Daycare Record Child care inspection records

Elite Childcare & Learning Center

16 S 1st St, Duquesne, PA 15110 · Allegheny County
1 core-safety citation in last 12 months 1 complaint investigation found violations Keystone STAR 1

Elite Childcare & Learning Center is a certified child care center in Duquesne, PA, with capacity for 35 children. It holds a Keystone STAR 1 rating. Since August 2021, Pennsylvania certification staff have inspected it 11 times and confirmed violations in 1 complaint investigation. The state cited 92 violations, 17 of them core-safety (supervision, staff ratios, discipline, background checks, child protection or safe sleep), most often for records & paperwork (24 of 92). 15 citations came in the last 12 months, including 1 on a core-safety topic. Measured by topic-weighted citations per inspection, it is #5 of 7 centers in Duquesne and has more citations per inspection than 85% of Pennsylvania certified centers.

Inspection record

More citations than 85% of 4,789 Pennsylvania certified centers, per inspection, weighted by topic. Among the most cited
#5 of 7 centers in Duquesne
17 Core-safety citations
75 Other citations
11 Inspections
1 Complaint investigations that found violations
92 citations from 12 state visits since Aug 16, 2021 · 15 in the last 12 months · last inspected Mar 31, 2026

Every state visit

2022 2023 2024 2025 2026 INSPECTIONS (top) · REPORTS & INVESTIGATIONS (bottom) Mar 31, 2026 · Inspection · citation found Jan 14, 2026 · Inspection · citation found Oct 17, 2025 · Inspection · citation found Sep 18, 2025 · Report/investigation · citation found Sep 3, 2025 · Inspection · citation found Jan 8, 2025 · Inspection · citation found Jan 8, 2025 · Inspection · citation found Apr 10, 2024 · Inspection · citation found Feb 20, 2024 · Inspection · citation found Nov 9, 2023 · Inspection · citation found Nov 6, 2023 · Inspection · citation found Aug 1, 2023 · Inspection · citation found
Violation found No violation Top row: inspections · bottom row: complaint investigations, self-reported incidents and other visits

What inspectors cited most

Records & paperwork 24
Building & playground safety 21
Health & medication 16
Training & qualifications 6
Supervision 6
Staff ratios 6
Background checks 4
Emergency preparedness 4
Transportation 2
Food & feeding 2
Sleep safety 1

