The Devine School

Regulation: 3270.162(d)

Description: Not forced to eat

Noncompliance Area: While conducting a complaint investigation at facility on 6/25/26, certification reps observed recorded video coverage from 3/18/26 of facility staff # 1 walking over to child # 1 who was sitting at the table for lunch. Facility staff person # 1 then pushed child # 1's forehead back and forced child # 1 to take a bite of their food they had brought for lunch. Child # 1 bit the food then got up and walked to the garbage can and threw their lunch away. Facility staff # 1 has been terminated after the facility conducted their own internal investigation regarding the incident.

Correction Required: A child may not be forced to eat food.

Regulation: 3270.151(a)

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

Noncompliance Area: Facility staff # 2 did not have a health assessment on file in over 24 moths from 9/26/23 to 11/17/25.

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Facility staff # 3 did not complete fire safety training within 12 months of the last training on file. Fire safety trainng completed 5/21/24 and then on 7/11/25.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility staff #1 did not complete mandated reporter training within 60 months from 6/11/19 to 1/3/25. Facility staff # 4 had a volunteer child abuse clearance on file at time of hire. Facility staff # 5 did not have a child abuse clearance on file in over 60 months from 11/3/19 to 11/23/24.

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: 3270.133(5)

Description: Original label

Noncompliance Area: Child # 1 has an epinephrine pen at the facility that does not have the original label attached or at the facility.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Cots are not labeled in the Preschool or Pre-K classrooms.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child # 2 only has 1 child service report on file since time of enrollment. Child service report is from 11/18/24. Child # 3 did not have a child service report completed in over six months from 10/10/23 to 11/22/24.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: Emergency contact in the emergency binder for child # 1 has not been updated in more than 6 months since 5/4/22.

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.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child # 2 has not had their emergency contact form and fee agreement updated in over 6 months. Emergency contact form updated 8/3/23 to 12/4/24 and fee agreement updated 8/3/23 to 7/31/24.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

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

Description: Fire safety - 1 yr.

Noncompliance Area: Facility staff # 3 has not had fire safety training in over 12 months from 9/6/23 to 11/14/24.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility staff # 1 has mandated reporter training that is over 60 months old. Mandated reporter training was completed 6/11/19. Facility staff # 2 hired and working at facility since 10/27/24 does not have a NSOR on file and was not suspended until over 45 days from date of hire. Facility staff # 2 was suspended 11/25/24.

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

Regulation: 3270.62(c)

Description: Space safe for large muscle activity

Noncompliance Area: Older toddler outdoor play space is not organized and cluttered making it unsafe for large muscle activity.

Correction Required: Outdoor or indoor play space shall be safe for large muscle activity.

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

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

Noncompliance Area: Facility self-reported that 2 facility staff miscounted and left a child outside hiding on the facility toddler playground. Another staff member supervising another group of children, saw what happened and brought the child inside to the child's classroom.

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

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

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

Noncompliance Area: During a complaint investigation on 7/2/24, facility staff # 1 admitted to certification rep that child # 1 was left alone and unsupervised on 6/24/24 on the outdoor playground by facility staff # 1.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. The legal entity must submit documentation of a new facility policy and procedure that is approved by DHS proving how the facility staff will be counting children and ensuring it is followed at all times e.g., a checklist. 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 should be a new policy developed and approved 7/11/24 or later.

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

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

Noncompliance Area: During a complaint investigation on 7/2/24, facility staff # 1 admitted to certification rep that child # 1 was left alone and unsupervised on 6/24/24 on the outdoor playground by facility staff # 1.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Facility staff persons shall know the names and whereabouts of the children in their assigned group. All staff person shall be physically present with the children and all children must be supervised at all times both on facility premises and on facility excursions off the facility premises.

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

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

Noncompliance Area: During a complaint investigation on 7/2/24, facility staff # 1 admitted to certification rep that child # 1 was left alone and unsupervised on 6/24/24 on the outdoor playground by facility staff # 1.

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. The legal entity must arrange for all facility staff including the facility director to receive a minimum of two hours of PQAS approved training regarding supervision of children. The training will be in person when no children are present at the time of the training. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child # 1 does not have a child service report on file that is current in the last 6 months. CSR last on file is dated 11/29/22.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child # 1 has not had their fee agreement or emergency contact forms reviewed and updated with a parent signature in over 6 months since 4/28/21 for the emergency contact form and 8/29/22 for the fee agreement.

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: 3270.94(a)(1)/3270.95(a)

Description: Every 60 days/Devices must be compliant

Noncompliance Area: Facility did not test the facility alarm system in over 30 days from 4/9/24 to 5/15/24.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: Facility did not conduct fire drills in over 60 days from 4/9/24 to 6/11/24.

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.

Regulation: 3270.70(a)

Description: 65º F minimum

Noncompliance Area: At the time of the inspection, staff and the Director admitted that the school-age, infant, young toddler and older toddler classrooms have dropped below 65° F on a daily occurrence. They admitted that the heat has been broken in this part of the building for at least a week.

