Absolutely Loving Hands Childcare

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

The 30-Day fire testing log on file at the facility listed testing dates of 7/4/25-8/24/25, 8/24/25-9/29/24, 11/14/25-12/23/25, which are more that 30 days in between testing. 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: Staff person has gotten the proper training on how to count the 30 days to stay in compliance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(6))

The facility was lacking documentation of an annual emergency drill being conducted within the last year. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: Staff person has gotten the proper training on how to count the 30 days to stay in compliance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

The file for Staff Person #2 only contained one written non-family reference. 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 will continue to supply two written letters from nonfamily references to complete their files. 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 most recent health assessment on file for Staff #1 is dated 5/31/22, more than 24 months prior. 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 updated health assessment. Director will send out reminders for Staff members to update their health assessment on file so their files will stay in compliance. 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 most recent health assessment on file for Child #1 (Young Toddler at the time) is dated 1/21/25, which is more than the required 6-month update. (See LIS code sheet) 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: Staff person will post a reminder for parents to update their child's health assessment in a timely matter, that's in compliance with State and Federal Regulations. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent receives original/Copy of initial and subsequent agreements. Parent receives original. (3270.123(b)/3270.182(8))

The files for Child #2, Child #3 and Child #4 all contained the original financial agreement when the parent is to receive the original agreement, Requirement: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement. Correction: staff person was confused with this process due to original financial agreement; Staff person will follow the guidelines when preparing an enrollment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Handwashing signs (3270.82(h))

The bathroom on the first floor lacked a handwashing sign by the toilet. Requirement: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. Correction: Staff person has wash hand signs in the bathroom, however a leak had occurred the hand wash sign fell off the wall. There were other wash hand signs in the bathroom, just not in that particular area above that toilet. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training chair - sanitized (3270.82(d))

It was observed that the training chair in the first-floor bathroom was not emptied and sanitized after being used. Requirement: A training chair is not a flushing toilet. A training chair shall be emptied and sanitized after each use. An acceptable sanitizing solution is 1/4 cup of bleach combined with 1 gallon of water. A sanitizing solution shall be treated as a toxic. Correction: Staff person thought she had emptied the training potty, however it was an honest mistake. Staff person will be more visible and aware when its potty time. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

The first aid kit in the toddler room was lacking scissors. 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: Staff person will make sure all supplies and components are present in each First-Ade kit. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

It was observed that Staff Person #1 was alone at the facility until Staff Person #2 arrived at 11:59AM. 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: Staff person was alone with the children due to Staff coming to work late. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mixed Age Level (3270.52)

It was observed that at 11:38AM that Staff Person #1 was alone with 2 young toddlers, 1 older toddler and 3 preschoolers, until Staff Person #2 arrived at the facility at 11:59AM. Requirement: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). Correction: Staff person was alone with the children due to Staff coming to work late. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

Staff Person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Mandated Reporter Training. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Correction: A staff person will keep track of any training that requires 45 days to process training Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The most recent fire safety training on file for Staff Person #1 is dated 5/24/24, which is more than 12 months prior. 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: Staff person will keep track of upcoming Fire and Safety according to the guidelines each year. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Staff Person #3 was observed to be caring for children unsupervised. Staff Person #3 has not completed mandated reporter training within the last 60 months. 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: Staff person#3 must keep track of mandated reporter training, to stay in compliance with State and Federal regulations. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

It was observed that there was a bottle of disinfectant spray on a low shelve in the bathroom that was assessable to 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: Staff will keep all children safe by staying in compliance with ALH policies Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mixed Age Level (3270.52)

At approximately 10:15 AM while assessing supervision and ratio it was observed that Staff Person #5 was alone with a mixed group of 7 children consisting of 2 infants, 4 older toddlers and 1 preschooler. Requirement: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). Correction: All staff person will stay in ratio when they have a mixed group of children to stay in compliance Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

High Chairs (3270.105)

It was observed that a highchair in the eating room was lacking safety straps. Requirement: High chairs shall have a wide base and a T-shaped safety strap. Correction: Highchair straps have been ordered to stay in compliance with Pa State Regulations Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

The first aid kit in the infant room was lacking tape. 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: All first-aid kits will have all the materials needed in case of an emergency to stay in compliance Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

The file for Staff Person #3 was lacking 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: A staff person will retrieve two references that's require for employment Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED + 2 yrs/Exp, educ., training at facility (3270.36(b)(5)/3270.192(2)(iii))

The file for Staff Person #3 who is classified as an assistant group supervisor was lacking documentation 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 verification of child care experience, education and training following the outset of service at the facility. Correction: Staff Person will be classified as an aide until they are able to provide 2 years of experience with children. 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 Person #1 contained State Police clearances dated 1/10/20 and 3/27/25, Child Abuse Clearances dated 3/12/20 and 3/22/25, DHS FBI Clearances dated 2/27/20 and 3/18/25 and NSOR Certificates dated 12/17/19 and 4/3/25 all more than 60 months apart. The file for Staff Person #2 contained a Child Abuse Clearance dated 9/30/24 which was after hire date (see LIS code sheet). The file for Staff Person #3 contained a State Police Clearances dated 3/11/25, Child Abuse Clearance dated 3/22/25 and a NSOR Certificate dated 2/25/25, which were received after hire date (see LIS code sheet). 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: All employee's files will be carefully reviewed every 6 months to stay in compliance Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

Staff Person #2 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care Revised 2022 10hrs. (completed on 12/26/24). Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Correction: All new employees will have excess to website to complete any trainings that's require within 90 days. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e)(4)(i))

The file for Staff Person #4 includes verification of Pediatric First Aid/CPR training dated 4/2/25, after the expiration date of 1/31/25. Requirement: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Correction: Employee's files will be reviewed every 6 months for compliance 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 on file for Child #2 and Child #3 was lacking the addresses of the individuals designated by the parent to whom the child may be released. 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: Parents will continue to fill out the emergency sheet with all the information filled out Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated every 6 months/Emergency info/agreement updated 6 mos (3270.124(f)/3270.181(c))

The last update for the financial agreement and emergency contact form for Child #1 was dated 8/1/24 which is more than 6 months ago. Requirement: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Correction: Children files will be reviewed every 6 months to stay current Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).