East Shore Montessori School

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

The file for staff person #1 did not include a child abuse clearance prior to their first day caring for children (see LIS code sheet). The child abuse clearance was dated 09/10/2025.

Observed staff person #1 supervising a mixed age group of 7 preschool and 1 older toddler in the preschool classroom. Staff person #1 stated all of the children in their group were preschool age and did not state that one of the children was an older toddler. The ratio for a mixed age level with an older toddler is 1:6. Staff person #1 was over ratio from 9:35 am until staff person #2 arrived at approximately 10:00 am. Provider failing to follow plans to maintain compliance regarding same violations from inspection of 04/30/2025. Provider's plan to maintain compliance submitted on 05/28/2025 stated, "Staff must always know who they are responsible for. The youngest child in the group determines the ratio."

The first-aid kit located in the infant classroom did not include sterile gauze pads.

A copy of the inspection summary for an unannounced monitoring inspection which has not been verified by an agent of the department as corrected was not posted in a conspicuous location used by parents. *Corrected at the time of the inspection.

The pediatric first aid and CPR for staff person #4 was not renewed on or before the expiration of the previous certification; the current training was completed on 07/14/2025 with the previous training valid from 06/13/2023 - 06/2025.

Emergency contact information was not present in the school-age classroom for 3 of the preschool age children that were transitioned from the preschool classroom to the school-age classroom.

The file for staff person #3 did not include a minimum of 12 clock hour of child care training; 9 hours were documented between 12/2023 - 12/2024.

Observed volunteer #4 caring for children in the toddler classroom without complete clearances. The file included a disclosure statement which was not dated and a request for an FBI clearance dated 11/19/2024. A state police clearance, child abuse clearance, FBI clearance and NSOR clearance were not on file prior to volunteering at the facility. Volunteer #4 did not have Mandated Reporter Training on file at the facility.

After naptime, observed the toddler classroom had a mixed group of 3 young toddlers and 7 older toddlers. Staff person #10 was in the classroom with volunteer #2 and #4 until staff person #8 entered the classroom to be in the ratio. When asked to identify their groups, staff person #8 named 2 young toddlers and 4 older toddlers in their group, staff person #10 named 1 young toddler and 2 older toddlers in their group. One older toddler was not named in either group. Staff person #8 had a total of 6 children in their group which exceeds the maximum group size of 1:5 when a young toddler is in the group.

During naptime, observed staff person #1 and volunteer #2 working together in the preschool classroom with a group of 20 preschool and 2 young school age children. Preschool ratios during naptime for preschool children is one staff person to 20 preschool children. Observed staff person #3 and volunteer #4 working together in the toddler classroom with a group of 4 young toddlers and 9 older toddlers Naptime ratios in a mixed group of young and older toddlers is one staff person to 10 young and older toddlers. Ratios in a mixed group is determined by the youngest child in care. The facility was over ratio at the time of the inspection based on the following number of children and staff present on the facility premises: Staff person #1 and volunteer #2 with 19 preschool children and 2 kindergarteners: ratio 1:10 preschoolers / 1:12 young school age Staff person #5 & volunteer #6 with 3 infants 1:4 infants Staff person #3 and volunteer #4 with 4 young toddlers and 9 older toddlers: ratio 1:5 young toddlers / 1:6 older toddlers Staff person #7 was in the facility on break. Staff person #8 and #9 were not at the facility. Continued noncompliance previously cited on 03/20/2025. Provider…

After naptime, while preparing to take the class outside, observed staff person #10 in the toddler classroom with volunteer #2 and #4 with a group of 3 young and 7 older toddlers. Staff person #8 entered the classroom to be in ratio. Staff person #10 identified 1 young toddler and 2 older toddlers, staff person #8 identified 2 young toddlers and 4 older toddlers. One of the older toddlers was not identified in either staff person #8 or #10's group.

The operator did not have documentation of emergency plan training for volunteer #4 at the time of initial service at the facility.

Observed volunteer #4 caring for children in the toddler classroom, the file for volunteer #4 did not include a health assessment with the results of a tuberculosis screening prior to initial contact with children.

Observed volunteer #6 was working at the facility as an Aide in the infant classroom. The file for Volunteer #6 does not include documentation to qualify as an Aide.

The director is failing to ensure that staff / volunteer files are properly maintained and proper staff: child ratios are being maintained during naptime, including citations indicating continued non-compliance. Staff person #8 and #9 will be required to attend the Central Region Existing Provider Orientation in-person training to be conducted on 07/10/2025. Staff person #8 or #9 shall contact the Central Regional Office to schedule the training. Documentation of completed training must be submitted to the Regional Office and be kept in the facility person's file.

The file for volunteer #4 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid & CPR and Get Started with Center-Based Care-Revised 2022 / Health and Safety (CCDBG) 2025 Parts 1 and 2.

