R W Brown Community Center

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection, certification representative reviewed facility files and the policy for Shaken Baby Syndrome and Child Maltreatment did not address the identification and prevention of child maltreatment per Announcement C-22-03 that was issued on January 24,2022.

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: 3270.176(f)

Description: Prohibition using an 11-15 passenger vans

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility vehicle, and the vehicle is a 12-passenger van which the facility may not transport a child in an 11-15 passenger van.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: During the renewal inspection, certification representative reviewed 8 staff files and the file for staff #2 did not include a verification of childcare experience.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, certification representative reviewed 8 staff files and the file for staff #1 did not have an updated disclosure statement. (Last 12/2/19)

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 childcare position at the facility.

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility paperwork and there was no updated documentation of fire alarm systems annual testing from a fire safety professional. (Last documentation 9/11/24)

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During the renewal inspection, certification representative reviewed facility files and there was no written notification sent to the local traffic authorities.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 3 STAFF FILES AND THE FILE FOR STAFF #1 DID NOT INCLUDE A NSOR CLEARANCE.

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 # -1may 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 #-1 may not work in a child care position at the facility.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During renewal inspection on December 21, 2022, the operator had not sent a copy of the emergency plan and subsequent plan updates 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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During renewal inspection on December 21, 2022, the hot water temperature measured at 114°F in the PKC2 room, and in both the bathroom and classroom sinks in rooms 8 and 9.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During renewal inspection on December 21, 2022, Certification Representative observed stained ceiling tiles in rooms 1, 5, 6, 8, 9, 10, 12, 14, 16, and 25.

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 renewal inspection on December 21, 2022, Certification Representative observed areas of chipped paint in rooms 1, 5, 12, 16, 18, 25 and the gym.

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

Noncompliance Area: At the time of the inspection, there was no completed agreement for child #4, 8 and 9.

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

Noncompliance Area: At the time of the inspection, there was nothing on the agreement of child #1-5, 7 and 10 that provided information to the family about the child's growth and development in the context of the services being provided

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).

Noncompliance Area: At the time of the inspection, there was nothing on the agreement of child #3, 6, 7 and 10 that specified the persons designated by a parent to whom the child may be released.

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

Noncompliance Area: At the time of the inspection, there was no date of admission on the agreement for child #1-4, 8, 9 and 10.

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

Noncompliance Area: At the time of the inspection, there was no phone number of the child's physician or source of medical care on the emergency contact form for child #1.

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

Noncompliance Area: At the time of the inspection, there was no work address of the enrolling parent on the emergency contact form for child #1, 2, 4, 6, 7 and 8.

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

Noncompliance Area: At the time of the inspection, there was no address of the individual designated by the parent to whom the child may be released on the emergency contact form for child #5, 7, 8, 9 and 10.

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.

Noncompliance Area: At the time of the inspection, there was nothing in the school age classroom showing a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

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.

Noncompliance Area: At the time of the inspection, there was no update to the emergency contact form for child #7. The last recorded date was 4-11-19.

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

Noncompliance Area: At the time of the inspection, there was no immunization record on file for child 3.

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

Noncompliance Area: At the time of the inspection, there was nothing on the health assessment for child #3-7 and 9 that include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: At the time of the inspection, the medication for child #11-13 was not in the original prescription box and did not have parental consent to administer medication.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: At the time of the inspection, there was no updated health assessment on file for staff #1. There was no initial assessment on file for staff #4, 5 and 10.

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.

Noncompliance Area: At the time of the inspection, there was no tuberculosis screening by the Mantoux method at initial employment on file for staff #4 and 5.

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.

Noncompliance Area: At the time of the inspection, there were no written safe routes posted in the school age room.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: At the time of the inspection, there was no signed parental consent for emergency medical care for the child and no signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form for child #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.

Noncompliance Area: At the time of the inspection, there was no prior child care experience on file for staff #4, 6, 7, 8, 11 and 13.

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: At the time of the inspection, there was no verification of education on file for staff #4 and 7.

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.

Noncompliance Area: At the time of the inspection, there was no verification of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file for staff #3 and 4.

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

Noncompliance Area: At the time of the inspection, the emergency plan on file did not have a review by date and there was no documentation in writing of each review and update 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.

