The Goddard School

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: It was self-reported that Staff person #1 left child #1 unsupervised in a hallway during a transition time.

Correction Required: 1. All children on the facility premises and on facility excursions off the premises will be supervised by a staff person at all times. This portion of the plan shall have an immediate correction date. 2. All staff will attend the mandated in-person training on supervision conducted by the ELRC. Certificates of completion will be submitted to the regional office within 5 business days of the training. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when this training will be complete.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: It was self-reported that Staff person #1 left child #1 unsupervised in a hallway during a transition time.

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: There is not enough room for the amount of cribs in the Infant Room to properly space them with 2 feet on 3 sides when in use.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In Room 101, two large blue pillows on the floor were observed to have long loose string hanging from them creating a tripping 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for Staff #1 and Staff #3 contained National Sex Offender Certificates that were not completed within 60 months of the previous NSOR Certificates. The file for Staff #2 contained a PA Child Abuse Clearance that was not completed within 60 months of the previous clearance. The file for Staff #4 contained a disclosure statement that was deemed unacceptable as of 2/1/2025 according to Announcement C-25-01.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In Room 101, a container of Aquaphor and two tubes of diaper cream labeled, "Keep out of the reach of children" were observed in an unlocked diaper changing table and accessible to children in care.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff #1, lacked two written, nonfamily references from individuals attesting to the 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.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #2 contained mandated reporter training that was not completed within 60 months of the previous training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #1 contained a "Volunteer" Pennsylvania Child Abuse Clearance.

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 in a childcare position at the facility.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: It was self-reported and verified through staff interviews that child #1 was in the hallway alone and unsupervised for approximately 30 seconds.

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: It was self-reported and verified through staff interviews that child #1 was in the hallway alone and unsupervised for approximately 30 seconds. Staff person #1 who claimed child #1 was in their supervision group and staff #2, the other staff person present in the room, were not aware that child #1 had left the young toddler classroom until the directors took the child back to the room.

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. TIERED LIS: 1) 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. [This portion of the plan shall have an immediate correction date.] 2) The legal entity will install and utilize door alarms on each of the two exit doors of the Buffalo Bills toddler classroom as a signal to staff that the door has been opened and / or is being held open. [This portion of the plan shall have a correction date corresponding to installation of alarms.] 3) Monthly all-staff meetings will be conducted for a period of 3 months following the approval of the plan of correction. The meeting agenda will include a review of the center policy on supervision procedures during transition times including child arrivals and departures. The written agenda and staff meeting attendance sheets will be provided to certification representative upon request. [This portion of the plan shall have a correction date corresponding to when the last staff meeting will take place after the plan is approved.]

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: It was self-reported and verified through staff interviews that child #1 was in the hallway alone and unsupervised for approximately 30 seconds.

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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact Form for Child #3 lacked the name, address, and telephone number of the child's physician.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The Emergency Contact Form for Child #3 lacked the enrolling parents work address and telephone number.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The files for Child #1, #2, and #3 contained an Emergency Contact Forms 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: 3270.131(b)(1)/3270.182(1)

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

Noncompliance Area: The file for Child #1, a Young Toddler, contained Health Reports that were updated in an interval greater than 6 months.

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

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The file for Child #4, enrolled for more that 60 days at the facility, did not contain documentation of a 2nd dose of the Hepatitis A vaccination as required based on the child's age as per the ACIP recommended schedule.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in childcare group settings). Child #4 must be dismissed from care by close of business 1/23/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The file for Staff #4 contained a Health Assessment that did not include an examination for communicable diseases and the results of the examination. The file for Staff #5 contained a Health Assessment that stated they had a communicable disease. There was no accompanying documentation stating the condition and the risk it might pose to other exposed to this individual.

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

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The files for Child #1, #2, and #3 contained Financial 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #2 has completed mandated reporter training within 90 days of their date of hire (see LIS code sheet), however the mandated reporter training is not from an approved source.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children at a minimum by, an (AGS) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a childcare position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #1, who has lived outside of Pennsylvania in the previous 5 years, lacked Michigan State Child Abuse and Neglect Registry Clearances and therefore, was incorrectly hired. The file for Staff #3, who has lived outside of Pennsylvania in the previous 5 years, lacked Texas State Criminal Clearances and therefore, was incorrectly 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 and #3 may not work in a childcare position at the facility.

Regulation: 3270.64

Description: Outside Walkways

Noncompliance Area: Outdoor walkways were snow covered, including exits from room/sidewalks outside rooms.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: In Room 112, water temperature at the sink in classroom and the left bathroom sink was 119 degrees and 117 degrees in the right bathroom sink.

