Grace Ridge Preschool

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During a renewal inspection on 4/7/26, certification rep reviewed staff files. There was no documentation on file that staff # 3 participated in annual emergency plan training. The dates of documented emergency plan training are 10/20/24 then 2/2/26.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During a renewal inspection on 4/7/26, certification rep reviewed staff files. Staff # 1 (see code sheet for DOH) has a state police and child abuse clearance designated for a volunteer, therefore they are invalid. More than 60 months passed between NSOR certifications on file for staff # 2. NSOR certifications are dated 8/13/20 and 6/10/25.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff Person # 1 may not work in a childcare position at the facility. 1. The operator shall comply with CPSL. Staff person # 1 may not work in a child care position until all required clearances are on file. This portion of the plan shall have an immediate correction. 2. The director will create a new staff checklist that includes timelines for when items are required to be in a staff file and timelines for which updates are needed. The checklist will be sent to the regional office for approval prior to its implementation. This portion of the plan shall have a date of correction by which this will be completed.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During a renewal inspection on 4/7/26, certification rep reviewed staff files. The staff evaluation on file for staff # 3 is dated 3/2/2026, which is more than 12 months since their hire date (see code sheet for date of hire).

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

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

Noncompliance Area: During an allocated unannounced inspection on 10/9/25, certification rep reviewed staff file # 1. Staff # 1 did not have an initial health assessment and TB screening results on file (see code sheet for date of hire).

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: During an allocated unannounced inspection, the staff file for staff # 1 did not have proof of education and experience prior to service at the facility.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an allocated unannounced inspection on 10/9/25, certification rep observed more than 30 days passed between alarm tests dated 5/15/25 and 6/17/25.

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(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: During a renewal inspection on 4/9/25, the files for staff # 1, 3, and 4 were reviewed. There is no initial health assessment and TB test results on file for staff persons # 1 and 3. The initial health assessment on file for staff person # 4 (see code sheet for DOH) is dated 8/28/24; TB test results are dated 8/30/24.

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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During a renewal inspection on 4/7/25, the files for staff # 1, 2, and 3 did not contain two written nonfamily references.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff persons # 5, 6, and 7 did not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 7/31/24. Documentation of updated Pediatric first aid and CPR training is dated 8/12/24 for staff persons # 5, 6, and 7.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff persons # 1, 2, and 3 did not completed the following required pre- service training within 90 days of their dates of hire (see LIS code sheet): Pediatric CPR/First Aid. Pediatric CPR/First Aid certificates on file for staff # 1, 2, and 3 are dated 2/5/25.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During a renewal inspection on 4/9/25, it was observed that staff persons # 1, 2, 3, and 4 (see code sheet for dates of hire) did not have clearances on file as required by CPSL at the time of their hire. Clearances for staff # 1 are dated as follows: State Police 10/18/24, Childline 12/27/22, FBI 10/18/24, and NSOR 10/16/24. Clearances for staff #2 are dated as follows: State police 10/19/24, Childline 10/27/24, FBI 10/18/24, and NSOR 10/31/24. Clearances for staff # 3 are dated as follows: State police 1/31/25, Childline 2/5/25, FBI 4/3/25, and NSOR 10/17/24. Clearances for staff # 4 are dated as follows: State police 5/16/24, Childline 10/31/24, FBI 10/8/24, and NSOR 10/10/24. Staff person # 3 did not completed mandated reporter training within 90 days of their date of hire (see LIS code sheet. Mandated reporter training is valid as evidenced by the certificate of training dated 12/30/24.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.35(b)/3270.192(2)(ii)

Description: Group sup qualifications/Exp, educ., training prior to facility

Noncompliance Area: During a renewal inspection on 4/7/25, operator indicated that staff # 1 was hired as a group supervisor. There was no proof of education and experience prior to service at the facility.

Correction Required: A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: A renewal inspection was conducted on 4/18/23. At that time, the child files were reviewed. The immunization records for Child #1 did not include documentation of administration of the flu vaccine. The immunization records for Child #2 did not include documentation of administration of the flu vaccine. The immunization records for Child #3 did not include documentation of administration of the flu vaccine since 11/1/21. The immunization records for Child #4 did not include documentation of administration of the flu vaccine since 12/2/20.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1, Child #2, Child #3, and Child #4 must be dismissed from care by close of business 4/18/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection was conducted on 4/18/23. At that time, Staff Person #1 was observed working unsupervised. Staff Person #1 had not completed approved pediatric first aid/cpr 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. Staff person #1 will have until May 12, 2023 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an assistant group supervisor who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection was conducted on 4/18/23. At that time, Staff Person #1 had not completed approved pediatric first aid/cpr training within 90 days of their date of hire. Staff Person #2 had not completed approved in-person pediatric first aid/cpr training within 90 days of their date of hire.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #1 and Staff person #2 will have until May 12, 2023 to complete the required training. Until such time as the required training has been completed, staff person #1 and Staff person #2 must be supervised, when interacting with children, by an assistant group supervisor who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 and Staff person #2, then staff person #1 and Staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: A renewal inspection was conducted on 4/20/22. At that time, the file for Child #1 was reviewed. The file did not contain the child's date of admission at the facility.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A renewal inspection was conducted on 4/20/22. At that time, the facility's written plan identifying the means of transporting a child and the staff provisions in the event of an emergency was not posted in each child care space.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: A renewal inspection was conducted on 4/20/22. At that time, an electrical outlet was observed in the gym that was not equipped with a protective cover. The outlet was accessible to the preschool children playing in the gym at the time.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: A renewal inspection was conducted on 4/20/22. At that time, the trash can in the Preschool 3 classroom was not equipped with a lid. Soiled tissues and remains from snack were observed in the trash can.

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

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 on 4/20/22. At that time, the director stated that the fire detection system is set off when conducting fire drills every 60 days. The director stated that the system is not manually tested every 30 days as required by Act 62. The facility had previously submitted a testing report conducted by First Alarm Security.

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

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

Noncompliance Area: An unannounced inspection was conducted on 9/28/21. At that time, Staff Person #1 stated that she had seven children in her group. Staff Person #2 stated that she had eight children in her group. There were sixteen children in the preschool group. One child was not assigned to the two staff that were present in the classroom.

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: An unannounced inspection was conducted on 9/28/21. At that time, Staff Person #1 stated that she had seven children in her group. Staff Person #2 stated that she had eight children in her group. There were sixteen children in the preschool group. One child was not assigned to the two staff that were present in the classroom.

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 create a policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy.