Trinity Academy of West Chester

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The pack n plays that were in use in the infant b classroom were not labeled with children's names.

Correction Required: 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.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The foxes, owls, and pandas classroom did not have emergency transportation plan posted.

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.

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: The emergency contact information of children #1-3 were not updated within a 6-month period.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.131(b)(1)/3270.131(b)(2)

Description: Infant: updated health report every 6 months/Toddler/preschool: updated health report every 12 months

Noncompliance Area: The files of children #1-4 did not have updated health reports on file. The health report for child #1 was dated 1/10/25. Child #2 did not have a health report on file. The health report for child #3 was dated 11/29/23. The health report for child #4 was dated 7/29/24.

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. The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The agreement forms of children #2,3, and 4 were not updated and signed by parents within a six-month period.

Correction Required: 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.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: The owls classroom had an uncovered outlet to the right of teacher's desk. The pandas classroom had an uncovered outlet in the classroom under the bulletin board.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the cubs classroom and the pandas classroom were missing gloves.

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.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Cert rep conducted a complaint investigation on 6/16/25. Staff persons grabbed and pulled children by their wrists and arms with force and a child was picked up and sat down on the floor forcefully.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Rest mats in the foxes classroom were damaged with cracked plastic and exposed cotton. Rest mats also had sharp plastic name holders on the top part of mats.

Correction Required: Toys, 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.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Child #1 did not have their hands washed after diapering.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: The bottle of child #1 in the koalas classroom was not labeled with their name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There was an electrical outlet uncovered above sink in the turtle's classroom, behind low bookshelf in cheetah's classroom, and in hallway outside of frogs room. There was also two outlets uncovered in the rock wall room.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was chipped paint found to the left of the bathroom and on rear wall under the window in the koalas classroom.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On May 29th, 2024, certification representative conducted a complaint investigation. The complaint stated that staff person #1 became frustrated about the children climbing up on top of the mats. Staff person #1 pulled the mat out from under the children that were on top of the mat, and Child #1 toppled down and hit the child's right cheek off of the floor pretty hard. Child #1 had a red mark, but it went away shortly after the incident occurred.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the hybrid renewal inspection on 9/19/23, a nap mat (rest equipment) observed in Room #102 was labeled with the name of two different children. This mat was being shared amongst 2 children who are enrolled on different days. An infant in the nursery (Love bird room) was observed resting in an unlabeled pack n play. The label for the child was placed on the wall above the mobile pack n play.

Correction Required: 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.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During the hybrid renewal inspection on 9/19/23, an infant was observed in the Nursery resting in a pack n play with an empty pack n play next to it. The pack n play did not have 2 feet of space on three sides while it was observed in use.

Correction Required: 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.

Regulation: 3270.111(a)/3270.111(b)

Description: Written plan/Posted in group space

Noncompliance Area: During the hybrid renewal inspection on 9/19/23, a written daily activities schedule was not posted in the Penguins room.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the hybrid renewal inspection on 9/19/23, the health and safety update for staff members #12 and 15 were not submitted for review.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: During the hybrid renewal inspection on 9/19/23, a completed physical with tuberculosis screening was not on file for staff members #4, #5, #6, #9, #10, #11 and #15.

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.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: During the hybrid renewal inspection on 9/19/23, a completed physical with tuberculosis screening was not on file for staff members #4, #5, #6, #9, #10, #11 and #15.

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.

Regulation: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: During the hybrid renewal inspection on 9/19/23, the physical presented for staff members #7 and #14 did not address if the staff member was examined for communicable diseases and if the staff member was suitable to work with children.

Correction Required: 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.

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: During the hybrid renewal inspection on 9/19/23, the staff files for staff members #2, #16, #17, and #18 were requested but were not submitted for inspection review. All staff members were observed caring for children during the date of inspection.

Correction Required: An individual record is required for each facility person.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During the hybrid renewal inspection on 9/19/23, two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person was not on file for staff members #4, #9, #12 and #16.

