St Gabriels Good Shepherd Learning Center

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: There was no written plan of daily activities posted in the multipurpose room where children were in care.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: At the time of enrollment, parents do not receive in writing information regarding program hours, fees, supervision policies, and dismissal policies.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Child #1 was being cared for in Room 1 and the emergency contact information was not present in the room.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the multipurpose room where children were in care.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The FBI clearance for staff #1 was dated 5/14/26 which was more than 45 days after the start date of staff #1 (see code sheet for start date). There was no FBI clearance on file for staff #3 who has been employed for more than 45 days (see code sheet for start date). The NSOR for staff #7 was dated 3/6/25, which is after the start date for staff #7 (see code sheet for start date). The incorrect form of the disclosure statement was used for staff #1, #3, #4, #5, #6, and #8.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The most recent written evaluation for staff #2 was dated 5/30/25, a period of greater than 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was peeling paint throughout the multipurpose room where children were in care.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During an unannounced inspection on 3/26/26, staff #1 was in the classroom alone with 13 preschool aged children.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. TIERED LIS: 1. The required staff:child ratios must be maintained at all times. This portion of the plan must have an immediate correction date. 2. The legal entity must submit the weekly schedule and actual staffing for each classroom for a period of three months. The weekly schedule must be submitted by close of business on the Friday before the week of the schedule. The actual staffing hours for the week must be submitted by close of business the Monday following the week. The correction date for this portion of the plan shall be at minimum 3 months from the date the plan of correction is accepted.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: There were gaps greater than 30 days between fire alarm tests. The alarm was tested 10/15/25 and next on 11/18/25; and 12/8/25 and next on 1/30/26.

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: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: A renewal inspection was conducted 8/4/2025-8/5/2025. During that time, date of admission was missing from the fee agreements of Child #1, Child #2, Child #3, and Child #4.

Correction Required: An agreement shall specify the date of the child's admission.

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 8/4/2025-8/5/2025. During that time, the following information was missing from children's emergency contact forms: Child #1: Both parents' work telephone numbers. Child #5: Both parents' work addresses and work telephone numbers. Release persons' full addresses.

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.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: A renewal inspection was conducted 8/4/2025-8/5/2025. During that time, emergency contact form for Child #1 was not present in the infant room.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection was conducted 8/4/2025-8/5/2025. During that time, staff files were reviewed. Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid/CPR from acceptable curriculum.

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. Until such time as the required pre-service trainings are completed, Staff Person #4 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 person(s) available to supervise Staff Person #4, Staff Person #4 may not work in a child-care position at the facility.

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

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

Noncompliance Area: A renewal inspection was conducted 8/4/2025-8/5/2025. During that time, staff files were reviewed. Initial health assessment/TB test on file for Staff Person #1 is dated 2/16/2025, which was after Staff Person #1's start date at the facility. Initial health assessment on file for Staff Person #4 is dated 5/21/2025, which was after Staff Person #4's start date at the facility (see LIS code sheet for staff persons' start dates).

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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: A renewal inspection was conducted 8/4/2025-8/5/2025. During that time, an unlabeled bottle was observed in the refrigerator in the infant room.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: A renewal inspection was conducted 8/4/2025-8/5/2025. During that time, signed parental consent was missing from the emergency contact form of Child #5.

Correction Required: 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.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: A renewal inspection was conducted 8/4/2025-8/5/2025. During that time, staff files were reviewed. Certificate for pediatric first-aid/CPR on file for Staff Person #3 is dated 7/31/2025, which was more than 90 days after hire date (see LIS code sheet).

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted 8/4/2025-8/5/2025. During that time, staff files were reviewed. Staff Person #3 had a PSP clearance dated 3/2/2025 and an NSOR clearance dated 3/6/2025. Both clearances were obtained after Staff Person #3's start date at the facility (see LIS code sheet for start 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.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: A renewal inspection was conducted 8/4/2025-8/5/2025. During that time, staff files were reviewed. Staff Person #2 is listed as an AGS; however, does not have acceptable high school diploma or equivalency on file.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: A renewal inspection was conducted 8/4/2025-8/5/2025. During that time, gloves were missing from the first-aid kit in the school-age room.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection was conducted 8/4/2025-8/5/2025. During that time, facility's fire detection testing log was reviewed. Fire detection testing log reflected that the smoke alarms were tested over 30-day requirement on the following occasions 11/14/2024-12/23/2024, 12/23/2024-1/30/2025, 3/6/2025-4/14/2025, 4/14/2025-5/27/2025, 6/6/2025-7/7/2025.

