Description: The Matilda H. Theiss Child Development Center is the cornerstone of early childhood mental health services at Western Psychiatric Institute and Clinic of UPMC.
For over 30 years, Matilda Theiss has supported person-centered, family-focused, positive approaches — as well as individualized models of care — across a continuum of services.
Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable, but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns, as the provider may have already addressed some or all issues. Reports can also be verified with your local daycare licensing office.
| Inspection Date | Reason | Description | Status |
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| 2020-08-26 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Noncompliance Area: The emergency contact form on file for Child #1 does not include a complete address for all listed release persons. Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. |
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Provider Response: (Contact the State Licensing Office for more information.) The intake coordinator will ensure that all child emergency contact forms include all required information (i.e. complete address, etc.). The supervisor of the intake coordinator will support fidelity regarding this expectation. |
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| 2020-08-26 | Renewal | 3270.131(b)(1) - Infant: updated health report every 6 months | Compliant - Finalized |
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Noncompliance Area: The most recent health assessment on file for Child #2, a young toddler, which is dated 6/29/20, more than 6 months after the previous health assessment, dated 8/5/19. Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler |
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Provider Response: (Contact the State Licensing Office for more information.) Child 2 had a current health assessment on file at the time of the inspection. The updated assessment was delayed given a missed appointment and a pandemic that shortly followed. The intake coordinator will continue to work with the program nurse to ensure that families obtain child health reports that align with regulatory requirements |
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| 2020-08-26 | Renewal | 3270.131(d)(5)/3270.131(e)(1) - Immunization record/Exemption documentation from parent/guardian | Compliant - Finalized |
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Noncompliance Area: The immunization record on file for Child #3, who is 5 years old, includes only 3 of 4 Pneumococcal vaccinations, as is recommended by the ACIP for a child this age. The immunization record on file for Child #3, who is 5 years old, contains zero influenza vaccinations, which are recommended annually by the ACIP. The immunization record on file for Child #4, who is 4 years old, contains zero influenza vaccinations, which are recommended annually by the ACIP. Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.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. |
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Provider Response: (Contact the State Licensing Office for more information.) Child #3 is no longer enrolled at the child care facility. The parent /guardian of child 4 reported a plan to obtain the influenza vaccine but did not. The intake coordinator and program nurse will continue to work with families to ensure that families obtain their influenza vaccine or sign documentation reporting that they do not plan to obtain the vaccination. |
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| 2020-08-26 | Renewal | 3270.34(a)(6) - Staff evaluations | Compliant - Finalized |
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Noncompliance Area: The staff evaluation on file for Staff person #3, dated 12/2019, is dated more than 1 year after the hire date of 7/7/18. The staff evaluation on file for Staff person #2, dated 12/2019, is dated more than 1 year after the previous evaluation.The staff evaluation on file for Staff person #1, from 12/2019, is dated more than 1 year after the previous evaluation. Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. |
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Provider Response: (Contact the State Licensing Office for more information.) Due to a systemwide date change for staff evaluations, some staff evaluations occurred before or after the prior evaluation due date. During this time, staff continued to receive monthly supervision which includes discussion regarding staff performance/progress. Moving forward, staff evaluations for the entire organization will continue to occur yearly. Accordingly, the direct supervisor of each staff person will ensure that yearly staff evaluations occur per the new staff evaluation time frame. |
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| 2019-08-13 | Renewal | 3270.104(a) - Clean, good repair, proper size | Compliant - Finalized |
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Noncompliance Area: There was a chair in the preschool room which was missing a bolt, making it unsteady. There was a tear in the upholstery on a couch in the preschool room, Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. |
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Provider Response: (Contact the State Licensing Office for more information.) The chair was removed from the classroom until it can be repaired. The torn upholstery was repaired during the inspection.When an item in the classroom is broken, damaged or in need of repair, the item shall be immediately removed from use and labeled do not use. A picture of the item shall be taken. The picture of the item and a description of the repair needs should be emailed to the educational program coordinator, BHT supervisor, developmental specialist 2 and the office administrator of the therapeutic nursery and preschool program. If the item can be repaired, the office administrator for the therapeutic nursery and preschool program will place a work order for the item to be repaired. If the item is beyond repair, the educational program coordinator or developmental specialist two will confirm next steps to include that the item may be discarded or sent to the manufacture for replacement per available warranty agreements. |
