The Goddard School

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The lid to the hands-free garbage can in place at the changing table in Classroom 129 was observed to be disconnected. This did not allow the lid to open with the foot pedal for appropriate disposal of soiled diapers.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The current health report on file for Staff Person #1 lacked information related to an examination for communicable diseases.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: The lock on a cabinet containing toxic cleaning materials in the kitchen area was observed to be in disrepair. This allowed the cabinet to open and for access to the cleaning materials.

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 outside backpack for Classroom 103 was observed to be missing band aides. The classroom was observed on the playground at the time of the inspection with the outside backpack.

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: 3270.124(c)

Description: Each child care space

Noncompliance Area: One emergency contact form was missing for a child receiving care in Classroom 107.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for Child #1 lacked verification that the child had received their recommended MMR vaccination. A written exemption was not on file at the time of the inspection.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child will be dismissed from care at the close of business on 8.7.25.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The updates to the fire safety training on file for Staff Person #1 exceeded 12 months between trainings completed on 1.12.24 and 5.12.25.

Correction Required: Staff persons shall participate, at least annually, in firesafety 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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff Person #2 lacked two written, nonfamily references and the file for Staff Person #3 lacked one written, nonfamily reference attesting to their 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff Person #1 lacked verification that they had received training regarding the emergency plan within the last 12 months. The most recent training on file was dated 6.12.23.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff Person #1 lacked a written staff evaluation that had been 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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A bottle of sunscreen was observed in a cubby in Classroom 107. The sunscreen was labeled Keep Out of Reach of Children and was accessible to preschool age children receiving care in the classroom.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Two cracked bin lids, causing potential pinch points, were observed in Classroom 126.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The cots present for children in Classroom 129 were observed to be labeled with a number. A chart identifying which number belonged to which child was not present in the space.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: At approximately 11:38am, three infants were observed to be resting in cribs without 2 feet of space present on three sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for Child #1 lacked an address for one of the release persons listed.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff Person #1 lacked a PA State Police and a PA Child Abuse Clearance for employment purposes. The PA State Police and PA Child Abuse Clearances on file were completed for volunteer purposes and unacceptable for employment in a child care facility. Staff Person #1 was observed to be caring for children alone.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In classroom 126 a spray bottle containing a bleach water solution was observed on a ledge at the sink. In classroom 117 a spray bottle containing a bleach water solution was observed on top of the cubbies. The spray bottles containing the bleach water solutions were accessible to children receiving care in the spaces.

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(b)

Description: 110º F or less

Noncompliance Area: The hot water at the classroom sink in classroom 117 was measured at 114.4° F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Based on conversations with staff the following was confirmed: On 5/29/24 at approximately 10:45 AM, Staff Person #1 picked up Child #1 and set Child #1 down hard enough that the child subsequently was crying and holding his buttocks.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for Child #1 and Child #2 lacked the address of the physician or source of medical care. The file for Child #2 lacked the phone number of the physician or sources of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The Health and Safety update on file for Staff #1 is dated 1/1/23 and for Staff #2 is dated 6/22/23, both dated after the deadline of 12/30/22.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file for Staff #3 included verification of first aid and CPR training dated 2-13-23 after the expiration date of 1-14-23.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The toliets in rooms #103, #107, #113, #117 and #121 lacked hand washing signs. The changing diapering table in room #126 lacked a handwashing sign. The sinks in rooms #107 and #113 lacked handwashing signs.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: It was self-reported on December 13, 2022, a preschool age child did not evacuate for a fire drill and was left unsupervised in the junior kindergarten classroom for approximately 30 seconds.

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: It was self-reported on December 13, 2022, a preschool age child did not evacuate for a fire drill and was left unsupervised in the junior kindergarten classroom for approximately 30 seconds.

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

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

Noncompliance Area: **It was self-reported on December 13, 2022, a preschool age child did not evacuate for a fire drill and was left unsupervised in the junior kindergarten classroom for approximately 30 seconds.

Correction Required: The legal entity will conduct mandatory staff meetings at least once per month for a period of 3 months following the approval of this plan of correction. At each staff meeting, time will be set aside to review and discuss the facility's previous regulatory non-compliance items documented on inspection summaries relating to ratio and supervision. The facility shall review their procedures around fire safety and evacuation and obtain feedback from staff members on the implementation of additional education and improvement practices to ensure that all children are supervised, staff are present with their assigned children, and everyone exits the building during an emergency. The facility shall review their policy regarding fire safety education and obtain feedback from staff members on the implementation of practice drills. An agenda will be prepared for each staff meeting and a log identifying the date, time, and persons attending each meeting will be maintained. The staff meeting agendas and logs will be sent to OCDEL-DHS representatives upon completion.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: It was self-reported that on December 13, 2022, a preschool age child did not evacuate for a fire drill and was left unsupervised in the junior kindergarten classroom for approximately 30 seconds, which created a 0:1 staff:child ratio.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: A young toddler was left unsupervised on the enclosed playground for approximately three minutes.

