Jewish Community Center of Greater Pittsburgh

3270.31(e)(4)(ii) Fire safety - 1 yr.

“The files for Staff Persons #7, #11 and #20 contained documentation of fire safety trainings that were dated more than 12 months apart.”

Correction date in the state record: Feb 10, 2026

3270.31(f) Health and Safety Training

“Staff persons #1, #2, #3, #4, #8, #9, #10, #13, #14, #15, #16, #21, and #22 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid/CPR. The files for Staff Persons #8 and #12 contained documentation of completing the PA Required Health and Safety for Centers-Groups Part 2 training but was not completed within 90 days of hire (See LIS Code Sheet). The file for Staff Person #18 contained documentation of completing the PA Required Health and Safety for Centers-Groups Part 2 training and pediatric first aid/CPR training but were not completed within 90 days of hire (See LIS Code Sheet).”

Correction date in the state record: Feb 10, 2026

3270.32(a) Comply with CPSL

“The files for Staff Persons #5 and #6 contained NSOR clearance results that were not renewed prior to the expiration date of the most current certification. Staff person #5: 10/8/20 and 10/10/25. Staff person #6: 7/31/20 and 8/27/25. The files are now current. The file for Staff Person #7 contained Mandated Reporter training that was not renewed prior to the expiration date of the most current certification. The file for Staff Person #7 contained Child Abuse, FBI, and NSOR clearance results that were not renewed prior to the expiration date of the most current certification. The file is now current. The file for Staff Person #8 contained Child Abuse clearance results dated 2/21/25 but was after the staff person's first day working in a child care setting (See LIS Code Sheet). The file for Staff Person #17 contained NSOR clearance results but was after but was after the staff person's first day working in a child care setting (See LIS Code Sheet). The file for Staff Person #22 contained Child Abuse and NSOR clearance results but were after the staff person's first day working in a child care setting as (See LIS Code Sheet).”

Correction date in the state record: Feb 10, 2026

3270.34(a)(6) Staff evaluations

“The file for Staff Person #7 contained written evaluations dated 12/1/23 and 9/29/25, which is more than 12 months apart. The file for Staff Persons #19 contained documentation of a written evaluation dated 9/29/25 but was not within 12 months of their date of hire (See LIS Code Sheet).”

Correction date in the state record: Feb 10, 2026

3270.124(b)(6) Insurance coverage information

“The emergency contact form in the file for child #1 did not contain the health insurance coverage and policy number for the child.”

Correction date in the state record: Feb 10, 2026

3270.151(a)/3270.192(3) 12 months prior to service and every 24 months thereafter/Health assessment, TB test

“The two most recent health assessments in the files for Staff Persons #5 and #7 are dated more than 24 months apart. The file for Staff Person #15 contained a health assessment that lacked a name; therefore, it could not be determined whether a health assessment was completed for Staff Person #15 at the time of initial employment. The file for Staff Person #18 contained a health assessment dated 3/5/25 but was after the staff person's first day working in a child care setting.”

Correction date in the state record: Feb 10, 2026

3270.131(a) Health information

“The initial health report in the files for children #1 and #2 were dated more than 60 days following the first day of attendance at the facility.”

Correction date in the state record: Feb 10, 2026

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“Facility files did not contain documentation of a written policy that addresses recognition of potential signs/symptoms of abusive head trauma, strategies for coping with a crying, fussing, distraught child, and the prevention and identification of child maltreatment.”

Correction date in the state record: Feb 13, 2026

3270.27(c) Training regarding plan

“The file for Staff Person #8 contained documentation of emergency plan training dated 8/24/25 but was not at initial employment.”

Correction date in the state record: Feb 10, 2026

3270.151(c)(2) Mantoux TB

“The file for Staff Person #15 contained documentation of a TB screening but lacked a name on the document; therefore, it could not be determined that a TB screening was completed at the time of initial employment for Staff Person #15. The file for Staff Person #18 contained documentation of TB Screening results dated 2/27/25 but was after the staff person's first day working in a child care setting.”

Correction date in the state record: Feb 10, 2026

3270.151(c)(2) Mantoux TB

“The file for facility person #5 had documentation of TB Screening results dated 11/8/24 but was after the persons date of hire (See LIS Code Sheet). The file for facility person #11 had documentation of TB Screening results dated 11/15/24 but was after the persons date of hire (See LIS Code Sheet).”