Citations, newest first

Core safety Mar 31, 2026 Inspection Background checks
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
Applications for the NSOR certification for Staff #1 were dated after Staff #1's Date of Hire. Therefore, Staff #1 was incorrectly provisionally hired. (SEE LIS CODE SHEET)
Center’s plan of correction (implemented, Apr 22, 2026): “Staff #1 completed NSOR Certificate on 12/1/2025”
Citation Jan 14, 2026 Inspection Building & playground safety
Contaminated trash in closed plastic-lined receptacle 55 Pa. Code §3270.67(d)
A trash receptacle in Room #3 (Pre School) containing human secretions (dirty plates with food, dirty napkins, used cups with juice still in the bottom) was not contained in a closed, plastic-lined receptacle.
Center’s plan of correction (implemented, Jan 14, 2026): “The trash can was immediately thrown away and a new lidded trash was put in Room #2.”
Citation Jan 14, 2026 Inspection Building & playground safety
Has all items 55 Pa. Code §3270.75(c)
The First aid kit(s) in Room #3 (Pre School) lacked scissors.
Center’s plan of correction (implemented, Jan 14, 2026): “Scissors were immediately placed in the First Aid Kit.”
Citation Jan 14, 2026 Inspection Building & playground safety
Clean and good repair 55 Pa. Code §3270.102(a)
In Room #5 (Older Toddlers) the plastic, white garbage can, left of the entrance door had two (2) cracks on the top of the garbage can.
Center’s plan of correction (implemented, Jan 14, 2026): “The garbage can was removed, thrown away and replaced.”
Citation Jan 14, 2026 Inspection Building & playground safety
Small Toys and Objects/Clean, good repair, proper size 55 Pa. Code §3270.103/3270.104(a)
In Room #2 (Infants) in the back left hand corner of the room, a changing table pad was ripped with exposed stuffing that posed a choking hazard to the children in the room who are still placing objects in their mouths.
Center’s plan of correction (implemented, Jan 14, 2026): “The changing pad was repaired.”
Citation Jan 14, 2026 Inspection Health & medication
Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports 55 Pa. Code §3270.131(b)(2)/3270.182(1)
The file(s) for Child(ren) #2, (Older Toddler) lacked an Updated Health Report within the last year. (SEE LIS CODE SHEET)
Center’s plan of correction (implemented, Jan 14, 2026): “The health report in the file corrects this citation.”
Citation Jan 14, 2026 Inspection Health & medication
12 months prior to service and every 24 months thereafter 55 Pa. Code §3270.151(a)
The two most recent health assessments for Staff #1 were dated more than 24 months apart. (SEE LIS CODE SHEET)
Center’s plan of correction (implemented, Jan 14, 2026): “The current health assessment in the staff file corrects this citation.”
Citation Jan 14, 2026 Inspection Health & medication
Physical examination/Health assessment, TB test 55 Pa. Code §3270.151(c)(1)/3270.192(3)
The file(s) for Staff Person(s) #2 and #3 lacked an initial Health Assessment.
Center’s plan of correction (implemented, Feb 3, 2026): “Staff #2 and #3 will schedule dr's appointments and submit physicals once they are completed.”
Citation Jan 14, 2026 Inspection Health & medication
Mantoux TB/Health assessment, TB test 55 Pa. Code §3270.151(c)(2)/3270.192(3)
The file(s) for Staff Person(s) #2 lacked documentation of a Tuberculosis (TB) screening.
Center’s plan of correction (implemented, Feb 3, 2026): “Staff #2 will make a dr appointment, get a TB Test and submit to the director who will send to CR.”
Citation Jan 14, 2026 Inspection Emergency preparedness
Emergency plan 55 Pa. Code §3270.27(f)
The facility's Updated Emergency Plan lacked proof of the Emergency Plan being sent to the local municipality and Allegheny County Emergency Management Services.
Center’s plan of correction (implemented, Jan 23, 2026): “The Emergency Plan will be sent to the City of Duquesne and Allegheny County Emergency Management Services.”
Citation Jan 14, 2026 Inspection Transportation
Pick-up and drop-off points 55 Pa. Code §3270.171(a)
Based on a conversation with the director, the facility did not have an annual traffic letter nor was it sent to the local authorities.
Center’s plan of correction (implemented, Jan 29, 2026): “The director will create an annual traffic letter and submit to the City of Duquesne Police.”
Citation Jan 14, 2026 Inspection Training & qualifications
Staff evaluations 55 Pa. Code §3270.34(a)(6)
Staff person #1 lacked an annual (2025) written evaluation that was conducted within the past 12 months. (SEE LIS CODE SHEET)
Center’s plan of correction (implemented, Jan 23, 2026): “A Staff Evaluation will be completed for 2025, put in the staff file and sent to CR for verification.”
Citation Jan 14, 2026 Inspection Records & paperwork
Name/address/phone release person 55 Pa. Code §3270.124(b)(7)
The Emergency Contact form(s) for child(ren) file(s) #1 lacked the "Address of the Listed Release Person." (SEE LIS CODE SHEET)
Center’s plan of correction (implemented, Jan 23, 2026): “The director will have the parent fill in the missing information.”
Citation Jan 14, 2026 Inspection Records & paperwork
Each child care space 55 Pa. Code §3270.124(c)
In Room #3 (Preschool), emergency contact information for two enrolled children was not available in the classroom at the time of inspection.
Center’s plan of correction (implemented, Jan 14, 2026): “The two children's information was photo copied and placed in the room binder.”
Citation Oct 17, 2025 Inspection Building & playground safety
Devices must be compliant/Director or designated staff person ensure compliance 55 Pa. Code §3270.95(a)/3270.95(b)
On October 17, 2025 an unannounced complaint inspection was conducted and at that time the last documented testing of the smoke detection system was 9.5.25, which is more than the required 30 days or less.
Center’s plan of correction (implemented, Oct 17, 2025): “The smoke detection system was tested on 10.17.25.”
Show 81 older citations
Citation Sep 18, 2025 Complaint investigation Records & paperwork
Pertinent Laws & Regulations 55 Pa. Code §3270.14
On September 18, 2025, the Western Regional Office of the Office of Child Development and Early Learning (OCDEL) was notified by the Bureau of Workers' Compensation Compliance Department that the legal entity failed to provide the required documentation of current Workers' Compensation Insurance.
Center’s plan of correction (implemented, Sep 23, 2025): “Provider got new Worker's Comp information from Traveler's Insurance. Provider had proposal from 06.26.2025 to 06.26.2025 but did not sign paperwork. CR has a copy of this paperwork.”
Core safety Sep 3, 2025 Inspection Supervision
Pertinent Laws & Regulations/General Health and Safety 55 Pa. Code §3270.14/3270.21
On 9/3/25, 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: health and safety basics, pediatric first aid and cpr, mandated reporter training.
Center’s plan of correction (implemented, Nov 4, 2025): “Staff #1completed health and safety on 9/4/25, mandated reporter on 9/8/25, pediatric first aid and cpr on 9/15/25.”
Core safety Jan 8, 2025 Inspection Background checks
Comply with CPSL 55 Pa. Code §3270.32(a)
The two most recent PA State Police and Child Abuse clearances for Staff #3 were dated more than 60 months apart. (SEE LIS CODE SHEET). The NSOR for Staff #3 was dated (11.20.2023) after their date of hire. (SEE LIS CODE SHEET)
Center’s plan of correction (implemented, Jan 10, 2025): “The PA State Police clearance was corrected (01.07.2024 and the NSOR was corrected 11.20.2023.”
Core safety Jan 8, 2025 Inspection Background checks
Comply with CPSL 55 Pa. Code §3270.32(a)
The two most recent PA State Police clearances for Staff #1 were dated more than 60 months apart. (SEE LIS CODE SHEET)
