Saint Catharine Of Siena School
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About the Provider
Hours of Operation
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Inspection/Report History
Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.
| Inspection Date | Reason | Description | Status |
|---|---|---|---|
| 2026-08-03 | Unannounced Monitoring | 3270.31(e) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e) Description: Age and Training Noncompliance Area: Repeated noncompliance; facility was cited on 5/11/26 as follows During renewal inspection on 5/11/26, Certification Representative reviewed staff files and all staff persons (1-9) did not have 12 clock hours of childcare training on file. An acceptable plan of correction was received on 6/5/26 with a correction date of 6/5/26. On 8/3/26, no proof of corrections was received. Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. |
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Provider Response: (Contact the State Licensing Office for more information.) Due to the fact that our prior supervisor was told that our summer orientation satisfied this training and then we were notified that was not the case, we looked into completing it over the summer. Unfortunately, since our building is closed and school year ended 6/5/26, staff were no longer under contract, this was not able to be completed |
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| 2026-08-03 | Unannounced Monitoring | 3270.31(e)(4)(i) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(i) Description: Age and Training Noncompliance Area: Repeated noncompliance; during renewal inspection on 5/11/26, Certification Representative reviewed staff files and there was no Pediatric Frist aid/CPR training on file for staff persons #2 and #9. An acceptable plan of correction was received on 6/5/26 with a correction date of 8/1/26. On 8/3/26 there was no proof of Pediatric First aid/CPR training received for staff persons #2 and #9. Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, staff person #2 and #9 must be supervised, when interacting with children at a minimum by, an AGS, who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2 and staff person #9 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Since the school year ended 6/5/26 - staff were no longer under contract. CPR and First Aid training have been scheduled for the new school year on 8/11/26 and 8/18/26. Staff members #2 and #9 will attend one of these trainings. Students do not start school until August 31st, and Pre-K students start 9/8/26. |
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| 2026-08-03 | Unannounced Monitoring | 3270.31(e)(4)(ii) - Fire safety - 1 yr. | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii) Description: Fire safety - 1 yr. Noncompliance Area: Repeated noncompliance; During renewal inspection on 5/11/26, Certification Representative reviewed staff files and observed that all Staff (1-9) did not complete annual fire safety training. An acceptable plan of correction was received on 6/5/26 with a correction date of 7/31/26. On 8/3/26 there was no proof of fire safety training received for staff persons (1-9). 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Since the school year ended 6/5/26 - staff were no longer under contract so this be completed prior to our next school year during orientation week of August 24th. School start August 31st and 9/8 for Pre-k. Required staff will complete PA Keys DHS fire safety training. |
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| 2026-08-03 | Unannounced Monitoring | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Repeated noncompliance; During renewal inspection on 5/11/26, Certification Representative reviewed staff files and staff person #9 did not have health and safety training on file. An acceptable plan of correction was received on 6/5/26 with correction date 7/31/26. As of 8/3/26 there was no proof of health and safety training received for staff person #9. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #9 must be supervised, when interacting with children at a minimum by, an AGS, who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #9, may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #9 came in for a review of health and safety training with our principle. Staff #9 will also be at our orientation week that starts the week of August 24, 2026. |
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| 2026-08-03 | Unannounced Monitoring | 3270.34(a)(6) - Staff evaluations | Compliant - Finalized |
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Regulation: 3270.34(a)(6) Description: Staff evaluations Noncompliance Area: Repeated noncompliance; During renewal inspection on 5/11/26, Certification Representative reviewed staff files and all staff persons (1-9) did not have an evaluation on file. An acceptable plan of correction was received on 6/5/26 with a correction date of 6/30/26. As of 8/3/26, there was no proof of staff evaluations received for staff persons (1-9). Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. |
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Provider Response: (Contact the State Licensing Office for more information.) Since the school year ended on 6/5/26 staff were no longer under contract some reviews were completed via phone and are on file. Those who have not signed their review will during orientation 8/26/26. |
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| 2026-05-11 | Renewal | 3270.106(a) - Clean, age appropriate | Non Compliant - Finalized |
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Regulation: 3270.106(a) Description: Clean, age appropriate Noncompliance Area: During inspection renewal on 5/11/26, Certification Representative observed a child's mat ripped. Teacher corrected on site with tapping the mat. Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child. |
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Provider Response: (Contact the State Licensing Office for more information.) Teacher correct on site by tapping the mat and notified family. |
