Bloomsburg Area YMCA Day Care Center

While at the facility unannounced on 9/17/25 interviews with staff #1 and #2 confirmed that staff #1 did, in fact, leave staff #2 alone with a group of 13 children, 12 older school aged children and 1 young school aged child on 8/28/25

While at the facility unannounced on 9/17/25interviews with staff #1 and #2 confirmed that staff #1 left two school aged children alone with an employee of the YMCA who is not a childcare employee on 8/28/25.

While at the facility unannounced on 9/17/25 the inspector reviewed the file for staff #2 and found that this staff was missing a signed disclosure statement.

While at the facility unannounced on 9/17/25 the inspector reviewed the file for staff #2 and found that this staff was working in direct care and did not have a health assessment and TB screening on file.

While at the facility unannounced on 9/17/25 the inspector reviewed the file for staff #2 and found that this staff was missing proof of education as is required.

While at the facility unannounced on 9/17/25 the inspector reviewed the file for staff #2 and found that this staff was missing two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

While at the facility unannounced the inspector observed staff files and found that staff #1 had been working in direct care with children since hire (See LIS Code Sheet for DOH) and had a Pa Department of Education FBI on file versus the required DHS FBI.

While at the facility unannounced the inspector observed staff files and found that staff #1 had been working in direct care with children since hire (See LIS Code Sheet for DOH) and did not have a health assessment or TB screening as are required before working in direct care.

During the unannounced renewal inspection on 2/19/25 the inspector observed the file for staff #1 and found that this staff had been employed for over a year (see LIS Code Sheet for date of hire) and did not obtain an NSOR until 1/24/25. Staff file #6 had been employed for over a year (see LIS Code Sheet for date of hire) and did not obtain an NSOR until 2/26/24. Staff file #6 also did not update their clearances every 60 months as evidenced by a previous Pa State Police dated 2/24/19 and a current dated 5/23/24, a Pa Child Abuse previously dated 3/31/19 and a current dated 5/29/24. Staff #5 did not update their clearances every 60 months as evidenced by a previous Pa State Police dated 8/12/19 and a current dated 9/19/24, a Pa Child Abuse previously dated 8/13/19 and a current dated 9/19/24, a previous FBI dated 8/15/19 and a current dated 9/20/24.

While at the facility unannounced for the renewal the inspector reviewed the emergency plan and found that it did not address continuity of operations as was required to be part of the emergency plan by 7/1/22." The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

While at the facility unannounced for the renewal the inspector reviewed the emergency plan and found that it did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Durning the course of the unannounced renewal inspection that occurred on 2/19/25 the inspector observed the fire drill/detection log and found that the facility last manually tested the main building's smoke detectors on 1/3/25, as evidenced on the log itself. This exceeds the every 30 calendar days requirement.

During the unannounced renewal inspection on 2/19/25 the inspector reviewed the staff files and noted that staff #1, did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification as evidenced by a previous certification expiration date of 4/24/22 and a renewal date of 8/4/24. Staff #3 did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification as evidenced by a previous certification expiration date of 6/24/22 and a renewal date of 11/7/24.

During the unannounced renewal inspection on 2/19/25 the inspector reviewed the staff files and noted that staff #2, did not completed the following required pre-service training within 90 days of their date of hire (see LIS Code Sheet) Pediatric First Aid and CPR from a PQAS approved trainer and a PQAS approved curriculum. Staff #4 did not complete the following required pre-service training within 90 days of their date of hire (see LIS Code Sheet), Health and Safety training, Pediatric First Aid and CPR. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. This training was not obtained until 1/12/25.

During the course of the unannounced renewal inspection that occurred on 2/19/25 the inspector observed the file for staff #5 and found that this staff did not update their Pa Mandated Reporter training every 60 months as evidenced by a previous Pa Mandated Reporter training dated 8/31/19 and a current dated 9/19/24. The file for staff #6 was also observed and it was discovered this staff did not update their Pa Mandated Reporter training every 60 months as evidenced by a previous Pa Mandated Reporter training dated 8/28/19 and a current dated 9/19/24.

