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Child Care Center ✓ Licensed

Zhang Sah

Philadelphia, PA · Philadelphia County
3901 Conshohocken Ave, Philadelphia, PA 19131
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Quick Facts

Capacity
57 children
Languages
English, Chinese - Mandarin, Spanish
Subsidized Program
Participates
State Rating
4

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Contact Information

📞 (215) 372-7045
3901 Conshohocken Ave
Philadelphia, PA 19131
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✓ Licensed Child Care Center
Active License
License Number
CER-00251293
License Issued
Feb 26, 2026
Active Through
Feb 26, 2027
Issued By
Pennsylvania Department of Education and Public Welfare
District Office
Early Learning Resource Center for Region 22

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About the Provider

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Zhang Sah is a Child Care Center in Philadelphia PA, with a maximum capacity of 57 children. It is open Monday - Friday, 8:00 AM - 6:00 PM. The provider also participates in a subsidized child care program.

Hours of Operation

  • Monday8:00 AM - 6:00 PM
  • Tuesday8:00 AM - 6:00 PM
  • Wednesday8:00 AM - 6:00 PM
  • Thursday8:00 AM - 6:00 PM
  • Friday8:00 AM - 6:00 PM
  • Saturday Closed
  • Sunday Closed

Inspection/Report History

Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.

Inspection Date Reason Description Status
2026-01-08 Renewal 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the renewal inspection on 01/08/26, Certification Representative reviewed the file for staff member #3 and found the staff member did not have 2 references on file.

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.

Provider Response: (Contact the State Licensing Office for more information.)
We will obtain the 2 references for staff member #3 and put them in the staff's file.
2026-01-08 Renewal 3270.31(e)(4)(ii) - Fire safety - 1 yr. Compliant - Finalized

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

Description: Fire safety - 1 yr.

Noncompliance Area: During the renewal inspection on 01/08/26, Certification Representative reviewed the files for staff member #2 and staff member #3. The files did not contain verification of the annual fire safety training.

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

Provider Response: (Contact the State Licensing Office for more information.)
Both staff will complete approved fire safety training and verification will be put in the staff's files.
2026-01-08 Renewal 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the renewal inspection on 01/08/26, Certification Representative reviewed the file for staff member #1. The staff member did not have verification of the Health and Safety trainings on file.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 will complete the health and safety trainings, and we will put verification in the staff's file.
2025-01-16 Renewal 3270.124(b)(4)/3270.182(3) - Written consent/Consent for emergency medical care required prior to admission Compliant - Finalized

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

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

Noncompliance Area: During the renewal inspection on 01/16/2025, Certification Representative reviewed the file for child #1. The file did not contain 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.

Provider Response: (Contact the State Licensing Office for more information.)
We will have the parent sign the consent for emergency medical care.
2025-01-16 Renewal 3270.131(b)(2) - Toddler/preschool: updated health report every 12 months Compliant - Finalized

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: During the renewal inspection on 01/16/2025, Certification Representative reviewed the file for child #2 and child #3. The file did not contain an updated health report within the last 12 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Provider Response: (Contact the State Licensing Office for more information.)
We will have the parent submit an updated health assessment and place it on file.
2025-01-16 Renewal 3270.182(5) - Consent for administration of minor first-aid required prior to admission Compliant - Finalized

Regulation: 3270.182(5)

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

Noncompliance Area: During the renewal inspection on 01/16/2025, Certification Representative reviewed the file for child #1. The file did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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

Provider Response: (Contact the State Licensing Office for more information.)
We will have the parent sign consent for minor first-aid.
2025-01-16 Renewal 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the renewal inspection on 01/16/2025, Certification Representative reviewed the files for staff person #1 and staff person #2. Both files did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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.

Provider Response: (Contact the State Licensing Office for more information.)
We will obtain two written, nonfamily references for both staff and place them on file.
2025-01-16 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 01/16/2025, Certification Representative reviewed the files for staff person #1 and staff person #2. Both files did not contain verification of the completed NSOR clearance or a copy of the request for the NSOR clearance.

