Tender Love For Chdn Childcare Ps Kindergarten

Regulation: 3270.123(a)(7)

Description: Services considered extra

Noncompliance Area: The agreement on file for Child #1, Child #2 and Child #3 were observed not to specify the services which are to be considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3270.151(a)

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

Noncompliance Area: The most up to date health assessment on file for staff person # 3 was observed to be greater than 24 months. This is evidenced by the health assessment being dated 9/7/2023 --10/3/2025.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The FBI clearance on file for Staff #4 was observed to be issued under PDE and is not acceptable for child care.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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: The NSOR on file for Staff #1 and Staff #6 were observed to be greater than 60 months. This is evidenced by Staff # 1 being dated 1/23/20 and Staff #6 being dated 8/31/20. Staff #5 was observed not to have an NSOR clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #5 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. Facility Person #5 may not work in a child care position at the facility.

Regulation: 3270.37(b)(1)/3270.192(2)(ii)

Description: HS/GED/Exp, educ., training prior to facility

Noncompliance Area: The file for staff #2 was observed not to have documentation of Education or child care experience on file.

Correction Required: An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: On 5/2/25 it was observed in the infant room 10 Infants with 2 staff. In room #1 it was observed that 6 YT and 1 OT was with one staff. In room #2 it was observed 2 YT and 5 OT with one staff and 8 OT with another staff. In the preschool room it was observed that 22 preschool children were with 2 staff.

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 3270.51 (relating to similar age level).

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Based on interviews and site visit it was concluded that a sewage leak happened in the facility.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The agreement on file for Child #3 and Child #5 were observed to not include extra services provided.

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: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The Agreement on file for Child #1, Child #2 and Child #4 were observed to not to have documentation of the dates of the child's admission to the facility.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan did not have documentation addressing continuity of operations.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility Emergency drill log was not conducted annually. This is evidenced by the last drill being conducted on 10/25/2023.

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

Regulation: 3270.31(e)(4)(i)/3270.31(f)(10)

Description: Age and Training/Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: The file for staff person #1 DOH: 8/6/24 was observed not to have documentation of pediatric first-aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

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 persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.66(e)

Description: Arts and crafts non-toxic

Noncompliance Area: In the preschool room it was observed in the craft cupboard shaving cream labeled "Keep out of the reach of children".

Correction Required: Arts and crafts materials shall be nontoxic.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: 2nd citation. Previously cited on 11/29/23. Observed a torn mat with exposed foam in Room 1.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.123(b)/3270.182(8)

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

Noncompliance Area: 2nd citation. Previously cited on 11/30/23. The files of Children #2, #3, #4, #6, #7, and #8 contained the original agreement. The facility did not make a copy for the files and give the original to the parent.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: 2nd citation. Previously cited on 11/30/23. Emergency contact information for Child #3 did not include the work address and work telephone number of the enrolling parent. Emergency contact information for Child #5 did not include the work address of the enrolling parent.

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

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: 2nd citation. Previously cited on 11/30/23. The file of Child #1 lacked written consent signed by a parent for emergency medical care prior to admission.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: 2nd citation. Previously cited on 11/30/23. Emergency contact information for Child #3 did not include the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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: 2nd citation. Previously cited on11/30/23. Emergency contact information for Child #5 did not include the complete address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: 2nd citation. Previously cited on 11/30/23. The file of Child #8 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #8 contained a health report dated 4/4/23.

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

Regulation: 3270.151(a)

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

Noncompliance Area: 2nd citation. Previously cited on 11/30/23. The file of Volunteer #4 did not contain 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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: 2nd citation. Previously cited on 12/4/23. The file of Volunteer #4 lacked documentation of a tuberculosis screening by Mantoux method being completed.

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.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: 2nd citation. Previously cited on 11/29/23. Observed bottles which were not labeled with the child's name in the Overflow Room.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.181(a)

Description: Each child

Noncompliance Area: 2nd citation. Previously cited on11/30/23. The operator did not establish and maintain an individual record for Children #1 and #3. The files of Children #1 and #3 also contained documentation of their siblings.

