Berks Area Youth Recreation

Regulation: 3270.124(d)

Description: Excursions

Noncompliance Area: During an unannounced inspection at a swim excursion off site, the emergency contact information for 14 of the 18 children in attendance were not onsite.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3270.108(b)

Description: Disposable discarded

Noncompliance Area: During an unannounced inspection, disposable cups with children's names were observed stacked on a tray and reused during lunch time.

Correction Required: Disposable cups, plates and eating utensils may be used if discarded after each use.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric 1st Aid/CPR

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

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

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

Noncompliance Area: Staff #1 walked out of the front room leaving two children unsupervised.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children must be supervised at all times. The staff person shall be physically present with the children in his group. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for staff #1 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 the training. The operator shall provide a date for when this training will be completed.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The parent's work address and phone number were missing from the emergency contact information for child #1 and #2.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The shaken baby/abusive head trauma/child maltreatment policy did not include information on the prevention and identification of child maltreatment.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was "Disinfex", disinfecting wipes, rubbing alcohol, and hand sanitizer accessible to children in the front room.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: The walls in the boys bathroom were black particularly next to the sink and behind the toilets.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There was no handwashing sign in the boys bathroom.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff #3 had 2 written references, however, both were from family members.

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: On 7/14/25, two children got stung by bees while playing outside, one getting stung multiple times. On 7/17/25. two additional children got stung while playing outside.

Correction Required: 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 #1 (see code sheet for start date), who was in ratio at the facility on 7/30/25, had volunteer state police and child abuse clearances.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: Staff #2 was alone in a classroom with 14 children, the youngest identified as a preschooler and the oldest a school ager.

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). Tiered LIS: 1. Staff:child ratios must be followed at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must submit documentation in a format approved by DHS demonstrating that the facility is maintaining ratios at all times. Once approved, the form shall be submitted by close of business on Monday for the previous week for a period of three (3) months. The correction date for this portion of the plan shall be at minimum 3 months from the date the Regional Office approves the format.

Regulation: 3270.69(a)/3270.82(g)

Description: Running water/ safe drinking water/Clean and good repair

Noncompliance Area: Upon arrival at the facility at approx. 10:30am on 7/30/25, there was no running water and the toilets were not able to be used due to a plumbing issue. Children and staff had been at the center since 7am with no running water.

Correction Required: A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: There was a gap of greater than 60 days for fire drills. One was done 1/2/25 and the next one was 3/14/25.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: There was a gap of greater than 30 days for the fire alarm test. One was done 1/2/25 and the next one was 3/14/25.

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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information for child #1 did not include the health insurance policy number.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: There was a gap of greater than 6 months in the review/update of the emergency contact information and fee agreement for child #2, #3, and #4. The emergency contact information and fee agreement for child #2 were updated on 8/29/23 then on 6/18/24. For child #3, the emergency contact information was updated on 8/28/23 then on 6/14/24; the fee agreement was updated on 5/1/23 then on 6/4/24. For child #4, the emergency contact information was updated on 9/5/23 then on 5/15/24; the fee agreement was updated on 9/11/23 then on 5/15/24.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: There was no initial health assessment on file for child #5 (see code sheet for start date).

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The most recent health report on file for child #2 is dated 8/30/23.The most recent health report for child #4 is dated 9/5/23.

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: 3270.161(a)

Description: Wholesome

Noncompliance Area: There was frozen corn with a "best by" date of 7/2024, and frozen meat of some kind with a "use by" date of 7/31/23 in a freezer.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: Staff #2 stated that they did not retain a third copy of the incident reports in a separate incident file.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: There was insufficient documentation of an approved Pediatric 1st Aid/Pediatric CPR for staff #1.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: There was no written evaluation from the previous year on file for staff #1.

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: 3270.69(a)

Description: Running water/ safe drinking water

Noncompliance Area: The facility does not have current documentation from Dept of Environmental Protection that it meets the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). The facility was previously cited during an unannounced inspection ending on 9/4/24. The plan of corrections stated that by 10/31/24 "We will either have on file a yearly letter from DEP stating that we are not a PWS or have the form from DEP stating that the water has been tested."

