Calvary Preschool Center

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A cracked lid with a potential pinch point was observed in Classroom 1, the Kindergarten room. One cracked bin and lid, with potential pinch points, were observed in Classroom 2, the Ones room.

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: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: The mulch around the embedded sliding board climbing structure in the Preschool/School age play space was measured at 4 inches. A minimum of 9 inches of mulch is required under the climbing structure.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: The updates to the health assessments on file for Staff Person's #3 and #7 exceeded 24 months between examinations. This is evidenced by health reports dated 8.26.23 and 3.24.26 for Staff Person #3, 5.6.24 and 6.1.26 for Staff Person #7. The initial health report on file for Staff Person #12 and #16 were completed after they started in a child care taking position. The initial health report on file for Staff Person #12 was dated 2 days after starting in a child care taking position and the initial health report for Staff Person #16 was dated 1 day after starting in a child care taking position.

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.

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The health reports on file for Staff Person's #1, #6, #9, #10 and #18 lacked information related to an examination for communicable diseases and the results of that examination and the physician's assessment of their suitability to provide child care.

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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: A thermos, containing a cut up hot dog brought from home for a child in care, was observed on top of the refrigerator in Classroom 2, the Ones room. The hot dog was required to be refrigerated.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.183(a)

Description: Locked cabinet

Noncompliance Area: The filing cabinet where the child records were maintained was not locked. It was reported that the facility was unsure of where the key to the cabinet was.

Correction Required: Child records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: The verification of hours on file for Staff Person #16 was not verified by a representative from the experiential entity.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: In Classroom 3, a pair of adult scissors and a sharp staple remover were observed in an unlocked desk drawer.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility has exceeded 12 months since their last documented emergency drill on 11.7.24.

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: The facility has exceeded 12 months since their last documented emergency plan review on 11.7.24.

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: The updates to the emergency plan training on file for Staff Person #3, #7, #13 exceeded 12 months between review. This is evidenced by emergency plan trainings dated 9.27.24 and 11.11.25 for Staff Person #3, 9.16.24 and 11.11.25 for Staff Person #7, and 8.30.24 and 11.11.25 for Staff Person #13. The file for Staff Person #4 and #14 lacked verification that they had received training regarding the emergency plan within 90 days of starting at the facility. The emergency plan training on file for Staff Person #4 was dated 379 days after starting at the facility and the emergency plan training on file for Staff Person #14 was dated 370 days after starting at the facility.

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: 3270.31(b)

Description: Staff person - 18 yrs.

Noncompliance Area: Facility Person #6 was observed to be acting in a Staff position and was responsible for a group of children. Facility Person #6 is not 18.

Correction Required: A staff person shall be 18 years of age or older.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff Person #3 lacked 12 hours of child care training in their respective training year of August 2024-August 2025. The file for Staff Person #4 lacked 7.5 of child care training hours in their respective training year of May 2025-May 2026. The file for Staff Person #7 lacked 12 hours of child care training hours in their respective training year of September 2024-September 2025.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The current pediatric first aid and CPR training on file for Staff Person #13 was not renewed on or before the expiration of their prior certification. This is evidenced by training dated 3.2.23 - 25 and 5.29.25 - 27.

Correction Required: 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.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The updates to the annual fire safety trainings on file exceeded 12 months for Staff Person #3 and #13. This is evidenced by fire safety trainings dated 9.25.24 and 5.13.26 for Staff Person #3 and 9.30.24 and 5.14.26 for Staff Person #13. The files for Staff Person #4 and #7 lacked verification that they had completed fire safety training within 12 months of starting at the facility. The fire safety training on file for Staff Person #4 was dated 729 days after starting. The fire safety training on file for Staff Person #7 was dated 593 days after starting.