Center’s plan of correction (implemented, Jan 10, 2025): “Staff person #1 is current now with a new clearance dated 01.04.2025.”
Citation Jan 8, 2025 Inspection Emergency preparedness
Training regarding plan 55 Pa. Code §3270.27(c)
The two most recent Emergency Plan Trainings for Staff #2 was dated more than 12-months apart.
Center’s plan of correction (implemented, Jan 10, 2025): “Emergency Plan Training for Staff #2 was completed 08.2024.”
Citation Jan 8, 2025 Inspection Emergency preparedness
Training regarding plan/Exp, educ., training at facility 55 Pa. Code §3270.27(c)/3270.192(2)(iii)
The file for Staff #2 (See LIS for DOH) contained Emergency Plan Training dated 08.01.2024 and not to hire. The file for Staff #3 (See LIS for DOH) contained Emergency Plan Training dated 02.2024 after initial employment.
Center’s plan of correction (implemented, Jan 10, 2025): “Staff #2 and #3 completed Emergency Plan Training on 08.01.2024 (#2) and 02.2024 (#3).”
Citation Jan 8, 2025 Inspection Building & playground safety
Contaminated trash in closed plastic-lined receptacle 55 Pa. Code §3270.67(d)
A trash receptacle in Room 3 (Pre-School) containing human secretions (partially eaten food, dirty napkin and used paper cups) were not contained in a closed, plastic-lined receptacle.
Center’s plan of correction (implemented, Jan 10, 2025): “A liner was placed in the garbage can and what was in the can was emptied into that garbage bag.”
Citation Jan 8, 2025 Inspection Building & playground safety
Clean and good repair 55 Pa. Code §3270.102(a)
In Room 3 (Pre-School) a magnetic catch for a door on the play kitchen was cracked and loose posing a cutting hazard. In Room 4 (School Age) a 2 x 4 wooden shelf on the right wall was a blue bin with various toys was cracked posing a cutting or pinch point hazard.
Center’s plan of correction (implemented, Jan 10, 2025): “The magnetic catch and bin were repaired.”
Citation Jan 8, 2025 Inspection Building & playground safety
Clean, good repair, proper size 55 Pa. Code §3270.104(a)
In Room #2 (Infant Room) the crib had a broken crossbar which exposed a corner of the plexiglass and broken shards of wood posing a cutting hazard.
Center’s plan of correction (implemented, Jan 10, 2025): “The crib was removed and was thrown away.”
Citation Jan 8, 2025 Inspection Health & medication
Physical examination/Health assessment, TB test 55 Pa. Code §3270.151(c)(1)/3270.192(3)
The initial health assessment for Staff #3 was dated 12.2023 which is after their date of hire.
Center’s plan of correction (implemented, Jan 10, 2025): “The health report is now current for Staff #3 as of 12.2023.”
Citation Jan 8, 2025 Inspection Health & medication
Health information 55 Pa. Code §3270.131(a)
The initial health assessment for Child File #1 had an initial health assessment dated 08.2024 which is more than 60 days from the first day of attendance at the facility. (SEE LIS CODE SHEET)
Center’s plan of correction (implemented, Jan 10, 2025): “The Health Assessment is current as of 08.2024.”
Citation Jan 8, 2025 Inspection Training & qualifications
Health and Safety Training 55 Pa. Code §3270.31(f)
Staff person #3 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and safety training (dated 02.26.2024) and Pediatric First Aid/Pediatric CPR.
Center’s plan of correction (implemented, Jan 10, 2025): “Staff #3 completed Health and Safety as of 02.26.2024 and Pediatric First Aid/Pediatric CPR was completed 12.03.2023.”
Citation Jan 8, 2025 Inspection Training & qualifications
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
The last two Mandated Reporter Trainings for Staff #1 were dated more than 60 months apart. (SEE LIS CODE SHEET)
Center’s plan of correction (implemented, Jan 10, 2025): “Mandated Reporter completed as of 09.16.2024.”
Citation Jan 8, 2025 Inspection Records & paperwork
Each child care space 55 Pa. Code §3270.124(c)
Room #2 (Infant Room) lacked the required emergency contact information for the children receiving care in the space.
Center’s plan of correction (implemented, Jan 10, 2025): “Copies were added to the classroom folder.”
Citation Apr 10, 2024 Inspection Emergency preparedness
Training regarding plan 55 Pa. Code §3270.27(c)
The files for Staff Person's #1, #2 and #3 lacked verification that the staff have received training regarding the emergency plan within 90 days of starting at the facility.
Center’s plan of correction (implemented, Apr 16, 2024): “Each staff member #1 #2 & #3 have signed the sheet for emergency plan for training.”
Citation Apr 10, 2024 Inspection Building & playground safety
Protective Outlet Covers 5 yrs. or less 55 Pa. Code §3270.65
One uncovered electrical outlet was observed in Classroom 1.
Center’s plan of correction (implemented, Apr 16, 2024): “We replaced the outlet with an outlet cover”
Citation Apr 10, 2024 Inspection Building & playground safety
Locked or inaccessible 55 Pa. Code §3270.66(a)
In Classroom 2, one diaper bag was observed on the floor and another bag was observed on a chair accessible to a young toddler receiving care in the space. Vaseline, Aquaphor ointment and Dove Wash were observed in the bags. The items were all labeled Keep Out of Reach of Children. In the upstairs hallway a bottle of disinfecting spray was observed on a cart outside the restroom and a Lysol Neutra Air spray was observed on the sink in the restroom. The toxics were accessible to preschool children receiving care upstairs.
Center’s plan of correction (implemented, Apr 16, 2024): “Bag was removed and put in cabinet up and out of reach.”
Citation Apr 10, 2024 Inspection Building & playground safety
110º F or less 55 Pa. Code §3270.69(b)
The hot water in Classroom 2 was observed to measure 119.7° F.
Center’s plan of correction (implemented, Apr 16, 2024): “Hot water valve was shut off to the sink to ensure safety requirements.”
Citation Apr 10, 2024 Inspection Building & playground safety
Above ground window opening restricted to 6" 55 Pa. Code §3270.72(d)
One window in Classroom 5 and two windows in Classroom 4 were observed to have the window restriction disengaged, allowing the window to open more than 6 inches.
Center’s plan of correction (implemented, Apr 16, 2024): “We engaged the window restrictors back on so make sure they do not open more than 6 inches”
Citation Apr 10, 2024 Inspection Building & playground safety
Handwashing signs 55 Pa. Code §3270.82(h)
A hand washing sign was missing from the changing table in Classroom 1.
Center’s plan of correction (implemented, Apr 16, 2024): “A handwashing sign has been posted next to the changing table.”
Citation Apr 10, 2024 Inspection Building & playground safety
Running water - diapering 55 Pa. Code §3270.82(j)
A source of water for handwashing was not present at the diapering area in Classroom 1.
Center’s plan of correction (implemented, Apr 16, 2024): “We removed the changing table from classroom #1 to the bathroom area where there is a sink for handwashing.”
Citation Apr 10, 2024 Inspection Health & medication
Clean, age appropriate 55 Pa. Code §3270.106(a)
The mats in use in Classroom 3 have not been labeled for use of a specific child.
Center’s plan of correction (implemented, Apr 16, 2024): “A mat chart has been created and posted above the mats with a mat assigned to each child.”
Citation Apr 10, 2024 Inspection Health & medication
Immunization record/Dismissal policy 55 Pa. Code §3270.131(d)(5)/3270.131(e)(3)
The files for Children #1, #3 and #4 lacked an immunization record for the child. The children have exceeded 60 days since their first day of attendance at the facility.
Center’s plan of correction (implemented, Apr 16, 2024): “immunizations have been received and placed in each child's file. Children #1, #3 and #4 have been suspended until the parent provides a complete health report.”
Citation Apr 10, 2024 Inspection Health & medication