Noncompliance Area: At the time of the inspection, there was no emergency plan training on file for staff #2, 3, 4 5, 7, 8, 9, 10, 11 and 13.

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.

Noncompliance Area: At the time of the inspection, there was no verification of 6 clock hours of child care training on file for staff #8, 12 and 13.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: At the time of the inspection, there was no verification of annual fire safety training on file for staff # 7, 8, 9, 11 and 13.

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.

Noncompliance Area: At the time of the inspection, there was no request for an NSOR verification certificate or completed certificate for staff #5 (date of hire 10-4-19). There was no rap sheet to accompany the FBI clearance for staff #6 (date of hire 8-20-18). There was no FBI clearance on file for staff #7 (date of hire 10-23-18). There was no Pa State Police clearance on file for staff #13 (date of hire 10-23-18). Facility Person #5, 7 and 13 may not work in a child care position at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 5 AND 7 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #5 AND 7 may not work in a child care position at the facility.

Noncompliance Area: At the time of the inspection, the water in the bathroom of the 3-5 year old room measured more than 110 F.

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

Noncompliance Area: At the time of the inspection, there was no emergency phone numbers posted by the phone in the school age room.

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.

Noncompliance Area: At the time of the inspection, there was a rusty metal plate on the bathroom wall. There was water damaged ceiling tiles in the hallway, classrooms and in the kitchen area. There was a damaged wall tile in the bathroom. There was a pane of glass missing from the door in the school age room.

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.

Noncompliance Area: At the time of the inspection, there was damaged plaster and peeling paint throughout all rooms in the facility.

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

Noncompliance Area: At the time of the investigation, it was determined that child #1 choked on a small plastic chip that was taken from the science center in the room.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: At the time of the investigation, it was determined that staff #1 was not properly supervising child #1 which allowed the child the opportunity to place a nickel size object in her mouth causing her to choke and needing emergency medical care.

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: 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.

Noncompliance Area: At the time of the investigation, the incident report was received on the day of the investigation and not 72 hours after the incident occurred.

Correction Required: The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department

Noncompliance Area: On the date of the inspection, provider did not provide documentation that the fire detection system has been inspected semi-annually and could not demonstrate that the fire detection system was operable. This condition at the facility poses 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.

Noncompliance Area: At the time of the inspection, in the pool area, it was observed that child #1 walked out of the boys locker room by himself while staff #1 and 2 were among the children swimming.

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.

Noncompliance Area: At the time of the complaint investigation, an allegation was made towards staff #1 that she hit a child in the hand. After further investigation, it was revealed from child #1 that staff #1 did hit him in the hand.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Noncompliance Area: At the time of the inspection, there were 21 young school age children with staff #1 and 2 in the swimming pool.

Correction Required: The staff-child ratios while children are swimming are Infant 1:1; Young or older toddler 1:2; Preschool 1:5; Young school-age 1:6; Older school-age1:8

Noncompliance Area: At the time of the inspection, the center was using facility person #3 and 4 as staff members to fulfill ratio requirements for swimming. Staff #3 and 4 are lifeguards and therefore can not be counted in ratio.

Correction Required: When children are swimming, the person certified in lifeguard training may not be included in the staff-child ratio.

Noncompliance Area: At the time of the inspection, facility person #3 (lifeguard) did not have a completed FBI clearance. Facility person #4 (lifeguard) did not have a completed PA State Police Clearance or a completed FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3 AND 4 may not work in a child care position at the facility.

Noncompliance Area: At the time of the inspection, there was damaged plaster along the bottom of the wall in the preschool classroom.

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.

Noncompliance Area: At the time of the inspection, with the reported allegation of sexual behaviors between children that were going on in the classroom, it was concluded by the certification rep and staff #2 and 3 that supervision was not in compliance in the classroom due to these events even possibly occurring.

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.

Noncompliance Area: Prior to the onsite investigation, it was determined that staff #1 did not inform administration of RW Brown that child #1 was showing behaviors in the classroom which could have been an indication of alleged child abuse. administration did not find out that something had occurred until 2 weeks after the incident when the parent of child #1 was following up with the center. Administration immediately then called Child Line and filed a report.

Correction Required: A staff person may be designated by the operator as the person responsible to notify ChildLine of suspected child abuse. The operator or designated staff person with this responsibility shall immediately notify ChildLine at 1-(800)-932-0313.

