Calvary Baptist Church

Regulation: 3270.112/3270.113(e)

Description: Infant/Toddler Stimulation/Restraints prohibited

Noncompliance Area: On 2/11/25 during the renewal inspection, CR arrived at approximately 10:20am. Upon arrival the 1yr old toddler class were sitting at a toddler sized feeding table. The children were not removed from the feeding table until naptime which was 12:18 PM.

Correction Required: Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 2/11/25 during the renewal inspection, there were several instances where each age group were left unsupervised by their teacher. -Staff person # 2 left the preschool aged classroom to assist with diaper changes. -Staff person #3 allowed the 2yr old classroom to walk out of the bathroom unattended to go back to their classroom area. Staff person #4 sat at their classroom door with their back turned opposite of the classroom to assist with watching the 1yr olds classroom, while their teacher performed diaper changes. - There were children running back and forth from the tables to the bathroom during this time. -Child # 2 wandered around center during transition/ bathroom time and the teacher was unaware that child was not with the group for nearly two minutes. - There was a child who received wrap around services and was sitting on the opposite side of classroom area. During this time the teacher was unable to view/ supervise the child due to the tall dividers separating the Wrap around Adult and child from the classroom area.

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)(2)

Description: Supervision on and facility premises

Noncompliance Area: On2/11/25 during the renewal inspection, Staff person # 3 was out of compliance for the ratio requirements. while Staff person #2 assisted another classroom with diaper changes. Staff person #3 was left responsible for a total of 9 children- (5 2yr olds and 4 preschool aged children).

Correction Required: The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: On 2/11/24 during the renewal inspection, Staff person #3 did not have the emergency contacts available in the childcare space.

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: 3270.166(1)

Description: Written statement

Noncompliance Area: On 2/11/25 during the renewal inspection, there was no feeding schedule that was obtained from the parent available for Child #3.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: On 2/11/25 during the renewal inspection, the bottle for Child #1 was not labeled with their name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.24(a)

Description: Immediate access

Noncompliance Area: On 2/11/25 during the renewal inspection, When CR asked for access to all of the children's files for review, the owner said that all of the children's files were not available and gave the CR 13 out of 26 of the files that were in total.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: On 2/11/25 during the renewal inspection, the director was unable to provide proof that a copy of the emergency plan and subsequent plan updates were sent to the local municipality and to the county emergency management agency.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: On 2/11/25 during the renewal inspection, Staff Person #1 did not have a current fire safery training certificate that was approved by the Department of Human Services.

Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: On 2/111/25 during the renewal inspection, The Pediatric first aid and cpr certification that was in the file of Staff Person #2 was not conducted by a PQAS approved trainer.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On 2/11/25 during the renewal inspection, there was a missing receptacle cover located in the main childcare space on the blue wall near the dramatic playhouse, that is in the reach of children.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Staff Person #1 and Staff Person #2 failed to supervise children during afternoon activities which resulted in a toddler child being able to scratch and injure the face of 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.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The parent board containing regulations and instructions for contacting the regional childcare office is located on the wall within the doors by the entrance of the main classroom space. Staff person #1 acknowledged that enrolled children are dropped off by parents and are released by staff to parents at the top of the vestibule at the main entrance of the church, which results in parents not having access to the information on how to contact the regional childcare 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: 3270.101(c)(6)

Description: Large muscle development

Noncompliance Area: On 2/8/24, the facility did not have any play equipment or materials available for the children to use for large muscle development.

Correction Required: Play equipment and materials shall include toys and equipment for large muscle development.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: On 2/8/24, during the renewal inspection, the outdoor play area is in need of protective covering.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.111(a)/3270.111(b)

Description: Written plan/Posted in group space

Noncompliance Area: On 2/8/24 during the renewal inspection there was not a written plan of daily activities available or posted in the infant childcare space.

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.

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

Description: Toddler/preschool: updated health report every 12 months/Child's health history

Noncompliance Area: On 2/1/24, during the file review, Child #2 did not have an updated health assessment on file.

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 health report shall include a review of the child's health history.

