Stem Prep Academy

Regulation: 3270.151(a)

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

Noncompliance Area: During the unannounced monitoring, certification representative reviewed 1 staff file and the file for staff #1 did not include a health assessment CONTINUOUS NON- COMPLIANT

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(c)

Description: Training regarding plan

Noncompliance Area: During the unannounced monitoring, certification representative reviewed 1 new facility person (volunteer) file and the file for staff #1 (volunteer) did not include a record of the emergency plan training. CONTINUOUS NON- COMPLIANT

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: 3270.151(a)

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

Noncompliance Area: During the unannounced monitoring, certification representative reviewed 1 staff file and the file for staff #1 did not include a 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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the unannounced monitoring, certification representative reviewed 1 new facility person (volunteer) file and the file for staff #1 (volunteer) did not include a record of the 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.

Regulation: 3270.52/3270.53(a)

Description: Mixed Age Level/Counted in staff:child ratio

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH. IIN THE PRIMARY CHILDCARE SPACE THERE WERE TWO STAFF (STAFF #1 AND STAFF #2) WITH 14 CHILDREN IN CARE WHITH THE YOUNGEST CHILD BEING 1 1/2 YEARD OF AGE WHICH MADE THE RATIO NOT IN COMPLIANT. RATIO FOR YOUNG TODDLER IS 1:5, STAFF WERE OVER RATIO BY FOUR CHILDREN.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The related or foster children of an operator and the children or foster children of a staff person shall be counted in the staff:child ratio requirements.

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

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

Noncompliance Area: DURING THE COMPLAINT INVESTIGATION IT WAS CONFIRMED THAT A CHILD WAS LEFT AT REC CENTER DURING AFTER SCHOOL PICK UP.

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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

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

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

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

Description: Record include X-ray results and evaluation/Health assessment, TB test

Noncompliance Area: During the renewal inspection, certification representative reviewed 6 staff files and the file for staff #2 contained positive tuberculin results with no Xray or evaluation for chemoprophylaxis and staff #4 doesn't have a record of TB results.

Correction Required: A record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

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

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

Noncompliance Area: During the renewal inspection, certification representative reviewed 4 staff files and the file for staff #2 and staff #4 did not include the verification of education or years of experience and staff #3 did not include a verification of education.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files, and the emergency plan did not include information on how staff are to respond in the event of a lock down .

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the emergency plan and there was no emergency drill log on file.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During the renewal inspection, certification representative reviewed 4 staff files and the file of staff #4 did not include the mandated reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS Staff Person # 4may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, certification representative reviewed 4 staff files and the file for staff #2 and staff #3 are missing NY child abuse, criminal and sexual offender clearances and staff #4 has no PA child abuse clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS:Staff person #2,staff person #3 and staff person 4- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection the certification representative requested to view the facilities emergency plan and discovered that the plan was missing the section that addresses continuity of care.

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: 3270.14/3270.31(f)(6)

Description: Pertinent Laws & Regulations/Health and Safety Training - Prevention of shaken baby syndrome

Noncompliance Area: During the renewal inspection the certification representative requested to view the facilities policy on shaken baby/maltreatment. Staff #1 stated the facility did not have a policy on shaken baby/maltreatment.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Staff persons shall complete professional development in the prevention of shaken baby syndrome and abusive head trauma within 90 days of hire.

Regulation: 3270.27(c)/3270.31(e)(4)(ii)

Description: Training regarding plan/Fire safety - 1 yr.

Noncompliance Area: During the renewal inspection the certification representative requested to view staff #1 and staff #2 files and discovered that both staff files were missing an up-to-date fire safety and an 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. Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

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

Description: Age and Training/Age and Training

Noncompliance Area: During the renewal inspection the certification representative requested to see staff #1 file and discovered that staff #1 was missing the complete 12 hours of annual training as well as a current up to date Pediatric First aid/ CPR training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. 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: 3270.75(d)

Description: On excursions

Noncompliance Area: During the renewal inspection the certification representative conducted a facility walk through and discovered the travel first aid bag was missing water.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection the certification representative conducted a facility walk through and discovered damage to a wall in the childcare space located under the classroom rules near the baseline of the floor

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/19/22, COTS WERE OBSERVED AND THEY WERE NOT ALL LABELED WHILE CHILDREN WERE SLEEPING ON THEM.

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/19/22, OBSERVED CHILDREN SLEEPING ON COTS THAT WERE NOT 2 FEET OF SPACE ON THREE SIDES WHILE IN USE BY A CHILD.

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.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/19/22, THE AGREEMENT FORM FOR CHILD 1,2,3,4 AND 5 WERE 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: DURING THE RENEWAL INSPECTION ON 4/19/22, CHILD 1,2,3,4 AND 5 AGREEMENT FORM DID NOT STATE THE FEE TO BE PAID.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/19/22, THE FACILITY DID NOT HAVE A CHILD'S FULL EMERGENCY CONTACT INFORMATION IN THE CHILD CARE SPACE. THE FACILITY USES BRIGHT WHEEL AND UPON REVIEW THE INFORMATION DOES NOT CONTAIN THE MEDICALPROVIDER NAME AND POLICY NUMBER.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/19/22, CHILD 1,2,3,4 AND 5 EMERGENCY CONTACT FORM AND AGREEMENT HAS NOT BEEN UPDATED IN THE LAST SIX MONTHS.

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 informationA 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(b)(2)

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/19/22, CHILD 1 AND 3 HEALTH REPORT WAS MORE THAN 12 MONTHS OLD.

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)(2)(i)

Description: Exemption documentation from parent/guardian

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/19/22, CHILD 3 DID NOT HAVE AN EXEMPTION LETTER FOR THREE RECOMMENDED VACCINES.

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.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/19/22, THE FACILITY WAS UNABLE TO LOCATE THE ANNUALWRITTEN NOTIFICATION TO THE LOCAL TRAFFIC AUTHORITIES OF THE LOCATION OF THE FACILITY AND THE PROGRAM'S USE OF PEDESTRIAN AND VEHICULAR ROUTES AROUND THE CHILD CARE FACILITY.

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

Regulation: 3270.192(2)(i)

Description: Age

Noncompliance Area: DURING THE RENEWAL INSPECTIONON 4/19/22, STAFF 1 FILE DID NOT HAVE VERIFICATION OF AGE.

Correction Required: A facility person's record shall include verification of age.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/19/22, THE EMERGENCY PLAN DID NOT INDICATE HOW THE FACILITY WILL PROVIDE FOR ACCOMMODATIONS FOR TODDLERS, CHILDREN WITH DISABILITIES AND CHILDREN WITH CHRONIC MEDICAL CONDITIONS.

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

Regulation: 3270.34(b)(2)/3270.192(2)(iv)

Description: Bachelor's, 30 credits + 2 yrs/Transcript, diploma and letters

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/19/22, STAFF 2 FILE DID NOT CONTAIN VERIFICATION OF 30 CREDITS.

Correction Required: A director shall have attained a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/19/22, THE FIRST AID KIT WAS MISSING TWEEZERS UPON REVIEW.

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(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/19/22, THE FACILITY WAS UNABLE TO PROVIDE VERIFICATION OF PROOF OF PURCHASE OR AN ATTESTATION LETTER FOR THE FIRE SYSTEM.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.