Parkland Preschool Inc D/b/a The Goddard School

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

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

Noncompliance Area: On May 2026 child #1 got up from their cot and walked out of the room. Staff person #1 did not see child #1 leave the room. Staff person #2 called Staff person #1 to inform them that the child had walked into their classroom.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan must have an immediate correction date. 2. The legal entity must arrange for staff #1 to receive a minimum of two hours of training specific to supervision during nap time. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when this training is completed.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A plastic bin in the young toddler room and a plastic drawer in Pre-K were both cracked.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Cots in Pre-K 1 and Pre-K 2 were not labeled for individual use by a 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: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The most recent physical on file for Child #1, a young toddler, is dated 4/1/24. See code sheet for DOB.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for child #8 did not include the address of the individual designated by the parent to whom the child may be released.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: Child #2 was missing the following immunization and was not in compliance with the ACIP recommendations: HEP A#2

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child# 2 must be dismissed from care by close of business 7/1/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.151(a)

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

Noncompliance Area: Staff person #3 did not obtain a health assessment until 4/3/24 which was not within 24 months of the previous health assessment dated 3/31/22.

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

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: Staff person #2's health assessment was answered "yes" to communicable diseases but the there was no additional follow up from the doctor explaining the communicable diseases as required on the health assessment form.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Staff person #1 only had 11 clock hours of child care training during their 9/22-9/23 training period.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: Existing staff had current evaluations on file but were missing their evaluations from the previous 12 months.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the inspection, the rest mats in the Gerber Daisy room were torn and the inside foam was exposed.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #30 was observed to be caring for children unsupervised. Staff person #30 has not completed the following pre-service training required prior to caring for children unsupervised: PQAS approved Pediatric First Aid/CPR training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #30 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #30, staff person #30 may not work in a child-care position at the facility

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: During a previous inspection on 11/28/23, staff person #13 did not have a health assessment on file at the time of hire. Staff person #14 did not have a health assessment and TB test on file dated within the previous 12 months at the time of hire. Staff person #22 did not have a tuberculosis screening at initial employment (see LIS code sheet for date of hire). A plan of correction was received stating the plan of correction would be implemented by 12/15/23. An inspection occurred on 2/28/24. Staff person #31 did not have a health assessment and tuberculosis screening dated within the previous 12 months at initial employment on file. The health assessment was dated 5/25/22 and the tuberculosis screening was dated 1/9/21 (see LIS code sheet for date of hire).