Written consent 55 Pa. Code §3270.133(6)
Signed parental consent was missing for an Albuterol Inhaler present in Classroom 3 intended for Child #3.
Center’s plan of correction (implemented, Apr 16, 2024): “A signed consent was signed and placed with the childs medicine”
Citation Apr 10, 2024 Inspection Health & medication
Disposable diapers 55 Pa. Code §3270.135(a)(3)
The garbage can in place at the changing table in Classroom 1 did not have a lid in place on the can. The garbage can in place at the changing table in Classroom 2 did not open when the hands free mechanism was pressed and the lid was observed to pop off. The garbage can in place in the upstairs restroom was missing a plastic liner. Soiled diapers were observed in all of the garbage cans.
Center’s plan of correction (implemented, Apr 16, 2024): “Swapped out the garbage can with a working lid/hands free”
Citation Apr 10, 2024 Inspection Building & playground safety
Devices must be compliant/Director or designated staff person ensure compliance 55 Pa. Code §3270.95(a)/3270.95(b)
The facility has exceeded 30 days since their last fire alarm testing on 2.28.24.
Center’s plan of correction (implemented, Apr 16, 2024): “Alarm has been set and checked and all in working order”
Citation Apr 10, 2024 Inspection Health & medication
Health information 55 Pa. Code §3270.131(a)
The files for Children #1, #3 and #4 lacked an initial health assessment and the children have exceeded 60 days since their first day of attendance at the facility.
Center’s plan of correction (implemented, Apr 16, 2024): “Children #1, #3 and #4 have been suspended from care and will not return until the parent provides an initial health report.”
Citation Apr 10, 2024 Inspection Records & paperwork
Posted in group space 55 Pa. Code §3270.111(b)
A written plan of daily activities was missing from Classroom 1.
Center’s plan of correction (implemented, Apr 16, 2024): “Classroom schedule was posted in the classroom”
Citation Apr 10, 2024 Inspection Records & paperwork
Date fee to be paid 55 Pa. Code §3270.123(a)(2)
The agreement form for Child #4 lacked the date the fee is to be paid.
Center’s plan of correction (implemented, Apr 16, 2024): “Date has been written on the agreement for when fees shall be paid”
Citation Apr 10, 2024 Inspection Records & paperwork
Services proceeded 55 Pa. Code §3270.123(a)(3)
The file for #5 lacked an approved developmental assessment and the child has exceeded 6 months since their enrollment at the facility.
Center’s plan of correction (implemented, Apr 16, 2024): “Assessment has been completed and signed by parent and placed in the child's file.”
Citation Apr 10, 2024 Inspection Records & paperwork
Insurance coverage information 55 Pa. Code §3270.124(b)(6)
The emergency contact forms for Children #1 and #4 lacked a policy number for the child's health insurance.
Center’s plan of correction (implemented, Apr 16, 2024): “Policy numbers have been written on each emergency contact for child #1 and #4”
Citation Apr 10, 2024 Inspection Records & paperwork
Name/address/phone release person 55 Pa. Code §3270.124(b)(7)
The emergency contact from for Children #1 and #3 lacked the addresses for the release persons listed. The emergency contact form for Child #2 lacked the complete names for the release persons listed.
Center’s plan of correction (implemented, Apr 16, 2024): “addresses have been written on each child's emergency contact sheet”
Citation Apr 10, 2024 Inspection Records & paperwork
Each child care space 55 Pa. Code §3270.124(c)
Emergency contact forms were missing for the children receiving care in Classroom 2 and Classroom 3
Center’s plan of correction (implemented, Apr 16, 2024): “Emergency contacts binder has been placed in classroom with each Childs emergency contact”
Citation Apr 10, 2024 Inspection Records & paperwork
Written emergency plan posted 55 Pa. Code §3270.124(e)
The written emergency transportation plan was not posted in Classroom 6.
Center’s plan of correction (implemented, Apr 16, 2024): “Plan has been posted back on the wall in the classroom”
Citation Apr 10, 2024 Inspection Records & paperwork
Emergency info/agreement updated 6 mos 55 Pa. Code §3270.181(c)
The emergency contact form for Child #2 has exceeded 6 months since review. The most recent review date was 8.18.23. The agreement form on file for Child #2 lacked a date to verify review and update within the last 6 months.
Center’s plan of correction (implemented, Apr 16, 2024): “Emergency contact form has been updated for the childs file and signed by parent”
Citation Apr 10, 2024 Inspection Records & paperwork
Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission 55 Pa. Code §3270.182(3)/3270.182(5)
The emergency contact form for Child #5 lacked signed parental consent for obtaining emergency medical care and administration of minor first aid procedures by facility staff.
Center’s plan of correction (implemented, Apr 16, 2024): “Parental consent block has been signed by parent and updated.”
Core safety Feb 20, 2024 Inspection Supervision
Pertinent Laws & Regulations/General Health and Safety 55 Pa. Code §3270.14/3270.21
Staff person #1, #3 and #4 were observed to be caring for children unsupervised. Staff person #1, #3 and #4 have not completed the following pre-service training required prior to caring for children unsupervised: 10-hour health and safety training.
Center’s plan of correction (implemented, Apr 3, 2024): “Staff who have completed all required trainings were placed in the classrooms to ensure supervision. Staff will be supervised until they have completed the required health and safety trainings. Staff Person #3 has obtained verification that they completed the 10-hour health and safety training and…”
Follow-up Feb 20, 2024 Inspection Background checks
Comply with CPSL 55 Pa. Code §3270.32(a)
SECOND CITATION Facility Person #2 lacked an FBI clearance required to be on file prior to returning to the facility. FACILITY PREVIOUSLY CITED ON 11.9.2023.
Center’s plan of correction (implemented, Feb 21, 2024): “Facility Person #2 was removed from the facility. Facility Person #2 will obtain their FBI clearance on 2.22.24. Facility Person #2 will not return to the facility until the completed FBI clearance is obtained.”
Re-cited at a follow-up visit; counted once, with the original citation.
Citation Feb 20, 2024 Inspection Records & paperwork
Two written references 55 Pa. Code §3270.192(5)
The files for Facility Person's #1, #2, and #3 lacked one of their two written, nonfamily references attesting to the person's suitability to serve as a facility person.
Center’s plan of correction (implemented, Apr 3, 2024): “Staff Person's #1 and #3 have obtained the missing reference letter. Facility Person #2 has requested the additional reference letter.”
Core safety Nov 9, 2023 Inspection Background checks
Comply with CPSL 55 Pa. Code §3270.32(a)
Facility Person #2 was observed to be alone and providing care to a mixed age group that was reported to include 1 preschooler, 3 older toddlers and 1 young toddler in Classroom 1. Facility Person #2 did not have a completed PA State Police, PA Child Abuse, FBI or NSOR Certificate. Facility Person #2 also lacked completion of Mandated Reporter Training.
Center’s plan of correction (implemented, Apr 3, 2024): “Facility Person #2 was removed from the facility.”
Core safety Nov 9, 2023 Inspection Staff ratios
Similar Age Level 55 Pa. Code §3270.51
* At approximately 1:03 pm Certification Rep observed a young school age child alone in the hallway through the front door window. The child announced someone was at the door at which time Staff Person #1 was observed to emerge from the restroom in the hallway and opened the door. Staff Person #1 apologized and indicated they were to be in the Infant Classroom. Four infants were observed to be alone in Classroom 2. The young school ager, who was observed upon entrance, was observed alone in Classroom 4 upstairs. A staff person was not present with the child(ren) to meet the required staff:child ratio.