During complaint investigation 7/26/24 through 8/8/2 the inspector reviewed the staff files and found that staff #5 (see LIS Sheet for DOH) did not have proof of a FBI clearance, or a NSOR on file at the facility and was working in direct care with children. Staff #1 (see LIS Sheet for DOH) did not have proof of an NSOR on file at the facility and was working in direct care with children. The inspector returned on 8/7/24 to investigate additional allegations and staff #7 admitted that staff #1remained at the facility until 8/4/24 in direct care with children disregarding their required removal.

During complaint investigation 7/26/24 through 8/8/2 it was verified that staff #1 has left the pool leaving staff #2 alone with a group of up to 14 preschool aged children. Staff #7 also admitted to leaving the pool with another staff which resulted in two staff present with 45 mixed school aged children present. The inspector arrived unannounced on 7/30/24 to the facility to follow up on the complaint and found 43 mixed school aged children and five staff in the gymnastic room and in the attached outdoor fenced area. The inspector asked the staff present to name the group of children assigned to them and to identify the children by young school age and older school age. Staff #7 stated that the five staff present would not be able to do this as they are all supervising all the children as a group and do not have the children grouped by age or with a specific staff. While at the facility unannounced on 8/8/24 due to additional complaint allegations the inspector verified that staff #6 and staff #7 were present in the outdoor play on 8/5/24 area with 30 mixed age school aged children present via video and staff #7 admitted this as well.

During complaint investigation 7/26/24 through 8/8/2 staff #7 acknowledged that they and another staff left the pool which resulted in one staff present with children.

During complaint investigation 7/26/24 through 8/8/2 the inspector observed 50 mixed aged children and six staff at the community pool. When asked how many children were present, staff #7 stated 51. The inspector asked that staff #7 to identify what children were assigned to each staff and staff #7 admitted to the inspector that all the staff supervise the children as a group with no children being specifically assigned or grouped by ages. It was also confirmed through investigation that the children go to the public bathrooms at the pool in groups of three without a staff accompanying them. Staff #7 admitted to leaving the pool on occasion leaving two staff with 43 mixed aged school aged children. The inspector also verified that staff #1 has also left the pool on occasion leaving staff #2 alone with up to 14 preschool aged children present. The inspector arrived unannounced on 7/30/24 to the facility to follow up on the complaint and found 43 mixed school aged children and five staff in the gymnastic room and in the outdoor fenced area. The inspector asked the staff present to name the group of children assigned to them and to identify the children by young school age and older…

During complaint investigation 7/26/24 through 8/8/2 the inspector observed the Bloomsburg YMCA walking into the pool and met with the program before they entered the pool area. The inspector observed 50 mixed aged children, six staff and one staff lifeguard present. When asked how many children were present, staff #7 (director) stated 51. The inspector asked that staff #7 place the 50 mixed age children into their swim groups, staff #7 and the five staff could not do so. Staff #7 then admitted to the inspector that all the staff supervise the children as a group with no children being specifically assigned or grouped by ages. None of the staff present knew the ages of the swimmers for required swim ratios. Staff #7 also admitted to utilizing the lifeguard as both a staff for ratio purposes and a lifeguard simultaneously.

During the unannounced inspections from 7/26/24- 8/8/24, stemming from the complaint investigation, the inspector observed that the gym being simultaneously used for YMCA members and the children receiving care.

During the unannounced inspections from 7/26/24- 8/8/24, stemming from the complaint investigation, the inspector observed children playing in the outdoor fenced area just off the gymnastics room. This outdoor space is not measured space. The inspector made the director aware of this and asked that the children be removed from this unlicensed space.

During the unannounced inspections from 7/26/24- 8/8/24, stemming from the complaint investigation, the inspector observed that the kitchen door was propped open with a stove accessible to children. The kitchen door is located just outside the gymnastics room and bathrooms where the children were observed unsupervised by the inspector.