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a previous inspection on 11/28/23, At the time of the inspection, staff person #13's PA State Police clearance dated 3/23/22 stated "Request under review" and did not contain a dissemination date, therefore, this is not a valid clearance. Staff person #13 also did not have a signed disclosure statement at time of hire (see LIS code sheet for date of hire). Staff person #14 did not have a signed disclosure statement at time of hire (see LIS code sheet for date of hire). Staff person #16 did not have a witness signature or date on the disclosure statement. Staff person #18 did not have a signed disclosure statement, requests for or the completed Florida child abuse clearance and sex offender registry check on file at time of hire (see LIS code sheet for date of hire). Staff person #20 only had the request for the NSOR certificate and not the completed certificate on file and was observed working alone in the Gerber Daisy room. An acceptable plan of correction was received stating the plan of correction would be implemented on 11/29/23. An inspection occurred on 2/28/24. Staff person #30 did not have a completed NSOR on file and was observed to be working unsupervised in the Alliums classroom.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a previous inspection on 11/28/23, At the time of the inspection, staff person #13's PA State Police clearance dated 3/23/22 stated "Request under review" and did not contain a dissemination date, therefore, this is not a valid clearance. Staff person #13 also did not have a signed disclosure statement at time of hire (see LIS code sheet for date of hire). Staff person #14 did not have a signed disclosure statement at time of hire (see LIS code sheet for date of hire). Staff person #16 did not have a witness signature or date on the disclosure statement. Staff person #18 did not have a signed disclosure statement, requests for or the completed Florida child abuse clearance and sex offender registry check on file at time of hire (see LIS code sheet for date of hire). Staff person #20 only had the request for the NSOR certificate and not the completed certificate on file and was observed working alone in the Gerber Daisy room. An acceptable plan of correction was received stating the plan of correction would be implemented on 11/29/23. An inspection occurred on 2/28/24. Staff person #30 did not have a completed NSOR on file and was observed to be working unsupervised in the Alliums classroom.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. The legal entity will submit complete files for any new hires for a period of three months to the NE Regional Office. During that time, new hires may not begin to work in child care until their file has been approved by the NE Regional Office. Submitted files will be reviewed within 1 week of submission.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a previous inspection on 11/28/23, At the time of the inspection, staff person #13's PA State Police clearance dated 3/23/22 stated "Request under review" and did not contain a dissemination date, therefore, this is not a valid clearance. Staff person #13 also did not have a signed disclosure statement at time of hire (see LIS code sheet for date of hire). Staff person #14 did not have a signed disclosure statement at time of hire (see LIS code sheet for date of hire). Staff person #16 did not have a witness signature or date on the disclosure statement. Staff person #18 did not have a signed disclosure statement, requests for or the completed Florida child abuse clearance and sex offender registry check on file at time of hire (see LIS code sheet for date of hire). Staff person #20 only had the request for the NSOR certificate and not the completed certificate on file and was observed working alone in the Gerber Daisy room. An acceptable plan of correction was received stating the plan of correction would be implemented on 11/29/23. An inspection occurred on 2/28/24. Staff person #30 did not have a completed NSOR on file and was observed to be working unsupervised in the Alliums classroom.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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. Staff #5, staff #6 and anyone else responsible for new hire paperwork must register for and attend the in-person Existing Provider Orientation presented by the NE Regional Office on 5/15/2024.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: During a previous inspection on 8/28/23, in the infant room with staff person #2 and staff person #3, there were ten children. Six of the ten children were infants. In the Alliums room, staff person #1 admitted she was alone with 12 preschool age children before staff person#4 came in. In the Lillies room, staff person #5 was alone with 11 preschool age children before staff person #6 came in. An acceptable plan of correction was received on 9/7/23 stating that the plan of correction was implemented on 8/28/23. An inspection occurred on 9/27/23 and in the Lilacs room with staff person #10 and staff person #11, there were 12 toddlers. Child #1 was a part of the 12 toddlers and is not two years old (see LIS sheet for date of birth). This amount of children requires there to be three staff members. An acceptable plan of correction was received stating the plan of correction would be implemented by 9/27/23. An inspection occurred on 2/28/24. Several staff have stated that classrooms in the facility are still out of ratio between 7:30am-9:00am Staff person #5 admitted that the classrooms are out of ratio for a brief period of time in the morning while waiting for another staff person to come in to meet ratio requirements.

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 legal entity must arrange for all facility staff to receive a minimum of three hours of training, including technical assistance, regarding Ratios and Supervision of children. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: During a previous inspection on 8/28/23, in the infant room with staff person #2 and staff person #3, there were ten children. Six of the ten children were infants. In the Alliums room, staff person #1 admitted she was alone with 12 preschool age children before staff person#4 came in. In the Lillies room, staff person #5 was alone with 11 preschool age children before staff person #6 came in. An acceptable plan of correction was received on 9/7/23 stating that the plan of correction was implemented on 8/28/23. An inspection occurred on 9/27/23 and in the Lilacs room with staff person #10 and staff person #11, there were 12 toddlers. Child #1 was a part of the 12 toddlers and is not two years old (see LIS sheet for date of birth). This amount of children requires there to be three staff members. An acceptable plan of correction was received stating the plan of correction would be implemented by 9/27/23. An inspection occurred on 2/28/24. Several staff have stated that classrooms in the facility are still out of ratio between 7:30am-9:00am Staff person #5 admitted that the classrooms are out of ratio for a brief period of time in the morning while waiting for another staff person to come in to meet ratio requirements.