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| 2026-05-11 | Renewal | 3270.107 - Refrigerator | Non Compliant - Finalized |
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Regulation: 3270.107 Description: Refrigerator Noncompliance Area: During renewal inspection on 5/11/26, Certification Representative observed classroom refrigerator thermometer at 60 degrees. Thermometer was moved away from door of refrigerator and read later at 58 degrees. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Corred same day as inspection. |
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| 2026-05-11 | Renewal | 3270.123(a)(3)/3270.124(f) - Services proceeded/Updated every 6 months | Non Compliant - Finalized |
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Regulation: 3270.123(a)(3)/3270.124(f) Description: Services proceeded/Updated every 6 months Noncompliance Area: During the renewal inspection on 5/11/26, Certification Representative reviewed children's files and all children (1-5) did not have a child service report or an emergency contact update signed on file. 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). The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. |
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Provider Response: (Contact the State Licensing Office for more information.) All forms were reviewed, checked and updated if needed by families. The teacher added a line at the bottom of the form so parents/families could sign and date that the information was correct. |
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| 2026-05-11 | Renewal | 3270.124(a) - Each child emergency contact person | Non Compliant - Finalized |
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Regulation: 3270.124(a) Description: Each child emergency contact person Noncompliance Area: During renewal inspection on 5/11/26, Certification Representative reviewed children's files and child #4 did not have an emergency contact name listed on file. Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. |
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Provider Response: (Contact the State Licensing Office for more information.) The teacher reviewed the form and found all required information - including contact name. All boxes were filled in. Plus on 5/13/26 formed was reviewed by family and signed to confirm information correct. |
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| 2026-05-11 | Renewal | 3270.132(a) - Contact parent/keep record | Non Compliant - Finalized |
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Regulation: 3270.132(a) Description: Contact parent/keep record Noncompliance Area: During renewal inspection on 5/11/26, Certification Representative reviewed paperwork on file and there was no written emergency medical plan on file. Correction Required: If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent. |
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Provider Response: (Contact the State Licensing Office for more information.) St. Catharine's emergency medical plan is contained within the school's emergency plan, which is in the main DHS file - we added the Antietam School District Standing Orders for School Nurses. |
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| 2026-05-11 | Renewal | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Non Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: During renewal inspection on 5/11/26, Certification Representative reviewed paperwork on file and there was no written policy on shaken baby syndrome and abusive head trauma. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) A copy of Shaken Baby Syndrome and Abusive head trama was placed in the main binder/file on May 28th. Information was shared with staff. |
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| 2026-05-11 | Renewal | 3270.192(2)(iv) - Transcript, diploma and letters | Non Compliant - Finalized |
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Regulation: 3270.192(2)(iv) Description: Transcript, diploma and letters Noncompliance Area: During renewal inspection on 5/11/26, Certification Representative reviewed staff files and staff person #9 did not have verification of education and childcare experience on file. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Spoke will staff #9 on 6/4/26. On 6/5/26 staff member #9 file was updated with High school and college diplomas/certification. |
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| 2026-05-11 | Renewal | 3270.27(c) - Training regarding plan | Non Compliant - Finalized |
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Regulation: 3270.27(c) Description: Training regarding plan Noncompliance Area: During renewal inspection on 5/11/26, Certification Representative reviewed staff files and staff person #8 did not have annual emergency plan training on file. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Employee #8 was shown our emergency plan. The principle/Director reviewed plan with employee #8 and it was signed off and dated. |
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| 2026-05-11 | Renewal | 3270.31(e) - Age and Training | Non Compliant - Finalized |
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Regulation: 3270.31(e) Description: Age and Training Noncompliance Area: During renewal inspection on 5/11/26, Certification Representative reviewed staff files and all staff persons (1-9) did not have 12 clock hours of childcare training on file. Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. |
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Provider Response: (Contact the State Licensing Office for more information.) Per initial site visit we were instructed our annual weeklong orientation covered the 12 clock hours of childcare training. Please see attached document |
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| 2026-05-11 | Renewal | 3270.31(e)(4)(i) - Age and Training | Non Compliant - Finalized |
