The Learning Station

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

Description: Age and Training

Noncompliance Area: During renewal inspection, staff files were reviewed. Staff #1's previous Pediatric CPR certificate is dated for 12/28/22. The renewal of the certificate in CPR training was not obtained until 1/7/25. This date indicates that staff #1 did not complete an updated Pediatric CPR training on or before the expiration of the previous certificate within the 2-year requirement.

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: 3270.124(b)(3)/3270.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: Child #2's emergency contact sheet did not have the work address of the enrolling parent. Child #1 and #3's emergency contact sheet did not have the release person's address.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: There was no documentation that Child #1's emergency contact sheet had been updated within 6 months. Last update signature was dated for 8/29/23.

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.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The following dates indicate that fire alarm testing was not done within the 30 day requirement: 6/1/23, 7/3/23, 9/1/23, 10/2/23, 12/1/23, 1/1/24, 2/1/24, 3/1/24, 4/1/24.

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: 3270.131(a)

Description: Health information

Noncompliance Area: While at the facility unannounced on 3/8/24 the inspector observed the file for child #1 and found that this child had been enrolled for over 60 days (see LIS Code sheet for admission date) and did not obtain a health assessment on file until 11/29/23

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: While at the facility unannounced on 3/8/24 the inspector observed the file for staff #1 and found that the staff began direct care with children on 3/4/24 and did not obtain a health assessment and TB screening until 3/7/24.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: While at the facility unannounced on 06/13/23 the inspector observed the file for staff #1 and noted that (see LIS for start date) staff had no proof of having the necessary out of state clearances as this staff resided out of Pa in the last five years. Upon the first day of working in direct childcare a facility person's record shall include a copy of requests for the PA State Police Record check, DHS FBI fingerprint submission, Pa Child Abuse Registry clearance information, the NSOR, a copy of the disclosure statement and any out of state clearances if the facility person resided out of PA in the last five years. Also acceptable are copies of the less than 60 months old, completed clearance information required under the CPSL and mentioned above.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 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.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: Child # 1 must be dismissed from care by close of business 3/3/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

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).

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: While at the facility unannounced on 3/3/23 the inspector observed the file for child #1 and found that it was missing a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.151(c)(3)/3270.151(c)(4)

Description: Exam communicable disease/Information re: medical problems

Noncompliance Area: While at the facility unannounced on 3/3/23 the inspector observed the file for staff #1 and found that the health assessment was missing the results of the examination for communicable diseases and the results of that examination and information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Regulation: 3270.27(a)(1)/3270.27(a)(5)

Description: Emergency plan/Emergency plan

Noncompliance Area: While at the facility unannounced on 2/15/22 for the renewal inspection the inspector observed the emergency plan and found the emergency plan was missing accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises as well as accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: While at the facility unannounced on 2/15/22 for the renewal inspection the inspector observed the emergency plan and found the emergency plan was missing concurrence with the local municipality and to the county emergency management agency as is required.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: While at the facility unannounced on 2/15/22 for the renewal inspection the inspector observed the files for staff #1, #2, #3, #4, and #5 did not have annual fire safety training as is required.

Correction Required: Staff persons shall participate, at least annually, in firesafety 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.