ST Bede School

The file for Staff Person #1 lacked an NSOR clearance. The file for Staff Person #4 lacked an FBI clearance.

The facility's emergency plan lacked a method to contact parents when an emergency arises. The director reported that they use the Student Information System to alert families when there is an emergency situation; however, the facility's emergency plan lacked this information.

The health report on file for Child #4 lacked the signature of the physician, physician's assistance, or CRNP.

The file for Staff Person #1 lacked a health assessment. The file for Staff Person #2 contained a health assessment dated 11/15/24 which was obtained after initial service in a child care setting (See LIS code sheet). The file for Staff Person #3 contained a health assessment dated 9/16/24 which was obtained after initial service in a child care setting (See LIS code sheet).

The evacuation route from the cafeteria was not posted.

The daily schedule of activities was not posted in the cafeteria.

The agreement form for Child #2 lacked the arrival and departure times.

The files for Child #2, Child #3, Child #4, and Child #5 contained the original agreement forms.

The emergency contact form for Child #1 lacked the work address and telephone number of the enrolling parent.

The emergency contact form for Child #1 lacked the address for the individual designated by the parent to whom the child may be released.

The file for Staff Person #3 lacked two written, nonfamily references attesting to the person's suitability to serve as a facility person.

*SECOND VIOLATION The file for staff person #1 does not contain documentation of valid NSOR clearance results required for provisional hiring under CPSL (See IS CODE SHEET). The file for staff person #2 does not contain documentation of valid NSOR clearance results required for provisional hiring under CPSL (See IS CODE SHEET). The file for staff person #3 does not contain documentation of valid NSOR clearance results required for provisional hiring under CPSL (See IS CODE SHEET). The file for staff person #4 does not contain documentation of valid PA State Police and NSOR clearance results required for provisional hiring under CPSL (See IS CODE SHEET). The file for staff person #5 lacked application and clearance results for PA State Police and NSOR that are required for provisional hiring under the CPSL (See IS CODE SHEET). The file for staff person #5 lacked clearances results for the state of Florida, in which the staff person resided in the 5 years prior to employment. Previously cited on SIN-00234986. The files for staff persons #1, #2, #3, #4, #5 now have signed disclosure statements.

*SECOND VIOLATION The facility did not provide the parents of each child enrolled a letter explaining the emergency procedures. Previously cited on SIN-00234986.

*SECOND VIOLATION The files for staff persons #3, #4, and #5 lacked documentation of a health assessment conducted at initial employment. The file for staff person #2 lacked documentation of a health assessment conducted within the last 24 months. The most recent health assessment on file is 8/13/21. Previously cited on SIN-00234986. The file for staff person #1 is now in compliance.

*THIRD VIOLATION The file for staff person #5 lacked documentation of a tuberculosis screening at initial employment (See IS CODE SHEET). Previously cited on SIN-00234986 and SIN-00238187. The files for staff persons #1, #3, and #4 are now in compliance.

*SECOND VIOLATION The facility did not have documentation of conducting an emergency drill within the last 12 months. Previously cited on SIN-00234986.

*SECOND VIOLATION The facility did not have documentation of conducting fire drills at least once every 60 days within the last 12 months. Previously cited on SIN-00234986.

*SECOND VIOLATION The facility lacked documentation of testing the fire detection system from a fire safety professional within the last 12 months. The most recent documentation on file is dated 8/4/22. Previously cited on SIN-00234986.

*SECOND VIOLATION The file for staff person #2 lacked verification of completing the Pennsylvania Health and Safety Update 2022 training by 12/30/2022 as required (See IS CODE SHEET). Previously cited on SIN-00234986.

*SECOND VIOLATION Staff person #2 has not had fire safety training within the last 12 months. The most recent documentation on file is 8/22/22. Previously cited on SIN-00234986.

*SECOND VIOLATION The files for staff persons #2, #3, #4, and #5 did not have documentation of verification of child care experience in order to meet staff qualification for the position in which the person is performing. Previously cited on SIN-00234986. The file for staff person #1 is now in compliance.

*SECOND VIOLATION The files for staff persons #2, #3, #4, and #5 did not have documentation of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Previously cited on SIN-00234986. The file for staff person #1 is now in compliance.

The file for staff person #1 does not contain documentation of a valid FBI and NSOR clearance results required for provisional hiring under CPSL (See IS CODE SHEET). The file for staff person #2 does not contain documentation of valid NSOR clearance results required for provisional hiring under CPSL (See IS CODE SHEET). The file for staff person #3 does not contain documentation of valid NSOR clearance results required for provisional hiring under CPSL (See IS CODE SHEET). The file for staff person #4 does not contain documentation of valid PA State Police and NSOR clearance results required for provisional hiring under CPSL (See IS CODE SHEET). The file for staff person #5 lacked application and clearance results for PA State Police, PA Child Abuse, FBI, and NSOR that are required for provisional hiring under the CPSL (See IS CODE SHEET). The files for staff persons #1, #2, #3, #4, #5 lacked a signed disclosure statement dated prior to date of hire, (See IS CODE SHEET) required for provisional hiring under the CPSL.

The facility did not have documentation of an emergency plan on file.

Staff person #2 has not had emergency plan training within the last 12 months. The most recent documentation on file is 8/24/22.

Based on the director's statement, the facility did not provide the parents of each child enrolled a letter explaining the emergency procedures.

In the cafeteria, a plastic lid to a children's toy bin was observed to be cracked and not in good repair.

The file for child #2 did not include a copy a review of the child's immunized status according to recommendations of the ACIP.

