Ymca Of Greater Pgh/Environmental Charter School

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The storage door in the cafeteria was open making the cleaning materials and the furnace accessible to children.

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: 3270.25(b)

Description: Post the inspection summary

Noncompliance Area: The operator was not posting a copy of each inspection summary issued by the Department in a conspicuous location used by parents.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 4:00 PM on the day of the inspection, Staff #1 could not identify one of the 11 school aged children that were in their assigned group.

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(f)/3270.181(c)

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

Noncompliance Area: The files for Child #1 and Child #3 contained an emergency contact form that were not updated within 6 months of the previous update.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The files for Child #1, #2, and #3 contained an agreement forms that were 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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Pediatric First Aid/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: Staff person #1 had not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

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

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 #4 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: 3270.124(c)

Description: Each child care space

Noncompliance Area: The Emergency Contact information was not present in the Room for Child #5. Child #5 was present and receiving care in the room.

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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #1, enrolled for more than 60 days, lacked an initial health report. The files for Child #2 and Child #3, both enrolled for more than 60 days, lacked an initial health report and immunization record.

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: ***3RD CITATION: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: (Health and Safety Basic Training and Mandated Reporter Training). Previously cited 4/24/23 and 6/7/23.

Correction Required: Management or Director will utilize preapproved reporting tool with which a member of Management or Director will conduct a minimum of one bi-weekly, unannounced check to document that (Aides, provisional hires, staff who have not yet completed pre-service training, staff with incomplete files, etc.) are supervised by appropriate staff. The completed reporting tool will be kept in file onsite for cert rep to review during inspections for a period of three months.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: **3RD CITATION: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: (Health and Safety Basic Training and Mandated Reporter Training). Previously cited 4/24/23 and 6/7/23.

Correction Required: The legal entity will create a checklist for each individual staff file, including substitute staff, capturing the requirements for a staff member to be unsupervised, from which a list will be created. Staff shall be informed of their status and a visual indicator will be provided at the beginning of each shift & worn by each staff who must be supervised by an AGS or higher, located where staff check in and out of their shift at the facility, until they have met all Preservice requirements.

Regulation: 3270.182(5)

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

Noncompliance Area: The Emergency Contact Form in the file for Child #4 lacked written consent signed by a parent for administration of minor-first aid procedures.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: ***2ND CITATION: Staff #1 was observed to be caring for children unsupervised without an NSOR certificate. When reviewing the file for Staff #2 it was observed that Staff #2 needed out of state clearances. The file for Staff #2 lacked any out of state clearances or requests for out of state clearances and therefore was incorrectly provisionally hired. Previously cited 6/7/23.

Correction Required: Management or Director will utilize preapproved reporting tool with which a member of Management or Director will conduct a minimum of one bi-weekly, unannounced check to document that (Aides, provisional hires, staff who have not yet completed pre-service training, staff with incomplete files, etc.) are supervised by appropriate staff. The completed reporting tool will be kept in file onsite for cert rep to review during inspections for a period of three months.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: **2ND CITATION: Staff #1 was observed to be caring for children unsupervised without an NSOR certificate. When reviewing the file for Staff #2 it was observed that Staff #2 needed out of state clearances. The file for Staff #2 lacked any out of state clearances or requests for out of state clearances and therefore was incorrectly provisionally hired. Previously cited 6/7/23.

Correction Required: The legal entity will create a checklist for each individual staff file, including substitute staff, capturing the requirements for a staff member to be unsupervised, from which a list will be created. Staff shall be informed of their status and a visual indicator will be provided at the beginning of each shift & worn by each staff who must be supervised by an AGS or higher, located where staff check in and out of their shift at the facility, until they have met all CPSL requirements.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: ***3RD CITATION: Staff #1, qualified to be an aide, was observed caring for children unsupervised. Previously cited 4/24/23 and 6/7/23.

Correction Required: Management or Director will utilize preapproved reporting tool with which a member of Management or Director will conduct a minimum of one bi-weekly, unannounced check to document that (Aides, provisional hires, staff who have not yet completed pre-service training, staff with incomplete files, etc.) are supervised by appropriate staff. The completed reporting tool will be kept in file onsite for cert rep to review during inspections for a period of three months.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: **3RD CITATION: Staff #1, qualified to be an aide, was observed caring for children unsupervised. Previously cited 4/24/23 and 6/7/23.

