East Pennsboro School Age Program

Facility person #1 acknowledged applying an ice pack to a child and that an injury report was not completed for this incident because they did not consider it to be a significant injury to the child's hand.

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 and CPR conducted by an approved Pennsylvania Quality Assurance System (PQAS) instructor using an OCDEL recognized curriculum.

On 10/15/2025 at approximately 4:00 pm, staff person #1 and #2 were caring for a mixed group of 20 younger and older school age children in the gym. When it was time to transition to the cafeteria for snack, child #1 became upset and ran out of the gym. Staff person #1 chased after the child leaving staff person #2 alone in the gym with the remaining 19 children. Staff to child ratios for a mixed group of younger and older school age children is 1:12. Staff person #2 was out of ratio for a period of approximately 10 minutes while staff person #1 was tending to the situation with child #1.

The operator did not assure that staff person #2 received emergency plan training within 12 months of the previous training; the most recent training was completed on 08/27/2025 with the previous training completed on 06/07/2024.

Staff person #1 has completed Pediatric first aid and CPR training, however (the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum.

On 11/25/2024, child #1 jumped from the platform at the top of the rock-climbing wall which is part of the embedded playground equipment at the back of the school. Staff person #1 who was sitting at a nearby picnic table supervising the children on the playground did not see child #1 jump from the equipment.

The embedded playground equipment located at the back of the school did not have a minimum of 9" of mulch as required by the US CPSC. The mulch was compacted and had less than 6" of loose mulch in fall zones.

The file for staff person #2 included a state police clearance in "request pending" status and was not the final clearance result. The file for staff person #2 included documentation of an FBI clearance which was requested after the staff persons first day caring for children (see LIS Code Sheet). The FBI fingerprinting was completed on 10/22/2024. The results of either the state police clearance or the FBI clearance was not on file prior to the staff persons first day caring for children. The file for staff person #3 included a state police clearance dated 03/21/2024; a copy of the request for the criminal history clearance was not on file prior to the staff persons first day caring for children (see LIS Code Sheet). The file for staff person #4, who resided outside of PA in the previous 5 years, did not include documentation of out of state clearances within 45 days of hire (see LIS code sheet). The file for staff person #4 did not include the results or request for clearances for the state of Florida at the time of initial hire.

Observed a variety of cleaning products on a desk located in the cafeteria which were accessible to children. Observed the waste receptacle used to dispose of trash from snack did not have a lid.

The file for staff person #3 included emergency plan training that was not completed at the time of initial hire (see LIS /code sheet). Emergency plan training was completed on 06/07/2024 with no previous training documented.

The file for staff person #1 included a health assessment which was not updated within 24 months of the previous assessment. The current health assessment on file is dated 08/05/21024 with the previous completed on 05/25/2022.

The file for staff person #3 included the following professional development trainings which were not completed within 90 days of hire (see LIS code sheet): Mandated reporter training and Get Started with Center Based Care-Revised 2022. The mandated reporter training was completed on 06/12/2024 and Get Started with Center Based Care - Revised 2022 was completed on 06/16/2024.

Staff person #1 and #2 were observed to be caring for children unsupervised. Staff person #1 and #2 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid & CPR.

Staff person #1 lacked complete clearances as required under the CPSL. Staff person #1 resided outside of Pennsylvania in the past 5 years and their file lacked out-of-state clearances for the state of Maryland within 45 days of hire. The file lacked documentation of a request for the Maryland Child Abuse Clearance at the time of initial hire (see LIS code sheet). The file for staff person #1 did not include provisional hire documentation at the time of initial hire (see LIS code sheet). The file included an FBI clearance dated 09/12/2023 and an NSOR clearance dated 09/26/2023 without documentation that the clearances were requested prior to their first day caring for children. The clearances for staff person #2, with documentation of misdemeanor grade charges, were not sent to the Central Region OCDEL for review at the time the clearances were received. The file for staff person #2 did not include provisional hire documentation at the time of initial hire (see LIS code sheet). The file included a PA State Police Clearance dated 09/01/2023, a Child Abuse Clearance dated 09/07/2023, an FBI clearance dated 09/25/2023 and an NSOR clearance dated 09/05/2023 without documentation that…

A health assessment with the results of a Tuberculosis Screening was not on file for staff person #1 and #2 prior to their first day caring for children (see LIS code sheet). The health assessment & TB screening for staff person #1 was completed on 09/19/2023. The health assessment & TB screening for staff person #2 was completed on 09/01/2023.

Observed staff person #1 working at the facility as an Assistant Group Supervisor without verification of child care experience to qualify as an Assistant Group Supervisor.

The health report form for child #1 and #2 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. The health report on file for child #1 dated 08/15/219 was a Well Child Report which does not include this statement. The health report on file for child #2 dated 07/23/2020 was a GA Department of Public Health Form 3300 which does not include this statement.

The health assessment on file for staff person #2 and #3 was not completed within 24 months of the previous health assessment. The current health assessment on file for staff person #2 was dated 08/18/2022 and the previous assessment was dated 08/11/2020. The current health assessment on file for staff person #3 was dated 08/16/2022 with the previous assessment dated 08/05/2020.

The file for child #2 did not include a complete initial health report in accordance with the requirements for medical examinations for school attendance within 60 days of enrollment. The file for child #3 included a Department of Public Health Form 3300 - Certification of vision, hearing, dental and nutrition screening from the state of Georgia dated 07/23/2020.

The file for staff person #1, #2 and #3 lacked documentation of an annual minimum of 12 clock hours of child care training.

On 12/07/2021, a copy of the emergency plan which was updated in August 2021 was not posted in a conspicuous location; the facility had a copy of an emergency plan from 2016.

On 12/07/2021, observed prescription medication for child #2 which expired on 04/2021.

On 12/06/2021, the agreement form for child #1 did not specify the child's arrival and departure times.