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

Provider Response: (Contact the State Licensing Office for more information.)
We will obtain verification of the NSOR clearance and place it in the staff's file, and the staff will not work with the children until the verification is received. Staff #1 is no longer employed at the facility, and staff #2 was dismissed from the facility until the clearance is received.
2024-09-27 Complaints- Legal Location 3270.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the complaint investigation on 09/27/24, Certification Representative was informed that staff person #1 left a child unattended in the facility's vehicle for approximately 7 minutes.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 was terminated on the date of the incident. Also, a meeting will be held with all remaining facility staff to reinforce safety and supervision, and all staff will complete a training on supervision.
2024-09-27 Complaints- Legal Location 3270.177(a) - Not unattended in vehicle Compliant - Finalized

Regulation: 3270.177(a)

Description: Not unattended in vehicle

Noncompliance Area: During the complaint investigation on 09/27/24, Certification Representative was informed that staff person #1 left a child unattended in the facility's vehicle for approximately 7 minutes.

Correction Required: Children may not be left unattended in a vehicle.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 was terminated on the date of the incident. Also, a meeting will be held with all remaining facility staff to reinforce safety and supervision, and all staff will complete a training on supervision.
2023-12-07 Renewal 3270.115(a)(6) - Lifeguard training/supervision Compliant - Finalized

Regulation: 3270.115(a)(6)

Description: Lifeguard training/supervision

Noncompliance Area: During the renewal inspection on 12/07/23, Certification Representative observed a large outdoor pool and was informed by the facility that the children does participate in swimming. The facility did not have a lifeguard on staff or a lifeguard file.

Correction Required: When children are swimming, supervision shall include one person certified in lifeguard training, as described in § 3270.31(e)(4)(iii) (relating to age and training).

Provider Response: (Contact the State Licensing Office for more information.)
The children will not participate in swimming until a lifeguard is hired and a file is completed for the facility's lifeguard.
2023-12-07 Renewal 3270.124(f) - Updated every 6 months Compliant - Finalized

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: During the renewal inspection on 12/07/23, Certification Representative observed that the emergency contact form for child #1, #2, #3, and #4 was not updated at least once in a 6-month period.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The emergency contact forms were updated and placed in the children's files.
2023-12-07 Renewal 3270.131(a) - Health information Compliant - Finalized

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: During the renewal inspection on 12/07/23, Certification Representative observed that child #3 and #4 did not have an initial health report on file.

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.

Provider Response: (Contact the State Licensing Office for more information.)
A health assessment will be obtained and filed for child #3 and #4
2023-12-07 Renewal 3270.131(d)(5) - Immunization record Compliant - Finalized

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: During the renewal inspection on 12/07/23, Certification Representative observed that child #3 and #4 did not have an initial health report on file or immunized status according to recommendations of the ACIP.

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

Provider Response: (Contact the State Licensing Office for more information.)
Immunization reports will be obtained for child #3 and #4 and filed.
2023-12-07 Renewal 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection on 12/07/23, the facility did not have a written policy posted or available to present to Certification Representative to address recognition of potential signs of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing or distraught child, or the prevention and identification of 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.

Provider Response: (Contact the State Licensing Office for more information.)
A written policy was completed and placed on file to address recognition of potential signs of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing or distraught child, and the prevention and identification of child maltreatment.
2023-12-07 Renewal 3270.176(f) - Prohibition using an 11-15 passenger vans Compliant - Finalized

Regulation: 3270.176(f)

Description: Prohibition using an 11-15 passenger vans

Noncompliance Area: During the renewal inspection on 12/07/23, Certification Representative observed an 11 passenger van being used to transport facility children.

Correction Required: In accordance with the requirements of 67 Pa. Code Chapter 171 (relating to school buses and school vehicles), the facility may not transport a child in an 11-15 passenger van.