During the unannounced inspections from 7/26/24- 8/8/24, stemming from the complaint investigation, the inspector observed the staff files and found that staff #3, #5 did not have a health assessment or a TB screening on file and were working in direct care with children. Staff #3 had a TB screening that was over 12 months old at the time of hire. Staff #2 had a health assessment and TB screening that was over 12 months old at the time of hire. Both staff #3 and staff #2 were also working in direct care with children.

During the unannounced inspections from 7/26/24- 8/8/24, stemming from the complaint investigation, the inspector observed 43 children in the gymnastics room which is over the capacity for the room. This room is measured for 24 children. The inspector made the director aware of this capacity and asked that the children be separated into more accommodating spaces. While present unannounced on 8/8/24 the inspector observed the gymnastics room and found 44 children in the room. The daily activity log did not designate any times for the capacity to be increased.

During the unannounced inspections from 7/26/24- 8/8/24, stemming from the complaint investigation, the inspector asked to view the fire drill/detection log. The director provided the inspector with the fire drill/detection log for the main building only. The inspector then asked to view the fire drill/detection log for the detached outer building as this building has a separate smoke detector system. The director informed the inspector that there was no fire drill/detection log for the outer building as there had been no manual testing of the smoke detector system nor any fire drills conducted although childcare children are receiving care in this building and were present on 7/30/24 and 8/6/24.

During the unannounced inspections from 7/26/24- 8/8/24, stemming from the complaint investigation, the inspector asked to view the fire drill/detection log. The director provided the inspector with the fire drill/detection log for the main building only. The inspector then asked to view the fire drill/detection log for the detached outer building as this building has a separate smoke detector system. The director informed the inspector that there was no fire drill/detection log for the outer building as there had been no manual testing of the smoke detector system nor any fire drills conducted although childcare children are receiving care in this building and were present on 7/30/24 and 8/6/24.

During complaint investigation 7/26/24 through 8/8/2, at the community pool. the director (staff #7) was asked to provide the inspector with the emergency contact information for each of the 50 children present and the director stated that they could not as they did not have this information with them for any of the 50 children present.

During the unannounced inspections from 7/26/24- 8/8/24, stemming from the complaint investigation, the inspector observed the staff files and found that staff #1, #2, #3, #4, and #5, had no proof of water safety training on file and all have been taking children to the community pool for swimming.

During the unannounced inspections from 7/26/24- 8/8/24, stemming from the complaint investigation, the inspector observed the staff files and found that staff #5 did not have any proof of education on file at the facility and was serving as an AGS.

A renewal inspection occurred at the facility. A review of the facility's fire system testing log was completed. Regulation requires the fire safety system to be tested at least once every 30 days. The following tests did not occur at least every 30 days: 1/17/24 - 2/26/24 4/8/24 - 5/21/24.

A renewal inspection occurred at the facility, 1/17/24-1/23/24. A review of staff files was conducted. See the code sheet for the date of hire. Staff #9 was hired as a provisional hire. The file did not contain documentation that Staff #9 applied for the DHS FBI clearance. Staff #9 did not apply for the NSOR clearance at the time of initial hire but applied on 1/2/24. At the time of this inspection an NSOR and DHS FBI clearance were not in the staff's file. Staff #9 was working at the facility at the time of this inspection past their 45-day provisional hire period. Staff #9 was not hired correctly as a provisional hire per the CPSL. An acceptable plan of correction was obtained on 2/22/24 and indicated that the Legal Entity/Director would participate in the Existing Provider Orientation at the Northeast Regional Office on 2/20/24. An unannounced inspection occurred on 3/7/24. As of this inspection, the Director did not participate in the Existing Provider Orientation held on 2/20/24.