Correction Required: 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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The files for staff persons #1, #7 and #14 lacked completion of the required pediatric first aid and CPR training and their required health and safety trainings within 90 days of their hire sate. The health and safety trainings on file for Staff Person #1 were completed 326 days after their hire date and their pediatric first aid and CPR training was completed 340 days after their hire date. The health and safety trainings on file for Staff Person #7 were completed 570 days and their Pediatric first aid and CPR training was completed 392 days after hire date. The health and safety trainings on file for Staff Person #14 were completed 183 days and their pediatric first aid and CPR training was completed 120 days after their hire date. Staff person #9 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and CPR training in an approved curriculum with an PQAS instructor. The file also lacked completion of the required health and safety training within 90 days of their hire date. The health and safety training was completed 271 days after their hire date. 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 and CPR training in an approved curriculum with an PQAS instructor. Staff person #12 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and CPR training in an approved curriculum with an PQAS instructor. The file also lacked completion of the required health and safety training within 90 days of their hire date. The health and safety training was completed 182 days after their hire date. The file for staff person #17 lacked completion of the required health and safety trainings within 90 days of their hire date. The health and safety trainings were completed 281 days after their hire date. The file for staff person #18 lacked completion of the required pediatric first aid and CRP training within 90 days of their hire date. The pediatric first aid and CPR training was completed 105 days after their hire date.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-10), within 90 days of hire. Staff persons #9, #10 and #12 will completed pediatric first aid and CPR training in an approved curriculum with a PQAS instructor. Until such time as the required training has been completed, staff person #9, #10 and #12 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff available to supervise staff person #9, #10 and #12, staff persons #9, #10 and #12 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The files for Staff Person's #1, #2, #4, #5, #6, #8, #9, #10, #11, #12, #15, #16, #17 and #18 lacked a current disclosure statement. The signed disclosure statements on file were an older version and did not include all required information required by the CPSL. The files for Staff Person's #1, #7, #12, #17 and #18 lacked completion of their required mandated reporter training within 90 days of their hire date (refer to LIS Code Sheet). The mandated reporter training on file was dated 328 days after hire date for Staff Person #1, 546 days after hire date for Staff Person #7, 154 days after hire date for Staff Person #12, 165 days after hire date for Staff Person #17, and 198 days after hire date for Staff Person #18. The file for Staff Person #5 lacked an FBI Clearance that had been completed for DHS purposes. The FBI clearance on file was completed for Department of Education and not acceptable for employment in child care. The file for Staff Person #7 lacked a request for or a completed PA State Police for employment prior to starting in a child care taking position. The file contained an incomplete Volunteer Clearance prior, which was also not acceptable for employment. A PA State Police Clearance for employment was dated 309 days after starting in a child care position at the facility. The file for Staff Person #11 lacked a completed NSOR certificate prior to starting in a child care taking position. The NSOR certificate on file was dated 17 days after starting in a child care position at the facility. The file for Staff Person #12 lacked a completed PA State Police Clearance and an FBI Clearance that had been completed for DHS purposes prior to starting at the facility. A completed FBI Clearance for DHS purposes was not on file until 183 days after starting. A complete PA State Police was still not on file at the time of the inspection. The file for Staff Person #16 lacked verification that they had requested their FBI Clearance prior to starting at the facility. A completed FBI Clearance was not on file until 102 days after starting in a child care taking position. The file for Staff Person #17 lacked a completed PA State Police or FBI Clearance, or the requests for these clearances, prior to starting in a child care taking position. The file also lacked a completed PA Child Abuse Clearance and NSOR Certificate prior to starting. A completed PA State was not on file until 3 days after starting in a child care taking position. A completed PA Child Abuse was not on file until 10 days after starting in a child care taking position. A completed FBI Clearances was not on file until 169 days after starting in a child care taking position. A completed NSOR Certificate was not on file until 13 days after starting in a child care taking position.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1, #2, #4, #6, #8, #9, #10, #11, #15, #16, #17 and #18 may not work in a child care position at the facility until they have signed a current disclosure statement. Staff Person #5 may not work in a child care taking position until they have signed a current disclosure statement and have obtained an FBI clearance for DHS purposes. Staff Person #12 may not work in a child care taking position until they have signed a current disclosure statement and have obtained a completed PA State Police Clearance.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: The files for Staff Person #3 and #18 lacked verification of 2 years of experience (2500 hours) to qualify them for the position of Assistant Group Supervisor that they were reported to be performing. The file for Staff Person #3 only contained 1,472.2 hours of the required 2500 hours. The file for Staff Person #18 only contained 2109.74 hours of the required 2500 hours. The file for Staff Person #10 lacked one year (1250 hours) of experience to qualify them for the position they were reported to be performing. The file for Staff Person #12 lacked one year of experience (1250 hours) to qualify them for the position of Assistant Group Supervisor that they were reported to be performing. The file for Staff Person #12 only contained 18 college credits.