Noncompliance Area: At the time of the inspection, there was no signature of the operator on the agreement for child #1-6, 8-12. There was no agreement for child #13.

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

Noncompliance Area: At the time of the inspection, there was no arrival and departure time on the agreement of child #1, 2 and 14.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: At the time of the inspection, there was nothing specifying the persons designated by a parent to whom the child may be released on the agreement of child #1-14.

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

Noncompliance Area: At the time of the inspection, there was no date of the child's admission on the agreement for child #1-6, 8-14.

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

Noncompliance Area: At the time of the inspection, there was no name, address or phone number of the child's physician on the emergency contact form for child #1 and 6.

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

Noncompliance Area: At the time of the inspection, there was no work address and phone number of the enrolling parent on the emergency contact form for child #1-3, 5, 7, 9, 11-14.

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

Noncompliance Area: At the time of the inspection, there was no address of the release person on the emergency contact form for child #1,2,4-7, 11, 13 and 14.

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.

Noncompliance Area: At the time of the inspection, there was no health report for child #14. There was only an immunization record.

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.

Noncompliance Area: At the time of the inspection, there was no updated food prep license on file for the facility. The one available for review expired on 4-30-18.

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.

Noncompliance Area: At the time of the inspection, there was no verification of an updated health assessment on file for staff #2 (last was 6-14-16), staff #9 (last was 11-17-15), staff #12 was missing the questions if there are communicable diseases and if she is able to provide childcare services, staff #16 health assessment was not updated (last was 10-17-16).

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.

Noncompliance Area: At the time of the inspection, there was no tuberculosis screening by the Mantoux method test date with negative results on file for staff #2, 8, 12 and 17.

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.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.

Noncompliance Area: At the time of the inspection, there was no signed parental consent for emergency medical care for the child and no signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form for child #11.

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.

Noncompliance Area: At the time of the inspection, there was no verification of experience on file for staff #1, 2, 5, 6, 8, 9, 10-12, 13,15-17, 19 and 20.

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

Noncompliance Area: At the time of the inspection, there were no written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file for staff #10 and 17.

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

Noncompliance Area: At the time of the inspection, there was no emergency plan training on file for staff #2, 8, 12, 17, 18 and 19.

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.

Noncompliance Area: At the time of the inspection, there was no verification of fire safety training on file for staff #2, 8, 12, 17, 18 and 19.

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.

Noncompliance Area: At the time of the inspection, the FBI clearance on file for staff #3 (hire dated unknown) was dated 3-23-10 and therefore expired 3-23-15. There was no signed disclosure for staff #5. There was no request for child abuse clearance and no completed clearance for staff #6(date of hire unknown). There was no FBI clearance on file for staff #9 (date of hire 6-1-17). There was no rap sheet for the FBI clearance for staff #20 (hire date unknown).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3, 6, 9may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3, 6, 9, may not work in a child care position at the facility.

Noncompliance Area: At the time of the inspection, there was no education verification on file for staff #12 and 16.

Correction Required: An aide shall have a high school diploma or a general educational development certificate.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.

Noncompliance Area: At the time of the inspection, there was water damaged ceiling tiles in the Pre-K 2 room, PreK-4 and Pre-K 5 rooms.

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.

Noncompliance Area: THE LEGAL ENTITY DID NOT ENSURE THAT THE FOLLOWING CHILDREN HAD INSURANCE PROVIDER POLICY NUMBERS IN THEIR FILES: #2 AND #3.

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.

Noncompliance Area: THE LEGAL ENTITY DID NOT ENSURE THAT THE FOLLOWING STAFF PERSON HAD TB TEST RESULTS IN THEIR FILE: #3.

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.

Noncompliance Area: THE LEGAL ENTITY DID NOT ENSURE THAT THE FOLLOWING STAFF PERSON HAD VERIFICATION OF THEIR AGE IN THEIR FILE: #3.

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

Noncompliance Area: THE LEGAL ENTITY DID NOT ENSURE THAT THE FOLLOWING STAFF PERSON HAD VERIFICATION OF THEIR EDUCATION IN THEIR FILE: #4.

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: THE LEGAL ENTITY DID NOT ENSURE THAT THE FOLLOWING STAFF PERSONS RECEIVED ANNUAL WRITTEN EVALUATIONS: #1, #2, #3, #4, #6, #7, AND #8.

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