East Pennsboro School Age Program

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: Facility person #1 acknowledged applying an ice pack to a child and that an injury report was not completed for this incident because they did not consider it to be a significant injury to the child's hand.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid and CPR conducted by an approved Pennsylvania Quality Assurance System (PQAS) instructor using an OCDEL recognized curriculum.

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 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 #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The operator did not assure that staff person #2 received emergency plan training within 12 months of the previous training; the most recent training was completed on 08/27/2025 with the previous training completed on 06/07/2024.

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 completed Pediatric first aid and CPR training, however (the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum.

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 #1 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 #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.51/3270.52

Description: Similar Age Level/Mixed Age Level

Noncompliance Area: On 10/15/2025 at approximately 4:00 pm, staff person #1 and #2 were caring for a mixed group of 20 younger and older school age children in the gym. When it was time to transition to the cafeteria for snack, child #1 became upset and ran out of the gym. Staff person #1 chased after the child leaving staff person #2 alone in the gym with the remaining 19 children. Staff to child ratios for a mixed group of younger and older school age children is 1:12. Staff person #2 was out of ratio for a period of approximately 10 minutes while staff person #1 was tending to the situation with child #1.

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. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: The embedded playground equipment located at the back of the school did not have a minimum of 9" of mulch as required by the US CPSC. The mulch was compacted and had less than 6" of loose mulch in fall zones.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On 11/25/2024, child #1 jumped from the platform at the top of the rock-climbing wall which is part of the embedded playground equipment at the back of the school. Staff person #1 who was sitting at a nearby picnic table supervising the children on the playground did not see child #1 jump from the equipment.

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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Observed a variety of cleaning products on a desk located in the cafeteria which were accessible to children. Observed the waste receptacle used to dispose of trash from snack did not have a lid.

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

Regulation: 3270.151(a)

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

Noncompliance Area: The file for staff person #1 included a health assessment which was not updated within 24 months of the previous assessment. The current health assessment on file is dated 08/05/21024 with the previous completed on 05/25/2022.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for staff person #3 included emergency plan training that was not completed at the time of initial hire (see LIS /code sheet). Emergency plan training was completed on 06/07/2024 with no previous training documented.

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: The file for staff person #3 included the following professional development trainings which were not completed within 90 days of hire (see LIS code sheet): Mandated reporter training and Get Started with Center Based Care-Revised 2022. The mandated reporter training was completed on 06/12/2024 and Get Started with Center Based Care - Revised 2022 was completed on 06/16/2024.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #2 included a state police clearance in "request pending" status and was not the final clearance result. The file for staff person #2 included documentation of an FBI clearance which was requested after the staff persons first day caring for children (see LIS Code Sheet). The FBI fingerprinting was completed on 10/22/2024. The results of either the state police clearance or the FBI clearance was not on file prior to the staff persons first day caring for children. The file for staff person #3 included a state police clearance dated 03/21/2024; a copy of the request for the criminal history clearance was not on file prior to the staff persons first day caring for children (see LIS Code Sheet). The file for staff person #4, who resided outside of PA in the previous 5 years, did not include documentation of out of state clearances within 45 days of hire (see LIS code sheet). The file for staff person #4 did not include the results or request for clearances for the state of Florida at the time of initial hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4 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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 and #2 were observed to be caring for children unsupervised. Staff person #1 and #2 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid & CPR.

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 and #2 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 and #2, staff person #1 and #2 may not work in a child-care position at the facility.

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

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

Noncompliance Area: A health assessment with the results of a Tuberculosis Screening was not on file for staff person #1 and #2 prior to their first day caring for children (see LIS code sheet). The health assessment & TB screening for staff person #1 was completed on 09/19/2023. The health assessment & TB screening for staff person #2 was completed on 09/01/2023.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #1 lacked complete clearances as required under the CPSL. Staff person #1 resided outside of Pennsylvania in the past 5 years and their file lacked out-of-state clearances for the state of Maryland within 45 days of hire. The file lacked documentation of a request for the Maryland Child Abuse Clearance at the time of initial hire (see LIS code sheet). The file for staff person #1 did not include provisional hire documentation at the time of initial hire (see LIS code sheet). The file included an FBI clearance dated 09/12/2023 and an NSOR clearance dated 09/26/2023 without documentation that the clearances were requested prior to their first day caring for children. The clearances for staff person #2, with documentation of misdemeanor grade charges, were not sent to the Central Region OCDEL for review at the time the clearances were received. The file for staff person #2 did not include provisional hire documentation at the time of initial hire (see LIS code sheet). The file included a PA State Police Clearance dated 09/01/2023, a Child Abuse Clearance dated 09/07/2023, an FBI clearance dated 09/25/2023 and an NSOR clearance dated 09/05/2023 without documentation that the clearances were requested prior to their first day caring for children. The file for staff person #2 did not include the results of the PA State Police Clearance or FBI Clearance and Child Abuse Clearance prior to their first day caring for children as required by the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 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.

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

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

Noncompliance Area: Observed staff person #1 working at the facility as an Assistant Group Supervisor without verification of child care experience to qualify as an Assistant Group Supervisor.

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: 3270.131(a)/3270.131(a)(4)

Description: Health information/Initial health report for school age; accordance with school attendance

Noncompliance Area: The file for child #2 did not include a complete initial health report in accordance with the requirements for medical examinations for school attendance within 60 days of enrollment. The file for child #3 included a Department of Public Health Form 3300 - Certification of vision, hearing, dental and nutrition screening from the state of Georgia dated 07/23/2020.

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. The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health report form for child #1 and #2 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. The health report on file for child #1 dated 08/15/219 was a Well Child Report which does not include this statement. The health report on file for child #2 dated 07/23/2020 was a GA Department of Public Health Form 3300 which does not include this statement.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.151(a)

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

Noncompliance Area: The health assessment on file for staff person #2 and #3 was not completed within 24 months of the previous health assessment. The current health assessment on file for staff person #2 was dated 08/18/2022 and the previous assessment was dated 08/11/2020. The current health assessment on file for staff person #3 was dated 08/16/2022 with the previous assessment dated 08/05/2020.

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: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for staff person #1, #2 and #3 lacked documentation of an annual minimum of 12 clock hours of child care training.

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

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: On 12/06/2021, the agreement form for child #1 did not specify the child's arrival and departure times.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: On 12/07/2021, observed prescription medication for child #2 which expired on 04/2021.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: On 12/07/2021, a copy of the emergency plan which was updated in August 2021 was not posted in a conspicuous location; the facility had a copy of an emergency plan from 2016.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.