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Regulation: 3270.31(e)(4)(i) Description: Age and Training Noncompliance Area: During renewal inspection on 5/11/26, Certification Representative reviewed staff files and there was no Pediatric Frist aid/CPR training on file for staff persons #2 and #9. Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, staff person #2 and #9 must be supervised, when interacting with children at a minimum by, an AGS, who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2 and staff person #9 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #2 and #9 have been told they need to complete pediatric first aid/cpr that meets the PQAS qualifications. |
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| 2026-05-11 | Renewal | 3270.31(e)(4)(ii) - Fire safety - 1 yr. | Non Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii) Description: Fire safety - 1 yr. Noncompliance Area: During renewal inspection on 5/11/26, Certification Representative reviewed staff files and observed that all Staff (1-9) did not complete annual fire safety training. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1-9 will complete additional fire safety training via pakeys.org. This will be in additional to our annual orientation training staff had. |
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| 2026-05-11 | Renewal | 3270.31(f) - Health and Safety Training | Non Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: During renewal inspection on 5/11/26, Certification Representative reviewed staff files and staff person #9 did not have health and safety training on file. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #9 must be supervised, when interacting with children at a minimum by, an AGS, who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #9, may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) At our annual school year orientation this was discussed, reviewed, and practiced. Staff #9 will sit with director to review training, and it will be documented for staff file. |
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| 2026-05-11 | Renewal | 3270.34(a)(6) - Staff evaluations | Non Compliant - Finalized |
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Regulation: 3270.34(a)(6) Description: Staff evaluations Noncompliance Area: During renewal inspection on 5/11/26, Certification Representative reviewed staff files and all staff persons (1-9) did not have an evaluation on file. Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. |
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Provider Response: (Contact the State Licensing Office for more information.) Yearly evaluations are completed once the school year is finished. The Director will meet with staff (#1-9) for their annual review. |
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| 2025-09-02 | Renewal | 3270.111(b) - Posted in group space | Compliant - Finalized |
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Regulation: 3270.111(b) Description: Posted in group space Noncompliance Area: A renewal inspection was conducted on 9/2/2025-10/29/2025. At that time, a written plan of daily activities was not posted in the cafeteria where the facility does after-care. Correction Required: The written plan of daily activities shall be posted in the group space. |
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Provider Response: (Contact the State Licensing Office for more information.) A written plan of daily activities for the aftercare program has been created, printed, and posted in the group space as of November 5, 2025. The plane clearly outlines the daily schedule, including snack time, homework support, and free activities. The plan include scheduled time for snacks, homework, enrichment, and recreational activities. |
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| 2025-09-02 | Renewal | 3270.123(a)(1)/3270.123(a)(2) - Amount of fee/Date fee to be paid | Compliant - Finalized |
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Regulation: 3270.123(a)(1)/3270.123(a)(2) Description: Amount of fee/Date fee to be paid Noncompliance Area: A renewal inspection was conducted on 9/2/2025-10/29/2025. At that time, a sample of child files were reviewed. The following information was missing from children's fee agreements: Child #7: Fee amount and the date on which the fee is to be paid. Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid. |
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Provider Response: (Contact the State Licensing Office for more information.) The fee agreement for child #7 was immediately updated on November 5, 2025 to include the fee amount "per FACTS". The parent/guardian review and signed the revised agreement, which is now filed in the child's record. |
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| 2025-09-02 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: A renewal inspection was conducted on 9/2/2025-10/29/2025. At that time, a sample of child files were reviewed. The following information was missing from children's fee agreements: Child #1: The services to be provided to the family and the child. Child #2: The services to be provided to the family and the child. Child #4: The services to be provided to the family and the child. Child #5: The services to be provided to the family and the child. Child #6: The services to be provided to the family and the child. Child #7: The services to be provided to the family and the child. Child #8: The services to be provided to the family and the child. Child #9: The services to be provided to the family and the child. Child #10: The services to be provided to the family and the child. 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). |
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Provider Response: (Contact the State Licensing Office for more information.) The fee agreements for child #1, #2, #4, #5, #6, #7, #8, #9 and #10 were updated on November 6, 2025 to clearly specify the services to be provided to the family and the child. The parent/guardian reviewed and signed the revised agreement, which has been placed in the child's file. |
