SERENITY EARLY LEARNING CENTER 2

2025

1. Medium risk7/29/2025

   Aides supervised all times (3270.37(c))

   At the time of the inspection on 7/29/25 observed that staff person #1, who holds the qualification of an aide, was caring for children alone during nap time in the Preschool room and was not supervised by a staff person qualified at minimum as an assistant group supervisor. Requirement: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor. Correction: Effective: 08/04/2025 a previous employee at Serenity Early Learning Center with 5+ years experience has been re-hired to work alongside staff person #1 until he/she has provided us with more employment verification to qualify him/her as an assistant group supervisor. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/4/2025
2. Medium-Low risk7/11/2025

   Post the inspection summary (3270.25(b))

   At the time of the unannounced inspection on 7/11/25, three inspection summaries dated 2/25/202, 4/30/2025, and 5/1/2025, issued by the Department, were not posted in a conspicuous location used by parents. Requirement: The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected. Correction: Serenity Early Learning Center will ensure all incomplete inspection summaries are posted in a conspicuous location used by parents at the facility. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/6/2025
3. Medium risk7/11/2025

   Two facility persons present in facility (3270.54(a))

   Continued Non-compliance since 1/28/25 and 2/25/25. At the time of the unannounced inspection on 7/11/25 at 7:09 AM observed staff person #1 with 4 children ranging in age from preschool to young school age. No other staff was present at the facility. Requirement: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person. Correction: Effective: 07/14/2025, Serenity Early Learning Center has changed staff scheduling to ensure an employee is arriving at 6:00am with Staff #1 at all times even if there is no kids in the facility. If their is no chilren present, clock in for the second emploee is not required. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/14/2025
4. Medium-High risk7/11/2025

   Each child care space (3270.124(c))

   At the time of the unannounced inspection on 7/11/25, emergency contact form of child # 2 was not present at preschool room where child #2 was receiving care. Emergency contact forms were not present in after school room for children #3, #4, #5, #6, #7, #8, #9, #10, #11, #12. Requirement: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. Correction: Effective: 07/11/2025, child #2 emergency contact was provided to the state rep for observation and re-added to the classroom's emergency binder. By 08/08/2025 all emergency contacts for school age should be updated and provided for observation. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/8/2025
5. Medium-High risk7/11/2025

   Excursions (3270.124(d))

   At the time of the unannounced inspection on 7/11/25, emergency contact forms specific to each child did not accompany the staff person (driver) during transportation of school age children to another location. Requirement: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion. Correction: Effective 07/25/2025, emergency contacts for a majority of the school age children attending Serenity has been placed in the vehicle used to transport children to and from another location. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/25/2025
6. Medium-High risk7/11/2025

   Transportation First Aid Kit (3270.178)

   At the time of the unannounced inspection on 7/11/25, the first-aid kit located in the van was missing a bottle of water, soap, scissors, tweezers, and tape while children were being transported to another location. Requirement: A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported. Correction: Effective: 07/14/2025, Serenity Early Learning Center has ensured all first-aid kits for the vans were stocked with the missing contents mentioned in the violation (a bottle of water, soap, scissors, tweezers, and tape) Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/14/2025
7. Medium risk7/11/2025

   Each child (3270.181(a))

   Continued Non-compliance since 5/1/25. At the time of the unannounced inspection on 7/11/25, individual record for child #1 has not been established and provided for review. Requirement: An operator shall establish and maintain an individual record for each child enrolled in the facility. Correction: Effective 08/08/2025, records for all the twelve school-age children who were present in the facility will be copied and provided to Serenity Early Learning Center in case of an emergency. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/8/2025
8. Medium risk7/11/2025

   Each child (3270.181(a))

   At the time of the unannounced inspection on 7/11/25, individual records were not established for twelve school-age children who were present in the facility. Requirement: An operator shall establish and maintain an individual record for each child enrolled in the facility. Correction: Effective 08/08/2025, the parents for child #1 are expected to have all documents updated and completed for the facility. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/8/2025
9. Medium-High risk7/11/2025

   Health assessment, TB test (3270.192(3))

   Continued non-compliance since 5/1/25. At the time of inspection on 7/11/2025, health assessment of staff person #2 did not include the results of initial and/or subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Requirement: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Correction: Effective: 07/31/2025, staff #2 has provided Serenity Early Learning Center with an updated health assessment and tuberculin skin test results. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/31/2025
10. Medium-High risk7/11/2025

    CPSL information (3270.192(4))

    At the time of unannounced inspection on 7/11/25, file of staff person #3 did not include a copy of the disclosure statement. Requirement: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Correction: Effective: 08/06/2025, staff #3 has agreed to sign the disclosure statement and will do so upon her return to the center on the date provided above. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/6/2025
11. Medium risk7/11/2025