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

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kits located in Room 110 and Room 107 lacked nonporous gloves. The first aid kit located in Room 103 lacked soap.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Upon interviews during complaint investigation, it was determined that a child in the Buffalo's Bills Classroom was left outside as the class transitioned back to the classroom. During this time, the child was not physically present with their group and could not be seen, hear, directed, or assessed by the staff.

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: **Upon interviews during complaint investigation, it was determined that a child in the Buffalo's Bills Classroom was left outside as the class transitioned back to the classroom. During this time, the child was not physically present with their group and could not be seen, hear, directed, or assessed by the staff.

Correction Required: **Administration will create a written step- by- step list of action steps that staff should complete to and after transitioning children. All current staff will sign off on this policy and sign off sheets will be available for cert rep to review. Policy will be included in staff handbooks and any other new staff orientation or training material the facility utilizes.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: *Upon interviews during complaint investigation, it was determined that a child in the Buffalo's Bills Classroom was left outside as the class transitioned back to the classroom. During this time, the child was not physically present with their group and could not be seen, hear, directed, or assessed by the staff.

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 and #2 were observed to be caring for children unsupervised. Staff person #1 and #2 have not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid and CPR).

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 and #2 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 and #2, staff persons #1 and #2 may not work in a child-care position at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Upon interviews during complaint investigation, it was determined that a child in the Buffalo's Bills Classroom was left outside as the class transitioned back to the classroom. During this time, the child was not physically present with their group and could not be seen, hear, directed, or assessed by the staff. Therefore, ratio was 0:1.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility is not testing the Fire Detection System and documenting it every 30 days or less.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The yellow scooter in the outdoor play space was ripped on the one side creating a scratching hazard for the children in care. The red chair in Room 108 was ripped creating a cutting hazard for 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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The one storage bin in the outdoor play space had a cracked lid and the lid on the second storage bin had become detached from the container: both creating a pinching hazard for the children in care.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in Infant Room 100 at the facility lacked a thermometer. The second refrigerator in kitchen at the facility lacked a thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact Form for Child #2 lacked the complete address of the individual designated by the parent to whom the child may be released.

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

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

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

Noncompliance Area: The file for Child #3, a preschooler, lacked 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. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for Child #1, enrolled for more that 60 days at the facility, did not contain documentation of a DTAP vaccination, HIB vaccination, pneumococcal vaccination, or polio vaccination as required based on the child's age as per the ACIP recommended schedule. Proof of vaccination was able to be provided on the day of inspection.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for Staff #1 lacked Pennsylvania Health and Safety Updated 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.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: The file for Staff #5 lacked proof of qualifications for education in the form of a diploma, transcript, or letter signed by a representative or the experiential, educational or training entity.

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.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The Parent Letter in the Emergency Plan lacked plans for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The Emergency Plan Delivery documentation that was submitted during the renewal inspection lacked information on the county municipality that the emergency plan was shared.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Although the file for Staff #2 contained current Mandated Reporter Training at the time of inspection, it was observed that the training was not obtained prior to the expiration of the previous training.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #3 lacked an out of state NSOR clearance at the time of inspection, therefore, she was incorrectly provisionally hired. Staff #3 was able to obtain the NSOR clearance on the day of inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Although the fie for Staff #4 contained a staff evaluation from 2023 it was unable to be determined if it was completed within 12 months of the previous staff evaluation as the previous evaluation was not in the file.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The left sided window in Room 103 was missing the handle and therefore not in good repair.

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

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: According to corroborating staff statements, and their own admission, Staff #1 is using harsh language in the presence of children.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact Form for Child #1 lacked the address of the child's physician. The Emergency Contact Form for Child #3 lacked the telephone number of the child's physician.

