ST MATTHEW DAY CARE

Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission (3270.182(3)/3270.182(5))

During the renewal inspection on 10/29/25, it was observed that the records of child #2 did not include consents for minor first aid and emergency medical treatment. Requirement: 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. Correction: Parent was asked to complete the emergency contact form to include permission for staff to administer minor first aid needs Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Immunization record (3270.131(b)(2)/3270.131(d)(5))

During the renewal inspection on 10/29/25, it was observed that the records of child #3 did not include an updated health record and a record of child's immunized status. Health record dated 7/17/2024. Requirement: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Correction: Parent was notified that their child physical form was outdated. Parent provide a current form via email current as of 3/19/25 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection on 10/29/25, it was observed that the records of child #3 did not include the release person's address. 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: Parent was notified that they needed to include addresses of emergency contact release persons Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection on 10/29/25, it was observed that the records of child #1 did not include the 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: Parents work from home address but did not write it out in place of work address area. Director had parent complete this section. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mixed Age Level/Supervised at all times (3270.52/3270.113(a))

During the unannounced visit cert rep observed while walking down the stairs a child crying on the floor in the infant room where there was 1 staff with 4 infants. The staff person was changing another child. The staff person in the Duck's classroom was standing in the doorway of the Duck's classroom with 9 older toddlers and preschoolers while helping with bathroom with another staff person in the hallway called for another staff person to come help. The staff person standing in the doorway went into the infant classroom before the other staff person got into the Duck's classroom leaving the children unsupervised and out of ratio. Requirement: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times. 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. Correction: Staff will wait for another staff person before moving to another classroom. All staff completed supervision training and on file. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

On file at facility (3270.18(a))

During the unannounced visit cert rep observed the liability insurance expired 1/1/2025. Requirement: 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. Correction: Centers liability insurance renewed 1/1/2025. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection cert rep observed the emergency contact for child #1 and 5 did not include the physicians name and address. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: Emergency contact for child #1 and 5 forms were updated and completed to include physicians name and addresses. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection cert rep observed the fee agreement for child #2-4 did not include the release persons name. Requirement: An agreement shall specify the persons designated by a parent to whom the child may be released. Correction: Agreement forms for child #2 and 4 were updated and completed by parent to include persons designated by them to release the child. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection cert rep observed the emergency contact for child #1, 2 and 5 did not include the parents work address and phone number. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Emergency contacts for child #1, 2 and 5 forms were updated to include parents work phone number and address. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection cert rep observed the emergency contact for child #1, 3-5 did not include the special needs of the child. 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: Emergency contacts for child #1, 3 and 5 have been updated to include special needs of the child. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection cert rep observed the emergency contact for child #1 and 5 did not inlcude the health insurance coverage and policy number. 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: Emergency contact forms for child #1 and 5 were updated to include health ins coverage and policy number. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection cert rep observed the emergency contact for child #1-3 and 5 did not include the release persons address and phone number. 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: Emergency contact forms for child #1-3 and 5 were updated to include release persons addresses and phone numbers. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written emergency plan posted (3270.124(e))

During the renewal inspection cert rep observed the emergency transportation plan did not include staffing provisions and not posted in the lamb and infant classrooms. Requirement: 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. Correction: Emergency transportation plan was updated on December 11th and posted in the Lamb and Infant classrooms. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Child's hands washed (3270.134(a))

During the renewal inspection cert rep observed the children in the Lamb classroom washed their hands then sat on the floor before being seated at the table to eat lunch. The children in the Bear classroom did not wash their hands before lunch. Requirement: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. Correction: All staff persons will ensure that a child's hands are washed before meals and snacks, after toileting and after using the bathroom, potty or after being diapering. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Safe routes posted (3270.171(c))

During the renewal inspection cert rep observed a written notification of safe routes was not posted in the facility. Requirement: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility. Correction: A written notification and diagram for safe routes will be posted in all areas of building. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency info/agreement updated 6 mos/Consent for administration of minor first-aid required prior to admission (3270.181(c)/3270.182(5))

During the renewal inspection cert rep observed the fee agreement was not updated once in a 6-month period. The emergency contact did not contain signed parental consent for administration of minor first aid procedures. Requirement: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. 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: Fee agreement will be updated once in a 6 month period and signatures obtained. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Signed parental consent for transportation, walking excursions, swimming and wading (3270.182(6))

During the renewal inspection cert rep observed the emergency contact for child #4 did not contain signed parental consent for transportation, walking excursions, swimming and wading. Requirement: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading. Correction: Child #4 emergency contact was updated and completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan/Emergency plan (3270.27(a)(5)/3270.27(a)(6))

During the renewal inspection cert rep observed the emergency plan did not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions. The annual emergency drill was not conducted annually and on file. Requirement: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: St. Matthew's plan added accommodations for infant, toddler and children with disabilities and children with chronic medical conditions. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(f))

During the renewal inspection cert rep observed a copy of the emergency plan was not sent to the local municipality and to the county emergency management agency. Requirement: 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. Correction: Documentation of emergency plan delivery was mailed on July 12, 2024 to Thomas J Clark, III copy ini emergency plan. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Arrival/departure times (3270.123(a)(4))

During the renewal inspection cert rep observed the fee agreement for child #3 did not specify the child's arrival and departure times. Requirement: An agreement shall specify the child's arrival and departure times. Correction: Child #3 agreement form was updated to include the time of arrival and pick up times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Date fee to be paid (3270.123(a)(2))

During the renewal inspection cert rep observed the fee agreement for child #1-5 did not specify the date on which the fee is to be paid. Requirement: An agreement shall specify the date on which the fee is to be paid. Correction: Child #1-5 agreement form was updated and corrected. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Signed (3270.123(a))

During the renewal inspection cert rep observed child #3 fee agreement was not signed by the operator. Requirement: An agreement shall be signed by the operator and the parent. Correction: Child #3 fee agreement was updated and signed by the director. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3270.113(a))

During the renewal inspection cert rep observed 2 staff persons surfing on their cell phones in the Bear classroom with 6 preschoolers in care. Requirement: 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. Correction: Staff was informed that the use of cell phones or mobile devices is not allowed while supervising children. Use of cell phones is for emergencies or on staff breaks. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

During the renewal inspection cert rep observed the first aid kit in the Lamb classroom did not include gauze. Requirement: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. Correction: Director added guaze to the Lamb room first aid box. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No insects or rodents (3270.67(c))

During the renewal inspection cert rep observed a box used for rodents in the corner on the floor in the infant classroom. Requirement: Evidence of infestation of insects or rodents in the facility is not permitted. Correction: Box used for rodents in infant room was removed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).