3270.27(c) Training regarding plan

“The two most recent emergency plan trainings in the file for facility person #9 are dated 8/27/23 and 10/30/24, which are more than 12 months apart. The file for facility person #12 had documentation of emergency plan training dated 8/25/24, but did not have any documentation of a previous training 12 months prior. The file for facility person #13 had documentation of emergency plan training dated 8/26/24, but did not have any documentation of a previous training 12 months prior.”

3270.31(e)(4)(ii) Fire safety - 1 yr.

“The file for facility persons #1, #2, #7, #9, #11, #12, #13, #16, #18, #20, and #21 have not had fire safety training within the last 12 months.”

Correction date in the state record: Feb 5, 2025

3270.31(f) Health and Safety Training

“The file for facility person #11 completed Pediatric First Aid/CPR on 12/4/24 and the PA Required Health and Safety for Centers Part 1 and Part 2 on 1/8/25 but did not complete the trainings within 90 days of hire (See LIS Code Sheet). The files for facility persons #14, #15, and #19 completed the Health and Safety training, Getting Started with Center-Based Care-Revised, but did not complete within 90 days of hire (See LIS Code Sheet). The file for facility person #17 completed Pediatric First Aid/CPR on 12/14/24, but did not complete within 90 days of hire (See LIS Code Sheet).”

3270.31(f) Health and Safety Training

“Facility persons #5 and #8 have not completed the following required pre-service trainings within 90 days of their date of hire (see LIS code sheet): Facility person #5 has not completed Pediatric first aid/CPR. Facility person #8 has not completed Health and Safety training.”

3270.32(a) Comply with CPSL

“The file for facility person #3, hired provisionally, had a NSOR clearance application dated 10/10/24 but was after the facility persons date of hire (See LIS Code Sheet). The file for facility person #3 now has current NSOR clearance results. The file for facility person #15, hired provisionally, had a NSOR clearance application dated 9/6/24 but was after the facility persons date of hire (See LIS Code Sheet). The file for facility person #15 now has current NSOR clearance results.”

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The file for facility person #4 did not have documentation of PA State Police clearance results prior to date of hire (See LIS Code Sheet). The file for facility person #10 contained application of NSOR clearance dated 11/12/24 but did not contain NSOR clearance results within 45 days of hire (See LIS CODE SHEET). The file for facility person #11 did not contain documentation of state sex offender clearance results from New Jersey where the individual resided in the 5 years prior to employment (See LIS Code Sheet). The file for facility person #19 did not contain documentation of child abuse and state sex offender clearance results from Ohio, where the individual resided in the 5 years prior to employment (See LIS Code Sheet).”

3270.151(c)(5) Physician/CRNP assessment

“The health assessments on file for facility persons #6 and #21 did not include an assessment of the person's suitability to provide child care.”

Correction date in the state record: Feb 5, 2025

3270.33(a)/3270.192(2)(ii) Each staff person meets quals/Exp, educ., training prior to facility

“The file for facility person #5, identified as an assistant group supervisor, lacked qualification documents at the time of inspection.”

Correction date in the state record: Feb 5, 2025

3270.34(a)(6) Staff evaluations

“The file for facility persons #2, #7, #12 and #13 had documentation of an evaluation dated 12/13/24 but did not have documentation of an evaluation 12 months prior to the current evaluation on file. The file for facility person #9 had documentation of an evaluation dated 12/13/24 and the file for facility person #18 had documentation of an evaluation dated 11/15/24 but were not completed within one year of hire. The two most recent evaluations in the file for facility person #21 are dated more than 24 months apart.”

Correction date in the state record: Feb 12, 2025

3270.102(a) Clean and good repair

“In Room 161 and the Lobby, children's tables were observed to have large holes on the top surface that had rough edges and were not in good repair.”

Correction date in the state record: Feb 5, 2025

3270.123(b)/3270.182(8) Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

“The child files for all children enrolled were observed to contain documentation of the original financial agreement form, in which the parents of children enrolled shall receive the original agreement.”

Correction date in the state record: Feb 5, 2025

3270.151(a)/3270.192(3) 12 months prior to service and every 24 months thereafter/Health assessment, TB test

“The file for facility person #5 had documentation of a health assessment conducted on 11/8/24 but was after the persons date of hire (See LIS Code Sheet). The file for facility person #11 had documentation of a health assessment conducted on 11/13/24 but was after the persons date of hire (See LIS Code Sheet). The two most recent health assessments on file for facility person #16 are dated more than 24 months apart: 1/5/21 and 10/5/23.”

