THE GROWING PATCH CHILD CARE CENTER LLC

Age and Training (3270.31(e))

The file for Staff Person #2 lacked 8 of their required 12 hours of child care training during their respective training year of June 2024 to June 2025. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Correction: Staff has completed required amount of training Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Disposable diapers (3270.135(a)(3))

Staff Person #4 reported that two of the children in the Preschool Classroom still required diaper changes. It was reported that changing occurs in the preschool restroom. Diapers were observed under the sink in the preschool restroom. A hands-free, covered can was not in place in the restroom to allow for immediate disposal of soiled diapers. Requirement: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. Correction: Bought and placed lidded hands free trash in preschool bathroom Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name/address/phone release person (3270.124(b)(7))

The emergency contact form for Child #2 lacked the complete address for one of the release persons listed. Requirement: 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: Child #2 is no longer receiving care at the facility. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Insurance coverage information (3270.124(b)(6))

The emergency contact form for Child #1 lacked the health insurance coverage and policy number for the child. Requirement: 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: Child #1 is no longer receiving care at the facility. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

The file for Child #2 lacked a current development assessment/child service report. The most recent development assessment/child service report was dated January 2025. 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: Child #2 is no longer receiving care at the facility. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No portable space heaters (3270.92(a))

A Lasko tower portable space heater was observed in the kitchen area of the facility. Requirement: Portable space heaters are not permitted. Correction: Remove portable space heater from property Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Lidded waste receptacles (3270.82(i))

The restroom in the Preschool Classroom lacked a lidded waste receptacle. The children were observed to discard paper towels into a lidded can on the opposite side of the Preschool Classroom. Requirement: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle. Correction: Bought and placed lidded hands free trash in preschool bathroom Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED + 2 yrs/Transcript, diploma and letters (3270.36(b)(5)/3270.192(2)(iv))

The file for Staff Person #4, who was identified and observed to be acting in the role of an AGS, lacked verification of 2 years of experience with children. Requirement: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. Correction: Operator has Completed and placed verification of hours in staff file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff evaluations (3270.34(a)(6))

The written staff evaluation on file for Staff Person #1 was not completed by the Director. Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: Director signed off on staff evaluation Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

The updates to the mandated reporter training on file for Staff Person #1 exceeded 60 months between updates. This was evidenced by trainings being dated 8.20.20 and 8.28.25. The file for Staff Person #3 lacked an acceptable mandated reporter training and they have exceeded 90 days since starting at the facility. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #3 must be supervised, when interacting with children by an AGS or GS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility. Correction: Staff Person #1 and #3 have current approved mandated reporter training on file at this time. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/CPSL information (3270.32(a)/3270.192(4))

The most recent State Police clearances (12/30/19 & 1/6/25) and Child Abuse clearances (1/3/20 &1/9/25) on file for Staff #1 are dated more than 60 months apart. The most recent State Police clearances (7/29/19 & 10/1/24) and FBI clearances (6/30/19 & 10/7/24) on file for Staff #2 are dated more than 60 months apart. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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: Updated clearances are on file currently Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

Peeling paint was observed on the baseboard near the windows in the Gross Motor room. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: We will touch up paint on baseboard near windows. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

The file for Child #4 contained a child service report dated 1/2025, more than 6 months after the child's date of enrollment (SEE IS CODE SHEET). The file for Child #5, enrolled more than 6 months (SEE IS CODE SHEET), did not contain any child service reports. 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: We will get an CSR on file for the child that didn't have one since our understanding was child wasn't there enough hours to require one on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Physician name, address, phone (3270.124(b)(2))

The emergency contact form for Child #3 lacked a complete address for the child's physician or source of medical care. The emergency contact form for Child #5 lacked the phone number for the child's physician or source of medical care. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: Got the phone number and complete address for the physicans' on each form Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name/address/phone release person (3270.124(b)(7))

The emergency contact forms for Child #1, Child #2, Child #3, and Child #5 lacked complete addresses for all listed release persons. Requirement: 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: Child #2 is no longer enrolled at our facility. We will have parents give an complete address; not just city and state Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant: updated health report every 6 months/Initial and subsequent health reports (3270.131(b)(1)/3270.182(1))

The two most recent health assessments on file for Child #5 (Younger Toddler at the time) are dated 2/29/24 & 2/19/25, more than 6 months apart. Requirement: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports. Correction: We will have parents get physical forms completed at least every 6 months when under age of 2. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for Child #2 (Older Toddler) lacked updated written verification of ongoing administered vaccines: 1 dose of Hepatitis A without a letter of exemption in the file. The file for Child #3 (Young Toddler) lacked updated written verification of ongoing administered vaccines: 1 dose of Pneumococcal without a letter of exemption in the file. Child #2 and Child #3 must be dismissed from care by close of business on 3/27/25 and may only return to care when the immunization record is updated or when the parent provides a written, signed exemption letter. 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). Correction: Child 2 no longer attends, Child 3 we requested updated immunization records from parent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The two most recent health assessments on file for Staff #3 are dated 9/9/22 and 1/24/25, more than 24 months apart. 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: Current health assessment is on file 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))

The fire alarm 30-day test log includes test dates 1/3/25-2/3/25, more than 30 days apart. 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: Test smoke detectors more often so we avoid the overage of a month during the months that have 31 days. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(f))

The facility lacked documentation that the emergency plan was sent to the local municipality and county emergency management agency with the most recent plan update dated 9/9/24. Requirement: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. Correction: Got a form from Inspector that can be completed to document when we mail out our updates of emergency plan. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e))

The file for Staff #3 contained 5.5 of 12 annual child care training hours during the training timeframe of 10/25/23-10/25/24. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Correction: Staff has enough training currently. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The facility's emergency plan does not include provisions regarding volunteer emergency preparedness training, as per Announcement C-22-04. 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: We will add the word volunteer to our emergency plan under training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/CPSL information (3270.32(a)/3270.192(4))

The file for staff #1 lacks a PA State Police and DHS FBI clearance within the past 60 months. This is evidenced by the most current PA State Police clearance on file with date of 7/29/19 and most current DHS FBI clearance on file with date of 6/30/19. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1-- may not work in a child care position at the facility. 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: Have staff member update PA State Police and DHS FBI clearances. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).