Correction Required: A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 9/30/24 during an unannounced inspection, staff #1 was working alone with children. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: health and safety topics, and Pediatric First Aid and Pediatric CPR.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: During an unannounced inspection on 9/30/24, question #2 on the health assessment stating that staff person #1 is free from communicable disease was not checked by the physician and no explanation was provided.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an unannounced inspection on 9/30/34, staff #1 was working alone with children and had a volunteer state police clearance. Staff #1 has been employed for more than 45 days (see code sheet for hire date).

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 6/24/24, there was an uncovered outlet accessible to children in Room 2 under the fire extinguisher by the door to the front room. An acceptable plan of corrections was received that stated, "Mentioned outlet was covered. Going forward, all outlets will have protective coverings." The correction date provided was 6/24/24. During an unannounced inspection on 8/13/24, there were several uncovered outlets including one in the front room under the cubbies where children were being cared for, and one in the back room near the hallway opening where children ate lunch. An acceptable plan of corrections was submitted with a correction date of 8/30/24. On 9/30/24, during an unannounced inspection, there were uncovered outlets in an outlet strip in the back child care room.

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

Regulation: 3270.115(a)(2)

Description: In-ground pool accessible requires fenced/locked gate

Noncompliance Area: On 8/1/24 during an unannounced inspection at Sills Family Campground, children were observed wearing bathing suits. On 8/13/24, during an unannounced inspection at Sills Family Campground, children stated that they were going to go swimming. The manager of the campground stated that the program buses the children to the campground to use the pool weekly. The pool has a fence around it but it is not locked. The manager of the pool also stated that the pool is not locked during the day so that campers can access the pool.

Correction Required: An in-ground swimming pool accessible to children shall be fenced with a locked gate.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection on 6/24/24, there was no continuity of operations plan. An acceptable plan of corrections was received that stated, "A plan of continuity of operations will be established and provided to all enrolled families by Aug 5, 2024. A continued update and renewal of continuity of operations will be facilitated during the August In Service period of each year." The date of correction was 8/5/24. During an unannounced inspection on 8/13/24, there was no continuity of operations plan.

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

Regulation: 3270.151(a)

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

Noncompliance Area: As of the renewal inspection on 6/24/24, the file of staff #7 had an initial health assessment dated 6/17/22. There was a second health assessment on file with no date so assessor could not determine compliance. An acceptable plan of correction was received that stated, "Stated health form was returned for signature. Going forward, all staff will have completed health forms on file at all times- updated." During an unannounced inspection on 8/13/24, the health assessment of staff #7 had not been updated.

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: As of the renewal inspection on 6/24/24, there was no documentation on file of training on the emergency plan at hire for staff #2, #5, #6, #7, #9. There was no documentation of emergency plan training for staff #8. An acceptable plan of corrections was received that stated, "The mentioned staff that did not have documentation in their files regarding emergency plan training will have that signature on their files by Aug 5, 2024. Going forward, all new hires will have the signature that indicates they have received Emergency Plan training upon hire, in their file." During an unannounced inspection on 8/13/24, there was no documentation of emergency plan training for staff #2, #5, and #7.

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)/3270.31(b)

Description: Age and Training/Staff person - 18 yrs.

Noncompliance Area: During the renewal inspection on 6/24/24, staff #1 and #3 were initially identified as volunteers, however, both are younger than 16 years old. An acceptable plan of corrections was received that stated, "Qualified staff have been placed in ratio groups. Going forward, qualified staff will be placed in ratio groups." The correction date provided was 6/25/24. During an unannounced inspection on 8/13/24, staff #1 and #3 were acting in the role of staff/camp counselors at Sills Family Campground.

Correction Required: A volunteer shall be 16 years of age or older and shall be directly supervised at all times by a staff person. A staff person shall be 18 years of age or older.

