St Pauls Childcare Preschool and Kidz Korner

2026

1. Medium-High risk6/30/2026

   Excursions (3270.124(d))

   Emergency contact forms for the 16 children swimming at the park were not present. When the emergency contact forms were dropped off at the swimming pool, an emergency contact form was not in the binder for Child #1. Requirement: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion. Correction: The emergency contact binder with the forms were dropped off at the pool on that day. Child #1's emergency contact form was sent electronically once it was realized it was not in the binder. Inspection: Swimming. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 6/30/2026
2. Medium risk2/6/2026

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

   2nd CITATION (ORIGINALLY CITED 1/21/2026): At approximately 12:35 pm, 18 children were receiving care in the Craft Room. When each staff were asked to identify their primary groups for supervision, staff #1 identified 4 preschool children, staff #2 identified 6 preschool children and staff #3 identified 5 older toddler and preschool children for a total of 15. When asked a second time, staff #1, #2 and #3 each identified the same groups of children initially identified for a total of 15 children. Each time the same 3 children were not identified by staff. Requirement: 1. 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 DATE: 2/6/2026 2. The legal entity must arrange for all facility persons to receive a minimum of 2 hours of in-person training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. All staff will be required to sign in, and the form will be kept on file at the facility. CORRECTION DATE: 3/20/2026 3. The legal entity must schedule and conduct a staff meeting with supervision as its focus. The agenda will include a review of the training and discussions on supervision of children. A record of the agenda and attendees will be documented and maintained at the facility. The agenda and attendee records will be made available to the regional office upon request. CORRECTION DATE: 3/20/2026 Correction: 2/6/2026 - All children were supervised and the 3 children were assigned to a staff person in the classroom. 3/20/2026 - The ELRC has been contacted and will be scheduling a supervision training which will be attended by all staff. A staff meeting will be conducted after the training to discuss training and supervision topics. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 2/6/2026
3. Medium-High risk1/8/2026

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

   The emergency plan did not include the continuity of services/operations plan in the event of a disaster. 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: In the event of a disaster or emergency situation that prevents onsite operations, the following procedures will be implemented: Preschool Program: Preschool will continue instruction remotely through Google Classroom. Teachers will provide learning activities, communication, and support using this platform until inperson operations can safely resume. Child Care & Kidz Korner Programs: Child Care and Kidz Korner will remain closed during the disaster period. Services will resume only when conditions allow for safe reopening in accordance with organizational policy and local guidance. This addendum is effective immediately and should be followed in conjunction with all existing emergency procedures. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 1/16/2026
4. Medium-High risk1/8/2026

   Training regarding plan (3270.27(c))

   Documentation of consecutive emergency plan trainings for staff #3, #4 and #5 were dated more than 12 months apart. The file for staff #6 did not contain documentation of emergency plan training within the past 12 months. The file for staff #9 did not contain documentation of emergency plan training and has been employed for more than 90 days (see LIS code sheet). 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: - Staff #3, #4, #5, #6, and #9 will receive emergency plan training by 1/23/2026. - A completed training roster---including staff names, training dates, and signatures---will be placed in each staff file immediately following the training. - The director will review all staff files to ensure no additional documentation gaps exist. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 2/1/2026
5. Medium-High risk1/8/2026

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

   The file of staff #7 contained a certificate for the completion of the online portion of pediatric first aid and pediatric CPR dated 12/19/2025 but did not have documentation the hands-on portion was completed making it incomplete. Documentation of the previous pediatric first aid and pediatric CPR training for staff #7 expired 11/2025. Pediatric first aid and pediatric CPR training for staff #10 was renewed after the previous training expired (8/23/2023 and 9/2025). 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 #7 will complete the handson skills portion of pediatric first aid and pediatric CPR by 2/6/2026. Documentation of completion will be placed in the staff file immediately. - Staff #10 has already renewed certification; updated documentation will be verified and filed. - The director will review all staff files to ensure no additional lapses exist in pediatric first aid and pediatric CPR documentation Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 2/6/2026
6. Medium-High risk1/8/2026

