Treasure Lake Church Glt Childcare Center

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file of child #1 lacked a health assessment.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed in the preschool room downstairs in the corner of hallway, a sensory table with a broken leg.

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

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: At the time of the inspection, there was not a daily schedule posted in the youth room where children were observed in care.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file of child #2 lacked an emergency contact form with the parent's work address and telephone number.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file of child #1 lacked an emergency contact form with 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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file of child #1 lacked a health assessment.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file of staff #3 had health assessments more than 24 months apart due to the fact they were dated: 11-18-24 and 3-16-22.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

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

Description: Age and Training

Noncompliance Area: The file of staff #2 had documentation of late renewal of first aid and CPR training due to the fact they were dated "renew by 5/2026" and 6-3-26.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file of staff #3 had documentation of completing Mandated Reporter training more than 60 months apart due to the fact they were dated: 7-24-22 and 11-3-16.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #1 had PA State Police clearances more than 60 months apart due to the fact they were dated: 9-4-25 and 8-10-20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.36(b)(4)

Description: HS/GED + postsecondary

Noncompliance Area: The file of staff #4, an assistant group supervisor, lacked documentation of high school education.

Correction Required: An assistant group supervisor shall have a high school diploma or a general education development certificate and have completed a post-secondary training curriculum described in §3270.31(c).

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed on the outdoor play space, 2 holes in the playground surface near the bucket swings.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a 6 seat stroller with torn shoulder straps in the front row, left seat.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: At the time of the inspection, it was reported that some children present in the Pre-K room nap on the very large "moon pod bean bags" rather than individual, labeled rest equipment.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Teh file of child #2 lacked child service reports every 6 months due to the fact the only one on file was dated 8/2024.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

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

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

Noncompliance Area: The file of child #2 lacked an updated health report due to the fact the one in the file was dated 3-27-24.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #10 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality (10 hours) dated 7/1/2018 -- 10/31/2022 but has 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 #10 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)/3270.192(3)

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

Noncompliance Area: The files of staff #6 and #7 had health assessments more than 24 months apart due to the fact they were dated staff #6: 1-31-25 and 10-13-22; staff #7: 1-6-25 and 10-20-22.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: The file of child #3, who takes walks lacked an emergency contact form with parent consent to go on walks.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Observed in the infant room, loose sheets in the cribs of children #1, #4, #5, #6, and #7.

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

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Observed in the school age space located outside the gym adult scissors stored on the top shelf of a shelf accessible to children in care.

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

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

Description: Age and Training

Noncompliance Area: Staff person #6 had 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 2/2025. Documentation of updated Pediatric first aid and CPR training dated 4-29-25.

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 #5 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Part 1 AND PA Required Health and Safety for Centers-Group Child Care Part 2 and Pediatric First Aid and CPR.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The files of staff #7 and #8 completed mandated reporter more than 60 months apart due to the fact they were dated staff #7 10-30-21 and 5-29-15; staff #8 12-7-22 and 9-20-17.

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 file of staff #1 lacked out of state clearances. The file of staff #2 had the PA Child Abuse clearance after their start date due to the fact it was dated 4-4-25 (see LIS code sheet) The file of staff #3 had the PA State Police clearance after their start date due to the fact it was dated 5-28-25 (see LIS code sheet). The file of staff #4 had clearances more than 60 months apart due to the fact they were dated: PA Child Abuse 5-5-25 and 2-12-20; PA Child Abuse 6-3-25 and 2-25-20; and NSOR 4-1-25 and 3-17-20. The file of staff #6 had a clearance more than 60 months apart due to the fact it was dated PA State Police 7-9-24 and 5-22-19. The file of staff #7 had clearances more than 60 months apart due to the fact they were dated PA State Police 3-11-25 and 2-12-20; PA Child Abuse 3-19-25 and 2-24-20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: The file of staff #9, an AGS lacked documentation of experience.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.37(b)(1)

Description: HS/GED

Noncompliance Area: The file of staff #3, an aide lacked documentation of education.

Correction Required: An aide shall have a high school diploma or a general educational development certificate.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed in the Pre-K room where preschool aged children were receiving care a power strip lacking protective outlet covers.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: Observed in the young toddler room a spray bottle of liquid not labeled. Observed in the school age space located downstairs outside the gym a spray bottle of liquid in the black cabinet not labeled.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: Observed in the older toddler room the first aid kit lacked tweezers.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: Observed in the restroom downstairs, the boys' restroom lacked handwashing signs at 2 urinals and the girls' restroom lacked handwashing signs in the 3rd and 4th stalls.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed on the playground, holes in the poured surface inside the dome climbing structure, near the bench, under swing set, and near the spiral slide.

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

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed in preschool 4 room and the toddler room foam blocks with bite marks.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During naptime, certificate representative observed staff #2 and #3 in the older toddler room both on their phones. Therefore, proper supervision of the children was not observed.

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. Children must be supervised at all times.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The files of children #4 and #5 lacked emergency contact forms with the release persons' complete address.

