CHILDRENS NEST DAY CARE CENTER CORP

Safe routes posted (3270.171(c))

CONTINUED NONCOMPLIANCE: A renewal inspection was conducted on 2/9/2026. At that time, facility did not have written notification of safe routes posted at a conspicuous location in the child care facility. An acceptable plan of correction was received stating that by 3/3/2026, Traffic pattern printed and posted very visibly on board at the reception office for all to see." On 3/25/2026, facility did not have written notification of safe routes posted at a conspicuous location in the child care facility. Requirement: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility. Correction: 3/25/26 Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility. Posted on parent's information board on the wall by the reception/main entrance/exit. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times /Staff assigned to specific children (3270.113(a)/3270.113(a)(1))

CONTINUED NONCOMPLIANCE: A renewal inspection was conducted on 2/9/2026. At that time, staff were observed to leave their supervision group in the room while they went to the office or answered the door. Staff could not see, hear, direct, or assess children in their group from the office. An acceptable plan of correction was received with a correction date of 3/20/2026. On 3/26/2026 during an unannounced monitoring, staff person #2 was in the office when certification representative arrived. Staff Person #1 was responsible for watching both the Infant and Preschool rooms during naptime. Staff Person #1 was positioned in a chair that was between the rooms; however, could not see one of the cribs from their position. Additionally, infant cribs were covered with blankets and staff could not see/assess the children inside the cribs while they slept. When addressed, Staff Person #2 stated that they thought that the arrangement was sufficient as the children were sleeping. Certification representative advised that nap ratios do not apply to infants. Requirement: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. 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. TIERED LIS 1. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all staff to receive a minimum of three hours of training regarding Supervision. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The correction date for this portion of the plan shall be the date in which training will be completed by all staff. Correction: 1. correction date: 3/25/26 Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. 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. Staff schedule adjusted to avoid potential gaps. 2. 05/10/26 The legal entity must arrange for all staff to receive a minimum of three hours of training regarding Supervision. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The correction date for this portion of the plan shall be the date in which training will be completed by all staff. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Posted in group space/Written emergency plan posted (3270.111(b)/3270.124(e))

CONTINUED NONCOMPLIANCE: A renewal inspection was conducted on 2/9/2026. At that time, the following rooms did not have the followings postings: Infant Room: Emergency transportation plan. Preschool Room: Emergency transportation plan. 2 Year Old Room: Daily activities. Emergency transportation plan. School-Age Room: Daily activities. Emergency transportation plan. School-Age Annex A: Daily activities. Emergency transportation plan. School-Age Annex B: Daily activities. Emergency transportation plan. An acceptable plan of correction was received with a correction date of 3/2/2026. On 3/25/2026 during an unannounced monitoring, the following rooms did not have the followings postings: 2 Year Old Room: Daily activities. School-Age Room: Daily activities. School-Age Annex A: Daily activities. School-Age Annex B: Daily activities. Requirement: The written plan of daily activities shall be posted in the group space. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. Correction: 03/25/26 The written plan of daily activities shall be posted in the group space. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Prohibit items in crib (3270.106(j))

An unannounced monitoring was conducted on 3/25/2026. At that time, a toy was observed in the crib with a sleeping infant reported by staff to be eight months old. Requirement: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib. Correction: 03/25/26 Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib. also no crib shall be covered with a blanket while children are sleeping. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

An unannounced monitoring was conducted on 3/25/2026. At that time, the first-aid kits in the School-Age Annex A and School-Age Annex B rooms were both missing gloves. Requirement: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. Correction: 03/25/26 A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. All these items were added and double checked. Gloves were added. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Posted in group space/Written emergency plan posted (3270.111(b)/3270.124(e))

A renewal inspection was conducted on 2/9/2026. At that time, the following rooms did not have the followings postings: Infant Room: Emergency transportation plan. Preschool Room: Emergency transportation plan. 2 Year Old Room: Daily activities. Emergency transportation plan. School-Age Room: Daily activities. Emergency transportation plan. School-Age Annex A: Daily activities. Emergency transportation plan. School-Age Annex B: Daily activities. Emergency transportation plan. Requirement: The written plan of daily activities shall be posted in the group space. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. Correction: Printed and posted. Every room and vehicle. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times /Staff assigned to specific children (3270.113(a)/3270.113(a)(1))