A renewal inspection occurred at the facility, 1/17/24-1/23/24. A review of staff files was conducted. See the code sheet for the date of hire for the following staff. Regulation requires a tuberculosis screening at the time of initial hire. The following staff did not obtain a tuberculosis screening at the time of initial hire: Staff #3 and #9. Staff #3 obtained a tuberculosis screening on 9/26/23. Staff #9 was working in child care at the time of this inspection and the file did not contain a tuberculosis screening. An acceptable plan of correction was obtained on 2/22/24, indicating that the listed staff would obtain a tuberculosis screening. An unannounced inspection occurred at the facility on 3/7/24. At this inspection, Staff #9 did not have an appropriate tuberculosis screening on file.

A renewal inspection occurred at the facility, 1/17/24-1/23/24. A review of staff files was conducted. Staff persons #3, #4, #8 and #9 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and CPR. Staff persons #9 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety. An acceptable plan of correction was obtained on 2/22/24 and indicated staff would be supervised and would complete the required training by 2/14/24. An unannounced inspection occurred on 3/7/24 and at that time, Staff #3, #4, #8 and #9 still did not complete pediatric first aid and CPR.

A renewal inspection occurred at the facility, 1/17/24-1/23/24. A review of staff files was conducted. At the time of the inspection, the facility was unable to provide documentation that the following staff completed all 12 hours of annual child care training: Staff #4, #7 and #10. An acceptable plan of correction was received on 2/22/24 that indicated staff would complete annual child care training hours. An unannounced inspection occurred on 3/7/24. At this inspection, the facility was unable to show documentation that, Staff #4, #7, and #10 had participated in a total of 12 hours of annual child care training.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #9 was hired as a provisional hire. The file did not contain documentation that Staff #9 applied for the DHS FBI clearance. Staff #9 did not apply for the NSOR clearance at the time of initial hire but applied on 1/2/24. At the time of this inspection an NSOR and DHS FBI clearance were not in the staff's file. Staff #9 was working at the facility at the time of this inspection past their 45-day provisional hire period. Staff #9 was not hired correctly as a provisional hire per the CPSL.

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to review the emergency plan on an annual basis. The following staff did not review the emergency plan on an annual basis: Staff #2, #6, #7 and # 10. Staff #2, # 6, #7 reviewed the plan on 8/18/22 and then on 9/11/23. Staff #10 reviewed the plan on 7/14/22 and then on 9/11/23. Regulation requires new staff to reviewing the emergency plan within 90 days of their hire date. See the code sheet for the hire date. The following staff did not review the emergency plan within 90 days of their hire date: #8 and #9. Staff # 8 reviewed the emergency plan on 9/11/23. At the time of this inspection, Staff #9 had not reviewed the emergency plan.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire for the following staff. Regulation requires health assessments at the time of initial hire. The following staff did not obtain a health assessment at the time of initial hire: Staff #3, #8 and #9. Staff #3 obtained a health assessment on 9/26/23. Staff #8 obtained a health assessment on 3/24/23. Staff #9 was working in child care at the time of this inspection and the file did not contain a health assessment. Regulation requires health assessments to be updated every 24 months. Staff #10 did not update their health assessment every 24 months. The previous health assessment on file for Staff #10 was dated 6/7/20 and an updated health assessment was not conducted until 1/2/23.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire for the following staff. Regulation requires a tuberculosis screening at the time of initial hire. The following staff did not obtain a tuberculosis screening at the time of initial hire: Staff #3 and #9. Staff #3 obtained a tuberculosis screening on 9/26/23. Staff #9 was working in child care at the time of this inspection and the file did not contain a tuberculosis screening.

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the date of enrollment of the children. Regulation requires children to have a health report in their file within 60 days of attendance. The following children did not have a health report in their file within 60 days of attendance: Child #1, #4 and #5. Child #1 obtained a health report on 12/1/23. No health report was in the file of Child #4. Child #5 obtained a health report on 10/26/23.

