Lutz Preschool INC

Staff #8 did not have a NSOR clearance on file until 6/18/26 and was working in direct care with children since hire (See LIS Code Sheet for DOH).

Staff #2 had a previous health assessment on file dated 8/31/22 and a current on file dated 10/9/24.

Evacuation routes were missing from the second floor of the facility.

Staff #1 had a previous fire safety training dated 3/8/25 and a current dated 5/20/26. Staff #2 had a previous fire safety training dated 10/15/24 and a current dated 12/29/25. Staff #3 had a previous fire safety training dated 1/5/25 and a current dated 3/19/26.Staff #4 had a previous fire safety training dated 10/11/24 and a current dated 12/29/25. Staff #6 had a previous fire safety training dated 10/8/24 and a current dated 12/22/25. Staff #7 had a previous fire safety training dated 10/15/24 and a current dated 12/29/25.

Facility person #5 did not complete mandated reporter training within 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 10/6/20 and the current being dated 10/8/25.

Child file #1 was missing address and telephone number of the child's physician or source of medical care and policy number for a child under a family policy or Medical Assistance benefits

Staff #1 was observed being supervised by another staff and in direct care with children on 4/30/26. Staff #1 had a volunteer Pa State Police clearance on file since hire and not an employment clearance as is required (see LIS Code Sheet for DOH).

While at the facility for the unannounced renewal inspection the inspector observed staff files and found that staff #1 had a previous Pa State Police clearance on file dated for 1/26/20 and did not update the clearance until 1/27/25. Staff #2 had a previous Pa State Police clearance on file dated for 3/27/20 and did not update the clearance until 5/23/25, a Pa Child Abuse Clearance dated initially for 4/01/20 and then not again 6/11/25 and had an FBI clearance on file that expired on 5/21/25. Staff #3 was hired with an outdated disclosure statement on file. As of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has…

While at the facility for the unannounced renewal inspection the inspector observed the ceiling in the vestibule area to have water marks and mold forming on it.

While at the facility for the unannounced renewal inspection the inspector observed staff files and found that staff #2 had a initial Pa Mandated Reporter training dated 5/19/20 and not updated until 6/2/25.

While at the facility unannounced for the renewal inspection on 6/28/24 the inspector observed peeling paint in the older toddler room (near the doorway to exit the room) that was accessible to children.

While at the facility unannounced for the renewal inspection on 6/28/24 the inspector observed a ripped changing mat, exposing the foam below and rendering it unable to clean after each use.

While at the facility unannounced for the renewal inspection on 6/28/24 the inspector reviewed the files for staff #1, #2, #3, #4, #5, #6 and #7 and found that all staff did not complete fire safety annual fire safety training timely. Staff #1, #2, #4, #5 and #6 had previous fire safety training on 10/5/22 and did not obtain renewal training until 12/14/23, Staff #3 and #7 had previous fire safety training on 10/5/22 and did not obtain renewal training until 6/11/24.

A complaint inspection was conducted at the facility on 1/29/24. A physical site review was conducted. Staff #1 was observed diaper changing. Staff #1 did not wash their hands or the child's hands after diaper changing.

A complaint inspection was conducted at the facility on 1/29/24. A physical site review was conducted. Staff #1 was observed diaper changing. Staff #1 did not clean the diaper changing area after each diaper change.

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff # 2 was hired incorrectly as a provisional hire per the CPSL. Staff # 2 was hired using a Department of Education (DOE) FBI clearance dated 8/3/23. The CPSL states a Department of Education FBI clearance cannot be used for employment for a staff person in a Department of Human Service (DHS). Staff # 2 did not receive the DHS FBI clearance until 11/10/23 and the NSOR until 11/6/23. Staff # 2 also did not obtain an NSOR clearance. The CPSL states a staff can only be hired provisionally for 45-days. Staff # 2 has worked without the appropriate clearances on file past the 45-day provisional hire period. Facility person # 4 has volunteered at the facility over 45-days and the file did not contain an NSOR clearance. Facility person # 4 was at the facility at the time of this inspection. Staff # 5 was hired incorrectly as a provisional hire. Staff # 5 did not apply for the state police clearance and the DHS FBI clearance at the time of hire. The FBI clearance was not received until 8/29/23 and at the time of this inspection, a state police clearance…

An unannounced inspection occurred at the facility. A review of the facility's fire safety system testing log was conducted. Regulation requires the fire safety system to be tested at least every 30 days. The following drills lapsed occurring at least every 30 days: 7/1/23 - 8/1/23 8/1/23 - 9/1/23 10/1/23 - 11/1/12

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff person # 5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics.

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Facility Person file # 4 was missing 1-letter of written reference.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire on the following staff. Staff # 4 did not receive an FBI clearance until 3/15/23. Staff # 4 was hired incorrectly as a provisional hire and worked past their 45 provisional hire period without having an FBI clearance on file. Staff # 6 did not receive an NSOR clearance until 3/14/23. Staff # 6 was hired incorrectly as a provisional hire and worked past their 45 provisional hire period without having an NSOR clearance on file. Staff # 8 did not receive an FBI clearance until 3/21/23 or an NSOR clearance until 3/24/23. Staff # 8 was hired incorrectly as a provisional hire and worked past their 45 provisional hire period without having an FBI or NSOR clearance on file. Staff # 9 did not receive an NSOR clearance until 2/27/23. Staff # 9 was hired incorrectly as a provisional hire and worked past their 45 provisional hire period without having an NSOR clearance on file.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person # 1, # 2, # 5, # 6, # 7 and # 10 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. The following staff completed this training on: Staff # 1 - 3/11/23 Staff # 2 - 5/14/23 Staff # 5 - 3/13/23 Staff # 6 - 3/13/23 Staff # 7 - 3/16/23 Staff # 10 - not completed as of the date of this inspection.

A renewal inspection occurred at the facility. A review of staff files was conducetd. 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 and CPR. Staff # 3 completed this training on 5/10/23. Staff person # 3, # 4, # 8 and # 9 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics. Staff # 3 completed this training on 5/22/23. Staff # 4 completed this training on 3/9/23. Staff # 8 completed this training on 3/14/23. Staff # 9 completed this training on 3/16/23.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person # 3 and # 4 have not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff # 3 completed this training on 3/11/23. Staff # 4 completed this training on 2/13/23.