MARGARET GEORGE SCHOOL AND CHILD CARE CENTER

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

At the time of the Renewal Inspection conducted on 10/15/2025, the file for Staff Person #3, Staff Person #4, Staff Person #5 and Staff Person #6 did not contain verification of completion of the required Health and Safety Trainings. 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. Correction: Verification of completion will be added to staff files and made available for departmental review. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan (3270.27(c))

At the time of the Renewal Inspection conducted on 10/15/2025, the files for Staff Person #1, Staff Person #2, Staff Person #3, Staff Person #4, Staff Person #5 and Staff Person #6 did not contain verification of the completion of Emergency Plan training. Requirement: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. Correction: Emergency plan training was done at a staff meeting. All staff that attended sign off that they were trained in the facilities emergency plan. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training/Health and Safety Training - Pediatric First Aid and CPR (3270.31(e)(4)(i)/3270.31(f)(10))

At the time of the Renewal Inspection conducted on 10/15/2025, the file for Staff Person #1 and Staff Person #6 did not contain verification of the completion of Pediatric First Aid and Cardiopulmonary Resuscitation 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. Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Correction: All staff completed First Aid and Cardiopulmonary Resuscitation Training, documentation will be kept on file for departmental review. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

At the time of the Renewal Inspection conducted on 10/15/2025, the file for Staff Person #1 resided outside of Pennsylvania in North Carolina and New York within the last 60 months. The file for Staff Person #1 did not contain verification of the completion of the Out of State Sex Offender Registry Clearance for North Carolina and New York, the file also did not contain the New York Child Abuse Clearance for Staff Person #1. The files for Staff Person #1, Staff Person #5 and Staff Person #6 did not contain a completed PA Criminal Background Check. The file for Staff Person #5 did not contain a completed Child Abuse Clearance and the files for Staff Person #5 and Staff Person #6 did not contain a completed National Sex Offender Registry Clearance Check. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1, Facility Person #3 and Facility Person #6 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 #1, Facility Person #5 and Facility Person #6 may not work in a child care position at the facility. Correction: All staff will obtain required clearances. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Assistant Group Supervisor qualifications/Exp, educ., training prior to facility (3270.36(b)/3270.192(2)(ii))

At the time of the Renewal Inspection conducted on 10/15/2025, the file for Staff Person #5 and Staff Person #6 did not contain verification of education or childcare experience. The file for Staff Person #1 did not contain verification of childcare experience. Requirement: An assistant group supervisor shall have attained one of the qualification levels specified at § 3270.36(b)(1-5). A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: All verification of childcare experience and education were obtained and are now on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(f))

At the time of the Renewal Inspection conducted on 10/15/2025, the provider could not verify that the Facility's Emergency Plan was sent to the Local Municipality and 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: Provider sent the facility's Emergency Plan to the Emergency Management Agency and documentation will be made available for departmental review. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(6))

At the time of the Renewal Inspection conducted on 10/15/2025, the provider could not verify in writing that an annual emergency drill was completed. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: Emergency drills will be conducted annually and documented. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

At the time of the Renewal Inspection conducted on 10/15/2025, the files for Staff Person # 5 and Staff Person #6 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Requirement: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Correction: Provider obtained two written references for Staff Person # 5 and Staff Person #6. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name, address, and phone (3270.192(1))

At the time of the Renewal Inspection conducted on 10/15/2025, the file for Staff Person #5 did not contain verification of the Staff Person's name and address. Requirement: A facility person's record shall include the name, address and telephone number of the facility person. Correction: Provider obtained a copy of Staff Person #5's ID and added it to their file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Health assessment, TB test (3270.151(a)/3270.192(3))

At the time of the Renewal Inspection conducted on 10/15/2025, the file for Staff Person #4 and Staff Person #5 did not contain a completed Health Assessment, including the results for the tuberculin skin test. Requirement: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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: Provider will ensure that all required health assessment documents for each staff member is obtained. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Posted in group space (3270.111(b))

At the time of the Renewal Inspection conducted on 10/15/2025, the written plan of daily activities was not posted in the Owls Classroom. Requirement: The written plan of daily activities shall be posted in the group space. Correction: Provider will ensure that the schedule will be posted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Small Toys and Objects (3270.103)

At the time of the Renewal Inspection conducted on 10/15/2025, in the Owls Classroom, with children ages 1-3 year's old, there were small glass pumpkins and acorns, with a diameter of less than 1 inch accessible to children. There was also corn kernels in an area accessible to children in the Fox Classroom with children ages 1-2 years old. 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: All choking hazards were removed, and staff were reminded of choking hazard sizes and regulations Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