Correction Required: The legal entity will create a checklist for each individual staff file, including substitute staff, capturing the requirements for a staff member to be unsupervised, from which a list will be created. Staff shall be informed of their status and a visual indicator will be provided at the beginning of each shift & worn by each staff who must be supervised by an AGS or higher, located where staff check in and out of their shift at the facility, until they have met all educational & experiential qualifications.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: **2ND CITATION: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: (Health and Safety Basic Training and Mandated Reporter Training). Previously cited 4/24/23

Correction Required: The legal entity will create a checklist for each individual staff file, including substitute staff, capturing the requirements for a staff member to be unsupervised, from which a list will be created. Staff shall be informed of their status and a visual indicator will be provided at the beginning of each shift & worn by each staff who must be supervised by an AGS or higher, located where staff check in and out of their shift at the facility, until they have met all Preservice requirements.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: *2ND CITATION: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: (Health and Safety Basic Training and Mandated Reporter Training). Previously cited 4/24/23

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: ***2ND CITATION: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: (Health and Safety Basic Training and Mandated Reporter Training). Previously cited 4/24/23

Correction Required: Management or Director will develop a reporting tool with which a member of Management or Director will conduct a minimum of one bi-weekly, unannounced check to document that (Aides, provisional hires, staff who have not yet completed pre-service training, staff with incomplete files, etc.) are supervised by appropriate staff. The tool should be submitted for approval to the Regional Office prior to use. Upon approval, the completed tool will be submitted to the Regional office within 2 business days after the checks have occurred, for a period of three months.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: **Staff #1 was observed to be caring for children unsupervised without an NSOR certificate. When reviewing the file for Staff #2 it was observed that Staff #2 needed out of state clearances. The file for Staff #2 lacked any out of state clearances or requests for out of state clearances and therefore was incorrectly provisionally hired.

Correction Required: The legal entity will create a checklist for each individual staff file, including substitute staff, capturing the requirements for a staff member to be unsupervised, from which a list will be created. Staff shall be informed of their status and a visual indicator will be provided at the beginning of each shift & worn by each staff who must be supervised by an AGS or higher, located where staff check in and out of their shift at the facility, until they have met all CPSL requirements.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: ***Staff #1 was observed to be caring for children unsupervised without an NSOR certificate. When reviewing the file for Staff #2 it was observed that Staff #2 needed out of state clearances. The file for Staff #2 lacked any out of state clearances or requests for out of state clearances and therefore was incorrectly provisionally hired.

Correction Required: Management or Director will develop a reporting tool with which a member of Management or Director will conduct a minimum of one bi-weekly, unannounced check to document that (Aides, provisional hires, staff who have not yet completed pre-service training, staff with incomplete files, etc.) are supervised by appropriate staff. The tool should be submitted for approval to the Regional Office prior to use. Upon approval, the completed tool will be submitted to the Regional office within 2 business days after the checks have occurred, for a period of three months.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: *Staff #1 was observed to be caring for children unsupervised without an NSOR certificate. When reviewing the file for Staff #2 it was observed that Staff #2 needed out of state clearances. The file for Staff #2 lacked any out of state clearances or requests for out of state clearances and therefore was incorrectly provisionally hired.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work 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: 2ND CITATION: Staff #1 acting as an assistant group supervisor lacked documentation of the qualifications required. Previously cited 4/24/23

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: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: **2ND CITATION: *Staff #1, qualified to be an aide, was observed caring for children unsupervised. Previously cited 4/24/23

Correction Required: The legal entity will create a checklist for each individual staff file, including substitute staff, capturing the requirements for a staff member to be unsupervised, from which a list will be created. Staff shall be informed of their status and a visual indicator will be provided at the beginning of each shift & worn by each staff who must be supervised by an AGS or higher, located where staff check in and out of their shift at the facility, until they have met all educational & experiential qualifications.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: ***2ND CITATION: *Staff #1, qualified to be an aide, was observed caring for children unsupervised. Previously cited 4/24/23

Correction Required: Management or Director will develop a reporting tool with which a member of Management or Director will conduct a minimum of one bi-weekly, unannounced check to document that (Aides, provisional hires, staff who have not yet completed pre-service training, staff with incomplete files, etc.) are supervised by appropriate staff. The tool should be submitted for approval to the Regional Office prior to use. Upon approval, the completed tool will be submitted to the Regional office within 2 business days after the checks have occurred, for a period of three months.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: *2ND CITATION: *Staff #1, qualified to be an aide, was observed caring for children unsupervised. Previously cited 4/24/23

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: **2ND CITATION: At approximately 4:30 PM, Staff #1 opened the outside facility door and let a child leave the facility. The facility outside door was shut and the child was left alone outside of the facility. Staff #1 was seen returning to the inside of the facility where they were not able to see, hear, direct, and assess the child. PREVIOUSLY CITED ON 1/11/23.