Regulation: 3270.133(5)/3270.133(7)(ii)

Description: Original label/Name of child receiving medication

Noncompliance Area: On 2/8/24 during the renewal inspection Staff #1 used a Baby Rash Spray ointment on Child #1 and the bottle was not labeled or there was documentation on a medication log available at the facility.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. A medication log shall include the name of the child receiving the medication.

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: On 2/8/24 during the renewal inspection, CR witnessed that after a diaper change, Staff #1 used a wet hand towel to wipe down the changing table. There was no sanitizing solution available for the staff to use.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 2/8/24, The facility did not have a written plan of operations for Continuity of Care.

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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: On 2/8/24 during the renewal inspection, the children's lunch bags were left out and were not refrigerated. One of the lunches contained a Lunchable.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.181(b)/3270.181(e)

Description: Current/Emergency master file updated

Noncompliance Area: On 2/824, the staff did not have access to the updated emergency contact information for the children in each of the classrooms.

Correction Required: Information in a child's record shall be kept current by the operator. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.27(a)(1)/3270.27(a)(2)

Description: Emergency plan/Emergency plan

Noncompliance Area: On 2/8/24 during the renewal inspection, the facility was unable to provide a current emergency plan that provides for accommodations for shelter of children during an emergency evacuation including lock-down, shelter in place at the facility and shelter at locations away from the facility.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

Regulation: 3270.27(a)(3)/3270.27(a)(5)

Description: Contact when arises/Emergency plan

Noncompliance Area: On 2/8/24, The facility did not have a current written emergency plan posted that provided methods for all facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility did not have an emergency plan available that provides 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 a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. 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(a)(6)

Description: Emergency plan

Noncompliance Area: On 2/8/24 during the renewal inspection, there were no documented Emergency Drill logs on file for the facility

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

Regulation: 3270.27(a)/3270.27(b)

Description: Emergency plan/Plan reviewed/updated annually

Noncompliance Area: On 2/8/24, the facility did not have a current updated emergency plan posted or documentation that the emergency plan was plan was reviewed with staff annually.

Correction Required: The facility shall have an emergency plan. The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.27(b)/3270.27(c)

Description: Plan reviewed/updated annually/Training regarding plan

Noncompliance Area: On 2/8/24 during the renewal inspection, the operator was unable to provide documentation on training of the Emergency plan.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility. 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: on 2/8/24, The operator was unable to provide documentation showing that the facility received annual training regarding the emergency plan.

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: 3270.27(d)

Description: Plan posted

Noncompliance Area: On 2/8/24 during the renewal inspection did not have a copy of an updated emergency plan posted at a conspicuous location. -The Emergency plan was not posted in the classrooms in the facility.

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

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: On 2/8/24 during the renewal inspection the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not posted in the classrooms of the facility.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: On 2/8/24 during the renewal inspection the first aid kits that were in each of the classroom spaces did not contain tweezers, and 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: 3270.75(d)

Description: On excursions

Noncompliance Area: On 2/8/24 during the renewal inspection, each child care group did not have a first aid kit that was available to take on excursions.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 2/8/24 during the renewal inspection, the outdoor play space is in need of the ground to be leveled and is in need of removal of trash and debris. -In the infant child care space, and Pre-K space, there was foam covering used for covering pipes that are in need of being replaced that are accessible to the 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: 3270.94(a)(1)/3270.94(a)(2)

Description: Every 60 days/Different times of day

Noncompliance Area: On 2/8/24 during the renewal inspection, the facility did not provide documented logs of performed fire drills.

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. 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 different times of the day or night, or both, if applicable.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: On 6/27/23, during the unannounced inspection, certification rep. observed several pack and play rest equipment not labeled for the use of a specific child.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Continued non-compliance on 5/15/23, during the unannounced inspection, certification rep. observed hand sanitizer accessible to the children at the children table. On 6/27/2023, certification rep. observed hand sanitizer and Lysol wipes at the entry director desk and Lysol spray on desk in the back outside of the infant 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: 3270.78