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| 2019-08-13 | Renewal | 3270.124(b)(4)/3270.182(3) - Written consent/Consent for emergency medical care required prior to admission | Compliant - Finalized |
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Noncompliance Area: The file for Child #2 did not include written parental consent for the facility to obtain emergency medical care. Correction Required: 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 emergency medical care for the child. Written consent is required prior to admission. |
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Provider Response: (Contact the State Licensing Office for more information.) Per procedure, the intake coordinator will ensure that parents/guardians complete and submit all DHS documentation per regulatory expectations. The intake coordinator will provide the documentation to the office assistant for the nursery and preschool program to be filed in the childs chart. The office assistant for Matilda Theiss Therapeutic Nursery and Preschool program will ensure that the chart of every child includes all required documentation per regulatory standards. If documentation is missing, incorrect or expired, the office assistant for the nursery and preschool program will email the associated intake coordinator, the supervisor of intake coordinator, the educational program coordinator and the office manager regarding missing documentation or needed corrections. Additionally, the office assistant will track all required DHS documentation (i.e. missing, incomplete, expired, etc.) monthly and provide this information (by way of email) to the intake coordinator, the supervisor of intake coordinator, the educational program coordinator and the office manager. |
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| 2019-08-13 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Noncompliance Area: The emergency contact form on file for Child #2 did not contain complete addresses for all listed release persons. Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. |
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Provider Response: (Contact the State Licensing Office for more information.) Per procedure, the intake coordinator will ensure that parents/guardians complete and submit all DHS documentation per regulatory expectations. The intake coordinator will provide the documentation to the office assistant for the nursery and preschool program to be filed in the childs chart. The office assistant for Matilda Theiss Therapeutic Nursery and Preschool program will ensure that the chart of every child includes all required documentation per regulatory standards. If documentation is missing, incorrect or expired, the office assistant for the nursery and preschool program will email the associated intake coordinator, the supervisor of intake coordinator, the educational program coordinator and the office manager regarding missing documentation or needed corrections. Additionally, the office assistant will track all required DHS documentation (i.e. missing, incomplete, expired, etc.) monthly and provide this information (by way of email) to the intake coordinator, the supervisor of intake coordinator, the educational program coordinator and the office manager. |
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| 2019-08-13 | Renewal | 3270.131(e) - ACIP recommended immunization record | Compliant - Finalized |
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Noncompliance Area: The file for Child #3, 3 years old, does not include documentation of an annual influenza vaccination as recommended by the ACIP. The immunization record on file for Child #1 did not include the required number of DTAP, HIB, Pneumococcal, or Polio vaccinations as recommended for a child of that age. The most recent influenza vaccination on file for Child #1 is dated 9/14/16, more than 1 year ago, as recommended by the ACIP. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Child #1 and #3 are no longer enrolled at the facility. Now that Matilda Theiss is aware of this standard, the nurse and intake coordinator will work with the families/doctors to ensure that all children have documentation confirming the receipt of an influenza vaccination and updated shot record documentation. If this documentation is unavailable the nurse will work with the family/doctor to obtain documentation confirming that is unwilling to provide their child with certain vaccination, a shot catch-up letter, or etc. The nurse will also track this information and provide the educational coordinator with monthly updates. |
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| 2019-08-13 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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Noncompliance Area: The initial health assessment on file for Staff person #2, with a hire date of 11/5/18, is dated 4/18/19, after hire. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The file for Staff person #2 has a current, valid health assessment on file. The human resource department of UPMC will help to ensure that all staff complete a DHS Child Care Staff Health Assessment within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. This expectation will be incorporated into the new hire on boarding process. The direct supervisor of staff will also work with staff and HR to ensure that this documentation is completed and filed on site according to regulatory guidelines. |