3270.31(e)(4)(i) Age and Training

“The file for facility person #13 did not include documentation of current pediatric first aid/CPR training at the time of inspection. The most recent training on file is dated 10/3/22.”

Correction date in the state record: Feb 5, 2025

3270.192(5) Two written references

“*SECOND VIOLATION The file for facility person #4 did not include one written, nonfamily reference. The file for facility person #6 did not include two written, nonfamily references. The file for facility person #7 did not include one written, nonfamily reference. The file for facility person #14 did not include one written, nonfamily reference. Previously cited on SIN-00252488 on 9.25.24. The file for facility person #3 is now in compliance.”

Correction date in the state record: Nov 8, 2024

3270.151(c)(3) Exam communicable disease

“*SECOND VIOLATION The health assessment on file for facility person #5 did not include an examination for communicable diseases and the results of that examination. Previously cited on SIN-00252488 on 9.25.24.”

Correction date in the state record: Nov 8, 2024

3270.151(c)(2) Mantoux TB

“*SECOND VIOLATION The file for facility persons #1, #4, #6, #7, #8, #9, #11, #12, #13, #14, #16, #17, #18, and #20 did not include documentation of a TB screening at initial employment. (See LIS CODE SHEET) Previously cited on SIN-00252488 on 9.25.24.”

Correction date in the state record: Nov 8, 2024

3270.151(a)/3270.192(3) 12 months prior to service and every 24 months thereafter/Health assessment, TB test

“*SECOND VIOLATION The file for facility persons #1, #4, #6, #7, #8, #9, #11, #12, #13, #14, #15, #16, #17 and #18 did not include a health assessment conducted at initial employment. (See IS CODE SHEET). Previously cited on SIN-00252488 on 9.25.24.”

Correction date in the state record: Nov 8, 2024

3270.31(f) Health and Safety Training

“*SECOND VIOLATION On 9.25.24, an unannounced inspection was conducted at the facility. Facility persons #18, #20 and #22 had not completed the following required pre-service trainings within 90 days of their date of hire (see LIS code sheet): Facility person #18- Pediatric first aid/CPR and Health & Safety; Facility person #20- Pediatric First Aid/CPR, and Facility person #22- Health & Safety. The facility's acceptable plan of correction indicated the correction would be implemented by 10.15.24. On 10.25.24, an unannounced inspection was conducted. Facility persons #18, #20, and #22 still have not completed the required pre-service trainings. Previously cited on SIN-00252488 on 9.25.24.”

Correction date in the state record: Nov 16, 2024

3270.33(a)/3270.192(2)(ii) Each staff person meets quals/Exp, educ., training prior to facility

“*SECOND VIOLATION The file for facility person #5 identified as an Assistant Group Supervisor and facility persons #12 and #16 identified as Aides did not include qualification documents for the positions they are performing. Previously cited on SIN-00252488 on 9.25.24. The files for facility persons #1 and #10 are now in compliance.”

Correction date in the state record: Nov 15, 2024

3270.31(f) Health and Safety Training

“Facility persons #17, #18, #19, #20, #21, and #23 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid/CPR. Facility persons #19 and #21 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Mandated Reporter training. Facility persons #17, #18, #19, #21 and #22 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety.”

3270.27(c) Training regarding plan

“The files for facility persons #18 and #20 did not include emergency plan training at initial employment.”

Correction date in the state record: Sep 30, 2024

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“Facility persons #2, #3, and #17 were observed to be caring for children unsupervised. Facility persons #2, #3, and #17 have not completed the following pre-service trainings required prior to caring for children unsupervised: Pediatric first aid/CPR and the Health and Safety (CCDBG) training.”

Correction date in the state record: Sep 26, 2024

3270.151(c)(2) Mantoux TB

“The files for facility persons #1, #4, #6, #7, #8, #9, #11, #12, #13, #14, #16, #17, #18, and #20 did not include documentation of a TB screening at initial employment. (See LIS CODE SHEET) The file for facility person #23 had documentation of a TB screening dated 3/15/24, but was after the facility persons start date.”