Regulation: 3270.31(e)(4)(iii)/3270.115(a)(6)

Description: Lifeguard/Lifeguard training/supervision

Noncompliance Area: On 8/1/24 during an unannounced inspection at Sills Family Campground, staff #4 was asked if she had a lifeguard. She stated that she did, but could not remember her name. Staff #4 was instructed to provide the file for the lifeguard. The file was not received. On 8/13/24, during an unannounced inspection at Sills Family Campground, children stated that they were going to go swimming. When asked who the lifeguard was, they stated that staff #11 was the lifeguard. During all visits to the camp, children were observed wearing swimsuits. The manager of the campground stated that the program buses the children to the campground to use the pool weekly.

Correction Required: Competence in lifeguard training is demonstrated by completion of lifeguard training, including first-aid training and cardiopulmonary resuscitation (CPR) for child and infant. When children are swimming, supervision shall include one person certified in lifeguard training, as described in § 3270.31(e)(4)(iii) (relating to age and training).

Regulation: 3270.31(e)(4)(iv)

Description: Water safety

Noncompliance Area: On 8/1/24 during an unannounced inspection at Sills Family Campground, children were observed wearing swimsuits. On 8/13/24, during an unannounced inspection at Sills Family Campground, children stated that they were going to go swimming. The manager of the campground stated that the program buses the children to the campground to use the pool weekly. Staff data sheet and review of the staff files indicated that no staff had water safety training.

Correction Required: Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: On 6/24/24 a renewal inspection was conducted at the facility. Staff person #7 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics. The facility's acceptable plan of correction indicated the correction would be implemented by 8/8/24. On 8/13/24 an unannounced inspection was conducted. Staff person #7 still had not completed the following required pre-service training: health and safety topics.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #7 will have until 9/20/24 to complete the required training. Until such time as the required training has been completed, staff person #7 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff available to supervise staff person #7, staff person #7 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: As of the renewal inspection on 6/24/24, Staff person #7 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff #8 had expired state police, child abuse, and FBI clearances, and was working alone with children. An acceptable plan of corrections was received that stated, "Staff person as identified will undergo the Mandated Reporter training within the specified time as realized was required at this documentation. That staff will not be left unsupervised until that time. Staff #8 will get updated State Police, child abuse and FBI clearances before working with children." The correction date provided was 8/8/24. During an unannounced inspection on 8/13/24, staff #7 still had not completed the Mandated Reporter training. The previous citation required the training to be completed by 7/18/24. On 8/13/24, staff #8 was observed working with children at the Sills Family Campground and did not have an updated child abuse clearance or FBI clearance, or sufficient documentation of an updated state police clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #7 will have until 9/10/24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #7 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff #7, staff person #7 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. Staff #8 must be removed from care.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: As of the renewal inspection on 6/24/24, there was no written evaluation for staff #8 and staff #9 who have been employed for more than a year. An acceptable plan of corrections was received that stated, "A written evaluation for staff 8 will be given by August 5, 2024. Staff 9 is no longer employed or serving here. Going forward, written evaluations for staff will be given within their hire anniversary year." During an unannounced inspection on 8/13/24, there was no written evaluation for staff #8.

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: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: During the renewal inspection on 6/24/24, there were 15 preschool children in the front room with staff #1 and staff #2, however, staff #1 does not qualify as a staff person due to her age, leaving 15 children with one staff. Staff #3 was alone with 11 school age children, however, staff #3 does not qualify as a staff person due to her age. Upon arrival at the facility, there were 9 children in room 2 with no staff. The 9 children were sent outside with staff #4, who already had 10 school age children in her care. An acceptable plan of corrections was submitted that stated, "Qualified staff have been arranged in care groups as of 6/25/24. Going forward, qualified staff will be in ratio placed groups." During an unannounced inspection on 8/13/24, staff #6 and facility person #10 were in a classroom with 12 preschool and school age children. Facility person #10 was identified as a volunteer and does not count in ratio leaving staff #6 supervising 12 preschool and school age children. At Sills Family Campground on 8/13/24, staff #8 and staff #2 were the only qualified staff with 30 preschool and school age children.

