Training Wheels Child Day Care Center

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The Agreement for Child #1 lacked the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact Form for Child #2 lacked the telephone number of the child's physician.

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

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

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

Noncompliance Area: The Emergency Contact Form in the file for Child #1 lacked written consent signed by a parent for emergency medical care.

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: 3270.133(5)

Description: Original label

Noncompliance Area: Child #5 and #6 had expired Epi-Pens in the classrooms. Child #4 had an expired Diazepam spray in the classroom.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: Observed the medication at the facility for Child #3 that lacked written parental consent for administration of the medication.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: Child #3 who has had prescription medication administered while at the facility lacked a medication log for the medication.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file for Staff #5 lacked 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: The file for Staff #9 contained TB screening that was conducted over a year prior to date of hire and therefore not valid.

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: The file for Staff #10 contained a Health Assessment that did not include an examination for communicable diseases and the results of the examination.

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

Regulation: 3270.182(5)

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

Noncompliance Area: The Emergency Contact form for Child #1 lacked signed parental consent for administration of minor first-aid procedures by facility staff.

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)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: The file for Staff #5 lacked proof of qualifications for education in the form of a diploma, transcript, or letter signed by a representative or the experiential, educational or training entity.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff #10, employed more than 90 days, lacked Emergency Plan Training.

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

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

Description: Age and Training

Noncompliance Area: Staff person #5 has not completed 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 (8/22/23). Documentation of updated Pediatric first aid and CPR training is not on file. The file for Staff #6 had current Pediatric First Aid/CPR, it was observed the most recent Pediatric First Aid/CPR was not obtained prior to expiration of the previous training.

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. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children at a minimum by, an (AGS) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for Staff #5 lacked Fire Safety Training.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #13 has completed Pediatric first aid and CPR training, however the trainer has not provided documentation that they are PQAS-certified in that training curriculum.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #13 must be supervised, when interacting with children at a minimum by, an (AGS) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #13, staff person #13 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for Staff #4 contained Pediatric First Aid and CPR at the time of the Renewal Inspection but it was observed that Staff #4 did not obtain Pediatric First Aid and CPR within 90 days of hire.

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: The file for Staff #1 contained a current National Sex Offender Registry Certificate (NSOR) at the time of Renewal Inspection, it was observed that Staff #1 did not obtain a NSOR within 60 months of the previous clearance. The file for Staff #2 contained a Household Member Child Abuse Clearance and an incomplete PA State Police Clearance. The file for Staff #3 contained a current Child Abuse Clearance and FBI Clearance at the time of Renewal Inspection, it was observed that Staff #3 did not obtain a Child Abuse Clearance and FBI Clearance within 60 months of the previous clearance. The file for Staff #5 contained an FBI Clearance, State Police Clearance and National Sex Offender Registry Certificate that have not been updated within the previous 60 months. The files for Staff #6 and #12 contained disclosure statements that were dated after the first day Staff #6 and #12 began working with children. The file for Staff #7 contained a volunteer Child Abuse Clearance. The file for Staff #8 contained a current State Police Clearance and Child Abuse Clearance at the time of Renewal Inspection, it was observed that Staff #8 did not obtain a State Police and Child Abuse Clearance within 60 months of the previous clearance. The file for Staff #10 contained an FBI fingerprinting receipt dated 1/7/26 which was after Staff #10's date of hire on 1/5/26. The file for Staff #11 contained an incomplete State Police Clearance and a disclosure statement that was obtained after Staff #11 began working with children.

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 #2, #5, and #7 may not work in a childcare position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Staff person #5 lacked an annual written evaluation that was conducted within the past 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: 3270.76

Description: Building Surfaces

Noncompliance Area: The carpet in Room 305 was ripped the whole length of the classroom along the middle seem creating a tripping hazard to the children in care. The green canvas that was covering foam padding protective surface in the outdoor courtyard was ripped and had exposed foam and holding water posing a hazard to the children in care. In the Gym there were multiple rips in the foam padding on the walls exposing the bolts and metal underneath creating a protrusion hazard to the children in care.

