GREENSBURG EARLY CARE AND EDUCATION CENTER

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

Based on review of video footage, Staff Person #1 was caring for a child in the hallway outside of Room 19 and has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first aid/CPR training. Based on observation during the inspection, it was determined that Staff Person #2 was caring for 3 children (1 young toddler and 2 older toddlers) in Room 19 without a qualified staff person present and has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first aid/CPR training. 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 training is completed, Staff Persons #1 and #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 persons available to supervise Staff Persons #1 and #2, Staff Persons #1 and #2 may not work in a child-care position at the facility. Correction: Staff without pediatric first aid/ CPR will be supervised by a staff member who is certified in pediatric CPR/ First aid. Staff member #2 has been placed in rooms with First Aid/ CPR Certified staff since 02/27/26. Staff #2 obtained First Aid/ CPR certification on 03/20/26. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No physical punishment (3270.113(b))

Based on the facility's self-reported noncompliance, staff statements, and a review of video footage, it was determined that at approximately 12:22 p.m., Staff Person #1 and Child #1 were in the hallway outside of Room 19. Staff Person #1 bent down to speak with Child #1. During the interaction, Staff Person #1 pulled on Child #1's left arm, causing the child to lose balance, and remained in close proximity to the child's face while speaking. When Child #1 turned their head away, Staff Person #1 squeezed the child's cheeks and repeatedly turned the child's head back toward them. Requirement: A facility person may not use any form of physical punishment, including spanking a child. Correction: Staff #1 was terminated, on site, on date of incident; 02/25/26 Inspection: Self-Reported Non Compliance. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Protective Outlet Covers 5 yrs. or less (3270.65)

There was an uncovered electrical outlet in room 18. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: Outlet covers were replaced in the electrical outlet in room 18. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

There was a Vaseline and a Aquaphor label " Keep out of reach of children" accessible to children.in a cubby located on the hallway on the second floor. The area is used for the parents to drop off the children. the children walk through to get the bathroom. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: Aquaphor and Vaseline were removed from the cubby in the lobby. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Original container (3270.66(b))

There was a hand sanitizer in a cabinet that contained snacks in room 21. Requirement: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces. Correction: Hand sanitizer was removed from the cabinet, with snacks, and placed into a locked closet. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

There several holes on the playground surfacing creating tripping hazards. 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: Playground was caution taped off and is not assessable to children. Child at the center will use the front fenced play yard until playground is repaired. A maintenance requested has been submitted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

There was peeling paint on the board border on room 21. There was peeling paint on the wall by the fire exit door in room 18. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: Peeled paint was painted over inside the classroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

There was a cracked clear bin in room 18. There was a broken bin in room 21. There was a cracked bin room 16. there was a cracked clear bin in room 11. 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: Bins with cracks are removed and disposed on site. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Medication log (3270.133(7))

The operator was not maintaining a medication log for an Albuterol Sulfate Inhalation Aerosol medication for child #1 and child #2. Requirement: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. Correction: A medication log has been administered for children who have medication. 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))

According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 7/10/25-8/11/25 and 8/11/25-9/1225. 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: The director will do the fire drill 30 days or less each month in order to maintain compliance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Similar Age Level (3270.51)

Based on a facility self-report and staff statements, on 9/29/25 at approximately 12:50 p.m., Staff #1 and #2 were supervising 12 preschool aged children in Room 17. The staff and children left the room to go to the bathroom. Child #1, a preschool aged child, was left alone in Room 17 for approximately 3-5 minutes while the staff and other children were in the bathroom. Another staff discovered Child #1 alone in the room. Requirement: 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. Correction: Supervision checks are conducted every 15 minutes and recorded on the name to face sheet. Staff will count children when leaving the classroom, mid transition, and when arriving at transition destination. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3270.113(a))