The file for volunteer #1 did not include the results of a volunteer Child Abuse Clearance prior to their first day interacting with children (see LIS code sheet). Volunteer #1 has not completed mandated reporter training prior to their first day volunteering (see LIS code sheet). The file for staff person #2 did not include the results of a Child Abuse Clearance prior to their first day caring for children (see LIS code sheet). Staff person #2 has not completed mandated reporter training within 90 days of their date of hire (see LIS code sheet). The file for staff person #4 did not include a signed disclosure statement at the time of rehire (see LIS code sheet).

Upon arrival to the facility, observed volunteer #1, staff person #2 and #4 caring for a group of 23 preschool children during naptime in the preschool classroom. Supervision and ratio were then checked in the infant and toddler classrooms. Upon returning to the preschool classroom, staff person #5 and #6 were caring for the group of 23 preschool children. It was observed that volunteer #1, staff person #2 and #4 were no longer in the child care portion of the facility premises and had left the building at approximately 1:00 pm. The facility was over ratio based on the following number of children and staff present on the facility premises: Staff person #5 and #6 with 18 preschool children and 5 kindergarteners: ratio 1:10 preschoolers / 1:12 young school age Staff person #1 with 2 infants and 2 young toddlers: ratio 1:4 infants Staff person #7 and #8 with 5 young toddlers and 5 older toddlers: ratio 1:5 young toddlers / 1:6 older toddlers The facility was over ratio by 2 children for a period of approximately 15 minutes until staff person #9 returned at 1:12 pm.

Observed the rest mats in the preschool classroom did not have 2 feet of space on 3 sides while children were napping.

The file for staff person #2 did not include a health assessment with the results of a tuberculosis screening conducted within 12 months prior to providing initial service in a child care setting (see LIS code sheet); a health assessment is not on file).

The director or designated staff person did not ensure a fire drill was conducted at least once very 60 days. The most recent fire drill was conducted on 12/23/2024 with no subsequent fire drills documented on the fire drill log.

Staff person #2 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid & CPR and ·PA Required Health and Safety for Centers-Group Child Care Part 1 & Part 2. Staff person #2 had completed Health & Safety Basics: Building Blocks for Qualify (6 hrs.) on 08/15/2016 which was prior to 09/30/2016. Staff person #3 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid & CPR and Get Started with Center-Based Care-Revised 2022 / Health and Safety (CCDBG) 2025 Parts 1 and 2.

Observed staff person #3 working alone in the infant classroom as an assistant group supervisor (AGS); the file for staff person #3 included documentation of a High School Diploma & CDA without 1 year of verified child care experience to qualify as an AGS.

The file for staff person #2 included a state police clearance which was in "Request Pending" status; the final results were not on file within 45 days of hire (see LIS code sheet). The state police clearance results were printed on the date of the inspection. The file for staff person #4 included a Child Abuse clearance dated 07/02/2024 which was not on file at the time of initial hire (see LIS code sheet). The file for staff person #4 included the results of the FBI clearance dated 06/25/2024, which was requested on 06/25/2024, which was after their initial hire date (see LIS code sheet). The file for staff person #5 included a Child Abuse and FBI clearance which were not updated within 60 months of the previous clearances. The current child abuse clearance on file was dated 01/22/2024 with the previous clearance dated 01/10/2019. The current FBI clearance on file was dated 01/25/2024 with the previous clearance dated 01/05/2019.

The file for staff person #3 did not include documentation of emergency plan training at the time of initial hire (see LIS code sheet). The current emergency plan training was dated 06/28/2024 with no previous training documented.

The health assessment and Tuberculosis screening results on file for staff person #2 was not completed prior to initial service in a child care setting (see LIS code sheet); the health assessment on file was dated 08/01/2023 and the TB results was dated 07/26/2023. The health assessment on file for staff person #3 was not conducted within 12 months prior to providing initial service in a child care setting (see LIS code sheet). The health assessment on file was dated 05/23/2022 with a current health assessment dated 04/24/2024.

The file for child #3 included child service reports with information about the child's growth and development which was not completed at least once every 6 months. The most recent child service report was completed on 06/2024 with the previous one completed on 10/2023.

The emergency contact information for child #1 did not include the complete address of the child's physician or source of medical care.

Emergency contact information for child #4 was not present in the preschool classroom while receiving care. *Corrected at the time of the inspection.

The financial agreement for child #2 was not reviewed by a parent within 6-months of initial enrollment (see LIS code sheet); the most recent review was completed on 05/20/2024, with no previous reviews documented.

The file for staff person #1, hired prior to 12/19/2020 (see LIS code sheet), did not include an annual minimum of 12 clock hours of child care.training. The file included documentation of 7 hours completed between 12/2022 - 12/2023.