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 legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Northeast Region Office on a weekly basis for a period of three months after DHS approves the documentation format. Documentation must be received by the close of business the following Monday.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: During a previous inspection on 8/28/23, in the infant room with staff person #2 and staff person #3, there were ten children. Six of the ten children were infants. In the Alliums room, staff person #1 admitted she was alone with 12 preschool age children before staff person#4 came in. In the Lillies room, staff person #5 was alone with 11 preschool age children before staff person #6 came in. An acceptable plan of correction was received on 9/7/23 stating that the plan of correction was implemented on 8/28/23. An inspection occurred on 9/27/23 and in the Lilacs room with staff person #10 and staff person #11, there were 12 toddlers. Child #1 was a part of the 12 toddlers and is not two years old (see LIS sheet for date of birth). This amount of children requires there to be three staff members. An acceptable plan of correction was received stating the plan of correction would be implemented by 9/27/23. An inspection occurred on 2/28/24. Several staff have stated that classrooms in the facility are still out of ratio between 7:30am-9:00am Staff person #5 admitted that the classrooms are out of ratio for a brief period of time in the morning while waiting for another staff person to come in to meet ratio requirements.

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.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an inspection on 11/28/23, the manual monthly monitoring log for the fire detection system was last conducted on 10/25/23 and not every 30 days as required. An acceptable plan of correction was obtained stating the correction would be implemented on 11/30/23. An inspection occurred on 1/26/24. The manual monthly monitoring of the fire detection system was last conducted on 11/30/23 and not every 30 days, as required.

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

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: At the time of the inspection, staff person #13 did not have a health assessment on file at the time of hire (see LIS code sheet for date of hire). Staff person #14 did not have a health assessment and TB test on file dated within the previous 12 months at the time of hire (see LIS code sheet for date of hire). Staff person #22 did not have a tuberculosis screening at initial employment (see LIS code sheet for date of hire).

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of the inspection, staff person #13 only had one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Staff person #15 and staff person #16 did not have any written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file.

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: At the time of the inspection, staff person #13's PA State Police clearance dated 3/23/22 stated "Request under review" and did not contain a dissemination date, therefore, this is not a valid clearance. Staff person #13 also did not have a signed disclosure statement at time of hire (see LIS code sheet for date of hire). Staff person #14 did not have a signed disclosure statement at time of hire (see LIS code sheet for date of hire). Staff person #16 did not have a witness signature or date on the disclosure statement. Staff person #18 did not have a signed disclosure statement, requests for or the completed Florida child abuse clearance and sex offender registry check on file at time of hire (see LIS code sheet for date of hire). Staff person #20 only had the request for the NSOR certificate and not the completed certificate on file and was observed working alone in the Gerber Daisy room.

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. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. The legal entity will submit complete files for any new hires for a period of three months to the NE Regional Office. During that time, new hires may not begin to work in child care until their file has been approved by the NE Regional Office. Submitted files will be reviewed within 1 week of submission.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, staff person #13's PA State Police clearance dated 3/23/22 stated "Request under review" and did not contain a dissemination date, therefore, this is not a valid clearance. Staff person #13 also did not have a signed disclosure statement at time of hire (see LIS code sheet for date of hire). Staff person #14 did not have a signed disclosure statement at time of hire (see LIS code sheet for date of hire). Staff person #16 did not have a witness signature or date on the disclosure statement. Staff person #18 did not have a signed disclosure statement, requests for or the completed Florida child abuse clearance and sex offender registry check on file at time of hire (see LIS code sheet for date of hire). Staff person #20 only had the request for the NSOR certificate and not the completed certificate on file and was observed working alone in the Gerber Daisy room.

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. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. Staff person #13 and staff person #18 may not work in a child care position at the facility.

Regulation: 3270.33(a)

Description: Each staff person meets quals

Noncompliance Area: At the time of the inspection, staff person #16 did not have any education on file to be qualified as an aide. Staff person #17 and staff person #20 had education on file from a foreign country that was not evaluated and therefore the position in which the staff person is performing could not be determined. Staff person #18 did not have a high school diploma on file to accompany the college transcripts and could not qualify for the position he was performing.

