Throop Borough Community Civic Center Day Care

Regulation: 3270.151(a)

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

Noncompliance Area: The health assessment on file for staff # 5 is dated 8/16/23, therefore no longer valid.

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: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The emergency contact form on file for child # 1 did not include parental consent for emergency medical care and the administration of minor first aid procedures.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff persons # # 3 and 5 did not complete Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 1/31/25. Documentation of updated Pediatric first aid and CPR training is dated 6/11/25.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 did not complete the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR/First Aid. The date of the Pediatric CPR/First Aid training for staff # 1 is 6/11/25 - this training is now current.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: There is no NSOR clearance on file for staff # 1 - see code sheet for date of hire. The NSOR clearance on file for staff # 2 is dated 3/26/20, therefore no longer valid as per the CPSL. The NSOR clearance on file for staff # 3 is dated 2/21/20, therefore no longer valid as per the CPSL. The NSOR clearance on file for staff # 4 is dated 9/17/25, which is outside the 45-day provisional hire period allowed by the CPSL at the time of their hire (see code sheet). The clearance was requested on 6/12/24.

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. Staff Persons # 1, 2, and 3 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The most recent staff evaluation on file for staff # 5 is dated 9/19/24. The most recent staff evaluation on file for staff # 6 is dated 9/23/24. There is no staff evaluation on file for staff # 4; they have been working at the facility for longer than 12 months (see code sheet for date of hire).

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: 3270.123(a)

Description: Signed

Noncompliance Area: The fee agreement on file for child # 3 is not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.123(a)(1)/3270.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: The agreement on file for child # 3 does not have the fee amount and the date in which the fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The fee agreement on file for child # 3 does not have the child's arrival and departure times.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact forms on file for children # 1 and # 2 were missing the release persons' addresses.

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: 3270.151(a)

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

Noncompliance Area: The health assessment on file for staff person # 1 is dated 6/24/22, therefore it is no longer valid.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: There was a missing ceiling tile in the basement preschool classroom.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: While at the facility unannounced on 12/14/23 for the renewal inspection the inspector reviewed the file for staff person #1 and found that the staff last updated their FBI on 7/10/18. In order to be compliant with the CPSL all clearances are required to be updated every 60 months.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 1 may not work in a childcare position at the facility. The director will develop a policy/procedure that will ensure all staff files are properly maintained. This policy/procedure will ensure that all required clearance updates remain in compliance with the required every 60 months timeframe per CPSL. The director will submit the policy/procedure to DHS for review prior to implementation.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: While at the facility unannounced on 12/14/23 for the renewal inspection the inspector reviewed the file for staff person #1 and found that the staff last updated their FBI on 7/10/18. In order to be compliant with the CPSL all clearances are required to be updated every 60 months.

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 # 1may not work in a childcare position at the facility.

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

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

Noncompliance Area: While at the facility unannounced on 6/28/23 for the renewal inspection at roughly 9am and the inspector observed 82 children in care. The children were not yet assigned to specific staff. The inspector observed staff making attempts to place children in groups to then be assigned to staff.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

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

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

Noncompliance Area: While at the facility unannounced on 6/28/23 for the renewal inspection at roughly 9am and the inspector observed 82 children in care. The children were not yet assigned to specific staff. The inspector observed staff making attempts to place children in groups to then be assigned to staff.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The facility director will develop and implement a supervision policy that will ensure staff fully understand the need to supervise children at all times. This policy will provide methods that will outline specifically how staff are ensuring that all children are assigned to a specific staff upon entry each day. The policy will ensure staff will be able to see, hear, access, and direct all children, at all times. This policy must be submitted to DHS prior to implementation for approval. Once this policy is accepted by DHS the director will ensure all current staff and facility persons sign off on this policy and all new hires moving forward.

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

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

Noncompliance Area: While at the facility unannounced on 6/28/23 for the renewal inspection the inspector observed the child files and found that the files for child #1 and #3 and noted that both were missing signed parental consent for emergency medical care for the child. Written consent is required 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: While at the facility unannounced on 6/28/23 for the renewal inspection the inspector observed the child files and found that the file for child #2 and noted that it was missing the necessary health insurance coverage and policy number as is required.

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: While reviewing the staff files the inspector observed the files for staff #1, #2, #7, 8, and #9 and all health assessments to be out of date as well as TB screenings over a year old.

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

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: While at the facility unannounced on 6/28/23 for the renewal inspection the inspector observed several lunchboxes left unrefrigerated containing potentially hazardous food brought from home.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.182(5)