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| 2025-09-02 | Renewal | 3270.123(a)(4)/3270.123(a)(5) - Arrival/departure times/Designated release persons | Compliant - Finalized |
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Regulation: 3270.123(a)(4)/3270.123(a)(5) Description: Arrival/departure times/Designated release persons Noncompliance Area: A renewal inspection was conducted on 9/2/2025-10/29/2025. At that time, a sample of child files were reviewed. The following information was missing from children's fee agreements: Child #1: Arrival and departure times. Release person(s). Child #5: Arrival and departure times. Release person(s). Child #8: Release person(s). Child #9: Release person(s). Correction Required: An agreement shall specify the child's arrival and departure times. An agreement shall specify the persons designated by a parent to whom the child may be released. |
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Provider Response: (Contact the State Licensing Office for more information.) Agreements for children #1, #5, #8 and #9 were updated to include the required arrival and departure times and the designated release person(s). |
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| 2025-09-02 | Renewal | 3270.123(a)/3270.123(a)(6) - Signed /Admission date | Compliant - Finalized |
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Regulation: 3270.123(a)/3270.123(a)(6) Description: Signed /Admission date Noncompliance Area: A renewal inspection was conducted on 9/2/2025-10/29/2025. At that time, a sample of child files were reviewed. The following information was missing from children's fee agreements: Child #1: Date of admission. Signed by operator. Child #2: Date of admission. Signed by operator. Child #3: Date of admission. Signed by operator. Child #4: Date of admission. Signed by operator. Child #5: Date of admission. Signed by operator. Child #6: Date of admission. Signed by operator. Child #7: Signed by operator. Child #8: Date of admission. Signed by operator. Child #9: Date of admission. Signed by operator. Child #10: Date of admission. Signed by operator. Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission. |
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Provider Response: (Contact the State Licensing Office for more information.) Dates of admission and operator signatures were added to all fee agreements. |
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| 2025-09-02 | Renewal | 3270.124(b)(2)/3270.124(b)(6) - Physician name, address, phone/Insurance coverage information | Compliant - Finalized |
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Regulation: 3270.124(b)(2)/3270.124(b)(6) Description: Physician name, address, phone/Insurance coverage information Noncompliance Area: A renewal inspection was conducted on 9/2/2025-10/29/2025. At that time, a sample of child files were reviewed. The following information was missing from children's emergency contact forms: Child #2: Doctor's telephone number. Insurance policy number. Child #10: Insurance policy number. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Emergency contact forms for children #2 and #10 for updated on September 10, 2025 to include the missing doctors' telephone number and insurance policy information. The updated forms were reviewed and signed by the parent/guardian and placed in each child's file. |
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| 2025-09-02 | Renewal | 3270.124(b)(3)/3270.124(b)(7) - Parent home/work address, phone/Name/address/phone release person | Compliant - Finalized |
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Regulation: 3270.124(b)(3)/3270.124(b)(7) Description: Parent home/work address, phone/Name/address/phone release person Noncompliance Area: A renewal inspection was conducted on 9/2/2025-10/29/2025. At that time, a sample of child files were reviewed. The following information was missing from children's emergency contact forms: Child #1: Both parents' work addresses and work telephone numbers. Child #2: Father's work address and work telephone number. Child #3: Both parents' work addresses and work telephone numbers. Child #4: Both parents' work addresses and work telephone numbers. Child #5: Both parents' work addresses and work telephone numbers. Child #6: Father's work address and work telephone number. Child #7: Release person's address. Child #8: Both parents' work addresses and work telephone numbers. Release person's address. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. |
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Provider Response: (Contact the State Licensing Office for more information.) Emergency contact forms for children #1-#8 we're updated on November 6, 2025 to include the missing home and work addresses and telephone numbers of the enrolling parents and the addresses of design designated release persons, where applicable. Updated forms were reviewed and signed by the parent/guardian and placed in each child's file. |
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| 2025-09-02 | Renewal | 3270.161(d) - Potentially hazardous food refrigerated | Compliant - Finalized |
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Regulation: 3270.161(d) Description: Potentially hazardous food refrigerated Noncompliance Area: A renewal inspection was conducted 9/2/2025-10/29/2025. At that time, several lunches brought to school by children containing items such as sandwiches made with deli meat and cheese and yogurt were observed in lunchboxes in the cubby area. Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated. |
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Provider Response: (Contact the State Licensing Office for more information.) All lunches containing potentially hazardous food are now stored in the designated refrigeration unit immediately upon arrival at school as of October 5, 2025. Staff have been trained to remind parents and children that perishable items must be kept cold until lunchtime and to place them in the refrigerator upon arrival. |