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. 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).

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: During the renewal inspection on 6/24/24, there were 15 preschool children in the front room with staff #1 and staff #2, however, staff #1 does not qualify as a staff person due to her age, leaving 15 children with one staff. Staff #3 was alone with 11 school age children, however, staff #3 does not qualify as a staff person due to her age. Upon arrival at the facility, there were 9 children in room 2 with no staff. The 9 children were sent outside with staff #4, who already had 10 school age children in her care. An acceptable plan of corrections was submitted that stated, "Qualified staff have been arranged in care groups as of 6/25/24. Going forward, qualified staff will be in ratio placed groups." During an unannounced inspection on 8/13/24, staff #6 and facility person #10 were in a classroom with 12 preschool and school age children. Facility person #10 was identified as a volunteer and does not count in ratio leaving staff #6 supervising 12 preschool and school age children. At Sills Family Campground on 8/13/24, staff #8 and staff #2 were the only qualified staff with 30 preschool and school age children.

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. 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). A representative from the Bureau of Certification Services will conduct three unannounced inspections over the next three months to verify compliance with required ratios.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 6/24/24, there was an uncovered outlet accessible to children in Room 2 under the fire extinguisher by the door to the front room. An acceptable plan of corrections was received that stated, "Mentioned outlet was covered. Going forward, all outlets will have protective coverings." The correction date provided was 6/24/24. During an unannounced inspection on 8/13/24, there were several uncovered outlets including one in the front room under the cubbies where children were being cared for, and one in the back room near the hallway opening where children ate lunch.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the renewal inspection on 6/24/24, the handbag of staff #4 was open and accessible to children, and contained several prescription bottles with medication. An acceptable plan of correction was received that stated, "Handbag was removed and stored out of children access. Going forward, all hazardous items will be kept out of children's reach." The correction date provided was 6/24/24. During an unannounced inspection on 8/13/24, there was hand sanitizer and disinfecting wipes labeled "keep out of reach of children" on an open shelf in the front room accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.69(a)

Description: Running water/ safe drinking water

Noncompliance Area: The facility does not have current documentation from Dept of Environmental Protection that it meets the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

Correction Required: A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

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

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

Noncompliance Area: During the renewal inspection on 6/24/24 there were 9 children in a section of the room with no staff. Children left the front room unattended to use the bathroom and with no staff aware of them leaving. Children moved freely and frequently throughout the rooms, and inside and outside, that staff were unable to accurately identify the children in their care at all times. Staff #1 identified 8 children in her primary care group, however, staff #1 is 15 years old and does not qualify as a staff person.

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. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. A representative from the Bureau of Certification Services will conduct three unannounced inspections over the next three months to verify compliance with required supervision.

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

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

Noncompliance Area: During the renewal inspection on 6/24/24 there were 9 children in a section of the room with no staff. Children left the front room unattended to use the bathroom and with no staff aware of them leaving. Children moved freely and frequently throughout the rooms, and inside and outside, that staff were unable to accurately identify the children in their care at all times. Staff #1 identified 8 children in her primary care group, however, staff #1 is 15 years old and does not qualify as a staff person.

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. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: As of the renewal inspection on 6/24/24, there was no documentation of information about the child's growth and development on the Department's approved form provided to the parents of child #1 (see code sheet for start date) in the previous 6 months.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: As of the renewal inspection on 6/24/24, the most recent date of review of the emergency contact information for child #2 was 9/28/23.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection on 6/24/24, there was no continuity of operations plan.

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

Regulation: 3270.151(a)

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

Noncompliance Area: As of the renewal inspection on 6/24/24, the file of staff #7 had an initial health assessment dated 6/17/22. There was a second health assessment on file with no date so assessor could not determine compliance.

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: As of the renewal inspection on 6/24/24, there was no documentation on file of training on the emergency plan at hire for staff #2, #5, #6, #7, #9. There was no documentation of emergency plan training for staff #8.

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

Regulation: 3270.31(a)

Description: Age and Training

Noncompliance Area: During the renewal inspection on 6/24/24, staff #1 and #3 were initially identified as volunteers, however, both are younger than 16 years old.