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

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: 2nd citation. Previously cited on 11/30/23. The file of Child #1 lacked signed parental consent for administration of minor first-aid procedures by facility staff prior to admission.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.192(2)(i)

Description: Age

Noncompliance Area: 2nd citation. Previously cited on 11/30/23. The file of Volunteer #4 did not include verification of age.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: 2nd citation. Previously cited on 11/29/23. Observed an electrical cord to the refrigerator which was not secured creating a potential strangulation hazard in Room 2.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: 2nd citation. Previously cited on 12/4/23. The files of Volunteer #4 and Facility Person #2 lacked documentation of emergency plan training on an annual basis (SEE LIS Code Sheet). The files of Volunteer #4 and Facility Person #2 contained no documentation of emergency plan training in 2022 or 2023.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: 2nd citation. Previously cited on 12/4/23. The file of Volunteer #1 lacked a disclosure statement signed at the time of initial service in a child care setting. The file of Volunteer #1 did not contain a disclosure statement. The file of Volunteer #1 lacked a State Police Clearance and National Sex Offender Registry Certificate. The file of Volunteer #3 lacked a current State Police Clearance. The file of Volunteer #3 contained a State Police Clearance dated 3/6/15. The file of Volunteer #4 lacked a DHS FBI Clearance and National Sex Offender Registry Certificate. The file of Staff #5, a provisional hire, lacked documentation of application for the State Child Abuse and Neglect Registry and Sex Offender Registry from the State(s) in which Staff #5 resided in the last 5 years prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #5 did not contain a Child Abuse and Registry Check and Sex Offender Registry Check from the State(s) in which Staff #5 resided. The file of Staff #6 lacked a dated disclosure statement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, #3, #4, and #5 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. Facility Person #1, #3, #4, and #5 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: 2nd citation. Previously cited on 12/4/23. The file of Staff #7 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The file of Staff #7 contained a written evaluation dated 11/1/22 but did not contain one for 2023.

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: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: 2nd citation. Previously cited on 12/4/23. The files of Staff #8 and #9, who were designated as assistant group supervisors, lacked documentation of 2 years' experience 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.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: 2nd citation. Previously cited on 11/29/23. On 2/1/24 when Certification Representative was assessing ratio and supervision in Room 2, Staff #10, #11, and #12 indicated they were sharing responsibility for 3 young toddlers and 10 older toddlers exceeding maximum group size.

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).

