Grace Early Learning Center

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: It was observed, in Room 2, that plastic bags were accessible to children who are still placing objects in their mouths, in cubbies (corrected during inspection).

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: In Room 1, it was observed that two children had the same rest equipment labeled for their use, and they attend on the same days.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: The written plan of daily activities, in Room 3, did not include activities for the timeframe between 3:30-5 pm and children are in care in this space. Room 2 did not have any daily activities posted.

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

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: It was observed in Room 1, that during naptime, there was one child who could not be seen due to furniture obstructing the staff person's view. (corrected during inspection). In Room 5, staff person #1 took three attempts to name all of the children in their care.

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. Children must be supervised at all times. 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.

Regulation: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: Parents of enrolled children did not receive, in writing, the facility's Supervision policy.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #7's emergency contact information did not include the enrolling parent's work address, work phone number, and home phone number.

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

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: It was observed that there was no emergency transportation plan posted in Room 5 (corrected during inspection)

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: Child #4's health report was not signed by a physician, physician's assistant or a CRNP

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Regulation: 3270.131(d)(7)/3270.131(d)(8)

Description: Free from contagious/communicable disease/Age appropriate screenings complete

Noncompliance Area: Child #4 and #5's health reports did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease and did not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted.

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. A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Regulation: 3270.133(7)/3270.133(7)(v)

Description: Medication log/Date of administration

Noncompliance Area: In Room 5, child #2 and #3 had medication in the classroom, without medication logs on file.In Room 1, child #1's medication log did not include the dates of administration.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. A medication log shall include the date of administration.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan's Continuity Of Operations did not address backing up children and staff records and a plan to pay staff during this scenario. Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre- service training required prior to caring for children unsupervised: Part 1 of Health and Safety training (see Code Sheet).

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: Part 1 of Health and Safety trainings, staff person #3 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: Staff person #2's record did not include a TB screening at initial employment which was conducted when the staff person was employed by a child care facility. (TB date on file 6/5/19) See Code Sheet

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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The time between written notification to local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility exceeded the permitted the annual timeframe (most current dated March 2025).

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

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: Written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility (corrected during inspection)

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: Child #6's record did not contain signed parental consent for emergency medical care for the child.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.192(4)

Description: CPSL information

Noncompliance Area: Staff person #1's Disclosure Statement on record was not witnessed.

Correction Required: 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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Annual emergency drills have not been conducted.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed that an emergency bag (with medication inside) was accessible to children on the playground (corrected during inspection). It was observed, in Room 2, that Aquaphor and A&D ointment were accessible to the children on the changing table (corrected during inspection). In the Room 4 bathroom, a bottle of floor cleaner was accessible to the children (corrected during inspection).

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed, in Room 1, that there was a water-stained and bowed ceiling tile about 5 rows in from the entrance. In Room 2, there was a ceiling tile that was water-stained and bowing downward (7 tiles in from the entrance). There was a second water-stained ceiling tile two further down from the bowed tile (toward back of room). In Room 1, there was a broken hands-free trashcan (corrected during inspection). In Room 2, the hands-free trashcan was not working and there was a long wire/cord with pumpkin lights (strangulation hazard) accessible to children in a bin (the long wire was removed during the inspection).It was observed, on the preschool playground, that there were 8 torn sections on the padding/mats on the ground. In Room 1, there were two trashcans with visible debris on the outside of them (corrected during inspection). In Room 5, there was a trashcan with visible debris on the outside (corrected during 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.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: It was observed, in the Room 5 bathroom, that there was no lidded trashcan.

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

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: The testing of the fire detection devices exceeded the permitted at least every 30 days' timeframe (7/23/25, 8/25/25), (12/23/25, 1/23/26).

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A trash can lid in the upstairs preschool room was visibly soiled.

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: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff persons #1 and #2 were responsible for 15 children in the 3rd floor preschool room. When the staff were asked to identify which specific children they were each responsible for, staff #1 identified 10 of the children and staff person #2 identified 4 of the children. 1 child was not accounted for.

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.

Regulation: 3270.124(f)/3270.181(e)

Description: Updated every 6 months/Emergency master file updated

Noncompliance Area: A portion of the emergency contact forms in the 3rd floor preschool room, the toddler room, and the 2nd floor preschool room were past due to be updated. The most recent parent signatures were more than 6 months old.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: A staff person was observed giving a child snack in the infant/young toddler room. The staff person did not wash their own hands and did not wash the child's hands prior to serving the snack.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Elmers Rubber Cement was observed in an area accessible to children in the 2nd floor preschool room. The container stated, "may be harmful if swallowed." (CORRECTED ON SITE)

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

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: A toxic plant, Lesser Celandine, was observed within reach of the toddler outdoor child care space.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: There is evidence of a water leak on the 3rd floor of the building. A stained ceiling tiles was observed in the hallway and another in the preschool room. In another area of the hallway, a ceiling tile was pushed out of the way and a bucket was sitting up in the roof where the tile would be. Sharp adult scissors were observed within reach of children in the 3rd floor preschool room. (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.