Correction Required: 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.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for Staff Persons #4, #7, #13, #14 and #15 lacked a written evaluation within 12 months of starting at the facility. The written evaluation for Staff Person #4 was dated 721 days after starting at the facility. The written evaluation for Staff Person #7 was dated 584 days after starting at the facility. The written evaluation for Staff Person #13 was dated 601 after starting at the facility. The written evaluation for Staff Person #14 was dated 532 days after starting at the facility. The written evaluation for Staff Person #15 was dated 399 days after starting at the facility.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the LGR classroom, primarily used for mealtimes, Catch Master pest control boxes were observed on the floor behind the support beams in the classroom. The pest control boxes were labeled Keep Out of Reach of Children. In Classroom #1, two bottles of Lysol disinfecting spray were observed in a lidded bin on the floor. The lidded bin was not locked.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: In Classroom #1, the Kindergarten room, two bottles of Lysol disinfecting spray were observed in a bin with Teddy Graham cracker cookies.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in Classroom 2, the Ones room, was 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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was observed on the Fushia painted baseboard in Classroom #7.

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

Regulation: 3270.82(e)

Description: Toilet and sinks proper height

Noncompliance Area: The sink in Classroom 2, the Ones room, did not have steps or a platform to allow the children receiving care in the space to easily approach the sink for appropriate hand washing.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The facility exceeded 60 days between fire drills documented on 5.19.25 and 10.14.25.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: The facility exceeded 30 days between fire alarm testing on 5.19.25-10.14.25 and on 12.5.25 and 1.12.26.

Correction Required: 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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: One cracked lid, creating a potential pinch point, was observed on a bin accessible to children in Classroom #6.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for Children #1, #2, #3 and #4 lacked approved developmental assessments for the children. The children have been in care in excess of 6 months.

Correction Required: 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).

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement on file for Child #5 lacked the admission date for the child.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for Child #1 lacked the complete address for the release persons listed.

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.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for Child #4, a young toddler, lacked an initial health report. Child #4 has exceeded 60 days since the child's first day of attendance at the facility.

Correction Required: 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.

Regulation: 3270.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: The current health report on file for Child #1 lacked information that the child had received all age-appropriate screenings recommended by the American Academy of Pediatrics.

Correction Required: 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.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: An unlabeled Children's Acetaminophen was observed the medication bag in Classroom #6.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: Written parental consents were missing for a Children's Acetaminophen and Nystatin ointment in Classroom #6.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The health assessment on file for Staff Person #3 was a student examination. The health assessment did not include information related to an examination for communicable diseases and the results of that examination or the physician's assessment of their suitability to provide child care.

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The facility lacked verification that they have provided written notification of their location and use of vehicular and pedestrian routes to the local traffic safety authorities in the last 12 months. The most recent notification was completed in September 2023.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: A copy of the current insurance policy was not on file at the facility at the time of the inspection.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff Person #3 lacked verification that they had received emergency plan training. Staff Person #3 has exceeded 90 days of employment at the facility.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The current pediatric first aid and CPR training on file for Staff Person #1 was not completed prior to the expiration of the prior certificate. This is evidenced by the prior training expiring on 4.2025 and the current training being completed on 5.29.25.

Correction Required: 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.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The fire safety training on file for Staff Person #1 was not completed within 12 months of starting at the facility. The fire safety training on file was 28 days late. The file for Staff Person #3 lacked verification that they had completed annual fire safety training. Staff Person #3 has exceeded 12 months of employment at the facility.

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: Staff person #3 has completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum. Staff person #3 did not complete the required 1-hour health and safety update within 90 days of starting at the facility. The 1-hour health and safety update training was completed 230 days after starting at the facility.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff Person #2 lacked a completed PA Child Abuse Clearance for employment purposes prior to starting in a child care position at the facility. The PA Child Abuse Clearance on file upon starting in a child care position was completed for Volunteer purposes. A PA Child Abuse Clearance for employment was not on file until 56 days after starting with children at the facility. The file for Staff Person #2 lacked a completed FBI Clearance and they have exceeded 45 days in a child care taking position. The FBI requests on file for Staff Person #2 were observed to have been completed for Department of Education and are not acceptable to work in a child care taking position. The file for Staff Person #3 lacked a request for their FBI Clearance prior to starting in a child care taking position. The FBI Clearance on file was completed 50 days after starting.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #2 may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for Staff Persons #1 and #3 lacked a written evaluation that had been completed within the last 12 months. The most recent written evaluation for Staff Person #1 was completed on 5.20.24.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in Classroom #7 was missing soap.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: In Classroom 4/5 (Infant Classroom) the carpet along the back wall on the play area side was observed to be damp. It was reported that there have been issues with water coming in through the back wall when it rains which results in the children being moved to another classroom.