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: In the Gym along the back right corner of the space there was peeling and flaking paint.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Based on the Fire Detection System Annual Letters, there was a gap in the documentation exceeding 1 year where the smoke detectors were not tested, 12/11/23 and 2/7/25.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact Form for Child #3 lacked the name and telephone number of the child's physician.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact Form for Child #4 lacked the telephone number of the individual designated by the parent to whom the child may be released. The Emergency Contact Forms for Child #6 and #10 lacked the 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(f)/3270.181(c)

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

Noncompliance Area: The files for Child #1, #2, #3, #4, #5, and #9 contained Emergency Contact Forms that had not been updated within the last 6 months.

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

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: The file for Child #9, a preschool aged child, contained a health report that was obtained over a year prior to enrollment and therefore not valid.

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. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: The file for Child #5, enrolled for more than 60 days lacked an initial health report.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The file for Child #9, a preschooler, lacked an updated health report within the last 12 months.

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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The files for Child #7 and #9, enrolled for more that 60 days at the facility, did not contain documentation of a 4th dose of the Pneumococcal vaccination as required based on the child's age as per the ACIP recommended schedule.

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 #7 and #9 must be dismissed from care by close of business 4/24/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The file for Child #8, enrolled for more than 60 days, lacked written verification from a physician the dates the child was administered immunization in accordance with the recommendations of the ACIP.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #6 and #12 have completed the health and safety course titled (Get Started with Center-Based Care: Building Blocks for Quality) but have not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

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. Staff person #6 and #12 must complete (PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2/ PA Required Health and Safety for Family Child Care Parts 1 and 2).

Regulation: 3270.151(a)

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

Noncompliance Area: The file for Staff #4 contained a health assessment that was not conducted within 24 months of the previous assessment. Although the file for Staff #17 contained a valid health assessment at time of Renewal Inspection, it was observed that Staff #17 lacked a health assessment prior to working with children.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The files for Child #1, #2, #3, #4, #5, and #9 contained Agreement Forms that had not been updated within the last 6 months. The file for Child #6 contained a financial agreement form that was not updated within 6 months of the previous update.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The two most recent Emergency Plan Trainings for Staff #1, #7, #8, #9, #10, and #14 were dated more than 12-months apart.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff #4, lacked documentation of 1 hour of the required 12 annual clock hours of childcare training.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The files for Staff #3, #4, #5, #6, #7, #8, #10, #11, #13, #14, #15, and #16 contained Fire Safety trainings that were dated more than 12 months apart.

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 person #2 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): (Health and Safety Basic Training).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children at a minimum by, an (AGS) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2 has completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #2- must be supervised, when interacting with children at a minimum by, an (AGS) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #3 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 (1/23/20).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children at a minimum by, an (AGS) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #3, staff person/facility person/volunteer #3 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: The file for Staff #1 contained a NSOR Certificate that was not obtained within 60 months of the previous clearance. The file for Staff #3 contained a State Police clearance and FBI Clearances that were not obtained within 60 months of the previous clearance. The file for Staff #12 contained a State Police, Child Abuse, and FBI Clearance that were not obtained within 60 months of the previous clearance. Although the file for Staff #18 contained a NSOR Certificate at time of Renewal Inspection, it was observed that Staff #18 lacked a NSOR Certificate prior to caring from children.

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.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for Staff #6 and #16 contained written evaluations that were conducted in an interval greater than 12 months. Although the file for Staff #3 contained a Staff Evaluation at the time of the Renewal Inspection, it was observed that Staff #3 lacked a written evaluation within the first year 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: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: A plant that was found to be toxic was present in Rom 210 at the facility.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the cafeteria multi-purpose room lacked adhesive bandages.

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: There were two ceiling tiles that had visual dried stained water marks in Room 205. The Courtyard had three plastic corner trim pieces that were cracked posing a cutting hazard to the children.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The daily activity schedule was not posted in Room #209

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The Emergency Transportation Plans posted in the facility did not include procedures for staff persons' accompanying a child who requires emergency medical care and remaining with the child until the parent/guardian arrives.

