Trinity Christian Academy

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Certification rep reviewed staff #1 record and observed NSOR clearance was not in record.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -1may 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. 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 #1 may not work in a child care position at the facility.

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

Description: Age and Training/Health and Safety Training

Noncompliance Area: Certification rep reviewed staff #1 record and observed Pediatric first Aid and CPR training was not conducted by a PQUAS certified trainer.

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. Staff persons shall complete professional development in the topics of 3270.31(f)(10), within 90 days of hire. Staff person #-1must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Certification rep reviewed staff #1 record and observed FBI clearance in record is expired, date of expiration:12/31/19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- 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. 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 #--- may not work in a child care position at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Certification rep reviewed staff #2 record and observed staff #2 did not complete One Hour Health and Safety training. Staff #2 was observed to be working unsupervised with a total of 7 children, youngest child 3 years of age during the renewal inspection.

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: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: Certification rep reviewed staff #1 and #2 record and observed verification of experience not in record.

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

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: Certification rep reviewed staff #2 record and observed test date of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis missing on the Physical Examination form.

Correction Required: 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Certification rep reviewed staff #1 record and observed Staff #1 did not have an NSOR clearance in record, start date: 10/9/2023. Staff #1 was observed to be working with children unsupervised with a total of 6 children, youngest of age 2, at the time of the renewal inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- 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. 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 #--- may not work in a child care position at the facility.

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: During the renewal inspection certification rep read the water temperature in the pre-k count 1 classroom at 118 F.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection certification rep observed brown stained ceiling tiles in the hallway area of the building.

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(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: At the time of the inspection, the wood chips around the swings on the outdoor playground were measured 5.5 inches in depth which is not adequate surface covering.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: At the time of renewal inspection, file of child #2 included OCDEL-approved assessment tool that was conducted more than 6 months ago. The Once scale assessment for child #2 was from 2/9/22. Record of child #3 did not include service report/OCDEL-approved assessment.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of renewal inspection emergency contact information of child #1 did not include the work address and telephone number of the enrolling parent.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of renewal inspection, a policy and procedure of the prevention and identification of child maltreatment was not observed.

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: 3270.181(e)

Description: Emergency master file updated

Noncompliance Area: At the time of renewal inspection, emergency contact information was not updated in each child care space.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: At the time of renewal inspection, staff person #1 has acceptable pediatric first aid and CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in the training topic.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons #1 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Regulation: 3270.76/3270.102(a)

Description: Building Surfaces/Clean and good repair

Noncompliance Area: At the time of renewal inspection observed a rust on the metal stall divider next to the sink in Room 4 bathroom. Observed rust on the top of the red metal cabinet in Room 6&7. At the time of inspection observed wooden fence that was broken and had rotten wood. The top of the table on the outdoor play space had part of the sharp wood with splinters that was slightly raised above and was a visible hazard.

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. 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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: At the time of renewal inspection observed that handwashing signs with the requirement to wash hands after toileting and before eating were not posted at the sink in the Room #5 and #3.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of renewal inspection observed that the red preschool vinyl sofa in Room #4 was ripped, exposing the filling which was hazardous to children in care.

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: 3270.107

Description: Refrigerator

Noncompliance Area: At the time of renewal inspection observed that a temperature in the refrigerator with a gallon of milk and a lunchbag located in Room #8 was 50° F.

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

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: At the time of renewal inspection, an agreement of child #1 did not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.131(d)(5)/3270.131(e)(2)(i)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: At the time of renewal inspection, a health report of child #1 did not include influenza immunization recommended by ACIP. A letter of exemption was not observed in the file of child #1.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

Regulation: 3270.151(a)

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

Noncompliance Area: At the time of renewal inspection, a health assessment of staff person #4 from 12/5/19 was conducted more that 24 months ago.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: At the time of renewal inspection, a health assessment of staff person #1 did not include an examination for communicable diseases and the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: At the time of renewal inspection observed seven bottles located in the refrigerator in Toddler room that were not labeled with the child's name.

Correction Required: Disposable nurses and bottles shall be labeled with the child's name.

Regulation: 3270.192(2)(i)/3270.192(5)

Description: Age/Two written references

Noncompliance Area: At the time of renewal inspection, file of facility/staff person #2 did not include verification of age and two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Correction Required: A facility person's record shall include verification of age. A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

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

Description: Exp, educ., training prior to facility/Exp, educ., training at facility

Noncompliance Area: At the time of renewal inspection, file of facility/staff person #2 did not include verification of education/experience prior to service at the facility, and trainings following the outset of service at the facility.

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

Regulation: 3270.192(3)

Description: Health assessment, TB test

Noncompliance Area: At the time of renewal inspection, file of staff person #2 did not include a written report of initial health assessment including the results of initial tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Correction Required: 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: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: At the time of renewal inspection, an emergency plan did not provided information about accommodation for toddlers.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of renewal inspection, file of staff person #3 included mandated reporter training from 9/7/16 that was conducted more than 5 years ago. File of staff person #2 included PA Child Abuse History Clearance and PSP Criminal History Clearance for volunteer purposes. Staff #2 was observed working with children and being counted in ratio.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of renewal inspection observed a light switch in Room #4 without a switch plate that is a visible hazard since the wire is accessible to chidlren; the carpet in Room #8 was ripped at the seam and frayed posing a tripping hazard.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: At the time of renewal inspection, provider was not able to provide proof of purchase and date of purchase of an interconnected fire detection system.

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.

Noncompliance Area: During renewal inspection on 12/27/19, the wood chips on the playground with swings was measured 4 inches in depth which is not adequate surface covering. Shredded rubber on the preschool playground under yellow embedded equipment was measured 3 inches in depth.

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.

Noncompliance Area: During renewal inspection on 12/27/19, file of child #1, #3, and #4 did not include child service report on the Department's approved form.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: During renewal inspection on 12/27/19, emergency contact form of child #1 did not include the work addresses of the enrolling parents.

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

Noncompliance Area: During renewal inspection on 12/27/19, emergency contact form of child #2 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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.

Noncompliance Area: During renewal inspection on 12/27/19 observed expired Benadryl and Neosporin creams in first aid kits in classrooms. Written consent for administration of medication was not provided by parents.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: During renewal inspection on 12/27/19, a health assessment of staff person #5 indicated that physical examination was conducted on 12/20/2017 which is more than 24 months ago.

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.

Noncompliance Area: During renewal inspection on 12/27/19, information regarding the location of the facility and use of pedestrian and vehicular routes around the facility was not sent to the local traffic safety authorities annually. Last letter was dated 7/2/18.

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 day care facility.

Noncompliance Area: During renewal inspection on 12/27/19, the facility did not have verification of initial emergency plan training for staff person #2 on file (hired 4/16/19).

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: During renewal inspection on 12/27/19, file of staff person #3 did not include verification of an annual minimum of 6 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: During renewal inspection on 12/27/19, file of staff person #3 did not include verification of fire safety training, fire safety training taken by staff #5 was not conducted by a fire protection professional.

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

Noncompliance Area: During renewal inspection on 12/27/19, file of staff person #4 did not included child abuse clearance for employment purposes, file of staff person #1 did not include the FBI clearance required by DHS. Both employees were not within provisional hire period.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and #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. Facility Person #1 and #4 may not work in a child care position at the facility.

Noncompliance Area: During renewal inspection on 12/27/19, file of staff persons #5 didn't contain proof of current written evaluation conducted by a director.

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: During renewal inspection on 12/27/19 observed rotting wood logs in the fence around preschool playground.

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.