Lutz Preschool Inc

Regulation: 3270.124(b)(2)/3270.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: Child file #1 was missing address and telephone number of the child's physician or source of medical care and policy number for a child under a family policy or Medical Assistance benefits

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.151(a)

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

Noncompliance Area: Staff #2 had a previous health assessment on file dated 8/31/22 and a current on file dated 10/9/24.

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: Staff #1 had a previous fire safety training dated 3/8/25 and a current dated 5/20/26. Staff #2 had a previous fire safety training dated 10/15/24 and a current dated 12/29/25. Staff #3 had a previous fire safety training dated 1/5/25 and a current dated 3/19/26.Staff #4 had a previous fire safety training dated 10/11/24 and a current dated 12/29/25. Staff #6 had a previous fire safety training dated 10/8/24 and a current dated 12/22/25. Staff #7 had a previous fire safety training dated 10/15/24 and a current dated 12/29/25.

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.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Facility person #5 did not complete mandated reporter training within 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 10/6/20 and the current being dated 10/8/25.

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: Staff #8 did not have a NSOR clearance on file until 6/18/26 and was working in direct care with children since hire (See LIS Code Sheet for DOH).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The CPSL was revised to include a requirement that all clearances be updated and on file at least every 60 months. As of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The correction date for this must be immediate. 2. The facility director and any other persons involved in the hiring of staff must register and attend an Existing Provider Orientation at a Regional Office. The provider must provide a correction date for when this portion of the plan will be completed. 3. In order to demonstrate compliance in this area, the director or legal entity representative will send completed staff files for all new hires for the next three months to the Northeast Regional Office for review. The staff files must include all clearance requests, completed clearances, (including out of state clearances and requests if necessary) signed and dated disclosure statement, health assessment and TB screening, two nonfamily references, proof of education and experience (officially translated if needed). The Northeast Regional Office will review the newly hired and completed staff files prior to hire within one week of receipt. The correction date for this portion of the plan must be three months from the acceptance of the plan by the Northeast Regional Office.

Regulation: 3270.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: Evacuation routes were missing from the second floor of the facility.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1 was observed being supervised by another staff and in direct care with children on 4/30/26. Staff #1 had a volunteer Pa State Police clearance on file since hire and not an employment clearance as is required (see LIS Code Sheet for DOH).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The CPSL was revised to include a requirement that all clearances be updated and on file at least every 60 months. As of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL. Staff #1may not work in a childcare position with direct contact and routine interaction with children. Tiered LIS: 1. The operator must comply with the CPLS and with Chapter 3490 (relating to protective services). The correction date for this portion of the plan must be immediate. 2. The director shall review all clearances at the time of hire to ensure that all clearances are for employment purposes and not volunteer purposes. The director will ensure that all clearances are appropriately maintained.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: While at the facility for the unannounced renewal inspection the inspector observed staff files and found that staff #2 had a initial Pa Mandated Reporter training dated 5/19/20 and not updated until 6/2/25.

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: While at the facility for the unannounced renewal inspection the inspector observed staff files and found that staff #1 had a previous Pa State Police clearance on file dated for 1/26/20 and did not update the clearance until 1/27/25. Staff #2 had a previous Pa State Police clearance on file dated for 3/27/20 and did not update the clearance until 5/23/25, a Pa Child Abuse Clearance dated initially for 4/01/20 and then not again 6/11/25 and had an FBI clearance on file that expired on 5/21/25. Staff #3 was hired with an outdated disclosure statement on file. As of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL.

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 childcare position at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: While at the facility for the unannounced renewal inspection the inspector observed the ceiling in the vestibule area to have water marks and mold forming on it.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: While at the facility unannounced for the renewal inspection on 6/28/24 the inspector observed a ripped changing mat, exposing the foam below and rendering it unable to clean after each use.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: While at the facility unannounced for the renewal inspection on 6/28/24 the inspector reviewed the files for staff #1, #2, #3, #4, #5, #6 and #7 and found that all staff did not complete fire safety annual fire safety training timely. Staff #1, #2, #4, #5 and #6 had previous fire safety training on 10/5/22 and did not obtain renewal training until 12/14/23, Staff #3 and #7 had previous fire safety training on 10/5/22 and did not obtain renewal training until 6/11/24.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: While at the facility unannounced for the renewal inspection on 6/28/24 the inspector observed peeling paint in the older toddler room (near the doorway to exit the room) that was accessible to children.