Provider Response: (Contact the State Licensing Office for more information.)
We will discontinue transporting the children in this van immediately. We are now using two 10 passenger vans at the facility.
2023-12-07 Renewal 3270.181(c) - Emergency info/agreement updated 6 mos Compliant - Finalized

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection on 12/07/23, Certification Representative observed that the emergency contact form and financial agreement for child #1, #2, #3, and #4 was not updated at least once in a 6-month period.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The emergency contact forms and fee agreements will be updated and placed in the children's files.
2023-12-07 Renewal 3270.192(2)(ii) - Exp, educ., training prior to facility Compliant - Finalized

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: During the renewal inspection on 12/07/23, the files for staff #2 and staff #3 did not include verification of child care experience, education and training prior to service at the facility.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Verification of child care experience, education and training will be obtained and filed for staff person #2 and #3.
2023-12-07 Renewal 3270.192(2)(iv) - Transcript, diploma and letters Compliant - Finalized

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: During the renewal inspection on 12/07/23, the files for staff #2 and staff #3 did not include verification of child care experience, education and training prior to service at the facility

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

Provider Response: (Contact the State Licensing Office for more information.)
Verification of child care experience, education and training will be obtained and filed for staff person #2 and #3.
2023-12-07 Renewal 3270.192(3) - Health assessment, TB test Compliant - Finalized

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: During the renewal inspection on 12/07/23, the files for staff #2, #3, and #4 did not include verification of 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.

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
Health Assessments and TB tests with results will be obtained for each staff person and filed in the staff's record.
2023-12-07 Renewal 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the renewal inspection on 12/07/23, the files for staff #2, #3, and #4 did not include verification two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person will be obtained and filed for each of the staff.
2023-12-07 Renewal 3270.27(f) - Emergency plan Compliant - Finalized

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During the renewal inspection on 12/07/23, the facility did not have verification that the emergency plan was sent to the local municipality and/or 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.

Provider Response: (Contact the State Licensing Office for more information.)
The emergency plan was sent to the local municipality and verification was put on file at the facility.
2023-12-07 Renewal 3270.31(e) - Age and Training Compliant - Finalized

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the renewal inspection on 12/07/23, staff person #1 did not have verification of an annual minimum of 12 clock hours of child care training.

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

Provider Response: (Contact the State Licensing Office for more information.)
We will obtain verification of the 12 clock hours of child care training for staff.
2023-12-07 Renewal 3270.31(e)(4)(i)/3270.31(f)(10) - Age and Training/Health and Safety Training - Pediatric First Aid and CPR Compliant - Finalized

Regulation: 3270.31(e)(4)(i)/3270.31(f)(10)

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

Noncompliance Area: During the renewal inspection on 12/07/23, staff persons #2, #3, and #4 did not have verification of pediatric first aid and pediatric cardiopulmonary resuscitation training.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Provider Response: (Contact the State Licensing Office for more information.)
The staff will complete pediatric first aid and CRP training, and verification will be placed in the staff's files.
2023-12-07 Renewal 3270.31(e)(4)(ii) - Fire safety - 1 yr. Compliant - Finalized

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

Description: Fire safety - 1 yr.

Noncompliance Area: During the renewal inspection on 12/07/23, staff persons #1 did not have verification of firesafety training conducted by a fire protection professional.

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.

Provider Response: (Contact the State Licensing Office for more information.)
We will obtain the verification of firesafety training for the staff person and place on file.
2023-12-07 Renewal 3270.31(e)(4)(iv) - Water safety Compliant - Finalized

Regulation: 3270.31(e)(4)(iv)

Description: Water safety

Noncompliance Area: During the renewal inspection on 12/07/23, staff persons #1 did not have verification of completion of basic instruction in water safety from a certified lifeguard.

Correction Required: Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard.

Provider Response: (Contact the State Licensing Office for more information.)
Verification of water safety training will be obtained and filed for staff.
2023-12-07 Renewal 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the renewal inspection on 12/07/23, staff persons #1, #2, and #4 did not have verification of the health and safety training on file.

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

Provider Response: (Contact the State Licensing Office for more information.)
Verification of the Health and Safety training will be obtained for staff members and placed in each staff's file.
2023-12-07 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 12/07/23, staff person #2 did not have verification of FBI and NSOR clearances, and Mandated Reporter training. Staff #3 did not have FBI and NSOR clearances, and staff person #4 did not have NSOR clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #2, #3, 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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff members #2, #3, and #4 will not return to the facility until required CPSL clearances are obtained.
2023-12-07 Renewal 3270.75(c) - Has all items Compliant - Finalized

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the renewal inspection on 12/07/23, the first-aid kit in the after-school room did not contain soap, tape, or tweezers. The first-aid kit in the small Dojo room did not contain Tweezers or soap, and the first-aid kit in the large Dojo room towards the back of the facility did not contain soap, scissors, or 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.