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)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The initial health report in the file for Child #1 was conducted more than 60 days after the child's first day in care.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The one-hour Health and Safety Update in the file for Staff Person #5 was dated after the prescribed timeframe of 12/30/22. The one-hour Health and Safety Update in the file for Staff Person #7 was dated more than 90 days after the staff person's first day working in child care. The file for Staff Person #9, who has been working for more than 90 days, does not include documentation of the one-hour Health and Safety Update. (See LIS Code Sheet).

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)/3270.192(3)

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

Noncompliance Area: The file for Staff Person #2 did not include an updated health assessment conducted within the past 24 months. The initial health assessment in the file for Staff Person #3 was conducted after the Staff Person's first day working in child care. (See LIS Code Sheet).

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

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: Pick-up and Drop-off Procedures were not posted at the facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The most recent emergency plan trainings in the file for Staff Person #9 exceeded 12 months between trainings. The file for Staff Person #12 does not include documentation of emergency plan training conducted within the past 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: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The parent's letter regarding the facility's emergency plan did not include accommodations for children with disabilities or chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff Person #2 contained only 8.5 annual hours of childcare training for most recent year of service: 2023.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The most recent fire safety trainings in the files for Staff Person #6, 9, 10 and 11 exceeded 12 months between trainings. The file for Staff Person #12 does not include documentation of fire safety training conducted within the past 12 months.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #11 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 2/12/19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #11 will have until 5/9/24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #11 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #11, staff person #11 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The most recent mandated reporter trainings in the file for Staff Person #9 exceeded 60 months between trainings.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The disclosure statements in the files for Staff Person #8 and #13 were on outdated forms.

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.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The file for Staff Person #3, an Assistant Group Supervisor with a High School Diploma, lacked verification of two years child care experience. The file for Staff Person #4, a Group Supervisor with 30 college credits in Education/Human Services, lacked verification of one year child care experience.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff Person #1 does not contain a written evaluation conducted within the past 12 months (10/3/22). The most recent written evaluations in the files for all staff who have been working in the After School Program for more than two years exceeded 12 moths between evaluations (September, 2022-February, 2024).

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: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed a ceiling tile discolored from water damage in the far right corner of the girl's restroom on the 2nd Floor.

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)

Description: Signed

Noncompliance Area: The fee agreements in the files for Child #1, #2 and #3 were not signed by the operator.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The fee agreements in the files for Child #1, #2 and #3 did not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan did not include requirements for volunteer emergency preparedness training, practice drills and continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster) to maintain compliance with 45 CFR § 98.41(a)(1)(vii)

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for Staff Person #11 did not include the one-hour health and safety update. The prescribed timeframe for completion was 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The most recent health assessments in the files for Staff Person #3, #4 and #5 exceeded 24 months between reports. The TB screening on file for Staff Person #8 was administered more than one year prior to start date and is not valid (See LIS Code Sheet). The initial health assessment/TB Screening in the file for Staff Person #11 were after the staff persons start date.

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

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The Health assessments in the files for Staff Person #6, #8 and #9 did not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's 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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The fee agreements in the files for Child #1, #2 and #3, who have been enrolled for more than 6 months, have not been updated the parent. The emergency contact forms and fee agreements in the files for Child #4, 5, 6, 7, 8, 9 and 10, who have been enrolled for more than 6 months, have not been updated by the parent.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #7, #8, and #12 have not completed the following required pre-service training within 90 days of their dates of hire (see LIS code sheet): Pediatric First Aid/CPR in an approved curriculum by a PQAS-approved instructor.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #7, 8, and 12 will have until 5/25/23 (actual date- 15 days from POC requested date) to complete the required training. Until such time as the required training has been completed, staff person #7, 8, and 12 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff person #7, 8, and 12, staff person #7, 8,and 12 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: The NSOR Application date and NSOR Certificate in the file for Staff Person #8 were after the staff person's first day in child care (See LIS Code Sheet). The FBI Fingerprint Receipt and FBI Clearance in the file for Staff Person #11 were after the Staff Persons start date. The State Police Clearance in the file for Staff Person #8 was on a volunteer clearance form.