    Two written references (3270.192(5))

    At the time of unannounced inspection on 7/11/25, file of staff persons #3 and #4 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. 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: Effective: 08/08/2025, staff #3 and #4 acquired written references but these were by family. Both employees were given these references back and are expected to provided updated ones from non-family by the date provided above. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/8/2025
12. Medium-High risk5/1/2025

    Pertinent Laws & Regulations/General Health and Safety (3270.14/3270.21)

    During the inspection on 5/6/25 video footage from 5/1/25 was reviewed. On the video footage from 5/1/25 from 6 AM to 7:40 AM, staff person #1, whose file did not include health and safety training as well as Pediatric First aid and CPR training, was observed caring for children without being supervised by an assistant group supervisor, who has completed the required trainings. Requirement: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Until the following documents have been provided to the facility (health and safety training / Pediatric First Aid and Child-Infant CPR) staff #1 unable to supervise children alone at Serenity Early Learning Center without a group supervisor who has completed the required trainings. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/1/2025
13. Medium-High risk5/1/2025

    Health and Safety Training/Health and Safety Training (3270.31(f)/3270.31(h))

    During the inspection conducted on 5/6/2025, file of staff person #1 did not include health and safety training as well as Pediatric First Aid and CPR training. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. All staff persons shall complete the professional development under subsection (f). Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children by an assistant group supervisor, who has completed the required training related to this citation. If there are no staff person's available to supervise, staff person #1 may not work in a child-care position at the facility. Correction: Staff #1 is currently in the process of completing the required health and safety training. Staff #1 is also enrolled in a Pediatric First Aid and CPR Class, and should have her certificate by the date provided above. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/13/2025
14. Medium risk5/1/2025

    Aides supervised all times (3270.37(c))

    During the inspection on 5/1/2025, video footage from 4/25/2025 was reviewed. It was observed that Staff Person #4, who holds the qualification of an aide, was caring for children alone during nap time in the Toddler Room and was not supervised by a staff person qualified at minimum as an assistant group supervisor. Requirement: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor. Correction: Effective: 5/7/2025 Staff #4 has voluntarily parted ways with Serenity Early Learning Center and is no longer employed with the facility. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/1/2025
15. Medium-High riskStandard 125/1/2025

    12 months prior to service and every 24 months thereafter/Health assessment, TB test (3270.151(a)/3270.192(3))

    During the inspection on 5/1/2025, file of staff person #1 did not include staff health assessment. Requirement: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Correction: Staff #1 has provided the facility with an updated staff health assessment. Staff #1 is currently in the process of locating her previous TB results to provide to the facility. If she is unable to locate the previous results, she will provide the center with a new one by the correction date above. Until the documentation has been provided, staff #1 may not interact or come near any children. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/13/2025
16. Medium risk5/1/2025

    Each child (3270.181(a))

    During the inspection on 5/1/2025, individual records for Child #1 and Child #2 had not been established and provided for review. Requirement: An operator shall establish and maintain an individual record for each child enrolled in the facility. Correction: Child #1's file is currently review with Serenity Early Learning Center and being updated. Until this file is properly completed, the child may not return to the facility until further notice. Child #2 is not enrolled with Serenity Early Learning Center and will no longer visiting the facility. Should child #2 wish to continue visiting the center, a file will be created for them and maintained like the other children in the facility. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/6/2025
17. Medium-High risk5/1/2025

    Fraud or deceit in obtaining or attempting to obtain a certificate of compliance (20.71(a)(7))

    During the inspection conducted on 5/1/2025, the director submitted DHS-approved documentation used for tracking child supervision. Upon review of the documentation, the following discrepancies were identified: - Staff Person #2 was recorded as present and supervising children on 4/25/2025 from 12 PM to 5:30 PM in Preschool room. However, records and staff confirmation indicate that Staff Person #2 left the facility at 2:00 PM and was not supervising children for the remainder of the day. - Staff Person #3 was listed as supervising children in the Toddler Room from 1:30 PM to 2:30 PM. However, it was determined that during nap time, Staff Person #3 was not present in the Toddler Room and was not actively supervising the children. Requirement: The Department may deny, refuse to renew or revoke a certificate of compliance for fraud or deceit in obtaining or attempting to obtain a certificate of compliance. Correction: Serenity Early Learning Center has ensured all DHS-approved documentation (ratio logs) are being done at the point of service (every 15 minutes) with accurate data on who is in the classroom supervising children at each required time. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/1/2025
18. High risk4/30/2025

    Toddler and preschool children/Supervision on and facility premises (3270.55(a)/3270.113(a)(2))