Provider Response: (Contact the State Licensing Office for more information.)
All first-aid kits have been replenished with all required items.
2023-12-07 Renewal 3270.76 - Building Surfaces Compliant - Finalized

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection on 12/07/23, Certification Representative observed an inoperable toilet that was in need of flushing and cleaning.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The toilet was repaired by a plumber.
2023-12-07 Renewal 3270.77(a) - No peeling paint or plaster Compliant - Finalized

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection on 12/07/23, Certification Representative observed an area of chipped paint on the wall in the pre-k classroom.

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

Provider Response: (Contact the State Licensing Office for more information.)
We will remove the chipped paint and repaint the wall.
2023-12-07 Renewal 3270.82(h) - Handwashing signs Compliant - Finalized

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During the renewal inspection on 12/07/23, the girl's bathroom did not have a handwashing sign with the requirements posted.

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.

Provider Response: (Contact the State Licensing Office for more information.)
A sign with the handwashing requirement was posted in the girls bathroom.
2023-12-07 Renewal 3270.91(a) - Stairs, exits, etc. unobstructed Compliant - Finalized

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: During the renewal inspection on 12/07/23, the rear exit doors in the pre-k room were being blocked with chairs.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Provider Response: (Contact the State Licensing Office for more information.)
The chairs were moved, and the doors are now free and clear for exiting.
2022-10-05 Renewal 3270.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, Certification Representative observed 5 occurrences of children leaving their classroom and entering a bathroom across the lobby of the facility that is used by other tenants in the building. The children were not supervised by staff members during this time.

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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Provider Response: (Contact the State Licensing Office for more information.)
All staff are completing/re-taking the required BKC health and safety training.
2022-10-05 Renewal 3270.123(a) - Signed Compliant - Finalized

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 5 child files were reviewed. Child # 2 and 5 files contained fee agreements that were not signed by the operator.

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

Provider Response: (Contact the State Licensing Office for more information.)
Student files were audited for compliance. Operator signatures were added to all fee agreements in student files.
2022-10-05 Renewal 3270.123(a)(1) - Amount of fee Compliant - Finalized

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 5 child files were reviewed. Child # 1,2,3,4 and 5 files contained fee agreements that did not specify the amount of the fee to be charged per day or per week.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Provider Response: (Contact the State Licensing Office for more information.)
Student files were audited for compliance. Missing daily/weekly fee amounts were added to all fee agreements in student files.
2022-10-05 Renewal 3270.123(a)(2) - Date fee to be paid Compliant - Finalized

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 5 child files were reviewed. Child # 1,2,3,4 and 5 files contained fee agreements that did not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Provider Response: (Contact the State Licensing Office for more information.)
Student files were audited for compliance. Scheduled payment days were added to all fee agreements in student files.
2022-10-05 Renewal 3270.123(a)(5) - Designated release persons Compliant - Finalized

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 5 child files were reviewed. Child # 1 ,2 and 5 files contained fee agreements that did not specify persons designated by a parent to whom the child may be released.

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

Provider Response: (Contact the State Licensing Office for more information.)
Student files were audited for compliance. Persons designated by parents for student pick up were added to all fee agreements in student files.
2022-10-05 Renewal 3270.123(a)(6)/3270.182(2) - Admission date/Application, admission, withdrawal dates Compliant - Finalized

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 5 child files were reviewed. Child # 1,2,3,4 and 5 files contained fee agreements that did not specify the date of the child's admission .

Correction Required: An agreement shall specify the date of the child's admission.A child's record shall contain the dates of application, admission and withdrawal of the child.