3270.151(c)(3) Exam communicable disease

“The health assessment on file for facility person #5 did not include an examination for communicable diseases and the results of that examination.”

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The file for facility person #1, hired provisionally, contained documentation of application of NSOR clearance dated 9/8/24, which was after the facility persons start date. (See IS CODE SHEET) The file for facility person #3 did not include documentation of a signed Disclosure Statement, PA State Police and PA Child Abuse clearance results prior to the facility persons start date. (See IS CODE SHEET) The files for facility persons #5, #6, #7, #8, #9, and #16 did not include documentation of NSOR application or NSOR clearances results prior to their start date. (See IS CODE SHEET) The file for facility person #10 lacked a signed disclosure statement.”

Correction date in the state record: Oct 11, 2024

3270.33(a)/3270.192(2)(ii) Each staff person meets quals/Exp, educ., training prior to facility

“The files for facility persons #1 and #5 identified as Assistant Group Supervisors, did not include qualification documents. The files for facility persons #10, #12, and #16, identified as Aides, did not include qualification documents.”

3270.151(a)/3270.192(3) 12 months prior to service and every 24 months thereafter/Health assessment, TB test

“The file for facility persons #1, #4, #6, #7, #8, #9, #11, #12, #13, #14, #15, #16, #17 and #18 did not include a health assessment conducted at initial employment. (See IS CODE SHEET). The file for facility person #10 had documentation of a health assessment dated 9/26/24 but was not at initial employment. The file for facility person #23 had documentation of a health assessment dated 3/15/24 but was not at initial employment.”

3270.192(5) Two written references

“The file for facility person #3 did not include one written, nonfamily reference. The file for facility person #4 did not include one written, nonfamily reference. The file for facility person #6 did not include two written, nonfamily references. The file for facility person #7 did not include one written, nonfamily reference. The file for facility person #14 did not include one written, nonfamily reference.”

3270.32(a) Comply with CPSL

“The most recent Mandated Reporter Trainings in the files for Staff Person #7 and 10 exceeded 60 months between trainings.”

Correction date in the state record: Feb 1, 2024

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The NSOR Application in the file for Staff Person #4 was dated after the staff person's first day working in child care at the facility. The disclosure statement in the file for Staff Person #8 was signed and dated after the staff person's first day working in child care at the facility. The most recent FBI Clearances in the file for Staff Person #10 exceeded 60 months between clearances. The file for Staff Person #17 lacked a receipt for fingerprinting prior to the staff person's first day in child care. The State Police Clearance in the file for Staff Person #18 was applied for and received after the staff person's first day working in child care. The file for Staff Person #23, a rehire, did not include an updated disclosure statement. The file for Staff Person #20, who has been working at the facility for more than 45 days, did not include an FBI Clearance. (See LIS Code Sheet).”

Correction date in the state record: Feb 1, 2024

3270.33(a)/3270.192(2)(ii) Each staff person meets quals/Exp, educ., training prior to facility

“The file for Staff Person #21, an Assistant Group Supervisor, did not include documentation of a high school diploma.”

Correction date in the state record: Mar 1, 2024

3270.31(f) Health and Safety Training

“The Health and Safety Trainings in the files for Staff Persons #1, 2 and 17 were completed more than 90 days after the staff person's first day working in child care. The Pediatric First Aid/CPR Training and Health and Safety Training in the file for Staff Person #11 was completed more than 90 days after the staff person's first day working in child care (See LIS Code Sheet).”

Correction date in the state record: Feb 1, 2024

3270.192(5) Two written references

“The file for Staff Person #25 contained only one written letter of reference.”

Correction date in the state record: Apr 1, 2024

3270.31(e) Age and Training

“The file for Staff Person #10 contained only one hour of child care training for most recent full year of service (9/13/22-9/13/23).”

Correction date in the state record: Feb 1, 2024

3270.151(a)/3270.192(3) 12 months prior to service and every 24 months thereafter/Health assessment, TB test

“The initial health assessments and TB screenings in the files for Staff Persons #4, 5, 6, 8 and 18 were conducted after the staff person's first day working in child care at the facility. The initial health assessment in the file for Staff Person #20 was conducted after the staff person's first day working in child care at the facility. The file for Staff Person #22, a rehire, did not include documentation of a TB Screening conducted within 12 months prior to rehire date. The file for Staff Person #23, a rehire, did not include documentation of a health assessment or TB Screening conducted within 12 months prior to rehire date (See LIS Code Sheet). The most recent health assessments in the files for Staff Person #10 and 16 exceeded 24 months between assessments.”