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: As of the renewal inspection o n 6/24/24, staff person #7 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #7 will have until 7/17/24 to complete the required training. Until such time as the required training has been completed, staff person #7 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff available to supervise staff person #7, staff person #7 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: As of the renewal inspection on 6/24/24, Staff person #7 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff #8 had expired state police, child abuse, and FBI clearances, and was working alone with children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #7 will have until 7/18/24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #7 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff #7, staff person #7 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. Staff #8 must be removed from care.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: As of the renewal inspection on 6/24/24, there was no written evaluation for staff #8 and staff #9 who have been employed for more than a year.

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: 3270.51/3270.113(a)

Description: Similar Age Level/Supervised at all times

Noncompliance Area: During the renewal inspection on 6/24/24 there were 9 children in a section of the room with no staff. Children left the front room unattended to use the bathroom and with no staff aware of them leaving. Children moved freely and frequently throughout the rooms, and inside and outside, that staff were unable to accurately identify the children in their care at all times. Staff #1 identified 8 children in her primary care group, however, staff #1 is 15 years old and does not qualify as a staff person.

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. Children must be supervised at all times. 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. The required staff:child ratios must be maintained at all times. The legal entity must arrange for all facility staff to receive a minimum of three hours of PQAS-approved in-person training, including technical assistance, regarding supervision of children. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.51/3270.113(a)(2)

Description: Similar Age Level/Supervision on and facility premises

Noncompliance Area: During the renewal inspection on 6/24/24, there were 15 preschool children in the front room with staff #1 and staff #2, however, staff #1 does not qualify as a staff person due to her age, leaving 15 children with one staff. Staff #3 was alone with 11 school age children, however, staff #3 does not qualify as a staff person due to her age. Upon arrival at the facility, there were 9 children in room 2 with no staff. The 9 children were sent outside with staff #4, who already had 10 school age children in her care.

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. The required staff:child ratios must be maintained at all times. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Regulation: 3270.51/3270.113(a)(2)

Description: Similar Age Level/Supervision on and facility premises

Noncompliance Area: During the renewal inspection on 6/24/24, there were 15 preschool children in the front room with staff #1 and staff #2, however, staff #1 does not qualify as a staff person due to her age, leaving 15 children with one staff. Staff #3 was alone with 11 school age children, however, staff #3 does not qualify as a staff person due to her age. Upon arrival at the facility, there were 9 children in room 2 with no staff. The 9 children were sent outside with staff #4, who already had 10 school age children in her care.

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. The required staff:child ratios must be maintained at all times. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55. A representative from the Bureau of Certification Services will conduct three unannounced inspections over the next three months to verify compliance with required ratios.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 6/24/24, there was an uncovered outlet accessible to children in Room 2 under the fire extinguisher by the door to the front room.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the renewal inspection on 6/24/24, the handbag of staff #4 was open and accessible to children, and contained several prescription bottles with medication.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection on 6/24/24, the green turf carpet on the outdoor play space had huge tears throughout the carpet creating a tripping hazard. The plastic climber had a large hole in one of the slide beds and on the side climbing part. The fenced play area had so many items in it, there was little space for children to move freely and safely.

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: 3270.82(h)/3270.134(a)

Description: Handwashing signs/Child's hands washed

Noncompliance Area: During the renewal inspection on 6/24/24, there was no handwashing sign at the sink in the kitchen. Children went to the bathroom unattended and did not wash hands after using the toilet due to there being no soap or paper towels in the bathroom.

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

Regulation: 3270.51/3270.173(c)

Description: Similar Age Level/If school-age, then driver in ratio

Noncompliance Area: It was observed and stated by facility staff that on Monday, January 22, there were 28 school aged children transported in the afternoon on the facility owned bus with only 2 total staff persons present.

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. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the NE Region Office on a weekly basis for a period of 60 days after DHS approves the documentation format. When school-age children are transported, the driver may be considered part of the staff-child ratio required in §3270.51.

