St Bede School

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The health assessment on file for Staff #3, dated 12/15/25, lacked an examination for communicable diseases and the results of that examination.

Corrected by Feb 16, 2026

3270.151(c)(4)/3270.151(c)(5) · An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment on file for Staff #3, dated 12/15/25, lacked information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children and the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected by Feb 16, 2026

3270.31(f)(10) · Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

2ND CITATION: Staff person #3 has completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum/ the trainer has not provided documentation that they are PQAS-certified in that training curriculum.

Corrected by Feb 16, 2026

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

In the cafeteria, there was damaged plaster and peeling paint next to the window on the far left. There was peeling paint on the ceiling above the far left window in the cafeteria as well.

Corrected by Dec 31, 2025

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The agreement form for Child #2 lacked the persons designated by the parent to whom the child may be released.

Corrected by Dec 12, 2025

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact form in the file for Child #2 lacked the health insurance policy number.

Corrected by Dec 12, 2025

3270.124(b)(7) · 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.

The emergency contact forms for Child #2 and #3 lacked the address of the individual designated by the parent to whom the child may be released.

Corrected by Dec 12, 2025

3270.14/3270.21 · 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's policy for Shaken Baby Syndrome/Abusive Head Trauma lacked prevention and identification of child maltreatment as per Announcement C-22-03.

Corrected by Nov 20, 2025

3270.32(a)/3270.192(4) · 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 #3, #4, and #5 may not work in a child care position at the facility.

The file for Staff #1 contained a PA State Criminal clearance dated 11/12/25 which was obtained more than 60 months from the previous PA State Criminal clearance dated 6/16/20. The files for Staff #3 and #4 lacked NSOR certificates. The file for Staff #5 lacked a PA State Criminal clearance and an NSOR certificate.

Corrected by Dec 5, 2025

3270.33(b) · At least 50% of the staff persons in a facility shall be individuals qualified and functioning as directors, group supervisors and assistant group supervisors. No more than 50% of the staff persons may be of aide qualification level.

The facility has one director, one group supervisor, one assistant group supervisor and four aides.

Corrected by Nov 24, 2025

3270.37(b)(1)/3270.192(2)(ii) · An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files for Staff #4 and #5, both Aids, lacked documentation of a high school diploma or general educational development certificate.

Corrected by Nov 24, 2025

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Chlorox wipes stating "keep out of reach of children" were on top of the cubbies in the preschool room accessible to children.

Corrected by Nov 20, 2025

3270.76 · 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.

In the cafeteria, along the back wall opposite the gym, there were two broken outlet covers creating a gap around the outlet and sharp edges.

Corrected by Nov 21, 2025

3270.151(a)/3270.192(3) · 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.

The files for Staff Person # 2, #3, #4, and #5 (See LIS Code Sheet) lacked an initial health report.

Corrected by Dec 31, 2025

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

The Emergency Contact form for Child #1 lacked parental consent for the facility to obtain emergency medical care and parental consent for the facility to administer minor first aid.

Corrected by Dec 12, 2025

3270.31(f)(10) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, Staff #2, #3, #4, and #5 must be supervised, when interacting with children at a minimum by an AGS 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 2, #3, #4, and #5, staff #2, #3, #4, and #5 may not work in a child-care position at the facility.

Staff person #2 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): pediatric First Aid and CPR . Staff person #3 has completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum/ the trainer has not provided documentation that they are PQAS-certified in that training curriculum. Staff #3, #4, and #5 have not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training.

Corrected by Dec 31, 2025

3270.131(a) · 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.

The file for Child #2, enrolled more than 60 days, contained a review of the child's immunized status according to recommendations of the ACIP. The file lacked an initial health report.

Corrected by Dec 19, 2025

3270.171(a) · 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.

The facility lacked a current annual notification to local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Corrected by Dec 5, 2025

3270.27(a)(3) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

The facility's emergency plan lacked a method to contact parents when an emergency arises. The director reported that they use the Student Information System to alert families when there is an emergency situation; however, the facility's emergency plan lacked this information.

