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Child Care Center ✓ Licensed

Carlow University Early Lrg Center

Pittsburgh, PA · Allegheny County
3333 5th Ave, Pittsburgh, PA 15213
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Quick Facts

Capacity
52 children
Languages
English, Chinese - Cantonese, Chinese - Mandarin, English, Serbian, Spanish, Turkish
Subsidized Program
Participates
State Rating
4

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✓ Licensed Child Care Center
Active License
License Number
CER-00250109
License Issued
Feb 20, 2026
Active Through
Feb 20, 2027
Issued By
Pennsylvania Department of Education and Public Welfare
District Office
Early Learning Resource Center for Region 5

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About the Provider

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Carlow University is a comprehensive Catholic masters university

Hours of Operation

  • Monday7:00 AM - 6:00 PM
  • Tuesday7:00 AM - 6:00 PM
  • Wednesday7:00 AM - 6:00 PM
  • Thursday7:00 AM - 6:00 PM
  • Friday7:00 AM - 6:00 PM
  • Saturday Closed
  • Sunday Closed

Inspection/Report History

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. Reports can also be verified with your local daycare licensing office.

Inspection Date Reason Description Status
2026-06-29 Complaints- Legal Location 3270.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Based on a self-reported noncompliance and staff statements, on 6/17/26 at approximately 11:45am Staff person #1 was in the gross motor space with a group of older toddlers, when Child #1 required a diaper change. Staff #1 directed and observed Child #1 to go down the hallway to the Older Toddler classroom where the staff thought another staff was waiting to complete the diaper change. However, there was a miscommunication between the staff and there was not a staff in the Older Toddler classroom. Child #1 was unsupervised in the classroom for approximately two minutes.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Provider Response: (Contact the State Licensing Office for more information.)
Child was immediately placed back into a supervised environment. Staff was removed from the room to discuss the incident. Staff involved were placed on a suspension. Staff are assigned 36 hours of continuing education hours around supervision, safety, and professionalism. Staff are completing hourly name to face checks. Staff are using child ratio tags to ensure compliance. Staff meeting was held to discuss transitions and face to face hand off of children.
2026-06-29 Complaints- Legal Location 3270.113(a)(1) - Staff assigned to specific children Compliant - Finalized

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Based on a self-reported noncompliance and staff statements, on 6/17/26 at approximately 11:45am Staff person #1 was in the gross motor space with a group of older toddlers, when Child #1 required a diaper change. Staff #1 directed and observed Child #1 to go down the hallway to the Older Toddler classroom where the staff thought another staff was waiting to complete the diaper change. However, there was a miscommunication between the staff and there was not a staff in the Older Toddler classroom. Child #1 was unsupervised in the classroom for approximately two minutes.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Provider Response: (Contact the State Licensing Office for more information.)
Child was immediately placed back into a supervised environment. Staff was removed from the room to discuss the incident. Staff involved were placed on a suspension. Staff are assigned 36 hours of continuing education hours around supervision, safety, and professionalism. Staff are completing hourly name to face checks. Staff are using child ratio tags to ensure compliance. Staff meeting was held to discuss transitions and face to face hand off of children.
2026-03-23 Allocated Unannounced Monitoring 3270.133(1) - Original container Compliant - Finalized

Regulation: 3270.133(1)

Description: Original container

Noncompliance Area: In the Infant Room, a tube of Mupirocin ointment for Child #1 was observed to lack the original container.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Provider Response: (Contact the State Licensing Office for more information.)
Contacted family to clarify and receive the script.
2026-03-23 Allocated Unannounced Monitoring 3270.77(a) - No peeling paint or plaster Compliant - Finalized

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the Young Toddler Room, damaged plaster was observed on the wall where a gate used to be.

