up about the surface of the timbers causing a possible tripping or puncture hazard. Observed a ceiling tile in the Toddler 2's classroom to be stained and water damaged.

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)/3270.95(b)

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

Noncompliance Area: The fire alarm tests log identified that alarm tests conducted on 6/11/2026 and 7/13/2026 exceeded 30 days between alarm tests.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.151(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 #9 contains a current health assessment but is lacking a health assessment at the time of initial service. The files for staff persons #3,4,7 and 8 contain current health assessments that were completed greater than 24 months after the previous health assessment.

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)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The file for facility person #7 contains a current health assessment that is lacking statements from the physician regarding communicable disease and suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

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

Description: Age and Training

Noncompliance Area: The files for staff persons #1,2,3,4, 6,10,11,12, 13 and 14 contain current PFA/PCPR training completed after the previous training expired as evidenced by trainings dated 2/15/23 and 3/7/25.

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)/3270.192(2)(iii)

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

Noncompliance Area: The file for staff person #2 contains only 8 of the required 12 annual child care training hours completed during the year 12/2023 to 12/2024.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #9 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): PFA/PCPR through a PQAS approved curriculum and trainer.

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 #9 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 #9, staff person #9 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff person #9, hire date (see IS code sheet) contains Health & Safety training completed greater than 90 days after hire as evidenced by the training certificate dated 12/30/2024.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for staff person #5 contains current mandated reporter training that was completed greater than 60 months after the previous mandated reporter training as evidenced by trainings dated 12/18/2019 and 12/23/2024.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #4 contains current NSOR verification that was received after the previous NSOR expired as evidenced by NSOR verifications dated 3/13/2020 and 3/18/2025. The file for staff person #5 contains a current child abuse clearance that was received after the previous child abuse clearance expired as evidenced by child abuse clearances dated 3/16/2020 and 3/19/2025. The file for staff person #6 contains current NSOR verification that was received after the previous NSOR expired as evidenced by NSOR verifications dated 2/5/2020 and 3/5/2025 and contains an updated criminal history clearance that is in 'pending' status and is therefore not valid and a previous criminal history clearance that expired 5/28/2025.

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

Regulation: 3270.66(a)/3270.66(d)

Description: Locked or inaccessible/Toxic plants not permitted

Noncompliance Area: Observed a shamrock plant accessible to children on a shelf in the preschool room. The shamrock plant is identified as toxic to humans.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toxic plants are not permitted in a child care space.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The bathroom in the Toddler classroom was missing a handwashing sign posted by the toilet.

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: 3270.151(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, hire date (see IS code sheet) is lacking a health assessment at initial hire as evidenced by the only health assessment on file dated 2/19/2025. The file for staff person #2, hire date (see IS code sheet) is lacking an initial health assessment.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1, hire date (see IS code sheet) contains an NSOR verification that expired 1/27/2025 and is lacking a current NSOR verification.

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.

Regulation: 3270.131(e)(1)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The file for child #1, preschool aged, contains only 3 of the required 4 DTAP and pneumococcal vaccinations as required by the ACIP immunization schedule. Child #1 must be removed from care until updated vaccinations, or an exemption letter is obtained.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by 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 file for staff person #2 contains a current health assessment that was obtained greater than 24 months after the previous health assessment. The file is now current. The file for staff person #3 is lacking a current health assessment completed during the previous 24-month period.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1, provisionally hired (see IS code sheet), is lacking documentation of a request for the NSOR prior to caring for children as required by CPSL for provisional hire in a child care facility. The file does contain a completed NSOR verification.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: An infant was observed asleep a boppy pillow on the floor in the Infant 1 room, not in rest equipment.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Facility Person #2, classified as a volunteer, was observed unsupervised, walking a child down the hall and out of the building to other staff in an outdoor play space.

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: Facility Person #2, classified as a volunteer, was observed unsupervised, walking a child down the hall and out of the building to other staff in an outdoor play space.

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: 3270.119

Description: Infant sleep position

Noncompliance Area: An infant was observed asleep a boppy pillow in the Infant 1 room, not in the position recommended by the AAP

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement on file for child number one did not specify the child 's arrival and departure times.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact forms on file for children #3 and #4 did not list the addresses for all 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: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: The most recent parent update of emergency contact forms on file for children #1-#5 were reviewed and updated by the parent more than 6 months after the previous review.

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.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: There was no documentation of a current influenza vaccine, or a required written exemption on file for child #2.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).Child #2 must be dismissed from care by close of business 7/19/23 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 facility's emergency plan did not include a plan for continuity of operations in the event of an emergency.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: There was no documentation of the updated health and safety training on file for Facility Person #1. Facility Person #4 was observed supervising a child in the preschool room. The only other facility person in the room with her was a volunteer. Facility Person #4 has not yet completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid and CPR.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required trainings are completed, Facility Person #4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise Facility Person #4, Facility Person #4 may not work in a child care position at the facility.

Regulation: 3270.151(a)

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

Noncompliance Area: There was no health assessment on file for Facility Person #4.