Provider Response: (Contact the State Licensing Office for more information.)
Student files were audited for compliance. Date of student admission was added to all fee agreements in student files.
2022-10-05 Renewal 3270.124(a) - Each child emergency contact person Compliant - Finalized

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 5 child files were reviewed. Child # 2 file did contain an emergency contact form.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Provider Response: (Contact the State Licensing Office for more information.)
Student files were audited for compliance. All files must contain complete Emergency contact information. Zhang Sah Staff worked with student families to complete missing emergency contact information
2022-10-05 Renewal 3270.124(b)(2) - Physician name, address, phone Compliant - Finalized

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 5 child files were reviewed. Child # 1 file contained an emergency contact form that did not include the name address and telephone number of the child's physician or source of medical care. Child # 3 and 4 files contained emergency contact forms that did not include the name of the child's physician or source of medical care.

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

Provider Response: (Contact the State Licensing Office for more information.)
Student files were audited for compliance. All files must contain complete Emergency contact information, including the name, address, and phone number of the child's physician and source of medical care. Zhang Sah Staff worked with student families to complete missing emergency contact information.
2022-10-05 Renewal 3270.124(b)(3) - Parent home/work address, phone Compliant - Finalized

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 5 child files were reviewed. Child # 1 and 5 files contained emergency contact forms that did not include the work address and work telephone number of the enrolling parent.

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

Provider Response: (Contact the State Licensing Office for more information.)
Student files were audited for compliance. All files must contain complete Emergency contact information, including the name, work address, and work phone number of the child's enrolling parent. Zhang Sah Staff worked with student families to complete missing emergency contact information.
2022-10-05 Renewal 3270.124(b)(4)/3270.182(3) - Written consent/Consent for emergency medical care required prior to admission Compliant - Finalized

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

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

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 5 child files were reviewed. Child # 1 file contained an emergency contact form that did not include the 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.

Provider Response: (Contact the State Licensing Office for more information.)
Student files were audited for compliance. All files must contain complete Emergency contact information, including the parent signed consent for emergency medical care . Zhang Sah Staff worked with student families to complete missing emergency contact information.
2022-10-05 Renewal 3270.124(b)(5) - Information re: special needs Compliant - Finalized

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 5 child files were reviewed. Child # 1 and 5 files contained emergency contact forms that did not include information on the child's special needs.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Provider Response: (Contact the State Licensing Office for more information.)
Student files were audited for compliance. All files must contain complete Emergency contact information, including the child's special needs. Zhang Sah Staff worked with student families to complete missing emergency contact information.
2022-10-05 Renewal 3270.124(b)(6) - Insurance coverage information Compliant - Finalized

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 5 child files were reviewed. Child # 1 file contained an emergency contact form that did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Provider Response: (Contact the State Licensing Office for more information.)
Student files were audited for compliance. All files must contain complete Emergency contact information, including the child's health insurance coverage and policy number. Zhang Sah Staff worked with student families to complete missing emergency contact information.
2022-10-05 Renewal 3270.124(b)(7) - Name/address/phone release person Compliant - Finalized

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 5 child files were reviewed. Child # 1 ,3,4,and 5 files contained emergency contact forms that did not list the complete address of the person 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.

Provider Response: (Contact the State Licensing Office for more information.)
Student files were edited for compliance. All files must contain complete Emergency contact information, including the complete address of the person designated by the parent to whom the child may be released. Zhang Sah Staff worked with student families to complete missing emergency contact information.
2022-10-05 Renewal 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos Compliant - Finalized

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 5 child files were reviewed. Child # 3 and 4 files contained fee agreements and emergency contact forms that were last updated on 10/15/2021.

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 informationA 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.

Provider Response: (Contact the State Licensing Office for more information.)
Student files were audited for compliance. All files must contain complete fee agreements with a parent review signature no older than 6 months. Zhang Sah Staff worked with student families to complete missing emergency contact information.
2022-10-05 Renewal 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 4 staff files were reviewed. Staff member # 2,3 and 4 files did not contain verification of CPR training. Staff member # 1,3 and 4 files did not contain verification of training on required health and safety topics. Staff member #1, 2,3 and 4 cannot care for children unsupervised until this requirement is fulfilled.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Effective on 10/5/22 Non Compliant staff were removed from child supervision duties until verification of required training is received. Professional development and other resources are offered to staff covering Pediatric First aid/CPR, and Health & Safety.
2022-10-05 Renewal 3270.151(c)(3)/3270.192(3) - Exam communicable disease/Health assessment, TB test Compliant - Finalized

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

Description: Exam communicable disease/Health assessment, TB test

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 4 staff files were reviewed. Staff member # 1 file contained a health assessment dated 6/13/2020. This health assessment is not valid. Staff member # 2,3 and 4 files did not contain a health assessment.