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

   The file for staff #1 contained consecutive PA criminal history (8/20/2020 and 9/3/2025) and child abuse (8/20/2020 and 9/3/2025) clearances dated more than 60 months apart. The file for staff #2 contained consecutive PA criminal history (12/8/2020 and 12/17/2025), child abuse (12/8/2020 and 12/17/2025) and FBI (9/30/2020 and 12/17/2025) clearances all dated more than 60 months apart. The file for staff #3 contained consecutive mandated reporter trainings (5/6/2020 and 6/19/2025) dated more than 60 months apart. The file for staff #5 contained consecutive mandated reporter trainings dated more than 60 months apart (6/23/2020 and 10/6/2025). The file for staff #6 did not contain an acceptable employment child abuse clearance, containing instead a volunteer clearance dated 4/12/2023 and contained mandated reporter training (5/9/2025) dated more than 90 days from their start date at the facility (see LIS code sheet). The file for staff #8 contained consecutive child abuse (4/14/2020 and 4/21/2025), FBI (5/26/2020 and 5/30/2025) clearances and mandated reporter training (4/13/2020 and 5/26/2025) all dated more than 60 months apart. The file for facility person #11, a volunteer, contained consecutive child abuse clearances (7/22/2020 and 7/25/2025) dated more than 60 months apart. 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 # 6 may not work in a child care position at the facility. Correction: - Updated clearances and mandated reporter trainings have been or will be completed for Staff #1, #2, #3, #5, #8, and Volunteer #11 by [insert date]. - Staff #6 has obtain an employment child abuse clearance immediately; documentation is now in the files Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 2/2/2026
7. Medium-Low risk1/8/2026

   Staff evaluations (3270.34(a)(6))

   Documentation of the most current evaluations completed by the director for staff #1, #2, #3, #4 were dated 12/6/2024, more than 12 months ago. The most current evaluation for staff #5 was dated 12/5/2024, more than 12 months ago. The only evaluation on file for staff #6 was dated 1/8/2026, more than 12 months from their start date at the facility (see LIS code sheet). Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: - Updated performance evaluations for Staff #1, #2, #3, #4, and #5, were completed but were not on file at the facility. Staff #6 is current. - Completed evaluations will be placed in each staff file immediately Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 2/6/2026
8. Medium-High risk1/8/2026

   Locked or inaccessible (3270.66(a))

   Virex-TB, a cleaning solution labeled "keep out of the reach of children," was on the blue cabinet in the Child Care Classroom accessible to children in care. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: Upon identification that VirexTB, a cleaning solution labeled "keep out of the reach of children," was stored on top of the blue cabinet in the Child Care Classroom and accessible to children, the item was immediately removed and placed in a locked, inaccessible storage area designated for all hazardous cleaning products. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 1/14/2026
9. High risk1/8/2026

   Emergency Numbers Posted (3270.74)

   The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center was not posted at the telephone in the school-age lunchroom. Requirement: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility. Correction: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center is now posted by the telephone in the school-age lunchroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 1/14/2026
10. Medium risk1/8/2026

    Glass (3270.81)

    Glass panels in the Charles and Susanna classroom did not contain visual strips. Requirement: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space. Correction: Upon identification that required visual identification was not present on glass located in a the Charles and Susanna Wesley room, the director installed a high contrast visual strip on the affected glass surface to ensure it is clearly visible to children and adults. This measure reduces the risk of accidental collisions and meets regulatory requirements. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 2/2/2026
11. Medium risk1/8/2026

    Handwashing signs (3270.82(h))

    A handwashing sign was not posted at the middle sink in the boy's bathroom by the gym. Requirement: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. Correction: A haandwashing sign was placed over the sink Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 1/14/2026
12. Medium risk1/8/2026

    Small Toys and Objects (3270.103)

    The bottom of a cork board was peeling away from the wall in the Craft Classroom, which is used by toddlers. The cork was breaking into pieces and were less than an inch in diameter and accessible to children still placing objects in their mouths. 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: The corkboard was repaired and no longer poses a threat to toddlers who do not use this room Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 2/1/2026
13. Medium-Low risk1/8/2026

    Clean, age appropriate (3270.106(a))

    In the infant area of the Child Care Classroom, 2 cribs were not labeled with the name of the child for whom they are intended. 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: the staff will label cribs with the name of the child who is using the crib Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 1/14/2026
14. High risk1/8/2026

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

    On 1/21/2026 at approximately 11:45 am - 12:00 pm in the School Age Lunchroom, 18 children were receiving care. When asked to identify their primary group of children they were supervising, staff # 7 identified 8 young school age children and staff #10 identified 8 young school age children. Of the 18 children, 2 were not identified by either staff. On 1/22/2026 at approximately 4:40 pm, a school age child was observed exiting the girl's restroom by the gym, walking down the hall and into the Kids Korner classroom unsupervised. 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: To prevent recurrence, the following measures have been implemented: - Primary group rosters will be reviewed and updated at every transition period. Staff will conduct visual and verbal headcounts at regular intervals and whenever groups move locations. At lunch the staff will divide the tables for who they have for supervision. - A restroom transition procedure has been implemented requiring staff to position themselves at the restroom doorway or hallway intersection to maintain sight and sound supervision of all children. - All staff will receive refresher training on active supervision, including positioning, scanning, and accountability practices. - Staff will be reminded that failure to maintain proper supervision or accurate group accountability will result in corrective action. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 1/14/2026
15. Medium-High risk1/8/2026

    Each child care space (3270.124(c))

    Emergency contact information was not present for each of the 17 children receiving care in the gym. Requirement: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. Correction: staff will take the ipad containing the emergency contact information to the gym and any other place they need to. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 1/14/2026
16. Medium-High risk1/8/2026

