Jewish Community Center of Greater Pittsburgh

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.

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).

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.

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.

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.

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).

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.

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.

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.

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).

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.

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

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.

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.

*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.

*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.

*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.

*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.

*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.

*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.

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.

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.

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

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.

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.

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

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.

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.

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.

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.

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).

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).

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

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

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.

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

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.

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.

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).

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

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

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).

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

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).

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).

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).

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.

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.

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.

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

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

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

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.

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.

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.

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.

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.

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

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.

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

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).

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

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.

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.

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

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…

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.

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.

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

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.

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

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.

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

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

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

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.

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.

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.

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.

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

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

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

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.

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…

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.

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.

On 11/19/21, the provider notified the certification representative of an injury sustained by a child that required treatment at an emergency room on 11/16/21, not within 24 hours.