Latrobe Kinder-schull

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the Pre-K 7 room, peeling vinyl was observed on the corners of the black couch.

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: 3270.151(a)

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

Noncompliance Area: The two most recent health assessments on file for Staff #7 are dated 10/13/23 & 5/29/26, more than 24 months apart.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The two most recent FBI clearance on file for Staff #6 are dated 5/18/21 & 5/20/26, more than 60 months apart. The two most recent FBI clearances (6/23/20 & 10/15/25) and NSOR certificates (9/9/20 & 5/26/26) on file for Staff #8 are dated more than 60 months apart. The two most recent State Police clearances (3/3/20 & 3/7/25) and Child Abuse clearances (3/13/20 & 3/15/25) on file for Staff #11 are dated more than 60 months apart. The two most recent State Police clearances on file for Staff #12 are dated 4/1/20 and 4/3/25, more than 60 months apart. The two most recent Child Abuse clearances on file for Staff #14 are dated 10/21/19 and 6/3/25, more than 60 months apart. The two most recent Child Abuse clearances (8/14/20 & 5/14/26) and FBI clearances (8/20/20 & 5/5/26) on file for Staff #15 are dated more than 60 months apart. The two most recent State Police clearances (8/7/20 & 8/8/25), Child Abuse clearances (8/7/20 & 8/8/25), and NSOR certificates (8/11/20 & 8/13/25) on file for Staff #16 are dated more than 60 months apart.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of inspection, the files for Staff #1, Staff #2, Staff #3, Staff #4, Staff #5, Staff #9, Staff #10, and Staff #17 contained an unacceptable format of the disclosure statement after 2/1/25, per Announcement C-25-01. The two most recent mandated reporter trainings on file for Staff #8 (9/8/20 & 5/13/26), Staff #13 (6/30/20 & 10/5/25), Staff #14 (1/6/21 & 5/14/26), Staff #15 (10/11/20 & 5/13/26) are dated more than 60 months apart.

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.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Based on staff interviews and self-reported noncompliance from the facility, on 8/13/25 at approximately 10:15AM, Staff #1 was supervising 10 preschoolers in the downstairs back Preschool classroom. Child #1 exited the building and crossed the street to a neighbor's porch. Staff #2 observed the incident from the upstairs Infant classroom and notified Staff #1 that Child #1 had eloped. The support staff person who was present in the room for Child #1 retrieved Child #1 from the porch and returned them to the facility.

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. TIERED LIS: 1. Children must be supervised at all times. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of in person training by ELRC regarding supervision of children.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Based on staff interviews and self-reported noncompliance from the facility, on 8/13/25 at approximately 10:15AM, Staff #1 was supervising 10 preschoolers in the downstairs back Preschool classroom. Child #1 exited the building and crossed the street to a neighbor's porch. Staff #2 observed the incident from the upstairs Infant classroom and notified Staff #1 that Child #1 had eloped. The support staff person who was present in the room for Child #1 retrieved Child #1 from the porch and returned them to the facility.

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: 3270.51

Description: Similar Age Level

Noncompliance Area: Based on staff interviews and self-reported noncompliance from the facility, on 8/13/25 at approximately 10:15AM, Staff #1 was supervising 10 preschoolers in the downstairs back Preschool classroom. Child #1 exited the building and crossed the street to a neighbor's porch. Staff #2 observed the incident from the upstairs Infant classroom and notified Staff #1 that Child #1 had eloped. The support staff person who was present in the room for Child #1 retrieved Child #1 from the porch and returned them to the facility.

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.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The two most recent health assessment on file for Staff Person #2 are dated 6/17/22 and 7/2/24, for Staff Person #3 are dated 2/27/23 and 5/29/25 and for Staff Person #4 are dated 7/28/21 and 8/1/23, which are all more than 24 months apart.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The two most recent Child Abuse Clearances on file for Staff Person #1 are dated 3/25/20 and 5/28/25 which are more than 60 months apart. The two most recent NSOR Certificates for Staff Person #4 are dated 12/23/19 and 12/27/24 which are more than 60 months apart.