Regulation: 3270.51/3270.173(c)

Description: Similar Age Level/If school-age, then driver in ratio

Noncompliance Area: It was observed and stated by facility staff that on Monday, January 22, there were 28 school aged children transported in the afternoon on the facility owned bus with only 2 total staff persons present.

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. The required staff: child ratios must be maintained at all times. When school-age children are transported, the driver may be considered part of the staff-child ratio required in §3270.51.

Regulation: 3270.67(c)

Description: No insects or rodents

Noncompliance Area: On 1/23/24, during a correction verification visit, continued noncompliance was observed. Previously on 12/6/23, it was observed and stated that the facility has a mice and fruit fly infestation. Mice droppings were observed throughout the building. They were noticed in the kitchen area where meals are prepared for the children in care. The droppings were observed on the floor and throughout the lower level cabinets in that kitchen space. In addition to the mice droppings, several fruit flies were present in the kitchen space most noticeable around the sink area. The facility submitted a plan of correction on 1/2/24, which was accepted, but upon review on 1/23/24, it was determined that the submitted plan was not implemented.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: On 1/23/24, during a correction verification visit, continued noncompliance was observed. Previously on 12/6/23, it was observed that the facility had pillows, a large room-sized rolled up carpet, and boxes stored on a stairwell that contained a sign which read "alternate evacuation route". The facility submitted a plan of correction on 1/2/24, which was accepted, but upon review on 1/23/24, it was observed that the submitted plan was not implemented. Although the pillows, carpet, and boxes were removed from the stairwell area, additional boxes and furniture were now being stored in the adjoining hallway leading to that same stairwell.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.161(a)

Description: Wholesome

Noncompliance Area: It was observed that an opened jar of jelly dated 8/22/22 was left stored in the refrigerator used by the facility. It was observed and stated that a opened gallon of milk containing a sell by date of 11/29/23 was still being used for children on 12/6/23.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

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

Description: Age and Training

Noncompliance Area: Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of September 2023.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff person #1 will have until 01/03/2024 to complete the required training. Until such time as the required trainings are completed, staff person #1 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, then staff person #1 may not work in a child care position at the facility.

Regulation: 3270.36(b)(5)/3270.192(2)(iii)

Description: HS/GED + 2 yrs/Exp, educ., training at facility

Noncompliance Area: File for staff person #2, who was hired as an assistant group supervisor, contained verification of education but did not contain adequate or written verification of at least 2 years of experience working with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.67(c)

Description: No insects or rodents

Noncompliance Area: It was observed and stated that the facility has a mice and fruit fly infestation. Mice droppings were observed throughout the building. They were noticed in the kitchen area where meals are prepared for the children in care. The droppings were observed on the floor and throughout the lower level cabinets in that kitchen space. In addition to the mice droppings, several fruit flies were present in the kitchen space most noticeable around the sink area.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed in the kitchen area that the floor and cabinets were unclean due to visible mice droppings present.

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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: It was observed that the facility had pillows, a large room-sized rolled up carpet, and boxes stored on a stairwell that contained a sign which read "alternate evacuation route".

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.124(c)/3270.181(e)

Description: Each child care space/Emergency master file updated

Noncompliance Area: Repeated noncompliance observed; facility did not implement their plan of correction from inspection dated 6/16/23. It was observed that current emergency contact information was not present for children in Room 1 or Room 2.

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

Regulation: 3270.124(d)/3270.181(e)

Description: Excursions/Emergency master file updated

Noncompliance Area: Repeated noncompliance observed; facility did not implement their plan of correction from inspection dated 6/16/23. It was observed that the current emergency contact forms for children are not present when staff and children leave the facility on excursions.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.182(8)

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

Noncompliance Area: Repeated noncompliance observed; facility did not implement their plan of correction from inspection dated 6/16/23. File for child #2 did not contain a copy of the initial or subsequent agreements between the parent and the operator.