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 #8 may not work at the facility.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The files for Staff Person #1 and #2 did not include documentation of a high school diploma.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On May 10th, 2022, at approximately 8:00 AM, Staff Person #2 and #3 were supervising 11 Preschool children in Preschool Room #205. When asked which children they were supervising, Staff Person #2 identified four children and Staff Person #3 identified 2 children. When reminded that there were 11 children in the room, staff stated that the staff person responsible for the other 5 children had left the room to get breakfast.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The Emergency Contact Form in the file for Child #1 did not include the enrolling parents' work address and work phone number.

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

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The most recent updated health reports in the file for Child #1, a Preschool Child, exceeded 12 months between reports.

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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(e)(1)/3270.182(1)

Description: Exemption documentation from parent/guardian/Initial and subsequent health reports

Noncompliance Area: The most recent immunization records in the files for Child #2, 3, 4 and 5 did not include documentation of a flu shot administered within the past 12 months or a letter of exemption from the parent or physician.

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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The most recent health assessments in the files for Staff Persons #2, #6 and #10 exceeded 24 months between assessments. The initial health assessments in the files for Staff Persons #5, #8 and #9 were conducted after the staff persons' first day in child care.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff Person #15 did not include two written references.

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: 3270.31(e)(4)(i)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: The most recent Pediatric First Aid/CPR Training in the file for Staff Person #12 was conducted on 5/2/22, which was after the previous certificate had expired: 8/27/21. The most recent Pediatric First Aid/CPR Training in the file for Staff Person #13 was conducted on 5/2/22, which was after the previous certificate had expired: 9/4/20.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)(10)/3270.192(2)(iii)

Description: Health and Safety Training - Pediatric First Aid and CPR/Exp, educ., training at facility

Noncompliance Area: The Pediatric First Aid/CPR in the files for Staff Person #8, #9 and #15 were conducted more than 90 days after the staff persons first day working in child care: 5/2/22.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)/3270.192(2)(iii)

Description: Health and Safety Training/Exp, educ., training at facility

Noncompliance Area: The files for Staff Person #7 and #15, who has been working for more than 90 days, did not include documentation of Health and Safety Training. The Health and Safety Training in the file for Staff Person #11 was the 6-hour Health and Safety Basics with a certificate date of 9/26/16 and is not valid.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: 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(2)(iii)

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

Noncompliance Area: The most recent Mandate Reporter Trainings in the files for Staff Persons #1, #8, #10 and #14 exceeded 60 months between trainings: Staff Person #1: 5/20/14-12/31/19. Staff Person #8: 1/23/17-4/26/22. Staff Person #10: 4/1/17-4/25/22. Staff Person #14: 1/6/17-4/25/22.

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 State Police Clearance in the file for Staff Person #16, which was documented "record for control" did not include a rap sheet. The most recent State Police and Child Abuse clearances in the file for Staff Person #4 exceeded 60 months between clearances: State Police: 3/10/16-4/28/21. Child Abuse: 4/13/16-4/28/21. The State Police Clearance (3/21/22) and NSOR Certificate (4/11/22) in the file for Staff Person #5 were dated after the Staff Person's first day in child care. The NSOR Certificate (5/10/22) in the file for Staff Person #6 was dated after the staff persons first day in child care. The most recent State Police and Child Abuse clearances in the file for Staff Person #9 exceeded 60 months between clearances: State Police: 9/30/16-4/29/22. Child Abuse: 10/21/16-10/27/21. The NSOR Certificate (11/22/21) in the file for Staff Person #9 was after the staff persons first day in child care. The State Police Clearance in the file for Staff Person #15 was dated 4/20/22, which was after the staff persons first day in child care.

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 #16 may not work in a child care position at the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kits in Rooms #301 and #305 lacked tape.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The most recent fire system checks exceeded thirty days between checks: 3/1/22-4/6/22.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The initial health assessments in the files for Staff Person's #3, 6, 7 and 8 were conducted after the staff person's first day working at the facility. The TB screening in the file for Staff Person #6 was conducted more than 12 months prior to staff person's first day working at the facility.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The files for Staff Person's #2, 3, 5, 6, 7, 9 and 10 did not contain two written letters of reference.