    During the inspection on 5/1/2025, video footage from 4/25/2025 was reviewed. The footage of a nap time in Toddler room showed at least 14 children, ranging in age from young toddlers to preschoolers, with staff person #1. One child, identifiable by a red shirt, was seen leaving the room without supervision. Older school age child #4 was walking in the facility without being supervised. Additional footage from the office area on 4/25/2025 showed Child #1 and Child #2 leaving the office area without staff supervision. The staff present in the office could not see, hear, or assess the children's movements. Furthermore, during the complaint investigation, it was reported that Child #3 did exited the building unsupervised and went to the facility's outdoor gated play space without being seen by Staff Person #1 or Staff Person #2. Both staff were unaware of Child #3's whereabouts until they observed the child outside attempting to squeeze between the poles of the playground gate. Requirement: The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55. Correction: Serenity Early Learning Center will ensure that during nap time the teachers will follow the staff:child ratio that is in accordance with the youngest child should age groups be combined in one room. School age children in Serenity Early Learning Center will not be able to walk around the facility without adult supervision. Furthermore, all gates that are not being used have been locked to avoid children access should a child attempt to open it without an adult present. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 5/30/2025
19. Medium risk4/25/2025

    General Health and Safety (3270.21)

    At the time of unannounced inspection on 4/25/25, the door to Mechanical room with HVAC and water heater was not locked and accessible to children. Mechanical room is located in the main hallway children use to enter their classrooms. Non complaint since 2/27/25. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: On 4/25/2025, at the time of inspection the Mechanical Room door was unlocked due to the owner recently going in to put away some items. When walking with the state rep, the director locked the room to ensure the safety of the children. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/25/2025
20. Medium risk4/25/2025

    Stairs, exits, etc. unobstructed (3270.91(a))

    At the time of unannounced inspection on 4/25/25 observed old carpet and buggy stroller obstructing exit door located near the bathroom and Preschool room. Requirement: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed. Correction: At the end of the inspection on 4/25/2025 the stoller blocking the emergency exit door was removed and on 4/29/2025 the old carpet was thrown out in the trash. Tuesday is trash day for the facility Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/29/2025
21. Medium-High risk4/25/2025

    Services proceeded (3270.123(a)(3))

    At the time of unannounced inspection on 4/25/25, files of children #1 and #2 did not include child service report on the Department's approved form that provides information to the family about the child's growth and development. Non complaint since 2/27/25. Requirement: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information). Correction: At the time of inspection, the director misplaced the child service reports for child #1 and child #2. To correct this violation, the director will be making new child service reports by the correction date above for the children and reaching out to the parents to have them sign it again. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 5/23/2025
22. Medium-High risk4/25/2025

    Mantoux TB/Health assessment, TB test (3270.151(c)(2)/3270.192(3))

    At the time of unannounced inspection on 4/25/25, health report of staff person #1 did not include the results of initial tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Requirement: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Correction: Staff #1 has provided Serenity Early Learning Center with an updated health report with TB results attached. Effective: 5/7/2025 Staff #1 has voluntarily left her employment with Serenity Early Learning Center. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/25/2025
23. Medium risk4/25/2025

    Exam communicable disease/Physician/CRNP assessment (3270.151(c)(3)/3270.151(c)(5))

    At the time of unannounced inspection on 4/25/25, health report of staff person #1 did not include an examination for communicable diseases and the physician's or CRNP's assessment of the person's suitability to provide child care. Requirement: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. Correction: Staff #1 has provided Serenity Early Learning Center with an updated health report with TB results attached. Effective: 5/7/2025 Staff #1 has voluntarily left her employment with Serenity Early Learning Center. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/25/2025
24. Medium risk4/25/2025

    Health information/Initial and subsequent health reports (3270.131(a)/3270.182(1))

    At the time of unannounced inspection on 4/25/25, files of children #1 and #3 did not include an initial health report within 60 days of enrollment. Non complaint since 2/27/25. Requirement: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports. Correction: Child #1 has provided the facility with a note from their primary doctor to ensure child care until their upcoming appointment. Child #2 has provided the facility with an updated health report. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 5/17/2025
25. Medium-High risk2/25/2025

    General Health and Safety (3270.21)

    At the time of renewal inspection observed fire extinguisher on the kids table in Toddler room. Fire extinguisher was accessible to children. The door to Mechanical room with HVAC and water heater was not locked and accessible to children. Mechanical room is located in the main hallway children use to enter their classrooms. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: By 03/21/2025 the replacement mount for the fire extinguisher in the toddler room will be added to hold it back on the wall. Effective: 02/27/2025 - The mechanical room door where the HVAC and water heater resides has also been locked and is periodically checked by management and teachers when passing by to ensure it remains locked at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 3/21/2025