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

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: It was observed in the outdoor play space that several pieces of equipment would require embedding, but were not anchored firmly into the ground. The equipment was also not mounted over loose-fill or unitary playground protective surface covering that meets the recommendations of the United States 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. Equipment must immediately be made inaccessible to the children in care until adequate anchoring and loose-fill requirement is met according to both the recommendations of the United States Consumer Product Safety Commission and the manufacturer's recommendations.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: It was observed in the outdoor play space that several pieces of equipment would require embedding, but were not anchored firmly into the ground. The equipment was also not mounted over loose-fill or unitary playground protective surface covering that meets the recommendations of the United States 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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: It was observed that a thermometer was not present in the kitchen refrigerator used by the facility.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: File for child #4 did not contain a child service report completed within the last 6 months.

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

Regulation: 3270.124(c)/3270.181(e)

Description: Each child care space/Emergency master file updated

Noncompliance Area: It was observed that current emergency contact information was not present for children in Room 1 or Room 2.

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

Regulation: 3270.124(d)/3270.181(e)

Description: Excursions/Emergency master file updated

Noncompliance Area: It was observed that the current emergency contact forms for children are not present when staff and children leave the facility on excursions.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: File for child #4, see code sheet for date of birth, contained a physical dated 4/18/22, but an updated health report completed within the last 12 months was not found 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)(3)/3270.182(1)

Description: Dismissal policy /Initial and subsequent health reports

Noncompliance Area: File for child #5, see code sheet for enrollment date, did not contain a health assessment or documentation of recommended immunizations.

Correction Required: 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). A child's record shall contain initial and subsequent health reports.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety training topic.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #2 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2, then staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: File for staff person #4 did not contain a health assessment or the written results of a TB test.

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

Regulation: 3270.181(a)

Description: Each child

Noncompliance Area: It was observed that child #1 and child #3 did not have an individual file established or maintained at the facility.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Regulation: 3270.182(8)

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

Noncompliance Area: File for child #2 did not contain a copy of the initial or subsequent agreements between the parent and the operator.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: File for staff person #4 did not contain verification of experience or education.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: File for staff person #4 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: It was observed that the facility did not have the current certificate of compliance posted.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: File for staff person #2, see code sheet for hire date, contained the application for an NSOR verification certificate, but the file did not contain the results of that application. Staff person #2 was observed to be working alone with children the day of inspection. Staff person #4, see code sheet for hire date, did not contain a completed criminal history clearance, a DHS FBI clearance, or the NSOR verification certificate. Although current mandated reporter training is on file dated 4/24/23, for staff person #3, they had not re-completed mandated reporter training within the 60 month requirement. This is evidenced by the previously documented mandated reporter training on file being dated 4/17/18.

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. 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. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: File for staff person #1 did not contain a written evaluation completed by the director within the last 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.61

Description: Measurement and use of indoor child care space

Noncompliance Area: It was observed that approximately 17 children were signed in on the facility's attendance sheet the day of inspection, but were observed to be present in a separate space within the building. That space was not measured and therefore was not part of the established capacity under the facility's license as usable childcare space.

Correction Required: Measurement and use of inodoor child care space.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed that sunscreen was left accessible to children in care.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed that the facility van's window, located on the passenger side door, was broken. It was observed in the outdoor play space that several areas of the outdoor carpet were folded up and not longer properly anchored causing a tripping hazard.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: It was observed that paint above the window in Room 1 was peeling and damaged.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: It was observed that the inside of the refrigerator in the kitchen space was unclean and staff stated this refrigerator was being used to store food for the children at the facility.

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

Regulation: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: It was observed that the facility did not provide to families in writing the facility's general daily schedule, hours for which care is provided, responsibilities for meals, clothing, health policies, supervision policies, dismissal policies, or transportation and pick-up arrangements. The documentation on file shown during inspection was created for another facility and did not contain any details for this location or legal entity.

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

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

Description: Signed /Admission date

Noncompliance Area: Agreement for child #1 was not signed by the operator and did not contain the child's admission date.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: File for child #1 did not contain documentation of an emergency contact form detailing all emergency contact information as required.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.