Center’s plan of correction (implemented, Feb 20, 2024): “* Operator has ensured that the Staff:Child Ration requirements are being met at all times.”
Core safety Nov 9, 2023 Inspection Staff ratios
Similar Age Level 55 Pa. Code §3270.51
** At approximately 1:03 pm Certification Rep observed a young school age child alone in the hallway through the front door window. The child announced someone was at the door at which time Staff Person #1 was observed to emerge from the restroom in the hallway and opened the door. Staff Person #1 apologized and indicated they were to be in the Infant Classroom. Four infants were observed to be alone in Classroom 2. The young school ager, who was observed upon entrance, was observed alone in Classroom 4 upstairs. A staff person was not present with the child(ren) to meet the required staff:child ratio.
Center’s plan of correction (implemented, Apr 3, 2024): “** The Operator has received an approved ratio tracking form. The form will be used daily for 3 months. Operator will maintain copies of the daily tracking sheets on file at the facility.”
Core safety Nov 9, 2023 Inspection Staff ratios
Mixed Age Level 55 Pa. Code §3270.52
* In Classroom 1, a group of children that were later reported to include 1 preschooler, 3 older toddlers and 1 young toddler, were observed alone. In the Classroom 3 upstairs, a group of children that were later reported to include 3 preschoolers and 1 older toddler, were observed to be alone. A Staff Person was not present with the children to meet the staff:child ratio requirements.
Center’s plan of correction (implemented, Feb 20, 2024): “* The Staff Child Ratios will be maintained at all times.”
Core safety Nov 9, 2023 Inspection Staff ratios
Mixed Age Level 55 Pa. Code §3270.52
** In Classroom 1, a group of children that were later reported to include 1 preschooler, 3 older toddlers and 1 young toddler, were observed alone. In the Classroom 3 upstairs, a group of children that were later reported to include 3 preschoolers and 1 older toddler, were observed to be alone. A Staff Person was not present with the children to meet the staff:child ratio requirements.
Center’s plan of correction (implemented, Apr 3, 2024): “** The Operator has received an approved ratio tracking form. The form will be used daily for 3 months. Operator will maintain copies of the daily tracking sheets on file at the facility.”
Core safety Nov 9, 2023 Inspection Staff ratios
Two facility persons present in facility 55 Pa. Code §3270.54(a)
** Staff Person #1 was the only qualified facility person present at the facility. At the time of the unannounced visit 4 infants, 1 young toddler, 4 older toddlers, 4 preschool children and 1 young school ager were present at the facility. Staff Person's #3 reported that they had left with Staff Person #4 to go to Sam's Club while the children were napping.
Center’s plan of correction (implemented, Apr 3, 2024): “** Operator has scheduled to begin technical assistance with the ELRC 5. Operator will complete a minimum of one visit per month with the qualify coach and the leadership development strategist.”
Core safety Nov 9, 2023 Inspection Staff ratios
Two facility persons present in facility 55 Pa. Code §3270.54(a)
* Staff Person #1 was the only qualified facility person present at the facility. At the time of the unannounced visit 4 infants, 1 young toddler, 4 older toddlers, 4 preschool children and 1 young school ager were present at the facility. Staff Person's #3 reported that they had left with Staff Person #4 to go to Sam's Club while the children were napping.
Center’s plan of correction (implemented, Feb 20, 2024): “* Staff returned to the facility to allow for three staff persons to be present.”
Follow-up Nov 9, 2023 Inspection Sleep safety
Prohibit items in crib/Infant sleep position 55 Pa. Code §3270.106(j)/3270.119
***SECOND CITATION. An infant was observed to be sleeping on a boppy pillow in Classroom 2. FACILITY PREVIOUSLY CITED ON 11.6.23.
Center’s plan of correction (implemented, Feb 6, 2024): “*** All facility persons will participate in an in-person safe sleep training through the ELRC 5.”
Re-cited at a follow-up visit; counted once, with the original citation.
Follow-up Nov 9, 2023 Inspection Sleep safety
Prohibit items in crib/Infant sleep position 55 Pa. Code §3270.106(j)/3270.119
*SECOND CITATION. An infant was observed to be sleeping on a boppy pillow in Classroom 2. FACILITY PREVIOUSLY CITED ON 11.6.23.
Center’s plan of correction (implemented, Feb 20, 2024): “* All boppy pillow have been removed from the cribs and staff have been told that boppy pillows are only to be used on the floor area for awake children during playtime.”
Re-cited at a follow-up visit; counted once, with the original citation.
Follow-up Nov 9, 2023 Inspection Sleep safety
Prohibit items in crib/Infant sleep position 55 Pa. Code §3270.106(j)/3270.119
** SECOND CITATION. An infant was observed to be sleeping on a boppy pillow in Classroom 2. FACILITY PREVIOUSLY CITED ON 11.6.23.
Center’s plan of correction (implemented, Feb 20, 2024): “** The CPSC Bare is Best posting was posted at each crib and pack and play in the Infant Room.”
Re-cited at a follow-up visit; counted once, with the original citation.
Core safety Nov 9, 2023 Inspection Supervision
Supervised at all times 55 Pa. Code §3270.113(a)
* At approximately 1:03 pm Certification Rep observed a young school age child alone in the hallway through the front door window. The child announced someone was at the door at which time Staff Person #1 was observed to emerge from the restroom in the hallway and opened the door. Staff Person #1 apologized and indicated they were to be in the Infant Classroom. Four infants were observed to be alone in Classroom 2. In Classroom 1, a group of children that were later reported to include 1 preschooler, 3 older toddlers and 1 young toddler were observed alone. The young school ager, who was observed upon entrance to the facility, was observed alone in Classroom 4 upstairs. In Classroom 3 upstairs, a group of children that were later reported to include 3 preschoolers and 1 older toddler were observed to be alone. Staff Person #1 indicated they were being assisted by Facility Person #2 however, Facility Person #2 is not qualified to fulfill the duties of a staff person and therefore cannot be responsible for supervision of children or serve in the regulatory ratio. Staff Person #1 was the only Staff Person present in the building.
Center’s plan of correction (implemented, Feb 20, 2024): “* Staff returned to the facility to allow for a Staff Person to be present in each room to supervise the children.”
Core safety Nov 9, 2023 Inspection Supervision
Supervised at all times 55 Pa. Code §3270.113(a)
** At approximately 1:03 pm Certification Rep observed a young school age child alone in the hallway through the front door window. The child announced someone was at the door at which time Staff Person #1 was observed to emerge from the restroom in the hallway and opened the door. Staff Person #1 apologized and indicated they were to be in the Infant Classroom. Four infants were observed to be alone in Classroom 2. In Classroom 1, a group of children that were later reported to include 1 preschooler, 3 older toddlers and 1 young toddler were observed alone. The young school ager, who was observed upon entrance to the facility, was observed alone in Classroom 4 upstairs. In Classroom 3 upstairs, a group of children that were later reported to include 3 preschoolers and 1 older toddler were observed to be alone. Staff Person #1 indicated they were being assisted by Facility Person #2 however, Facility Person #2 is not qualified to fulfill the duties of a staff person and therefore cannot be responsible for supervision of children or serve in the regulatory ratio. Staff Person #1 was the only Staff Person present in the building.
Center’s plan of correction (implemented, Feb 6, 2024): “** Operator will work with the ELRC 5 to schedule the Supervision trainings for all facility persons.”
