St Albans Learning Center

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The health assessment on file for Child #1 was dated 3/11/26, which was more than 60 days following the 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.

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The most recent health assessment on file for child #2 was dated 2/19/25.

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.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Staff person #1 had 3 hours of training for the training year of 8/2024-8/2025. Staff #1 completed 12 hours beginning in September of 2025.

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

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent update to the emergency contact information for child #1 was 4/8/25.

Correction Required: 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. 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: 3270.192(5)

Description: Two written references

Noncompliance Area: There were no references on file for staff #8 and #9.

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(c)

Description: Training regarding plan

Noncompliance Area: As of the renewal inspection on 11/24/25, there was no documentation of emergency plan training for staff #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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #9 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training Part 1 and Part 2.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)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 or above 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, staff person #9 may not work in a child-care position at the facility.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff persons #1, #2, #3, #4, #5, #6, #7, and #8 have completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved trainer.

Correction Required: Staff persons shall complete Pediatric First Aid and CPR through a PQAS approved curriculum by a PQAS-certified trainer. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #1, #2, #3, #4, #5, #6, #7, and #8 must be supervised, when interacting with children at a minimum by, an AGS or above 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 #1, #2, #3, #4, #5, #6, #7, and #8 , staff person #1, #2, #3, #4, #5, #6, #7, and #8 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: Staff #8 does not have FBI clearance on file (see code sheet for hire date). Staff person #9 worked at the facility without NSOR clearance, which is required prior to caring for children. Staff #9 does not have FBI clearance (see code sheet for hire date).

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

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: Staff #7 did not have documentation of 2 years (2500 hours) of experience with children to qualify for the identified Assistant Group Supervisor position.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.37(b)(1)

Description: HS/GED

Noncompliance Area: There was no high school diploma on file for staff #8 or #9, both identified as Aides at the facility.

Correction Required: An aide shall have a high school diploma or a general educational development certificate.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire alarm test log had the following times recorded: 5/2/25 then 6/2/25; 7/2/25 then 8/29/25; 10/23/25 then 11/24/25. Each is a gap of greater than 30 days.

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: 3270.151(c)(2)(ii)

Description: Record include X-ray results and evaluation

Noncompliance Area: During the renewal inspection on 11/4/24, the health assessment of staff #1 indicated a positive TB screening. No chest xray documentation was on file.

Correction Required: A record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis.

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: As of the renewal inspection on 11/4/24, a copy of incident reports was not being filed in child's file.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: It was observed that the shaken baby, head trauma, maltreatment of children policy created by the facility was incomplete and did not contain all required components.

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: 3270.18(a)

Description: On file at facility

Noncompliance Area: It was observed that the facility did not have comprehensive general liability insurance to cover persons who are on the premises. A copy of the policy was not observed on file at the time of inspection.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: Files for staff person #1 and #4 did not contain documentation to verify applicable education levels. In addition, the file for staff person #4 also did not have adequate documentation verifying experience working with children.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: 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/CPR from a PQAS approved trainer and a PQAS approved curriculum.

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 #3 will have until 12/5/23 to complete the required training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by a GS or AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, then staff person #3 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: File for staff person #2, see code sheet for hire date, contained two state police clearances dated 8/13/17 and 9/22/22 and two FBI clearances dated 8/7/17 and 9/28/22. These dates show that the updated clearances were obtained more than 60 months from the previous clearances on file. Staff person #3 and #4, see code sheet for hire date, both contained a FBI clearance that is not suitable for the purposes of employment with a DHS licensed childcare facility.

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 #3 and #4 may not work in a child care position at the facility until all full and complete required clearances are on file.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: It was observed in the child care space that there was a small hole on the rear wall under the calendar.

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: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The facility's fire drill log showed that a fire drill was conducted on 6/29/23 but the next fire drill was not conducted until 9/5/23. These documented dates show that the facility did not conduct one fire drill at least every 60 days as required.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: It was observed that the facility had been logging 30 day tests of the facility's fire alarms, and then stopped. The last test date that was logged was dated 7/8/23. The facility then decided to have a functional fire alarm inspection completed on 11/3/23. At the time of inspection, the new director was unclear about whether the legal entity could continue to pull the alarms every 30 days or if the change to a functional fire alarm inspection report was needed due to the building being used for other business purposes. There was a gap in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)) during the time period of 7/8/23 - 11/3/23, as neither testing nor a functional inspection report was on file during that time period as required.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.124(b)(2)/3270.124(b)(3)

Description: Physician name, address, phone/Parent home/work address, phone

Noncompliance Area: Emergency contact form for child #1 did not contain the name of the child's physician and did not contain the enrolling parent's work address.

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 the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: File for child #1 did not contain written documentation of all the age appropriate vaccines recommended by the ACIP.

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

Regulation: 3270.27(d)

Description: Plan posted

Noncompliance Area: It was observed that the facility's emergency plan was not posted in a conspicuous location.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Regulation: 3270.123(a)(4)/3270.123(a)(5)

Description: Arrival/departure times/Designated release persons

Noncompliance Area: Agreement for child #1 did not specify the child's arrival and departure times and did not specify the persons designated by the parent to whom the child may be released.

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.

Regulation: 3270.124(b)(2)/3270.124(b)(7)

Description: Physician name, address, phone/Name/address/phone release person

Noncompliance Area: Emergency contact form for child #1 and #2 did not contain the address of the child's physician. The emergency contact form for child #1 also did not contain the telephone number of the child's physician or the designated release person's address.

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 the name, address and telephone number of the individual designated by the parent to whom the child may be released.

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

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

Noncompliance Area: The file for staff person #1, hired 8/16/21, contained a TB test result dated 8/24/18; therefore this test was completed more than 12 months prior to their start 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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: It was observed that bingo dabbers which stated, "keep out of reach of children" were accessible to the children in care.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.