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

Provider Response: (Contact the State Licensing Office for more information.)
Maintenance supervisor was contacted about the damage and confirmed that the onsite painter will repair the damage.
2025-11-12 Renewal 3270.123(a)(4) - Arrival/departure times Compliant - Finalized

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The child file for Child #1 through Child #3 were observed to contain a current financial agreement form that lacked the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Provider Response: (Contact the State Licensing Office for more information.)
The arrival and departure times were corrected immediately for Child #1 [through] Child #3
2025-11-12 Renewal 3270.123(a)(6) - Admission date Compliant - Finalized

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The child file for Child #4 was observed to contain a current financial agreement form that lacked the date of the child's admission.

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

Provider Response: (Contact the State Licensing Office for more information.)
Child #4 admission date was added to the form.
2025-11-12 Renewal 3270.124(b)(6) - Insurance coverage information Compliant - Finalized

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The child file for Child #4 was observed to contain a current emergency contact information form that lacked the health insurance name and policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Provider Response: (Contact the State Licensing Office for more information.)
Insurance information was received and updated. All required information has been added to the emergency contact form for Child #4
2025-11-12 Renewal 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test Compliant - Finalized

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The staff file for Staff person #2, contained a health assessment dated 10/21/23 which was conducted more than 12 months prior to them providing service in a childcare setting.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff Person #2 has been suspended from work until the required health assessment is completed.
2025-11-12 Renewal 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #3 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training. Staff person #3 has since completed the trainings on 10/3/25 and 10/6/25.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #3 has since completed the training prior to inspection.
2025-11-12 Renewal 3270.32(a) - Comply with CPSL Compliant - Finalized

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The staff file for Staff person #1 contained current mandated reporter training dated 5/20/25 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 5/4/20.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 had the required training on file prior to the inspection.
2025-11-12 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The staff file for Staff person #1 contained a current National Sex Offender Registry (NSOR) check dated 5/23/25 which was not renewed within 60 months of the previously dated 5/14/20 NSOR expiring. The disclosure statement in the file for Staff person #2 was not signed at time of hire and was from prior employment with the legal entity.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 had the required clearances on file prior to the inspection. Staff Person #2 completed a new and corrected disclosure statement.
2024-11-19 Renewal 3270.124(b)(6) - Insurance coverage information Compliant - Finalized

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The child file for Child #1 was observed to contain a current emergency contact information form that lacked the health insurance policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Provider Response: (Contact the State Licensing Office for more information.)
I contacted the parent immediately when we discovered the missing information on 11/21/24. The parent replied immediately with the information. The child's file was updated day of.
2024-11-19 Renewal 3270.133(3) - Name on bottle Compliant - Finalized

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: In the Young Toddler Room, a bottle of children's Zyrtec was observed to not be labeled with the child's name for whom the medication is intended for.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The medication was immediately labeled with the child's name.
2024-11-19 Renewal 3270.135(a)(3) - Disposable diapers Compliant - Finalized

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: At approximately 10:15am in the Young Toddler Room, during a diaper change, Staff was observed to not immediately discard the soiled diaper into a plastic-lined, hands-free covered can until completing the diaper change.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff has been reoriented to diaper changing policies to ensure that during a diaper change either the soiled diaper remains underneath the child for the entire change or is immediately discarded.
2024-11-19 Renewal 3270.151(a) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

Regulation: 3270.151(a)

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

Noncompliance Area: The staff file for Staff person #1, contained a current health assessment dated 3/5/24 which was conducted more than 24 months from the previously dated 2/25/22 health assessment on file.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 has an updated health assessment on file for 3/5/24.
2024-11-19 Renewal 3270.151(c)(2) - Mantoux TB Compliant - Finalized

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The staff file for Staff person #4 was observed to contain a tuberculosis screening test results dated 7/12/23 which was conducted more than 12 months prior to providing initial service in a childcare setting.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #4 has been asked to receive a new tuberculous screening test prior to returning to work.
2024-11-19 Renewal 3270.151(c)(3) - Exam communicable disease Compliant - Finalized

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The staff file for Staff person #3, contained a current health assessment dated 9/10/24 was observed to lack an examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #3 has been asked to get a new health assessment with the proper state forms to ensure compliance before returning to work.
2024-11-19 Renewal 3270.151(c)(5) - Physician/CRNP assessment Compliant - Finalized