A renewal inspection was conducted on 2/9/2026. At that time, staff were observed to leave their supervision group in the room while they went to the office or answered the door. Staff could not see, hear, direct, or assess children in their group from the office. Requirement: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. 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 their assigned group. The staff person shall be physically present with the children in their group on the facility premises and on facility excursions off the facility premises. TIERED LIS 1. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. 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 their assigned group. The staff person shall be physically present with the children in their group on the facility premises and on facility excursions off the facility premises. This portion of the plan shall have an immediate correction date. 2. The legal entity must develop or update their written supervision policies and procedures to be implemented in the facility. The written policy must address supervision when staff need to leave the room for supplies or to use the bathroom as well as supervision during pick-up and drop-off time. The legal entity must submit their policies and procedures to the Northeast Regional Office for approval. Once approved, all existing staff and any new hires must be trained on the approved policy and procedure and it must be documented in their files. The operator shall provide a date for when this will be completed. Correction: 1. 2/9/2026. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. 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 their assigned group. The staff person shall be physically present with the children in their group on the facility premises and on facility excursions off the facility premises. 2. 3/20/2026. The legal entity will develop or update their written supervision policies and procedures to be implemented in the facility. The written policy will address supervision when staff need to leave the room for supplies or to use the bathroom as well as supervision during pick-up and drop-off time. The legal entity will submit their policies and procedures to the Northeast Regional Office for approval. Once approved, all existing staff and any new hires will be trained on the approved policy and procedure and it will be documented in their files. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Date fee to be paid/Admission date (3270.123(a)(2)/3270.123(a)(6))

A renewal inspection was conducted on 2/9/2026. At that time, a sample of children's files was reviewed. The following information was missing from children's fee agreements: Child #1: The date on which the fee is to be paid. Child #3: Date of admission. Requirement: An agreement shall specify the date on which the fee is to be paid. An agreement shall specify the date of the child's admission. Correction: Missing info complete completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Physician name, address, phone/Insurance coverage information (3270.124(b)(2)/3270.124(b)(6))

A renewal inspection was conducted on 2/9/2026. At that time, a sample of children's files was reviewed. The following information was missing from children's emergency contact forms: Child #1: Name, address, and telephone number of child's doctor. Child #3: Phone number of child's doctor. Health insurance policy number. Child #4: Name and phone number of child's doctor. Child #5: Health insurance policy number. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Correction: Parents provide provided missing health policy information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent home/work address, phone/Name/address/phone release person (3270.124(b)(3)/3270.124(b)(7))

A renewal inspection was conducted on 2/9/2026. At that time, a sample of children's files was reviewed. The following information was missing from children's emergency contact forms: Child #1: Father's work address and work telephone number. Child #2: Father's work address and work telephone number. Release persons' addresses. Child #3: Father's work address and work telephone number. Release person's address. Child #4: Mother's work address and work telephone number. Release persons' full names and addresses. Child #4: Release persons' addresses. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. Correction: Corrected. Parents filled empty fields. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Immunization record/Dismissal policy (3270.131(d)(5)/3270.131(e)(3))

A renewal inspection was conducted on 2/9/2026. At that time, a sample of children's files was reviewed. Immunizations on file for Child #3 indicate that child has received 1 of 3 doses of Pneumococcal vaccine and 1 of 2 doses of IPV vaccine. There is no exemption on file. Child #3 is an infant (see LIS code sheet for date of birth). Requirement: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #3 must be dismissed from care by close of business 2/9/2026 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Correction: Parent did the child health report at Valley health partners on 2/24/26. She provided the copy. Child received the second dose of pneumococcal on 12/24/25. Child received second dose ipv vaccine until 12/24/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name on bottle (3270.133(3))

A renewal inspection was conducted on 2/9/2026. At that time, unlabeled diaper cream was observed in the Infant Room. Diaper cream was inside of labeled bins; however, the medication itself was not labeled with a child's name. Requirement: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. Correction: Cream labeled. Staff was made aware and encouraged to label each child supplies as it is replaced. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Child's hands washed/Adult Hygiene (3270.134(a)/3270.152)

A renewal inspection was conducted on 2/9/2026. At that time, staff in the Infant Room was observed to change a child's diaper and immediately place the child in their crib without washing their hands. Staff did not wash their own hands after diapering. Requirement: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child. Correction: Staff will ensure that children's hands are washed after diapering/toileting and before meals and snacks. Staff will ensure that they wash their own hands before meals and snacks and after toileting/diapering a child. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Disposable nursers or parents (3270.166(3))

