A CHILDS VIEW

Two written references (3270.192(5))

2nd CITATION: The staff file for Staff person #5, was observed to lack one non-family reference. The staff file for Staff person #1 was observed to lack two non-family references. PREVIOUSLY CITED ON 4/9/26 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: References for both employees have been received and placed in the employee files. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED + 2 yrs (3270.36(b)(5))

2nd CITATION: The staff file for Staff person #4 who is functioning as an Assistant Group Supervisor, lacked proof of education and years of experience working with children. PREVIOUSLY CITED ON 4/9/26 Requirement: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. Correction: Proof of education and employment verification was received on May 1, 2026 and placed in the employee's file. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

2nd CITIATION: On 4/9/26 a renewal inspection was conducted at the facility. Staff person #1 had 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 training. The facility's acceptable plan of correction indicated the correction would be implemented by 4/25/26. On 4/29/26 an unannounced inspection was conducted. Staff person #1 still has not completed the following required pre-service training: Pediatric First Aid and CPR training; only the online portion was completed. PREVIOUSLY CITED ON 4/9/26. Requirement: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 5/15/26 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise Staff person #1, Staff person #1 may not work in a child-care position at the facility. Correction: The staff person will complete a CPR training with an approved vendor on campus on Friday, May 8th 2026. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, age appropriate (3270.106(a))

In Room 306, a crib was observed to not be labeled for the use of a specific 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: The label was replaced during the inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid/CPR; a training on file dated 5/4/24 was neither an approved curriculum nor a PQAS instructor. Requirement: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 4/25/26 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise Staff person #1, Staff person #1 may not work in a child-care position at the facility. Correction: The staff member will complete a new training with an approved instructor. The staff person will not be left alone with students until the training is completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The staff file for Staff person #2 contained a current DHS FBI clearance dated 7/31/24 which was not renewed within 60 months of the previously dated 7/30/19 DHS FBI clearance expiring. The staff file for Staff person #3 was observed to lack a valid Child Abuse clearance; the Child Abuse clearance on file dated 6/28/21 was a volunteer clearance. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3-- 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. Facility Person #3 may not work in a child care position at the facility. Correction: Staff person #2's clearance was already updated in her file. The one day gap occurred while we were closed for summer break. The staff person was not working with children when the gap occurred. Staff person #3 filed for the correct clearance on the day of inspection. Staff person #3 was removed from a childcare position until we got the clearance results. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

2 feet apart (3270.106(f))

At approximately 11:45am, during naptime in Room 312 the following mats were observed to not have at least 2 feet of space on 3 sides while in use: three toddlers were observed sleeping on their individual mats which were each positioned with one side directly against the wall and another side had approximately half an inch to an inch of spacing between either a shelving unit and/or low bookshelf. Requirement: TIERED LIS: 1.) At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. This portion of the plan shall have an immediate correction date. 2.) The operator will develop a layout for naptime mat placement in all rooms, to include furniture placement, to allow for proper spacing of 2 feet on 3 sides of each rest equipment when in use. The operator shall provide a date for when this training will be completed. Correction: 1. [4/9/26] We have moved children's nap locations so that they have 2 ft of space on 3 sides with no furniture close by. 2.[4/23/26] We have developed a layout for mat placement and will have all staff trained on the implementation by April 20th. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3270.113(a))

At approximately 11:45am, during naptime in Room 312, where staff was positioned in the room, they could not adequately supervise one of the napping children due to a shelving unit obstructing the Staff's ability to see and assess that child who was napping. 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. Correction: Staff member moved to an area where she could see all students' faces. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written emergency plan posted (3270.124(e))

In Room 306, a written plan identifying the means of transporting a child in an emergency was observed not to be posted. Requirement: 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: The plan was reposted near the classroom door. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

The staff file for Staff person #1, Staff person #4, and Staff person #5 were observed to lack two non-family references. 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: The reference forms have been placed in the employee files. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Confidential; stored in locked cabinet (3270.193(a))