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

Regulation: 3270.134(a)/3270.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: A complaint inspection was conducted at the facility on 1/29/24. A physical site review was conducted. Staff #1 was observed diaper changing. Staff #1 did not wash their hands or the child's hands after diaper changing.

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. The legal entity/director will arrange for Staff #1 to participate in training regarding handwashing. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: A complaint inspection was conducted at the facility on 1/29/24. A physical site review was conducted. Staff #1 was observed diaper changing. Staff #1 did not clean the diaper changing area after each diaper change.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Facility Person file # 4 was missing 1-letter of written 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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff person # 5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person # 5 will have until 12/12/23 to complete the required training. Until such time as the required training has been completed, staff person # 5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person # 5, staff person # 5 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff # 2 was hired incorrectly as a provisional hire per the CPSL. Staff # 2 was hired using a Department of Education (DOE) FBI clearance dated 8/3/23. The CPSL states a Department of Education FBI clearance cannot be used for employment for a staff person in a Department of Human Service (DHS). Staff # 2 did not receive the DHS FBI clearance until 11/10/23 and the NSOR until 11/6/23. Staff # 2 also did not obtain an NSOR clearance. The CPSL states a staff can only be hired provisionally for 45-days. Staff # 2 has worked without the appropriate clearances on file past the 45-day provisional hire period. Facility person # 4 has volunteered at the facility over 45-days and the file did not contain an NSOR clearance. Facility person # 4 was at the facility at the time of this inspection. Staff # 5 was hired incorrectly as a provisional hire. Staff # 5 did not apply for the state police clearance and the DHS FBI clearance at the time of hire. The FBI clearance was not received until 8/29/23 and at the time of this inspection, a state police clearance was not on file. To be hired correctly as a provisional hire, this staff needed either the state police clearance back or the FBI clearance and waiting on the other to be hired correctly as a provisional hire. Staff # 5 was also working at the facility at the time of this inspection, past their 45-day provisional hire window.

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, # 4, and # 5 may not work in a child care position at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: An unannounced inspection occurred at the facility. A review of the facility's fire safety system testing log was conducted. Regulation requires the fire safety system to be tested at least every 30 days. The following drills lapsed occurring at least every 30 days: 7/1/23 - 8/1/23 8/1/23 - 9/1/23 10/1/23 - 11/1/12

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person # 1, # 2, # 5, # 6, # 7 and # 10 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. The following staff completed this training on: Staff # 1 - 3/11/23 Staff # 2 - 5/14/23 Staff # 5 - 3/13/23 Staff # 6 - 3/13/23 Staff # 7 - 3/16/23 Staff # 10 - not completed as of the date of this inspection.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person # 10 shall complete the required one-hour 2022 update to the health and safety training by 7/6/23.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducetd. Staff person # # 3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and CPR. Staff # 3 completed this training on 5/10/23. Staff person # 3, # 4, # 8 and # 9 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics. Staff # 3 completed this training on 5/22/23. Staff # 4 completed this training on 3/9/23. Staff # 8 completed this training on 3/14/23. Staff # 9 completed this training on 3/16/23.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person # 3 and # 4 have not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff # 3 completed this training on 3/11/23. Staff # 4 completed this training on 2/13/23.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire on the following staff. Staff # 4 did not receive an FBI clearance until 3/15/23. Staff # 4 was hired incorrectly as a provisional hire and worked past their 45 provisional hire period without having an FBI clearance on file. Staff # 6 did not receive an NSOR clearance until 3/14/23. Staff # 6 was hired incorrectly as a provisional hire and worked past their 45 provisional hire period without having an NSOR clearance on file. Staff # 8 did not receive an FBI clearance until 3/21/23 or an NSOR clearance until 3/24/23. Staff # 8 was hired incorrectly as a provisional hire and worked past their 45 provisional hire period without having an FBI or NSOR clearance on file. Staff # 9 did not receive an NSOR clearance until 2/27/23. Staff # 9 was hired incorrectly as a provisional hire and worked past their 45 provisional hire period without having an NSOR clearance on file.

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.