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to patriciate in annual fire safety training. The following staff did not participate in annual fire safety training: Staff #1, #2, #4, #5, #6, #7 and #10. Staff #1 completed fire safety training on 1/27/22 and then on 4/11/23. Staff #2 completed fire safety training on 6/6/22 and then on 1/17/24. Staff #4 completed fire safety training on 8/9/22 and then on 1/17/24. Staff #5 completed fire safety training on9/1/22 and then on 1/17/24. Staff #6 completed fire safety training on 10/4/22 and then on 1/18/24. Staff #7 completed fire safety training on 10/6/22 and then on 11/14/23. Staff #10 completed fire safety training on 1/29/22 and then on 4/11/23.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff persons #3, #4, #8 and #9 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and CPR. Staff persons #9 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety.

A renewal inspection occurred at the facility. A review of staff files was conducted. At the time of the inspection, Staff #9 was working in child care. The file of Staff #9 did not contain proof of education. Staff #9 could not be appropriately qualified to work in a child care role at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. The file of Staff #9 did not contain two letters of written reference as required by regulation. Staff #9 was working in a child care position at the time of this inspection.

A renewal inspection occurred at the facility. A review of staff files was conducted. At the time of the inspection, the facility was unable to provide documentation that the following staff completed all 12 hours of annual child care training: Staff #4, #7 and #10.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet or the staff's dates of hire. Staff # 2 was hired incorrectly as a provisional hire. Staff # 2 did not apply for a state police clearance until 9/6/22 and a child abuse clearance until 9/8/22. Staff # 3 was hired incorrectly as a provisional hire. Staff # 3 did not apply for a state police clearance until 9/1/22. Staff # 4 was hired incorrectly as a provisional hire. Staff # 4 did not apply for an NSOR clearance until 11/9/22. Staff # 4 was hired also using a Department of Education FBI clearance dated 7/31/20. Staff # 5 was hired incorrectly as a provisional hire. Staff # 5 did not apply for an NSOR clearance until 9/6/22. Staff # 6 was hired incorrectly as a provisional hire. Staff # 6 was working at the facility past the 45-day provisional hire window and the file did not contain an NSOR clearance. Staff # 6 also did not apply for the NSOR clearance until 11/29/22. Staff # 7 was hired incorrectly as a provisional hire. Staff # 7 did not receive an NSOR clearance dated until 9/22/22.

A renewal inspection occurred at the facility. A physical site review was conducted. The outdoor play area contained a large metal climber/playset. This climber had a slide that was broken at each individual attachments of the enclosed slide. The steps and floor bases at the top of the climber was broken in areas and the plastic coating was coming off in areas. These areas of concern were addressed with the director at the time of the inspection.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire of staff. Staff # 1 did not have a health assessment on file at the time of this inspection. Staff # 3 did not have a health assessment on file until 1/18/23. Staff # 6 did not have a health assessment or tuberculosis screening on file. At the time of this inspection, Staff # 6 was working in childcare. Staff # 7 did not have a health assessment or tuberculosis screening on file. At the time of this inspection, Staff # 7 was working in childcare. Staff # 8 did not have a health assessment and tuberculosis screening on file until 1/17/23.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire of staff. Staff # 1 did not have a health assessment on file at the time of this inspection. Staff # 3 did not have a health assessment on file until 1/18/23. Staff # 6 did not have a health assessment or tuberculosis screening on file. At the time of this inspection, Staff # 6 was working in childcare. Staff # 7 did not have a health assessment or tuberculosis screening on file. At the time of this inspection, Staff # 7 was working in childcare. Staff # 8 did not have a health assessment and tuberculosis screening on file until 1/17/23.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staff's date of hire. Staff person # 3 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.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

A renewal inspection occurred at the facility and a review of staff files was conducted. Staff # 1 had an FBI clearance dated for 3/20/17 and this clearance was not updated until 3/25/22. This clearance was not updated every 60 months as required by the CPSL.

