PRIMROSE SCHOOL OF OAKS

HS/GED + 2 yrs/Exp, educ., training prior to facility (3270.36(b)(5)/3270.192(2)(ii))

At the time of inspection, the file for staff member #1, hired as an assistant group supervisor; was missing one year (1250 hours) of verified experience. Requirement: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: The director will provide staff member #1 with the verification of experience form(s) to be completed by an employer who can verify the individual's experience working with children. Staff member #1 will submit the completed verification of experience form(s) verifying one year (1250) of experience working with children. The documents(s) verifying the individual's two years of experience working with children will be maintained in the individual's staff file with the other staff qualifications. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Health assessment, TB test (3270.151(a)/3270.192(3))

At the time of inspection, the files for staff member #1, #2 and #3 contained an initial health assessment with TB results dated over 12 months prior to providing initial service in a child care setting. g. Requirement: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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: The director will require staff members #1, #2, and #3 to as soon as possible submit a health assessment with TB results completed and signed by a medical professional within the past 12 months. The director will provide staff member #1 with a blank DHS health assessment form to take to the doctor's office. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mantoux TB (3270.151(c)(2))

At the time of inspection, the files for staff members #4 and #5 contained TB results dated over 12 months prior to providing initial service in a child care setting. 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: The director will require staff members #4 and #5 to submit initial TB results dated within the past 12 months. Staff members #4 and #5 will submit completed TB results dated within the past 12 months which will be maintained in their individual facility file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent/Consent for administration of minor first-aid required prior to admission (3270.124(b)(4)/3270.182(5))

At the time of inspection, the emergency contact form for child #3 did not contain the parent's signature for consent of emergency medical care and minor first-sid procedures by facility staff. Requirement: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Correction: The director will contact the parents of the child to obtain the parents' signature for consent of emergency medical and minor first-aid procedures on the child's emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Arrival/departure times (3270.123(a)(4))

At the time of inspection, the enrollment agreement form for child #2 and child #5 did not specify the child's arrival and departure times. Requirement: An agreement shall specify the child's arrival and departure times. Correction: The director will ensure that child #2's agreement form specifies the child's arrival and departure times. Child's #2's parent will sign the new agreement form specifying the child's arrival and departure times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

At the time of inspection, the facility did not have Child Service Reports signed by the parent of child #1, #3, and #4 which were completed in the last six months. Requirement: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information). Correction: The director will ensure that child service reports for child #1, child #2, and child #4 are completed then signed by the child's parent with a date reflecting the information was provided in the last 6 months. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Amount of fee/Date fee to be paid (3270.123(a)(1)/3270.123(a)(2))

At the time of inspection, the agreement form for child #2 did not specify the fee amount and the date on which the fee is to be paid. Requirement: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid. Correction: The director will ensure that child #2's agreement form specifies the fee amount and the date on which the fee is to be paid. Child's #2's parent will sign the new agreement form specifying the fee amount and date on which the fee is to be paid. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

At the time of inspection, the ceiling in the gym was missing a ceiling tile. 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: The director will ensure that the missing ceiling tile in the gym is replaced with a ceiling tile in good condition. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3270.113(a))

The facility reported that a two-year-old child was left in classroom for less than two minutes unsupervised, as the children along with staff transitioned out of the room and entered the gym across the hall. 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. Children must be supervised at all times. Correction: Staff member #1 was placed on probation for not adhering to the facility's policies and regulations. Staff member #1 will complete child care training related to supervision. The director and administration counseled the staff member on the facility's policies and the importance of name to face implementation. Inspection: Self-Reported Non Compliance. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No physical punishment (3270.113(b))

Staff member #1 admitted pulling a toddler child by the arm to stop the child from playing in water at the sink. Requirement: A facility person may not use any form of physical punishment, including spanking a child. Correction: Staff member #1 was terminated from employment. The director and assistant director immediately reviewed with all staff members the facility's policies and procedures related to positive discipline. As soon as possible, the director and assistant director will be going into classrooms to model for staff members how to redirect children's unwanted behaviors using positive discipline. Staff members will not use any form of physical discipline or physical punishment on children at the facility. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

8th grade + 2 yrs/Exp, educ., training at facility (3270.37(b)(3)/3270.192(2)(iii))