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 update their dismissal policy to include specific and detailed steps on releasing a child without a lapse in supervision. This policy must be submitted to OCDEL for approval.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: *2ND CITATION: At approximately 4:30 PM, Staff #1 opened the outside facility door and let a child leave the facility. The facility outside door was shut and the child was left alone outside of the facility. Staff #1 was seen returning to the inside of the facility where they were not able to see, hear, direct, and assess the child. PREVIOUSLY CITED ON 1/11/23.

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.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: 3RD CITATION: At approximately 4:30 PM, Staff #1 opened the outside facility door and let a child leave the facility. The facility outside door was shut and the child was left alone outside of the facility. Staff #1 was seen returning to the inside of the facility where they were not physically present with the child in their group. PREVIOUSLY CITED ON 12/12/22 and 1/11/23.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: (Health and Safety Basic 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. Until such time as the required pre-service trainings are completed, staff person #1 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 #1, staff person #1 may not work in a child-care position 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: Staff #1 acting as an assistant group supervisor lacked documentation of the qualifications required.

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: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: **Staff #1, qualified to be an aide, was observed caring for children unsupervised.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor. The legal entity will devise a physical system identifying which staff members are qualified to supervise children alone and which staff members need to be supervised, with the resulting information being available to all staff who are working.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: *Staff #1, qualified to be an aide, was observed caring for children unsupervised.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: 2ND CITATION: At approximately 4:30 PM, Staff #1 opened the outside facility door and let a child leave the facility. The facility outside door was shut and the child was left alone outside of the facility. Staff #1 was seen returning to the inside of the facility. The child did not see their pickup person and returned to the facility door where they knocked on the door to speak with Staff #1. Therefore, Ratio was 0:1. PREVIOUSLY CITED ON 1/11/23.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: **At approximately 3:40 PM a young school aged child was seen going to the restroom down the hallway alone and unsupervised. Therefore, children on the facility premises were not supervised by a staff person at all times.

Correction Required: Children must be supervised at all times. All staff working at the facility will take In Person Supervision Training with the ELRC Region #5 within 45 days of the issuance of the inspection summary.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: ***At approximately 3:40 PM a young school aged child was seen going to the restroom down the hallway alone and unsupervised. Therefore, children on the facility premises were not supervised by a staff person at all times.

Correction Required: Children must be supervised at all times. The director will conduct a monthly mandatory staff meeting for at least 3 months discussing ratio and supervision and submit agendas, minutes, and staff sign in sheets to OCDEL.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: *At approximately 3:40 PM a young school aged child was seen going to the restroom down the hallway alone and unsupervised. Therefore, children on the facility premises were not supervised by a staff person at all times.

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.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: *2ND CITATION: At approximately 3:40 PM a young school aged child was seen going to the restroom down the hallway alone and unsupervised. Therefore, staff was not physically present with the child in her group that she was responsible for supervising. PREVIOUSLY CITED ON 12/12/22.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 3:40 PM a young school aged child was seen going to the restroom down the hallway alone and unsupervised. Therefore, ratio was 0:1. At 3:45 PM Staff #1 and #2 were observed in the cafeteria with 35 young school age children. Therefore, ratio was 2:35; 1:17 and 1:18. Therefore, ratio when children are grouped in similar age levels, was not met for maximum group sizes and ratios for staff persons; which is 1:12 with a maximum group size of 24 for young school aged children.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a cracked plastic Tupperware bin and toy skimmer that were in the outside playground space and creating a pinching hazard to the children in care.

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 3:45 PM, Staff #1 and Staff #2 had a group of school age children in the front of the cafeteria. When asked to name their group of assigned children and how many children they were responsible for; Staff #1 named and identified 6 children in their assigned group and Staff #2 named and identified having 8 children in their group. Cert Rep counted the children and noticed that one child was not named or identified as being assigned to a group.

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(c)

Description: Each child care space

Noncompliance Area: The Emergency Contact information was not present in the Cafeteria for Child #2. The child was present and receiving care in the room.

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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: The file for Child #1 lacked an initial health report within 60 days of attendance.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Pediatric First Aid/CPR and 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.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: The fire drill written record on file at the facility did not include the names of the facility persons who had particapted in the fire drill.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: At the time of Renewal Inspection, the last valid annual Fire Detection Letter on file was dated 9/16/21 and the facility was not testing the smoke detection system monthly.

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.