Grace Christian Childcare

Regulation: 3270.111(c)

Description: Promote development

Noncompliance Area: Staff member #1 stated that they placed their hand on child #1 chin to redirect the child to listen.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: Staff member #1 made child #1 cry due to the staff members harsh tone of voice.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: An emergency drill was not conducted at least once annually. Emergency drill was documented to have lapsed 8/30/2024 and 11/19/2025.

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

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

Description: Age and Training

Noncompliance Area: Staff person #2 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 10/11/2023. Documentation of updated Pediatric first aid and CPR training is not on file.

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. Until such time as the required training has been completed, staff person #2 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 #2, staff person #2 may not work in a child-care position 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/ the trainer has not provided documentation that they are PQAS-certified in that training 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: 3270.66(b)

Description: Original container

Noncompliance Area: It was observed in the infant classroom a Magic Eraser placed in a cabinet under the sink was not in its original container or in a container that specifies the content. (This was corrected at the time of inspection)

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: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed in the young toddler classroom, a build-up of dirt, food and debris on the stepstool used by young toddlers for handwashing.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed on the outdoor playground that the black coating on the steps of the imbedded climber was broken exposing rust and creating pinch points and rough edges causing potential injury to children.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: It was observed on the young toddler outside playground, a significant number of small rocks less than 1 inch in diameter were inside the fenced area on the turf, inside a playhouse and inside a shopping cart push toy accessible to children who are still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 did not complete the required pre-service training within 90 days of their date of hire (see LIS code sheet): (f)(10) Pediatric First Aid and CPR.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Operability of the fire detection devices were not tested every 30 days. Testing was documented to have lapsed 4/1/25 - 5/2/25.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for staff person #1 included a Child Abuse Clearance which was not updated within 60 months of the previous clearance. The current Chile Abuse Clearance is dated 1/30/25 and the previous was dated 11/22/19. The file for staff person #2 included a State Police Clearance and Child Abuse clearance which was not updated within 60 months of the previous clearance. The current State Police Clearance is dated 7/8/24 and the previous was dated 6/6/19. The current Child Abuse clearance is dated 7/16/24 and the previous was dated 7/5/19. The file for staff person #3 included a NSOR Certificate which was not updated within 60 months of the previous clearance. The current NSOR Certificate is dated 1/24/25 and the previous was dated 11/21/19.

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

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

Description: Age and Training

Noncompliance Area: The file for staff person #4 included a pediatric first aid and pediatric CPR which was not updated within 24 months of the previous clearance. The current pediatric first aid and pediatric CPR is dated 11/17/21.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1, #2 and #3 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file for staff person #1 being dated 4/2/18. This is evidenced by the previously documented mandated reporter training on file for staff person #2 being dated 10/12/18. This is evidenced by the previously documented mandated reporter training on file for staff person #3 being dated 1/30/19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #1, #2 and #3 will have until 3/15/24 to complete the mandated reporter training. Until such time as the required training has been completed, Staff person #1, #2 and #3 must be supervised, when interacting with children, by an AGS, or primary staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise Staff person #1, #2 and #3, Staff person #1, #2 and #3 may not work in a child-care position at the facility.

Regulation: 3270.133(7)(v)

Description: Date of administration

Noncompliance Area: Medication log for child #1 did not include dates of administration by parents.

Correction Required: A medication log shall include the date of administration.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Facility's emergency plan does not include continuity of operations planning.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Operability of the fire detection devices were not tested every 30 days. Testing was documented to have occurred 4/10/22, 5/26/22 & 7/13/22, 8/14/22 & 9/14/22, 10/15/22 and 11/6/22,12/22/22, 1/24/23.

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.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: Child #1 did not have written consent for the fever temperature at which Tylenol medication should be administered for a seizure condition. Child #2 did not have written and signed consent for the administration of Albuterol medication.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for Facility Person #1 and Facility Person #2 (DOH see LIS code sheet) did not include a tuberculosis screening by the Mantoux method at initial employment.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: It was observed that the facility did not conduct and document emergency drills annually.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The child abuse clearance for Facility Person #1 (DOH see LIS code sheet) did not contain a reason listed as "employment". The child abuse clearance listed adoption as the request reason which is not acceptable for DHS employment.

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. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Noncompliance Area: Mulch was observed along the front edge of the toddler playground fence. The mulch was within reach of the toddlers using the toddler playground.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Noncompliance Area: Plastic bags were observed hanging from cubbies in an area accessible to toddlers in the "puppies" room.

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.

Noncompliance Area: According to documentation on file at the time of inspection, staff person 1 worked for a period of time with expired clearances on file. The state police clearance expired 5/14/14, but was not updated until 6/6/2019. The child abuse clearance expired 5/28/14, but was not updated until 7/5/2019.

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

Noncompliance Area: The facility self-reported the following incident that occurred on 6/14/2019: Child #1 (7 years old) was left behind at the park when staff persons #1 and #2 took the remaining 10 school aged children to the neighboring ice-cream shop. Child #1 was without supervision of a staff person for approximately 15 minutes. Staff persons #1 and #2 were unaware of the child's whereabouts during this time period.

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. 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. Children must be supervised at all times.

