WALDORF SCHOOL OF PITTSBURGH

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

Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 1/9/26 - 2/17/26 (39 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 and Grounds manager sat down individually with inspector and discussed ramifications of the fire alarm testing extending beyond 30 days. Grounds manager and director then met together and created an official plan of action moving forward, which was approved by our head of school ensuring the fire detection system is tested within 30 days. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Staff person #1 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring (5/11/24). Documentation of updated Pediatric first aid and CPR training is not on file. Staff person #2 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring (5/30/24). Documentation of updated Pediatric first aid and CPR training is not on file. 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. Until such time as the required training has been completed, staff person #1 and #2 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 person #1 and #2, staff person #1 and #2 may not work in a child-care position at the facility. Correction: Staff members #1 and #2 will be enrolled into a CPR course as soon as possible if continuing with our school. Staff members #1 and #2 were supervised in their positions, and were continually supervised through the end of the school year, due to their CPR being out of date. Staff members #1 and #2 are no longer employed at the facility. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The Agreement for Child #5 lacked the persons designated by a parent to whom the child may be released. Requirement: An agreement shall specify the persons designated by a parent to whom the child may be released. Correction: Director sought out parent of child 5 and had them fix the form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3270.21)

In the Poppy Classroom, there was a sharp knife in the far-right kitchen drawer that was not locked and accessible to the children in care. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Drawer with knives was fitted with a proper drawer lock. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The files for Staff #3, #4, #5, #6, and #7 contained Fire Safety trainings that were dated more than 12 months apart. 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 current. Director will meet with staff to remind them of the importance of completing trainings on time. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The files for Staff #1 and #8 contained disclosure statements with no date. Requirement: 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. Correction: Director found employees during inspection period and had them date their disclosures. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

In the Poppy Classroom there was Stermine tablets, labeled "Keep out of the reach of children", that were observed underneath the sink in an unlocked cabinet accessible to children. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: Cabinet was fitted with a proper cabinet lock. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Admission date/Application, admission, withdrawal dates (3270.123(a)(6)/3270.182(2))

The Agreements for Child #5 and #7 lacked the date of the child's admission. Requirement: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child. Correction: Director filled out and signed admission dates during inspection period. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Each child emergency contact person (3270.124(a))

The files for Child #1, #2, #3, and #4 lacked emergency contact information and who shall be contacted in an emergency. Requirement: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. Correction: All children's families were contacted, and paperwork was filled out properly. Child #1, #2, #3, and #4 now have emergency contact information and who shall be contacted in an emergency. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The Emergency Contact Form for Child #7 lacked the enrolling parents work address and telephone number. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Director had parents fill out information requested Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The Emergency Contact Forms for Child #5, #6, and #7 lacked the address 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: Director reached out to families and got the forms filled in. The Emergency Contact Forms for Child #5, #6, and #7 have been updated to include address of the individual designated by the parent to whom the child may be released. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Copy of initial and subsequent agreements. Parent receives original. (3270.182(8))

The files for Child #1, #2, #3, and #4 lacked an agreement between the parent and the operator. Requirement: 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. Correction: All families were contacted, and paperwork was filled out properly. Child #1, #, #3, ad # have updated agreements. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Transcript, diploma and letters (3270.192(2)(iv))

The file for Staff #2 lacked proof of qualifications for education in the form of a diploma, transcript, or letter signed by a representative or the experiential, educational or training entity. Requirement: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. Correction: Director reached out to employee and secured their college degree. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(5))

The Emergency Plan parent letter lacked plans for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions. Requirement: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Correction: An addendum has been made to include a plan that provides accommodations for small children, those with disabilities, and those with chronic medical conditions. Inspection: Renewal. 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 Smoke Detection testing documentation, there was a gap in the documentation exceeding 30 days where the smoke detectors were not tested: 2/13/25-3/16/25 (31 days), 5/15/25-6/19/25 (35 days), 7/13/25-8/19/25 (37 days), and 9/11/25-10/17/25 (36 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 will meet with building and grounds committee to ensure fire drills take place within 30 day mark. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health information/Initial and subsequent health reports (3270.131(a)/3270.182(1))

