La Willow Grove Llc

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: At time of inspection, room # 7 did not have an operating thermometer inside to ensure it is maintaining a temperature of 45 degrees or less for the food that is being stored for the children to eat.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: At time of inspection, the agreement form for child#2 did not have names of release persons documented as required per regulations.

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

Regulation: 3270.123(a)/3270.123(a)(1)

Description: Signed /Amount of fee

Noncompliance Area: At time of inspection, the agreement form for the parents of child #1 did not have the fee amount to be paid documented and it was not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.131(d)(5)/3270.182(1)

Description: Immunization record/Initial and subsequent health reports

Noncompliance Area: At time of inspection, child #2 did not have an updated review of immunized status documented in their record.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At time of inspection, staff person #4 did not have required child abuse clearance documented in their record. In addition, Staff person # 4 - #6 did not have required out of state clearances of state (NJ) that they resided within the last 5 years.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 4-6-- may not work in a childcare position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #4-6-- may not work in a childcare position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: At time of inspection, staff person #3 did not have an annual written evaluation completed by the director.

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)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: At time of inspection, staff person # 1,2 did not have proof of experience documented in their records to qualify them for their positions as AGS at facility

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 verification of child care experience, education and training prior to service at the facility.

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

Description: Aide qualifications/Transcript, diploma and letters

Noncompliance Area: Staff person # 6 and #7 did not have proof of education documented in their records to help qualify them for their positions of Aide at facility.

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: At time of inspection, room # 4 did not have tweezers contained in the first aid kit.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: At time of inspection, staff persons # 3, 4 and 8 did not have current health assessments documented in their records.

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: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: At time of inspection, staff person # 6-8 did not have proof of negative TB screening or x-ray reading documented in their record at initial employment.

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: 3270.191

Description: Individual Records

Noncompliance Area: At time of inspection, staff person # 5 did not have an individual record documented at facility.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: At time of inspection, staff persons #1, 3-4 and 7 did not have two nonfamily references documented in their records.

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)/3270.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: At time of inspection, staff persons # 1-7 did not have required emergency plan training documented in their records.

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

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: At time of inspection, staff persons #1 and #2 did not have required pediatric first aid and CPR training documented in their records.

Correction Required: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.