Beth Shalom Academy

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: During a renewal inspection on 6/2/26, child files were reviewed. The agreement on file for child # 1 is not signed by the operator. The agreement on file for child # 5 is not signed by the operator or the parent.

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

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During a renewal inspection on 6/2/26, child files were reviewed. There is no child service report on file for children # 3 and 4, both were enrolled longer than 6 months (see code sheet).

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

Regulation: 3270.123(a)(5)/3270.123(a)(6)

Description: Designated release persons/Admission date

Noncompliance Area: During a renewal inspection on 6/2/26, child files were reviewed. There is no designated release persons listed on the agreement for child # 5. There is no date of admission on the agreements for children # 1 and 3.

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

Regulation: 3270.124(b)(2)/3270.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: During a renewal inspection on 6/2/26, child files were reviewed. There is no physician phone number provided on the emergency contact form for child # 5. There is no health insurance policy number on file for children # 1 and 4.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During a renewal inspection, child files were reviewed. There is no release persons address listed for children # 1 and 2.

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(a)

Description: Health information

Noncompliance Area: During a renewal inspection on 6/2/26, child files were reviewed. There not an acceptable health report on file for child # 1. The parent provided a visit summary from the physician's office.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3270.133(4)/3270.133(5)

Description: Locked/Original label

Noncompliance Area: During a renewal inspection on 6/2/26, certification rep observed expired medication stored in the pre k classroom. Certification rep observed Desitin diaper cream labeled "keep out of reach of children" accessible to children in the girls bathroom.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children. Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During a renewal inspection on 6/2/26, child files were reviewed. The emergency contact and financial agreement were last signed by the parent of child # 2 on 11/24/25. There are no dates on the emergency contact and financial agreement forms for child # 3.

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

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During a renewal inspection on 6/2/26, child files were reviewed. There is no written consent for emergency medical care or the administration of minor first aid procedures on file for children # 3 and 5.

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.

Regulation: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: During a renewal inspection on 6/2/26, child files were reviewed. The facility does walking excursions; there is no written consent for children # 3 and 5 for walking excursions.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.37(b)(3)

Description: 8th grade + 2 yrs

Noncompliance Area: During a renewal inspection on 6/2/26, staff files were reviewed. Staff # 1 was hired as an aide; there is no proof of education or experience on file.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During a renewal inspection on 6/2/26, certification rep observed a bottle of Windex cleaner accessible to children in the indoor play area.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Continued noncompliance: On 11/18/25, a renewal inspection was conducted at the facility. Certification rep observed staff # 1 in a classroom alone with children. There were no clearances on file for staff # 1. The facility's acceptable plan of correction indicated that the staff person responsible for creating and maintaining staff records will participate in existing provider training at the regional office on 2/25/26. As of 2/27/26, the existing provider training was not completed.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Any person responsible for creating and maintaining staff records shall participate in an existing provider orientation at the regional office. Registration can be completed by calling the regional office directly. This portion of the plan shall have a date by which this training will be completed.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During a renewal inspection on 11/18/25, certification rep observed a green ride on tractor and pink rocking horse with pinch points in the indoor play area.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: There was no child service report on file for children # 1, 2, and 3 to communicate to the family about the child's growth and development in the context of the services provided. Children were enrolled longer than 6 months.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for child # 2 does not have the name address and phone number of the child's physician.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for child # 2 does not have the parent's work address or phone number.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for child # 2 does not have the child's health insurance coverage and policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: 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 CPR/First Aid, PA Required Health and Safety for Centers-Group Child Care Part 1, and Mandated Reporter.

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 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person # 7, staff person #7 may not work in a child-care position at the facility.

Regulation: 3270.151(a)

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

Noncompliance Area: During a renewal inspection on 11/18/25, there was no health assessment on file for staff # 7. More than 24 months passed since the last health assessment for staff # 1 as evidenced by the staff health assessment on file dated 9/3/23. The initial health assessment for staff # 3 (see code sheet for date of hire) was not 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.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact form and agreement were last reviewed by the parent of child # 1 on 11/13/24. The agreement on file for child # 4 was last reviewed by the parent on 8/22/24. The agreement on file for child # 5 was last reviewed by the parent on 6/20/24.

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

Regulation: 3270.182(8)

Description: Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: During a renewal inspection on 11/18/25, there was no financial agreement on file for children 2 and 3.

Correction Required: A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: During a renewal inspection on 11/18/25, there was no individual record for staff # 7.

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

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: During a renewal inspection on 11/18/25, there was no TB test results on file for staff # 7, who was observed working with children.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During a renewal inspection on 11/18/25, there was only one letter of reference observed in staff person # 5 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(a)(6)

Description: Emergency plan

Noncompliance Area: During a renewal inspection on 11/18/25, there was no documentation of an emergency drill being held in the last 12 months.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During a renewal inspection on 11/18/25, certification rep observed that staff # 1, 2, 3, 4, 5, and 6 only completed 4 hours of annual childcare training.

