St Peters Lutheran Church Day Latchkey

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: At the time of the inspection, the mulch on the embedded equipment in the outdoor gross motor areas was not measured at 9 inches of loose-fill surfacing, as required. This is evidenced by the following: 1.) The metal slide with a fall height of 52" having only 8 1/2 inches of mulch; 2.) The swing with a fall height of 80" and 86" having 1 1/2 inches and 3 inches of mulch, respectively; 3.) The seesaw with 36" fall height had only 3 inches of mulch; 4.) The hanging metal bar had a fall height of 70" had only had 4" of mulch; 5.) The double metal bar with a fall height of 44" had only 4" of mulch; and 6.) The metal dome had a fall height of 57" with only 4 inches of loose fill mulch.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair. Tiered LIS: 1.) Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair. The embedded equipment in the play yard shall be made inaccessible and will not be used by the children until such time as the loose-fill impact-absorbing material meets the recommendations of the United States Consumer Product Safety Commission. For this piece of equipment, there needs to be at least 9 inches of loose-fill impact-absorbing material under the equipment. This date of correction requires an immediate correction date. 2.) Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair. The operator shall obtain more loose-fill impact absorbing material to bring the depth into compliance with the recommendations of the United States Consumer Product Safety Commission. This date of correction will be when more mulch is added to the embedded equipment to ensure there is 9 inches of loose-fill mulch surfacing.

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

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: At the time of the inspection, the health assessments on file for staff person #3 and staff person #4 did not include an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide childcare.

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(e)

Description: Letter to parents

Noncompliance Area: At the time of the inspection, the operator acknowledged that they did not provide a letter to the parents explaining the emergency procedures at enrollment.

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: 3270.31(e)

Description: Age and Training

Noncompliance Area: At the time of the inspection, there were no hours of training on file during the 8/2024-8/2025 training period for staff person #1.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person #1 must take 12 hours of professional development to fulfill requirement for training year 8/2024-8/2025. Hours used to fulfill training year 8/2024-8/2025 may not be used to fulfill current training year.

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

Description: Fire safety - 1 yr.

Noncompliance Area: At the time of the inspection, the fire safety training on file for staff person #1 was not completed within 12 months from date of hire. This is evidenced by the fire safety training on file dated 10/7/25 (see LIS code sheet for date of hire).

Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, staff person #2 had a receipt for the PA State Police clearance dated 6/22/25 on file and not the completed clearance showing a dissemination date. Staff person #3 did not receive the child abuse clearance prior to working with children. It was not received until 1/6/26. There was no NSOR certificate on file for staff person #3 and this person was observed having direct contact and routine interaction with children (see LIS code sheet for date of hire). Staff person #4 did not receive the NSOR certificate prior to working with children. It was not received until 3/19/26. Staff person #4 had routine interaction and direct contact with children without having an NSOR on file (see LIS code sheet for date of hire).

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 #2 and staff person #3 may not work in a childcare position with direct contact and routine interaction with children until all completed clearances are 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: During the inspection on 5/5/25, Child #6 asked to use the restroom, which was located outside of the classroom in the hallway of the church. Neither staff #1 or staff #2 accompanied the child when he left the classroom, leaving the child unsupervised.

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. 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. TIERED LIS: 1.) Children must be supervised at all times. This plan of correction requires an immediate correction date. 2.) The Legal Entity/Director must update existing supervision policies/procedures. The policies and procedures must include the requirement for staff to be able to see, hear, direct and assess children at all times. The procedures and policies must include requirement that staff know the names and whereabouts of children in their assigned group and be physically present with the children in the assigned group at all times. The updates must also include supervision procedures for children needing to use the restroom. The Legal Entity/Director will submit the updated policies to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policies and procedures, and it must be documented in their files. The operator shall provide a date for when the policies and procedures will be submitted for review.

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: At the time of the inspection, written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: At the time of the inspection, the current annual fire inspection report was conducted on 4/3/25. The previous fire inspection report was dated 2/7/24. This reflects a time frame of longer than the 12-month requirement for receiving an annual fire inspection report.

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)(5)

Description: Designated release persons

Noncompliance Area: The agreement on file for child #3 did not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.124(b)(3)/3270.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: The emergency contact form for child #1 did not include the work addresses and telephone numbers of the enrolling parent. The emergency contact form for child #1 and child #2 did not include the address of the individual designated by the parent to whom the child may be released.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the inspection, the facility did not have a policy which addresses the prevention and identification of child maltreatment.

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. The facility shall have a policy that addresses the prevention and identification of child maltreatment.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: Staff person #1's health assessment stated "yes" to communicable diseases but there was no additional information as to the conditions and the risk it might pose to others exposed to this individual as required on the health assessment.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.181(e)

Description: Emergency master file updated

Noncompliance Area: During the inspection, the emergency contact forms in the backpack used to accompany children on the playground were not updated within the previous 6 months.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.66(a)/3270.66(d)

Description: Locked or inaccessible/Toxic plants not permitted

Noncompliance Area: During the inspection, 4 Azalea plants were observed accessible to children in the monument area located in the children's outdoor play space. Azaleas are deemed a toxic plant and cannot be 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. Toxic plants are not permitted in a child care space.

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: During renewal inspection on 5/5/22 cert rep reviewed several children's files. CHILD # 1 is 11yrs + 1 month of age and does not have documentation of influenza vaccine in immunization record. This is not in accordance with recommendations of ACIP for an 11 year old child. There is no exemption in file.

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

Regulation: 3270.133(1)/3270.133(3)

Description: Original container/Name on bottle

Noncompliance Area: During renewal inspection on 5/5/22 cert rep checked children's medications that are at the center. CHILD # 2 had an EpiPen that was not in the original container and therefore, had no label to identify the child or the medication.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.