Correction date in the state record: Apr 1, 2024

3270.102(a) Clean and good repair

“Observed a crack, which creates a sharp edge, on the gray toy box in Room 156.”

Correction date in the state record: Feb 1, 2024

3270.131(a)(4)/3270.182(1) Initial health report for school age; accordance with school attendance/Initial and subsequent health reports

“The file for Child #1, who is in 6th Grade, lacked a health report conducted for the 6th Grade School Year.”

Correction date in the state record: Feb 1, 2024

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“Staff persons #13, 20 and 26 were observed to be caring for children unsupervised. Staff persons #13, 20 and 26 have not completed the following pre-service training required prior to caring for children unsupervised: Staff Persons #13 and 26: Pediatric CPR/First Aid from in an approved curriculum from a PQAS Instructor. Staff Person #20: Health and Safety Training.”

Correction date in the state record: Apr 1, 2024

3270.27(c) Training regarding plan

“The files for Staff Person #8 and #20, who have been working at the facility for more than 90 days, did not include documentation of initial training in the facility's emergency plan (See LIS Code Sheet).”

Correction date in the state record: Apr 1, 2024

3270.34(a)(6) Staff evaluations

“The first annual written evaluation in the file for Staff Person #24 was conducted more than one year after the staff person's first day working in child care. The file for Staff Person #9, who has been working in a child care position for more than one year at the facility, did not include an annual written evaluation (See LIS Code Sheet).”

Correction date in the state record: Feb 15, 2024

3270.31(e)(4)(ii) Fire safety - 1 yr.

“The most recent fire safety trainings in the files for Staff Persons #3, 10, 12, 13, 14, 15, 16, 26 and 27 exceeded 12 months between trainings. The files for Staff Persons #7, 9 and 19 did not include documentation of fire safety training conducted within the past 12 months.”

Correction date in the state record: Apr 1, 2024

3270.31(f) Health and Safety Training

“Staff persons #10, 13, 15, 16, 20, 24 and 26 have not completed the following required pre-service training within 90 days of their date of hire: Staff Persons #10, 13, 15, 16, and 26: Pediatric CPR/First Aid from in an approved curriculum from a PQAS Instructor. Staff Person #20: Health and Safety Training (see LIS code sheet). Staff Person #24: Pediatric CPR/First Aid Training in an approved curriculum from a PQAS Instructor and Health and Safety Training.”

Correction date in the state record: Mar 6, 2024

3270.171(c) Safe routes posted

“Pick-up and Drop-Off Procedures were not posted at the facility.”

Correction date in the state record: Feb 5, 2024

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“Continued Non-Compliance: On 3/28/23 a unannounced correction visit was conducted at the facility. Staff person #1 was observed to be caring for children unsupervised. Staff person #1 had not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid/CPR and Health and Safety Basic Training). The facility's acceptable plan of correction indicated the correction would be implemented by 4/8/23. On 4/11/23 an unannounced inspection was conducted. Staff person #1 still has not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid/CPR and Health and Safety Basics).”

Correction date in the state record: Apr 11, 2023

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid and CPR and Health and Safety Basic Training).”

3270.51 Similar Age Level

“At approximately 4:00 PM there were two staff members and 19 children in Room 156. When asked to name the group of children that Staff #2 was currently responsible for, Staff #2 named 14 young school aged children. After naming the 14 young school aged children, Staff #2 admitted that he had exceeded the regulatory ratio by two children. Staff #3 went on to name the additional 5 children in the classroom. Therefore, at the time of the inspection ratio for the young school aged children was 1:14 for Staff #2, and 1:5 for Staff #3.”

Correction date in the state record: Mar 28, 2023

3270.76 Building Surfaces

“Located on the front wall of Room 156 was a cracked electrical face plate that created a pinch point for the children in care.”

Correction date in the state record: Mar 15, 2023

3270.34(a)(6) Staff evaluations

“The files for Staff #7 and #15 contained a written evaluation that was conducted in an interval greater than 12 months.”

Correction date in the state record: Feb 23, 2023

3270.31(e)(4)(ii) Fire safety - 1 yr.

“The last two fire safety trainings in the file for Staff #5, #7, and #15 were dated more than 12 months apart.”