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

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: At the time of the inspection, staff person #16 and staff person #17, both aides, were observed to be working together unsupervised in the Wild Roses room. Staff person #15 and staff person #21, both aides, were observed to be working unsupervised in the Baby Breath Infant room. Staff person #20, an aide, was observed to be working alone in the Gerber Daisies room.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: At the time of the inspection on 11/28/23, the manual monthly monitoring log for the fire detection system was last conducted on 10/25/23 and not every 30 days as required.

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

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

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

Noncompliance Area: During an inspection on 9/27/23, staff person #5 stated that staff person #12 left a child on the playground for approximately 5 minutes. The child was observed by her parents on the playground alone when they arrived for evening pickup at 5:00pm.

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. 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. The legal entity must arrange for all facility staff to receive a minimum of three hours of training, including technical assistance, regarding Ratios and Supervision of children. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training.

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

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

Noncompliance Area: During an inspection on 9/27/23, staff person #5 stated that staff person #12 left a child on the playground for approximately 5 minutes. The child was observed by her parents on the playground alone when they arrived for evening pickup at 5:00pm.

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. 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. Children must be supervised at all times.

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

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

Noncompliance Area: During an inspection on 9/27/23, staff person #5 stated that staff person #12 left a child on the playground for approximately 5 minutes. The child was observed by her parents on the playground alone when they arrived for evening pickup at 5:00pm.

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. 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. The legal entity must develop or update their written supervision policies and procedures to be implemented in the facility. The written policy must ensure that each child is seen, heard, assessed and able to be directed at all times. The policy must include how the facility will ensure appropriate supervision during transition times and while in the outdoor play area. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in his/her assigned group and be physically present with the children in his/her group on the facility premises and on facility excursions off the facility premises. The policy must also address how these groups will be transitioned from one staff person to another during staffing changes. The facility must create and implement specific procedures using a tangible supervision system, e.g. supervision cards, supervision lists, or another approved method, to ensure appropriate supervision at all times. Both the updated supervision policies and new supervision procedures must be submitted to the Northeast Regional Office for approval prior to implementation. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on the policies and procedures and it must be documented in their files.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During a previous inspection on 8/28/23, staff person #1 admitted to caring for children unsupervised. Staff person #1 did not complete the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR training. An acceptable plan of correction was received on 9/7/23 stating the correction was implemented by 8/28/23. During an inspection on 9/20/23, staff person #7 was observed to be caring for children unsupervised. Staff person #7 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR training. During an inspection on 9/27/23, staff person #8 and staff person #9 were observed in Alliums room together and were caring for children unsupervised. Staff person #8 and staff person #9 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR training. Staff person #9 also has not completed the pre-service health and safety training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #7, staff person #8 and staff person #9 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #7, staff person #8 and staff person #9, staff person #7, staff person #8 and staff person #9 may not work in a child-care position at the facility.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: During the inspection on 9/20/23, staff person #8 and staff person #9 did not have a health assessment and TB screening conducted within 12 months prior to providing initial service in a childcare setting (see LIS code sheet for date of hire).

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the inspection on 9/20/23, staff person #9 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the inspection on 9/20/23, staff person #7's disclosure statement did not contain a witness signature or a date of the facility person's signature.

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

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: During an inspection on 9/27/23, staff person #8 and staff person #9, both qualified as aides were working together unsupervised in the Alliums room.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: During a previous inspection on 8/28/23, in the infant room with staff person #2 and staff person #3, there were ten children. Six of the ten children were infants. In the Alliums room, staff person #1 admitted she was alone with 12 preschool age children before staff person#4 came in. In the Lillies room, staff person #5 was alone with 11 preschool age children before staff person #6 came in. An acceptable plan of correction was received on 9/7/23 stating that the plan of correction was implemented on 8/28/23. An inspection occurred on 9/27/23 and in the Lilacs room with staff person #10 and staff person #11, there were 12 toddlers. Child #1 was a part of the 12 toddlers and is not two years old (see LIS sheet for date of birth). This amount of children requires there to be three staff members.