At the time of the Renewal Inspection conducted on 10/15/2025, there were stained ceiling tiles in the Eagles Classroom by the window and outside of the Owls Classroom in the hallway. There was also a loose vent cover with pointy edges in the Fox Classroom. 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: Provider will ensure that the ceiling tiles and vent cover are replaced. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Similar Age Level (3270.51)

At the time of the Renewal Inspection conducted on 10/15/2025, in the Bears Classroom 23 Preschool Aged Children were grouped on the rug for an activity, exceeding the maximum group size by 3. 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: Provider will ensure that all group sizes adhere to the maximum group size and will not have more that 20 preschoolers grouped together at one time Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No insects or rodents (3270.67(c))

At the time of the Complaint Investigation on 12/02/2024, there was evidence of mice infestation in the Windowsill of the Owls Classroom, behind the refrigerators in the Chipmunks and Fawns classrooms. Requirement: Evidence of infestation of insects or rodents in the facility is not permitted. Correction: Staff will be trained to look for any signs of pests in the facility and follow training protocol for how to manage pest control. All daily previous precautions will continue. Weekly and monthly pest management will be conducted by pest control professionals. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exp, educ., training prior to facility (3270.192(2)(ii))

At the time of the Unannounced visit on 12/02/2024, the file for Staff Person #1 was not available for departmental review. Provider delivered file for Staff Person #1 to the department electronically on 12/04/04. The file for Staff Person #1 did not contain verification of education prior to service at the facility. Requirement: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Provider obtained documents and will provide them to the department. Additionally Assistant directors will be promoted in order to keep paperwork completed and up to date effectively. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Immediate access/Individual Records (3270.24(a)/3270.191)

At the time of the Unannounced visit on 12/02/2024, the file for Staff Person #1 was not available for departmental review. Requirement: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records. An individual record is required for each facility person. Correction: Staff files will be accessible at all times and given immediate access. All facility persons will have an individual record kept in the same place. A digital record will also be kept with Five Star Registration. All new staff will have all required paperwork before hire date. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan (3270.27(c))

At the time of the Unannounced visit on 12/02/2024 The file for Staff Person #1 was not available for departmental review. Provider delivered file for Staff Person #1 to the department electronically on 12/04/04. The file for Staff Person #1 did not contain verification of the completion of Emergency Plan Training at time of initial employment. Requirement: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. Correction: All staff are trained on emergency procedure. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

At the time of the Unannounced visit on 12/02/2024, Staff Person #1 was observed working in the facility as a Provisional Hire. The file for Staff Person #1 was not available for departmental review. Provider delivered file for Staff Person #1 to the department electronically on 12/04/04. The electronic file for Staff Person #1 did not contain verification of the date the National Sex Offender Registry Clearence was requested for Staff Person #1 and did not contain a signed and dated Disclosure statement. 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 # 1 may not work in a child care position at the facility. Correction: Provider obtained documents and will provide them to the department. Additionally Assistant directors will be promoted in order to keep paperwork completed and up to date effectively. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Refrigerator (3270.107)

At the time of the Renewal inspection on 10/03/2024, the refrigerator in the Bears Preschool Classroom had sticky unknown substances spilled in it and food particles on its shelf. Requirement: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator. Correction: Staff cleaned fridge at nap time after inspection. This fridge did not hold any child snacks. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

At the time of the Renewal inspection on 10/03/2024, the file for Staff Person #2 did not contain two written, nonfamily references attesting to the person's suitability to serve as a facility person. Requirement: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Correction: Letters were obtained for Staff Person #2. 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))

At the time of the Renewal inspection on 10/03/2024, the emergency contact form on file for Child #1 did not contain parental consent for transportation. Requirement: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading. Correction: Provider had parents complete the form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

At the time of the Renewal inspection on 10/03/2024, the Emergency Contact form on file for Child #3 did not contain the Health Insurance Policy Number for the child. 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: Provider obtained health insurance information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

At the time of the Renewal inspection on 10/03/2024, the individual record for Child #1, Child #2 and Child #4 did not contain a child service report. 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: Child Service reports were completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

At the time of the Renewal inspection on 10/03/2024, the area under the cabinet in the Preschool 2 Classroom and the wall by the coat room in the Bears Preschool Classroom had peeling paint. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: Provider will have the whole classroom repainted the weekend of November 11th. Invoice attached, provider will send photos of repairs. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).