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: 2nd citation. Previously cited on 11/29/23. Observed 7 containers of Members Mark Disinfecting Wipes which indicated "keep out of the reach of children" on the 2nd shelf from the bottom in the first closet which were accessible to children in the Multipurpose Room. Observed white out which indicated "keep away from children" in the bottom drawer of the bin on the stage which were accessible to children in the Social Hall.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: 2nd citation. Previously cited on 11/30/23. The Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. Each classroom conducted their own fire drills. Staff in the Overflow Room provided documentation of fire drills being conducted on 1/12/23, 2/9/23, 3/16/23, 4/11/23, 6/14/23, 7/19/23, 8/16/23, 9/12/23, and 10/25/23. Staff in the ABC Room provided documentation of fire drills being conducted on 1/10/23, 3/14/23, 4/12/23, 5/8/23, 7/17/23, 8/9/23, 9/22/23, and 10/25/23. Staff in the Social Hall provided documentation of fire drills being conducted on 1/0/23, 3/9/23, 4/12/23, 5/5/23, 6/1/23, 7/19/23, 8/29/23, 9/21/23, and 10/25/23. Staff in Room 4 provided documentation of fire drills being conducted on 1/5/23, 2/17/23, 3/29/23, 5/12/23, 7/19/23, 8/23/23, 9/5/23, and 10/9/23. Staff in Room 3 provided documentation of fire drills being conducted on 1/10/23, 3/17/23, 4/15/23, 6/1/23, 7/19/23, 9/13/23, and10/25/23. Staff in Room 2 provided documentation of fire drills being conducted on 1/10/23, 2/6/23, 3/7/23 4/24/23, 5/2/23, 6/1/23, 7/19/23, 8/17/23, 9/11/23, and 10/25/23. Staff in Room 1 provided documentation of fire drills being conducted on 7/11/23, 8/1/23, 9/5/23, and 10/2/23. Staff provided documentation of fire drills being conducted with all classrooms on 10/10/23 and 10/25/23.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 11/29/23 observed a broken gear in the Social Hall. On 11/29/23 observed a blue connector with rough edges in the Social Hall. On 11/29/23 observed two alien figurines with rough edges in the Social Hall. On 11/29/23 observed a bin containing rubber ducks with a missing corner creating rough edges in Room 4. On 11/29/23 observed torn crib mattresses with exposed foam in Room 1. On 11/29/23 observed a torn mat with exposed foam in Room 1.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: On 11/29/23 observed high chairs which lacked T-shaped straps in Room 1.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: On 11/29/23 the written plan of daily activities was not posted in the chapel.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 1:15 PM Certification Staff observed a child lying on rest equipment behind the kitchen set in Room 4 which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 11/29/23 Certification Staff observed Staff #17 take children to the bathroom located at the opposite end of the hall from Room 4. At approximately 1:00 PM Certification Staff observed a child at the entrance to Room 4. Staff #17 had sent the child to the room to get paper towels while she stood in the threshold of the bathroom with the other children.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Children #2, #3, #4, #5, #6, #7, #8, and #9 lacked child service reports completed at least every 6 months. Child #2 had child service reports completed on 9/29/22 and 10/23/23. Child #3, with an admission date of 9/6/22, had a child service report completed on 10/25/23. Child #4, with an admission date of 11/12/22, had a child service report completed on 10/29/23. Child #5, with an admission date of 12/5/22, had a child service report completed on 11/3/23. Child #6, with an admission date of 3/14/22, had a child service report completed on 11/1/23. Child #7, had child service reports completed on 10/28/22 and 10/18/23. Child #8 had child service reports completed on 10/12/22 and 10/26/23. Child #9 had child service reports completed on 11/4/22 and 11/2/23.

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: 3270.123(b)/3270.182(8)

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

Noncompliance Area: The files of Children #2, #3, #4, #8, #9, and #10 contained the original agreement. The facility did not make a copy for the files and give the original to the parent.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information for Child #3 did not include the work address and work telephone number of the enrolling parent. Emergency contact information for Child #4 did not include the work address and work telephone number of the enrolling parent. Emergency contact information for Child #5 did not include the work address of the enrolling parent.

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

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The files of Children #1 and #4 lacked written consent signed by a parent for emergency medical care prior to admission.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: Emergency contact information for Child #4 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation,

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Emergency contact information for Child #3 did not include the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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: Emergency contact information for Child #4 did not include the address of the individual designated by the parent to whom the child may be released. Emergency contact information for Child #5 did not include the complete address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact information for Children #11, #12, #13, #14, and #15 were not present when the children were receiving care in the Social Hall.

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(e)

Description: Written emergency plan posted

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the chapel.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file of Child #5 lacked an initial health report no later than 60 days following the first day of attendance at the facility. Child #5, with an admission date of 12/5/22, contained a health report dated 10/20/23.

