Little Bible Buddies Child Care Center

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During the renewal inspection the refrigerator located in the younger toddler classroom was inoperable.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: During the complaint investigation it was confirmed that conditions during facility's transportation posed a threat to the health and safety of children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection the file reviewed for staff person #1 did not include out of state DE 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 #1 may not work in a childcare position at the facility.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During the renewal inspection on 11/09/23 there were no emergency contact forms available for review in the 2yo classroom, 3-4yo classroom, and infant 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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 11/09/23 there were missing receptacle covers observed in the PreK classroom.

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

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: During the renewal inspection on 11/09/23 there were no first aid kits available for review in the 2yo classroom and 3-4yo classroom.

Correction Required: A first-aid kit shall be in a child care space.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: One staff person was observed changing a child's diaper and did not ensure that the child's hands were washed after being diapered.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. The legal entity must arrange for all staff persons to be trained in proper hand washing procedures. Submit written verification of the completed training for all facility staff.

Noncompliance Area: Four staff persons were observed caring for children and not wearing a mask or face covering in accordance with the CDC Covid-19 guidelines. Staff persons #1 and #2 had no mask or face covering on while caring for children in the play yard and were not socially distanced during the observation. Staff person #3 was observed entering the play yard from inside the building with no face mask or covering. Staff person #4 was observed inside the front entrance releasing several children to their parent and her mask was below her chin and not covering her mouth and nose.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Facility persons are required to wear a face mask or covering in accordance with the CDC Cocis-19 guidelines. The legal entity must arrange for all facility to obtain DHS approved training in the proper wearing of masks per CDC Covid-19 guidelines. Ensure that all staff persons wear a mask or face covering as required. Submit written verification of the completed training for all facility staff persons.

Noncompliance Area: One child's health report did not include written verification of current up-to-date list of immunizations as the 2nd page of the health report was missing. (#1)

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Obtain and submit a copy of the current up-to-date immunizations for the indicated child. Ensure that all children's records contain current up-to-date immunizations.

Noncompliance Area: Safe routes, including safe pedestrian crossways, pick-up and drop-off points and bike routes were not appropriately determined in the vicinity of the facility, communicated to the children and parents in writing and posted.

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. Develop, post and submit written safe routes notification as specified.

Noncompliance Area: Emergency contact information in two children's records were not being updated every 6 months. (#2 and #3)

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. Revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes.

Noncompliance Area: On 8/14/19, at approximately 5:30 pm, staff person (#1) used degrading words towards a child when trying to discipline the child for misbehavior.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. Develop and submit a written protocol regarding disruptive children in the classroom. Revise facility policies regarding the prohibition of demeaning children. Notify all facility staff in writing that the use of ridicule, threatening and demeaning actions towards children is prohibited by law. Submit written verification of the revised policy and facility staff notification.

Noncompliance Area: The written plan of daily activities was not established and posted in each child care space. (K room )

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space. Establish and post the written plan of daily activities in each child care space.

Noncompliance Area: One child's records did not contain a child service report that had been completed within the past 6 months. (#3)

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). Complete and submit a current up-to-date child service report for the indicated child. Ensure that child service reports are completed for all children as specified in this regulation.

Noncompliance Area: The facility's written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the kindergarten classroom.

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. Post the plan in the kindergarten classroom, ensure that it is posted in each child care space and that it accompanies staff persons who leave on excursions with children.

Noncompliance Area: One child has been enrolled in the facility for more than one year and their record did not include a health report. (#2) Another child's record contained a health report completed more than 60 days following the first day of attendance at the facility. Child was enrolled on 12/3/18 --health report completed 3/7/19 (#3).

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. Obtain and submit a current up-to-date health report for the identified child. Revise and submit written policies and procedures to ensure that children's initial and subsequent health reports are completed and provided within the required timeframes as specified in this regulation to ensure ongoing compliance.

