ZION EDUCATION CENTER

Copy of initial and subsequent agreements. Parent receives original. (3270.182(8))

The file for child #1 lacked an agreement. Requirement: A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement. Correction: The file for Child #1 has been updated to include a completed agreement. The parent reviewed and signed the agreement, and the facility has retained a copy as required. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exemption documentation from parent/guardian/Dismissal policy (3270.131(e)(1)/3270.131(e)(3))

The file for child #1, a 22 month old enrolled more than 60 days at the facility, lacked documentation of the 3rd Pneumococcal and Polio vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation. Requirement: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 must be dismissed from care by close of business on 11-6-25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Correction: The file for Child #1 has been reviewed, and the parent was informed that documentation of the required 3rd Pneumococcal and Polio vaccinations must be provided. The parent has been notified that Child #1 must be dismissed from and may only return once the immunization record is updated. The facility will follow dismissal policies in accordance with 28 Pa. Code § 27.77. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

2 feet apart (3270.106(f))

In the infant room, there were two children on cots and a pack 'n play with an infant that lacked 2 feet of space on three sides. Requirement: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. Correction: The sleeping equipment in the infant room was rearranged to ensure that all cots and the pack-and-play have the required two feet of space on three sides. The necessary adjustments were completed immediately. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, age appropriate (3270.106(a))

In the infant room, there was a pack 'n play that was used by an infant that was not labeled with the child's name. Requirement: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child. Correction: The pack-and-play in the infant room has been labeled with the infant's name to ensure it is assigned to the correct child and used only by that child. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Stairs, exits, etc. unobstructed (3270.91(a))

In the infant room, there was a pack 'n play that was blocking an exit door from the room. Requirement: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed. Correction: The pack-and-play that was blocking the exit door in the infant room has been removed from the doorway and relocated to an alternate wall to ensure the exit remains unobstructed at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

In the sensory room, there was peeling paint in one area on the front left wall. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: The director scraped the pealed paint and repainted the spot on the sensory room wall. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

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 training. Requirement: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-10) within 90 days of hire. Staff person #2 will have until 11-29-24 to complete the required training. Until such time as the required training has been completed, staff person #2 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 available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility. Correction: Staff person #2 completed the Pediatric first-aid/CPR training on Friday, November 15, 2024. 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 file for child #2, an older toddler, had a health assessment that exceeded 12 months between assessments. 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: The parent has been informed that the next health assessment must be completed and signed before the 12 month of the previous physical. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

ACIP recommended immunization record /Dismissal policy (3270.131(e)/3270.131(e)(3))

The file for child #1 lacked an immunization record within 60 days of the child's first day of attendance at the facility and requires a current immunization record. Requirement: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 must be dismissed from care by close of business on 11-8-24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Correction: The DHS inspector was shown an email in which the immunization record was sent electronically; but not printed. The email included the submission date, confirming that the record was provided by the parent prior to the inspection. The immunization record has since been printed and securely placed in the child's file to complete their record. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exam communicable disease/Physician/CRNP assessment (3270.151(c)(3)/3270.151(c)(5))

The file for staff person #1 had a health assessment that lacked an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide child care. Requirement: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. Correction: During the inspection, a copy of the physical was faxed from the health facility with documentation of staff #1 communicable disease results and the physician's or CRNP's assessment of the person's suitability to provide child care. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency info/agreement updated 6 mos (3270.181(c))

The file for child #2 had an agreement that exceeded 6 months between parent updates. Requirement: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Correction: During the DHS inspection, the provider presented evidence of the parent's compliance, including a signed and updated agreement submitted by the family in September. To prevent delays in maintaining child records, the provider has implemented procedures to ensure that all documentation is immediately filed upon receipt. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health information/Initial and subsequent health reports (3270.131(a)/3270.182(1))

The file for child #1 lacked an initial health assessment within 60 days of the child's first day of attendance at the facility and requires a current health assessment. Requirement: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports. Correction: The health assessment form for child #1 was printed and filed in the student's folder with a physician signature dated June 13, 2024. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).