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: 3270.20(a)(1)/3270.20(b)

Description: Inpatient hospitalization or ER treatment of child/Mail or deliver written report to regional office within 72 hours

Noncompliance Area: Incident investigation conducted on 7/1/2025 verified that an incident that occurred on 6/17/2025 resulting in a child going to the emergency room was not reported to Northeast Regional OCDEL office until 6/21/2025, when it was electronically submitted.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During renewal inspection conducted 10/7/2024, thermometer in the refrigerator in the Pre-K room was broken and there was no thermometer in the refrigerator in the school-age room.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: During renewal inspection conducted 10/7/2024, file for staff person #1 did not contain two written, nonfamily references. File for staff person #2 contained one written, nonfamily 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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During renewal inspection conducted 10/7/2024, director reported that annual emergency drill was conducted in July 2024; however, there was no documentation of drill on file at the facility.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During renewal inspection conducted 10/7/2024, bingo dabbers labeled "keep out of reach of children" were in a cabinet in the Pre-K room that was accessible to children.

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

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: As of 10/2/23 during the renewal inspection, there was no documentation of influenza vaccine or an exemption letter on file for child #1 (see code sheet for hire date). Child #1 must be removed from care until documentation is on file.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: As of the renewal inspection on 10/2/23, 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.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: As of the renewal inspection on 10/2/23, the parent letter regarding the emergency plan did not include information about lockdown, or accommodations for infants, toddlers, children with special needs and children with chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: On 3/21/23, staff #1 and #2 left a child in the classroom unsupervised for approximately 2-3 minutes when they went outside to the playground.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The Legal Entity / Director will review and update supervision policies. The policy will include how the facility will adequately supervise children at all times. The policy must focus on ensuring that each child is seen, heard, assessed and able to be directed at all times. The policy must include how the facility will ensure appropriate supervision during transition times and while in the outdoor play area. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in his assigned group and be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The policy must also address how these groups will be transitioned from one staff person to another during staffing changes. This supervision policy must be submitted to the Department prior to implementation for approval. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on this policy. Documentation of the training on the policy will be kept on file at the facility.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: On 3/21/23, staff #1 and #2 left a child in the classroom unsupervised for approximately 2-3 minutes when they went outside to the playground.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: On 3/21/23, staff #1 and #2 left a child in the classroom unsupervised for approximately 2-3 minutes when they went outside to the playground.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must arrange for the facility staff involved in the incident to complete the training titled "Supervision: Moving Children" on Better Kid Care. Documentation will be maintained in the file, and the training will not count towards annual hours of training.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On 4/4/23 during an unannounced inspection, the fire alarm test log showed that an alarm test was done in November and again in January, a gap of more 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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: During the renewal inspection on 10/12/22, there was no written plan of daily activities posted in the School Age room.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection on 10/12/22, Staff #1 was observed to be caring for children unsupervised. Staff person #1 has not completed an approved version of the following pre-service training required prior to caring for children unsupervised: health and safety training.

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. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: As of the renewal inspection on 10/12/22, the operator had not notified the local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During the renewal inspection on 10/12/22, the emergency plan had not been sent to the county.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the renewal inspection on 10/12/22, Staff person #1 had not completed an approved version of the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training. The training was previously taken as a 6 hour training on 8/13/18.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: On 10/14/21 during the renewal inspection, the most recent influenza vaccine on file for child #1 was dated 10/31/19. There was no documentation of influenza vaccine for child #2.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: On 10/14/21 during the renewal inspection, the Zyrtec for child #3 expired on 9/21.

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

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: On 10/14/21 during the renewal inspection, the emergency plan did not include accommodations for infants and toddlers.

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: On 10/14/21 during the renewal inspection, staff #1 (start date 8/17/21) did not have documentation of clearances from states she has lived in the previous 5 years. Staff #2 (start date 5/15/18) did not have clearances from CT where she lived in the previous 5 years. Staff #1 and #2 must be removed from care.

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 and #2 may not work in a child care position at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 10/14/21 during the renewal inspection, there was a damaged/stained ceiling tile and a ceiling vent that was dirty in the Preschool room.

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.