Genesis Day Care And Learning Center

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

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #4 did not receive a health assessment or TB until 4/13/26 which was after the staff began working in child care. Regulation requires staff to obtain a health assessment and TB screening prior to working in a child care role at a facility.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #3 has not completed the following required pre-service training within 90 days of their date of hire: pediatric first aid and CPR.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required pre- service trainings are completed, staff #3 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 #3, staff person #3 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: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #1 and #2 did not update their clearances at least every 60 months as required by the CPSL. Staff #1 FBI previous clearance dated 8/18/20 and the update was not done until 4/2/26 and the NSOR previous clearance dated 9/11/20 was not updated until 9/18/25. Staff #2 previous child abuse clearance dated 8/13/20 and the update was not done until 9/4/25, the FBI previous clearance dated 8/18/20 and the update was not done until 8/26/25 and the NSOR previous clearance dated 9/11/20 was not updated until 9/18/25. Both staff worked in child care during the lapse in their clearances. Staff #4 was not hired correctly per the CPSL. Staff #4 was hired using a volunteer state police clearance dated 4/23/24. Staff #4 was working in child care at the time of this inspection. Staff #3 did not update their mandated reporter training every 60 months as required by the CPSL. Staff #3 previously took the training on 6/20/20 and did not participate in updated training until 7/5/25. Staff #3 worked in child care during the lapse in mandated reporter training.

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. Staff #4 must be removed from a child care position with direct contact and routine interaction with children until all missing clearances are completed and on file at the facility. ((THIS REQUIRES AN IMMEDIATE DATE OF CORRECTION.)) 2. The director will create a checklist/form to track clearances per the CPSL regarding hire and updates to ensure clearances are obtained and updated as appropriate. This checklist/form will be submitted to the Regional Office for review and, upon approval, will be immediately implemented and placed in each staff's file to track clearances. ((THIS REQUIRES A DATE BY WHICH THE CHECKLIST/TRACKER WILL BE APPROVED FOR USE.))

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. The CPSL requires staff to have a completed child abuse clearance prior to being hired as a provisional hire. Staff #1 was working in a child care role as a provisional hire and the file did not contain a completed child abuse clearance.

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. Facility Person #1 may not work in a child care position with direct contact with children at the facility.

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: At the time of the inspection, a Poinsettia plant, which is classified as a toxic plant, was observed on a shelf in the childcare space.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: During the inspection, child #2 did not have an emergency contact form at the time of enrollment. This is evidenced by the only emergency contact form on file dated 8/13/24 (see LIS code sheet for date of admission).

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

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

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

Noncompliance Area: The emergency contact forms for child #1, #2 and child #3 did not include the name, address and telephone number of the child's physician or source of medical care. They also did not include the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits.

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(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The agreements for child #1, child #2 and child #3 were not updated very 6 months as required. This is evidenced by the last reviewed date of 6/15/17, 12/5/23, and 4/27/15, respectively. The emergency contact forms for child #1 and child #3 were not updated every 6 months as required. This is evidenced by a current review date of 8/13/24 for both children and a previous date of review of 6/9/23. The Director admitted to not having emergency contact forms and agreements update within the previous 6 months for other children in care as well.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: Child #2 did not have a health assessment on file within 60 days of enrollment. This is evidenced by the only health assessment on file dated 5/24/24 (see LIS code sheet for date of enrollment).

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. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During the unannounced inspection on 8/26/24, the operator was not in compliance with the manual monthly monitoring of the fire detection system. This is evidenced by the last recorded manual testing being conducted on 7/19/24 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: 3270.52

Description: Mixed Age Level

Noncompliance Area: The certification representative arrived at the facility at 9:15am and observed 16 children (2 young toddlers, 5 preschool and 9 school age) outside with only staff person #1. This number and age of children requires there to be 3 staff people present.

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 print and post the required ratios in each measured child care space. The Legal Entity / Director will establish a supervision and ratio policy. The policy must address how the facility will maintain appropriate supervision and proper staff:child ratios at all times. The policy must also address situations that might affect staff:child ratios, such as staff late or calling off and children being dropped off outside of their agreed upon care hours or days. The policy must address a plan to either turn children away or keep parents at the facility until extra staff arrive. This policy must be sent to the Northeast Regional Office for review and approval. Once approved, all existing staff and new hires must be trained on the approved procedures, and their signatures will indicate their understanding and ability to implement the policy. This documentation must be maintained at the facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: The certification representative arrived at the facility at 9:15am and observed 16 children (2 young toddlers, 5 preschool and 9 school age) outside with only staff person #1. This number and age of children requires there to be 3 staff people present.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The chain link fence surrounding the toddler play area had exposed bolts which were in eye level with children and facing towards the preschool measured play space.

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: 3270.108(c)

Description: No styrofoam

Noncompliance Area: Styrofoam bowls were observed in the kitchen area. The operator admitted to children using these for meals and snacks.

Correction Required: Styrofoam cups and plates may not be used.

Regulation: 3270.121(a)/3270.121(b)

Description: Review policies and procedures/Given parents in writing

Noncompliance Area: The parent handbook for the facility did not include supervision policies.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.