Core safety Nov 9, 2023 Inspection Supervision
Supervised at all times 55 Pa. Code §3270.113(a)
*** At approximately 1:03 pm Certification Rep observed a young school age child alone in the hallway through the front door window. The child announced someone was at the door at which time Staff Person #1 was observed to emerge from the restroom in the hallway and opened the door. Staff Person #1 apologized and indicated they were to be in the Infant Classroom. Four infants were observed to be alone in Classroom 2. In Classroom 1, a group of children that were later reported to include 1 preschooler, 3 older toddlers and 1 young toddler were observed alone. The young school ager, who was observed upon entrance to the facility, was observed alone in Classroom 4 upstairs. In Classroom 3 upstairs, a group of children that were later reported to include 3 preschoolers and 1 older toddler were observed to be alone. Staff Person #1 indicated they were being assisted by Facility Person #2 however, Facility Person #2 is not qualified to fulfill the duties of a staff person and therefore cannot be responsible for supervision of children or serve in the regulatory ratio. Staff Person #1 was the only Staff Person present in the building.
Center’s plan of correction (implemented, Apr 3, 2024): “*** Operator has received an approved ratio and supervision tracking sheet and it will be utilized in each classroom on a daily basis. The tracking sheets will be maintained on site at the facility.”
Core safety Nov 9, 2023 Inspection Supervision
Staff assigned to specific children 55 Pa. Code §3270.113(a)(1)
At approximately 1:03 pm Certification Rep observed a young school age child alone in the hallway through the front door window. The child announced someone was at the door at which time Staff Person #1 was observed to emerge from the restroom in the hallway and opened the door. Staff Person #1 apologized and indicated they were to be in the Infant Classroom. Four infants were observed to be alone in Classroom 2. In Classroom 1, a group of children that were later reported to include 1 preschooler, 3 older toddlers and 1 young toddler were observed alone. The young school ager, who was observed upon entrance to the facility, was observed alone in Classroom 4 upstairs. In Classroom 3 upstairs, a group of children that were later reported to include 3 preschoolers and 1 older toddler were observed to be alone. A Staff Person was not physically present with the children in Classrooms 1, 2, 3 and 4. Staff Person #1 indicated they were being assisted by Facility Person #2 however, Facility Person #2 is not qualified to fulfill the duties of a staff person and therefore cannot be responsible for supervision of children or serve in the regulatory ratio. Staff Person #1 was the only Staff…
Center’s plan of correction (implemented, Feb 20, 2024): “Staff returned to the facility to allow for a staff person to be physically present with their assigned children.”
Citation Nov 9, 2023 Inspection Health & medication
12 months prior to service and every 24 months thereafter/Mantoux TB 55 Pa. Code §3270.151(a)/3270.151(c)(2)
Facility Person #2 was observed to be providing care to a group of children. A completed health assessment and tuberculosis screening were not on file prior to coming into contact with the children.
Center’s plan of correction (implemented, Feb 20, 2024): “Facility Person #2 was removed from the facility and will not return until a completed file is on site.”
Citation Nov 9, 2023 Inspection Training & qualifications
Staff person - 18 yrs. 55 Pa. Code §3270.31(b)
Facility Person #2 was observed to be alone and providing care to a mixed age group that was reported to include 1 preschooler, 3 older toddlers and 1 young toddler in Classroom 1. Facility Person #2 is not 18 years of age or older and not qualified to be a Staff Person. The individual is 17 years old.
Center’s plan of correction (implemented, Feb 20, 2024): “Facility Person #2 was removed from the facility.”
Citation Nov 9, 2023 Inspection Records & paperwork
Individual Records 55 Pa. Code §3270.191
Facility Person #2, who was observed to be providing care to children at the facility, lacked an Individual file.
Center’s plan of correction (implemented, Feb 20, 2024): “Facility Person #2 was removed from the facility. Operator is working on completing a file at this time.”
Citation Nov 9, 2023 Inspection Training & qualifications
Age and Training 55 Pa. Code §3270.31(a)
Facility Person #2 was observed to be alone and providing care to a mixed age group that was reported to include 1 preschooler, 3 older toddlers and 1 young toddler in Classroom 1. Facility Person #2 is required to be directly supervised at all times by a staff person.
Center’s plan of correction (implemented, Feb 20, 2024): “Facility Person #2 was removed from the facility and will not return until they have completed all needed items. All Volunteers will be supervised by a Staff Person.”
Core safety Nov 6, 2023 Inspection Sleep safety
Prohibit items in crib/Infant sleep position 55 Pa. Code §3270.106(j)/3270.119
At approximately 9:20am in Classroom 2 an infant was observed to be sleeping on a boppy pillow in their crib. This did not allow for the child to be placed in the sleep position recommended by the ACIP.
Center’s plan of correction (not implemented, Nov 9, 2023): “The boppy pillows were removed from all of the cribs. The infant was moved from the boppy pillow.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation Nov 6, 2023 Inspection Building & playground safety
Protective Outlet Covers 5 yrs. or less 55 Pa. Code §3270.65
One electrical outlet was missing a protective receptacle cover in classroom 3.
Center’s plan of correction (implemented, Nov 6, 2023): “A protective receptacle cover was placed in the electrical outlet.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation Nov 6, 2023 Inspection Building & playground safety
Clean and good repair 55 Pa. Code §3270.102(a)
A cracked laundry basket containing toys was observed in classroom 6. These cracks resulted in sharp edges and pinch points on the laundry basket.
Center’s plan of correction (implemented, Nov 6, 2023): “The laundry basket will be discarded.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation Nov 6, 2023 Inspection Health & medication
Clean, age appropriate 55 Pa. Code §3270.106(a)
One crib was observed to be labeled for two infants (twins) receiving care at the same time. The infants did not have individual rest equipment.
Center’s plan of correction (implemented, Nov 9, 2023): “Operator will provide individual, age-appropriate rest equipment for the children.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation Nov 6, 2023 Inspection Health & medication
Exemption documentation from parent/guardian 55 Pa. Code §3270.131(e)(2)(i)
The written exemption on file for Child #4 lacked a parent signature and a date.
Center’s plan of correction (implemented, Nov 13, 2023): “Operator will request that the parent provide an updated exemption statement to include a signature and a date.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation Nov 6, 2023 Inspection Health & medication
Liquid or powdered soap 55 Pa. Code §3270.134(d)
The batteries on the hands-free soap dispenser in the upstairs restroom appeared to be dead which did not allow for soap to be accessible for handwashing following the use of the restroom.