A renewal inspection occurred at the facility. A review of staff files was conducted. The files of staff # 1 and # 3 have not reviewed the facility's emergency plan since 2019. The file of staff # 2 has not reviewed the facility's emergency plan since 2020. These staff did not review the facility's emergency plan on an annual basis as required by regulation. The files of newly hired staff # 5, # 6, # 7, # 8, # 9, and # 10 did not contain documentation that these staff reviewed the facility's emergency plan at initial employment. These staff did not review the facility's emergency plan at the time of initial employment as required by regulation. All listed staff have worked in child care without having updated or initial training on the facility's emergency plan. An acceptable plan of correction was received on 12/2/21. During a verification inspection on 12/17/21 the following staff have not yet reviewed the facility's emergency plan: Staff # 1, # 2, # 3, # 5, # 6, # 7, # 8, # 9, and # 10.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 3 has not had an updated health assessment completed since 9/13/19. Per regulation, health assessments are to be updated every 24 months. Staff # 5 had a date of hire of 8/23/21 and the file did not contain a health assessment or tuberculosis screening. Staff # 6 had a date of hire of 11/11/21 and the file did not contain a health assessment or tuberculosis screening. Staff # 10 had a date of hire of 9/11/21 and the file did not contain a health assessment or tuberculosis screening. Per regulation, staff are required to have a health assessment and tuberculosis screening conducted at initial employment. All listed staff have worked in child care without having an updated health assessment completed or an initial health assessment with tuberculosis screening completed. An acceptable plan of correction was received on 12/2/21. At a verification inspection on 12/17/21, the following staff have not yet participated in an updated health assessment: Staff # 3. The following staff have not yet participated in an initial health assessment and tuberculosis screening: Staff # 5, # 6, and # 10.

A renewal inspection occurred at the facility. A review of staff files was conducted. The files of staff # 1 and # 3 did not contain documentation of fire safety training. Staff # 1 and Staff # 2 have not participated in fire safety training since 2019. The file of staff # 2 did not contain documentation of fire safety training since their employment date of 5/16/20. These staff did not participate in annual fire safety training as required by regulation. An acceptable plan of correction was received 12/2/21. During a verification inspection on 12/17/21, the following staff have not yet participated in annual fire safety training: Staff # 1, # 2, and # 3.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 5 had a date of hire of 8/23/21 and the file did not contain documentation of health and safety training topics or documentation of pediatric first aid and CPR training. Staff # 7 had a date of hire of 6/18/21 and the file did not contain documentation of pediatric first aid and CPR training. Staff # 9 had a date of hire of 6/7/21 and the file did not contain documentation of health and safety training topics or documentation of pediatric first aid and CPR training. These staff were required per regulation to participate in health and safety training topics and pediatric first aid and CPR within 90 days of the staff's hire date. All listed staff have worked in in child care without having completed the health and safety topics and pediatric first aid and CPR training. An acceptable plan of correction was received on 12/2/21. At a verification inspection on 12/17/21, the following staff have not yet completed pediatric first aid and CPR: Staff # 5, # 7, and # 9. The file of Staff # 9 also did not contain documentation of the health and safety training topics

A renewal inspection occurred at the facility. A review of staff files was completed. Staff file # 5, # 8 and # 9 did not contain proof of education. These staff could not be appropriately qualified to work in a child care role at the facility. These staff have worked in a child care role without being appropriately qualified. An acceptable plan of correction was received on 12/2/21. At a verification inspection on 12/17/21, the following staff have not yet provided proof of education for their file: Staff # 5, # 8, and # 9.