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

Noncompliance Area: While at the facility unannounced on 6/28/23 for the renewal inspection the inspector observed the child files and found that the files for child #1 and #3 and found both were lacking the necessary signature for the administration of minor first-aid procedures by facility staff. Written consent is required 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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #2, #3, did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Correction Required: Staff person #2 and #3 shall complete the required one-hour 2022 update to the health and safety training by 8/9/23.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: While reviewing the staff files the inspector observed the file for staff #5 and noted that this staff was hired with a PA Department of Education FBI clearances versus the required DHS FBI clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). In order to demonstrate compliance in this area, the legal entity/human resource person or director shall send all the clearance requests, completed clearances, disclosure statements health assessments and TB screenings (as noted in other violation description) to the Northeast Regional Office for all new hires for the next three months. If staff are going to be hired under the 45-day provisional hire basis, the legal entity/director shall submit the proof of fingerprinting, disclosure statement, requests for the state police, child abuse clearance, NSOR and any out of state clearances (if applicable) to the Northeast Regional Office prior to allowing the staff person to work in direct care with children.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: While reviewing the staff files the inspector observed the file for staff #5 and noted that this staff was hired with a PA Department of Education FBI clearances versus the required DHS FBI clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #5 may not work in a childcare 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. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The director will register for and attend the entire Existing Provider Training at the Northeast Regional Office scheduled for 8/23/23.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: While reviewing the staff files the inspector observed the file for staff #5 and noted that this staff was hired with a PA Department of Education FBI clearances versus the required DHS FBI clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #5 may not work in a childcare 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.

Regulation: 3270.62(b)/3270.63

Description: Play space - 65 square feet/child/Unsafe Areas in Outdoor Space

Noncompliance Area: While at the facility unannounced on 6/28/23 for the renewal inspection the inspector observed a large covered outdoor area that was not fenced in. When asked, the inspector was told by staff that this unlicensed space is used for the children, for outdoor play. This space is on the side of the building, close to the roadway.

Correction Required: Outdoor or indoor play space shall be measured at 65 square feet per child. If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: While at the facility unannounced on 6/28/23 for the renewal inspection the inspector observed that the community center's kitchen area was being used for storage of the children's lunch bags. The kitchen area has a stove located right where the bags were being stored.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: While reviewing the staff files the inspector observed the file for staff #2, staff #4, staff #6, and staff #10 and noted that all the staff began direct care with children (see Staff/Child Code Sheet for start date) before obtaining a health assessment and TB screening as is required.

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. 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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022 as was required.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons #2, #3, #4, #5, #6, #7, #8, #9 all 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 in the topics of 3270.31(f)(10), 3280.31(f) (10), or 3290.31(g) (10) within 90 days of hire. Staff persons #2, #3, #4, #5, #6, #7, #8, #9 must receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer. Until such time as the correction is implemented, staff persons ##2, #3, #4, #5, #6, #7, #8, #9 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 #2, #3, #4, #5, #6, #7, #8, #9 staff persons #2, #3, #4, #5, #6, #7, #8, #9 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: While reviewing the staff files the inspector observed the file for staff #1 and noted that the staff began direct care with children (see Staff/Child Code Sheet for start date) before obtaining all four clearances. Staff #2 did not obtain an NSOR clearance until 11/17/22 which was several months after direct care with children and a Pa Department of Education FBI not a DHS FBI as is required (see Staff/Child Code Sheet for start date). Staff #3 last had a PA State Police clearance 10/2/17 and did not update it until 12/7/22, a mandated reporter training dated 1/18/16 and did not update it until 11/17/22, and last had a Pa Child Abuse dated 10/25/17 and no updated Pa Child Abuse on file. Staff #4 began direct care with children (see Staff/Child Code Sheet for start date) and did not obtain a PA State Police clearance until 12/11/22. Staff #5 had a Pa State Police clearance which was dated for 10/2/17 and did not update it until 11/14/22, a Pa Child Abuse Clearance dated 10/15/17 and not updated until 11/8/22, and a Mandated Reporter training dated 6/6/16 and not updated until 11/18/22. Staff #7 had a Pa State Police clearance on 10/12/17 and did not update it until 12/7/22, a Pa Child Abuse Clearance dated 10/19/17 and did not update it until 12/9/22, an FBI dated 11/18/17 and did not update it until 12/9/22, and a Mandated Reporter training dated 12/4/17 and did not update it until 12/10/22. Staff #8 began direct care with children (see Staff/Child Code Sheet for start date) and did not obtain a PA State Police clearance until 12/4/19, an Pa Child Abuse dated 12/9/19 all months out of date. Staff #9 began direct care with children (see Staff/Child Code Sheet for start date) and did not obtain a Pa State Police clearance until 05/20/22.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). In order to demonstrate compliance in this area, the legal entity/human resource person or director shall send all the clearance requests, completed clearances, disclosure statements health assessments and TB screenings (as noted above) for all new hires for the next two months. If staff are going to be hired under the 45 day provisional hire basis, the legal entity/director shall submit the proof of fingerprinting, disclosure statement, requests for the state police, child abuse clearance, NSOR and any out of state clearances (if applicable) to the Northeast Regional Office prior to allowing the staff person to work in direct care with children.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: While reviewing the staff files the inspector observed the file for staff #1 and noted that the staff began direct care with children (see Staff/Child Code Sheet for start date) before obtaining all four clearances. Staff #2 did not obtain an NSOR clearance until 11/17/22 which was several months after direct care with children and a Pa Department of Education FBI not a DHS FBI as is required (see Staff/Child Code Sheet for start date). Staff #3 last had a PA State Police clearance 10/2/17 and did not update it until 12/7/22, a mandated reporter training dated 1/18/16 and did not update it until 11/17/22, and last had a Pa Child Abuse dated 10/25/17 and no updated Pa Child Abuse on file. Staff #4 began direct care with children (see Staff/Child Code Sheet for start date) and did not obtain a PA State Police clearance until 12/11/22. Staff #5 had a Pa State Police clearance which was dated for 10/2/17 and did not update it until 11/14/22, a Pa Child Abuse Clearance dated 10/15/17 and not updated until 11/8/22, and a Mandated Reporter training dated 6/6/16 and not updated until 11/18/22. Staff #7 had a Pa State Police clearance on 10/12/17 and did not update it until 12/7/22, a Pa Child Abuse Clearance dated 10/19/17 and did not update it until 12/9/22, an FBI dated 11/18/17 and did not update it until 12/9/22, and a Mandated Reporter training dated 12/4/17 and did not update it until 12/10/22. Staff #8 began direct care with children (see Staff/Child Code Sheet for start date) and did not obtain a PA State Police clearance until 12/4/19, an Pa Child Abuse dated 12/9/19 all months out of date. Staff #9 began direct care with children (see Staff/Child Code Sheet for start date) and did not obtain a Pa State Police clearance until 05/20/22.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The director and human resource person will register for and attend Existing Provider Training at the Northeast Regional Office scheduled for 5/4/23.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: While reviewing the staff files the inspector observed the file for staff #1 and noted that the staff began direct care with children (see Staff/Child Code Sheet for start date) before obtaining all four clearances. Staff #2 did not obtain an NSOR clearance until 11/17/22 which was several months after direct care with children and a Pa Department of Education FBI not a DHS FBI as is required (see Staff/Child Code Sheet for start date). Staff #3 last had a PA State Police clearance 10/2/17 and did not update it until 12/7/22, a mandated reporter training dated 1/18/16 and did not update it until 11/17/22, and last had a Pa Child Abuse dated 10/25/17 and no updated Pa Child Abuse on file. Staff #4 began direct care with children (see Staff/Child Code Sheet for start date) and did not obtain a PA State Police clearance until 12/11/22. Staff #5 had a Pa State Police clearance which was dated for 10/2/17 and did not update it until 11/14/22, a Pa Child Abuse Clearance dated 10/15/17 and not updated until 11/8/22, and a Mandated Reporter training dated 6/6/16 and not updated until 11/18/22. Staff #7 had a Pa State Police clearance on 10/12/17 and did not update it until 12/7/22, a Pa Child Abuse Clearance dated 10/19/17 and did not update it until 12/9/22, an FBI dated 11/18/17 and did not update it until 12/9/22, and a Mandated Reporter training dated 12/4/17 and did not update it until 12/10/22. Staff #8 began direct care with children (see Staff/Child Code Sheet for start date) and did not obtain a PA State Police clearance until 12/4/19, an Pa Child Abuse dated 12/9/19 all months out of date. Staff #9 began direct care with children (see Staff/Child Code Sheet for start date) and did not obtain a Pa State Police clearance until 05/20/22.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 2 and #3 may not work in a childcare 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.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: During the inspection the inspector observed the fire drill logs and noted that fire drills to have occurred on 12/1/21, 3/1/22, 6-6-22 and 9-5-22, not every 60 days as is required.