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: A young toddler was left unsupervised on the enclosed playground for approximately three minutes.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: A young toddler was left unsupervised on the enclosed playground for approximately three minutes, creating a 0:1 staff:child ratio.

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: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #3 lacks verification of a current influenza vaccine administered 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan was not updated by 7/01/22 to include volunteer emergency preparedness, training, drills, and 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: 3270.151(a)

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

Noncompliance Area: The two most recent health assessments on file for staff person #6 are dated in an interval greater than 24 months.

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: The two most recently documented emergency plan training on file for staff persons #6 and #16 are dated in an interval which exceeds 12 months.

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)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The verification of the two most recent fire safety trainings on file for staff persons #5, #9, #16 are dated in an interval greater than 12 months. The file for staff person #6 lacks verification of fire safety training completed within their initial year of childcare service.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #14, #15, and #16 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): a PQAS approved pediatric first aid and pediatric CPR course taught by a PQAS approved instructor. Staff persons #1, #2, #3, #8, #9, #10, #11, #12, #13, #17. #18, and #19 have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

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

Regulation: 3270.31(g)

Description: Professional development certificate

Noncompliance Area: The Health and Safety training on file for staff person #4 is a six hour course completed after July 1, 2018, making it invalid.

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: A review of the file for staff person #7 revealed that staff person #7 has resided out of state in the previous 5 years and lacks clearances from the state where they previously resided.

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 #7 may not work at the facility until complete out of state clearances are on file.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the Bridges classroom, observed accessible diaper cream, disinfecting wipes, and pacifier wipes, all labeled 'keep out of the reach of children' in the outside pockets of two children's backpacks.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A review of the fire detection testing log revealed that during the following intervals, testing was completed in an interval greater than 30 calendar days: 3/4/22-4/22/22, 4/22/22-5/27/22, and 6/20/22-7/22/22.

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: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: In the restrooms in Classroom #121 and #103 used pull ups were observed in the garbage cans intended for paper towels. The garbage cans were not hands-free.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.151(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The health assessment on file for Facility Person #12 was signed by a RN. The health assessment must be signed by a physician. physician's assistant or a CRNP.

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Regulation: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The health assessment on file for Facility Person #7 lacked information that they had been examined for communicable diseases and the results of that examination and the physician's assessment of their suitability to provide child care.

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

Regulation: 3270.182(5)

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

Noncompliance Area: The current emergency contact form for Child #1 lacked signed parental consent for administration of minor first aid by facility staff. The parent dated the line on the form instead of providing a signature.

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: 3270.27(a)(5)/3270.27(b)

Description: Emergency plan/Plan reviewed/updated annually

Noncompliance Area: The emergency plan has exceeded 12 months since last review and update. The emergency plan lacked accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff Person #1 lacked 10 of their 12 hours of annual child care training between 12/19/20 and 12/19/21.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for Facility Person #14 lacked completion of the required Health and Safety training topics within 90 days of starting at the facility.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: (1) Prevention and control of infectious diseases (including immunization); (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices; (3) Administration of medication, consistent with standards for parental consent; (4) Prevention of and response to emergencies due to food and allergic reactions; (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (6) Prevention of shaken baby syndrome and abusive head trauma; (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility); (8) Handling and storage of hazardous materials and appropriate disposal of bio contaminants; (9) Precautions when transporting children.

Regulation: 3270.31(f)(10)/3270.31(h)

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

Noncompliance Area: The files for Facility Person's #7, #8, #12, #13 and #14 lacked completion of Pediatric First Aid and CPR within 90 days of starting at the facility.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. All staff persons shall complete the professional development under subsection (f).

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The files for Facility Person's #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13 and #14 lacked the current updated disclosure statement. The signed disclosure statements on file were outdated. The file for Facility Person #1 lacked a required child abuse clearance for a state that they had resided in within the last 5 years prior to starting at the facility. The file for Facility Person #3 lacked a request for the NSOR clearance prior to starting at the facility. A completed NSOR was not on file prior to starting. The file for Facility Person #12 lacked verification that they had been fingerprinted for their FBI clearance prior to starting in a child care taking position. A completed FBI clearance was not on file prior to starting.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work at the facility.