Correction date in the state record: Feb 23, 2023

3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance

“The previous two fire detection letters attesting to the operability of the facilities Fire Detection system were dated more than a year apart: 1/28/22 and 2/6/23.”

Correction date in the state record: Apr 1, 2023

3270.94(a)(4) Hypothetical locations

“Based on fire drill documentation, the hypothetical location has been the same for the previous three consecutive fire drills.”

Correction date in the state record: Feb 23, 2023

3270.94(a)(1) Every 60 days

“Based on Fire Drill documentation, fire drills are not being held at least every 60 days; 1/13/22-3/24/22, and 10/7/22-12/12/22.”

Correction date in the state record: Feb 23, 2023

3270.192(5) Two written references

“The file for Staff #3, lacked one written, nonfamily references from individuals attesting to the suitability to serve as a facility person.”

Correction date in the state record: Feb 23, 2023

3270.192(2)(iv) Transcript, diploma and letters

“The file for Staff # 3 lacked proof of qualifications for education in the form of a diploma, transcript, or letter signed by a representative or the experiential, educational or training entity.”

Correction date in the state record: Apr 1, 2023

3270.151(c)(4) Information re: medical problems

“The file for Staff # 4 contained a Health Assessment that lacked information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.”

Correction date in the state record: Apr 1, 2023

3270.151(c)(3) Exam communicable disease

“The file for Staff #4 contained a Health Assessment that did not answer the question regarding communicable diseases. The file for Staff #7 contained a Health Assessment that stated they had a communicable disease. There was no accompanying documentation stating the condition and the risk it might pose to others exposed to this individual.”

Correction date in the state record: Apr 1, 2023

3270.151(c)(2) Mantoux TB

“The files for Staff #3, #9, #11, #13, and # 14 contained a tuberculosis screening by the Mantoux method at the time of inspection, but it was observed they did not have a tuberculosis screening by the Mantoux method before their first day working in childcare. The file for Staff #1 contained TB screening that was conducted more than 12 months prior to their first day working in childcare.”

Correction date in the state record: Apr 1, 2023

3270.151(a) 12 months prior to service and every 24 months thereafter

“The files for Staff #3, #9, #11, #12, #13, and #14 contained a Health Assessment at the time of inspection, but it was observed they did not have a Health Assessment before their first day working in childcare. The last two health assessments for Staff #7 were dated more than 24 months apart.”

Correction date in the state record: Feb 23, 2023

3270.133(5) Original label

“The Epi Pen in the facility for Child #1 was expired.”

Correction date in the state record: Mar 15, 2023

3270.133(3) Name on bottle

“A bottle of liquid Motrin observed at the facility intended for Child #2 was not labeled.”

Correction date in the state record: Feb 23, 2023

3270.124(e) Written emergency plan posted

“Room 154 and Room 156 lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.”

Correction date in the state record: Feb 23, 2023

3270.31(f) Health and Safety Training

“Although the files for Staff #2, #5, #8, #10, #12, and #15 contained Pediatric First Aid and CPR at time of Renewal Inspection, it was observed that Staff #2, #5, #8, #10, #12, and #15 did not complete Pediatric First Aid and CPR within 90 days of hire. Staff person #16 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Pediatric First Aid/CPR). Although the files for Staff #8, #12, #13, and #14 contained Health and Safety Basic training at time of Renewal Inspection, it was observed that Staff #8, #12, #13, and #14 did not complete Health and Safety Basic Training within 90 days of hire. Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health and Safety Basic Training).”

Correction date in the state record: Feb 23, 2023

3270.113(a)(1) Staff assigned to specific children

“At approximately 5:00 PM one staff was observed in the gym with 5 children. When the staff was asked to name the children that they were responsible for they named the 5 children in the gym and also the two children that were in the gym lounge. It was observed that the staff was not physically present with the children in the gym lounge.”

Correction date in the state record: Feb 23, 2023

3270.61(e) Halls, etc. not included

“At approximately 3:30 PM, three children were observed to be receiving care in the office space. The office space is not measured as a childcare space.”

