LEHIGH VALLEY CHILDRENS CENTERS/SOUTH MOUNT

Supervised at all times /Staff assigned to specific children (3270.113(a)/3270.113(a)(1))

On 3/26/27 Staff person #1 left child #1 unsupervised in the preschool room for 5 minutes. Staff person was terminated on 3/31/26. Requirement: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to attend a staff meeting to go over the supervision policy and review the use of the attendance sheets and have all staff sign off they understand. The operator shall provide a date for when this will be completed. Correction: 1. 4-8-26, Children will be supervised at all times each staff member will be assigned and will be responsible for supervision of specific children. The staff will know the names and whereabouts of each child in their group. 2. 3-27-26, Meeting was held to review the supervision plan with staff. Inspection: Self-Reported Non Compliance. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

Staff person #4 is missing two written nonfamily references. Requirement: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Correction: Staff person #4 nonfamily references were added to their file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

Cert Rep observed 2 water stained ceiling tiles in the hallway near the office. Cert Rep observed several holes in the drywall near the preschool sinks. Requirement: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Correction: Stained ceiling tiles were changed out. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

Staff person #1 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 6/26/20. 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 8/31/20. Staff person #3 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 6/13/20. Staff person #4 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 9/27/20. Staff person #5 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 9/20/20. Staff person #6 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 8/31/20. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff persons #1, 2, 3, 4, 5 & 6 will have until 10/31/25 to complete the mandated reporter training. Until such time as the required training has been completed, staff persons #1, 2, 3, 4, 5 & 6 must be supervised when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff persons available to supervise staff persons #1, 2, 3, 4, 5 & 6, staff persons may not work in a childcare position at the facility. Correction: Staff persons #1, 2, 3, 4, 5 & 6 completed mandated reporter training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Director or designated staff person ensure compliance (3270.95(b))

The fire system check log reflects the last system check was conducted on 6/7/24, which exceeds the requirement of testing the fire system every 30 days. Requirement: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. Correction: The system was checked to be in compliance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Every 60 days (3270.94(a)(1))

The fire drill log reflects the last fire drill conducted was on 6/7/24, which exceeds the requirement of conducting a fire drill every 60 days. Requirement: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. Correction: A fire drill was conducted to come into compliance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff evaluations (3270.34(a)(6))

Staff person #1, 2, 3, 4, 5, 6, & 7 do not have annual written evaluations on file. Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: Annual evaluations were filed in Staff #1,2,3,4,5,6, &7 file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

Staff person #4 has not completed the following required pre service training within 90 days of their date of hire. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #4 will have until 10/24/24 to complete the required training. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by a AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff #4, staff person #4 may not work in a childcare position at the facility. Correction: Staff #4 completed the pre-service training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Staff person #2 is missing proof of the required 1 hour health and safety training. Requirement: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.. Staff person #2 must be supervised when interacting with children, by an AGS, primary staff person or higher who has completed the required health and safety training. If there are no staff persons available to supervise staff #2, staff person #2 may not work in a childcare position at the facility. Correction: Health and safety training was completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).