T M Peirce Elementary

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's files and the agreement form for child #1, child, child #2, child #3, child #4 and child #5 did not have the arrival and departure times.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's file and the file for child #4 doesn't include their health insurance policy number on the emergency contact form.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's files, and the emergency contact forms for child #3 and child #4 didn't have an address for the release person(s) .

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

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's files and the file for child#2 AND CHILD #5 did not have an initial or subsequent health report.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 staff files and the file for staff #2 did not contain a health assessment or TB results.

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: 3270.191

Description: Individual Records

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 staff files and there was no staff file for staff #3.

Correction Required: An individual record is required for each facility person.

Regulation: 3270.27(a)(1)/3270.27(a)(2)

Description: Emergency plan/Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and the emergency plan did not include specific information on how staff are to respond in the event of an evacuation or how they get to the relocation area at another facility.

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. The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

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

Description: Fire safety - 1 yr.

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 staff files and the file for staff #1 and staff #2 did not include fire safety trainings.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 staff files and the file for staff #1 and staff #2 did not include a disclosure form.

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: Facility Person # -- 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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During the renewal inspection, certification representative conducted a facility walk through and staff #4 was working alone and allowing children to walk down the hall alone to the bathroom. At some point a school district employee came to tell staff #4 to only allow two children in the bathroom at a time due to a plumbing issue with one of the stalls. Children had to walk past rm 214, which is the custodian room, that was open with various cleaning supplies accessible. Also, two children were released for the day and allowed to get on the elevator, unattended,without proper staff supervision. They both got on the elevator together to leave for the day.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection, certification representative reviewed facility files and 1. there was no policy for shaken baby syndrome and child maltreatment per Announcement C-22-03 that was issued on January 24,2022. 2. The emergency plan contained the address for another location and was not specific to the building where the program is located(referenced floors that are not used), did not include continuity of operations or specific staff duties as required.

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: 3270.15(b)

Description: Building Codes

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and there was no certificate of occupancy on file at the facility.

Correction Required: The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance issued by the Department under this chapter.

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 staff files and the file for staff #3 did not contain a health assessment or TB results.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.181(a)

Description: Each child

Noncompliance Area: During the renewal inspection, certification representative attempted to review 5 children's files, and there were no files available or accessible for review.

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

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 7 staff files and the file for staff #2 did not include a verification of childcare experience.

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)(6)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility paperwork 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 staff files and the files for staff #1 did not include 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: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the initial inspection, certification representative reviewed 3 staff files and the file for staff #1 did not include 12 hrs of childcare training.

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

Regulation: 3270.31(g)

Description: Professional development certificate

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 staff files and the files for staff #2 did not contain the 10-hr, 10hr plus the 1hr update or the 2part health and safety trainings as required.

Correction Required: Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 staff files and the files for staff #1,who is also the director, and staff #3 are missing the NSOR clearance.

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 #1 AND STAFF #3 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: 3270.34(a)(3)

Description: Responsible designee

Noncompliance Area: During the renewal inspection, certification representative there was no director or anyone in charge in the directors absence on site.

Correction Required: A director is responsible for designating a staff person who is responsible for compliance with this chapter in the Director's absence.

Regulation: 3270.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: During the renewal inspection, certification representative reviewed the posted notices and there were no evacuation route on each floor.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During the renewal inspection on 05.14.24, the record reviewed for Staff Person #1 and #2 did not include 12-month written staff evaluation documentation.

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