Corrected by Dec 6, 2024

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff Person #1 and Staff Person #4 cannot work in a position of child care supervision until the respective clearances are provided.

The file for Staff Person #1 lacked an NSOR clearance. The file for Staff Person #4 lacked an FBI clearance.

Corrected by Dec 13, 2024

3270.111(b) · The written plan of daily activities shall be posted in the group space.

The daily schedule of activities was not posted in the cafeteria.

Corrected by Dec 6, 2024

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreement form for Child #2 lacked the arrival and departure times.

Corrected by Dec 6, 2024

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The files for Child #2, Child #3, Child #4, and Child #5 contained the original agreement forms.

Corrected by Dec 6, 2024

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact form for Child #1 lacked the work address and telephone number of the enrolling parent.

Corrected by Dec 6, 2024

3270.124(b)(7) · 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.

The emergency contact form for Child #1 lacked the address for the individual designated by the parent to whom the child may be released.

Corrected by Dec 6, 2024

3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

The health report on file for Child #4 lacked the signature of the physician, physician's assistance, or CRNP.

Corrected by Dec 13, 2024

3270.151(a)/3270.192(3) · 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.

The file for Staff Person #1 lacked a health assessment. The file for Staff Person #2 contained a health assessment dated 11/15/24 which was obtained after initial service in a child care setting (See LIS code sheet). The file for Staff Person #3 contained a health assessment dated 9/16/24 which was obtained after initial service in a child care setting (See LIS code sheet).

Corrected by Dec 13, 2024

3270.192(5) · 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.

The file for Staff Person #3 lacked two written, nonfamily references attesting to the person's suitability to serve as a facility person.

Corrected by Nov 22, 2024

3270.94(a)(5) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

The evacuation route from the cafeteria was not posted.

Corrected by Dec 6, 2024

3270.14/3270.21 · 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.

*SECOND VIOLATION The file for staff person #2 lacked verification of completing the Pennsylvania Health and Safety Update 2022 training by 12/30/2022 as required (See IS CODE SHEET). Previously cited on SIN-00234986.

Corrected by Jan 31, 2024

3270.27(e) · 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.

*SECOND VIOLATION The facility did not provide the parents of each child enrolled a letter explaining the emergency procedures. Previously cited on SIN-00234986.

Corrected by Feb 5, 2024

3270.31(e)(4)(ii) · 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.

*SECOND VIOLATION Staff person #2 has not had fire safety training within the last 12 months. The most recent documentation on file is 8/22/22. Previously cited on SIN-00234986.

Corrected by Jan 31, 2024

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff persons #1, #2, #3, #4, and #5 shall be removed from care effective 11/29/23 and may not work in a child care position at the facility.

*SECOND VIOLATION The file for staff person #1 does not contain documentation of valid NSOR clearance results required for provisional hiring under CPSL (See IS CODE SHEET). The file for staff person #2 does not contain documentation of valid NSOR clearance results required for provisional hiring under CPSL (See IS CODE SHEET). The file for staff person #3 does not contain documentation of valid NSOR clearance results required for provisional hiring under CPSL (See IS CODE SHEET). The file for staff person #4 does not contain documentation of valid PA State Police and NSOR clearance results required for provisional hiring under CPSL (See IS CODE SHEET). The file for staff person #5 lacked application and clearance results for PA State Police and NSOR that are required for provisional hiring under the CPSL (See IS CODE SHEET). The file for staff person #5 lacked clearances results for the state of Florida, in which the staff person resided in the 5 years prior to employment. Previously cited on SIN-00234986. The files for staff persons #1, #2, #3, #4, #5 now have signed disclosure statements.

Corrected by Feb 5, 2024

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

*SECOND VIOLATION The files for staff persons #2, #3, #4, and #5 did not have documentation of verification of child care experience in order to meet staff qualification for the position in which the person is performing. Previously cited on SIN-00234986. The file for staff person #1 is now in compliance.