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

Provider Response: (Contact the State Licensing Office for more information.)
Non-compliant staff were removed from program until completion of health assessment and tuberculosis test is verified
2022-10-05 Renewal 3270.182(5) - Consent for administration of minor first-aid required prior to admission Compliant - Finalized

Regulation: 3270.182(5)

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

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 5 child files were reviewed. Child # 1 file contained an emergency contact form that did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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

Provider Response: (Contact the State Licensing Office for more information.)
Student files were audited for compliance. All files must contain complete Emergency contact information, including the parent signed consent for minor first aid procedures. Zhang Sah Staff worked with student families to complete missing emergency contact information.
2022-10-05 Renewal 3270.182(6) - Signed parental consent for transportation, walking excursions, swimming and wading Compliant - Finalized

Regulation: 3270.182(6)

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

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 5 child files were reviewed. Child # 5 file contained an emergency contact form that did address the section regarding signed parental consent for transportation.

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

Provider Response: (Contact the State Licensing Office for more information.)
Student files were audited for compliance. All files must contain complete Emergency contact information, including the parent signed consent for transportation. Zhang Sah Staff worked with student families to complete missing emergency contact information.
2022-10-05 Renewal 3270.192(2)(ii)/3270.192(2)(iv) - Exp, educ., training prior to facility/Transcript, diploma and letters Compliant - Finalized

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 4 staff files were reviewed. Staff member # 1 file did not contain verification of child care experience prior to service at the facility. Staff member # 2 and 3 file did not contain verification of child care experience , education and training prior to service at the facility. Staff member # 4 file did not contain a transcript to verify the required education to work in the facility. Staff member # 4 file did not contain child care experience prior to working at the facility.

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

Provider Response: (Contact the State Licensing Office for more information.)
Non-compliant staff were removed from program until child care experience and/or proof of qualifications is verified
2022-10-05 Renewal 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 4 staff files were reviewed. Staff member # 2,3 and 4 files did not contain any written references.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Provider Response: (Contact the State Licensing Office for more information.)
Non-compliant staff were removed from program until two written references are received.
2022-10-05 Renewal 3270.27(c) - Training regarding plan Compliant - Finalized

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 4 files were reviewed. Staff member # 1,2,3 and 4 files did not contain verification of emergency plan training.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff were trained in the site's emergency plan on 10/20/22.
2022-10-05 Renewal 3270.31(e) - Age and Training Compliant - Finalized

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 4 staff files were reviewed. Staff member # 1 file contained 7.5 hours of child care training. Staff member # 2, 3 and 4 files did not contain any hours of child care training.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff will attend 12 hours of professional development before returning to child supervision duties.
2022-10-05 Renewal 3270.31(e)(4)(ii) - Fire safety - 1 yr. Compliant - Finalized

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

Description: Fire safety - 1 yr.

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 4 staff files were reviewed. Staff member # 1 file contained a fire safety training certificate dated August 2021. This certificate is not valid. Staff member # 2 and 4 files did not contain verification of 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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff have completed fire safety. Fire safety certification was submitted to Certification Rep.
2022-10-05 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 4 staff files were reviewed. Staff member # 1 file did not contain a valid FBI clearance. The clearances was dated 5/26/2017. Staff member # 2 file did not contain a signed disclosure statement. Staff member #2 submitted a Texas Driver's License issued on 2/7/2017 and expiring on 3/5/2023. Staff member # 2 file did not contain State Police and Child Abuse clearances from Texas as required by Child Protective Service Laws in PA. Staff member # 1 ,2 and 3 may not work in a child care position at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1,3 and 2 may not work in a child care position at the facility. Facility Person #1,2 and3 may not work in a child care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff members were removed from duties on 10/5. FBI clearance has been verified for staff #1. Staff member 2 has left Zhang Sah and will not be returning.
2022-10-05 Renewal 3270.33(d) - General requirements for facility persons Compliant - Finalized

Regulation: 3270.33(d)

Description: General requirements for facility persons

Noncompliance Area: During a renewal inspection conducted on 10/5/2022, 4 staff files were reviewed. Staff member # 2,3 and 4 files did not contain verification of CPR training. Staff member # 2,3 and 4 cannot care for children unsupervised until this requirement is fulfilled.

