GREENCASTLE CHILD CARE AND LEARNING CTR

Building Surfaces (3270.76)

A chain link fence in the outdoor play area was observed to be crushed and in poor physical condition. Requirement: 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. Correction: Due to construction close to the facility a deer was scared and ran into the fence hitting it hard enough that he went underneath and then he ran into the opposite side. This caused the bottom and top of the fence to let loose. As a temporary fix zip ties were used to hold the fencing to the top rail. Staff were told to stay close and watch the area that was damaged. Owner had contacted insurance and was waiting on an adjustor to come approve the liability claim. Awaiting fence company to come complete the replacement of the stretched fencing. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff person - 18 yrs./Name, address, and phone (3270.31(b)/3270.192(1))

The file for staff person #2 was observed to lack documentation to verify staff member's age. Requirement: A staff person shall be 18 years of age or older. A facility person's record shall include the name, address and telephone number of the facility person. Correction: File contained high school diploma dated 5/15/45 our accountant had not returned W4, I9, and copy of drivers license. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Fire safety - 1 yr. (3270.31(e)(4)(ii))

The file for staff person #3 was observed to lack documentation of participating at least annually in fire safety training. This was evidenced by no fire safety certificates present in the file. Requirement: 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. Correction: Fire safety training is kept in the training binder along with the required 12 hours of annual training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED + 2 yrs/Exp, educ., training prior to facility (3270.36(b)(5)/3270.192(2)(ii))

The files for staff persons #1 and #2 were observed to lack documentation of 2 years of childcare experience prior to service at the facility. Requirement: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Staff #1 and Staff #2 will provide documentation of 2 years of childcare experience prior to service at the facility. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

The facility was observed to have a bottle of Bic White Out labeled keep out of the reach of children sitting on a table and accessible to children in the school age room. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: Staff in the school age room have been told before about liquid white out. The white out was removed and thrown away. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Contaminated trash in closed plastic-lined receptacle (3270.67(d))

The facility was observed to have a plastic lined trash can filled with utensils and plates that failed to have a lid to close the receptacle. Requirement: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. Correction: Director made a temporary lid out of cardboard and duct tape. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

A piece of baseboard trim was observed lying on the floor in the boy's bathroom in the preschool area. Requirement: 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. Correction: We had a broken water pipe and after the plumber repaired the pipe the trim was duct taped due to the wall being saturated from the leak. The duct tape became wet and fell off the wall. The Director temporarily duct taped the trim back up until the wall dries so the trim can be glued Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

The file for Child #2 was observed to lack the Department's approved form (Child Service Report) to provide information to the family about the child's growth and development in the context of the services being provided. Requirement: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information). Correction: First CSR was 9/25/24, the missing CSR was 3/25 and the third CSR was dated 10/1/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Physician name, address, phone (3270.124(b)(2))

The file for child #7 was observed to contain an emergency contact form that lacked the telephone number of the child's physician or source of medical care. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: Telephone number was added to the EC Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent home/work address, phone (3270.124(b)(3))

The file for child #7 was observed to contain an emergency contact that failed to include the home and work addresses and telephone numbers of the enrolling parent Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Enrolling parent does not know where the other parent is they went MIA, The EC form was updated with NA for the other parent. Enrolling parent had complete information for home and work. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent/Consent for emergency medical care required prior to admission (3270.124(b)(4)/3270.182(3))

The file for child #1 was observed to contain an emergency contact form that lacked written consent signed by a parent for emergency medical care. Requirement: 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 emergency medical care for the child. Written consent is required prior to admission. Correction: Child #1 was newly enrolled and a copy of the EC form was in the classroom high lited with items needing more information Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Information re: special needs (3270.124(b)(5))

The file for child #4 was observed to contain an emergency contact form that did not include information on the child's special needs if any. Requirement: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation. Correction: Parent updated the EC form concerning special needs. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Insurance coverage information (3270.124(b)(6))

The files for children #1 and #6 were observed to contain an emergency contact form that failed to include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits. Requirement: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Correction: Child #1 waiting on insurance card from the carrier child #6 policy number was on EC form #2 the policy number was added to EC form #1 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name/address/phone release person (3270.124(b)(7))