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 legal entity must arrange for all facility staff to receive a minimum of three hours of training, including technical assistance, regarding Ratios and Supervision of children. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: During a previous inspection on 8/28/23, in the infant room with staff person #2 and staff person #3, there were ten children. Six of the ten children were infants. In the Alliums room, staff person #1 admitted she was alone with 12 preschool age children before staff person#4 came in. In the Lillies room, staff person #5 was alone with 11 preschool age children before staff person #6 came in. An acceptable plan of correction was received on 9/7/23 stating that the ratio documentation sheets would be completed and sent to the DHS office for a period of 3 months beginning on 9/7/23. During an inspection on Wednesday, 9/20/23, staff were just receiving their ratio documentation sheets for the week while an inspection was being conducted. Count sheets for Monday and Tuesday of that week were not completed per the directed plan of correction. Multiple classroom staff admitted that the check sheets are not being completed throughout the day. An inspection occurred on 9/27/23 and in the Lilacs room with staff person #10 and staff person #11, there were 12 toddlers. Child #1 was a part of the 12 toddlers and is not two years old (see LIS sheet for date of birth). This amount of children requires there to be three staff members.

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. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Northeast Region Office on a weekly basis for a period of three months after DHS approves the documentation format. Documentation must be received by the close of business the following Monday.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: During a previous inspection on 8/28/23, in the infant room with staff person #2 and staff person #3, there were ten children. Six of the ten children were infants. In the Alliums room, staff person #1 admitted she was alone with 12 preschool age children before staff person#4 came in. In the Lillies room, staff person #5 was alone with 11 preschool age children before staff person #6 came in. An acceptable plan of correction was received on 9/7/23 stating that the plan of correction was implemented on 8/28/23. An inspection occurred on 9/27/23 and in the Lilacs room with staff person #10 and staff person #11, there were 12 toddlers. Child #1 was a part of the 12 toddlers and is not two years old (see LIS sheet for date of birth). This amount of children requires there to be three staff members.

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.

Regulation: 3270.118(c)

Description: Vet's certificate required

Noncompliance Area: During the inspection, staff person #5 admitted that her dog does come into the facility. She does not have the veterinarian's certificate of current rabies immunization on file at the facility for when the dog is present.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the inspection, staff person #1 admitted to caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the inspection, staff person #1 did not have a completed NSOR certificate on file and admitted she was alone in the Alliums room earlier that morning.

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. 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: During the inspection, in the infant room with staff person #2 and staff person #3, there were ten children. Six of the ten children were infants. In the Alliums room, staff person #1 admitted she was alone with 12 preschool age children before staff person#4 came in. In the Lillies room, staff person #5 was alone with 11 preschool age children before staff person #6 came in.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During the inspection, in the infant room with staff person #2 and staff person #3, there were ten children. Six of the ten children were infants. In the Alliums room, staff person #1 admitted she was alone with 12 preschool age children before staff person#4 came in. In the Lillies room, staff person #5 was alone with 11 preschool age children before staff person #6 came in.

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). The required staff:child ratios must be maintained at all times.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection, child # 8 and child #10 did not have the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: During the renewal inspection, the immunization record for child #3 was missing Hep A#2 and therefore was not in compliance with the immunized status according to recommendations of the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #3 must be dismissed from care by close of business 7/26/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: During the renewal inspection, the step pedal of the trash can in the infant room was broken and did not allow the lid to raise without assistance, therefore, this makes it not hands-free.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: During the renewal inspection, staff person #17 did not have a tuberculosis screening at initial employment. The TB screening that was on file was dated 12/16/21 and was conducted more than 12 months of staff person #17 starting employment (see LIS sheet for date of hire). Staff person #20 did not have a TB screening at initial employment (see LIS sheet for date of hire).

