BAHS PLACE

Age and Training/Exp, educ., training at facility (3270.31(e)(4)(i)/3270.192(2)(iii))

RECITED FROM SIN-00269625: Staff person #2 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification, as required per Announcement C-24-03. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 5.31.25. Documentation of updated Pediatric first aid and CPR training is not on file Requirement: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility. Correction: Staff person #2 was certified again 6/4/25 in Lifeguarding (Including Deep Water) with CPR/AED for Professional Rescuers and First Aid through the American Red Cross since 2014 and had been accepted as compliant from 2014 - 2024. Although the American Red Cross is listed on OCDEL's PQAS Approved Pediatric First Aid and Pediatric CPR Providers and Curriculums list as a provider, the name of the training course on the card/certificate needs to read "Adult and Pediatric First Aid/CPR/AED". The American Red Cross Professional Rescuers Fact Sheet (Case #17462472) confirms that the course: · "Trains participants with the knowledge and skills needed to provide professional-level care for breathing and cardiac emergencies for adults, children, and infants until advanced emergency medical services (EMS) professionals take over." The certified American Red Cross instructor who trained Staff person #2 does not appear on OCDEL's PQAS Instructor Directory, the instructor was certified by Alycia Miller, SPDI, who is listed on the OCDEL PQAS Instructor Directory. Staff person #2 maintains additional CPR/AED certifications: · Emergency Care & Safety Institute (ECSI) o Adult & Child CPR & AED: 8/2/23 o Adult & Child CPR & AED: 8/5/25 These certifications are issued through the Emergency Care & Safety Institute, which is affiliated with the American Academy of Orthopaedic Surgeons and the American College of Emergency Physicians. Staff person #2 when in a child-care position will be supervised by an AGS who has completed all preservice training and has all qualifications to care for children unsupervised. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Fire safety - 1 yr./Exp, educ., training at facility (3270.31(e)(4)(ii)/3270.192(2)(iii))

The two most recent fire safety trainings on file for Staff person #1are dated 6.19.24 and 7.3.25, more than 12 months apart. Requirement: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: This was an oversight. Annual Fire Safety Training is held in the month of July every year. Staff person #1 completed their previous training in June of the prior year, creating a lapse outside the 12-month period. Staff person #1 annual fire safety was completed prior to inspection. All staff will complete Fire Safety Training prior to inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

RECITED FROM SIN-00296625: Staff person #10 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, as required per Announcement C-24-03. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #10 must be supervised, when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #10, staff person #10 may not work in a child-care position at the facility. Correction: Staff person #10 previously completed Lifeguarding with CPR/AED for Professional Rescuers and First Aid on 6/27/21 and 6/4/23. In addition to being a lifeguard, Staff person #10 became an Aide on 7/12/23 and understood CPR/AED and First Aid training to be current, as the 6/4/23 CPR/AED and First Aid certification had been accepted as compliant during the 2023 and 2024 inspections. Staff person #10 when in a child-care position will be supervised by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for Staff person #1 includes NSOR certificates dated 6.16.20 & 7.28.25, all more than 60 months apart. The file for Staff person #4 includes NSOR certificates dated 6.16.20 & 7.22.25, all more than 60 months apart. The file for Staff person #5 includes NSOR certificates dated 6.16.20 & 7.25.25, all more than 60 months apart. The file for staff person #9 did not contain documentation of a completed NSOR clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL; the clearance is dated 2.25.25. The file for staff person #12 did not include a complete PA Child Abuse clearance or NSOR clearance (See IS CODE SHEET) required for provisional hiring under the CPSL. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #12 may not work in a child care position at the facility. Correction: Renewing NSOR clearance for staff persons #1, #4 and #5 was an oversight. Staff person #9-NSOR clearance is dated 02/25/25 Staff person #12-Disclosure Statement--Application for Child Care Employment, including provisional hire, signed 09/22/25 ·NSOR clearance is dated 09/30/25; PA Child Abuse clearance completed 09/29/25. Copies of all required completed clearance applications were included in Staff persons #9 and #12 attached to the Disclosure Statement. Perceived the signed Disclosure Statement with copies of the submitted clearance applications permitted provisional hiring until all clearances were received. All clearance applications/clearances were received prior to inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Each staff person meets quals/Exp, educ., training prior to facility (3270.33(a)/3270.192(2)(ii))