Description: Lighting

Noncompliance Area: Continued non-compliance on 5/15/23, during the unannounced inspection, certification rep. observed the infant room without any light and door was closed. The certification rep. observed the room being pitch black and certification rep was unable to see the staff and children in the childcare space. On 6/27/23, Certification Rep and Certification Rep supervisor observed the night lights the provider provided the classroom. The night lights did not illuminate the room enough for the staff to provide proper supervision for the children in care during nap time.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: On 6/27/23, during the unannounced inspection, certification rep. observed several empty boxes were stacked in front of the fire exit door outside of the kitchen area.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 5/15/23, during the unannounced inspection, two children ( Preschool and School Age) were not in the visual vew of the teachers, supervised, and accounted for within the classroom ratios and group assignments when asked by the certification rep. Certification rep. Also observed a child who was unsupervised at the bathroom with the door shut at nap time.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: On 5/15/23, during the unannounced inspection, staff person # 1 and #2 did not verify the name or identify whereabouts of one of their assigned responsible children they were responsible for.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: On 5/15/23, during the unannounced inspection, staff person #1 and #2 did not have documents confirming the date of the emergency plan training at the time of initial employment.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 5/15/23, during the unannounced inspection, staff person #1 and #3 did not have a sign disclosure statement in their individual staff records.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 5/15/23, during the unannounced inspection, certification rep. observed hand sanitizer accessible to the children at the children table.

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: 3270.78

Description: Lighting

Noncompliance Area: On 5/15/23, during the unannounced inspection, certification rep. observed the infant room without any light and door was closed. The certification rep. observed the room being pitch black and certification rep was unable to see the staff and children in the childcare space.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Regulation: 3270.101(a)

Description: Age appropriate

Noncompliance Area: On 3/13/23, during the renewal inspection, play equipment, age appropriate materials appropriate to the developmental needs and individual interest was not provided each child care space accessible to the children during the time of the renewal inspection.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: On 3/13/23, during the renewal inspection, a written plan of daily activities was not posted in each of the group space.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: On 3/13/23, during the renewal inspection, staff person #2 was observed using harsh language in the presence of the children.

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

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: On 3/13/23, during the renewal inspection child #2 did not have the agreement form signed by the enrolling parent.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: On 3/13/23, during the renewal inspection, child # 1 and #2 did not have the fee to be charged day or per week on the agreement form completed

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: On 3/13/23, during the renewal inspection , child # 1 and #2 did not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: On 3/13/23, during the renewal inspection, child #2 did not have a health report on the child individual records

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.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: On 3/13/23, during the renewal inspection, a copy of the current insurance policy was not on file at the facility.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.182(5)

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

Noncompliance Area: On 3/13/23, during the renewal inspection, Child # 1 and #2 did not have parental consent for administration of minor first -aid procedures by facility staff.

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

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: On 3/13/23, during the renewal inspection, Facility person #3 did not have individual records required for each facility person .

Correction Required: An individual record is required for each facility person.

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: On 3/13/23, during the renewal inspection, staff person #1 did not have clearances from the state in which they reside in. Staff person #1 did have PA clearances in the staff persons file.

Correction Required: 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.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: On 3/13/23, during the renewal inspection , staff person #.1 and #2 did not have the annual minimum 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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 3/13/23, during the renewal inspection, staff person #1 did not have the required out of state clearances in the individual staff file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 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.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 3/13/23, during the renewal inspection, staff was only able to identify 16 children total in their large group activity. The youngest was a young toddler and the oldest was a PK with a total of three teachers.

Correction Required: 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).

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On 3/13/23, during the renewal inspection, protective receptacle covers were missing in the School age child care space and the children bathrooms.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On 3/13/23, during the renewal inspection, there was medication located in the cabinet in the infant room, cleaning products in the bathroom cabinets, and personal bags placed in the child care room window sills accessible to the children.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: On 3/13/23, during the renewal inspection, certification rep observed a small hole in the infant room wall on the left side of the entrance.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: ON 1/26/22, DURING THE COMPLAINT INVESTIGATION, PROVIDER OBSERVED ONE TODDLER LEFT IN THE HIGHCHAIR SLEEP DURING THE TRANSITION FROM LUNCH TO NAP. THE CHILD WAS LEFT UNATTENED FOR MORE THAN 10 MINUTES PRIOR TO CERTIFICATION REP INFORMING STAFF OF THE CHILD BEING LEFT.