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The staff file for Staff person #3, contained a current health assessment dated 9/10/24 was observed to lack the physician's or CRNP's assessment of the person's suitability to provide childcare.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #3 has been asked to get a new health assessment with the proper state forms to ensure compliance before returning to work.
2024-11-19 Renewal 3270.34(a)(6) - Staff evaluations Compliant - Finalized

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The staff file for Staff person #1 contained current staff evaluation dated 3/4/24 which was not completed at least one every 12 months from the previous staff evaluation on file dated 2/6/23. The staff file for Staff person #2 contained current staff evaluation dated 3/1/24 which was not completed at least one every 12 months from the previous staff evaluation on file dated 2/6/23.

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

Provider Response: (Contact the State Licensing Office for more information.)
The evaluations will be completed within the 12-month time frame moving forward. Both staff persons have updated evaluations dated 3/4/24 and 3/1/24.
2024-11-19 Renewal 3270.51 - Similar Age Level Compliant - Finalized

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: In the Young Toddler Room, at approximately 10:00am, three staff and ten young toddlers were observed. After conducting a first supervision/ ratio check including all 3 staff, the director stated that one of the staff were new and were not serving as part of the child: staff ratio. A second supervision/ ratio check was conducted. Staff person #2 identified and named 6 young toddlers as part of her supervision group and Staff person #1 identified and named all 10 young toddlers as part of her supervision group. Therefore, Staff #1 exceeded the child: staff ratio by one child and Staff #2 exceeded the child: staff ratio by 4 children.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person 1 and 2 were reminded to either supervise as group size or within ratio so to not exceed the staff: child ratio.
2023-11-21 Renewal 3270.106(a) - Clean, age appropriate Compliant - Finalized

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: At approximately 2:00 pm in the infant room, staff person #1, #2 and #3 were in the infant room with 3 infants. Staff person #2 was in the crib area, sitting in a rocking chair holding an infant, with the chair facing the back wall. Staff person #1 and #3 were in the other half of the room, outside the crib area. Upon approaching staff person #2, it was observed that their eyes were closed and remained closed for a few seconds, before opening them. The 4 month old infant they were holding appeared to be asleep, as the child's eyes were closed and remained closed.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Teachers will move children immediately into their own cribs once they fall asleep.
2023-11-21 Renewal 3270.113(a) - Supervised at all times Compliant - Finalized

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 2:00 pm in the infant room, staff person #1, #2 and #3 were in the infant room with 3 infants. Staff person #2 was in the crib area, sitting in a rocking chair holding an infant, with the chair facing the back wall. Staff person #1 and #3 were in the other half of the room, outside the crib area. Upon approaching staff person #2, it was observed that their eyes were closed and remained closed for a few seconds, before opening them. The 4 month old infant they were holding appeared to be asleep, as the child's eyes were closed and remained closed. In addition, there was an infant sleeping behind staff person #2 and because the child's face was behind a wall, none of the 3 staff could see the child's face.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Provider Response: (Contact the State Licensing Office for more information.)
We moved the chair so that whoever is in the chair can see all the cribs. If necessary, other staff in the room will position themselves so they can see children's faces in the nap area.
2023-11-21 Renewal 3270.119 - Infant sleep position Compliant - Finalized

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: At approximately 2:00 pm in the infant room, staff person #1, #2 and #3 were in the infant room with 3 infants. Staff person #2 was in the crib area, sitting in a rocking chair holding an infant, with the chair facing the back wall. Staff person #1 and #3 were in the other half of the room, outside the crib area. Upon approaching staff person #2, it was observed that their eyes were closed and remained closed for a few seconds, before opening them. The 4 month-old infant they were holding appeared to be asleep, as the child's eyes were closed and remained closed.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Teachers will move children immediately into their own cribs once they fall asleep.
2023-11-21 Renewal 3270.123(a)(6) - Admission date Compliant - Finalized

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The most recent agreement in the file for child #1 and #2 did not specify the child's date of admission.

