Trinity Church Gulph Mills Nursery And Kindergarte

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the Renewal Inspection, conducted on 01/23/2026, the most recent National Sex Offender Registry Clearance on file for Staff Person #1 was dated 06/30/2020, and the most recent National Sex Offender Registry Clearance on file for Staff Person #2 was dated 07/01/2020.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 and Facility 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. Facility Person #1 and Facility Person #2 may not work in a child care position at the facility.

Regulation: 3270.61(f)

Description: No business simultaneous use

Noncompliance Area: At the time of the Renewal Inspection, conducted on 01/23/2026, Classroom #5, which was measured to be used as childcare space was currently being used for purposes unrelated to the child care being offered.

Correction Required: Indoor space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the child care being offered.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: At the time of the Renewal Inspection, conducted on 01/23/2026, the trashcans located in the bathrooms of the facility did not have lids.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: At the time of the Renewal Inspection, conducted on 01/23/2026, evacuation routes were not posted in a conspicuous location on each floor of the facility.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter ensure evacuation routes are posted in a conspicuous location on each floor of the 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 Renewal Inspection, conducted on 01/23/2026, the facility did not have a current Fire Inspection Report on file at the facility.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of the Renewal Inspection 01/09/2025, the Facility's Emergency Plan did not address the Facility's plan for Continuity of Operations.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: At the time of the Renewal Inspection 01/09/2025, the files for Child #1, Child #2, Child #3, Child #4 and Child #5 contained agreement forms that were not reviewed at least once within in a 6-month period.

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: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: At the time of the Renewal Inspection 01/09/2025, the Facility could not verify the completion of an Annual Emergency drill.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: At the time of the Renewal Inspection 01/09/2025, the Provider could not verify that the Emergency Plan was delivered to the Local Municipality and to the County Emergency Management Agency.

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(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: At the time of the Renewal Inspection 01/09/2025, the file for Staff Person #1 did not contain verification of the completion of annual Fire Safety Training.

Correction Required: Staff persons shall participate, at least annually, in firesafety 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: 3270.107

Description: Refrigerator

Noncompliance Area: During the renewal inspection on 02/16/24 the thermometer in the refrigerator located on the second floor was not operable.

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: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection on 02/16/24 the emergency contact form reviewed for child #1, child #2 and child #3 did not include health insurance policy number. Emergency contact form for child #2 did not include health insurance coverage information.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: On 2-9-22 during renewal inspection Certification Representative noticed that children 1,2,3,4 and 5 were missing updated 6th month parental signatures on their emergency contact forms.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 2-9-22 during Renewal Inspection Certification Representative noticed that staff #1 staff file did not contain an FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Noncompliance Area: On 1/9/20 at renewal inspection certification representative observed that the emergency contact forms for child # 1, # 2, # 3, # 4, and # 5 had not been updated in writing in the last 6 months. The agreement forms for child # 1, # 2, # 3, # 4, and # 5 did not contain the designated release persons.

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

Noncompliance Area: On 1/9/20 at renewal inspection certification representative observed that the emergency contact form for child # 6 did not contain the child's health insurance coverage or policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: On 1/9/20 at renewal inspection certification representative observed that the facility eating lunch in a room that did not contain the children's emergency contact forms.

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.

Noncompliance Area: On 1/9/20 at renewal inspection certification representative observed that the immunization record for child # 6 reflected that the child has not had any influenza vaccines. The immunization record for child # 4 reflected that the child is missing 2 hep A vaccines, 1 HIB, IPV, and Hep B vaccine, and the child has not had an influenza vaccine. No exemption letters are on file at the facility.

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.

Noncompliance Area: On 1/9/20 at renewal inspection certification representative observed an epi-pen in the honeybees classroom without a prescription label written instructions from the doctor.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Noncompliance Area: On 1/9/20 at renewal inspection certification representative observed that the file of staff person # 1, hire date 9/1/19, did not have a PA criminal background check on file at the facility as required by the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility.

Noncompliance Area: On 1/24/19 at renewal inspection certification representative observed that the file of child # 1 did not contain written consent for emergency medical care and administration of first aid.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. 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.

Noncompliance Area: On 1/24/19 at renewal inspection certification representative observed that the emergency contact form for child # 2 did not contain the name, address, and phone number of the individual designated by the parent to whom the child may be released.

Correction Required: 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.

Noncompliance Area: On 1/24/19 at renewal inspection certification representative observed that the file of staff person # 1 had a health assessment on file dated 12/6/16.

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.

Noncompliance Area: On 1/24/19 at renewal inspection certification representative observed verification that staff last completed fire safety training on 10/25/17.

Correction Required: Staff persons shall participate, at least annually, in firesafety 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.

Noncompliance Area: ON 1/24.19 at renewal inspection certification representative observed that there were no signs in the upstairs or downstairs bathrooms stating that children will wash hands before eating and after toileting.

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.

Noncompliance Area: During initial inspection on 9/5/17 certification representative asked to review the facility emergency plan. There was an old plan that the director plans to update.

Correction Required: The facility shall have an emergency plan

Noncompliance Area: During initial inspection on 9/5/17 certification representative reviewed 2 staff files. Staff # 1 and 2 did not have verification of training regarding the facility's emergency plan.

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.

Noncompliance Area: During initial inspection on 9/5/17 certification representative reviewed 2 staff files. Staff # 2, a group supervisor possessing a B.S., did not have verification of field of study.

Correction Required: A group supervisor shall have a bachelor`s degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

Noncompliance Area: During initial inspection on 9/5/17 certification representative observed that the windows in the second floor play area opened more than 6 inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.