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

Regulation: 3270.15(a)

Description: Building Codes

Noncompliance Area: ON 1/26/22, DURING THE COMPLAINT INVESTIGATION, CERTIFICATION REP. OBSERVED UNLICENSED CHILD CARE SPACE BEING USED FOR SCHOOL AGE CHILDREN. THE SPACE WAS A BUILDING NEXT TO THE FACILITY. THE SPACE BEING USED IS WHERE THE INVESTIGATED COMPLAINT OCCURED.

Correction Required: A certificate of compliance will not be granted by the Department until the legal entity provides a certificate of occupancy as proof of compliance with the applicable requirements of the Department of Labor and Industry in 34 Pa. Code § 403.23 (relating to child day care facilities) and under section 1016(c) of the act (62 P.S. § 1016(c)).

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: ON 1/26/22, DURING THE COMPLAINT INVESTIGATION, CERTIFICATION REP. DID NOT OBSERVE A INCIDENT REPORT FOR THE COMPLAINT INCIDENT.

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.

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: ON 1/26/22 DURING THE COMPLAINT I NVESTIGATION, CERTIFICATION DID NOT OBSERVE A INCIDENT REPORT IN OBSERVANCE OF THE 1/6/22 INCIDENT IN CHILDS FILE.

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.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: ON 9/20/21, DURING THE UNANNOUNCED INSPECTION, THE INFANT REST EQUIPMENT WAS NOT LABELED TO SPECIFIC CHILD.

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: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: ON 9/20/21, DURING THE UNANNOUNCED INSPECTION, THE INFANT REST EQUIPMENT WAS NOT 2 FEET APART.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: ON 9/20/21, DURING THE UNANNOUNCED INSPECTION, CERTIFICATION REP OBSERVED SEVERAL STAFF LEAVING THE CLASSROOM WHILE LEAVING THE CO-TEACHER OUT OF RATIO.

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

Regulation: 3270.151(c)(1)

Description: Physical examination

Noncompliance Area: ON 9/20/21, DURING THE UNANNOUNCED INSPECTION, STAFF PERSON #1 DID NOT HAVE A HEALTH ASSESSMENT IN THE STAFF PERSONS RECORD.

Correction Required: An adult health assessment must include a physical examination.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: ON 9/20/21, DURING THE RENEWAL INSPECTION, STAFF PERSON #1DID NOT HAVE PREVIOUS CHILD CARE EXPERIENCE IN THE STAFF RECORDS

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: ON 9/20/21, DURING THE UNANNOUNCE INSPECTION, STAFF PERSON #1 DID NOT HAVE TWO WRITTEN REFERNCES IN THE STAFF RECORDS.

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)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: ON 9/20/21 DURING THE UNANNOUNCED INSPECTION STAFF PERSON #1 WAS MISSING THE FOLLOWING ITEMS OUT OF THE STAFF PERSONS RECORDS. : CHILD ABUSE CLEARANCE AND NSOR VERIFICATION

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- 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. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3270.34(b)

Description: Director qualifications

Noncompliance Area: ON 9/20/21, DURING THE UNANNOUNCED INSPECTIONS, CERTIFICATION REP OBSEVRED THAT THE FACILITY WAS OPERATING WITHOUT A QUALIFIED DIRECTOR. THE INFORMATION WAS VERIFIED BY MS. GITTENS THE OWNER.

Correction Required: A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4).

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: ON 9/20/21 DURING THE COMPLAINT INVESTIGATION, CERT REP OBSERVED THE STAFF NOT FOLLOWING THE MIXED AGE GROUP RATIOS.

Correction Required: 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).

Regulation: 3270.75(a)

Description: In child care spaces

Noncompliance Area: ON 9/20/21, DURING THE UNANNOUNCED INSPECTION, CERTIFICATION REP OBSERVED ONLY ONE FIRST AID KIT THROUGH OUT THE FACILITY. IN THE TODDLER SPACE

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

Regulation: 3270.78

Description: Lighting

Noncompliance Area: ON 9/20/21, DURING THE UNANNOUNCED INSPECTION, THE INFANT ROOM DID NOT HAVE ENOUGH LIGHTING TO PROPERLY SUPERVISE THE CHILDREN DURING NAP TIME.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.