The file for Staff person #3, #6, #7, #8, #9, #11, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children Requirement: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Staff person #3, #8 and #11 have been suspended from working in a childcare position. Staff person #3, #8 and #11 have been reassigned to facility personnel and responsibilities until their credential evaluation documents are received. Global Credential Evaluators, Inc.'s progress of staff person #3, #8 and #11 submitted credentials status indicates the credentials are being processed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports (3270.131(b)(2)/3270.182(1))

The two most recent health assessments on file for Child #1, who is a preschool-age child, are dated 5.29.24 and 8.5.25, more than 12 months apart. Requirement: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports. Correction: Retain initial and subsequent child health reports. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Physician/CRNP assessment/Health assessment, TB test (3270.151(c)(5)/3270.192(3))

The health assessment on file for Staff person #1 does not include the physician or health care professional's assessment of the person's suitability to provide child care. Requirement: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Correction: Staff person #1's health assessment was corrected by the doctor's office that their professional assessment of staff person #1 is suitable to provide child care on 7/17/25. Inspection: Swimming. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training/Exp, educ., training at facility (3270.31(e)(4)(i)/3270.192(2)(iii))

Staff person #3, has not completed Pediatric first aid and CPR training on or before expiration of the most current certification, as required per Announcement C-24-03. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 5.31.25. Documentation of updated Pediatric first aid and CPR training is not on file Requirement: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility. Correction: Staff person #3 also has certification for adult and child CPR & AED through North Allegheny School District dated 8/2/23 and 8/525. Inspection: Swimming. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Fire safety - 1 yr./Exp, educ., training at facility (3270.31(e)(4)(ii)/3270.192(2)(iii))

The two most recent Fire Safety trainings on file for Staff person #3 are dated 6.19.24 and 7.9.25, more than 12 months apart. The most recent Fire Safety training on file for Staff person #4 is dated 6.19.24, more than 12 months ago. Requirement: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: Staff person #3 completed updated annual Fire Safety training on 7/9/25 20 days late. Staff person #4 completed updated annual Fire Safety training on 7/16/25 27 days late. Inspection: Swimming. 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 (see LIS code sheet): Pediatric First Aid/CPR, as required per Announcement C-24-03. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility. Correction: Staff person #4 has Pediatric First Aid/CPR trainings dated 6/27/21, 6/4/23 and 6/4/25. Most recent trainings were requested and only 6/4/25 was submitted. Staff person #4 started in child care on 7/12/23. Inspection: Swimming. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exam communicable disease/Health assessment, TB test (3270.151(c)(3)/3270.192(3))

The current health assessment on file for Staff person #1 does not indicate if the staff person was assessed for communicable/contagious disease. Requirement: An adult health assessment must include an examination for communicable diseases and the results of that examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Correction: Staff person #1's health assessment was corrected by the doctor's office indicating staff person was assessed for communicable/contagious disease on 7/17/25. Inspection: Swimming. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Availability of certificate of compliance and applicable regulations (3270.25(a))

The facility did not have verification of providing the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. Requirement: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. Correction: Re-posted the electronic QR code for parents to scan to retrieve regulations next to the phone number that was posted for contacting the regional child care office. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The facility does not have a fire alarm 30-day test log, as required in Announcement C-23-02. 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: In addition to receiving the fire system testing results performed by the security company on a daily basis will manually maintain a 30-day test log. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

The file for Staff person #1 includes only 1 written nonfamily reference. 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: The employee was seasonal and will submit the 2nd reference letter prior to returning. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age appropriate screenings complete (3270.131(d)(8))

The health assessment on file for Child #1 does not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section. Requirement: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section. Correction: Asked parent to return the child's health form to the pediatrician to answer the question in regards to the completion of the child's immunization record. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Child's health history (3270.131(d)(1))

The current health assessment on file for Child #1 does not include information regarding the child's health history. Requirement: A health report shall include a review of the child's health history. Correction: Asked parent to return the child's health form to the pediatrician to answer the question in regards to the child's health history information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

Staff person #2 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the training was completed on 1.31.24. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Correction: Staff person #2 completed their First Aid/Pediatric CPR training on 1/31/24. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).