Noncompliance Area: One child's record did not contain signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff/prior to admission. (#1)

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Obtain and submit written verification of signed parental consents for the identified child as specified in the regulation. Ensure that all children's records contain the required parental consents prior to admission.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff person's records did not contain the required CPSL hiring documents. (#1-hired 10/21/18- DISCLOSURE STATEMENT not signed by a witness (#3-hired 5/20/19- no proof of request for STATE POLICE prior to working with children-done on 5/30/19)(#4-hired 2/6/18- FBI unacceptable as completed via PDE and staff person has a record-requires FBI via DHS)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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. Submit a copy of the required CPSL clearance documents for the identified staff persons. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances documents within the required timeframes in accordance with the CPSL. The facility director and administrative staff must receive DHS approved training in the CSPL hiring requirements. Submit written verification of the completed training.

Noncompliance Area: On 7/22/19, at approximately 12:30pm, two staff persons were observed caring for a group of 33 young/older school age children (K to 6th grade) in cafeteria. (staff # 5 and #6). Both staff persons verified the ages of the children in care.

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. The required staff:child ratios must be maintained at all times. Ensure that staff/child ratios are maintained at all times. Develop and submit a written staffing plan including provisions for staff shortages including but not limited to call outs, scheduling, terminations, resignations and operational tasks that impact staffing and times of transition to ensure ongoing compliance. Submit a copy of the written staffing plan.

Noncompliance Area: On 7/22/19, at approximately 1:00pm, one staff person was observed caring for a group of 13 older toddlers (2 years old)/preschoolers (3 years to first day of entering Kindergarten ) while sitting between room #4 and #5 during nap. Staff persons verified the ages of the children in care. (staff #7)

Correction Required: The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children. Ensure that staff/child ratios are in compliance at all times including nap. Develop and submit a written staffing plan including provisions for staff shortages including but not limited to call outs, scheduling, terminations, resignations and operational tasks that impact staffing and times of transition to ensure ongoing compliance. Submit a copy of the written staffing plan.

Noncompliance Area: An electrical outlet in the upstairs preschool classroom lacked a protective covers. (room #6)

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Obtain and place protective covers in the electrical outlets. Ensure that all electrical outlets are equipped with protective covers when not in use.

Noncompliance Area: The first aid kit in room #6 lacked 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. Replenish the first aid kit and ensure that all first kits has the required contents as specified in this regulation.

Noncompliance Area: Peeling and damaged paint was observed on the baseboard pipes in the gym.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Make necessary repairs to ensure that there is no peeling and damaged paint or damaged plaster in the facility. Submit written verification of the repairs and adequate documentation verifying removal of the peeling paint.

Noncompliance Area: The facility had evidence of bed bug infestation.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted. Obtain professional extermination services and take necessary steps to rid the facility of the infestation. Submit a written copy of the extermination service contract to verify compliance.

Noncompliance Area: One facility person's health assessment did not include written verification of negative tuberculosis screening by the Mantoux method within12 months prior to date of initial employment as the Mantoux test date was more than 1 year old .(#1)

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. 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. Obtain and submit written documentation from the staff person's physician verifying negative Mantoux TB testing within12 months prior to date of initial employment. Ensure that all new facility persons' health assessments include written verification of tuberculosis screening by the Mantoux method within 12 months prior to the date of initial employment.

Noncompliance Area: One staff person's record did not contain written verification of education and experience for their assistant group supervisor position. (#1)

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. Obtain and submit written verification of education and experience for the identified staff person.

Noncompliance Area: On cold days, during the month of January 2019 and early February 2019 the facility's indoor temperature was not at least 65 F. Children were wearing jackets to stay warm.

Correction Required: The indoor temperature shall be at least 65 F. Take necessary steps to ensure that the indoor temperature is at least 65 F throughout the facility. Submit written documentation of repair or service to verify compliance. Children cannot remain in care if the temperature is not at least 65 F.