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.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: It was observed that a first aid kit that was in the indoor gym was on a low shelf in the bathroom making it accessible to the children.

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed that there was a loose piece of trim on the floor in the Preschool room that could be a tripping hazard. It was observed that there was rust on the divider walls in the bathrooms on the main level of the facility.

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(h)

Description: Handwashing signs

Noncompliance Area: It was observed that a staff used a baby wipe to wipe the hands of a toddler after diaper changing.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Based on a self-report, as parents began to pick up their children, at approximately 4:10 pm, child #1 exited the preschool classroom. Staff #1 was assigned supervision of Child #1. Staff person #1 and #2 were in the preschool room at that time. Neither staff noticed child #1 exit the room. There were no other staff in the hallway with child #1. Child #1 was alone in the hallway for approximately 5 minutes.

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

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Based on a self-report, as parents began to pick up their children, at approximately 4:10 pm, child #1 exited the preschool classroom. Staff #1 was assigned supervision of Child #1. Staff person #1 and #2 were in the preschool room at that time. Neither staff noticed child #1 exit the room. There were no other staff in the hallway with child #1. Child #1 was alone in the hallway for approximately 5 minutes.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Based on a self-report, as parents began to pick up their children, at approximately 4:10 pm, child #1 exited the preschool classroom. Staff #1 was assigned supervision of Child #1. Staff person #1 and #2 were in the preschool room at that time. Neither staff noticed child #1 exit the room. There were no other staff in the hallway with child #1. Child #1 was alone in the hallway for approximately 5 minutes.

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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the preschool room #6 there were foam blocks with teeth marks that were not in good repair. .

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The two most recent health assessments on file for Staff Person #1 were dated 4/26/22 and 5/23/24, more than 24 months apart.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

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

Description: Exam communicable disease/Health assessment, TB test

Noncompliance Area: The current health assessment for Staff Person #3 indicates that the staff person has a communicable/contagious disease, with not additional information given.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. 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: 3270.31(e)(4)(i)/3270.192(2)(iii)

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

Noncompliance Area: The file for Staff Person #5 includes verification of Pediatric First Aid/CPR training dated 5/22/24, after the expiration date of 1/31/24.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The two most recent mandated reporter training certificates on file for Staff Person #2 are dated 5/13/19 and 5/22/24, which are more than 60 months apart.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff person #4 includes State Police Clearances dated 8/29/17 and 10/3/22 and Child Abuse Clearances dated 9/6/17 and 10/3/22 all which are more than 60 months apart.

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.

Regulation: 3270.66(c)

Description: Toxic use- no contamination

Noncompliance Area: It was observed that a bottle of cleaning disinfectant spray was on the same shelf as the children's diapers in the upper toddler bathroom cabinet in Room #14.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: It was observed that there wasn't a handwashing sign at one of the sinks in the right bathroom near the downstairs kitchen area.

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: In the downstairs PK7 (room #8) there was a crack on the corner of the red bin in the kitchen playset.

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: In room #14 (older toddler room) there were foam blocks with teeth marks and pieces missing.

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: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in room #3 contained a sticky substance on the lower shelf.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The Health and Safety 1 hour update training on file for Staff #2 was dated 5/28/23, Staff #3 was dated 1/20/23, Staff #6 was dated 5/9/23, and Staff #7 was dated 6/2/23, were all dated after the deadline date of 12/30/22.

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(5)

Description: Two written references

Noncompliance Area: The file for Staff #2 only contained one reference from a nonfamily individual.

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

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The annual emergency drill log lacked information addressing any problems encountered or observations that occurred during the drill.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for Staff #4 was lacking documentation of 12 hours of childcare training between the dates of 12/19/21 and 12/19/22.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The State Police Clearance on file for Staff #1 lacked a dissemination date. The file for Staff #5 contained a current State Police Clearance dated 2/16/23 with a previous one dated 11/2/17, a current Child Abuse Clearance dated 2/22/23 and a previous one dated 11/8/17, and a current FBI Clearance dated 3/1/23 with a previous one dated 11/7/17 which were all greater than 60 months in between.

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.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There were uncovered outlet receptacles on the wall outlets in the gross motor room which were accessible to the young toddler children in care.

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

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: On the table in the entrance of the facility there was a dwarf umbrella tree plant, and a little jewel plant was on the windowsill in the school age (room #10) which were both listed as toxic to humans.

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

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: The garbage can next to the sink across from the copier downstairs did not have a lid. It was observed that there were used tissues and used paper cups in the garbage can.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first-aid kit in room #6 only contained 1 adhesive bandage.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In room #6, which was unoccupied at time of inspection, there was a sharp edge on the corner of the sink.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: The bathroom next to the infant room had chipping paint on the wall above the toilet.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff #1- #6 did not complete the 1 hour training titled Pennsylvania Health and Safety Update 2022 by 12/30/22 as required by Announcement C-22-06. The dates of completion are as follows; staff #1 01/20/23, staff #2 01/16/23, staff #3 01/20/23, staff #4 01/20/23, staff #5 01/18/23, and staff #6 01/16/23.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: As self-reported by the operator, on 1/17/23, at approximately 8:05 AM, Facility Persons #1 and #2 were supervising 6 older toddlers in the Step Up room, when the group left the classroom and exited the building to walk along the sidewalk and into the facility's other (adjacent) building to have breakfast in the kitchen. One of the toddlers in the group, Child #1 was left behind in the classroom. Staff state this was unknown to them until Facility Person #1 was returning to the Step Up room to retrieve a forgotten item and was met by a parent, their child, and Child #1, who the parent says they found alone in the Step Up room. Staff estimate the child was unsupervised by facility staff for approximately 5 minutes.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: * As self-reported by the operator, on 1/17/23, at approximately 8:05 AM, Facility Persons #1 and #2 were supervising 6 older toddlers in the Step Up room, when the group left the classroom and exited the building to walk along the sidewalk and into the facility's other (adjacent) building to have breakfast in the kitchen. One of the toddlers in the group, Child #1 was left behind in the classroom. Staff state this was unknown to them until Facility Person #1 was returning to the Step Up room to retrieve a forgotten item and was met by a parent, their child, and Child #1, who the parent says they found alone in the Step Up room. Staff estimate the child was unsupervised by facility staff for approximately 5 minutes.

Correction Required: All facility staff shall complete a training, conducted in person and in conjunction with the Early Learning Resource Center, regarding supervision of children with an emphasis on times of transition/movement.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: As self-reported by the operator, on 1/17/23, at approximately 8:05 AM, Facility Persons #1 and #2 were supervising 6 older toddlers in the Step Up room, when the group left the classroom and exited the building to walk along the sidewalk and into the facility's other (adjacent) building to have breakfast in the kitchen. One of the toddlers in the group, Child #1 was left behind in the classroom. Staff state this was unknown to them until Facility Person #1 was returning to the Step Up room to retrieve a forgotten item and was met by a parent, their child, and Child #1, who the parent says they found alone in the Step Up room. Staff estimate the child was unsupervised by facility staff for approximately 5 minutes.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The 2022 heath and safety training update was completed after the required due date of 12/30/22 by Facility Person #2 (training date 1/20/23) and Facility Person #3 (training date 1/20/23).

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Facility Person #1 was observed to be caring for children unsupervised. Facility Person #1 had not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 10/9/17.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Facility Person #1 haf not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 10/19/17.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: As self-reported by the operator, on 1/17/23, at approximately 8:05 AM, Facility Persons #1 and #2 were supervising 6 older toddlers in the Step Up room, when the group left the classroom and exited the building to walk along the sidewalk and into the facility's other (adjacent) building to have breakfast in the kitchen. One of the toddlers in the group, Child #1 was left behind in the classroom. Staff state this was unknown to them until Facility Person #1 was returning to the Step Up room to retrieve a forgotten item and was met by a parent, their child, and Child #1, who the parent says they found alone in the Step Up room. Staff estimate the child was unsupervised by facility staff for approximately 5 minutes.