Correction Required: One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

Provider Response: (Contact the State Licensing Office for more information.)
Non-compliant staff were removed from program (10.5.22) until completion of Pediatric/Adult CPR/First training is verified.
2022-10-05 Renewal 3270.34(a)(6) - Staff evaluations Compliant - Finalized

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During a renewal inspection conduced on 10/5/2022, 4 staff files were reviewed. Staff member # 2 and 4 files did not contain a written evaluation.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Provider Response: (Contact the State Licensing Office for more information.)
Written references are kept in out executive offices. Evidence of annual written evaluations are now maintained in staff files on site.
2021-11-16 Renewal 3270.123(a)(1) - Amount of fee Compliant - Finalized

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: During a renewal inspection conducted on 11/18/2021, child files were reviewed. Child # 1 and 2 files contained a fee agreement that did not list the fee amount to paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Provider Response: (Contact the State Licensing Office for more information.)
Provider has included a fee agreement with each child file. This agreement specifies the amount of the fee to be charged each week.
2021-11-16 Renewal 3270.123(a)(2) - Date fee to be paid Compliant - Finalized

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: During a renewal inspection conducted on 11/18/2021, 2 child files were reviewed. Child # 1 and 2 file contained a fee agreement that did not specify the date the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Provider Response: (Contact the State Licensing Office for more information.)
The provider has added a fee agreement to each child file. This agreement specifies the date on which each fee is to be paid..
2021-11-16 Renewal 3270.123(a)(5) - Designated release persons Compliant - Finalized

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: During a renewal inspection conducted on 11/18/2021, 2 child files were reviewed. Child # 2 file a fee agreement that did not list the persons designated by a parent to whom the child may be released.

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

Provider Response: (Contact the State Licensing Office for more information.)
Provider met with the parent of Child # 2 to update their file. The file now lists the persons designated by a parent to whom the child may be released.
2021-11-16 Renewal 3270.123(a)(6)/3270.182(2) - Admission date/Application, admission, withdrawal dates Compliant - Finalized

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: During the renewal inspection conducted on 11/18/2021, 2 child files were reviewed. Child # 1 and 2 files contained a fee agreement that did not list the child's date of admission.

Correction Required: An agreement shall specify the date of the child's admission.A child's record shall contain the dates of application, admission and withdrawal of the child.

Provider Response: (Contact the State Licensing Office for more information.)
Provider has added the date of admission to the program enrollment packet for Child # 1 and Child # 2.
2021-11-16 Renewal 3270.124(b)(7) - Name/address/phone release person Compliant - Finalized

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During renewal inspection conducted on 11/18/2021, 2 child files were reviewed. Child # 1 file contained an emergency contact form that did not list 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.

Provider Response: (Contact the State Licensing Office for more information.)
Provider met with parent/guardian of Child # 1 to obtain the addresses of the individuals to whom the child may be released.
2021-11-16 Renewal 3270.151(c)(1)/3270.192(3) - Physical examination/Health assessment, TB test Compliant - Finalized

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

Description: Physical examination/Health assessment, TB test

Noncompliance Area: During renewal inspection conducted on 11/18/2021 2 staff files were reviewed. Staff member # 2 file did not contain a health assessment.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Provider has obtained a TB test from Staff Member # 2. Staff member # 2 is scheduled for a physical examination in the coming weeks. The provider will add the results to staff member # 2 file.
2021-11-16 Renewal 3270.182(6) - Signed parental consent for transportation, walking excursions, swimming and wading Compliant - Finalized

Regulation: 3270.182(6)

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

Noncompliance Area: During a renewal inspection conducted on 11/18/2021, 2 child files were reviewed. Child # 1 file contained an emergency contact form that did not contain signed parental consent for transportation, walking excursions, swimming and wading.