Noncompliance Area: Surfaces in the facility were in need of repair or replacement. Several ceiling tiles in the gym had water stains from the leaking ceiling when it rains. The outside drain was clogged causing floods in the rear stairs of gym.

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. Repair or replace the ceiling tiles. Take necessary steps to ensure that the outside drain is unclogged to prevent flooding. Submit written documentation of repairs to verify compliance.

Noncompliance Area: The facility's emergency pan was not posted in a conspicuous location.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location. Post the emergency plan at a conspicuous location in the facility.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff person's record did not contain the required CPSL hiring documents. (#1-hired 10/25/18-no proof of completed STATE POLICE-clearance reads "under review"- more than 90 days after date of hire)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 until the completed CPSL clearance has been obtained and submitted. Obtain and submit a copy of the completed CPSL clearances for the identified staff persons. Ensure that all CPSL clearance documents are properly retained in the staff's record as required.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff person's record did not contain the required CPSL hiring documents. (#1- no completed FBI clearance)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services) LACKING REQUIRED HIRING DOCUMENTS: 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 until the completed FBI clearance has been obtained and submitted. Retain the completed copy in the staff person's file

Noncompliance Area: On 8/15/18, at approximately 5:25pm, a child was left alone and unattended at a local park and observed by parent walking alone and unsupervised on State Road. (child #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.

Noncompliance Area: On 8/10/18, a staff person pinched a child while physically attempting to properly seat the child who was not complying with the staff person's request to sit properly. The staff person also pushed other children's heads down on the table when they kept lifting them. (staff #1) (child #1)

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. Revise facility policies regarding the prohibition of physical punishment, including pinching and pushing children's heads. Notify all facility staff in writing that the use of any type of physical punishment towards children is prohibited by law. Submit written verification of the revised policy and facility staff notification that includes each facility person's signature.

Noncompliance Area: Between the period of 6/12/18 and 8/7/18 children went on 7 trips to facilities involving swimming and lacked a certified lifeguard on staff to supervise the children while swimming.

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). Children cannot attend any swimming activities until written verification of lifeguard certification and other required hiring documents have been obtained and submitted. Develop and submit a written policy regarding swimming in accordance with PA Code 3270.115.

Noncompliance Area: One facility person's record did not contain a health assessment completed within 12 months prior to the date of hire. (#3)

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. Obtain and submit a current up-to-date health assessment for the identified facility person. Ensure that health assessments are dated and completed within the required timeframes.

Noncompliance Area: One facility person's health assessment did not include written verification of negative tuberculosis screening by the Mantoux method within12 months prior to date of initial employment. (#1)

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. Obtain and submit written documentation from the staff person's physician verifying negative Mantoux TB testing within12 months prior to date of initial employment. Ensure that all new facility persons' health assessments include written verification of tuberculosis screening by the Mantoux method within 12 months prior to the date of initial employment.

Noncompliance Area: On 8/10/18, a child sustained an injury while in care and the operator failed to provide a parent the original report of the child's illness on the day of the incident. (child #1)

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. Ensure that parents are provided the original report on the day of the incident involving an injury, accident or illness. Revise and submit written policies and procedures to ensure that parents are provided the original incident report on the date of the incident.

Noncompliance Area: A volunteer was observed not being supervised minimally by an assistant group supervisor when she took a child to the bathroom. The bathroom was in another area out of view of the assistant group supervisor assigned to the child's group. (#1)

Correction Required: A volunteer shall be 16 years of age or older and shall be directly supervised at all times. Revise and submit written policies and procedures regarding the supervision of volunteers as specified in the 3270 regulations. Ensure that volunteers are supervised at all times.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Two facility person's records did not contain the required CPSL hiring documents. (#1-volunteer-no signed DISCLOSURE STANTEMENT) (#3-hired 5/10/18-no STATE POLICE).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 child care position at the facility the required CPSL documents have been obtained and submitted as specified. Submit a copy of the required CPSL clearance documents for the identified staff person. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances documents in accordance with the CPSL.