The file for staff person #1 did not include complete provisional hire documentation at the time of initial hire (see LIS code sheet) or complete clearances within 45 days of hire. The file for staff person #1 included a State Police clearance dated 07/26/2022 which was in "Request under Review" status and was not the final clearance result; the FBI clearance results (dated 08/02/2022) included a rap sheet which was missing "Part 2" of the report.

The facility emergency plan did not include a Continuity of Operations plan. Staff person #2 and #3 who completed the previous health and safety pre-service training modules prior to October 4, 2022, has not completed the 1-hour "Pennsylvania Health and Safety Update 2022" which was required by December 30, 2022.

Observed the metal pins that connect each panel of the fencing between the toddler and preschool playground have an open circular hook at the top of each panel creating a visible hazard. Observed a hole in the siding on the side of the building in the outdoor play space where the previous fencing had been attached to the building,

The file for child #1 did not include an updated health report within 12 months of the previous health report for an older toddler or preschool child (see LIS code sheet); the most recent health report on file was dated 05/13/2022.

The health report for child #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 Pediatric First Aid and CPR for staff person #2 was not renewed on or before the expiration of the most current certification; the current certificate on file was dated 07/14/2023 with the previous certificate valid from 05/14/2021 - 05/2023.

On 10/06/2022, at approximately 2:00 pm, observed staff person #1 working in the toddler classroom with 2 young toddler and 9 older toddlers, exceeding the maximum staff:child ratio of one staff person to 10 young toddlers. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size.

On 10/06/2022, at approximately 2:00 pm, observed 4 staff in the building during naptime: staff person #1 was supervising 2 young toddlers and 9 older toddlers in the toddler classroom, staff person #2 was supervising 19 preschool age children in the preschool classroom, staff person #3 and #4 were supervising 6 infants and 1 young toddler in the infant classroom. Staff taking breaks during naptime did not remain in the child care portion of the facility premises during naptime.

Continued noncompliance- Observed book shelves approximately 3 1/2 - 4 feet in height which were not anchored to prevent a tip hazard in the preschool and school-age classrooms. Previously cited on 07/28/2022.

Continued noncompliance- Observed the rest equipment in the preschool, toddler and infant classrooms had less than 2 feet of space on 3 sides of the cots and mats. Previously cited on 07/28/2022.

Continued noncompliance- The file for staff person #5 did not have a health assessment on file prior to their first day providing direct care to children. Previously cited on 07/28/2022.

Continued noncompliance- The file for staff person #5 did not include tuberculosis screening by the Mantoux method at initial employment. Previously cited on 07/28/2022.

On 10/06/2022, the Certification Representative was not provided immediate access to the facility upon arrival at 1:50 pm due to the director not being present. The Cert Rep was permitted access at approximately 2:00 pm.

Continued noncompliance- The file for staff person #6 did not include verification of child care experience, education and training prior to service at the facility. Previously cited on 07/28/2022.

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

At 1:40 pm, observed staff person #2, a provisional hire, working alone in the infant classroom without direct supervision of a staff person whom meets the qualifications of a permanent employee.

Observed Desitin and Aquaphor diaper creams labeled "keep out of reach of children" which were accessible to children on the changing table located in the older toddler bathroom. *Corrected at the time of the inspection.

Observed an air vent located in the school-age classroom which visible dirt and dust on the vent.

Observed book shelves approximately 3 1/2 - 4 feet in height which were not anchored to prevent a tip hazard in the preschool and school-age classrooms.

Observed the rest equipment in the preschool classroom had less than 2 feet of space on 3 sides of the cots and mats.

Observed prescription medication for child #1 which did not have written consent for administration of medication from the parent.

The file for staff person #2 and #3 did not have a health assessment on file prior to their first day providing direct care to children. The file for staff person #5 included a health assessment which was not updated within 24 months of the previous health assessment' the current health assessment was dated 04/06/2021 and the previous was dated 03/13/219.

The file for staff person #2 and #3 did not include tuberculosis screening by the Mantoux method at initial employment

Written notification of safe routes was not posted by the operator at a conspicuous location in the child care facility.

An annual emergency drill was not documented or on file at the facility.

Observed a smoke detector in the toddler classroom which was not operable at the time it was tested. *Replaced at the time of the inspection.

The director or designated staff person did not maintain documented proof of purchase of the fire detection system installed at the facility. *An attestation form was completed at the time of the inspection.

The operator did not notify the local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. *Corrected at the time of the inspection.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First-Aid & CPR.

The file for staff person #2 and #3 did not include verification of child care experience, education and training prior to service at the facility.

The file for staff person #3 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file for staff person #4 did not include a second written nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The operator was unable to locate a copy of the Certificate of Occupancy at the time of the inspection.