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.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: There were teeth marks in several foam blocks observed in the downstairs PreK 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.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 1:30 pm, staff person #3 was observed in the toddler room with 3 toddlers who were lying on rest equipment. Due to the positioning of the rest equipment and where the staff person was sitting on the floor, one child could not be directly supervised as they were lying behind furniture. During nap time between approximately 1:35 pm and 1:55 pm, the following was observed in the downstairs classrooms: In the Pre-K room, staff person #5 was observed with 8 preschoolers who were lying on rest equipment. Due to the positioning of the rest equipment and where the staff person was standing, at least one child could not be supervised directly, as they were lying behind furniture. In the front Preschool room, staff person #10 was observed with 9 preschoolers who were lying on rest equipment. Due to (or because of) the positioning of the rest equipment and where the staff person was standing, at least one child could not be supervised directly, as they were lying behind furniture. In the rear Preschool room, staff person #11 was observed with 6 preschoolers who were lying on rest equipment. Due to (or because of) the positioning of the rest equipment and where the staff person was standing, at least one child could not be supervised directly, as they were lying behind furniture.

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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #1 lacks the enrolling parent's work address.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for child #1, child #2, and child #3 contain verification of initial health reports dated more than 90 days after child #1, child #2 and child #3's first day of attendance at the facility. Due to the COVID-19 emergency declaration, the initial health report requirement was extended from 60 to 90 days.

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.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The most recent health report on file for child #3 is dated more than 6 months ago. Child #3 is a young toddler.

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

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The file for child #1, child #2, and child #3 contain verification of immunization records dated more than 60 days after child #1, child #2, and child #3 first day of attendance.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #2 lacks verification of a current Pneumococcal vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #3 lacks verification of a current Hepatitis B, Rotavirus, DTAP, HIB, Pneumococcal, Polio, Influenza, MMR, Varicella, and Hepatitis A vaccine administered in accordance with the schedule recommended by the ACIP.

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.

Regulation: 3270.151(a)

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

Noncompliance Area: The initial health assessment on file for staff person #2 is dated after staff person #2 began in a child care taking position. The two most recent health assessments on file for staff person #3 are dated in an interval which exceeds 24 months.

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)(2)

Description: Mantoux TB

Noncompliance Area: The file for staff persons #2 and #4 contains the results of TB testing dated after staff persons #2 and #4 began in a child care taking position.

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: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: In the rear preschool group space downstairs, there was a Gogurt observed in a brown lunch bag in a child's backpack. The directions included instructions to keep the item refrigerated.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 and staff person #8 contains an expired version of the disclosure statement, making it invalid. The file for staff person #2 contains a disclosure statement dated after staff person #2 began in a child care taking position. The file for staff person #5 and staff person #6 contains an undated disclosure statement. The file for staff person #7 contains an undated and unwitnessed disclosure statement. A review of the file for staff person #7 revealed that staff person #7 has resided out of state in the previous 5 years and lack the required clearances from the state where staff person #7 has previously resided.

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.

Regulation: 3270.35(b)/3270.192(2)(ii)

Description: Group sup qualifications/Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #7, who is identified as performing the role of group supervisor, lacks verification of an associates or bachelor's degree in order to qualify as an assistant group supervisor.

Correction Required: A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the rear preschool group space downstairs, a tube of Tom's toothpaste was observed in a child's backpack hanging on a low hook in the child's cubby, making it accessible to the preschoolers in care at the time of the inspection. The directions included instructions to keep out of the reach of children under 6 year-olds.

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: In the indoor gross motor space, observed the artificial turf located under the trikes has a rolled edge, which poses 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: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 12:12 pm, observed staff person #1 supervising a group of children which consisted of 4 older toddlers and 3 younger toddlers in the toddler room.

Correction Required: 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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On 4/20/22, a review of the fire detection system testing log revealed that the most recent testing occurred on 3/18/22.