Correction Required: The indoor temperature shall be at least 65° F.

Regulation: 3270.92(a)

Description: No portable space heaters

Noncompliance Area: At the time of the inspection, portable space heaters were observed in the infant, young toddler and older toddler rooms. The Director admitted that the space heaters have been used in those classrooms because the heat has been broken in the rooms and the temperature would drop below 65 degrees. Staff had also admitted to using the space heaters earlier in the mornings and periodically throughout the day to heat up their classrooms.

Correction Required: Portable space heaters are not permitted.

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: At the time of the inspection, child #1 through child #10 did not have a date of admission on their agreement.

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.

Regulation: 3270.133(6)/3270.133(7)

Description: Written consent/Medication log

Noncompliance Area: At the time of the inspection, there was no parental signed consent or medication log for the EPI Pen at the facility for child #1.

Correction Required: A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.151(a)

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

Noncompliance Area: At the time of the inspection, the initial health assessment on file for staff person #18 was dated 11/20/24, therefore this is not a valid health 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: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: At the time of the inspection, staff person #1's health assessment stated "yes" to if the staff person had communicable diseases but there was no additional required follow up.

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

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: At the time of the inspection, a subsequent health assessment for staff person #8 dated 1/20/23 was observed. The initial health assessment was not in the file for staff person #8.

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.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, the Director could not locate documentation of the annual emergency drill.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

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

Description: Fire safety - 1 yr.

Noncompliance Area: At the time of the inspection, staff person #21 and staff person #22 took fire safety training on 5/11/23 and 9/27/23, respectively. The previous dates of the fire safety training is 3/8/22 and 4/24/22, respectively. This reflects more than a 12 month time of updating 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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: At the time of the inspection, staff person #19 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Correction Required: Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #19 must receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer no later than 12/28/23. Until such time as the correction is implemented, staff person #19 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 available to supervise staff person #19, staff person #19 may not work in a child-care position at the facility.

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: At the time of the inspection, staff person #20 did not have a high school diploma on file and could not qualify as an assistant group supervisor.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of the inspection, the stall walls located between Pre-K and Kindergarten Prep bathroom contained rust along the bottom edge of the wall. This poses a hazard to children.

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(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During the renewal inspection, in the Kindergarten Prep classroom, 15 children were present. Staff #6 and staff #7 were not each assigned to specific children in the classroom. When asked by the certification representative the names of the children they were responsible for, they both stated, "I don't know."

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection, one the emergency contact form for child #6, the health insurance policy number was missing.

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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection, on the emergency contact form for child #6 and child #9, the address of the individual designated by the parent to whom the child may be released was missing.

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: 3270.133(5)

Description: Original label

Noncompliance Area: During the renewal inspection, the albuterol medication on file for child #11 stated to discard after 9/8/22.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the renewal inspection, staff person #1, staff #3 and staff #5 did not have 12 clock hours of childcare training on file from the previous training year.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the renewal inspection, staff #1 completed an older edition of the health and safety training, "Health & Safety Basics: Requirements for Certification," on 11/21/18, but this training was no longer acceptable after 6/30/2018.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -9). Staff person #1 will have until 1/4/23 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, staff person #4 did not have submission documentation for the FBI clearance on file at the time of hire (see LIS sheet for date of hire).

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(b)

Description: Original container

Noncompliance Area: During the renewal, in all classrooms except the infant room, the container used for handwashing did not contain a label or specify the contents.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection, on the toddler playground, the floor of the play structure was cracked. In the Pre-K/Kindergarten Prep classrooms, the bathroom stalls were rusted along the bottom posing a hazard to children.

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: During the renewal inspection, in the Preschool room by the dramatic play kitchen, there was peeling paint on the wall.

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

Regulation: 3270.81

Description: Glass

Noncompliance Area: During the renewal inspection, the glass on the toddler room door did not contain a visual strip or other visual identification.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of the inspection, the outdoor blue and yellow water table was broken and had sharp plastic pieces exposed.

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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: At the time of the inspection, on the emergency contact form for child #1 and 3, the physician's name, address and phone number was missing.

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)(6)

Description: Insurance coverage information

Noncompliance Area: At the time of the inspection, on the emergency contact form for child #1 and 3, the health insurance coverage and/or policy number was missing.

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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of the inspection, the emergency contact form for child #5 and 9 did not include 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.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: At the time of the inspection, there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted anywhere in the facility.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: At the time of the inspection, on the immunization record for child #6 and 10, there was no influenza immunization and no exemption from the influenza vaccine from the parent on file.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: At the time of the inspection, staff #15 did not have a completed tuberculosis screening by the Mantoux method at initial employment.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: At the time of the inspection, the health assessment on file for staff # 11 stated "yes" to the person having communicable diseases, but there was no explanation to that statement.