The files for Child #1, #2, #3, and #8, enrolled for more than 60 days lacked an initial health report Requirement: 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. Correction: Director reached out families and received all required health forms for Child #1, #2, 3, and #8. *Child 8's doctor is not in practice anymore, and family has not been able to get child in for a well visit, as they're on a waitlist for entry to a new practice. child will be scheduled for a well-visit in the new year. Their 2024 well visit will be attached* Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mantoux TB (3270.151(c)(2))

The file for Staff #5 contained the results of a tuberculin skin test, x-ray or other medical documentation necessary to confirm freedom from communicable tuberculosis that was dated over a year prior to date of hire, and therefore not valid. Requirement: 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. Correction: Staff member #5 received a TB test on Monday 12/2, with results being read and documented on Wednesday 12/4. negative results are attached in an email to inspector. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Pertinent Laws & Regulations/General Health and Safety (3270.14/3270.21)

Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: (Mandated Reporter Training and Pediatric First Aid/CPR). Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid/CPR). Requirement: 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. Until such time as the required pre-service trainings are completed, staff person #2 and #4 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 and #4, staff person #2 and #4 may not work in a child-care position at the facility. Correction: Staff member #4 has completed their Mandated Reporter training as of 11/19. Both staff member #4 and #2 received up to date and PQAS certified CPR+First Aid training as of 11/20. Staff #2 and #4 were supervised until approved training was obtained. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3270.21)

A box of matches and three separate matches were observed laying on the child sized table accessible to the children in the Rosebud Classroom. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Matches were put away during inspection time and made inaccessible to the children in care. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for Staff #2 contained Pediatric First Aid and CPR certification obtained on 9/15/24. Their previous certificate expired on 8/25/22, creating a lapse in their First Aid and CPR training. 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 member #2 received up to date and PQAS certified CPR+First Aid training as of 11/20. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

Staff person #2 and #4 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic. Requirement: Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #2 and #4 must receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer. Until such time as the correction is implemented, staff person #2 and #4 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 and #4, staff person #2 and #4 may not work in a child-care position at the facility. Correction: Both staff member #4 and #2 received up to date and PQAS certified CPR+First Aid training as of 11/20. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The files for Staff #1, #3, and #5 contained disclosure statements that lacked dates. Staff #5 has lived out of state in the last 5 years and did not have documentation of requests for the West Virginia clearances. Requirement: 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. Facility Person #5 may not work in a childcare position at the facility. Correction: The disclosure statements were dated by staff members #1,#3, and #5 as of 11/26. The West Virginia Social Services Office received staff member #1's application for all WV clearances on Monday 11/25, and results were mailed on Tuesday 12/3. On Tuesday 12/3, WV administrator let inspector know that Staff member #5's results were clear. Documentation will be emailed when it arrives. Staff #5 will not work in a childcare position at the facility. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Protective Outlet Covers 5 yrs. or less (3270.65)

Two outlets on the extension cord by the lamp in the Rosebud Nursery were observed to lack protective outlet covers. These outlets were accessible to children 5 years of age or younger. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: Outlet covers were covered with plastic protectors. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toxic plants not permitted (3270.66(d))

Multiple toxic plants including Oxalis Triangularis False Shamrock, Aglaonema Urceolina × Grandiflora (Planch. & Linden) Traub, Syngonium, Spathiphyllum, Philodendron, and Pothos were observed in the Morning Garden Classroom. Requirement: Toxic plants are not permitted in a child care space. Correction: All plants have been removed, and their removal was documented. This was emailed out on 11/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The Emergency Contact Form for Child #1 lacked the address of the individual designated by the parent to whom the child may be released. The Emergency Contact Form for Child #3 lacked the name, address, and telephone 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: Parents for child #1 updated the address of people whom child may be released to on 11/27.Parents for child #3 updated the name, address and phone number of whom child may be released to on 11/20. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).