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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: There was no letter explaining the emergency plan to the parents.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.31(a)

Description: Age and Training

Noncompliance Area: Facility Person #2, classified as a volunteer, was observed unsupervised, walking a child down the hall and out of the building to other staff in an outdoor play space.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The NSOR clearance completed and on file for Facility Person #3, was dated more than 45 days after their start date. (See IS code sheet). The current FBI clearance on file for a Facility Person #5 was completed more than 60 months after the prior FBI clearance on file. The most recent mandated reporter training on file for Facility Person #5 was completed more than 60 months prior.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Facility Person #2, classified as a volunteer, was observed unsupervised, walking a child down the hall and out of the building to other staff in an outdoor play space.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There were toxics -- a disinfectant spray and disinfectant wipes - accessible to children in the Toddler 1 room in an unlocked cabinet under the sink, due to a faulty lock.

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: 3270.75(c)

Description: Has all items

Noncompliance Area: There was no gauze in the first aid kit in the Toddler 2 room.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Documentation of fire alarm testing indicates testing occurred on 12/13/22, then next again on 1/17/23, and also on 5/9/23 then next again on 6/9/23. Smoke detector testing, under Act 62 is required at least every 30 days.

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: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: Based on interviews with facility director and staff, it was verified that on 8/5/22 at approximately 12:00 PM, Staff Person #1 used harsh abusive language in the presence of children when Staff Person #1 made the statement "I'm going to body slam Child #1", who was pushing on the screen of an open window in the Todd 2 Room. This was directed toward Staff #2 who was working in the Todd 2 Room, and this statement could be heard by children whom Staff Person #1 was supervising in the play space directly outside the Todd 2 Room.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Based on interviews with staff, it was verified that Staff Person #1 has restrained Child #2 by holding the child in Staff Person's lap with Staff Person's arms around the child's waist to restrict movement when the child was lashing out. This happened on more than one occasion between June 1 and August 5, 2022. Based on conversations with Staff and Director, other behavioral strategies were in place for this child, and if these strategies were not effective, child was to be brought to the office.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Based on interviews with facility director and staff, it was verified that on 8/5/22 at approximately 12:00 PM, Staff Person #1 used harsh abusive language in the presence of children when Staff Person #1 made the statement "I'm going to body slam Child #1", who was pushing on the screen of an open window in the Todd 2 Room. This was directed toward Staff #2 who was working in the Todd 2 Room, and this statement could be heard by children whom Staff Person #1 was supervising in the play space directly outside the Todd 2 Room.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.102(e)/3270.103

Description: Infant/toddler - no material less than 1 inch/Small Toys and Objects

Noncompliance Area: There was mulch in the older toddler outdoor playspace,.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care. 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: 3270.123(b)

Description: Parent receives original

Noncompliance Area: Original agreements were on file for children #1-#4.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The most recent health assessment on file for child #1, an infant, was completed more than 6 months prior.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The most recent health assessment on file for child #3 was completed more than 12 months after the previous health assessment on file.

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

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The immunization record on file for child #1 did not indicate the child had the sufficient number of doses of the pneumococcal and DTAP vaccines as recommended by the ACIP for a child of their age.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: In the medication box in the office, there was a bottle of acetaminophen labeled "extra," rather than with a particular child's name.

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

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

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

Noncompliance Area: The TB test on file at hire for Facility Person #1 was completed more than 12 months prior to their start date There was no TB test documented and on file for Facility Person #2.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: There was no written feeding schedule form the parent for one of the enrolled infants.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: There was only one written, nonfamily reference on file for Facility Person #2.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: There were knives and sharp scissors in a drawer in the preschool room, unlocked and in reach of children.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: Information on how to access the regulations in this chapter electronically was not posted, and according to the operator, not yet shared with all parents.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: There was no documentation of an emergency plan update after December 2020.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: There was documentation of 10 hours of child care training completed and on file for Facility Person #3 during their most recent review year. There was no documentation of any child care training hours completed during the most recent review year on file for Facility Person #4.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Facility Person #5 has not completed the following required pre-service training within 90 days of their date of hire (see iS code sheet): acceptable pediatric first aid and CPR

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #-5 will have until 8/30/22 to complete the required training. Until such time as the required training has been completed, staff person #5 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 #5, staff person #-5 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 criminal history clearance on file for Facility Person #3 was completed more than 60 months after the previous criminal history clearance on file. The most recent child abuse clearance on file for Facility Person #3 was completed more than 60 months prior. The criminal history, child abuse, and FBI clearances on file for Facility Person #4 were each completed more than 60 months after the respective previous clearance on file. The NSOR clearance on file for Facility Person #5 was completed more than 90 days after their start date (see IS code sheet). The NSOR clearance on file was dated 3/14/22.

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 may not work at the facility without an updated child abuse clearance..

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: Facility Person #2 was classified as an assistant group supervisor without the required education and/or experience required under 3270.36(b).

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There were cleaning supplies including a disinfectant, spray and Clorox wipes accessible to children in the Toddler 2 room in a cabinet under the sink due to a faulty lock.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drills documented on the facility's fire drill log indicate fire drills were conducted on 10/11/21, and then not again until 12/16/21; and also on 4/12/22 and again on 6/23/22. More than 60 days passed between fire drills on these two occurrences.

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: 3270.94(a)(9)

Description: Written record

Noncompliance Area: The fire drill log on file at the facility did not specify the hypothetical location of the fire. for all drills.

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.