The files for staff persons #1, #3, #4, and #5 lacked documentation of a health assessment conducted at initial employment. The file for staff person #2 lacked documentation of a health assessment conducted within the last 24 months. The most recent health assessment on file is 8/13/21.

The files for staff persons #1, #3, #4, and #5 lacked documentation of a tuberculosis screening at initial employment. (See LIS CODE SHEET)

The facility did not have documentation of conducting an emergency drill within the last 12 months.

The facility did not have documentation of conducting fire drills at least once every 60 days within the last 12 months.

The facility lacked documentation of annual testing of the fire detection system from a fire safety professional within the last 12 months. The most recent documentation on file is dated 8/4/22.

The facility did not have documentation of sending a copy of the facility's emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The file for child #3 did not include an initial health report and has been enrolled in the facility for more than 60 days.

The operator did not have documentation on file of notifying local traffic safety authorities within the past 12 months of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

The file for staff person #2 lacked verification of completing the Pennsylvania Health and Safety Update 2022 by 12/30/2022 as required (see IS code sheet).

Staff person #2 has not had fire safety training within the last 12 months. The most recent documentation on file is 8/22/22.

Staff person #2 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.

The files for staff persons #1, #2, #3, #4, and #5 did not have documentation of verification of child care experience in order to meet staff qualification for the position in which the person is performing.

The director has not completed a written evaluation for staff person #2 within the last 12 months.

The emergency contact forms on file for children #1, #3, and #4 lacked the addresses of the individuals designated by the parent to whom the child may be released.

The facility lacked an individual record for staff person #5.

The files for staff persons #1, #2, #3, #4, and #5 did not have documentation of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The facility's emergency plan did not include details regarding continuity of operations.

The file for child #1, enrolled for over 60 days, did not contain an immunization record.

The hypothetical location for each fire drill was the same and was not rotated around the facility for each drill.

The facility did not have a written policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

The files for staff #1-5 contained CPR/FA training that was not renewed on or before the expiration of the previous training. The previous training expired in August 2022. The training was renewed on 9/06/22. All five files now contain current pediatric CPR and first aid training.

The files for staff #1-5 did not contain documentation of fire safety training completed in 2021. All files now contain current fire safety training completed on 8/02/22.

Staff person #4 did not update mandated reporter training within 60 months as required. The training was completed on 6/19/17 and updated on 9/29/22.

Staff person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 10/05/17.

The file for staff #2 did not contain documentation of an evaluation completed in 2021. The file now contains a current evaluation dated 3/29/22. The files for staff #3, #4, and #5 did not contain current evaluations. The most recent evaluations on file were conducted in November 2021,

The facility's current certificate of compliance was not posted. The posted certificate expired 2/20/22. The facility did not have means for providing parents with information on how to access the regulations in this chapter electronically.

The files for staff #1-3 contained documentation of completing 6 of the 12 annual hours of training. The files for staff #4 and #5 contained documentation of 10 of the 12 hours of annual training.

The file for staff person #3, who has been employed since 8/27/19 and was on leave from 6/2020 until 8/27/20, did not include an NSOR certificate. The individual continued to work without the clearance and was observed caring for children at the time of the inspection.

At approximately 3:10 pm in the cafeteria, staff person #2, #3, #5 and #6 were present with 22 young school-agers. A few minutes later, staff person #2, who had just identified 10 of the children, was observed standing in the doorway between the cafeteria and the hallway outside of the bathrooms. One school-ager was observed at the water fountain outside the bathrooms and when staff person #2 was asked who was responsible for the children they had just identified in the cafeteria, the staff person stated that they were standing in between the rooms to supervise children in both spaces.

At approximately 3:10 pm in the cafeteria, staff person #2, #3, #5 and #6 were present with 22 young school-agers. A few minutes later, staff person #2, who had just identified 10 of the children, was observed standing in the doorway between the cafeteria and the hallway outside of the bathrooms. One school-ager was observed at the water fountain outside the bathrooms and when staff person #2 was asked who was responsible for the children they had just identified in the cafeteria, the staff person stated that they were standing in between the rooms to supervise children in both spaces.

At approximately 3:10 pm in the cafeteria, staff person #2, #3, #5 and #6 were present with 22 young school-agers. A few minutes later, staff person #2, who had just identified 10 of the children, was observed standing in the doorway between the cafeteria and the hallway outside of the bathrooms. One school-ager was observed at the water fountain outside the bathrooms and when staff person #2 was asked who was responsible for the children they had just identified in the cafeteria, the staff person stated that they were standing in between the rooms to supervise children in both spaces.

The only health report in the file for child #1, a school-ager, was dated more than 90 days after they began attending the program, as required by the COVID suspension of regulations.

The facility's emergency plan did not include accommodations for children with disabilities or chronic medical conditions.

All of the morning fire drills conducted in 2021 and documented on the fire drill log listed "cafeteria" as the hypothetical location.

The two afternoon fire drills documented on the fire drill log for January and February of 2021 did not specify a hypothetical location.

The liability insurance on file at the facility did not include the address for the facility or any information on medical expense coverage.

The last fire safety training in the file for staff person #1 through #6 was dated more than 12 months ago.

The agreement form and the emergency contact form in the file for child #1 were signed and dated by a parent a few days after the child's first day of attendance.

The agreement in the file for child #1 included two different colors of ink and based on conversation with the operator, it was the original copy.

The agreement form and the emergency contact form in the file for child #1 were signed and dated by a parent a few days after the child's first day of attendance.