The files for children #1, #2 and #4were observed to contain emergency contact forms that failed to include the address and phone number of the individual designated by the parent to whom the child may be released. Requirement: 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. Correction: Child #1 is parents only, form is updated to reflect this Child #2 updated EC on 3/2/26 Child #4 added the missing information Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Completed or signed by physician, PA, or CRNP (3270.131(c))

The file for child #4 was observed to contain a health report that was signed by a physician, but the signature was not dated. Requirement: 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. Correction: The parent provided the date the child was seen by the physician and wrote the date on the form Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Immunization record/Dismissal policy (3270.131(d)(5)/3270.131(e)(3))

The files for children #4, #5 and #6 were observed to lack a review of the child immunized status according to recommendations of the ACIP. Specifically, children #4, #5 and #6 did not have 2 Hepatitis A vaccines as recommended. Requirement: 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). Correction: Parents that are following their own vaccination schedule provided a written note, signed and dated stating they are not following the ACIP recommendations. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Child's hands washed (3270.134(a))

Staff members #1 (infant child) and #4 (young toddler child) were observed diapering a child and failing to wipe/wash the child's hands after completing the diaper change. Requirement: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. Correction: Proper diapering procedures are and have been posted in the classrooms by the changing tables. The office assistant and Director will show staff the proper procedures and staff will sign off that they understand and will follow the requirements. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Consent for administration of minor first-aid required prior to admission (3270.182(5))

The file for child #1 was observed to lack signed parental consent for administration of minor first-aid procedures by facility staff. Requirement: 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. Correction: A copy of the EC form was in the classroom for the enrolling parent to fill in the high lited areas that were missing information Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Director or designated staff person ensure compliance (3270.95(b))

The facility was observed to have interconnected smoke detection devices in every room, however, the smoke detection device in the school age room had a dead battery at the time of inspection. Requirement: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. Correction: System was tested on 2/3/26 and all detectors worked. Batteries were replaced and system retested. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e))

The file for staff person #3 was observed to lack documentation of having obtained an annual minimum of 12 clock hours of childcare training. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Correction: Training hours are kept in a separate binder. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e)(4)(i))

The file for staff person #1 was observed to lack documentation of current, valid certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. This was evidence by the only certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) present in their file expired on 05/03/2025. Requirement: 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. Correction: Staff are supposed to download and print the completed certificate as soon as they receive the email from the trainer. This staff forgot to do that and the Director had to contact the training facility to get a second link sent. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No insects or rodents (3270.67(c))

The facility was observed to have Cockroaches. Requirement: Evidence of infestation of insects or rodents in the facility is not permitted. Correction: Provider had notified the landlord after spraying for insects. The landlord allowed provider to contact an exterminator who has treated the facility and will retreat every month for up to four months. This occurred after the tenant who rents a portion of the building did renovations. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.82(g))

The facility was observed to have a sink that lacked a functioning water supply. Requirement: Toilet areas and fixtures shall be cleaned daily and be in good repair. Correction: Provider had already notified the landlord concerning this sink the water pressure had dropped and the pipe was dripping slightly. The water issue is within the walls and requires more extensive repair. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No harsh language (3270.113(d))

Staff in the young toddler room routinely yell at the children as a means of redirection. Staff at the facility refer to children in demeaning language such as calling children "brats". Requirement: A facility person may not use harsh, demeaning or abusive language in the presence of children. Correction: Staff have been reprimanded and will be taking a training on dealing with their emotions and children's emotions. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Devices must be compliant/Director or designated staff person ensure compliance (3270.95(a)/3270.95(b))

Based on the smoke detection system testing log, the smoke detectors were not tested every 30 days based on the following dates: 4-3-25 to 5-7-25 = 34 days; 7-18-25 to 8-20-25 = 33 days. Requirement: 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. Correction: Director had been using an app to notify when fire alarm testing was coming due. The app was not notifying prior to date due. Moving forward Director has marked dates of testing fire alarm on the desk calendar. Alarm was most recently tested on 10/8/25 with prior test on 9/11/25. Next test date is set for 11/5/25 Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).