St Mary Child Development Center

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: At the time of the investigation, it was confirmed that Staff Person #1 physically restrained Child #1 by placing both hands on the child to keep him on the sleeping mat during nap time.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.135(e)

Description: 2 hour diaper check

Noncompliance Area: At the time of inspection on 12/19/25, written diaper changing record was reviewed. According to the written record, child #1 diaper was not checked for more than 3.5 hours. Child #1 diaper was checked at 7:01 AM and then at 10:47 AM.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection conducted on 10/03/2025, it was noted that the emergency contact forms for children #1, #2, and #3 had not been updated within the required six-month period. The updated forms were missing from both the master file and the childcare space.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.31(f)/3270.31(f)(10)

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

Noncompliance Area: During the renewal inspection conducted on 10/03/2025, it was noted that staff person #1 has completed Pediatric first aid and CPR training, however, the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: At the time of renewal inspection observed that rest mats were ripped on the edges exposing foam in Butterflies 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of renewal inspection, file of staff person #1 did not include current DHS approved FBI clearance. Staff #1 had FBI PDE clearance on file that cannot be accepted.

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

Regulation: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: At the time of renewal inspection observed that fire drills document did not include hypothetical locations of the fire for each drill.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: At the time of renewal inspection observed that a temperature in the refrigerator that was shown on the thermometer in Caterpillars room was 70°F, a temperature in the refrigerator that was shown on the thermometer in Butterflies room was 52°F .

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

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

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: At the time of renewal inspection, immunization record of child #1 did not include influenza immunization recommended by ACIP, file of child #2 did not include DTAP, IPV, Pneumococcal, Rotavirus and Hepatitis B immunization recommended by ACIP. Last influenza immunization on file of child #1 was from 2020. A letter of exemption was not observed in the files of child #1 and #2.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of renewal inspection, emergency plan did not contain a statement regarding volunteers , continuity of operations in the event of an emergency that includes backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

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: 3270.151(c)(1)

Description: Physical examination

Noncompliance Area: At the time of renewal inspection, a health assessment on file for Staff person #1 did not include a physical examination.

Correction Required: An adult health assessment must include a physical examination.

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

Description: Exam communicable disease/Physician/CRNP assessment

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

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: At the time of renewal inspection, emergency plan did not include information about accommodations for infants, toddlers and children with chronic medical condition.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of renewal inspection, file of staff person #2 included PA state police clearance for volunteer purpose.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #2 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person # 2 must be removed from child care position by close of business. PA state police clearance for employment must be obtained before staff person #2 may resume a child care position.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: At the time of renewal inspection, a sign on which requirements to wash hands after toileting, diapering and before eating is written was not posted at each sink Caterpillars, Grasshoppers, and Leapfrogs rooms.

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: 3270.76

Description: Building Surfaces

Noncompliance Area: A CEILING TILE IN THE GRASSHOPPER'S BATHROOM, CLOSEST TO THE OUTSIDE, WAS DAMAGED - LOOKED LIKE IT HAD A BLACK MOLD LIKE SUBSTANCE 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: 3270.113(b)

Description: No physical punishment

Noncompliance Area: STAFF 1 GRABBED CHILD 1 BY THE ARM AND PULLED THEM DOWN CAUSING THE CHILD TO HIT THEIR HEAD.

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

Regulation: 3270.113(d)

Description: No harsh language

Noncompliance Area: STAFF 1 YELLED AT CHILD AND SPOKE HARSHLY TO CHILD 1.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: STAFF 1 (HIRED 5/10/21) DID NOT HAVE A TB RESULTS WITH IN A YEAR OF THE HIRE DATE.

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.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: PROVIDER DID NOT HAVE PROOF OF PURCHASE FOR THE FIRE ALARM SYSTEM.

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