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.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The files of Children #6, #7, and #10 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #6 contained health reports dated 3/4/22, 12/12/22, and 11/20/23. The file of Child #7 contained health reports dated 4/25/22, 12/1/22, and 3/22/23. The file of Child #10 contained a health report dated 4/4/23.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file of Child #2 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #2 contained a health report dated 11/7/23 with a previous one dated 7/16/21.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The file of Child #5, a 20-month-old, lacked DTAP/DTP/TD immunizations according to the recommendations of the ACIP. Child #5 had documentation of one DTAP/DTP/TD immunization. The file of Child #10, an 11-month-old, lacked Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, and Polio immunizations according to the recommendations of the ACIP. Child #10 had documentation of one Rotavirus immunization, one DTAP/DTP/TD immunization, one HIB immunization, one Pneumococcal immunization, and one Polio immunization.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: The operator did not establish and maintain a medication log for Children #15, #16, #17, #18, and #19.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The files of Staff #19 and #20 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022 (SEE LIS Code Sheet). The files of Staff #19 and #20 contained documentation of completing the health and safety update on 1/5/23.

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: The file of Facility Person #9 lacked a health assessment conducted every 24 months. The file of Facility Person #9 contained a health assessment dated 7/23/18. The files of Volunteers #10 and #11 did not contain a health assessment. The file of Staff #16 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #16 contained a health assessment dated 10/5/22.

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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The files of Volunteers #10 and #11 lacked documentation of a tuberculosis screening by Mantoux method being completed. The file of Staff #16 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). The file of Staff #16 had a Mantoux test read date of 10/5/22.

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.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: On 11/29/23 observed bottles which were not labeled with the child's name in the Overflow Room.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The operator did not 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. The operator provided documentation that local traffic safety authorities were notified on 9/1/22 and 10/23/23.

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: 3270.181(a)

Description: Each child

Noncompliance Area: The operator did not establish and maintain an individual record for Children #1 and #3. The files of Children #1 and #3 also contained documentation of their siblings.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact and agreement for Child #3 were not reviewed and updated at least once in a 6-month period. Child #3's emergency contact and agreement were signed on 8/22/22 and reviewed in April of 2023 and October of 2023. The emergency contact and agreement for Child #8 were not reviewed and updated at least once in a 6-month period. Child #8's emergency contact and agreement were reviewed on 7/21/22, 4/2023, and 10/2023. The emergency contact and agreement for Child #9 were not reviewed and updated at least once in a 6-month period. Child #9's emergency contact and agreement were signed on 8/23/22 and reviewed on 4/2023 and 10/2023. The emergency contact and agreement for Child #10 were not reviewed and updated at least once in a 6-month period. Child #10's emergency contact and agreement were signed on 3/30/23 and reviewed on 10/2023.

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

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The files of Children #1 and #4 lacked signed parental consent for administration of minor first-aid procedures by facility staff prior to admission.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.192(1)

Description: Name, address, and phone

Noncompliance Area: The file of Volunteers #10 and #11 lacked the name, address, and telephone number of the volunteers.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person.

Regulation: 3270.192(2)(i)

Description: Age

Noncompliance Area: The files of Volunteers #10 and #11 did not include verification of age.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The files of Volunteers #10 and #11 lacked 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: 3270.21

Description: General Health and Safety

Noncompliance Area: On 11/29/23 observed 4 pair of adult scissors in the 2nd closet on the 3rd shelf which were accessible to children in the Multipurpose Room. On 11/29/23 observed a pair of adult scissors in the purple bin to the left of the door labeled "clips, index cards, and post-its" which were accessible to children in the Multipurpose Room. On 11/29/23 observed a pair of adult scissors in the bin on the stage stairs which were accessible to children in the Social Hall. On 11/29/23 observed an electrical cord to the refrigerator which was not secured creating a potential strangulation hazard in Room 2.

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

Regulation: 3270.27(a)(6)/3270.27(f)

Description: Emergency plan/Emergency plan

Noncompliance Area: The facility used the fire drill log to document an emergency drill. The facility did not record the names of staff who participated, address special accommodations the facility used for any category of children, the total number of adults and children participating in the drill, and problems encountered or observations during the drill.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files of Volunteers #4, #10, and #11 and Facility Person #9 lacked documentation of emergency plan training on an annual basis. (SEE LIS Code Sheet). The file of Volunteer #4 contained no documentation of emergency plan training. The files of Volunteers #10 and #11 and Facility Person #9 contained no documentation of emergency plan training in 2022 or 2023.