Correction Required: 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.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During the hybrid renewal inspection on 9/19/23, the facility did not present an emergency plan that included accommodations for infants, toddler, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During the hybrid renewal inspection on 9/19/23, verification of an annual emergency drill was not submitted for review.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: During the hybrid renewal inspection on 9/19/23, verification that the emergency plan was reviewed and updated annually was not submitted for review.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the hybrid renewal inspection on 9/19/23, verification of emergency plan training was not submitted for review for staff member #1.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During the hybrid renewal inspection on 9/19/23, facility did not provide verification that the emergency plan was submitted to the county emergency agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: During the hybrid renewal inspection on 9/19/23, verification of annual fire safety training was not submitted for staff member #7.

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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the hybrid renewal inspection on 9/19/23, verification of professional development training was not on file for staff members #1, #5 and #6.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the hybrid renewal inspection on 9/19/23, The file for staff member #4 (DOH see LIS Code Sheet) did not contain a completed National Sex Offenders Registry certificate (NSOR). The file for staff member #5 (DOH see LIS Code Sheet), did not include a completed PA State Criminal or FBI clearance. The file for staff member #6 (DOH see LIS Code Sheet) did not include completed out-of-state clearances (New Jersey), the PA State Criminal and Child Abuse Clearance. The file for staff member #9 did not include a completed National Sex Offenders Registry certificate (NSOR). The file for staff member #10 (DOH see LIS Code Sheet) did not include a completed National Sex Offenders Registry certificate (NSOR) and the PA Criminal Clearance included a rap sheet that was not complete and illegible. The file for staff member #11 (DOH see LIS Code Sheet) did not include completed out-of-state (Delaware) clearances and completed National Sex Offenders Registry certificate (NSOR). The file for staff member #12 (DOH see LIS Code Sheet), contained a PA criminal clearance reviewed as a "volunteer" and not employment. The staff file for staff member #12 also did not include a completed Child Abuse, FBI or a completed National Sex Offenders Registry certificate (NSOR). The file for staff member #13 (DOH see LIS Code Sheet), did not include completed out-of-state (Ohio) clearances, PA Criminal and the National Sex Offenders Registry certificate (NSOR). The file for staff member #14, (DOH see LIS Code Sheet) did not include a completed National Sex Offenders Registry certificate (NSOR). The file for staff member #15 did not include a completed FBI clearance. The file for staff member #16 (DOH see LIS Code Sheet) did not include PA State Criminal, Child Abuse, National Sex Offenders Registry Certificate (NSOR) and the disclosure statement. The file for staff member #18 (DOH see LIS Code Sheet), did not include a PA State Criminal Clearance, FBI and the National Sex Offenders Registry Certificate (NSOR).

Correction Required: 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 #4, #5, #6, #9, #10, #11, #12, #13, #14, #15, #16and #18 may not work in a child care position at the facility.

Regulation: 3270.35(b)/3270.192(2)(ii)

Description: Group sup qualifications/Exp, educ., training prior to facility

Noncompliance Area: During the hybrid renewal inspection on 9/19/23, verification of education and/or experience was not submitted or on file to qualify the staff members #4, #6, #8, #10 and #11 for the position performing at the facility. The file for staff member #13 did not contain verification of education that had been translated by the Department of Education standards. Record for staff member #13 did not have verification of education on file that qualifies the staff member for the position performing at the facility.

Correction Required: A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.36(b)(1)/3270.192(2)(ii)

Description: HS/GED + 30 credits/Exp, educ., training prior to facility

Noncompliance Area: During the hybrid renewal inspection on 9/19/23, verification of education and experience to qualify staff members #5, #12 and #16 for the position performing at the facility was not submitted. The education submitted for staff member #18 does not qualify the staff member for the position performing at the facility.

Correction Required: An assistant group supervisor shall have attained one of the qualification levels specified at §3270.36(b)(1)-(5). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: During the hybrid renewal inspection on 9/19/23, the first aid kit located in room #103 did not contain tweezers, and in the first aid kit in the Nursery (Love Birds) did not contain band-aids. (CORRECTED ON SITE)

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.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During the hybrid renewal inspection on 9/19/23, handwashing signs were not observed near or above the sink in the Koala's room.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: During the hybrid renewal inspection on 9/19/23, the fire drill log presented, did not provide the names of the facility persons who participated in the fire drill.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: During the inspection Emergency contact information that was reviewed in several classrooms had not been updated every six months.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the inspection electrical outlets were observed in both the child care classrooms and indoor play space that did not contain receptacle covers. Children serviced in this program are under the age of 5.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.