Correction date in the state record: Feb 23, 2023

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The NSOR on file for Staff person #2, with a hire date of 9/22/21, and whose provisional hire period ended on 11/6/21, is dated 11/22/21. The NSOR on file for Staff person #3, with a hire date of 9/13/21, includes an NSOR application dated 12/3/21, after hire. The file for Staff person #4, whose first day working with children was 8/30/20, has a disclosure statement signed 11/15/20, after hire. The file for Staff person #8, whose first day working with children was 10/25/21, includes a request for a Washington DC criminal history clearance dated 11/11/21; a Washington DC child abuse clearance request dated 11/11/21; and a New York child abuse clearance request dated 12/7/21. The file for Staff person #9, with a hire date of 8/30/20, includes a sex offender search from Ohio, where she resided in the previous 5 years, dated 10/2/20, after hire. The NSOR on file for Staff person #12, with a hire date of 9/4/18, is dated 9/9/20, after the 7/1/20 deadline for all staff hired prior to 9/30/19. The NSOR on file for Staff person #13, with a hire date of 8/19/19, is dated 8/28/20, after the 7/1/20 deadline for all staff hired prior to 9/30/19. The file for Staff person #14, with a hire date pf 8/31/20, includes criminal history clearances dated 11/22/15 and 12/1/20; child abuse clearances dated 11/23/15 and 12/1/20, more than 60 months apart.”

Correction date in the state record: Feb 25, 2022

3270.151(c)(3) Exam communicable disease

“The health assessment on file for Staff person #6 does not include as assessment for communicable diseases.”

Correction date in the state record: Feb 25, 2022

3270.192(5) Two written references

“The file for Staff person #17, with a hire date of 1/18/22 does not include 2 written, mon-family references. The file for Staff person #19, with a hire date of 1/20/22 does not include 2 written, mon-family references.”

Correction date in the state record: Mar 15, 2022

3270.31(f)(10)/3270.192(2)(iii) Health and Safety Training - Pediatric First Aid and CPR/Exp, educ., training at facility

“The file for Staff #1, with a hire date of 9/17/21, lacked documentation of current certification in pediatric first-aid and CPR, which was due 90 days after hire, 12/16/21. The file for Staff #2, with a hire date of 9/22/21, lacked documentation of current certification in pediatric first-aid and CPR, which was due 90 days after hire, 12/21/21. The file for Staff #3, with a hire date of 9/13/21, lacked documentation of current certification in pediatric first-aid and CPR, which was due 90 days after hire, 12/12/21. The file for Staff #5, with a hire date of 9/22/21, lacked documentation of current certification in pediatric first-aid and CPR, which was due 90 days after hire, 12/21/21. The file for Staff #6, with a hire date of 9/30/21, lacked documentation of current certification in pediatric first-aid and CPR, which was due 90 days after hire, 12/29/21. The file for Staff #7, with a hire date of 10/28/21, lacked documentation of current certification in pediatric first-aid and CPR, which was due 90 days after hire, 1/26/22. The file for Staff #8, with a hire date of 10/25/21, lacked documentation of current certification in pediatric first-aid and CPR, which was due 90 days after hire, 1/23/22. The file for Staff person #15, with a hire date of 9/14/21, does not include verification of completed Pediatric First aid/CPR training, which was due within 90 days of hire, 12/13/21”

3270.31(h)/3270.192(2)(iii) Health and Safety Training/Exp, educ., training at facility

“The file for Staff #10, whose first day working with children was 9/13/21, includes documentation of health and safety training numbers 1 - 9, as listed in the regulation 3270.31(f), which was completed on 12/19/21, more than 90 days after working with children, 12/12/21.”

Correction date in the state record: Feb 25, 2022

3270.94(a)(9) Written record

“There was no fire drill log available for review covering the period from January 2021-November 2021.”

Correction date in the state record: Feb 25, 2022

3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance

“The provider does not have verification of the purchase of the fire alarm system in the facility.”

Correction date in the state record: Mar 15, 2022

3270.31(e)/3270.192(2)(iii) Age and Training/Exp, educ., training at facility

“The files for Staff person #4, #9, #12, #13, #14, who were hired prior to 12/19/20, do not include 12 hours of annual training to be completed between 12/19/20-12/19/21.”

Correction date in the state record: Apr 15, 2022

3270.131(a)/3270.182(1) Health information/Initial and subsequent health reports

“The health assessment on file for Child #1, with an enrollment date of 9/13/21, is dated 12/19/21, more than 90 days after enrollment, as allowed according to Announcement C-20-04.”