Center’s plan of correction (implemented, Nov 6, 2023): “A bottle of hand soap was placed at the sink until the batters can be replaced.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation Nov 6, 2023 Inspection Food & feeding
Written statement 55 Pa. Code §3270.166(1)
Written feeding statements from the parents were missing for 3 of the infants receiving care at the time of the inspection.
Center’s plan of correction (implemented, Nov 8, 2023): “Operator will request that the parent provide written statements giving the formula and feeding schedules for the children.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation Nov 6, 2023 Inspection Health & medication
Health information 55 Pa. Code §3270.131(a)
The file for Child #4 lacked an initial health assessment within 60 days of their first day of attendance at the facility. The health assessment on file was dated 68 days after starting at the facility.
Center’s plan of correction (implemented, Nov 6, 2023): “Child #4 has a current health assessment on file at this time.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation Nov 6, 2023 Inspection Transportation
Pick-up and drop-off points 55 Pa. Code §3270.171(a)
The facility has not submitted an annual traffic letter to their local traffic safety authorities.
Center’s plan of correction (implemented, Nov 8, 2023): “Operator will notify the local traffic safety authority in writing of the facility's location and the use of pedestrian and vehicular routes around the daycare.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation Nov 6, 2023 Inspection Training & qualifications
Pertinent Laws & Regulations/General Health and Safety 55 Pa. Code §3270.14/3270.21
The file for Staff Person #1 lacked completion of the updated 1-hour health and safety training within 90 days of starting at the facility.
Center’s plan of correction (implemented, Nov 7, 2023): “Staff Person #1 will complete the 1-hour health and safety training update.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation Nov 6, 2023 Inspection Records & paperwork
Posted in group space 55 Pa. Code §3270.111(b)
A written plan of daily activities was not posted in classroom 2.
Center’s plan of correction (implemented, Nov 8, 2023): “A written plan of daily activities will be posted in the classroom.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation Nov 6, 2023 Inspection Records & paperwork
Arrival/departure times/Designated release persons 55 Pa. Code §3270.123(a)(4)/3270.123(a)(5)
The financial agreement for Child #1 lacked the arrival and departure times and the designated persons to whom the child may be released.
Center’s plan of correction (implemented, Nov 8, 2023): “Operator will review the agreement form with the parent and request the missing information be added.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation Nov 6, 2023 Inspection Records & paperwork
Parent receives original 55 Pa. Code §3270.123(b)
The file for Child #4 was observed to contain an original agreement form.
Center’s plan of correction (implemented, Nov 6, 2023): “A copy of the original agreement will be made for the child's file and the original will be given to the parent.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation Nov 6, 2023 Inspection Records & paperwork
Physician name, address, phone 55 Pa. Code §3270.124(b)(2)
The emergency contact form for Child #4 lacked the physician's telephone number.
Center’s plan of correction (implemented, Nov 8, 2023): “The emergency contact form will be reviewed with the parent and the missing information will be requested.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation Nov 6, 2023 Inspection Records & paperwork
Insurance coverage information 55 Pa. Code §3270.124(b)(6)
The emergency contact form for Child #2 lacked the health insurance coverage and policy number for the child. The emergency contact form for Children #3 and #4 lacked the policy number for the child's health insurance.
Center’s plan of correction (implemented, Nov 8, 2023): “Operator will review the emergency contact forms with the parents and request that the provide the missing insurance information.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation Nov 6, 2023 Inspection Records & paperwork
Name/address/phone release person 55 Pa. Code §3270.124(b)(7)
The emergency contact form for Children #2, #3 and #4 lacked the telephone number for one of the release persons listed.
Center’s plan of correction (implemented, Nov 8, 2023): “Operator will review the emergency contact forms with the parents and request the missing release person telephone numbers be added to the form.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation Nov 6, 2023 Inspection Records & paperwork
Each child care space 55 Pa. Code §3270.124(c)
An emergency contact form was missing for an infant receiving care in Classroom 2.
Center’s plan of correction (implemented, Nov 6, 2023): “A copy of the child's emergency contact form was made and placed in the classroom.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation Aug 1, 2023 Inspection Building & playground safety
Large muscle space provided 55 Pa. Code §3270.62(a)
The outdoor play space was not ready for use at the time of the inspection as installers were present to install a fence. An indoor play space is not in place.
Center’s plan of correction (implemented, Aug 4, 2023): “The installation of the fence around the outdoor play space will be complete on 8.3.23.”
Citation Aug 1, 2023 Inspection Building & playground safety
110º F or less 55 Pa. Code §3270.69(b)
The hot water at the sink in Classroom #2 was measured at 117.2° F.
Center’s plan of correction (implemented, Aug 1, 2023): “The hot water was turned off at the sink.”
Citation Aug 1, 2023 Inspection Building & playground safety
Above ground window opening restricted to 6" 55 Pa. Code §3270.72(d)
Two windows in Classrooms #3, #6 and one window in Classroom #5 were observed to be missing restrictions allowing the windows to open more than 6 inches. The window in the upstairs restroom was also missing a restriction.
Center’s plan of correction (implemented, Aug 1, 2023): “The window restrictions were all engaged to restrict the windows from opening less than 6 inches.”
Citation Aug 1, 2023 Inspection Building & playground safety
Handwashing signs 55 Pa. Code §3270.82(h)
A hand washing sign was missing from the two toilets in the Boys and Girls restrooms, at the changing table in Classroom #2, and at the toilet in the upstairs restroom.
Center’s plan of correction (implemented, Aug 4, 2023): “Hand washing signs will be posted at the areas.”
Citation Aug 1, 2023 Inspection Food & feeding
Refrigerator 55 Pa. Code §3270.107
The refrigerator in the kitchen was measured at 50° F. The refrigerator in Classroom #2 was measured at 55° F.
Center’s plan of correction (implemented, Aug 1, 2023): “The refrigerator temperature knobs were turned down allowing the temperatures to drop to 40° F.”
Citation Aug 1, 2023 Inspection Records & paperwork
Exp, educ., training prior to facility 55 Pa. Code §3270.192(2)(ii)
The file for Staff Person #1 lacked verification of experience to qualify them for the position they are to perform.
Center’s plan of correction (implemented, Aug 4, 2023): “Staff Person #1 will obtain verification of experience to qualify them for the position they were hired to perform.”
Citation Aug 1, 2023 Inspection Records & paperwork
Health assessment, TB test 55 Pa. Code §3270.192(3)
The file for Staff Person #2 lacked the results of their recent tuberculosis screening.
Center’s plan of correction (implemented, Aug 4, 2023): “Staff Person #2 will contact the physician and obtain the results of their tuberculosis screening.”