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

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff persons # 1, 2, 3, and 6 did not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 8/30/25 and current certificates of training dated 9/8/25.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons # 4 and 5 did not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR/First Aid and PA Required Health and Safety for Centers-Group Child Care Part 1 and 2. Staff # 4 and 5 have valid Pediatric CPR/First aid training at the time of inspection. Staff # 4 has valid PA Required Health and Safety for Centers-Group Child Care Part 1 and 2 training at the time of inspection. Staff person # 3 and 5 did not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Part 1 and 2.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff persons #3 and 5 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons # 3 and 5, staff persons # 3 and 5 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 a renewal inspection on 11/18/25, certification rep observed staff # 7 in a classroom alone with children. There were no clearances on file for staff # 7 (see code sheet for DOH). Staff person/facility person # 5 has not completed mandated reporter training within 90 days of their date of hire (see LIS code sheet). Documentation of training is not on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff person # 7 may not work in a childcare 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. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person # 5 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person # 5, staff person # 5 may not work in a child-care position at the facility. TIERED LIS: 1. The operator must comply with CPSL. Staff person # 7 may not work in a childcare position. This portion of the plan must have an immediate correction date. 2. Any person responsible for creating and maintaining staff records shall participate in the existing provider orientation at the Regional Office, which is scheduled on February 25, 2026. They should contact the Regional Office at 1-800-222-2108 to register for the training. This portion of the plan shall have a date by which this training is to be completed.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During a renewal inspection on 11/18/25, there was no staff evaluations on file for staff # 1, 2, 3, 4, 5, and 6. All staff have been employed at least 12 months (see code sheet for DOH).

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

Description: Assistant Group Supervisor qualifications/Exp, educ., training prior to facility

Noncompliance Area: During a renewal inspection on 11/18/25, certification rep was informed staff # 5 is an assistant group supervisor. There is no proof of childcare experience on file prior to service at the facility.

Correction Required: An assistant group supervisor shall have attained one of the qualification levels specified at § 3270.36(b)(1-5). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During a renewal inspection on 11/18/25, certification rep observed a power strip cord with 4 exposed outlets in the kindergarten classroom.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: During a renewal inspection on 11/18/25, certification rep observed the first aid kit in the kindergarten classroom to be on a hook accessible to children.

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kits in the pre k, toddler, kindergarten, and infant classroom observed during the inspection did not have soap.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During a renewal inspection on 11/18/25, certification rep observed water stained ceiling tiles in the infant 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.

Regulation: 3270.94(a)(2)

Description: Different times of day

Noncompliance Area: During a renewal inspection on 11/18/25, the fire drill log was reviewed. The time of day was not recorded for any of the fire drills logged at the facility since November 2024.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at different times of the day or night, or both, if applicable.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During a renewal inspection on 11/18/25, the fire alarm test log was reviewed. More than 30 days passed between alarm tests as documented 12/11/24, 1/13/25, 2/14/25, 3/17/25, 4/18/25, 5/12/25, 6/16/25 and 9/17/25. The facility was closed for summer break 6/25/25 to 8/26/25

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: During a renewal inspection on 11/26/24, certification rep observed peeling play mats in the gym area rendering them unable to be properly cleaned and sanitized.

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: 3270.123(a)

Description: Signed

Noncompliance Area: During a renewal inspection on 11/26/24, certification rep observed the financial agreements on file for children # 1, 2, 3, and 4 to not have the operator's signature.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During a renewal inspection on 11/26/24, certification rep observed the emergency contact form for child # 4 to be missing the parent's work name, address, and phone number

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

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During a renewal inspection on 11/26/24, certification rep did not observe emergency contact information present in each classroom for the children receiving care in the space.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.151(a)

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

Noncompliance Area: During a renewal inspection on 11/26/24, certification reviewed the file for staff person # 4. There was an initial health assessment and TB test results 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.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: During a renewal inspection on 11/26/24, certification rep reviewed the files for staff person # 3 and 4. Neither file had proof of education and experience prior to service 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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During a renewal inspection on 11/26/24, certification rep reviewed the files for staff person # 3 and 4. Neither file had two written non family references.

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 a renewal inspection on 11/26/24, the file for staff person # 4, (see code sheet for DOH) did not have proof of request for the NSOR verification, state police clearance, and ChildLine clearances. The FBI clearance on file was dated 10/31/24. No signed disclosure statement was on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff Person # 4 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. Staff Person # 1 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During a renewal inspection on 11/26/24, certification rep observed the staff evaluation for staff persons # 1, 2, and 3 did not have the date they were completed. Compliance director indicated they were completed in October 2024, which is 13 months from staff # 1, 2, and 3 dates of hire (see code sheet).

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: During a renewal inspection on 11/26/24, certification rep observed the fire drill log to be out of compliance. The only fire drills documented since the previous renewal were dated 9/18/24 and 11/20/24.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During a renewal inspection on 11/26/24, certification rep observed the fire alarm test logs to be out of compliance. The only fire alarm tests documented since the last inspection are dated 9/18/24 and 11/20/2024.

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: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: During the renewal inspection on 2/6/24 the inspector observed the files for all six children and found that all six child files were missing a release person as is required on the agreement form.

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the renewal inspection on 2/6/24 the inspector observed the file for children #1 and #6 were missing the required address and telephone number of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During the renewal inspection on 2/6/24 the inspector observed the files for children #1, #2, #3, and #4 were missing the required work addresses and telephone numbers of the enrolling parent.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection on 2/6/24 the inspector observed the files for children #1, #2, #4, and #6 were missing the required health insurance coverage policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection on 2/6/24 the inspector observed the files for children #1, #2, #3, #5, and #6 were all missing the required 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: 3270.61(h)

Description: Exceeding Capacity

Noncompliance Area: During the renewal inspection on 2/6/24 the inspector observed that the capacity for room #5 was exceeded. Room #5 has a capacity of 6 children and the inspector observed 9 children present in this space.

Correction Required: The capacity established for an indoor space may not be exceeded.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: At the initial inspection on 9/5/23 staff #1 did not have required pre-service PQAS approved Pediatric First Aid/CPR as is required. Staff #1 is one of two staff presented to the inspector at the opening and cannot work alone.

Correction Required: Staff person #1 shall complete the required pre-service, PQAS approved Pediatric First Aid/CPR in order to open the new facility.