Correction date in the state record: Jan 27, 2022

3270.31(e)(4)(ii)/3270.192(2)(iii) Fire safety - 1 yr./Exp, educ., training at facility

“The most recent documented fire safety training on file for Staff person #4 is dated 9/1/20, more than 1 year ago.. The most recent documented fire safety training on file for Staff person #9 is dated 9/16/20, more than 1 year ago. The file for Staff person #12 and #13 does not include documentation of fire safety training completed within a year of the last training, dated 9/16/20. The most recent fire safety training on file for Staff person #14 is dated 9/16/20, more than 1 year ago.”

Correction date in the state record: Apr 11, 2022

3270.151(c)(2)/3270.192(3) Mantoux TB/Health assessment, TB test

“The initial health assessment on file for Staff person #6 , whose first day working with children is 9/30/21, does not include a Tuberculosis screening. The file for Staff person #16, with a hire date of 1/18/22, does not include a Tuberculosis screening. The file for Staff person #18, with a hire date of 1/20/22, does not include a Tuberculosis screening. The initial health assessment on file for Staff person #19 , whose first day working with children is 1/20/22, does not include a Tuberculosis screening.”

3270.151(c)(1)/3270.192(3) Physical examination/Health assessment, TB test

“The initial health assessment on file for Staff person #7 states the doctor did not complete a physical examination.”

Correction date in the state record: Feb 25, 2022

3270.151(a)/3270.192(3) 12 months prior to service and every 24 months thereafter/Health assessment, TB test

“The most recent health assessment on file for Staff person #9 is dated 12/26/21, more than 24 months after the previous health assessment, dated 9/19/19. The initial health assessment on file for Staff person #11, with a hire date of 1/3/22, is dated 1/4/22. The most recent health assessment on file for Staff person #12 is dated 1/5/21, more than 24 months after the previous health assessment, dated 9/11/18. The initial health assessment on file for Staff person #14 is dated 9/1/20, after the first day working with children, 8/31/20. The file for Staff person #16, with a hire date of 1/18/22, does not include an initial health assessment. The file for Staff person #18, with a hire date of 1/20/22, does not include an initial health assessment.”

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The file for Staff person #9, with a hire date of 8/30/20, does not include a child abuse clearance from Ohio, where she resided in the 5 years prior to employment.”

Correction date in the state record: Jan 31, 2022

3270.131(e) ACIP recommended immunization record

“The immunization record on file for Child #1, with an enrollment date of 9/13/21, is dated 12/21/21, more than 60 days after enrollment.”

Correction date in the state record: Jan 27, 2022

3270.124(c) Each child care space

“There was a child receiving care in Room 156 whose emergency contact form was not in the room where she was receiving care.”

Correction date in the state record: Jan 28, 2022

3270.123(a)(5) Designated release persons

“The agreement on file for Child #2 does not include the names of the release persons.”

Correction date in the state record: Jan 28, 2022

3270.123(a)(1) Amount of fee

“The agreement on file for Child #1 and Child #2 does not include the amount to be paid for child care services.”

Correction date in the state record: Jan 28, 2022

3270.34(a)(6) Staff evaluations

“The 2 most recent staff evaluations on file for Staff person #4, are dated 11/19/19 and 1/20/21, more than 1 year apart.The 2 most recent staff evaluations on file for Staff person #12, are dated 10/28/19 and 12/1/20, more than 1 year apart, and the most recent evaluation is dated more than 1 year ago.”

Correction date in the state record: Mar 15, 2022

3270.33(a)/3270.192(2)(ii) Each staff person meets quals/Exp, educ., training prior to facility

“The file for Staff person #7, classified as a Group supervisor, does not include verification of a Bachelors degree in education or a related human services field; a Bachelors degree and 30 credits in education or a related human services field and 1 year of experience with children; an Associates degree in education or a related human services field and 2 years of experience with children; or an Associates degree with 30 credits in education or a related human services field and 3 years of experience with children. The file for Staff person #8, classified as an Assistant group supervisor, does not include verification of 30 credits in education or a related human services field; or 15 credits in education or a related human services field and 1 year of experience with children; or 2 years of experience with children.”

Correction date in the state record: Feb 25, 2022

3270.133(7)(i) Name of medication

“There was a medication log in the facility for a child that did not list the name of the medication on the log.”

Correction date in the state record: Jan 27, 2022