“Core safety” marks citations about supervision and staff ratios, discipline and caregiver conduct, background checks, child protection and safe sleep, the topics our score weights most. Pennsylvania’s records don’t grade violations by severity. “Follow-up” marks a violation re-cited at a follow-up visit, counted once. How scores work.

Complaint investigations and reported incidents

Violation found Sep 18, 2025 Complaint investigation
1 violation cited, listed under Citations.

Pennsylvania’s search lists complaint investigations in which the state found at least one violation (“verified complaints”). It does not say what a complaint alleged, or whether every violation relates to it. Incident investigations look into something that happened at the center; self-reported violations are ones the center reported to the state itself.

About this center

Capacity 35 children
Certificate status Regular
Certificate valid through Apr 16, 2027
Keystone STARS STAR 1
since Apr 26, 2024 · what STARS means
Operator Elite Childcare & Learning Center LLC
Phone —
State certificate # CER-00253838
Parent reviews Google Maps reviews
Not checked by Daycare Record

Common questions

Has Elite Childcare & Learning Center had any serious violations?

Pennsylvania cited 17 violations since 2021 on the topics Daycare Record treats as core safety (supervision, staff ratios, discipline, background checks, child protection or safe sleep). The most recent, on Mar 31, 2026 (background checks): “Applications for the NSOR certification for Staff #1 were dated after Staff #1's Date of Hire. Therefore, Staff #1 was incorrectly provisionally hired. (SEE LIS CODE SHEET)” Pennsylvania’s records don’t grade violations by severity; each citation is listed in full above.

Have there been complaints about Elite Childcare & Learning Center?

Pennsylvania lists 1 complaint investigation since 2021 in which it found at least one violation; the violations are listed above. Its search shows these “verified complaints” but not what a complaint alleged, or whether every violation relates to it.

What is Elite Childcare & Learning Center’s Keystone STARS rating?

STAR 1, effective Apr 26, 2024. Keystone STARS is Pennsylvania’s quality rating program for child care, from STAR 1 to STAR 4. It measures program quality, not inspection results, so read both.

How does Elite Childcare & Learning Center compare with other daycares in Duquesne?

It is #5 of 7 centers in Duquesne by topic-weighted citations per inspection, and has more citations per inspection than 85% of Pennsylvania certified centers with enough inspection history to compare.

When was Elite Childcare & Learning Center last inspected?

Mar 31, 2026 (unannounced monitoring). The state cited at least one violation during that visit.

Who runs Elite Childcare & Learning Center?

The legal entity on its Pennsylvania certificate is Elite Childcare & Learning Center LLC.

Certified centers nearby

Citations are quoted from Pennsylvania Department of Human Services inspection records (Office of Child Development and Early Learning, Bureau of Certification Services), including each finding and the center’s plan of correction. Rule numbers refer mostly to 55 Pa. Code Chapter 3270, the rules for child care centers; a few cite Chapter 20, which covers every certified facility. Pennsylvania’s records don’t grade violations by severity; the “core safety” label and the score are Daycare Record’s.

To check the state’s own record, search the center’s name on COMPASS Child Care Provider Search and open its inspection history. Data refreshed Oct 16, 2026.

Comparing centers? See how to choose a daycare: 30 questions to ask and a printable checklist.

Concerned about this center? See how to report a daycare: which state line to call, what to write down and what happens next.