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

Provider Response: (Contact the State Licensing Office for more information.)
The date of admission was immediately documented.
2023-11-21 Renewal 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The health and safety training update in the file for staff person #3, hired before 10/4/22, was dated 2/1/23.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The staff person completed the 10-hour revised health and safety training.
2023-11-21 Renewal 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The last two professional testing reports for the facility's fire detection system was dated 8/19/22 and 10/18/23.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The most recent testing report is current.
2022-11-15 Renewal 3270.106(a) - Clean, age appropriate Compliant - Finalized

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Upon entering the infant room at approximately 10:16 am, staff person #4 and #11, as well as, facility person #12, were observed in the infant room with 6 children, a combined group of 4 infants and 2 young toddlers. At that time, an infant was observed sleeping in a bouncy seat. When the child was still sleeping in the seat at 10:26 am, staff were asked to remove the child from the seat.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The teacher was sitting next to the child feeding another child a bottle and noticed the child fell asleep. Because she was still feeding the other child, she remained within arms reach of the sleeping child until she was done feeding the other child. Once requested, the child was moved to their own crib. Teachers were reminded that if this happens in the future, they will ask another teacher to move the child who fell asleep immediately, rather than wait until they are done feeding the other child.
2022-11-15 Renewal 3270.119 - Infant sleep position Compliant - Finalized

Regulation: 3270.119

Description: Infant sleep position

Noncompliance Area: Upon entering the infant room at approximately 10:16 am, an infant was observed sleeping in a bouncy seat. When the child was still sleeping in the seat at 10:26 am, staff were told that the child could not sleep in the seat.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
The teacher was sitting next to the child feeding another child a bottle and noticed the child fell asleep. Because she was still feeding the other child, she remained within arms reach of the sleeping child until she was done feeding the other child. Once requested, the child was moved to their own crib. Teachers were reminded that if this happens in the future, they will ask another teacher to move the child who fell asleep immediately, rather than wait until they are done feeding the other child.
2022-11-15 Renewal 3270.131(b)(1) - Infant: updated health report every 6 months Compliant - Finalized

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The last two health reports in the file for child #2, a young toddler, were dated 8/11/21 and 7/11/22.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The parent had turned in an updated immunization record from that appointment, but did not include the health assessment form. There is a current form in their file.
2022-11-15 Complaints- Legal Location 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety Compliant - Finalized

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 through #13 were caring for children unsupervised. Staff person #1 through #13 have not completed the following pre-service training required prior to caring for children unsupervised: FA/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 person #1 through #13 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 person #1 through staff person #13, staff persons #1 through #13 may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Upon realizing that the CPR/First aid training we had completed was not the newly approved training, we reached out to our certification rep for clarification and recommendation on approved providers/trainings. This was provided to us on Friday and we immediately scheduled an approved training for that weekend and upcoming week for all teachers. 50% of teachers received the approved training before returning to work that Monday and supervised the remaining teachers until the rest received the training on Thursday.
2022-11-15 Renewal 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test Compliant - Finalized

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The last two health assessments in the file for staff person #3 were dated 7/14/20 and 7/19/22. The last two health assessments in the file for staff person #9 were dated 9/28/20 and 10/8/22. The last two health assessments in the file for staff person #11 were dated 3/8/20 and 10/21/22. There was no health assessment in the file for facility person #12 and #13.

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.