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| 2025-09-02 | Renewal | 3270.171(c) - Safe routes posted | Compliant - Finalized |
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Regulation: 3270.171(c) Description: Safe routes posted Noncompliance Area: A renewal inspection was conducted on 9/2/2025-10/29/2025. At that time, pick-up and drop-off procedures were not posted in a conspicuous location used by parents. Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Written pick up and drop off procedures were developed in posted in a conspicuous location within the pre-K room for parents as of November 6, 2025. They are also posted in the school's handbook and on our digital newsletter at the beginning of the school year. Staff have been informed to ensure that the posting remains visible and up-to-date. |
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| 2025-09-02 | Renewal | 3270.182(3)/3270.182(5) - Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission | Compliant - Finalized |
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Regulation: 3270.182(3)/3270.182(5) Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission Noncompliance Area: A renewal inspection was conducted on 9/2/2025-10/29/2025. At that time, a sample of child files were reviewed. The following information was missing from children's emergency contact forms: Child #1: Signed parental consent for emergency medical care and minor first-aid. Child #2: Signed parental consent for minor first-aid. Child #9: Signed parental consent for emergency medical care and minor first-aid. Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. |
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Provider Response: (Contact the State Licensing Office for more information.) Parental consent forms for all children were obtained and signed by the parent/guardian on November 7, 2025 and placed in each child's child. Staff were instructed to verify that all new enrollments include signed consent for both emergency medical care in minor first aid prior to admission. Additionally, staff will make sure all medical information is updated on FACTS SIS. |
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| 2025-09-02 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: A renewal inspection was conducted on 9/2/2025-10/29/2025. At that time, facility persons files were reviewed. Facility person #1 is listed as a volunteer in the Pre-K room. File for facility person #1 does not include two written, nonfamily references. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Three written, non-family references for facility person #1 were obtained on November 8, 2025 and placed in the individual's file. Staff a reminder that all volunteers and facility persons must have two non-family references prior to working in the facility. |
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| 2025-09-02 | Renewal | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Regulation: 3270.27(c) Description: Training regarding plan Noncompliance Area: A renewal inspection was conducted on 9/2/2025-10/29/2025. At that time, facility persons files were reviewed. There is no proof of training on the facility's emergency plan on file for facility persons #1, #2, #3, #4, #5, #6, #7, #8, or #9. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Some facility persons completed emergency plan training on 8.21.25. Documentation of the training, including the date and names of all participants, has been placed in each facility person's file. Those facility persons who were not present, were provided with the safety information and documented date completed. Staff were reminded that emergency plan training must be completed at initial employment, annually, and whenever the plan is updated. |
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| 2025-09-02 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: A renewal inspection was conducted on 9/2/2025-10/29/2025. At that time, facility persons files were reviewed. Facility person #1 is listed as a volunteer in the Pre-K room. File for facility person #1 does not include a signed/dated disclosure statement. Certification representative did not observe a DHS-approved mandated reporter training certificate in facility person #1's file. Facility person #2 has worked in the after-care program since facility obtained license in May 2025. File for facility person #2 has PSP clearance dated 8/22/2025, child abuse clearance dated 8/3/2025, and DHS FBI clearance dated 10/26/2025, which is after their start date in their DHS role. Certification representative did not observe a DHS-approved mandated reporter training certificate in facility person #2's file. Facility person #3 has worked in the after-care program since facility obtained license in May 2025. File for facility person #3 has PSP clearance dated 7/10/2025, which is after their start date in their DHS role. Facility person #3 does not have a DHS FBI clearance on file. Certification representative did not observe a DHS-approved mandated reporter training certificate in facility person #3's file. Facility person #4 has worked in the after-care program since facility obtained license in May 2025. File for facility person #4 has PSP clearance dated 8/1/2025 and a DHS FBI clearance dated 8/20/2025, which were both obtained after their start date in their DHS role. Certification representative did not observe a DHS-approved mandated reporter training certificate in facility person #4's file. Facility person #5 has worked in the after-care program since facility obtained license in May 2025. File for facility person #5 has PSP clearance dated 7/10/2025 and child abuse clearance dated 8/27/2025, which were both obtained after their start date in their DHS role. Certification representative did not observe a DHS-approved mandated reporter training certificate in facility person #1's 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. Facility Person #1 may not work in a child care position at the facility until signed/dated disclosure statement is on file. |
