ST MARTIN EARLY LEARNING CENTER

2025

1. Medium risk12/19/2025

   No harsh language (3270.113(d))

   According to staff statements, Facility Person #1 has been observed using a harsh tone of voice with children. Requirement: A facility person may not use harsh, demeaning or abusive language in the presence of children. Correction: The Facility Person in question was immediately terminated. The DHS certification representative was immediately notified of this termination. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 1/15/2026
2. Medium risk12/19/2025

   No ridicule or threaten harm (3270.113(c))

   According to staff statements, Facility Person #1 has, in the presence of children, pointed at specific children and said they didn't want to take them into their care. Staff state they have heard Facility Person #1 calling children "snots" and "babies." Staff state they have observed Facility Person #1 say a child "needed to be popped in the mouth". Requirement: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. Correction: The Facility Person in question was immediately terminated. The DHS certification representative was immediately notified of this termination. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 1/15/2026
3. Medium risk12/19/2025

   No physical punishment (3270.113(b))

   According to staff statements, Facility Person #1 has been observed handling children aggressively- pulling them by their arms roughly and lightly hitting Child #1 on the mouth. Requirement: A facility person may not use any form of physical punishment, including spanking a child. Correction: The Facility Person in question was immediately terminated. The DHS certification representative was immediately notified of this action. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 1/15/2026
4. Medium-High risk11/19/2025

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

   The most recent recorded smoke detector test was documented as conducted on 10/17/25. 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: A fire drill took place under the direction of the new director on 11/20/2025. The fire detection systems and warning alarms were manually tested during this drill. All fire drill logs with manual systems tests were sent to the DHS Certification Representative on 2/4/2026. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 11/20/2025
5. Medium-High risk11/19/2025

   Every 60 days (3270.94(a)(1))

   The most recent recorded fire drill was noted on the fire drill log as conducted on 9/19/25 Requirement: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days. Correction: A fire drill took place on 11/20/2025 with the new director and was noted as such on the fire drill log. All fire drill logs were sent to the DHS Certification Representative on 2/4/2026. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 11/20/2025
6. Medium riskStandard 211/19/2025

   2 feet apart (3270.106(f))

   There were four rest mats in the Lions room, 4 rest mats in the Tigers room, and 2 packnplays in the Bears room in use with less than 2 feet of space on 3 sides. Requirement: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. Correction: Staff immediately moved cots and packnplays to the required 2 feet distance when discovered. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 11/19/2025
7. Medium risk11/19/2025

   Stairs, exits, etc. unobstructed (3270.91(a))

   There were two packnplays in front of an exit in the Bears room, obstructing the exit. Requirement: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed. Correction: The two packnplays were immediately moved away from the exit when discovered. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 11/19/2025
8. Medium-High riskStandard 4011/19/2025

   40 square feet wall-to-wall (3270.61(c))

   According to staff statements and attendance records, at times there have been 10 children receiving care in the Turtles room, which has a designated maximum capacity of 9 children. Requirement: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40. Correction: This action was immediately corrected by administration and staff when all parties were made aware of the maximum room capacity limitations. All staff were informed to check the maximum capacity limits of their rooms that is designated above each door frame. Staff in the Turtles room were made to review code 3270.61(c) and to coincide with their capacity limit. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 11/19/2025
9. Medium-High risk11/19/2025

   Infant sleep position (3270.119)

   There was an infant asleep in a rocker in the Bears room, not in the position recommended by the AAP. Requirement: 1.Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. THIS PORTION OF THE PLAN SHALL HAVE AN IMMEDIATE CORRECTION DATE 2. The legal entity shall arrange for all facility staff to complete a training on the topic of safe sleep practices for infants. The training shall be submitted to the certification representative for approval prior to staff taking the training. Documentation of the training, once completed, to include the date and participant name, shall be retained in the staff file and submitted to the certification representative. THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS WILL BE COMPLETED. Correction: 1. Upon discovery, the infant was immediately placed in a packnplay following the A, B, C technique recommended by the AAP. 2. All staff are presently completing the approved Better Kid Care training module "Reduce the Risk of SUID through Safe Sleep Practices." This training was approved by the DHS certification representative on 2/3/2026. To date 11 staff have fully completed the training, 10 staff are in the process of completing the training, and 6 staff have started the training module. All staff will be completed, and the certifications will be submitted to the DHS certification representative by Friday, February 13th. Any staff currently on medical leave or new/incoming will be required to complete this training module before returning to/starting work. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 2/13/2026
10. High risk9/18/2025

    Comply with CPSL/CPSL information (3270.32(a)/3270.192(4))

    There was no FBI clearance on file for Facility Person #3, employed at the facility more than 45 days. Facility Person #3 was observed caring for children unsupervised. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #3 may not work in a child care position at the facility without all completed clearances on file. Correction: Facility Person #3 was immediately suspended from the facility on 9/18/2025 at 931am. Facility Person #3 immediately went to the Identogo location to obtain FBI fingerprinting clearance. Facility person #3 was not allowed to return to work until 9/22/2025 after the FBI clearance was updated in the personnel files. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/18/2025
11. Medium-Low risk9/18/2025

    Staff assigned to specific children (3270.113(a)(1))