Noncompliance Area: On 8/17/18, at approximately 11am, 2 staff person (#2 and #4) were observed caring for a mixed-age group of 11 young and older toddlers(ages 1-2 years) in the play yard. Staff person #2 was assigned to 5 older toddlers and staff person #4 was assigned to 6 young toddlers. The children were observed grouped together in an activity. Staff person #4 verified the ages of the children. At approximately 11:30am, staff person #5 was observed caring for a mixed-age group of 12 preschool/school-age children (ages 3 years - 3rd grade) in the school-age classroom. Staff person #5 verified the ages of the 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. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times. Ensure that staff/child ratios are maintained at all times.

Noncompliance Area: Two children's records did not contain a child service report that had been completed within the past 6 months. (#1 and #5)

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). Complete and submit a current up-to-date child service report for the indicated child/children. Ensure that all child service reports are completed every 6 months in accordance with this regulation. Revise and submit written policies and procedures regarding the completion of child service reports to ensure ongoing compliance.

Noncompliance Area: One child's emergency contact information did not include the name, address and telephone number of the child`s physician or source of medical care. (#1)

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Obtain and submit a written copy of the missing physician or source of medical information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

Noncompliance Area: Two children have been enrolled for more than 60 days and their record did not contain a current, up-to-date health report. (#2 and #3)

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. Obtain and submit a current up-to-date health report for the indicated children. Ensure that all children's records include a current, up-to-date health report within 60 days of enrollment.

Noncompliance Area: One staff person's record did not contain a health assessment completed within the past 24 months. (#1)

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. Obtain and submit a current up-to-date health assessment for the identified staff person. Ensure that health assessments are completed within the required timeframes.

Noncompliance Area: The facility did not obtain from the parent a written formula and feeding schedule for an infant. (#2)

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent. Obtain from the parent a written formula and feeding schedule for the identified child. Ensure that written formula and feeding schedules are obtained from the parent of all enrolled infants.

Noncompliance Area: Emergency contact information in one child's record was not being updated every 6 months. (#4)

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. Revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes.

Noncompliance Area: Two children's records did not contain signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff. (#1 and #4)

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Obtain and submit written verification of signed parental consents for the identified children as specified in the regulation. Revise and submit written policies and procedures to ensure that all children's records contain the required parental consents prior to admission.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff person's records did not contain the required CPSL hiring documents. (#2- hired 1/20/17- no proof of request for STATE POLICE, CHILD ABUSE AND FBI prior to working with children) #3-hired 11/9/17-no proof of request for STATE POLICE, CHILD ABUSE and FBI prior to working with children) (#4-hired 8/1/17-no proof of request for STATE POLICE prior to working with children- only contained unacceptable volunteer clearance; no proof of request CHILD ABUSE prior to working with children; no proof of request for FBI; no mandated reporter training) (#5-hired 10/1/17- no proof of request for STATE POLICE prior to working with children-only contained an unacceptable volunteer clearance (corrected)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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, #3 and #4 cannot work in a child care position at the facility until the required CPSL documents have been obtained and submitted as specified. Submit a copy of the completed CPSL clearance documents for the identified staff persons. Revise and submit written policies and procedures regarding the CPSL hiring requirements to ensure that all staff persons (new and existing) have the required CPSL clearances and mandated reporter training in accordance with the CPSL. The facility director and administrative staff must receive DHS approved training in the CSPL hiring requirements. Submit written verification for the completed training.

Noncompliance Area: Windows above the ground floor (upper level classroom) that open directly to the outdoors and that were accessible to children were not modified to limit the opening to 6 or fewer inches.

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

Noncompliance Area: The protective covers on the basement heating pipes were torn and worn with peeling paint and in general disrepair.

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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Replace or repair the protective covers. Ensure that there is no peeling paint in accordance with this regulation.

Noncompliance Area: Hand washing signs were not posted at each toilet in the facility.

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. Post the hand washing signs at each toilet as specified in this regulation.

