UNION CHRISTIAN ACADEMY

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

Staff person #5 was observed to be caring for children unsupervised. Staff person #5 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 trainings are completed, staff person #5 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 #5, staff person #5 may not work in a child-care position at the facility. Correction: Staff person #5 has obtained [their] current Cpr/First Aid from a certified PQAS instructor as of 12/3/2025. Staff person #5 worked supervised until the training was completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan (3270.27(c))

The files for staff person #5 and #6 had emergency plan training that was dated after initial employment at the facility. 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 has been completed for both staff. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for staff person #1 had current pediatric first-aid/CPR training with a completion date of 10-13-25 that was after the February 2025 expiration of the prior 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 person #1 has current training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for staff person #4 had fire safety trainings that exceeded a year between trainings. 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: Staff person #4 has current fire safety training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

Staff person #5 has completed Pediatric first aid and CPR training, however the trainer has not provided documentation that they are PQAS-certified in that training curriculum. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #5 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 #5, staff person #5 may not work in a child-care position at the facility. Correction: Staff person #5 has obtained their current Cpr/First Aid from a certified PQAS instructor as of 12/3/2025. Staff person #5 worked supervised until the training was completed. Inspection: Renewal. 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 person #2 had an NSOR verification certificate dated 2-25-20 and lacked a current NSOR verification certificate updated within the last 60 months. The file for staff person #3 had an NSOR verification certificate dated 4-21-20 and lacked a current NSOR verification certificate updated within the last 60 months. The file for staff person #4 had an NSOR verification certificate dated 3-5-20 and lacked a current NSOR verification certificate updated within the last 60 months. The file for staff person #6 lacked an NSOR verification certificate at their start date and requires a current certificate. The files for staff person #5 and #6 had disclosure statements that were dated after their start 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. Staff Person #2, Staff Person #3, Staff Person #4, and Staff Person #6 may not work in a child care position at the facility. Correction: Staff person #2, #3, #4, #6 will have a current NSOR verification certificate updated within the last 60 months. Staff #5 and #6 will have properly dated disclosure statements. Staff person #2, #3, #4, #6 did not work in a child care position until the update NSOR verification certificates were received. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

Staff person #2 had mandated reporter trainings dated 1-21-20 and 7-15-25 that were over 60 months between trainings. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: Staff person #2 has updated training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for staff person #5, functioning as an assistant group supervisor, lacked verification of child care experience to qualify as an assistant group supervisor. 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 #5 will have a completed verification of child care experience form in their file that qualifies them as an assistant group supervisor. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

On the outdoor toddler play space, there was a large crack in the poured-in-place surface that was raised and was a tripping hazard. 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: Toddler play space was repaired. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toilet and sinks proper height (3270.82(e))

In the 1 year old room after changing a young toddler's diaper, staff person #3 washed the child's hands by holding the child to reach the sink and did not use a platform or steps for the child to reach the sink to wash their hands. Requirement: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps. Correction: Corrected. Staff in 1 year old class will have the children use steps to wash hands. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, good repair, proper size (3270.104(a))

In the school-age room on the left side of the room, there was a drawer that lacked a handle and had a screw that was protruding out and had sharp edges. Requirement: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. Correction: Corrected. The school age rooms drawer had a screw protruding out and sharp edges which was covered Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, age appropriate (3270.106(a))

In the 3 year old room, there were multiple cots that were not labeled with the child's name that uses the equipment. Requirement: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child. Correction: Corrected. 3 year old room cot's will be labeled with the children's names. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

2 feet apart (3270.106(f))

In the 2 year old room during naptime, there was one child on a cot that lacked 2 feet of space on three 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: Corrected. Child's cots will have 2 feet of space on 3 sides. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for child #1 had an emergency contact form that lacked the work telephone number of the enrolling parent. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Corrected. Child #1 now has an emergency form that with a work telephone number of the enrolling parent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant: updated health report every 6 months/Initial and subsequent health reports (3270.131(b)(1)/3270.182(1))

The file for child #5, a young toddler, lacked a current health assessment updated within the last 6 months. Requirement: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports. Correction: Corrected. Child #5 now has a current health assessment updated within the last 6 months Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exemption documentation from parent/guardian/Dismissal policy (3270.131(e)(1)/3270.131(e)(3))

The file for child #5, a 15 month old enrolled more than 60 days at the facility, lacked documentation of the 3rd DTAP and Pneumococcal vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation. Requirement: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #5 must be dismissed from care by close of business on 11-18-25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Correction: Corrected. Child #5 now has documentation of the 3rd DTAP and Pneumococcal vaccinations. Child #5 did not return to the facility until the updated immunization record was received. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Original label (3270.133(5))

In the pre-k room, there was Epinephrine medication for child #6 that was expired. Requirement: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. Correction: Corrected. The expired Epinephrine Pen was sent home and a new Epinephrine Pen was received. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Disposable diapers (3270.135(a)(3))

In the 1 year old room after changing a child's diaper, staff person #5 was observed placing the diaper in a plastic bag first and then discarding in the plastic-lined hands-free covered can. The diaper was not immediately thrown away in the hands-free covered can. Requirement: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. Correction: Corrected. Staff #5 discard diapers directly in the plastic lined hands-free covered can. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Mantoux TB (3270.151(a)/3270.151(c)(2))

The file for staff person #3 had health assessments that exceeded 24 months between assessments. The file for staff person #5 had a health assessment and tuberculosis screening by the Mantoux method that were dated after providing initial service in a child care setting at the facility. The file for staff person #6 had a health assessment that was dated after the staff person provided initial service in a child care setting at the facility. 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. 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: Corrected. Staff person #3 will have a health assessment every 24 months. Staff person #5 & #6 have had a Health assessment and TB screening. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency info/agreement updated 6 mos (3270.181(c))

The file for child #5 had an emergency contact form and agreement that exceeded 6 months between updates by the parent. 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. Correction: The forms are now updated. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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))

The files for child #1, #3, and #4 had an emergency contact form that lacked signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff. The file for child #2 had an emergency contact form that lacked signed parental consent for administration of minor first-aid procedures by facility staff. 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: Corrected. Child #1, #2, #3, & #4 will have emergency contact forms which are signed for parental consent for emergency medical care for the child and signed parental consent for administration of minor first aid procedures by facility and staff. 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 log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days on multiple occasions within the last year. 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: Corrected. The interconnected fire detection system in the facility will be checked once every 30 days. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e))

The file for staff person #3 lacked 12 hours of annual child care training. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Correction: Staff person #3 completed the 12 clock hours of child care training 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 #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid/CPR training. 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: Pediatric first-aid/CPR training. Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid/CPR training from a PQAS approved trainer. 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 #1, #4, and #5 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 #1, #4, and #5, staff person #1, #4, and #5 may not work in a child-care position at the facility. Correction: Staff person #1 & #4 have a current Cpr/First aid as of 11/11/2024. Staff person #1 & #4 did not supervise children until the trainings were completed. Staff person #5 is in the process of obtaining her current Cpr/First-Aid from a certified PQAS instructor. Staff #5 will not supervise children alone until she acquires her training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan (3270.27(c))

The file for facility person #6 lacked emergency plan training at the time of initial employment and requires current 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: Facility person #6 has been trained in the center's emergency plan. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).