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Provider Response: (Contact the State Licensing Office for more information.) Facility Person #1 (Volunteer, Pre-K Room): A signed and dated Disclosure Statement was obtained and placed in the personnel file. A DHS-approved Mandated Reporter Training was completed on 2.7.23 and the certificate has been filed in the DHS file from the Safe Environment File. This individual will not volunteer in the Pre-K classroom until all documentation is complete. Facility Person #2--#5 (After-Care Program Staff): Each file has been reviewed, and updated DHS clearance documentation (Previous clearances were PDE) has been requested and verified to ensure compliance with CPSL and Chapter 3490 requirements. FBI Clearances and Mandated Reporter Training Certificates have been obtained for all staff and added to each file. All staff have been reminded that no individual may begin work or volunteer in any DHS-regulated role until all clearances and disclosure statements are completed, verified, and filed. |
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| 2025-09-02 | Renewal | 3270.75(a)/3270.75(c) - In child care spaces/Has all items | Compliant - Finalized |
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Regulation: 3270.75(a)/3270.75(c) Description: In child care spaces/Has all items Noncompliance Area: A renewal inspection was conducted on 9/2/2025-10/29/2025. At that time, the first-aid kit in the Pre-K room did not contain tweezers, scissors, or tape. Certification representative did not observe a first-aid kit in the cafeteria, which is measured space where after-care is provided. Correction Required: A first-aid kit shall be in a child care space. A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. |
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Provider Response: (Contact the State Licensing Office for more information.) The first aid kit in the pre-K room was restocked in September to include tweezers, scissors, and tape. A fully stocked first aid kit was placed in the cafeteria closet; last spring; however, it has been moved to a visible location to ensure coverage for aftercare activities. There is also a fully stacked first aid kit available schoolwide for when classes go outside to the play yard. |
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| 2025-09-02 | Renewal | 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(a)/3270.95(b) Description: Devices must be compliant/Director or designated staff person ensure compliance Noncompliance Area: A renewal inspection was conducted on 9/2/2025-10/29/2025. At that time, the facility's fire detection system testing log was reviewed. Facility's smoke alarms were last tested on 9/17/2025 which was over 30 days ago. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) All smoke alarms were tested on 10/30/2025 to ensure proper functioning, and the results were documented in the fire detection system. Staff are reminded and a Google alert system was put in place to ensure that smoke alarms will be tested at least every 30 days and testing must be documented. |
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| 2025-03-12 | Unannounced Monitoring | 3270.151(a)/3270.151(c)(2) - 12 months prior to service and every 24 months thereafter/Mantoux TB | Compliant - Finalized |
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Regulation: 3270.151(a)/3270.151(c)(2) Description: 12 months prior to service and every 24 months thereafter/Mantoux TB Noncompliance Area: Continued non-compliance. On 11/27/24 an initial inspection was conducted at the facility. Initial health assessments nor TB tests were in DHS file for staff person #1, staff person #2, staff person #3, staff person #4, or staff person #5. The facility's acceptable plan of correction indicated the correction would be implemented by 2/5/25. On 3/12/25, an inspection was conducted. Staff person #4 still does not have a health assessment on file. Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. |
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Provider Response: (Contact the State Licensing Office for more information.) We received the health assessment for staff person #4 and was sent for review. |
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| 2025-03-12 | Unannounced Monitoring | 3270.192(2)(ii)/3270.192(2)(iv) - Exp, educ., training prior to facility/Transcript, diploma and letters | Compliant - Finalized |
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Regulation: 3270.192(2)(ii)/3270.192(2)(iv) Description: Exp, educ., training prior to facility/Transcript, diploma and letters Noncompliance Area: Continued non-compliance: On 11/27/24 an initial inspection was conducted at the facility. DHS files for staff person #1, staff person #2, staff person #3, staff person #4, and staff person #5 did not include verification of education or child care experience. The facility's acceptable plan of correction indicated the correction would be implemented by 1/10/25. On 3/12/25, an inspection was conducted. Staff person #2 had a PA Teaching certificate on file which is not accepted as education documentation for DHS. Staff person #4 did not have prior child care experience on file. Staff person #5 had a foreign degree from Nova Scotia that was not translated and evaluated. 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 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. |
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Provider Response: (Contact the State Licensing Office for more information.) To ensure compliance with regulatory standards, employees requested official transcripts from their institutions for staff person #2. Staff person #4 received documented experience. Staff person #5 is requesting a translated and evaluated education document. We will send transcripts as we receive them. Staff person #5 will be an aide and will not be left alone. |