Noncompliance Area: Cribs and cots were blocking the egress from the upper level child care area leading to the lower level.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed. Remove the cribs and cots to another area. Ensure that all stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit are free from obstruction. Notify staff of this requirement and submit written verification of staff notification that includes each staff person's signature.

Noncompliance Area: On 7/6/17, staff persons # 2 and #4 were observed caring for a group of 23 young/older school age children in the gym. Staff persons #5 and #7 were observed caring a mixed- age group of 17 preschool/young school age children in the 5-6 year old classroom. Staff person in both of these child care spaces had not been assigned responsibility for supervision of specific children in their groups. Documentation reviewed on 10/2/17 did not include written verification of the completed training and written documentation of the facility's procedures for assigning supervision responsibility. CONTINUING DEFICIENCY

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. Train all facility staff persons in proper supervision of children, including procedures for assigning staff the responsibility for supervision of specific children as well as for staff persons knowing the names of the children in their assigned group. Submit written verification of the completed training for all facility staff persons. Submit written documentation of the facility's procedures for assigning supervision responsibility.

Noncompliance Area: On 7/6/17, emergency contact information in two children's records was not being updated every 6 months.(#3 and #5). Documentation reviewed on 10/2/17 did not inlcude written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes. CONTINUING DEFICIENCY

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. Revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): On 10/2/17, one staff person was observed caring for children and her individual record did not contain the required CPSL hiring documents. (#4-hired 2/1/17- no STATE POLICE rap sheet, incomplete FBI rap sheet) Documents presented on 10/2/17 did not include the completed CPSL clearance information. CONTINUING DEFICIENCY

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 #4 cannot work in a child care position at the facility until the completed rap sheets have been submitted and reviewed. Ensure that all clearance documents are completed and submitted in accordance with the CPSL.

Noncompliance Area: Surfaces in the facility were in need of cleaning and/or presented a visible hazard: the carpets in the basement gym were in need of cleaining; the basement gym walls, floors, baseboard were in need of cleaning or painting; the stairways and landings throughout were in need of cleaning as there was visible dust and trash; cubbies in the 5-6 year old classroom were wobbly and unstable. CONTINUING DEFICIENCY

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. Complete all cleaning as specified. Secure the cubbies so that they do not present a hazard.

Noncompliance Area: Hand washing signs were not posted at each toilet in the facility. The toilet in one of the two stalls in the first floor bathroom lacked a handwashing sign. CONTINUING DEFICIENCY

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. Post the hand washing signs at each toilet as specified in this regulation.

Noncompliance Area: Surfaces in the facility were in need of cleaning and/or presented a visible hazard: the carpets in the basement gym were in need of cleaining; the basement gym walls, floors, baseboard were in need of cleaning or painting; the stairways and landings throughout were in need of cleaning as there was visible dust and trash; cubbies in the 5-6 year old classroom were wobbly and unstable. CONTINUING DEFICIENCY

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. Complete all cleaning as specified. Secure the cubbies so that they do not present a hazard.

Noncompliance Area: Staff persons # 2 and #4 were observed caring for a group of 23 young/older school age children in the gym. Staff persons #5 and #7 were observed caring a mixed- age group of 17 preschool/young school age children in the 5-6 year old classroom. Staff person in both of these child care spaces had not been assigned responsibility for supervision of specific children in their groups.

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. Train all facility staff persons in proper supervision of children, including procedures for assigning staff the responsibility for supervision of specific children as well as for staff persons knowing the names of the children in their assigned group. Submit written verification of the completed training for all facility staff persons. Submit written documentation of the facility's procedures for assigning supervision responsibility.

Noncompliance Area: One child's record did not contain an agreement as specified in this regulation. (#1)

Correction Required: An agreement shall be signed by the operator and the parent. Obtain and submit a completed agreement signed by both operator and parent for the indicated children. Ensure that all agreements are signed by the operator.