    At approximately 10:30 in the Baby Bears room, Facility Persons #1, #2 and #3 were caring for 6 infants. When asked to identify which children they were each supervising, Facility Person #1 indicated that they were a volunteer, not supervising any children, and Facility Person #2 indicated that they were supervising 3 infants. Facility Person #3 stated they were also not supervising any children, despite presented with the question a second time. There was no staff person who claimed supervision of the three remaining infants. Requirement: 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. Correction: Facility persons #1, #2, and #3 were immediately told they needed to be aware of which children they were responsible for at ALL times, even during staff breaks or transitioning times. Facility persons #1, #2, and #3 went over staff supervision responsibilities and child photo cards. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/18/2025
12. Medium-High risk9/18/2025

    Infant sleep position (3270.119)

    There was an infant observed asleep in a rocker in the Baby Bears room, not in the sleeping position recommended by the AAP. Requirement: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. Correction: The infant was immediately placed in pack 'n' play in the correct sleeping position on 9/18/2025. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/18/2025
13. Medium risk6/6/2025

    Parent receives original (3270.123(b))

    Original agreements were on file for children #2-#10. Requirement: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. Correction: Copies of child #2 and #10 agreements were made and original copy was given to parent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/9/2025
14. Medium risk6/6/2025

    Comply with CPSL (3270.32(a))

    Current mandated reporter trainings completed and documented on file for Facility Persons #5, #8, #11, #13, #14, #15 and #16 were each completed more than 60 months after their previous respective mandated reporter trainings documented and on file. Mandated reporter training documented an on file for Facility Person #7 was completed more than 90 days after their start date. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: Staff persons #5, #8, #11, #13, #14, #15, #16 completed their mandated reporter training immediately upon realizing that 60 days had passed from their previous training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/6/2025
15. Medium-Low risk6/6/2025

    Admission date (3270.123(a)(6))

    The agreements on file for children #1 and #3 did not specify their admission date. Requirement: An agreement shall specify the date of the child's admission. Correction: The admission date has been added to child #1 and #3's agreement forms Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/10/2025
16. Medium-Low risk6/6/2025

    Designated release persons (3270.123(a)(5))

    The agreement on file for child #10 did not specify the release persons. Requirement: An agreement shall specify the persons designated by a parent to whom the child may be released. Correction: Parent has added persons to whom child #10 may be released to on the agreement form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/9/2025
17. Medium-High risk6/6/2025

    Services proceeded (3270.123(a)(3))

    The current child service reports/approved child development assessments used by the program and on file for children # 3, #5, #8 and #10 were completed more than 6 months after the previous assessments or start date. 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: A current child assessment is in children's file for child #3, #5, #8, and #10. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/6/2025
18. Medium-Low risk6/6/2025

    Posted in group space (3270.111(b))

    The daily activity schedule was not posted in the Leopards room. Requirement: The written plan of daily activities shall be posted in the group space. Correction: The daily activity schedule was posted in the Leopard room after realizing it was missing. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/9/2025
19. Medium risk6/6/2025

    Small Toys and Objects (3270.103)

    There were small paper clips (with a diameter of less than an inch) in an unlocked drawer within reach of toddlers in care in the Leopard room. Requirement: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths. Correction: Small items were immediately moved out of reach of the children when discovered. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/6/2025
20. Medium risk6/6/2025

    Clean and good repair (3270.102(a))

    There were cracks on the front of a plastic kitchen playset in the Giraffe room. Requirement: 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. Correction: The crack was covered with duct tape as soon as it was discovered. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/6/2025
21. Medium risk6/6/2025

    Lidded waste receptacles (3270.82(i))

    There was no liddled trash can in the restroom between the Leopards and Turtles room. Requirement: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle. Correction: A lidded trash can was purchased immediately when it was discovered that the current one was missing the lid. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/9/2025
22. Medium risk6/6/2025

    No peeling paint or plaster (3270.77(a))

    There were areas of peeling paint in the Cheetahs room on a column in the room and on the wall on the right side of the room. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: The damaged plaster was immediately covered when noticed. It was properly repaired within 2 days of covering. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/10/2025
23. Medium-High risk6/6/2025

    Inaccessible to children (3270.75(b))

    First aid kits were in reach of children receiving care in the preschool/schoolage outdoor playspace, hanging on a fence within their reach, and in the Hippos room, on a drawer unit within their reach. Requirement: A first-aid kit must be inaccessible to children. Correction: The first aid kit was immediately moved to a location that was out of reach of the children upon recognizing that it was in reach. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/6/2025
24. Medium risk6/6/2025

    Staff evaluations (3270.34(a)(6))

    The evaluations on file for Facility Person #8 were completed in May of 2023 and May of 2025. Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: A current evaluation is in file for facility person #8. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/6/2025
25. Medium risk6/6/2025

    Each staff person meets quals/Exp, educ., training prior to facility (3270.33(a)/3270.192(2)(ii))

    Facility Person #3 was classified as the director without documentation of the required child care experience for the classification documented and on file. Facility Person #4 was classified as a group supervisor. There was documentation of a non-related bachelor's degree that includes 30 credits in human services on file for Facility Person #4. There was no documentation of the required child care experience for the classification based on the education completed and documented. Facility Person #6 was classified as a group supervisor. There was documentation of a related associates degree on file for Facility Person #6. There was no documentation of the required child care experience for the classification based on the education completed and documented. Facility Person #10 was classified as a group supervisor based on completion of related master's degree. The documentation of the required education was not on file. Requirement: 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. Correction: Staff person #3 immediately obtained documentation of child care experience and included in file. Staff person #4's immediately obtained documentation of child care experience and was put into file. Staff person #6 submitted transcripts for a degree in education. Staff member #10 submitted a copy of degree for file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/9/2025