The staff files, which are kept in the human resources office, were observed stored in cabinets that were not locked at the time of inspection and the key to lock the cabinets was unable to be located. Requirement: Facility persons' records are confidential and shall be stored in a locked cabinet. Correction: Filing cabinets are now locked at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED + 2 yrs/Exp, educ., training prior to facility (3270.36(b)(5)/3270.192(2)(ii))

The staff file for Staff person #4 who is functioning as an Assistant Group Supervisor, lacked proof of education and years of experience working 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 verification of child care experience, education and training prior to service at the facility. Correction: Proof of education and years of experience have been added to the employee file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

40 square feet wall-to-wall (3270.61(c))

An infant was observed being cared for in Room 306, which used to be the director's office, and is not measured for childcare space. Requirement: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40. Correction: The space was measured during the inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.82(g))

In Room 306, the sink located in the eating area was observed to have a steady leak from the base of the faucet when turned on resulting in water pooling around the base and handles. Requirement: Toilet areas and fixtures shall be cleaned daily and be in good repair. Correction: The leaking sink was fixed on site during the inspection. 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 facility has not been testing their fire detection system every 30 days and documenting those tests as required under section 1016(c) of Act 62. 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: We already have the fire detection system tested annually by a fire safety professional and have written documentation of the annual test results on the Fire Safety Professional's letterhead with our fire drill logs. Beginning on 4/24/2025, and moving forward, we will test the system every 30 days and keep a written record of the testing with our fire drill logs. 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 emergency plan lacked information regarding continuity of operations included in their emergency plan 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 added information regarding continuity of operations into our emergency plan. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Letter to parents (3270.27(e))

The letter to the parents explaining the emergency procedures does not address annual emergency drills, lockdown, and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Requirement: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. Correction: We added information about emergency drills, lockdowns, accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions to our letter to parents. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The staff file for Staff person #1 through Staff person #5 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 8/16/24 and 7/31/23. Requirement: Staff persons shall participate, at least annually, in firesafety 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: All staff now have current fire safety training on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The staff file for Staff person #6 was observed to contain a current National Sex Offender Registry (NSOR) check dated 2/11/25 which was not obtained prior to first day working with children (See IS CODE SHEET) as required for under the Child Protective Service Law (CPSL.) The staff file for Staff person #7 was observed to contain a current National Sex Offender Registry (NSOR) check dated 2/7/25 which was not obtained prior to first day working with children (See IS CODE SHEET) as required under the CPSL. 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: Staff person #6 and Staff person #7 have current NSOR clearances. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED + 2 yrs/Exp, educ., training prior to facility (3270.36(b)(5)/3270.192(2)(ii))

The staff file for Staff person #6 who is functioning as an Assistant Group Supervisor, lacked documentation of two 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 verification of child care experience, education and training prior to service at the facility. Correction: Staff person #6 provided documentation of two years experience working with children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

In the hallway just outside of the doorway to the Great Room, which is their gross motor space, were 3 Sani-Cloth wipes labeled, 'Keep Out of Reach of Children' and a bottle of disinfectant spray were observed stored on a mobile tray accessible to the children. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: The cart containing these cleaning supplies was placed into a locked closet on the day of the physical inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

In Room 310, one ceiling tile was observed to not be kept clean as evidence by having a water spot from condensation from the air conditioning unit that has since been repaired. Requirement: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Correction: A facilities work order was placed the day of the physical inspection and the ceiling tile was replaced. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

2 feet apart (3270.106(f))

At approximately 11:10am in Room 314 two infants were observed to be asleep in a crib that were place less than a foot from the wall and had rocking chairs in-between the cribs thus not allowing for at least 2 feet of space on three sides of the crib while it was in use. Requirement: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. Correction: We corrected this during the physical inspection by moving the cribs away from the rocking chairs so that they had two feet on three sides. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The child file for Child #1 was observed to contain a current emergency contact information form that lacked the addresses for two of the designated 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: We obtained the addresses from the parent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months (3270.131(b)(2))

The child file for Child #2, who is a preschool age child, was observed to contain an updated health report dated 11/21/24 which was conducted more than 12 months from the previously dated 10/5/23 health report on file. Requirement: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. Correction: The file for Child #2 now contains an updated health report. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).