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(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #14 and #15 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff persons #14 and #15 will have until January 5, 2024, to complete the required training. Until such time as the required training has been completed, staff persons #14 and #15 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #14 and #15, staff persons #14 and #15 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file of Staff #14 lacked documentation of completing health and safety training within 90 days of hire (SEE LIS Code Sheet). The file of Staff #14 contained documentation of completing health and safety training on 9/4/23.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Facility person #9 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 7/19/18. Staff person #23 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 10/1/18.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Facility person #9 and Staff Person #23 will have until January 5, 2024, to complete the mandated reporter training. Until such time as the required training has been completed, facility person #9 and staff person #23 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise facility person #9 and staff person #23, facility person #9 and #23 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Volunteers #10 and #11 have not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Volunteers #10 and #11 will have until January 5, 2024, to complete the mandated reporter training. Until such time as the required training has been completed, volunteers #10 and #11 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 volunteers #10 and #11, volunteers #10 and #11 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: Staff #14 lacked documentation of completing mandated reporter training within 90 days of hire (SEE LIS Code Sheet). Staff #14 had documentation of mandated reporter training completed on 10/31/23. Staff #18 lacked documentation of completing mandated reporter training every 60 months. Staff #18 had documentation of completing mandated reporter training on 8/6/23 with previous training completed on 7/23/18.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files of Volunteers #1, #2, #3, #4, #5, #6, #7, and #8 lacked a disclosure statement signed at the time of initial service in a child care setting (SEE LIS Code Sheet). The files of Volunteers #1, #2, #3, #4, #5, #7, and #8 did not contain disclosure statements. The file of Volunteer #6 contained a disclosure statement dated 10/23/23. The files of Volunteers #7, #8, #10, and #11 lacked a State Police Clearance, Child Abuse Clearance, FBI Clearance, and National Sex Offender Registry Certificate. The file of Facility Person #9 lacked a State Police Clearance, Child Abuse Clearance, and DHS FBI Clearance updated every 60 months. The file of Facility Person #9 contained a State Police Clearance dated 7/18/18, a Child Abuse Clearance dated 3/26/15, and a DHS FBI Clearance dated 7/19/18. The file of Staff #12, a provisional hire, lacked documentation of application for the State Child Abuse and Neglect Registry and Sex Offender Registry from the State(s) in which Staff #12 resided in the last 5 years prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #12 did not contain a Child Abuse and Registry Check and Sex Offender Registry Check from the State(s) in which Staff #12 resided. The file of Staff #13 lacked a valid State Police Clearance and a valid FBI Clearance. Staff #13 had a volunteer State Police Clearance and an FBI Clearance from the Department of Education. The file of Staff #14 lacked a DHS FBI Clearance prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #14 contained an FBI Clearance dated 11/2/23. The file of Staff #15 lacked a State Police Clearance and Child Abuse Clearance prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #15 also lacked a valid State Police Clearance because it did not have a "disseminated by" date. The file of Staff #15 contained a volunteer State Police Clearance dated 5/24/23. The file of Staff #15 contained a volunteer Child Abuse Clearance dated 5/24/23, and a Child Abuse for employment dated 11/3/23. The file of Staff #15 lacked documentation of application for the State Child Abuse and Neglect Registry from the State(s) in which Staff #15 resided in the last 5 years prior to providing initial service in child care (SEE LIS Code Sheet). The file of Staff #15 contained a Child Abuse and Registry Check dated 10/16/23 with a request date of 9/20/23. The file of Staff #16 lacked a dated disclosure statement. The file of Staff #18 lacked a valid FBI Clearance. Staff #18 had an FBI Clearance dated 6/14/21 from the Department of Education. The file of Staff #20 lacked application for the National Sex Offender Registry Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #20 contained a NSOR dated 10/13/21. The file of Staff #21 lacked a State Police Clearance and Child Abuse Clearance updated every 60 months. The file of Staff #21 contained a State Police Clearance dated 10/30/20 with a previous one dated 3/11/15. The file of Staff #21 contained a Child Abuse Clearance dated 10/30/20 with a previous one dated 3/26/15.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #7, #8, #9, #10, #11, #12, #13, #18 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. Facility Person #7, #8, #9, #10, #11, #12, #13, #18 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files of Staff #17 and #20 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE Lis Code Sheet). The file of Staff #17 contained a written evaluation dated 10/3/23 but did not contain one for 2022. The file of Staff #20 contained a written evaluation dated 11/1/22 but did not contain one for 2023.

