We Care Learning And Development Center

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: At time of inspection, staff person # 3 did not have an initial health assessment with negative TB screening results documented in their records.

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: At time of inspection, staff person # 3 did not have a TB screening by the Mantoux method documented in their record at initial hire to confirm freedom for communicable Tuberculosis.

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

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

Noncompliance Area: At time of inspection, staff person # 1 (8 hours) and staff person # 2 (8.5 hours) did not have required 12 hours of annual childcare training documented in their records.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. 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: At time of inspection, two volunteers at facility did not have all required clearances documented in their records. Volunteer #4 was missing required child abuse and FBI clearances. Volunteer #5 was missing child abuse, FBI clearance and NSOR certificate.

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.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: At time of inspection, staff person # 3 did not have proof of 2 years of experience working with children documented in their record to help qualify them for their position as AGS at facility.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. 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: At time of inspection, the extension cord in the 1st floor preschool room was missing two electrical outlet covers.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: At time of inspection, the first aid kit in the 1st floor preschool room was missing soap and 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: At time of inspection, in the basement area young toddler room diaper changing area and sink did not have hand washing requirement posted as required.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At time of inspection a child left the preschool classroom to retrieve something in a hallway cubby area holding personal belongings. Staff person # 3 who was assigned supervision of child was not aware child left the room until she returned approximately 2 mins later with director.

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. The legal entity must arrange for staff person #f to receive a minimum of two hours of training regarding supervision of children.

Regulation: 3270.124(b)(4)/3270.181(c)

Description: Written consent/Emergency info/agreement updated 6 mos

Noncompliance Area: At time of inspection, the parents of child #1 did not have a signed updated financial agreement and consent for emergency medical care documented on their emergency contact forms.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. 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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At time of inspection, the parents of children #1 and #2 did not have the addresses of release person documented on their emergency contact forms.

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: 3270.182(3)/3270.182(5)

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

Noncompliance Area: The emergency contact form for child #1 did not have written parental consent for emergency medial care and administration of minor first aid documented on their emergency contact form.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

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

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

Noncompliance Area: At time of inspection, staff persons #1 and #2 did not have proof of completing fire safety training documented in their records as required per regulations.

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: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: At time of inspection, the facility did not have the restrictive pegs that are constructed inside the window frames open and out on the second floor to restrict the windows from opening more than 6 inches as required.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: At time of inspection, the emergency phone numbers were not posted near the telephone in the young toddler room.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.76/3270.104(a)

Description: Building Surfaces/Clean, good repair, proper size

Noncompliance Area: At time of inspection, the wooden shelf storing the blocks in the upstairs preschool room were not mounted to prevent them for becoming a falling hazard. In addition, there was a basket swing in the play yard that needed to be secured and the four cemented anchors need to be covered with some type of foam and/or padding to prevent injury.

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. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.66(a)/3270.66(b)

Description: Locked or inaccessible/Original container

Noncompliance Area: At time of inspection, the spray bottle being used to disinfect the diapering station was not labeled with its contents. In addition, there was bleach being stored in an unlocked cabinet under the bathroom sink in the lower-level bathroom being used by the 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. 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: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: In review of children's files, child 1, enrolled more than 60 days, file failed to include documentation of Rotavirus vaccination, as required based on the child's age, 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).

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: In review of health and safety documentation, facility's policy addressing shaken baby syndrome, abusive head trauma and child maltreatment, failed to address child maltreatment.

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: In review of health and safety documents, staff person 4 had not completed health and safety professional development training updates required by OCDEL within the prescribed timeframe of 12/30/22.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Staff person 4 will have until 05/31/23 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 a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person 4, staff person 4 may not work in a child-care position at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: In review of emergency plan documents, facility's emergency plan failed to include statement regarding continuity of operations.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: In review of staff files, facility person 3 failed to have two 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: 3270.31(e)(4)(ii)/3270.192(2)(iii)

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

Noncompliance Area: In review of fire safety documents, facility person 3 failed to have completed annual fire safety training.

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(e)/3270.192(2)(iii)

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

Noncompliance Area: In review of staff files, staff person 4 failed to have completed 12 hours of annual professional development.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. 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: In review of health and safety documents, staff person 2 failed to have completed pediatric first aid/CPR within 90 days 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 2 will have until 05/31/23 to complete the required training. Until such time as the required training has been completed, staff person 2 must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person 2, staff person 2 may not work in a child-care position at the facility. 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: In review of staff files, staff persons 1 and 4 file failed to have updated mandated reporter training competed within the last 60 months. Mandated reporter training contained in staff person 1 file was last completed on 04/14/18 and mandated reporter training contained in staff person 4 file was last completed on 02/03/18.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff persons 1 and 4 will have until 05/31/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff persons 1 and 4 must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff persons 1 and 4, staff persons 1 and 4 may not work in a child-care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: In review of staff files, staff person 2 file failed to include verification of 2 years (2500 hours) of experience working with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During renewal inspection on Friday, 05/05/23, cert rep observed water located in bathrooms on 2nd floor exceeded 110° F. Hot water read at 130° F.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: During renewal inspection on Monday, 05/02/22, cert rep observed bottles and sippy cups located in young toddler room fell to be labeled with child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: In review of staff files, staff person 1 file failed to contain two written nonfamily references. File only contain one letter 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: 3270.31(f)/3270.192(2)(iii)

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

Noncompliance Area: In review of staff files, staff person 1, hired more than 90 days, file failed to include Health and Safety professional development 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: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: In review of staff files, staff person 2 file failed to contain verification of 2 years of experience working with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During renewal inspection on Monday, 05/02/22, cert rep observed toxics located in a bathroom 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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During renewal inspection on Monday, 05/02/22, cert rep observed water located in bathrooms on 1st and 2nd floor exceeded 110° F. Hot water read at 130° F.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During initial inspection on Monday, 01/03/22, cert rep observed first-aid kit located on first floor, small room, failed to contain soap. First-aid kit located on second floor, main room, failed to contain 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: During initial inspection on Monday, 01/03/22, cert rep observed missing written hand washing signs posted by sink located near sink/diapering area in basement childcare space, addressing when a staff person and child must wash their hands.

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.