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

Provider Response: (Contact the State Licensing Office for more information.)
Provider met with parent/guardian of child # 1 to obtain signed consent for transportation, walking excursions, swimming and wading.
2021-11-16 Renewal 3270.192(2)(i) - Age Compliant - Finalized

Regulation: 3270.192(2)(i)

Description: Age

Noncompliance Area: During a renewal inspection conducted on 11/18/2021, 2 staff files were reviewed. Staff member # 1 file did not contain verification of age.

Correction Required: A facility person's record shall include verification of age.

Provider Response: (Contact the State Licensing Office for more information.)
Provider has obtained verification of age (driver's license) for staff member # 1 file.
2021-11-16 Renewal 3270.192(2)(ii)/3270.192(2)(iv) - Exp, educ., training prior to facility/Transcript, diploma and letters Compliant - Finalized

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During a renewal inspection conducted on 11/18/2021, 2 staff files were reviewed. Staff member # 2 file did not contain verification of child care experience and education prior to service at the facility

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

Provider Response: (Contact the State Licensing Office for more information.)
Provider has obtained documents confirming child care experience and education for staff member # 2 file.
2021-11-16 Renewal 3270.27(c) - Training regarding plan Compliant - Finalized

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During a renewal inspection conducted on 11/18/2021, 2 staff files were reviewed. Staff member #1 and 2 files did not include verification of training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update.

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

Provider Response: (Contact the State Licensing Office for more information.)
Both staff members had received emergency plan training on 9/16/2021 but the verification was not placed in the staff files. The provider has added the emergency plan verification to both files.
2021-11-16 Renewal 3270.31(e)(4)(ii) - Fire safety - 1 yr. Compliant - Finalized

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

Description: Fire safety - 1 yr.

Noncompliance Area: During a renewal inspection conducted on 11/18/2021, 2 staff files were reviewed. Staff members # 1 and 2 files did not contain verification of 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.

Provider Response: (Contact the State Licensing Office for more information.)
Both staff members had annual fire safety training verification but these forms were not included in the staff file. Provider has added the fire safety verification to the staff files.
2021-11-16 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection conducted on 11/18/2021, 2 staff files were reviewed. Staff member # 1 file did not contain a disclosure statement. Staff # 2 file did not contain a disclosure statements, FBI clearance by DHS and a National Sex Offender Registry clearance. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 and 2 may not work in a child care position at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 and 2 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. Facility Person #1 may not work in a child care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Provider has obtained disclosure statements for both staff members and FBI clearance by DHS, as well as NSOR clearance for Staff # 2.
2021-11-16 Renewal 3270.33(d) - General requirements for facility persons Compliant - Finalized

Regulation: 3270.33(d)

Description: General requirements for facility persons

Noncompliance Area: During a renewal inspection conducted on 11/18/2021, 2 staff files were reviewed. Staff member # 1 and 2 files did not contain verification of competency in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques

Correction Required: One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

Provider Response: (Contact the State Licensing Office for more information.)
Provider has obtained documents verifying completion of training programs for competency in pediatric first aid and pediatric cardiopulmonary resuscitation techniques for staff member # 1 and staff member # 2. These documents have been added to the files for staff member # 1 and staff member # 2.
2021-08-26 Initial review 3270.95(b) - Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: DURING THE INITIAL INSPECTION, CERTIFICATION REPRESENTATIVE REQUESTED PROOF OF PURCHASE FROM STAFF #1;STAFF #1 DID NOT HAVE PROOF OF PURCHASE FOR THE FIRE SAFETY SYSTEM.(IMPLEMENTED ON SITE)

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Provider Response: (Contact the State Licensing Office for more information.)
PROVIDER WROTE STATEMENT OF PURCHASE STATING THAT THE SYSTEM WAS THERE WHEN HE ACQUIRED THE SPACE. HE ALSO GAVE CERTIFICATION THAT THE SYSTEM WAS UPDATED AS OF 4/12/21.

If you are a provider and believe any information is incorrect, please contact us. We will research your concern and make corrections accordingly.

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