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.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: During the renewal inspection, the last time that the operator notified the 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 was in November 2021 and not annually.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection, the financial agreement for child #3 was not updated in a 6 month period. The date on the agreement was 12/3/22.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the renewal inspection, staff person#25 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection, there was no documentation that staff person #24 had emergency plan training at 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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the renewal inspection, staff person #25 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -9), within 90 days of hire. Staff person #25 will have until 8/11/23 to complete the required training. Until such time as the required training has been completed, staff person #25 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #25, staff person #25 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, staff person #4 did not update the mandated reporter training on file within 60 months of the previous training dated 6/3/18. This is evidenced by the current training date of 7/16/23. Staff #4 also did not have a date on the disclosure statement. Staff person #25 did not have a completed FBI clearance on file and has been employed for more than 45 days (see LIS sheet for date of hire). There was also no witness signature or date on the disclosure statement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. The CPSL was revised to include a requirement that all clearances (and/or mandated reporter training) be updated and on file at least every 60 months. Staff person #25 may not work in a child care position at the facility.

Regulation: 3270.37(b)/3270.192(2)(iv)

Description: Aide qualifications/Transcript, diploma and letters

Noncompliance Area: During the renewal inspection, staff person #25 did not have any verification of education on file to be qualified as an aide.

Correction Required: An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3). A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the renewal inspection, band-aids were missing from the first aid kit in the Wild Lillies classroom.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection, the changing table mat in the Infant room was ripped. The flooring under the soap dispenser in the Summer Camp room's bathroom was buckled.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection, in the Wild Roses classroom, chipped paint was observed by the blue wall by the Math calendar. In the Summer camp room, the blue wall under the window had chipped paint.

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(b)

Description: No physical punishment

Noncompliance Area: Staff person #2 stated that on 2/7/23 she observed staff person #1 pushing a child to the ground.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. Staff #1 is required to receive a minimum of 2 hours of PQAS-approved training regarding Appropriate Interactions with Children. The legal entity must receive DHS approval of the training content prior to scheduling the training. This training must be conducted as a live training or in-person training.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Staff person #2 stated that on 2/7/23 she observed staff person #1 pushing a child to the ground.

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

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: Staff #2 stated that on 2/7/23 she observed staff #1 blow hard into a child's face when staff #1 was reprimanding the child for spitting. Staff #2 also observed staff #1 throw objects at children.

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. Staff #1 is required to receive a minimum of 2 hours of PQAS-approved training regarding Appropriate Interactions with Children. The legal entity must receive DHS approval of the training content prior to scheduling the training. This training must be conducted as a live training or in-person training.

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: Staff #2 stated that on 2/7/23 she observed staff #1 blow hard into a child's face when staff #1 was reprimanding the child for spitting. Staff #2 also observed staff #1 throw objects at children.

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.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Staff #2 stated that on 2/7/23 she observed staff #1 telling a child to "move and get out of my way!"

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

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Staff #2 stated that on 2/7/23 she observed staff #1 telling a child to "move and get out of my way!"

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children. Staff #1 is required to receive a minimum of 2 hours of PQAS-approved training regarding Appropriate Interactions with Children. The legal entity must receive DHS approval of the training content prior to scheduling the training. This training must be conducted as a live training or in-person training.

Regulation: 3270.66(a)/3270.68(a)

Description: Locked or inaccessible/No smoking areas

Noncompliance Area: Staff person #2 stated that she observed staff person #1 charging her nicotine vape pen on top of the children's cubby area on 2/7/23. Staff #3 sent picture verification of the nicotine vape pen charging in the classroom while children were in care.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Cigarettes, pipes or cigars may not be smoked in a child care space, a play space or a food preparation area when children are in care or when food is being prepared.

Regulation: 3270.162(a)/3270.162(b)

Description: Four or more hours/Parents may provide

Noncompliance Area: During the inspection, staff #1 had stated that parents pay extra money on Fridays for their child to have pizza. Staff #1 stated that it was an oversight that the overpayment from child #1's previous pizza week money was not transposed to the 1/27/23 pizza day. Child #1 was not provided a lunch on 1/27/23 and was left with only cookies and juice to consume.