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 file of child #5 lacked documentation of parent review of the emergency contact information and financial agreement every 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(d)(5)

Description: Immunization record

Noncompliance Area: The file of child #6 lacked an immunization record.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: Observed medications for children #1, #2, and #3 but no medication logs.

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

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 of staff #1 had a health assessment that was not dated.

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)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file of staff #1 lacked documentation of tuberculosis screening by the Mantoux method at 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. 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: 3270.166(7)

Description: Meals for infants

Noncompliance Area: There were no infant feeding schedules for the 4 infants observed in care at the time of the inspection.

Correction Required: Neither bottled formula nor human milk may be heated in a microwave.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, the emergency plan had not been sent to the county emergency management agency.

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: 3270.35(b)(3)/3270.192(2)(iii)

Description: Associate's + 2 yrs/Exp, educ., training at facility

Noncompliance Area: The file of staff #2, a Group Supervisor, lacked a transcript of the associate's degree to show proof of education in the human service field.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed in the preschool room in the fellowship hall, essential oils labeled "keep out of the reach of children" stored on a shelf accessible to children. Observed in the restroom between the toddler rooms, Glade brand aerosol spray, Clorox wipes, and 4 tubes of diaper cream all labeled, "keep out of reach of children" stored on shelves accessible to children. Observed in preschool room 4, Banana Boat sunscreen labeled "keep out of the reach of children" in the bookbag of child #7 hanging in a cubby accessible to children.

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

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: Observed in the restroom between the toddler rooms a clear bottle of liquid not labeled stored on top of the paper towel dispenser.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: Observed in the younger preschool room, used tissues in a garbage can without a lid.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: Observed in the preschool room, the first-aid kit lacked sterile gauze.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: At the time of the inspection, the fire drill log showed drills had been conducted more than 60 days apart based on the following dates: 10-3-23 to 12-18-23 = 76; 12-18-23 to 3-4-24 = 77 days and 3-4-24 - 5-24-24 = 81 days.

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

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The files for child #3, 4 and 5, who are infants/ young toddlers, lack a health report within the past six months. Child #3 dated 7/7/22, child #4 dated 12/6/21 and child #5 - 12/15/22.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

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 #1. who is an older toddler, lacks a health assessment which was completed within the past 12 months. Last health assessment on file is dated 3/18/22. There was more than 12 months between the previous and most current updated health assessment on file for child #2, who is an older toddler. Dates are 3/3/22 and 5/30/23.

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)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child #1 lacks a flu shot within the past year as in accordance with the schedule recommended by the ACIP. The file for child #4 contains 1 of 3 Hep B, 1 of 4 DTAP, 1 of 3 HIB, 1 of 4 IPV, 0 of 1 MMR and Varicella and 1 of 3 Pneumococcal vaccinations and a flu shot within the past year as in accordance with the schedule recommended by the ACIP. The file or child #5 lacks 1 of 2 Rotavirus, 1 of 3 DTAP, 1 of 2 HIB, 1 of 3 PCV and 1 of 2 Polio vaccinations as in accordance with the schedule recommended by the ACIP.

Correction Required: Child(ren) # 1, 4 and 5 must be dismissed from care by close of business 7/24/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: In the infant room, observed an infant being diapered. Staff did not wash/wipe the infants' hands after diapering.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The files for staff #1 and 2 lacked the one-hour health and safety update required by 12/30/22. The one-hour update is now on file. The files for staff #3 and 4 lack the one-hour health and safety update required by 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan lacked a continuity of operations plan for the aftermath of a disaster.

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 facility person #9, who works with food preparation, lacks a health assessment which was completed within 12 months prior to providing initial service in a child care setting.

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(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The health report on file for staff #8 was signed by an LPN.

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

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The files for staff #1 and 4 lack a TB test within 12 months prior to providing service in a childcare setting. The file for facility person #9, who works with food preparation, lacks a TB test which was completed within 12 months prior to providing initial service in a childcare setting.

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The health report on file for staff #8 lacks an examination for communicable diseases and the results of that examination and a physician or CRNP's assessment of the 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: 3270.166(1)

Description: Written statement

Noncompliance Area: The facility lacked a written statement from the parent giving the formula and feeding schedule for infant #6.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff #8 contains 1 of the required 2 non written, nonfamily 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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The operator did not send the most recent update of the emergency plan to the local municipality.

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

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: There was more than 12 months between fire safety trainings on file for staff #1 which are dated 3/19/22 and 4/24/23. The file for staff #4 lacks fire safety training 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. 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)

Description: Health and Safety Training

Noncompliance Area: Staff person # 7 and 10 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR and Pediatric First Aid. There is now training on file for both dated 2/23/23.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: There was more than 60 months between mandated reporter trainings on file for staff #6. This is evidenced by the trainings on file dated 9/20/17 and 12/7/22.