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: The file for Child #2 lacked an initial health assessment within 60 days following the child's first day of attendance at the facility.

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.

Noncompliance Area: The file for Child #3, a young toddler, lacked updated health reports at least every 6 months. The health reports on file were dated 5/13/19 and 6/29/20.

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: The files for Children #1 and #4 lacked verification that they had received an annual flu vaccination and a written exemption was not on file at the time of review.

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.

Noncompliance Area: The FBI clearance and the mandated reporter training exceeded 60 months between updates for Staff Person #1. The file for Staff Person #2 lacked verification that they had requested their NSOR clearance prior to starting in a child care taking position.

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

Noncompliance Area: In the PKC1 Classroom 5 of the bins containing the learning sounds teaching tools were observed to be cracked and in disrepair.

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: The file for Child #4 lacked an initial health assessment within 60 days of starting at the facility.

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.

Noncompliance Area: The file for Child #3, a young toddler, lacked a health assessment that had been completed within the last 6 months.

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: The file for Child #1, a preschool age child, lacked a health report that had been completed within the last 12 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: The files for Children #1, #2 and #3 lacked documentation of an annual flu vaccination. The file for Child #3 lacked updated immunizations verifying the child received their 12-15 month Pneumococcal & HIB vaccinations.

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.

Noncompliance Area: The health assessments on file for Staff Person #1 exceeded 24 months between examinations occuring on 8/25/16 and 5/31/19.

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: The file for Staff Person #2 lacked a written staff evaluation that had been completed within the last 12 months.

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: A hand washing sign was missing from one of the stalls in the downstairs restroom on the right and two of the stalls in the restroom on the left.

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.

Noncompliance Area: In the Intermediate Classroom one expired first aid antibiotic was observed.

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

Noncompliance Area: The health assessments on file for Staff Person #4 exceeded 24 months between examinations.

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: The health assessment on file for Staff Person #1 lacked a statement that they had been examined for communicable diseases and the results of that examination and the physician's assessment of their 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.

Noncompliance Area: In the large downstairs child care space where school agers were receiving care a lunch bag containing chicken strips and another lunchbag containing a gogurt were observed to have been left in children's cubbies.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Noncompliance Area: The file for Staff Person #2 lacked a complete State Police and FBI Clearance. Staff Person #2 has exceeded 90 days in a child care position at this time. The file for Staff Person # 3 lacked completion of their mandated reporter training within 90 days.

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

Noncompliance Area: Observed a plastic bin with a large hole in the upstairs pre-k1 room. Observed a splintering wooden edge of a play structure in the preschool room.

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: The medical documentation on file for child #1 (an infant) which addresses the child's sleep position lacks a medical reason for the infant to sleep in an inclined position.

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

Noncompliance Area: The file for child #2 contains emergency contact information which lacks the work address of the enrolling parent. Emergency contact information will be complete at the time of enrollment and include all regulatory information.

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

Noncompliance Area: The file for child #3, who has been enrolled more than 60 days, lacks an initial health report on file at the facility.

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.

Noncompliance Area: Observed an expired tube of toothpaste and a bottle of expired sunscreen in the preschool room.

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

Noncompliance Area: The file for staff person #6 contains health assessments which were updated in an interval greater than 24 months.

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: The file for staff person #5 contains proof of emergency plan training which was not completed at the time of initial employment.

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: The file for staff persons #1-#4 contain verification of fire safety training which was completed in an interval which exceeds 12 months.

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 file for staff person #1 lacks one non-family reference.

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

Noncompliance Area: The file for staff person #1 contains an FBI clearance obtained for Department of Education purposes and which indicates criminal history and lacks the required accompanying rap sheet. The file for staff person #2 lacks a signed disclosure statement and contains volunteer child abuse and state police clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 Persons #-1 and #2 may not work in a child care position at the facility.

Noncompliance Area: Staff person #1, who is performing the role of assistant group supervisor at the facility, lacks on-file verification of education attained prior to service at the facility to qualify for the role of an AGS.

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.