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| 2024-11-27 | Initial review | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Non Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: During initial inspection conducted on 11/27/2024, there was no continuity of operations plan as required by 45 CFR 98.41(a)(1)(vii). 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. |
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Provider Response: (Contact the State Licensing Office for more information.) A continuity of operations plan as required by 45 CFR 98.41 (a)(1)(vii) has been created and added to our Health and Safety Protocols and Procedures Document to be in conformity with applicable Federal and State laws and regulations. |
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| 2024-11-27 | Initial review | 3270.151(a)/3270.151(c)(2) - 12 months prior to service and every 24 months thereafter/Mantoux TB | Non Compliant - Finalized |
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Regulation: 3270.151(a)/3270.151(c)(2) Description: 12 months prior to service and every 24 months thereafter/Mantoux TB Noncompliance Area: During initial inspection conducted on 11/27/2024, initial health assessment nor TB test were in DHS file for staff person #1, staff person #2, staff person #3, staff person #4, or staff person #5, Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. |
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Provider Response: (Contact the State Licensing Office for more information.) The administrator connected with St. Luke's Hospital for an on-site TB testing and reading clinic for the entire staff. St. Luke's returned 12.1824 to complete the TB reads and will return after 1.6.25 to complete staff physicals and complete the few staffers unable to be present for TB tastings. |
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| 2024-11-27 | Initial review | 3270.192(2)(ii)/3270.192(2)(iv) - Exp, educ., training prior to facility/Transcript, diploma and letters | Non Compliant - Finalized |
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Regulation: 3270.192(2)(ii)/3270.192(2)(iv) Description: Exp, educ., training prior to facility/Transcript, diploma and letters Noncompliance Area: During initial inspection conducted on 11/27/2024, DHS files for staff person #1, staff person #2, staff person #3, staff person #4, and staff person #5 did not include verification of education or child care experience. 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 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Our Staff person's record file shall include copies of verification of child care experience, education and training before service at the facility. 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. |
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| 2024-11-27 | Initial review | 3270.192(5) - Two written references | Non Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: During initial inspection, DHS file for staff person #1, staff person #2, staff person #3, and staff person #5 did not include 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 two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff members are procuring two proper written, non-family references from individuals attesting to the person's suitability to serve as a facility person. |
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| 2024-11-27 | Initial review | 3270.27(a)(3)/3270.27(a)(4) - Contact when arises/Contact when ended | Non Compliant - Finalized |
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Regulation: 3270.27(a)(3)/3270.27(a)(4) Description: Contact when arises/Contact when ended Noncompliance Area: During initial inspection conducted on 11/27/2024, facility's emergency plan did not provide for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises or a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. |
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Provider Response: (Contact the State Licensing Office for more information.) St. Catharine of Siena created a structured emergency plan that incorporates the FACTS All Call system for notifying parents during. The emergency will be posted, visible to staff members, and will be added to our safety procedures and protocol document. It in our school handbook. |
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| 2024-11-27 | Initial review | 3270.27(a)(5) - Emergency plan | Non Compliant - Finalized |
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Regulation: 3270.27(a)(5) Description: Emergency plan Noncompliance Area: During initial inspection conducted on 11/27/2024, facility's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) St. Catharine of Siena created a structured emergency plan that incorporates the FACTS All Call system for notifying parents during. The emergency will be posted, visible to staff members, and will be added to our safety procedures and protocol document. It in our school handbook. |
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| 2024-11-27 | Initial review | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Non Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: During initial inspection conducted on 11/27/2024, there was no signed/dated disclosure statement on file for staff person #3. 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. Staff Person #3 may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff members received a copy of the new disclosure form, and we requested that they sign it and return it to the administration ASAP. |
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| 2024-11-27 | Initial review | 3270.75(c) - Has all items | Non Compliant - Finalized |
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Regulation: 3270.75(c) Description: Has all items Noncompliance Area: During initial inspection conducted 11/27/2024, first-aid kit in the Pre-K room did not contain soap. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff members received soap bars and water bottles to place in their first aid kits and go bags. |
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Providers in ZIP Code 19606
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