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: Observed adult scissors, which were accessible to children, in the Maker Space Room.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The current certificate of compliance was not posted at the facility.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.31(f)(10)/3270.192(2)(iii)

Description: Health and Safety Training - Pediatric First Aid and CPR/Exp, educ., training at facility

Noncompliance Area: The files for Staff Person's #3, 5, 6, 7, 8, and 9, who have been working for more than 90 days, did not include documentation of Pediatric First Aid/CPR training.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)/3270.192(2)(iii)

Description: Health and Safety Training/Exp, educ., training at facility

Noncompliance Area: The Health and Safety Training for Staff Person #2 was conducted more than 90 days after the staff person's start date. The files for Staff Person's # 3, 6, 7, 8 and 9, who have worked for more than 90 days, did not include documentation of Health and Safety Training.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: 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 disclosure statements in the files for Staff Person's #1 through #7 and #9 and #10 were not dated. The FBI Clearance in the file for Staff Person #3 did not include the required rap sheet. The NSOR Certificate in the file for Staff Person #1 was dated 10/19/21, which was after the staff person's first day working at the facility. The files for Staff Person's #2, 3, 4, 6 and 7 did not include an NSOR certificate.

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 #2, 3, 4, 6 and 7 may not work at the facility.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The files for Staff Person's #2, 4, 5, 8 and 9 did not include documentation of education and childcare experience. The file for Staff Person #6 did not include documentation of childcare experience.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed exposed nails in the wooden fence where post was separating from the framework in the outdoor play space. Observed splintering wood, which created a sharp edge on the fence 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: Observed peeling paint in the stairwell on the right beside the gym.

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

Noncompliance Area: The list of immunizations in the file for child #1, a 3 year old, was missing 1 of 4 required pneumococcal vaccinations. There was not a written statement of exemption from a parent in the file.

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.

Noncompliance Area: The last two emergency plan trainings in the file for staff person #1 and #3 were dated more than 12 months apart.

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.

Noncompliance Area: The last two fire safety trainings in the file for staff person #1, #2 and #4 were dated more than 12 months apart.

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.

Noncompliance Area: The last two state police and FBI clearances in the file for staff person #2 were dated more than 60 months apart. The staff person continued to work in the child care while their clearances were expired.

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.

Noncompliance Area: ***2nd citation: At approximately 3:30 pm in room 107, where staff person #1 and #2 were present with 19 kindergarteners, staff person #1 identified 8 children and staff person #2 identified 10 children, leaving 1 child not identified. Previously cited on 2/5/20.

Correction Required: In all child care spaces, a white board will be used to identify supervision groups. Each staff person's name will be listed, along with the names of the specific children for whom they are responsible. The staff person will know the names and whereabouts of the children in their assigned group. The staff person will be physically present with the children in their group on the facility premises, in the playground and on facility excursions off the facility premises.

Noncompliance Area: At approximately 5:10 pm, on the second floor of the facility, child #1, a 2nd grader, was observed alone near their locker in the hallway outside of room 208. At the same time, staff person #5 was observed sitting down inside the classroom with a few children standing around them, and was not looking towards the hallway. As the certification representative approached the classroom, staff person #5 moved to the door's threshold and 6 more 2nd graders were observed inside the classroom.

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.

Noncompliance Area: At approximately 3:30 pm, upon entering the far side of the cafeteria, staff person #1 and #2 were out of ratio with 62 children, a combined group of 56 young school-agers and 6 older school-agers. Staff person #1 initially identified 30 young school-agers and staff person #2 identified 11 young school-agers, leaving 21 children unidentified. When brought to their attention, staff person #1 then identified 7 more young school-agers and 6 older school-agers, leaving 8 children still unidentified. Based on conversation with staff person #1, staff person #3 was in the cafeteria, but had just taken one child to the bathroom down the hallway. As the certification representative was asking staff #1 and #2 to identify groups, staff person #3 returned to the cafeteria and staff person #4, traveling from another job, arrived at the cafeteria.

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.

Noncompliance Area: The most recent health report in the file for child #2, a kindergartener, was dated when the child had just turned 4 years old, making the report too old to accept.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code 23.2 (relating to medical examinations).