Corrected by Feb 8, 2024

3270.151(a)/3270.192(3) · 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.

*SECOND VIOLATION The files for staff persons #3, #4, and #5 lacked documentation of a health assessment conducted at initial employment. The file for staff person #2 lacked documentation of a health assessment conducted within the last 24 months. The most recent health assessment on file is 8/13/21. Previously cited on SIN-00234986. The file for staff person #1 is now in compliance.

Corrected by Feb 14, 2024

3270.151(c)(2) · 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.

*THIRD VIOLATION The file for staff person #5 lacked documentation of a tuberculosis screening at initial employment (See IS CODE SHEET). Previously cited on SIN-00234986 and SIN-00238187. The files for staff persons #1, #3, and #4 are now in compliance.

Corrected by Feb 27, 2024

3270.192(5) · 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.

*SECOND VIOLATION The files for staff persons #2, #3, #4, and #5 did not have documentation of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Previously cited on SIN-00234986. The file for staff person #1 is now in compliance.

Corrected by Feb 5, 2024

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

*SECOND VIOLATION The facility did not have documentation of conducting an emergency drill within the last 12 months. Previously cited on SIN-00234986.

Corrected by Jan 31, 2024

3270.94(a)(1) · 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.

*SECOND VIOLATION The facility did not have documentation of conducting fire drills at least once every 60 days within the last 12 months. Previously cited on SIN-00234986.

Corrected by Jan 31, 2024

3270.95(a)/3270.95(b) · 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.

*SECOND VIOLATION The facility lacked documentation of testing the fire detection system from a fire safety professional within the last 12 months. The most recent documentation on file is dated 8/4/22. Previously cited on SIN-00234986.

Corrected by Feb 3, 2024

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility did not have documentation of conducting an emergency drill within the last 12 months.

Corrected by Jan 15, 2024

3270.14/3270.21 · 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 file for staff person #2 lacked verification of completing the Pennsylvania Health and Safety Update 2022 by 12/30/2022 as required (see IS code sheet).

Corrected by Dec 4, 2023

3270.27(a) · The facility shall have an emergency plan.

The facility did not have documentation of an emergency plan on file.

Corrected by Dec 30, 2023

3270.27(c) · 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.

Staff person #2 has not had emergency plan training within the last 12 months. The most recent documentation on file is 8/24/22.

Corrected by Dec 30, 2023

3270.27(e) · 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.

Based on the director's statement, the facility did not provide the parents of each child enrolled a letter explaining the emergency procedures.

Corrected by Jan 15, 2024

3270.31(e)(4)(ii) · 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.

Staff person #2 has not had fire safety training within the last 12 months. The most recent documentation on file is 8/22/22.

Corrected by Dec 5, 2023

3270.31(f) · Staff person shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #2 will have until 12/18/23 to complete the required training. Until such time as the required training has been completed, staff person #2 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 available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Staff person #2 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.

Corrected by Dec 11, 2023

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff persons #1, #2, #3, #4, and #5 shall be removed from care effective 11/22/23 and may not work in a child care position at the facility.

The file for staff person #1 does not contain documentation of a valid FBI and NSOR clearance results required for provisional hiring under CPSL (See IS CODE SHEET). The file for staff person #2 does not contain documentation of valid NSOR clearance results required for provisional hiring under CPSL (See IS CODE SHEET). The file for staff person #3 does not contain documentation of valid NSOR clearance results required for provisional hiring under CPSL (See IS CODE SHEET). The file for staff person #4 does not contain documentation of valid PA State Police and NSOR clearance results required for provisional hiring under CPSL (See IS CODE SHEET). The file for staff person #5 lacked application and clearance results for PA State Police, PA Child Abuse, FBI, and NSOR that are required for provisional hiring under the CPSL (See IS CODE SHEET). The files for staff persons #1, #2, #3, #4, #5 lacked a signed disclosure statement dated prior to date of hire, (See IS CODE SHEET) required for provisional hiring under the CPSL.