Regulation: 3270.24(a)

Description: Immediate access

Noncompliance Area: The facility staff were unable to provide certification staff with a file for staff person #2.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: Staff person #1 did not complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. The training was completed 113 days after the date of hire.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #2 was observed working in a classroom with children. At the time of inspection, the facility did not have a record/file (and therefore clearances) available at the center. Once the staff person's record was provided (with clearances), the record included a disclosure statement that was completed 6 days after the staff person's start date. The disclosure statement on file for staff person #3 was incomplete, as it was not signed by a witness.

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

Regulation: 3270.131(e)(1)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The immunization record on file for child 1 (infant) was not in accordance with the schedule recommended by the ACIP. The child's record did not include documentation of the vaccines recommended at 6 months of age. The facility did not implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77

Correction Required: 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. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The diapering trash can in the toddler room was not functioning as "hands free".

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

Regulation: 3270.151(a)

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

Noncompliance Area: The updated health assessment on file for staff person 3 was not obtained timely. The health assessments were dated 1/3/22 and subsequently more than 24 months later on 2/19/24.

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)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: Fire safety training updates were not obtained timely during the previous year for staff persons 1-6. Staff 1 - Trainings dated 9/26/22 and subsequently more than 12 months later on 2/1/24. Staff 2 - Trainings dated 9/26/22 and subsequently more than 12 months later on 10/10/23. Staff 3 - Trainings dated 9/30/22 and subsequently more than 12 months later on 10/10/23. Staff 4 - Trainings dated 9/27/22 and subsequently more than 12 months later on 10/13/23. Staff 5 - Trainings dated 11/8/22 and subsequently more than 12 months later on 12/12/23. Staff 6 - Trainings dated 9/20/22 and subsequently more than 12 months later on 12/6/23.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: An infant was observed sleeping in a crib that had less than 2 feet of space around all four sides of the crib. (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.

Regulation: 3270.111(c)/3270.113(b)

Description: Promote development/No physical punishment

Noncompliance Area: The facility self-reported the following incident: Staff person 1 was observed aggressively taking a toy from child 1 (older toddler), and then picked up child 2 (older toddler) by the arm and aggressively move the child before putting the child down. When the child was put down, the child stumbled backwards and fell.

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

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: According to the log on file at the time of inspection, more than 30 days lapsed between the following tests of the fire detection system: 5/11/23 and subsequently 6/29/23.

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)). To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Regulation: 3270.102(e)

Description: Infant/toddler - no material less than 1 inch

Noncompliance Area: Mulch was observed in an area accessible to toddlers (within reach of 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.

Regulation: 3270.151(c)(2)(ii)

Description: Record include X-ray results and evaluation

Noncompliance Area: At the time of inspection, the record for staff person 3 indicated that the individual had a positive TB skin test. The record did not include the results of the required chest x-ray.

Correction Required: A record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: At the time of inspection, the facility did not have documentation that they had completed an emergency drill during the previous 12 months.

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: Staff persons 1 and 2 have resided outside of the state in the past 5 years. Their staff records did not include the applicable "out of state" clearances. The records also did not include documentation of submitting the requests for the clearances as a part of their provisional hire paperwork.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #1 and 2 may not work in a childcare position at the facility until complete clearances are on file.

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: A toxic ground cover ("Lesser Celandine") was observed along the edge of the fence to the toddler playground. The plant was within reach of toddlers that used the space. The is repeated non-compliance (also observed April 2021, and April of 2022).

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: At the time of inspection, the facility did not have documentation on file that the fire detection system was being tested at least every 30 days.

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)). To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The PA State police clearance on file for staff person 1 was incomplete ("record for control").

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a child care position at the facility until complete clearances are on file.

Regulation: 3270.66(a)/3270.66(d)

Description: Locked or inaccessible/Toxic plants not permitted

Noncompliance Area: The following toxic items were observed within reach of children at the facility: Hand sanitizer was observed in an area accessible to the children in the third floor preschool classroom. (CORRECTED ON SITE) A toxic ground cover ("Lesser Celandine") was observed along the edge of the fence to the toddler playground. The plant was within reach of toddlers that used the space.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toxic plants are not permitted in a child care space.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Ceiling tiles in rooms 1 and 2 showed signs of a water leak (water stains).

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: 3270.113(b)

Description: No physical punishment

Noncompliance Area: The facility self-reported the following incident: Staff person 1 smacked/swatted child 1 on the forehead when he was climbing up classroom furniture to see what the staff person was doing.

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