At the time of inspection, the file to staff member #3 included a diploma and degree from institutions outside of the United States which did not include professional evaluations indicating the equivalency to United States educational standards. Requirement: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. 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 member 3 will submit a professional evaluation of the individual's foreign diploma/ degree indicating the equivalency to United States' educational standards. The director will ensure that the individual submits the evaluation of their foreign degrees to verify their qualifications for the position which they were hired. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

At the time of inspection, the file for staff member #1 did not contain the out of state clearances, as required under the CPSL. The file for staff member #2 was missing the PA State Police, PA Child Abuse and NSOR clearances, as required under the CPSL. The file for staff member #3 was missing the FBI clearance. The file for staff member #4 was missing the NSOR clearance. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility. Correction: Staff members listed will not work in a child care position at the facility, until all CPSL required documents have been received. Staff member #1 is no longer employed. Staff member #2 must submit the PA State Police and PA Child Abuse clearances before working with children. Staff member #3 must submit the DHS FBI clearance before working with children. Staff member #4 must submit the NSOR clearance document, before working with children. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

At the time of inspection, the file for staff member #1 did not contain the out of state clearances, as required under the CPSL. The file for staff member #2 was missing the PA State Police, PA Child Abuse and NSOR clearances, as required under the CPSL. The file for staff member #3 was missing the FBI clearance. The file for staff member #4 was missing the NSOR clearance. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility. Correction: Staff members listed will not work in a child care position at the facility, until all CPSL required documents have been received. Staff member #1 is no longer employed. Staff member #2 must submit the PA State Police and PA Child Abuse clearances before working with children. Staff member #3 must submit the DHS FBI clearance before working with children. Staff member #4 must submit the NSOR clearance document, before working with children. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

8th grade + 2 yrs/Exp, educ., training prior to facility (3270.37(b)(3)/3270.192(2)(ii))

At the time of inspection, the file to staff member #3 included a diploma and degree from institutions outside of the United States which did not include professional evaluations indicating the equivalency to United States educational standards. Requirement: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Staff member 3 will submit a professional evaluation of the individual's foreign diploma/ degree indicating the equivalency to United States' educational standards. The director will ensure that the individual submits the evaluation of their foreign degrees to verify their qualifications for the position which they were hired. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Similar Age Level/Mixed Age Level (3270.51/3270.52)

During the inspection, the interim director confirmed noncompliance with the staff: child ratios. Requirement: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff: child ratio and maximum group size in accordance with § 3270.51 (relating to similar age level). When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff: child ratios must be maintained at all times. Correction: The required staff: child ratios must be maintained at all times. The interim director has hired additional staff to correct the noncompliance with the staff: child ratios. If the facility knows that staff: child ratios cannot be maintained in the start of the day, parents of enrolled children will be contacted to inform them of the facility's inability to accept their child(ren) that day due to a lack of staff. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

At the time of the inspection, the hallway, the early preschool room, infant room and gym had areas damaged by water. 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: The water damaged areas in the hallway, early preschool, infant room and gym will be repaired to good condition, as soon as possible. The areas will be cleaned and free from visible hazards. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Health assessment, TB test (3270.151(a)/3270.192(3))

At time of inspection, the file for staff member #3 did not include an initial health assessment. Requirement: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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: The director will inform staff member #3 of the need of an initial health assessment signed and dated within the last 12 months by a medical professional. Staff member #3 will immediately submit a health assessment dated with TB and signed by a medical professional within the last 12 months. The health assessment will be maintained in the staffer's facility file. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Other staff on premises (3270.55(b))

At the time of inspection, staff members who were on duty but not providing child care during naptime were allowed to leave the facility premises. Requirement: Staff persons who are on duty but are not providing child care during naptime shall remain in the child care portion of the facility premises. Correction: The director will instruct staff members that they must stay on the facility premises during their lunch time to maintain compliance with the regulations. The staff members on duty will remain on the facility premises when at lunch during the children's naptime in case they are needed to maintain staff: child ratio in case of an unforeseen emergency. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED + 2 yrs/Exp, educ., training prior to facility (3270.36(b)(5)/3270.192(2)(ii))