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: At the time of the inspection, there was no verification that the operator notifies local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.171(b)/3270.171(c)

Description: Safe pick-up and drop-off in writing/Safe routes posted

Noncompliance Area: At the time of the inspection, there was no verification of written notification of safe routes and pick up and drop off points posted anywhere in the facility.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of the inspection, staff #15 had only one 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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: At the time of the inspection, there was no verification of the operator providing 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.

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(a)(6)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, there was no verification that the provider was conducting emergency drills annually.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: At the time of the inspection, staff #16 did not have annual emergency plan training on file. The last training on file was dated 7-15-2020.

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)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: At the time of the inspection, staff #2 and 16 did not have annual fire safety training on file.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, staff #6 does not have completed Mandated Child Abuse Reporting training on file. Staff # 8 did not have a completed FBI clearance through Identogo on file. Staff #8, who resides in New jersey, also did not have a completed NJ criminal history clearance on file. Staff # 13 had a completed Mandated Abuse reporting training on file that was not from a DHS approved training organization . Staff #15 (date of hire 6-19-21) had a PA State Police clearance that stated "Under Review" and therefore is not a completed clearance. Staff #15 also did not obtain a Child Abuse clearance until 10-13-21, approximately 4 months after being employed and working with children. Staff #15 did not have a complete Rap Sheet to accompany the FBI clearance on file. Staff #16 did not obtain an updated PA State Police clearance until 10-28-20, the one prior to this was dated 6-30-15 and expired on 6-30-20. An updated Child Abuse clearance was not obtained until 10-11-21 with the previous one on file being dated 2-9-16 and expiring 2-9-21. An updated FBI clearance was not obtained until 10-11-21 with the previous one on file being dated 2-11-16 and expiring 2-11-21. Staff #16 showed a significant period of time where the PA State Police, Child Abuse and FBI clearance were not current.

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. The CPSL was revised to include a requirement that all clearances (and/or mandated reporter training) be updated and on file at least every 60 months.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, staff #6 does not have completed Mandated Child Abuse Reporting training on file. Staff # 8 did not have a completed FBI clearance through Identogo on file. Staff #8, who resides in New jersey, also did not have a completed NJ criminal history clearance on file. Staff # 13 had a completed Mandated Abuse reporting training on file that was not from a DHS approved training organization . Staff #15 (date of hire 6-19-21) had a PA State Police clearance that stated "Under Review" and therefore is not a completed clearance. Staff #15 also did not obtain a Child Abuse clearance until 10-13-21, approximately 4 months after being employed and working with children. Staff #15 did not have a complete Rap Sheet to accompany the FBI clearance on file. Staff #16 did not obtain an updated PA State Police clearance until 10-28-20, the one prior to this was dated 6-30-15 and expired on 6-30-20. An updated Child Abuse clearance was not obtained until 10-11-21 with the previous one on file being dated 2-9-16 and expiring 2-9-21. An updated FBI clearance was not obtained until 10-11-21 with the previous one on file being dated 2-11-16 and expiring 2-11-21. Staff #16 showed a significant period of time where the PA State Police, Child Abuse and FBI clearance were not current.

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. The CPSL was revised to include a requirement that all clearances (and/or mandated reporter training) be updated and on file at least every 60 months. FACILITY PERSON #8 AND 15 CAN NOT WORK IN A CHILD CARE POSITION UNTIL ALL CLEARANCES ARE OBTAINED AND SENT TO DHS FOR REVIEW.

Regulation: 3270.35(b)/3270.35(b)(1)

Description: Group sup qualifications/Bachelor's

Noncompliance Area: At the time of the inspection, staff #4 had a Bachelor of Art degree on file and was classified as a Group Supervisor. The Bachelor of Art degree did not state what the degree major is in and therefore, it is not able to be determined this person is a Group Supervisor without transcripts stating the degree.

Correction Required: A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

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

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

Noncompliance Area: At the time of the inspection, staff #15 who was listed as an Assistant Group Supervisor did not have a high school diploma with 2 years (2,500 hours) of child care experience on file.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: At the time of the inspection, there was a bottle dish soap under the sink which was unlocked in the Toddler room.

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: 3270.81

Description: Glass

Noncompliance Area: At the time of the inspection, there was no visual strip of identification on the glass doors and windows which was in eye-level with children throughout the entire facility.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Noncompliance Area: Facility person #6 has a health assessment that does not include the physician's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: Facility person #1, 4, 5, 6, 7 & 8 do not have verification of child care experience.

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

Noncompliance Area: Facility person #2 has a volunteer state police clearance on file, date of hire 9/27/19. Facility person #3 does not have proof of request for the National Sex Offender Registry (NSOR), date of hire 10/16/19. Facility person #5 does not have proof of request for the NSOR clearance, date of hire 10/16/19. Facility person #8 does not have the required FBI clearance on file, date of hire 9/18/19. Facility person #7 does not have proof of request for the NSOR clearance, date of hire 10/14/19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2, 3, 5, 7 & 8 may not work in a child care position at the facility. 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.

Noncompliance Area: Facility person #2 & 3 have a health assessment that does not include the physician's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: Facility person #1 does not have verification of education on file.

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.