Corrected by Nov 29, 2023

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files for staff persons #1, #2, #3, #4, and #5 did not have documentation of verification of child care experience in order to meet staff qualification for the position in which the person is performing.

Corrected by Jan 15, 2024

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The director has not completed a written evaluation for staff person #2 within the last 12 months.

Corrected by Dec 5, 2023

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In the cafeteria, a plastic lid to a children's toy bin was observed to be cracked and not in good repair.

Corrected by Nov 21, 2023

3270.124(b)(7) · 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.

The emergency contact forms on file for children #1, #3, and #4 lacked the addresses of the individuals designated by the parent to whom the child may be released.

Corrected by Dec 6, 2023

3270.131(d)(5)/3270.131(e)(3) · 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).

The file for child #2 did not include a copy a review of the child's immunized status according to recommendations of the ACIP.

Corrected by Dec 6, 2023

3270.151(a)/3270.192(3) · 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.

The files for staff persons #1, #3, #4, and #5 lacked documentation of a health assessment conducted at initial employment. The file for staff person #2 lacked documentation of a health assessment conducted within the last 24 months. The most recent health assessment on file is 8/13/21.

Corrected by Jan 5, 2024

3270.151(c)(2) · 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.

The files for staff persons #1, #3, #4, and #5 lacked documentation of a tuberculosis screening at initial employment. (See LIS CODE SHEET)

Corrected by Jan 5, 2024

3270.191 · An individual record is required for each facility person.

The facility lacked an individual record for staff person #5.

Corrected by Dec 1, 2023

3270.192(5) · 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.

The files for staff persons #1, #2, #3, #4, and #5 did not have documentation of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Jan 15, 2024

3270.94(a)(1) · 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.

The facility did not have documentation of conducting fire drills at least once every 60 days within the last 12 months.

Corrected by Dec 5, 2023

3270.95(a)/3270.95(b) · 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.

The facility lacked documentation of annual testing of the fire detection system from a fire safety professional within the last 12 months. The most recent documentation on file is dated 8/4/22.

Corrected by Dec 30, 2023

3270.27(f) · 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.

The facility did not have documentation of sending a copy of the facility's emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Corrected by Dec 5, 2023

3270.131(a)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

The file for child #3 did not include an initial health report and has been enrolled in the facility for more than 60 days.

Corrected by Dec 1, 2023

3270.171(a) · 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.

The operator did not have documentation on file of notifying local traffic safety authorities within the past 12 months of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Corrected by Dec 6, 2023

3270.14/3270.21 · 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 did not have a written policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected by Jan 17, 2023

3270.14/3270.21 · 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's emergency plan did not include details regarding continuity of operations.

Corrected by Jan 31, 2023

3270.31(e)(4)(i)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files for staff #1-5 contained CPR/FA training that was not renewed on or before the expiration of the previous training. The previous training expired in August 2022. The training was renewed on 9/06/22. All five files now contain current pediatric CPR and first aid training.

Corrected by Jan 18, 2023

3270.31(e)(4)(ii)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files for staff #1-5 did not contain documentation of fire safety training completed in 2021. All files now contain current fire safety training completed on 8/02/22.

Corrected by Jan 18, 2023

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff person #4 did not update mandated reporter training within 60 months as required. The training was completed on 6/19/17 and updated on 9/29/22.

Corrected by Jan 31, 2023

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person # will have until 1/20/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #2 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 #2, then staff person #2 may not work in a child-care position at the facility.

Staff person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 10/05/17.

Corrected by Jan 18, 2023

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The file for staff #2 did not contain documentation of an evaluation completed in 2021. The file now contains a current evaluation dated 3/29/22. The files for staff #3, #4, and #5 did not contain current evaluations. The most recent evaluations on file were conducted in November 2021,

Corrected by Jan 18, 2023

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

The file for child #1, enrolled for over 60 days, did not contain an immunization record.