At the time of inspection, the file for staff member #2 hired as assistant group supervisors did not include a high school diploma or GED, nor did it include the two years of verified experience working with children. Requirement: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Staff member #2 will immediately submit verification of a high school diploma or GED along with 2 years of experience working with children to qualify for the position of assistant group supervisor. The director will ensure staff member #2 is not counted in the staff: child ratios until the person submits the necessary verification of education and experience working with children to qualify as an assistant group supervisor. To obtain the verification of experience for staff members #1, the director will provide the staff member with the verification of experience form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED (3270.37(b)(1))

At the time of inspection, the file for staff member #5, hired as an aide; did not contain verification of education necessary to qualify as an aide. Requirement: An aide shall have a high school diploma or a general educational development certificate. Correction: Staff member #5 must submit a high school diploma or GED to qualify for the position of an aide. The director will ensure that the staff member verifies the education and experience necessary to qualify for the position. Staff member #5 could also qualify as an aide with verification of at least an eighth-grade education and two years of experience. The director will ensure the staffer's qualifications are maintained in the facility's files. Without verification of qualification a staff member cannot be counted in the staff: child ratios. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

At the time of inspection, the file for staff member #1, hired more than 45 days; did not contain the completed National Sex Offender Registry (NSOR) for Pennsylvania, as required under the CPSL. Staff member #1's file was also missing the Out of State clearances from the state in which the person lived in the last five years, as required under the CPSL. The file for staff member #3, hired provisionally within 45 days; did not contain a receipt verifying a request for a FBI clearance or the completed FBI clearance, as required under the CPSL. The file for staff member #4, hired provisionally within 45 days; did not contain a receipt verifying a request for the PA State Police Clearance. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility. Correction: Staff members #1, #3 and #4 will not work in a child care position until in compliance with the CPSL. Staff member #1 will immediately request the NSOR document and the three completed out of state clearances which must be submitted before returning to a child care position. The director will assist staff member #1 with contacting the Clearance Verification Unit to determine why the requested NSOR has not been received. The director will also assist staff member #1 with requesting the three out of state clearances from the state other than Pennsylvania which the person lived in the last five years. Staff member #3 must submit a receipt verifying a request for the FBI clearance. The director will ensure that staff member #3 submits the completed FBI clearance prior to the end of the person's 45-day provisional period. Staff member #4 must submit a receipt verifying a request for the PA State Police Clearance and submit the completed PA State Police Clearance prior to the end of their provisional hire period. Once obtained, the missing clearances and documents required under the CPSL will be maintained in each individual' facility file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Date of administration (3270.133(7)(v))

At the time of inspection, the medication log for child #1 was missing the dates of administration. Requirement: A medication log shall include the date of administration. Correction: The director will contact the parents of child #1 to obtain the dates of administration on the medication log signed by the parent to authorize the facility staff to administrate the medication. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter (3270.151(a))

At the time of inspection, the file for staff member #4 did not contain a completed health assessment with TB results. Requirement: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. Correction: The director will provide the staff members listed with a Child Care Staff Health Assessment form. The staff members will immediately request to have a medical professional complete the form reflecting a physical exam and if necessary TB results. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Information re: medical problems/Physician/CRNP assessment (3270.151(c)(4)/3270.151(c)(5))

At the time of inspection, the file for staff member #1 contained a health assessment which did not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. Also, staff member #1's health assessment did not include the physician's or CRNP's assessment of the person's suitability to provide child care. Requirement: An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. Correction: The director will provide staff member #1 with the Child Care Staff Health Assessment form. Staff member #1 will have a medical provider complete the Child Care Staff Health Assessment form which includes the questions related to the staffer's medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children along with an assessment of the person' suitability to provide child care. Staff member #1's completed health assessment with the answers two the required questions will be maintained in the staffer's facility file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training - Pediatric First Aid and CPR (3270.31(f)(10))

At time of inspection, staff member #5 did not have verification of completion of the required Pediatric first aid/ CPR training within 90 days of hire. Requirement: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Correction: Staff member #5 will immediately be scheduled to receive Pediatric first aid/ CPR training conducted by a PQAS certified trainer. The director will ensure that staff member #5 is supervised by a qualified staff member who has the preservice trainings necessary. Staff member #5 will not work alone with children until all preservice trainings are completed, specifically Pediatric first aid/ CPR. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).