Correction Required: If a child receives care for 4 or more consecutive hours, nutritional, appropriately-timed meals and snacks shall be served. Meals and snacks may be provided by the parent, upon agreement between the parent and the operator.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2, staff person #3 and staff person #4 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-9. Staff person #1, staff person #2 and staff person #3 shall complete the required one-hour 2022 update to the health and safety training by 2/24/23.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection, child #3's emergency contact form did not include the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection, staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety training topics

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the renewal inspection, staff person #4 and staff person #13 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training Topics

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-9. Staff person #4 and staff person #13 will have until 10/26/22 to complete the required training. Until such time as the required training has been completed, staff person #4 and staff person #13 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #4 and staff #13, staff person #4 and staff #13 may not work in a child-care position at the facility.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection, in the Gerber Daisies room, the blue wall had chipped paint.

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(c)/3270.113(d)

Description: No ridicule or threaten harm/No harsh language

Noncompliance Area: During an onsite inspection on 6/7/22, multiple staff currently employed at the facility report that they have observed staff #5 calling a child a "dumb-dumb," "twat-waffle" and a "dumb-f*cker."

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. A facility person may not use harsh, demeaning or abusive language in the presence of children. Facility must update their staff policies to include and address Chapter 3270.113 (c) and Chapter 3270.113 (d). The policies must also include actions taken for any staff observed violating these policies. This must be submitted to DHS for approval. After approval from DHS, the legal entity will arrange a training of all staff on these policies. Verification of the training will be placed in each staff person's file.

Regulation: 3270.113(c)/3270.113(d)

Description: No ridicule or threaten harm/No harsh language

Noncompliance Area: During an onsite inspection on 6/7/22, multiple staff currently employed at the facility report that they have observed staff #5 calling a child a "dumb-dumb," "twat-waffle" and a "dumb-f*cker."

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

Regulation: 3270.113(c)/3270.113(d)

Description: No ridicule or threaten harm/No harsh language

Noncompliance Area: During an onsite inspection on 6/7/22, multiple staff currently employed at the facility report that they have observed staff #5 calling a child a "dumb-dumb," "twat-waffle" and a "dumb-f*cker."

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. A facility person may not use harsh, demeaning or abusive language in the presence of children. The legal entity must arrange for all facility staff hired as of the date of the training to receive a minimum of two hours of PQAS-approved training regarding appropriate interactions with children. This training must be completed in person, or as a live training. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: During an onsite inspection on 6/7/22, the health assessment on file for staff #2 was dated 9/25/19 and was not updated within the 24 month requirement. Staff #3 did not have a health assessment and TB test on file at initial employment. Staff #4 did not have a TB test within 12 months of initial employment (see code sheet for dates of hire).

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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During an onsite inspection on 6/7/22, staff #3 did not have written documentation of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file.

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: During an onsite inspection on 6/7/22, staff #1 did not have a signed disclosure on file. Staff #3 did not have a completed NSOR on file and is past 45 days of employment. Staff #4 had a PA State Police clearance that was of volunteer status and not for employment purposes (see code sheet for dates of hire).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. The CPSL was revised to include the requirement for the National Sex Offender Registry (NSOR) clearance, effective 9/30/19. Staff person #3 and staff #4 may not work in a child care position at the facility until clearances are obtained and reviewed by DHS for approval.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an onsite inspection on 6/7/22, staff #1 did not have a signed disclosure on file. Staff #3 did not have a completed NSOR on file and is past 45 days of employment. Staff #4 had a PA State Police clearance that was of volunteer status and not for employment purposes (see code sheet for dates of hire).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. The legal entity will contact the Ne Regional office to register and attend an Existing Provider Orientation scheduled for August 2022.

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

Description: HS/GED + 2 yrs/Transcript, diploma and letters

Noncompliance Area: During an onsite inspection on 6/7/22, staff #3 did not have verification of education and or experience to qualify as a staff person.