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: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: The files of Staff #21 and #22, who were designated as assistant group supervisors, lacked documentation of 2 years' experience 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.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On 11/29/23 when Certification Representative was assessing ratio and supervision in Room 3, Staff #27, #28, and #29 indicated they were sharing responsibility for 17 older toddlers exceeding maximum group size.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 11/29/23 when Certification Representative was assessing ratio and supervision in Room 4, Staff #17, #24, and #25 indicated they were sharing responsibility for 5 older toddlers and 10 preschools exceeding maximum group size. On 11/29/23 when Certification Representative was assessing ratio and supervision in Room 2, Staff #18, #19, and #26 indicated they were sharing responsibility for 5 young toddlers and 10 older toddlers exceeding maximum group size. On 11/29/23 at approximately 12:00 PM Certification Representative observed Staff #19 in the hallway preparing rest equipment while Staff #18 and #26 were in Room 2 with 5 young toddlers and 10 older toddlers and then Certification Staff observed Staff #26 in the hallway preparing rest equipment while Staff #18 and #19 were in Room 2 with 5 young toddlers and 10 older toddlers.

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).

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 11/29/23 observed Members Mark Disinfecting Wipes which indicated "keep out of the reach of children" in a green bin on the bottom shelf of the bookcase to the left of the computer which were accessible to children in the Multipurpose Room. On 11/29/23 observed Lyson Disinfectant Spray which indicated "keep out of the reach of children" on top of the toilet paper holder in the bathroom which was accessible to children in Room 1. On 11/29/23 observed a bottle labeled "bleach water" above the changing table which was accessible to children in Room 1.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit in the chapel lacked nonporous gloves.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: On 11/30/23 observed a piece of concrete missing on the steps in the Outdoor Play Space.

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: On 11/29/23 observed peeling paint in the middle of the wall to the right of the entrance of the Overflow Room.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. Each classroom conducted their own fire drills. Staff in the Overflow Room provided documentation of fire drills being conducted on 1/12/23, 2/9/23, 3/16/23, 4/11/23, 6/14/23, 7/19/23, 8/16/23, 9/12/23, and 10/25/23. Staff in the ABC Room provided documentation of fire drills being conducted on 1/10/23, 3/14/23, 4/12/23, 5/8/23, 7/17/23, 8/9/23, 9/22/23, and 10/25/23. Staff in the Social Hall provided documentation of fire drills being conducted on 1/0/23, 3/9/23, 4/12/23, 5/5/23, 6/1/23, 7/19/23, 8/29/23, 9/21/23, and 10/25/23. Staff in Room 4 provided documentation of fire drills being conducted on 1/5/23, 2/17/23, 3/29/23, 5/12/23, 7/19/23, 8/23/23, 9/5/23, and 10/9/23. Staff in Room 3 provided documentation of fire drills being conducted on 1/10/23, 3/17/23, 4/15/23, 6/1/23, 7/19/23, 9/13/23, and10/25/23. Staff in Room 2 provided documentation of fire drills being conducted on 1/10/23, 2/6/23, 3/7/23 4/24/23, 5/2/23, 6/1/23, 7/19/23, 8/17/23, 9/11/23, and 10/25/23. Staff in Room 1 provided documentation of fire drills being conducted on 7/11/23, 8/1/23, 9/5/23, and 10/2/23. Staff provided documentation of fire drills being conducted with all classrooms on 10/10/23 and 10/25/23.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: 2nd citation. Previously cited on 11/9/22. Observed foam blocks with bite marks in Room 4. Observed foam fish with bite marks in the Social Hall.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: 2nd citation. Previously cited on 11/29/22. The written plan of daily activities was not posted in the Chapel.