Correction Required: 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.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: The garbage can in the Boys restroom, located across from Classroom #2, was missing a lid.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: The facility exceeded 30 days between monthly fire detection testing on 3.4.25, 4.8.25, 5.9.25 and 6.9.25.

Correction Required: 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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the outdoor Preschool/School Age play space the platform on the tan climbing structure was observed to be in disrepair around the edges causing sharp edges and lifting at the corners. This posed a risk to children using the climbing structure.

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: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The most recent agreements on file for Children #1, #2 and #3 lacked the admission date for the child.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The current emergency contact form on file for Child #3 lacked the release person name, address and telephone number.

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.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: The written emergency transportation plan was not posted in a conspicuous location in Classroom #4/5 (Infant).

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: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The updates to the health reports for Child #5, a young toddler, exceeded 6 months between examinations on 5.25.23 and 6.21.24.

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.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The updates to the health reports on file for Child #4, a preschool age child, exceeded 12 months between examinations on 7.25.23 and 8.13.24.

Correction Required: 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: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for Child #1 lacked verification that the child had received the immunizations recommended by the ACIP. A written exemption was not on file.

Correction Required: A health report shall include a review of the child's immunized status according to 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 will be dismissed from care at the close of business on 10.10.24.

Regulation: 3270.133(2)

Description: Written instructions

Noncompliance Area: Physician's instructions were missing for an Auvi Q medication located in the medication bag in Classroom #3.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.133(3)/3270.133(6)

Description: Name on bottle/Written consent

Noncompliance Area: An unlabeled Allergy Relief medication was observed in the medication bag in Classroom #3. A medication log was not in place for the medication to determine who the medication belonged to.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff persons #4 and #5 were observed together to be caring for children unsupervised. Staff persons #4 and #5 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid and CPR training.

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. Until such time as the required pre-service trainings are completed, staff persons #4 and #5 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 person(s) available to supervise staff persons #4 and #5, staff persons #4 and #5 may not work in a child-care position at the facility.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The facility lacked verification that they have participated in an emergency drill within the last 12 months.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff Person #1 lacked verification that they had received training in regards to the emergency plan within 90 days of starting at the facility.

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The files for Staff Persons #2, #3 and #6 lacked verification that they had completed annual fire safety training within 12 months prior to the current training on file. The current trainings were completed in September 2024.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The updates to the staff evaluations for Staff Person #2 exceeded 12 months between 4.25.23 and 5.17.24. The updates to the staff evaluations for Staff Person #3 exceeded 12 months between 4.26.23 and 5.31.24.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A railroad tie behind the swing set area was observed to have split causing a screw to be exposed and accessible. A wooden board under the Green Slide Play structure was observed to be disconnected allowing a nail to be exposed and accessible.

Correction Required: 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.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A handwashing sign was missing from one of the toilet stalls in the restroom attached to classroom #7.

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: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: The embedded equipment in the outdoor Preschool/School Age play space lacked 9 inches of loose mulch as required by the United States Consumer Product Safety Commission.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission . The equipment must be anchored firmly and be in good repair.

Regulation: 3270.133(2)

Description: Written instructions

Noncompliance Area: The facility lacked physician's instructions for an Albuterol Inhaler intended for a child in care in classroom #7.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: An accessible lunch bag that contained two EpiPens, an Albuterol Inhaler and a prescription bottle of Zyrtec was observed on the floor in classroom #7. A separate bag was observed accessible on the floor in classroom #7 to contain a Baqsimi nasal powder for a diabetic child in care.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The garbage can in place at the changing table in classroom #2 (young toddlers) was not hands free to allow for appropriate disposal of soiled diapers.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: The file for Staff Person #3 lacked an initial health assessment and tuberculosis screening within 12 months prior to starting at the facility. The health assessment was completed 233 days and the tuberculosis 235 days after starting at the facility.

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. 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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for Staff Person #3 lacked verification of education.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff Person #3 lacked one of their two written, nonfamily references.

