Cassies Cradle

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The Emergency Contact Form(s) for Child(ren) #2 lacked written parental "Consent for Emergency Medical Care." (SEE LIS CODE SHEET)

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.131(b)(2)/3270.181(c)

Description: Toddler/preschool: updated health report every 12 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The Updated Child Health Assessment for Children #1 (OT) lacked in the child file. (SEE LIS CODE SHEET)

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A 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: 3270.151(a)

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

Noncompliance Area: The two most recent health assessments for Staff #2 and #4 were dated more than 24 months apart. (SEE LIS CODE SHEET)

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)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: The Initial Health Assessment for Staff #1 was dated (01.16.2025) which is past their Date of Hire. (SEE LIS CODE SHEET)

Correction Required: An adult health assessment must include a physical examination. 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: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The initial health assessment on file for Staff Person #1 includes tuberculosis screening. Additionally, the TB test on record is not from another childcare setting and is not dated within 12 months prior to employment. (SEE LIS CODE SHEET) The initial health assessment on file for Staff Person #5 includes tuberculosis screening; however, the TB Test is not from another childcare setting. Therefore, the TB Test on record is not valid for this facility.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.182(5)

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

Noncompliance Area: The Emergency Contact Form(s) for Child(ren) #2 lacked a signature for "Consent for Minor First Aid." (SEE LIS CODE SHEET)

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

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

Description: Age and Training

Noncompliance Area: The two most recent Pediatric First Aid and Pediatric CPR Trainings for staff #1 and #3 were dated more than 24 months apart. (SEE LIS CODE SHEET)

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(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The last two fire safety trainings in the file for Staff #2 and #3 were dated more than one year apart. (SEE LIS CODE SHEET)

Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file(s) for Staff Person(s) #2, #3 and #4 contained NSOR Certificates that were dated more than 60 months apart. (SEE LIS CODE SHEET) The file(s) for Staff Person(s) #4 contained PA State Police and Child Abuse Clearances and an NSOR Certificate that were dated more than 60 months apart. (SEE LIS CODE SHEET)

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: 3270.103/3270.104(a)

Description: Small Toys and Objects/Clean, good repair, proper size

Noncompliance Area: In the Young Toddler/Infant Room, under the back window a red, foam cushion was observed to be fraying and accessible to children who are still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: In the Pre-School classroom on the second floor, a bookcase located under the front window was observed to be separating at the top right corner and along the right-side panel, creating a potential pinch point hazard.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The file(s) for Staff Person(s) #1 lacked an Initial Health Assessment. (SEE LIS CODE SHEET)

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff Person(s) #1 and #2 lacked documentation of acceptable Pediatric First Aid and Pediatric CPR training completed through a PQAS Certified Instructor or PQAS approved curriculum. (SEE LIS CODE SHEET)

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for Staff Persons #1 and #2 lacked a signed, dated and witnessed Disclosure Statement. (SEE LIS CODE SHEET) The file(s) for Staff #1 lacked the FBI Clearance; therefore, Staff #1 was incorrectly provisionally hired. (SEE LIS CODE SHEET) The file(s) for Staff #2 lacked the PA State Police clearance; therefore, Staff #1 was incorrectly provisionally hired. (SEE LIS CODE SHEET)

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. TIERED LIS: 1. 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. This portion of the plan will have an immediate correction date. 2. 10/27/2025 The legal entity is required to create a staff file checklist for all documents required to be in a staff file including clearances. The checklist will include the time frame for when each document is required to initially be present in the staff file and the date when the document needs to be updated. The Legal Entity will submit the checklist to the Department for review. Once the checklist is reviewed by the Department, the legal entity will use the checklist for all current staff files and newly hired staff in the coming 4 months. The operator will provide a date when this will be completed. 3. 12/23/2025 The legal entity will collaborate with the ELRC to develop improved organizational practices for staff files. The operator will provide a date when this will be completed. 4. 01/21/2026 The Provider will attend an Existing Provider Training Session. Proof of attendance will be submitted to the Department within 5 days of attendance. The operator will provide a date when this will be completed.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for Staff Persons #1 and #2 lacked a signed, dated and witnessed Disclosure Statement. (SEE LIS CODE SHEET) The file(s) for Staff #1 lacked the FBI Clearance; therefore, Staff #1 was incorrectly provisionally hired. (SEE LIS CODE SHEET) The file(s) for Staff #2 lacked the PA State Police clearance; therefore, Staff #1 was incorrectly provisionally hired. (SEE LIS CODE SHEET)

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.