A renewal inspection was conducted on 2/9/2026. At that time, staff reported that bottles are washed at the facility. Facility does not have a commercial dishwasher. Requirement: Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility. Correction: Notified affected parents that effective immediately they will be taking home their child's bottle, and they will be responsible for bringing them daily from home. The daycare does not have a commercial dishwasher and it is not allowed to wash bottles in the daycare. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Safe routes posted (3270.171(c))

A renewal inspection was conducted on 2/9/2026. At that time, facility did not have written notification of safe routes posted at a conspicuous location in the child care facility. Requirement: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility. Correction: Traffic pattern printed and posted very visibly on board at the reception office for all to see. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission (3270.182(3)/3270.182(5))

A renewal inspection was conducted on 2/9/2026. At that time, a sample of children's files was reviewed. Emergency contact form on file for Child #4 did not contain signed parental consent for minor first-aid or emergency medical care. Requirement: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Correction: Corrected. Parent signed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(5))

A renewal inspection was conducted on 2/9/2026. At that time, facility's emergency plan was not present in the building due to operator taking it to local EMA for annual review. Emergency plan was sent to certification representative on 2/18/2026. Facility's emergency plan does not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Requirement: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Correction: Emergency plan updated to include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection was conducted on 2/9/2026. At that time, facility's fire detection testing log was reviewed. Fire detection testing log indicated that smoke detectors were tested past 30 days on the following occasions: 3/12/25-4/15/25; 4/15/25-5/19/25; 5/19/25-6/23/25; 7/14/25-8/20/25; 8/20/25-9/22/25; 9/22/25-11/29/25. 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: Fire detection testing log is current. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e))

A renewal inspection was conducted on 2/9/2026. At that time, staff files were reviewed. File for Staff Person #1 contained 4 hours of training for training year 12/1/2024-12/1/2025. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff Person #1 must take 8 hours of professional development to fulfill requirement for training year 12/1/2024-12/1/2025. Hours used to fulfill training year 12/1/2024-12/1/2025. may not be used to fulfill current training year. Correction: It has been implemented immediately that all personnel need to make sure every December before closing for the year that at least 12 credited training hours must have been logged. Staff person #1 was made aware and already is catching up on their trainings. Already completed 8 hours training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, age appropriate (3270.106(a))

A renewal inspection was conducted on 2/9/2026. At that time, a crib was observed in use by one child that was labeled with the name of a different child. 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: Name on all cribs were revised and fixed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

In child care spaces (3270.75(a))

A renewal inspection was conducted on 2/9/2026. At that time, the School-Age Annex A and School-Age Annex B did not contain first-aid kits. Requirement: A first-aid kit shall be in a child care space. Correction: Bought two first aid kits. One per request requested. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Fire safety - 1 yr. (3270.31(e)(4)(ii))

A renewal inspection was conducted on 2/9/2026. At that time, staff files were reviewed. The following staff members did not participate in fire safety training within 12 months as required: Staff Person #1: Fire safety training certificates on file are dated 4/10/2024 and 7/16/2025. Staff Person #2: Fire safety training certificates on file are dated 4/10/2024 and 6/18/2025. Staff Person #3: Fire safety training certificates on file are dated 4/10-/2024 and 7/16/2025. Requirement: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. Correction: Fire safety training certificates on file for Staff Person #1, Staff Person #2, and Staff Person #3 are current. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Refrigerator (3270.107)

A renewal inspection was conducted on 2/9/2026. At that time, there was no thermometer in the refrigerator in the Infant Room. Requirement: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator. Correction: Bought and installed in place. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

During an allocated unannounced monitoring visit conducted on 7/2/25, Staff person #1 only had one written, non-family reference on file Requirement: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Correction: Staff person #1 will submit an additional written, non-family reference. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant sleep position (3270.119)

During an allocated unannounced visit conducted on 7/2/25, an infant was observed sleeping in an UPPAbaby bassinet inside a crib with a blanket completely covering the top of the bassinet. Requirement: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. Correction: The infant was immediately moved into a crib without the bassinet and no blanket over top of the crib. All staff who work with infants will complete the Infant Safe Sleep training on Better Kid Care. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).