A renewal inspection occurred at the facility. A review of staff files was conducted. The files of Staff # 4, # 5, # 6, # 8, # 9 and # 10 did not contain two letters of written reference. The listed staff have worked in child care without their files containing these letters of reference. An acceptable plan of correction was received 12/2/21. At a verification inspection on 12/17/21, the following staff have not yet provided two letters of written reference for their files: Staff # 4, # 5, # 6, # 8, # 9, # 10.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 1 had an FBI clearance dated for 2/1/16. This clearance was not updated every 60 months as required by the CPSL. Staff # 4 had a date of hire of 4/26/21 as a provisional hire and this staff was hired using a Department of Education FBI clearance dated 10/27/21. The CPSL states a Department of Education FBI clearance cannot be used for employment in a child care role in a child care setting. At the time of this inspection, Staff # 4's file did not contain documentation of an NSOR clearance. Staff could no longer be a provisional hire as the CPSL indicates a staff can only be provisionally hired for 45 days. Staff # 5 had a date of hire of 8/23/21 and at the time of this inspection, this file did not contain documentation that Staff # 5 participated in mandated reporter training. The CPSL requires all newly hired staff to participate in mandated reporter training within 90 days of the staff's hire date. Staff # 6 had a hire date of 11/11/21 as a provisional hire. The file of Staff # 6 did not contain documentation that they applied for the state police clearance, applied for / submitted…

A renewal inspection occurred at the facility. A review of staff files was conducted. The files of staff # 1 and # 3 have not reviewed the facility's emergency plan since 2019. The file of staff # 2 has not reviewed the facility's emergency plan since 2020. These staff did not review the facility's emergency plan on an annual basis as required by regulation. The files of newly hired staff # 5, # 6, # 7, # 8, # 9, and # 10 did not contain documentation that these staff reviewed the facility's emergency plan at initial employment. These staff did not review the facility's emergency plan at the time of initial employment as required by regulation. All listed staff have worked in child care without having updated or initial training on the facility's emergency plan.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 3 has not had an updated health assessment completed since 9/13/19. Per regulation, health assessments are to be updated every 24 months. Staff # 5 had a date of hire of 8/23/21 and the file did not contain a health assessment or tuberculosis screening. Staff # 6 had a date of hire of 11/11/21 and the file did not contain a health assessment or tuberculosis screening. Staff # 10 had a date of hire of 9/11/21 and the file did not contain a health assessment or tuberculosis screening. Per regulation, staff are required to have a health assessment and tuberculosis screening conducted at initial employment. All listed staff have worked in child care without having an updated health assessment completed or an initial health assessment with tuberculosis screening completed.

A renewal inspection occurred at the facility. A review of staff files was conducted. The files of staff # 1 and # 3 did not contain documentation of fire safety training. Staff # 1 and Staff # 2 have not participated in fire safety training since 2019. The file of staff # 2 did not contain documentation of fire safety training since their employment date of 5/16/20. These staff did not participate in annual fire safety training as required by regulation.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 5 had a date of hire of 8/23/21 and the file did not contain documentation of health and safety training topics or documentation of pediatric first aid and CPR training. Staff # 7 had a date of hire of 6/18/21 and the file did not contain documentation of pediatric first aid and CPR training. Staff # 9 had a date of hire of 6/7/21 and the file did not contain documentation of health and safety training topics or documentation of pediatric first aid and CPR training. These staff were required per regulation to participate in health and safety training topics and pediatric first aid and CPR within 90 days of the staff's hire date. All listed staff have worked in in child care without having completed the health and safety topics and pediatric first aid and CPR training.

A renewal inspection occurred at the facility. A review of staff files was completed. Staff file # 5, # 8 and # 9 did not contain proof of education. These staff could not be appropriately qualified to work in a child care role at the facility. These staff have worked in a child care role without being appropriately qualified.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 1 does not have documentation in the file of an annual evaluation since 2019. Staff # 2 has been employed with the facility more than an year and the file does not contain documentation of an annual evaluation. Staff # 3 does not have documentation in the file of an annual evaluation since 2019. Staff evaluations are required to be conducted on an annual basis per regulation.

A renewal inspection occurred at the facility. A review of staff files was completed. Staff file # 5, # 8 and # 9 did not contain proof of education. These staff could not be appropriately qualified to work in a child care role at the facility. These staff have worked in a child care role without being appropriately qualified.

A renewal inspection occurred at the facility. A review of staff files was conducted. The files of Staff # 4, # 5, # 6, # 8, # 9 and # 10 did not contain two letters of written reference. The listed staff have worked in child care without their files containing these letters of reference.