Noncompliance Area: At the time of inspection in the infant child care space, an infant was observed sleeping in a crib that had 2 feet on just one side. Children were observed sleeping on a cots that had less than 2 feet of space on three sides of the equipment in both the Sunshine corner, and in the Busy Bees child care spaces. (CORRECTED ON SITE)

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: The record for child 1 did not include a record for immunizations, and the most recent health assessment stated that parents are choosing to hold off on immunizing the child. The child's file did not include a written statement from the child's parent. (CORRECTED ON SITE)

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Noncompliance Area: According to documentation on file at the time of inspection, health assessments updates for staff persons 1, 3, 5, 6, 7, & 8 were not obtained timely during the past 12 year. The health assessment updates were obtained after a period of 24 months. The most recent health assessments on file for the following staff persons were dated: Staff person 1 - 3/18/2016 and 1/16/2019 Staff person 3 - 9/8/2016 and 1/14/2019 Staff person 5- 6/2016 and 1/24/19 Staff person 6- 1/2016 and 1/2019 Staff person 7- 3/2016 and 2/1/19 Staff person 8- 6/2016 and 1/21/2019 Staff person 4 began employment on 9/4/2018. Her TB test was dated more than 12 months prior to initial employment (10/28/2016) and is therefore not valid.

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.

Noncompliance Area: At the time of inspection, the records for staff persons 2 and 8 did not include staff evaluations from the past 12 months. (CORRECTED ON SITE)

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

Noncompliance Area: At the time of inspection, a section of the fence surrounding the toddler playground was separating at the base, creating a possible pinch point.

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.

Noncompliance Area: According to the fire drill log reviewed at the time of inspection, a fire drill was completed on 10/17/2018 and then more than 60 days later on 1/16/2019.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: On 8/7/2018, the operator was unable to provide documentation that staff persons 1-5 had been trained on the emergency plan at the time of hire . (CORRECTED ON SITE)

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.

Noncompliance Area: On 8/7/2018, the operator was unable to provide documentation of an FBI clearance for staff person #2 (start date 6-11-2018) or documentation that the staff person had been fingerprinted for the FBI clearance at the time of hire. Old documentation of being fingerprinted was on file from November of 2017, but the clearance was never obtained/provided. (CORRECTED ON SITE)

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.

Noncompliance Area: At the time of inspection, staff person 1 was serving as a group supervisor at the facility. The staff person's file did not contain documentation of education. (CORRECTED ON SITE)

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: A carpet square located in the preschool classroom was observed to be fraying on the edges and a piece of the thread was looped, creating a trip hazard.

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.

Noncompliance Area: Staff person 1 was employed previously. She returned to working at the facility with a start date of 2/5/18. The health assessment on file at the time of inspection was dated 3-9-15. She did not have a health assessment on file that was conducted within the 12 months prior to employment.

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.

Noncompliance Area: Upon review of staff records, it was observed that staff person 3 has not had fire safety training during the past 12 months. The most recent documentation in the staff person's file regarding fire safety training was from 2016.

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.

Noncompliance Area: The following was observed at the time of inspection. -The record for staff person 5 included a ''volunteer'' PA state police clearance, which is not an acceptable alternative to an employment clearance and is a violation of the Child Protective Services Law (CPSL). Staff person 5 began employment on 6/12/17. -The record for staff person 6 did not include documentation of the staff person being fingerprinted for her FBI clearance. The staff person was observing and in a classroom with children at the time of inspection. This is in violation of the CPSL. Staff person 6 began employment with the facility on 2/5/2018. -The record for staff person 5 did not include documentation of completed an approved Mandated Reporter training within 90 days of hire. This is in violation of 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 #5 may not work in a child care position at the facility until an employment PA State Police Clearance is obtained. Facility Person # 6 may not work in a child care position at the facility until documentation of being fingerprinted is obtained.

Noncompliance Area: Staff person #2 was hired and is working as an aide. The file record on site for staff person #2 was lacking documentation of a high school diploma or GED certificate.

Correction Required: An aide shall have a high school diploma or a general educational development certificate.

Noncompliance Area: Upon inspection of the preschool classroom, an outlet was observed to be uncovered. (CORRECTED ON SITE)

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

Noncompliance Area: Upon inspection of the young toddler classroom, a blind plastic electrical plate was observed to be cracked. (CORRECTED ON SITE)

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.

Noncompliance Area: Upon inspection of the main hallway bathrooms, it was observed that the trash can lids in both the girls and boys bathrooms did not have lids. The bathrooms are reportedly used by the school age children.

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

Noncompliance Area: It was observed that the evacuation routes and the written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency were not posted in the indoor gym / school age space.

Correction Required: Evacuation routes shall be posted. 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.

Noncompliance Area: At the time of the pool inspection, it was observed that an Epi-pen was stored in an area accessible to the children.

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.

Noncompliance Area: More than 6 months lapsed between health assessment updates for child #1 and child #2. Child#1's (date of birth 2-26-15) health assessments on file were dated 2-29-16, and 1-16-17. Child #2's (date of birth 9-20-14) health assessments on file were dated 9-25-15, and 10-20-16.

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

Noncompliance Area: Hand sanitizer was observed hanging on a child's backpack, and sitting on the sink in the Jelly Beans classroom in spaces accessilbe to children. CORRECTED ON SITE. Buckets of Ice Melt were located in multiple spots throughout common areas of the facility in areas accessilbe to 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.

Noncompliance Area: Multiple bolts on the preschool playground fence were exposed more than 2 threads beyond the end of the nut, and were turned inwards toward the gross motor playspace. This creates a possible impalement/laceration hazard. A firepit was located on the preschool playground at the time of inspection.

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.