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: 3270.21

Description: General Health and Safety

Noncompliance Area: In classrooms #3 and #4 adult scissors were observed in cups on the desks in the classrooms. The cups were accessible to children who would receive care in the space.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The files for Staff Person's #1, #3 and #4 lacked verification that they had received emergency plan training upon the time of initial hire.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10 hour health and safety training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until August 2, 2024 to complete the required training. Until such time as the required training has been completed, staff person #1 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 #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The disclosure statements on file for Staff Person's #1, #2, #3, #4 and #5 lacked a date of signature.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: One electrical outlet in the vestibule leading to the outdoor play spaces was observed to be missing a protective receptacle cover.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In classroom #3 a bottle of hand sanitizer spray was observed in an unlocked drawer in the circle time area. Also in classroom #3, a bottle of hand sanitizer spray, white out and three sunscreens were observed in an unlocked desk drawer. A large bottle of hand sanitizer was also observed on the desk in classroom #3. In classroom #7 a bottle of sunscreen was observed in a bag on the floor. All items were labeled Keep Out of Reach of Children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A hand washing sign was missing from one of the toilet stalls and a potty chair in the women's restroom.

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: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: The facility exceeded 30 days between fire alarm system testing on 4.10.24 and 5.28.24.

Correction Required: 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.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: 2nd CITATION: Previously cited on 8/8/23. Based on staff interviews it was reported that staff person #4 has used harsh tone and demeaning language directed to the children that they have cared for. Previous plan of correction for Staff person #4 to receive additional training was not completed by correction date.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: 2nd CITATION: Previously citied on 8/8/23 **On 9/25/23 it was observed that the preschool classroom was out of ratio from approximately 8:53AM to 9:02AM. At 8:53AM the staff to child ratio was 1:11 then increased to 1:14 before an additional staff member arrived at 9:02AM. At approximately 9:05AM it was observed that the Pre-K classroom had a staff to child ratio of 1:15, while the primary teacher walked out of the classroom. Staff person #1, #2, #3, #4, #5, #6, and #7 did not complete the required 2 hours of training on maintaining staff:child ratios.

Correction Required: ** The Legal Entity will arrange for all staff to attend a minimum of 2 hours of training on maintaining staff:child ratios. The training will be submitted to the regional office for approval prior to attendance. Proof of training will be submitted upon completion.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: On the outside preschool playground, the mulch around the embedded slide and swing set measured between 2 and 4 inches, which is under the recommendations of 9" by the United Stated Consumer Product Safety Commission.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: It was observed that there were foam blocks with teeth marks with pieces missing in the toddler room #8.

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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in the infant room was lacking a thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: The Toddler Room #2 and Room #5 lacked a posted daily activities schedule.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.123(b)/3270.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The files for Child #1 through Child #10 all contained the original signed agreement.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for Child #7 does not include the enrolling parent's work phone number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for Child #3 and Child #7, does not contain the name, address, and telephone number of the individual designated by the parent to whom the child may be released.

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.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: In the Preschool Room #4, Child #11's emergency contact form was not present in the childcare space where the child was receiving care.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunizations record for child #1, child #5, child #7, child #8 and child #9 does not include verification of an annual influenza vaccination as recommended 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 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).

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The 1 hour Health and Safety professional development training update on file for Staff person #1 is dated 10/12/23, which is after the deadline date of 12/30/22.

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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: It was observed in the cubbies outside of the preschool classroom #4, that there were lunch boxes that contained potentially hazardous foods such as yogurt, string cheese, and ham and cheese sandwiches that were not refrigerated.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff person #2, staff person #3, and staff person #6 contained one of the two nonfamily references. The file for staff person #5 and staff person #7 lacked the two written nonfamily references.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The disclosure statement on file for Staff person #4 did not include a signature of the staff person. The state police clearance for Staff person #6 dated 9/27/23, which was after their hire date (see LIS code sheet).

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.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: It was observed in the LGR, in the hallway outside of the kindergarten room, and in Room #5 that there were multiple receptacles without protective covering. All of these spaces children under 5 are in care.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A bottle of Swiffer cleaner was observed in an unlocked closet in Room #5 making it accessible to the children in care.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.67(a)

Description: Trash removed once a day

Noncompliance Area: It was observed in the LGR that there was garbage (un-eaten food, plates, napkins, etc.) in the garbage can that wasn't removed from the facility the day before.

Correction Required: Trash shall be removed from the facility at least once per day.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: It was observed in the kindergarten classroom that there was a lined garbage can with used Kleenex and other garbage that didn't have a lid.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There were no handwashing signs above the sink and changing table in Room #2 and in the 1st and 3rd stalls of the Ladies bathroom outside of the office.

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: 3270.113(d)

Description: No harsh language

Noncompliance Area: Based on staff interviews it was reported that staff person #4 has used harsh tone and demeaning language directed to the children that they have cared for.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 and staff person #2, obtained the updated 1 hour health and safety training after the required date of 12/30/2022. Staff person #3's file lacked the 1 hour health and safety training update that was due by 12/30/22.

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.