    Original label (3270.133(5))

    The medication basket in the school-age Kids Korner classroom contained 2 Epi-pens and 1 Auvi Q all of which expired 10/2025. Requirement: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. Correction: The medications were sent home. Families were instructed to provide current, unexpired emergency medications, which will be placed in the medication basket as soon as they are received. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 1/14/2026
17. Medium-High riskStandard 121/8/2026

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

    The file for staff #9 contained a health assessment dated 11/24/2025, after their start date at the facility (see LIS code sheet). The file for facility person #11, a volunteer, contained a health assessment dated 11/7/2023 but did not have documentation of a current assessment conducted within the last 24 months. 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: To correct these issues, the director has verified and filed the completed health assessment for Staff #9 and has reviewed onboarding procedures to ensure that all future staff health assessments are obtained before an individual begins work. Facility Person #11 has been notified of the need for an updated health assessment, and the new documentation will be added to their file immediately upon receipt Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 2/4/2026
18. Medium-High risk1/8/2026

    Physical examination (3270.151(c)(1))

    The health assessment for staff #3 did not contain documentation a physical examination was conducted. Requirement: An adult health assessment must include a physical examination. Correction: Staff #3 has been suspended from duty effective immediately and will remain off the schedule until {they} return from overseas and obtains a new physical examination that meets all regulatory requirements. Once the updated health assessment is received, it will be filed in {their} personnel record before she resumes work Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 1/14/2026
19. Medium-High risk1/8/2026

    Exam communicable disease (3270.151(c)(3))

    The health assessment for staff #3 did not contain documentation an examination for communicable diseases was conducted or results of the examination. Requirement: An adult health assessment must include an examination for communicable diseases and the results of that examination. Correction: Staff #3 has been suspended from duty effective immediately and will remain off the schedule until {they} return from overseas and obtains a new physical examination that meets all regulatory requirements. Once the updated health assessment is received, it will be filed in {their} personnel record before {they} resume work Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 1/14/2026
20. Medium-High risk1/8/2026

    Information re: medical problems (3270.151(c)(4))

    The health assessment for staff #3 did not contain documentation the staff person could provide adequate care to children. Requirement: An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. Correction: Staff #3 has been suspended from duty effective immediately and will remain off the schedule until {they} return from overseas and obtains a new physical examination that meets all regulatory requirements. Once the updated health assessment is received, it will be filed in {their} personnel record before {they) resumes work Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 1/14/2026
21. Medium-Low risk1/8/2026

    Bottles labeled (3270.166(4))

    A bottle in the infant area of the Main Classroom did not contain the name of the child for whom the bottle was intended. Requirement: Disposable nursers and bottles shall be labeled with the child's name. Correction: To correct this issue immediately, the bottle was removed from use until it could be properly labeled with the child's full name. Staff were reminded on the spot of the requirement that all bottles must be labeled before being placed in the classroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 1/14/2026
22. Medium-High risk1/8/2026

    Health and Safety Training - Pediatric First Aid and CPR (3270.31(f)(10))

    Documentation of pediatric first aid and pediatric CPR for staff #6 was dated 5/9/2025, more than 90 after their start date at the facility (see LIS code sheet). Requirement: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Correction: the director has verified and filed the current pediatric first aid and pediatric CPR certification for Staff #6. The staff member has been reminded of the requirement to complete all mandatory trainings within the designated timeframe. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 2/6/2026
23. Medium-High risk1/8/2026

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

    Documentation for manually testing the fire detection system for operability exceeded 30 days on 2 occasions within the past 12 months: 8/13/2025 and 9/29/2025, 11/13/2025 and 12/20/2025. 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: To correct this issue, the director has verified that the fire detection system is currently operational and that the most recent manual test has been completed and documented. The testing schedule has been reviewed with the responsible staff to ensure understanding of the 30day requirement. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 1/14/2026
24. Medium risk1/8/2026

    Health information (3270.131(a))

    The initial health assessment for child #1 was dated 1/12/2026, more than 60 days from their start date at the facility (see LIS code sheet). 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. Correction: To correct this issue, the director has verified and filed the completed health assessment for Child #1. The child's file is now up to date and in compliance Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 2/2/2026
25. Medium risk1/8/2026

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

    The file of staff #3, identified as an assistant group supervisor, contained documentation of a foreign degree which was not evaluated making it unable to verify they qualify for the position which they are serving. Requirement: An assistant group supervisor is responsible for the minimum duties described at § 3270.36(a)(1 - 2). A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Staff #3 has been informed that an official foreign credential evaluation is required. The staff member has been removed from the Assistant Group Supervisor role and reassigned to duties for which qualification requirements can be verified until the evaluation is completed and approved. Once the credential evaluation is received, it will be added to the personnel file and the staff member's role will be updated accordingly. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 2/1/2026