Noncompliance Area: One child's emergency contact information did not include the name, address and telephone number of the child`s physician or source of medical care. (#4)

Correction Required: Emergency contact information must include the name, address and telephone number of the child`s physician or source of medical care. Obtain and submit a written copy of the missing physician or source of medical information for the identified child. Ensure that all childrens records contain emergency contact information as specified in these regulations.

Noncompliance Area: Several children's emergency contact information did not contain health insurance coverage and policy number information.(#1, #3 and #4)

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. Obtain and submit a written copy of the missing health insurance information for the identified children. Ensure that all childrens records contain emergency contact information as specified in these regulations.

Noncompliance Area: The facility's written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in several classrooms. (multi-purpose room/gym, infant room, 3 year old room and 4 year old room)

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. Post the plan in the identified child care spaces and ensure that it is posted in each child care space and that it accompanies staff persons who leave on excursions with children.

Noncompliance Area: Emergency contact information in two children's records was not being updated every 6 months.(#3 and #5)

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. Revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes.

Noncompliance Area: Two children's records did not contain signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff. (#1 and #2)

Correction Required: A child`s record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child`s record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Obtain and submit written verification of signed parental consents for the identified children as specified in the regulation. Ensure that all children's records contain the required parental consents prior to admission.

Noncompliance Area: One staff person's record did not contain written verification of annual fire safety training. (#6)

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. Obtain and submit written verification of annual fire safety training for the identified staff person.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff person's records did not contain the required CPSL hiring documents. (#1-hired 19/14/16- DISCLOSURE STATEMENT not dated)(#2-hired 9/1/16-DISCLOSURE STATEMENT not dated) (#3 hired 2/8/16- DISCLOSURE STATEMENT not dated) (#4-hired 2/1/17- DISCLOSURE STATEMENT not dated, no STATE POLICE rap sheet, incomplete FBI rap sheet)(#5-hired 3/6/17- no FBI prior to working with children, no signed DISCLOSURE STATEMENT) (#8-volunteer-no proof of STATE POLICE and CHILD ABUSE prior to working with children, no signed DISCLOSURE STATEMENT)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 #4 cannot work in a child care position at the facility until the completed rap sheets have been submitted and reviewed.Facility person #8 cannot work with children until the required CPSL hiring documents have been completed and submitted. Obtain and submit the dated DISCLOSURE STATEMENTS for the identified staff persons. Ensure that all clearance documents are completed and submitted in accordance with the CPSL. Revise and submit written policies and procedures regarding CPSL hiring requirements to ensure that all new hires have the required CPSL clearance documentation prior to working with children.

Noncompliance Area: The indoor temperature exceeded 82 F in the multi-purpose room and the facility did not have a means of mechanical air circulation in operation.

Correction Required: If the indoor temperature exceeds 82 F in a child care space, a means of mechanical air circulation must be operating.Provide an operating means of mechanical air circulation for the multi-purpose room. Ensure that the facility remains properly ventilated in accordance with this regulation.

Noncompliance Area: The first aid kits in the multi-purpose room did not contain all of the required contents: (no gauze, not scissors)

Correction Required: A first-aid kit shall be in a child care space. Obtain and ensure that all first aid kits contain all of the required contents as specified in the 55 PA CODE 3280/3290/3270 regulations.

Noncompliance Area: Surfaces in the facility were in need of cleaning and/or presented a visible hazard: the carpets in the gym and 4 year old classroom needed cleaning or replacement; bathroom floors and wall in the infant room were in need of cleaning or painting; basement gym walls, floors, baseboard and was in need of cleaning or painting; cubbies in the 5-6 year old classroom were wobbly and unstable.

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. Complete all cleaning and repairs as specified. Secure the cubbies so that they do not present a hazard. Develop and submit a written schedule for ongoing cleaning and maintenance to ensure compliance.

Noncompliance Area: Hand washing signs were not posted at each toilet in the facility.

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. Post the hand washing signs at each toilet as specified in this regulation.