United Neighborhood Centers-bellevue Center

Regulation: 3270.67(c)

Description: No insects or rodents

Noncompliance Area: During complaint investigation, the director disclosed that droppings were seen within the past 5 weeks.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection staff files were reviewed. Staff #1 lived outside the state of Pennsylvania within the past 5 years. Staff #1 did not have the required child abuse clearance from the state of Indiana on file at the time of inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #1- may not work in a child care position at the facility until clearance is obtained. TIERED LIS: 1. 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. This portion shall have an immediate correction date. 2. The legal entity must create a written policy that will define how they will keep track of all clearances, trainings, and necessary documentation pertaining to the CPSL. The legal entity will need to review this policy regularly to ensure compliance. This policy must be approved by DHS before implementation. The operator shall provide a date for when this policy will be created.

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: During a complaint investigation staff admitted that a child was put in time out for roughly two hours due to an incident with another peer. This caused the child to not be able to partake in developmental activities, and did not aid the social competence and self-esteem of the child.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.162(c)

Description: Not withheld as discipline

Noncompliance Area: It was admitted by the director that while a child was in time out, a snack was given to other children. The child in timeout was not offered the snack.

Correction Required: Food may not be withheld from a child for purposes of discipline.

Regulation: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: Staff #5 did not received a health assessment and physical within the two-year requirement while working with children. Previous dated health assessment was on 11/9/21. An updated assessment was not completed until 1/4/24.

Correction Required: An adult health assessment must include a physical examination. 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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child #2's financial agreement was not updated within the 6-month requirement. Last dated review was 10/30/23.

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)(10)

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

Noncompliance Area: Staff person #3 had not completed pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum within 90 days of their date of hire. This was corrected and staff #3 received the appropriate CPR certification on 1/12/24. (see code sheet for date of hire).

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1 did not request for the NSOR clearance before working with children. The clearance was not obtained until 1/17/24. Staff #2 requested for the NSOR clearance on time, however, did not receive it until past the 45-day due date and was still working with children. Staff #3 did not request for NSOR prior to working with children. Clearance was not obtained until 3/25/2024. Staff #4 did not apply for the State police clearance prior to working with children. It was not obtained until 12/21/23. Staff #5 did not apply for an updated FBI Clearance within the 5-year requirement and was still working with children. Last FBI clearance was dated for 10/13/2018 and update was received on 4/30/2024. (See code sheet for date of hire/first day 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.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The following dates indicate that fire alarm testing had not been done within the 30-day requirement: 5/17/23, 6/21/23, 7/25/23, 8/30/23, 11/20/23, 12/28/23, 1/30/24, 3/12/24, 4/23/24.

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)(7)

Description: Name/address/phone release person

Noncompliance Area: While at the facility unannounced on 5/18/23 for the renewal inspection the inspector observed the file for child #4 and noted that the file was missing the name, address and telephone number of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: While at the facility unannounced on 5/18/23 for the renewal inspection the inspector observed that the facility utilizes an app for the children versus an emergency contact form. The information for child #5 was reviewed in this app only showed the names of the release persons. The 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.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: While at the facility unannounced on 5/18/23 for the renewal inspection the inspector observed that the Quiet room was missing the required 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: 3270.133(5)

Description: Original label

Noncompliance Area: While at the facility unannounced on 5/18/23 for the renewal inspection the inspector observed an expired Epi Pen, and albuterol inhaler for child #1 and an expired albuterol inhaler #2.

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

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: While at the facility unannounced on 5/18/23 for the renewal inspection the inspector observed that child #3 had prescription medications at the facility but was missing the required medication log.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: While at the facility unannounced on 5/18/23 for the renewal inspection the inspector observed a first aid kit left within reach of children in the "blue dolphin room.

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: While at the facility unannounced on 5/18/23 for the renewal inspection the inspector observed new fencing in the outdoor play space to have the bolts exposed to the inside of the play space where the children would be playing.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #1 did not have a completed NSOR on file within 45 days of hire (see code sheet for date of hire). NSOR date was 11/21/22.

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

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

Noncompliance Area: The facility self- reported that child #1 absconded from the facility on 8/15/22 and was gone for roughly 90 minutes. Staff initially pursued child but lost sight of child.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. Children must be supervised at all times. The legal entity must arrange for all facility persons (including the director) to receive a minimum of three hours of in person training dealing with the supervision of children and be able to subsequently and effectively apply these techniques. The legal entity must receive DHS approval of the training content prior to scheduling the training. This training must be conducted by a live PQAS approved trainer and when no children are present in care. Further, this training will not be allowed to count towards the annual twelve hours of training required by regulation.

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

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

Noncompliance Area: The facility self- reported that child #1 absconded from the facility on 8/15/22 and was gone for roughly 90 minutes. Staff initially pursued child but lost sight of child.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. Children must be supervised at all times. The facility director will implement a supervision policy that will ensure staff fully understand their responsibility regarding the supervision of children at all times. This supervision policy shall be specific to the supervision of children on and off the premises, during transitions and as difficult situations occur. This policy must be submitted to DHS prior to implementation for approval. Once this policy is accepted by DHS the director will ensure all staff and facility persons sign off on this policy as well as any new staff and future staff..

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

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

Noncompliance Area: The facility self- reported that child #1 absconded from the facility on 8/15/22 and was gone for roughly 90 minutes. Staff initially pursued child but lost sight of child.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. Children must be supervised at all times. The facility director will implement a supervision policy specific to outside agencies that are either assigned to aid children or work with specific children directly. This supervision policy will ensure staff fully understand their responsibility regarding the supervision of children at all times and the role of outside agency staff and support persons as it relates to the supervision of children. This policy must be submitted to DHS prior to implementation for approval. Once this policy is accepted by DHS the director will ensure all staff and facility persons sign off on this policy as well as any new staff and future staff.

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

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

Noncompliance Area: The facility self- reported that child #1 absconded from the facility on 8/15/22 and was gone for roughly 90 minutes. Staff initially pursued child but lost sight of child.

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