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 file for staff #4 lacked a disclosure statement on or before initial start in a child care position. SEE IS CODE SHEET. There is now a disclosure statement on file and dated 6/5/23 and there was more than 60 months between FBI clearances on file for staff #4. Dates are as follows: 6/4/18 and 7/3/23. The file for staff #5 lacked an FBI clearance on or before initial start date in a childcare position. SEE IS CODE SHEET. There is now an FBI clearance on file and dated 6/15/23. The file for staff #10 lacked a Child Abuse clearance on or before initial start date in a childcare position. SEE IS CODE SHEET. There is now a Child Abuse clearance on file dated 11/8/22,

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include 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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: In the Young Toddler room, observed that the diapering area lacked a hand washing sign.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.124(b)(2)/3270.124(b)(7)

Description: Physician name, address, phone/Name/address/phone release person

Noncompliance Area: Emergency contact information on file for child #1 lacks the address and full phone number of the child's physician r source of medical care. Emergency contact information on file for child #2 lacks the address of all individuals 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 child's physician or source of medical care.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(e)

Description: Written emergency plan posted

Noncompliance Area: The PS 4 room lacked a conspicuously displayed written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

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(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: There was more than six months between the previous and most current and updated health assessments on file for child #3, who is a young toddler.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerA child's record shall contain initial and subsequent health reports.

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

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

Noncompliance Area: There was more than 12 months between the previous and most current and updated health assessment on file for child #1, who is of preschool age.

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: 3270.133(3)

Description: Name on bottle

Noncompliance Area: In the 1 year old room, observed Children's Acetaminophen which lacked the name of the child for whom the medication was intended.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: In the Nursery, observed Infant Ibuprofen which expired 5/22.

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: In the Nursery, observed Children's Acetaminophen which lacked written parental consent for administration.

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

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 #8 lacks a health assessment which was conducted 12 month prior to providing initial service in a child care setting. Health assessment on file is dated 5/24/21. ( See LIS Code Sheet). There was more than 24 months between the previous and most current and updated health assessment on file for staff #10. There is a current health assessment on file and dated 10/20/21.

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)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The files for staff #8, 9 and 11 lack a TB test by the Mantoux method which was conducted within 12 months prior to providing initial service in a child care setting. The TB tests dates on file are as follows: Staff #8 - 5/27/21, Staff #9 - 1/2/20 and Staff #11 - no test on file. See LIS Code Sheet. The TB test on file for staff #13 lacks the results of the tuberculin skin test.

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The current health assessment on file for staff #13 lacks an examination for communicable disease and the results of that examination and the physician 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: 3270.182(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 record for child #2 lacked signed parental consent for emergency medical care for the child and for administration of minor first-aid procedures by facility staff.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: In the Preschool 3-4 room, observed sharp scissors in an unlocked drawer and accessible to the children in care.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2, employed for more than 90 days (see LIS Code Sheet), did not have first aid/CPR training from an approved curriculum nor PQUA certified instructor as required by 3270.31(f)(10) within 90 days of hire. Staff person #2 has since obtained a pediatric first aid/CPR training dated 4/23/22 that is an approved curriculum and there is documentation from the training organization that the trainer is certified to train the approved curriculum.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person # 4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 3270.31(f) (1-9) (Health and Safety training).

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 #4 will have until 7/30/22 to complete the required training. Until such time as the required training has been completed, staff person # 4 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 person # 4-, staff person # 4may not work in a child-care position at the facility.

Regulation: 3270.31(h)

Description: Health and Safety Training

Noncompliance Area: Staff #3 and 6 were required to have training in CPR/FA by 6-17-21 due to the regulation change that took effect on 12-19-20 but did not obtain the training until 8/7/21.

Correction Required: All staff persons shall complete the professional development under subsection (f).

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 11/3/2016.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person # 3 will have until 7/26/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, staff person #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 files for staff #7and 9 lack the disclosure statement required under the CPSL. The file for staff #12 contains a DOE FBI clearance dated 4/4/22 and not the required DHS clearance required under the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility person #12 may not work 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: 3270.33(a)/3270.192(2)(ii)

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

Noncompliance Area: The file for staff #1, who holds the title of assistant group supervisor, lacks 814 hours of child care experience. There is a high school diploma and 1686 hours of child care experience on file. The file for staff #5, who holds the title of assistant group supervisor, lacks 2110.3 hours of child care experience. There is a high school diploma and 389.7 hours of child care experience on file. The file for staff #12, who holds the title of assistant group supervisor, contains an associates degree which is not in the human service field and the transcript was not on file to verify human service field credits. There are 1591 hours of child care credits. Therefore, the file is lacking either 15 credits in the human service field or an additional 909 hours of 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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the 3 year old room, observed an electrical outlet which lacked a protective receptacle cover. In the Pre-K room, observed an electrical outlet which lacked a protective receptacle cover.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: In the Nursery room, observed a bottle of toxic cleaner which lacked a label which specified the contents. In the 2 year old room, observed 2 bottles of toxic cleaner which lacked labels which specified the contents.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the PS 3-4 room lacked scissors.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: Based on staff interviews, over the last 30 days, the preschool room, located directly beside the directors office, has been out of ratio on at least 3 occasions. Older toddlers are brought in at the end of the day and there are usually 10 children with one staff who are of preschool and older toddler age. Out of ratio 1:10.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility file lacked verification of proof of purchase of the interconnected fire detection system.

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. Proof of purchase of interconnected fire detection system/devices shall be on file at the facility.