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| 2019-08-13 | Renewal | 3270.151(c)(2)/3270.192(3) - Mantoux TB/Health assessment, TB test | Compliant - Finalized |
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Noncompliance Area: The initial tuberculosis screening on file for Staff person #2, with a hire date of 11/5/18, is dated 4/18/19, after hire. Correction Required: 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.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. |
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Provider Response: (Contact the State Licensing Office for more information.) HR was reminded of DHS Child Care Staff Health Assessment that is required for working at Matilda Theiss and provided with a copy of the document. HR will ensure that this document is completed during the new hire onboarding process in which blood work, clearances, staff training, and other onboarding needs are met. The direct supervisor of the new hire will also work with new staff and HR to ensure that the document is completed and filed on site. Staff person #2 has a valid tuberculosis screening on file. |
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| 2019-08-13 | Renewal | 3270.31(e)(4)(ii) - Fire safety - 1 yr. | Compliant - Finalized |
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Noncompliance Area: The most recent fire safety training on file for Staff person #1, dated 9/10/18, is dated more than 1 year after the previous fire safety training. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff will ensure that they are complaint with all regulatory training and documentation expectations by assigned timelines. To support this expectation, the office manager will work with Human Resources to document all staff regulatory compliance expectations (i.e. training, clearances, professional development plans, etc.) and send individual deadline reminders to staff and his/her/their supervisor within 60-30 days of assigned deadlines. The supervisor of staff will work with staff to support regulatory compliance. If regulatory compliance expectations are not met corrective action may follow. Staff person #1 has current fire safety training. |
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| 2019-08-13 | Renewal | 3270.75(c) - Has all items | Compliant - Finalized |
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Noncompliance Area: The first aid kit in the preschool room did not include tape. Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. |
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Provider Response: (Contact the State Licensing Office for more information.) Tape was replaced during the inspection. Classroom staff will utilize an inspection checklist to inspect their classroom monthly for regulatory compliance. The inspection checklist includes 55 PA Code Chapter 3270.75(c) per DHL. Classroom staff will address all needs on the list to include replacing missing items, emailing staff regarding documentation concerns, etc. Classroom staff will submit the completed checklist to the educational program coordinator and developmental specialist two by way of email. The email will include the action step taken to address all concerns. |
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| 2018-08-28 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Noncompliance Area: There was paper peeling off of a playhouse in the outside playground. There were foam magnetic animal-shaped toys which had teeth marks in them. Correction Required: Toy s, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. |
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Provider Response: (Contact the State Licensing Office for more information.) On 10/9/2018, magnetic animal-shaped toys with teeth marks were discarded. To ensure that we remain complaint with DPW standards, classroom staff will consistently review soft toys and discard of toys with bite marks. On 10/9/2018, the paper peeling off of the playhouse in the outside playground was removed. To ensure that we remain complaint with DPW standards, classroom staff will not place decorative paper stickers on outdoor play equipment, bikes, etc. |
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| 2018-08-28 | Renewal | 3270.103 - Small Toys and Objects | Compliant - Finalized |
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Noncompliance Area: There was a fabric stacking ring which had tears in it which had exposed foam pieces that children could put in their mouths. Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths. |
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Provider Response: (Contact the State Licensing Office for more information.) On 08/9/2018, the fabric stack ring with a small tear was discarded. To ensure that we remain complaint with DPW standards, classroom staff will consistently examine fabric toys for tears and discard of them. |
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| 2018-08-28 | Renewal | 3270.124(e) - Written emergency plan posted | Compliant - Finalized |
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Noncompliance Area: There was no medical emergency transportation plan posted in the pre-school room. Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. |
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Provider Response: (Contact the State Licensing Office for more information.) On 08/9/2018, the medical emergency transportation plan posted in the preschool classroom was not easily located. To help ensure that we remain complaint with DPW standards, this documentation was placed near all other emergency documentation that it may be located more easily. |
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If you are a provider and you believe any information is incorrect, please contact us. We will research your concern and make corrections accordingly.
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