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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an onsite inspection on 6/7/22, the last recorded manual monthly monitoring of the fire detection system was documented on 5/4/22 showing more than the 30 day monitoring requirement.

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

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: During an onsite inspection on 4/29/22, staff #1 (see code sheet for date of hire) did not have a completed health assessment on file at initial employment.

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.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. The legal entity will submit complete files for any new hires for a period of three months to the NE Regional Office. During that time, new hires may not begin to work in child care until their file has been approved by the NE Regional Office. Submitted files will be reviewed within 1 week of submission.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: During an onsite inspection on 4/29/22, staff #1 (see code sheet for date of hire) did not have a completed health assessment on file at initial employment.

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.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During an onsite inspection on 4/29/22, staff #1 did not have verification of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the inspection on 4/11/22, staff #1 (see code sheet for date of hire) did not have a completed NSOR on file as per the hiring requirements under ACT 12.

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. ACT 12 WENT INTO EFFECT ON 2/17/22, CHANGING THE PROVISIONAL HIRING REQUIREMENTS FOR STAFF. Staff #1 may not work in a child care position until the clearances are obtained and reviewed by DHS.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: During an onsite unannounced inspection on 3/28/22, it was observed that staff #4 did not have a completed health assessment with TB test at initial employment on file. Staff #8 did not have a date showing month, day and year of health assessment being completed. Staff #9 did not have verification of a completed TB test completed at initial employment on file.

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.

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During an onsite unannounced inspection on 3/28/22, staff #4, 7, 8 and 9 did not have verification of education or prior child care experience on file to qualify as a staff person at the facility.

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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During an onsite inspection on 3/28/22, staff #4 and # 7 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During an onsite unannounced inspection on 3/28/22, staff #8 (see code sheet for hire date) did not have initial emergency plan training within one week of hire on file.

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)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an onsite unannounced inspection on 3/28/22, Staff #4 (See code sheet for date of hire) was observed to be working along in the Lilac classroom, but did not have a Child Abuse clearance, NSOR certificate, or a dated disclosure statement on file at the facility. Staff #7, #8, #9, all new hires at the facility who were observed to be working during the inspection, did not have signed disclosure statements on file. Staff #9 did not have an FBI clearance on file, and did not have a copy of the request for the clearance on file, as required under the CPSL and ACT 12.

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. ACT 12 WENT INTO EFFECT ON 2/17/22, CHANGING THE PROVISIONAL HIRING REQUIREMENTS FOR STAFF. Facility Person #4 and 9 may not work in a child care position at the facility until clearances are reviewed and approval is obtained from DHS.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During an onsite unannounced inspection on 3/23/22, classrooms were observed out of ratio. Room 12 had 12 preschool children (ages 3-5) with staff #1. Room 10 had 12 preschool children (ages 3-5) with staff #2. Room 5 had 11 young toddlers (youngest child being 19 months old) with staff #3 and #4. Room 4 had 7 young toddlers (ages 1-2) with staff #5. The infant room had 5 infants (all under the age of 1) with staff #6.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an onsite unannounced inspection on 3/23/22, the manual monthly monitoring of the fire detection system was not in compliance. The most current date of testing was done on 3/15/22 with a previous date of testing being 2/10/22. This shows more than a 30 day lapse of manual monthly monitoring of the fire detection system not be tested.

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

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of the inspection, in the Poppies room, there were soft climbing structures. The top of the larger structure was torn and the inside foam was exposed.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: At the time of the inspection, the tables in the Poppies room were dirty, sticky and had food remnants on them.

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

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: At the time of the inspection, a written plan of daily activities was missing from the Infant room, Gerber Daisy room and Wild Lily 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.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: At the time of the inspection, the fee amount and when the fee is to be paid was missing from the agreement for child #6, 9 and 10.

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

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

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

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: At the time of the inspection, the admission date was missing from the agreement of child #1, 2, 5, 6, 7 and 9.

Correction Required: An agreement shall specify the date of the child's admission.A child's record shall contain the dates of application, admission and withdrawal of the child.