Corrected by Jan 18, 2023

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The hypothetical location for each fire drill was the same and was not rotated around the facility for each drill.

Corrected by Jan 19, 2023

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The facility's current certificate of compliance was not posted. The posted certificate expired 2/20/22. The facility did not have means for providing parents with information on how to access the regulations in this chapter electronically.

Corrected by Jan 18, 2023

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files for staff #1-3 contained documentation of completing 6 of the 12 annual hours of training. The files for staff #4 and #5 contained documentation of 10 of the 12 hours of annual training.

Corrected by Jan 31, 2023

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

The agreement form and the emergency contact form in the file for child #1 were signed and dated by a parent a few days after the child's first day of attendance.

Corrected by Dec 13, 2021

3270.18(a) · 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.

The liability insurance on file at the facility did not include the address for the facility or any information on medical expense coverage.

Corrected by Dec 13, 2021

3270.31(e)(4)(ii) · 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.

The last fire safety training in the file for staff person #1 through #6 was dated more than 12 months ago.

Corrected by Dec 13, 2021

3270.32(a)/3270.192(4) · 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.

The file for staff person #3, who has been employed since 8/27/19 and was on leave from 6/2020 until 8/27/20, did not include an NSOR certificate. The individual continued to work without the clearance and was observed caring for children at the time of the inspection.

Corrected by Dec 13, 2021

3270.131(a)(4) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

The only health report in the file for child #1, a school-ager, was dated more than 90 days after they began attending the program, as required by the COVID suspension of regulations.

Corrected by Dec 13, 2021

3270.51 · 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.

At approximately 3:10 pm in the cafeteria, staff person #2, #3, #5 and #6 were present with 22 young school-agers. A few minutes later, staff person #2, who had just identified 10 of the children, was observed standing in the doorway between the cafeteria and the hallway outside of the bathrooms. One school-ager was observed at the water fountain outside the bathrooms and when staff person #2 was asked who was responsible for the children they had just identified in the cafeteria, the staff person stated that they were standing in between the rooms to supervise children in both spaces.

Corrected by Nov 30, 2021

3270.113(a) · 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.

At approximately 3:10 pm in the cafeteria, staff person #2, #3, #5 and #6 were present with 22 young school-agers. A few minutes later, staff person #2, who had just identified 10 of the children, was observed standing in the doorway between the cafeteria and the hallway outside of the bathrooms. One school-ager was observed at the water fountain outside the bathrooms and when staff person #2 was asked who was responsible for the children they had just identified in the cafeteria, the staff person stated that they were standing in between the rooms to supervise children in both spaces.

Corrected by Nov 30, 2021

3270.113(a)(1) · 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.

At approximately 3:10 pm in the cafeteria, staff person #2, #3, #5 and #6 were present with 22 young school-agers. A few minutes later, staff person #2, who had just identified 10 of the children, was observed standing in the doorway between the cafeteria and the hallway outside of the bathrooms. One school-ager was observed at the water fountain outside the bathrooms and when staff person #2 was asked who was responsible for the children they had just identified in the cafeteria, the staff person stated that they were standing in between the rooms to supervise children in both spaces.

Corrected by Nov 30, 2021

3270.123(a) · An agreement shall be signed by the operator and the parent.

The agreement form and the emergency contact form in the file for child #1 were signed and dated by a parent a few days after the child's first day of attendance.

Corrected by Dec 13, 2021

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The agreement in the file for child #1 included two different colors of ink and based on conversation with the operator, it was the original copy.

Corrected by Dec 13, 2021

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility's emergency plan did not include accommodations for children with disabilities or chronic medical conditions.

Corrected by Dec 13, 2021

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

All of the morning fire drills conducted in 2021 and documented on the fire drill log listed "cafeteria" as the hypothetical location.

Corrected by Dec 13, 2021

3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

The two afternoon fire drills documented on the fire drill log for January and February of 2021 did not specify a hypothetical location.

Corrected by Dec 13, 2021