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

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: During the inspection the inspector observed the fire drill logs and noted that fire alarm testing to have occurred on 11/3/22 not every 30 days as is required.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: While at the facility unannounced on 11/3/21 for the renewal inspection the inspector reviewed the file for staff #1 and noted a first day of working in direct care as 10/12/20. The tuberculosis screening was dated 1/9/19 which is over 12 months old from the initial employment.

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: While at the facility unannounced on 11/3/21 for the renewal inspection the inspector reviewed the file for staff #3 and noted that there was no proof of education in the file as is required.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: While at the facility unannounced on 11/3/21 for the renewal inspection the inspector reviewed the files for staff #3 and staff #2 and observed that neither had the required two written, nonfamily references on file.

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(a)(1)/3270.27(a)(5)

Description: Emergency plan/Emergency plan

Noncompliance Area: While at the facility unannounced on 11/3/21 for the renewal inspection the inspector reviewed the emergency plan and found that this plan did not have a lock-down procedure nor were there any accommodations for children with disabilities, and children with chronic medical conditions.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: While at the facility unannounced on 11/3/21 for the renewal inspection the inspector reviewed the emergency plan and found that this plan was not updated annually with the last update being noted on the cover as 1/29/13.

Correction Required: 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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: While at the facility unannounced on 11/3/21 for the renewal inspection the inspector reviewed the emergency plan and found that this plan did not have concurrence with the local municipality and to the county emergency management agency as is required.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: While at the facility unannounced on 11/3/21 for the renewal inspection the inspector reviewed the file for staff #1 and staff #2 it was observed that both staff had volunteer child abuse clearances on file and not employment child abuse clearances as is required.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 and #2 may not work in a child care position at the facility.

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: While at the facility unannounced on 11/3/21 for the renewal inspection the inspector reviewed the fire drill/detection log and found that the facility was not conducting the required every 30 manual testing of the fire alarm system.

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