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

Regulation: 3270.123(b)/3270.182(8)

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

Noncompliance Area: 2nd citation. Previously cited on 12/12/22. The files of Children #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 contained the original copies of the agreement. The facility did not make a copy for the files and give the original to the parent.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: 2nd citation. Previously cited on 11/29/22. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the Chapel.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: 2nd citation. Previously cited on 12/12/22. Child #1, a 13-month-old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #2, a 17-month-old lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. Child 7, a 3-year-old lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.

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

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: 2nd citation. Previously cited on 11/9/22. The operator did not establish a medication log for prescription medication for Child #11.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: 2nd citation. Previously cited on 12/12/22. The facility had a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma and strategies for coping with a crying, fussing, and distraught child but not 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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: 2nd citation. Previously cited on 11/29/22. The files of Volunteers #1 and #4 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment. Volunteer #1 had a Mantoux test read date of 10/20/21. Volunteer #4 had a Mantoux test read date of 12/7/17.

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.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: 2nd citation. Previously cited on 11/29/22. The files of Volunteers #1, #2, #3, and #4 contained an adult health assessment which did not include an examination for communicable diseases and the results of that examination.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: 2nd citation. Previously cited on 12/12/22. The emergency contact and agreement for Child #10 were not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #10's emergency contact and agreement were signed on 10/19/20 with no documentation of reviews and updates.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: 2nd citation. Previously cited on 11/9/22. Observed 1 crib with a loose sheet in the Overflow Classroom creating a potential suffocation hazard. 2nd citation. Previously cited on 11/29/22. Observed 4 pair of adult scissors in the bin labeled "scissors" in the art area of the Multipurpose Room which were accessible to children.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: 2nd citation. Previously cited on 11/29/22. The files of Volunteers #1, #2, #3, and #4 lacked documentation of emergency plan training at the time of initial service in a child care setting (SEE LIS Code Sheet).

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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: 2nd citation. Previously cited on 12/12/22. The operator did not send a copy of the emergency plan and subsequent plan updates to the local municipality.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: 2nd citation. Previously cited on 11/29/22. On 2/15/23 at approximately 9:45 AM Staff #5 and #6 were caring for a group of mixed-aged children including 8 preschoolers and 4 older toddlers. Staff #5 indicated she was caring for 5 preschoolers while Staff #6 indicated she was caring for 3 preschoolers and 4 older toddlers.

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).

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: 2nd citation. Previously cited on 11/29/22. Observed Lysol Disinfecting Wipes, Great Value Disinfecting Wipes, 6 bottles of Derma Gel Hand Sanitizer, and Lysol All Purpose Cleaner which indicated "keep out of reach of children" in a pink basket on the 3rd shelf in the 8th closet in the Multipurpose Room which were accessible to children in care. Observed 2 Bath and Body Works antibacterial hand sprays, Germ X Hand Sanitizer, Vanilla Bean Noal Anti-bacterial hand gel, and Sweet and Shimmer Whipped Vanilla Hand Cream which indicated "keep out of the reach of children" in a red bin on a table located on the opposite wall from the entrance which were 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: 3270.75(a)

Description: In child care spaces

Noncompliance Area: 2nd citation. Previously cited on 11/29/22. A first-aid kit was not in the Chapel.

Correction Required: A first-aid kit shall be in a child care space.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: 2nd citation. Previously cited on 11/9/22. Observed rust on the fences in the Outdoor Classroom, Young Toddler/Young Preschool Outdoor Play Space, and Older Preschool Outdoor Play Space.

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.