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

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, #2, #3, and #5 contained an emergency contact form that was 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: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The files for Child #1, #2, and #4, enrolled more than 60 days at the facility, did not contain documentation of the influenza vaccine, as required based on the child's age as per the ACIP recommended schedule.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1, #2, and #4 must be dismissed from care by close of business 5/5/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The files for Child #1, #2, #3, and #5 contained a financial agreement that was 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: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff #8, lacked two written, nonfamily references from individuals attesting to the 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.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility did not have current certificate of compliance posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Although Staff #1, #2, #3, #5, #6, #7, #9, #10, #11, #12, #13, #,14, #15#16, #17, #19, and #20 had the Pennsylvania Health and Safety Updated training at the time of the Renewal Inspection it was observed that Staff #1, #2, #3, #5, #6, #7, #9, #10, #11, #12, #13, #,14, #15#16, #17, #19, and #20 had not completed the Pennsylvania Health and Safety Updated by the compliance date of 12/30/22 as set forth in Announcement C-22-06. Although Staff #4 had current Pediatric First Aid/CPR at the time of the Renewal Inspection, it was observed that Staff #4 had not completed Pediatric First Aid/CPR within 90 days of hire. The file for Staff #15 contained Health and Safety Basic training that was deemed unacceptable.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #11 contained a Child Abuse Clearance and an FBI Clearance that were updated in intervals greater than 60 months. Although the file for Staff #18 contained complete clearances at the time of inspection, it was observed that the file lacked requests for the FBI clearance dated prior to the date that Staff #18 began working with children. Therefore, she was incorrectly provisionally hired. The files for Staff #8 and #21 lacked out of state clearances or requests. After discussion with the operator, it was determined that Staff #5 has lived outside of Pennsylvania within the last 5 years, and it was observed that the file for Staff #5 lacked out of state clearances. Therefore, he was incorrectly provisionally hired. The file for Staff #22 lacked completed out of State Clearances within 45 days of hire 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 #5, #8, #21, and #22 may not work in a childcare position at the facility.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The bathrooms in Rooms 103, 104, 105, 106, 107, 108, 110, 111, and 112 lacked hand washing signs posted at toilet.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Staff #1 and Staff #2 left a young toddler alone in the classroom where they were unable to see, hear, direct, and assess the child.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff #1 and Staff #2 left a young toddler alone in the classroom where they were unable to see, hear, direct, and asses the child.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2, #3, and #4 has not completed the following required pre-service training within 90 days of their date of hire. (See LIS code sheet). (3270.31(f)(10).

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: Pediatric First Aid/CPR.

Regulation: 3270.31(f)

Description: Health and Safety Training

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

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: (1) Prevention and control of infectious diseases (including immunization); (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices; (3) Administration of medication, consistent with standards for parental consent; (4) Prevention of and response to emergencies due to food and allergic reactions; (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (6) Prevention of shaken baby syndrome and abusive head trauma; (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility); (8) Handling and storage of hazardous materials and appropriate disposal of bio contaminants; (9) Precautions when transporting children.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #5 has not complete mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated (9/18/16). (See LIS CODE Sheet).

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: 2ND CITATION; Staff #1 and Staff #2 left a young toddler alone in the classroom. Therefore, the ratio was 0:1.

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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.124(b)(1)

Description: Child's name, birth date

Noncompliance Area: The file for Child #3 contained an Emergency Contact Form which did not include the birth date of the child.

Correction Required: Emergency contact information must include the name and birth date of the child.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact Form for Child #1 lacked the address of the individual designated by the parent to whom the child may be released. The Emergency Contact Form for Child #5 lacked the phone number of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: The Emergency Contact information was not present in Room 9, Buffalo Bills, for Child #6. 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(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The Health Reports for the following children lacked verification of ongoing vaccines in accordance with the schedule recommended by the ACIP. The Reports for Child #2, 3, 4, and 5 lacked an influenza vaccination.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.151(a)

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

Noncompliance Area: The file for Staff #7 and #14 contained health assessments that were conducted more than 24 months after the previous assessment.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility did not have the current certificate of compliance posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files for Staff #1,2, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 17, and 18 contained documentation of emergency plan training that was in an interval greater than a year.

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.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The files for Staff #1, 2, 5, 7, 10, 14 lacked documentation of the annual 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.

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

Description: Age and Training

Noncompliance Area: It was determined that the First Aid/CPR training present in the file for Staff #1, 3, 5, 6,7, 8, 9, 10, 11, 12, 13, and 17 was not an approved 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.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file for Staff #7 did not contain documentation of training in fire safety in the last year.

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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for Staff #3 contained Health and Safety training that was not completed within 90 days of hire.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: (1) Prevention and control of infectious diseases (including immunization); (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices; (3) Administration of medication, consistent with standards for parental consent; (4) Prevention of and response to emergencies due to food and allergic reactions; (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (6) Prevention of shaken baby syndrome and abusive head trauma; (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility); (8) Handling and storage of hazardous materials and appropriate disposal of bio contaminants; (9) Precautions when transporting children.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #5 contained a FBI clearance that was updated in an interval greater than 60 months. The file for Staff #7 contained State Police Clearance, Child Abuse Clearance, and FBI clearances that were updated in intervals greater than 60 months. The file for Staff #16 lacked complete provisional hire documentation at the time of initial hire; Staff #16 has lived out of state in the last 5 years and did not have documentation of requests for California clearances.

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 #16 may not work at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The file for Staff #2 did not contain an evaluation completed within the previous 12 months.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 1:00 PM and until 1:10 PM Staff #9 was the only staff member present in Room 3 with 12 preschool 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: 3270.76

Description: Building Surfaces

Noncompliance Area: In the Toddler Outdoor Play Space there was a hole in the ground near the back fence creating a tripping/falling hazard.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In Room 9, Buffalo Bills, there was peeling paint on the back wall next to the mirror.

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