BUSY LITTLE BEAVERS

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

The director did not conduct manual testing of the fire system every 30 calendar days as evidenced by manual tests documented on the facility fire drill/detection log having occurred on 4/9/25 and not again until 5/16/25 and from 5/16/25 to 7/11/25. Requirement: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. Correction: A fire drill schedule will be made in order to have pre-set dates for drills and manual testing as to not exceed a 30-calendar day schedule. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Staff #1 was hired provisionally and had a volunteer PA State Police on file and not employment clearances as are required and was working in direct care with children since hire (See LIS Code Sheet for DOH). Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). As of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL. Staff #1may not work in a childcare position with direct contact and routine interaction with children Correction: We immediately obtained the proper State Police clearance, so the file was complete, and staff member H.C. was able to work. Staff #1 would have been suspended immediately if the clearance was unable to be obtained. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection the inspector observed the file for staff #1 and found that this staff did not update their clearances every 60 months as evidenced by a previous Pa State Police dated 5/12/19 and a current dated 06/13/24, a Pa Child Abuse previously dated 5/16/19 and a current dated 6/23/24, a previous FBI dated 5/11/19 and a current dated 06/17/24. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: Moving forward, any staff whose clearance is/are due in any particular year, will be completed by January 31st of that year. If any staff member's clearances are due during the month of January, they will be completed before the due date, and then again within 4 years in order to get onto the same cycle as the rest of the staff. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mantoux TB (3270.151(c)(2))

During the renewal inspection the inspector observed the file for staff #2 and found that this staff did not obtain a TB screening until after providing direct care to children (see LIS Code Sheet for DOH). Requirement: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. Correction: It will be ensured that all new staff have the required health documentation before beginning work. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).