Provider Response: (Contact the State Licensing Office for more information.)
All staff have updated health assessments at time of inspection. Previously, we had misinterpreted the requirement that university students completing observations in our classrooms would be considered facility persons and need additional paperwork in their files. After discussion with our certification rep, we determined which students would fall under this requirement and began to get the additional required paperwork for them. Facilities persons 12 and 13 will not return to complete observations until the health assessment and TB screening are completed.
2022-11-15 Renewal 3270.151(c)(2) - Mantoux TB Compliant - Finalized

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: There was no TB screening in the file for facility person #12 and #13. Based on observation and conversation with the operator, the individuals assist in the classrooms.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Previously, we had misinterpreted the requirement that university students completing observations in our classrooms would be considered facility persons and need additional paperwork in their files. After discussion with our certification rep, we determined which students would fall under this requirement and began to get the additional required paperwork for them. Facilities persons 12 and 13 will not return to complete observations until the health assessment and TB screening are completed.
2022-11-15 Renewal 3270.182(5) - Consent for administration of minor first-aid required prior to admission Compliant - Finalized

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The most recent emergency contact information in the file for child #1 did not contain signed parental consent for minor first-aid.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Provider Response: (Contact the State Licensing Office for more information.)
The parent signed the the emergency contact form at pick up that afternoon.
2022-11-15 Renewal 3270.192(5) - Two written references Compliant - Finalized

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for facility person #12 and #13 did not include 2 letters of reference. Based on observation and conversation with the operator, the individuals assist in the classrooms.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Previously, we had misinterpreted the requirement that university students completing observations in our classrooms would be considered facility persons and need additional paperwork in their files. After discussion with our certification rep, we determined which students would fall under this requirement and began to get the additional required paperwork for them. Facilities persons 12 and 13 will not return to complete observations until there are 2 reference letters on file.
2022-11-15 Renewal 3270.27(a)(6) - Emergency plan Compliant - Finalized

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The last two emergency drills on file at the facility were dated 8/23/21 and 9/15/22

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

Provider Response: (Contact the State Licensing Office for more information.)
Because our emergency drills are conducted with the support of university police, we have to schedule them when they are available. We have a current drill on file and have a plan to schedule upcoming drills within 12 months of the previous drill.
2022-11-15 Renewal 3270.31(e)(4)(ii) - Fire safety - 1 yr. Compliant - Finalized

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

Description: Fire safety - 1 yr.

Noncompliance Area: The last two fire safety trainings in the file for staff person #1 though #11 were dated 10/8/21 and 10/21/22.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The training was already completed at the time of the inspection. We will be moving when our fire safety training occurs each year to ensure it will always happen within 1 year of the previous training.
2022-11-15 Renewal 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff person #4 included a health and safety training dated 11/2/22, which was beyond their first 90 days of employment.

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

Provider Response: (Contact the State Licensing Office for more information.)
The teacher had previously completed the required 6 hour training. Unfortunately, the date of her training was 1 day out of the date ranges that were approved to be carried over for that training to remain valid. Once we realized this, she completed the updated training to make sure she was in compliance.
2022-11-15 Complaints- Legal Location 3270.31(f) - Health and Safety Training Compliant - Finalized

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 through #12 have not completed the following required pre-service training within 90 days of their date of hire: FA/CPR 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 through #12 will have 15 days to complete the required training. Until such time as the required training has been completed, staff person #1 through #12 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 through #12, staff person #1 through #12 may not work in a child-care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Upon realizing that the CPR/First aid training we had completed was not the newly approved training, we reached out to our certification rep for clarification and recommendation on approved providers/trainings. This was provided to us on Friday and we immediately scheduled an approved training for that weekend and upcoming week for all teachers. 50% of teachers received the approved training before returning to work that Monday and supervised the remaining teachers until the rest received the training on Thursday.
2022-11-15 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for facility person #13, who lived out of state in the 5 years previous to volunteering at the facility, did not contain the child abuse clearance and sex offender clearance for that state.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #13 may not work in a child care position at the facility. 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 #13 may not work in a child care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Previously, we had misinterpreted the requirement that university students completing observations in our classrooms would be considered facility persons and need additional paperwork in their files. After discussion with our certification rep, we determined which students would fall under this requirement and began to get the additional required paperwork for them. A request for the out-of-state clearances were sent on 1/18/23 and the student will not be able to observe in classrooms until those clearances are returned.
2022-11-15 Renewal 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire testing report dated 8/19/22 included deficiencies at the time of the inspection. Based on conversation with the operator, the deficiencies were corrected, but there was no documentation of the corrections at the time of the inspection.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The facilities department provides the inspection summary to us. They did not realize they needed to include the additional documentation of the repair to the deficiencies with the report they provided. Once requested, they provided us with the documentation.
2021-11-17 Renewal 3270.131(d)(5)/3270.131(e)(1) - Immunization record/Exemption documentation from parent/guardian Compliant - Finalized