Based on a facility self-report and staff statements, on 9/29/25 at approximately 12:50 p.m., Staff #1 and #2 were supervising 12 preschool aged children in Room 17. The staff and children left the room to go to the bathroom. Child #1, a preschool aged child, was left alone in Room 17 for approximately 3-5 minutes while the staff and other children were in the bathroom. Another staff discovered Child #1 alone in the room. 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. TIERED LIS: 1. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity will require all staff persons at the facility to complete a training regarding Supervision that includes supervision during room transitions. The training must be offered by ELRC 4, in-person and a minimum of 2 hours. The training must be completed within 3 months of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Upon completion of the training, staff training documentation will be provided to the OCDEL-DHS representative by email. The training may count towards the mandatory 12 training hours required by the Department. The operator shall provide a date for when this training will be complete. Correction: Staff will ensure a minimum of 1:10 ratio at all times. The ELRC 4 will conduct an in person, 2 hour, training at our facility with all staff on 01/05/26. Staff #1 and Staff #2 are no longer employed at the agency. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Based on a facility self-report and staff statements, on 9/29/25 at approximately 12:50 p.m., Staff #1 and #2 were supervising 12 preschool aged children in Room 17. The staff and children left the room to go to the bathroom. Child #1, a preschool aged child, was left alone in Room 17 for approximately 3-5 minutes while the staff and other children were in the bathroom. Another staff discovered Child #1 alone in the room. 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: Staff #1 and staff #2 have been issued a corrective action to discuss what policies, procedures and regulations were violated. Supervision checkpoints are located around the building and staff in ratio are required to have children's name to face cards physically on them at all times. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3270.21)

Based on review of documentation in child's record, staff served child yogurt after being informed by parent that child was allergic to dairy. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Health Information Form has been updated as of 03/2025 to include Lactose Intolerance to the list of "Please circle if your child has any of the following". A meal care plan will be created before enrollment to ensure that the facility can make accommodations for the child interested in enrolling. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Special diet - parent's instructions (3270.133(8))

Based on review of documentation in child's record, staff served child yogurt after being informed by parent that child was allergic to dairy. Requirement: If a special diet is prescribed for a child and if the diet is administered to the child, written instructions and the parent's written consent shall be retained in the child's file. Correction: Medical Plan of Care for Child Nutrition Programs has been updated to the most up-to-date form per CACFP guidelines. A parent/guardian questionnaire form has been created that is completed during the enrollment process. The parent/guardian completed form is then sent to the medical provider of the child for accommodation verification. If the accommodations are unable to be met by SHCS, the child will be placed on the waitlist until such accommodations can be made. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for staff #1 lacked a current State Police clearance. The previous State Police clearance was dated 9/16/19. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a child care position at the facility. 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 #-1may not work in a child care position at the facility. Correction: Criminal record for Staff #1 was submitted on 09/09/24. The clearance was dated 09/09/24 as No Criminal Record. The paperwork was delayed by the state and sent on 10/07/24. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED + 2 yrs (3270.36(b)(5))

The file for staff #3, identified as an assistant group supervisor, lacked documentation of 2 years of experience with children. The file contained a high school diploma and verification of 1.6 years of experience with children. Requirement: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. Correction: Corrected on site. The violation was corrected prior to handing paperwork to the DHS inspector. The paperwork had an error. Center Director verbally corrected AGS to AIDE prior to providing verification of hours to DHS rep. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mantoux TB/Health assessment, TB test (3270.151(c)(2)/3270.192(3))

The health report for staff # 2 lacked that date when the TB test was read. 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. 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. Correction: Medical office updated the health form for staff #2 that was lacking a date for the TB test. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name on bottle (3270.133(3))

There was a Cera Ve Eczema Relief Creamy oil that lacked the name of the child for whom the medication is intended. Requirement: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. Correction: Corrected on site. Child's name was added to the bottle of lotion that was dropped off that morning. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written emergency plan posted (3270.124(e))

Rooms #11, and 12 lacked an emergency transportation plan. 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: Corrected on site. Emergency transportation plan updated and hung on mandatory posting boards inside each classroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

There was a yellow cracked bin in room 11. There was a clear cracked bin in room 14. There was a clear cracked bin in room 17. 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: Cracked bins in rooms 11, 14, & 17 were immediately disposed of. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Good repair (3270.72(c))

There was a hole on the 1st window screen to the left in room 11. There was a hole on the 1st and 2nd window screen in room 12. There was a hole on the 2nd window screen in room 16. Requirement: Screens shall be in good repair. Correction: Maintenance person removed screens from windows that had holes in them. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).