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The immunization record on file for Child #1 includes 2/3 Rotavirus vaccinations, 2/3 DTAP vaccinations, 2/3 Pneumococcal vaccinations, and 2/3 Polio vaccinations as recommended by the ACIP for a child this age.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Parent emailed an updated immunization record on 11/19/21.
2021-11-17 Renewal 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test Compliant - Finalized

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The 2 most recent health assessments on file for Staff person #1 are dated 2/20/19 and 4/23/21, more than 24 months apart. The 2 most recent health assessments on file for Staff person #3 are dated 8/21/19 and 11/1/21, more than 24 months apart.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff have received updated health assessments.
2021-11-17 Renewal 3270.31(e)(4)(i)/3270.192(2)(iii) - Age and Training/Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.31(e)(4)(i)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: The pediatric first aid/CPR certification on file for Staff person #2, with a hire date of 6/21/21, is dated 10/8/21, more than 90 days after hire, 9/19/21, as required following the implementation of the current regulations. The pediatric first aid/CPR certification on file for Staff person #4, with a hire date of 3/31/21, is dated 7/24/21, more than 90 days after hire, 6/29/21, as required following the implementation of the current regulations

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Teachers have completed the training.
2021-11-17 Renewal 3270.31(h)/3270.192(2)(iii) - Health and Safety Training/Exp, educ., training at facility Compliant - Finalized

Regulation: 3270.31(h)/3270.192(2)(iii)

Description: Health and Safety Training/Exp, educ., training at facility

Noncompliance Area: The verification of completed health and safety training on file for Staff person #2, with a hire date of 6/21/21, is dated 10/28/21, more than 90 days after hire, 9/19/21, as required following the implementation of the current regulations. The file for Staff person #4, with a hire date of 6/21/21, does not include verification of completed health and safety training, which was to be completed within 90 days after hire, 6/29/21, as required following the implementation of the current regulations.

Correction Required: All staff persons shall complete the professional development under subsection (f). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
First staff member completed the training. The second staff member is completing the training during their university winter break. It will be completed before they return to work in January.
2021-11-17 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The PA Child Abuse clearance on file for Staff person #4, with a hire date of 3/31/21, was obtained for volunteer purposes.

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 may not work in a child care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
On 11/30/21 the teacher submitted an updated child abuse clearance. She has not worked since 11/17/21. Once the updated clearance arrives it will be added to her file and she can resume work. I put the correction date as 12/31 to allow time for the clearance to arrive.
2021-11-17 Renewal 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The NSOR on file for Staff person #4, with a hire date of 3/31/21, is dated 11/2/21, more than 45 days after hire, 5/15/21.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The NSOR was received.
2021-11-17 Renewal 3270.94(a)(4) - Hypothetical locations Compliant - Finalized

Regulation: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: According to the fire drill log on file at the facility, the two most recent fire drills, dated 9/10/21 and 10/20/21 used the same hypothetical location.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Provider Response: (Contact the State Licensing Office for more information.)
Director will ensure the hypothetical location is different for each fire drill. We conducted at fire drill on 12/3/21 and chose the gross motor room as the hypothetical location which is different than the two previous locations.
2021-11-17 Renewal 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance Compliant - Finalized

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility does not have verification of proof of purchase for the interconnected fire detection system, as required by current regulation.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Director has requested the attestation form from Carlow University facilities department and chief financial officer. I have sent 3 follow up emails to get the form signed.

If you are a provider and believe any information is incorrect, please contact us. We will research your concern and make corrections accordingly.

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