Training Wheels Child Day Care Center

Written consent/Consent for emergency medical care required prior to admission (3270.124(b)(4)/3270.182(3))

The Emergency Contact Form in the file for Child #1 lacked written consent signed by a parent for emergency medical care. Requirement: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. Correction: The parent for child #1 updated their written consent for emergency medical care and the form was placed in child #1 file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Staff person #5 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring (8/22/23). Documentation of updated Pediatric first aid and CPR training is not on file. The file for Staff #6 had current Pediatric First Aid/CPR, it was observed the most recent Pediatric First Aid/CPR was not obtained prior to expiration of the previous training. 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. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children at a minimum by, an (AGS) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility. Correction: The most recent Pediatric First Aid/CPR training for Staff #5 and #6 are current and in their files. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for Staff #5 lacked Fire Safety Training. 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: The most recent Fire Safety training for Staff #5 is current and in file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

Staff person #13 has completed Pediatric first aid and CPR training, however the trainer has not provided documentation that they are PQAS-certified in that training curriculum. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #13 must be supervised, when interacting with children at a minimum by, an (AGS) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #13, staff person #13 may not work in a child-care position at the facility. Correction: Staff member #13 has registered for their Pediatric and First Aid CPR training from an approved PQAS curriculum. Training is scheduled for 5/1/26. Staff #13 was placed on temporary suspension until training is complete. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

The file for Staff #4 contained Pediatric First Aid and CPR at the time of the Renewal Inspection but it was observed that Staff #4 did not obtain Pediatric First Aid and CPR within 90 days of hire. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Correction: Staff person #4 Pediatric first aid and CPR is current and in their 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 file for Staff #1 contained a current National Sex Offender Registry Certificate (NSOR) at the time of Renewal Inspection, it was observed that Staff #1 did not obtain a NSOR within 60 months of the previous clearance. The file for Staff #2 contained a Household Member Child Abuse Clearance and an incomplete PA State Police Clearance. The file for Staff #3 contained a current Child Abuse Clearance and FBI Clearance at the time of Renewal Inspection, it was observed that Staff #3 did not obtain a Child Abuse Clearance and FBI Clearance within 60 months of the previous clearance. The file for Staff #5 contained an FBI Clearance, State Police Clearance and National Sex Offender Registry Certificate that have not been updated within the previous 60 months. The files for Staff #6 and #12 contained disclosure statements that were dated after the first day Staff #6 and #12 began working with children. The file for Staff #7 contained a volunteer Child Abuse Clearance. The file for Staff #8 contained a current State Police Clearance and Child Abuse Clearance at the time of Renewal Inspection, it was observed that Staff #8 did not obtain a State Police and Child Abuse Clearance within 60 months of the previous clearance. The file for Staff #10 contained an FBI fingerprinting receipt dated 1/7/26 which was after Staff #10's date of hire on 1/5/26. The file for Staff #11 contained an incomplete State Police Clearance and a disclosure statement that was obtained after Staff #11 began working with children. 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. Facility Person #2, #5, and #7 may not work in a childcare position at the facility. Correction: The most recent child abuse clearance for staff # 2, 3, 7, 8 are all current and in their files. The most recent state police clearance for staff # 5, 8, & 11 are all current and in their files. The most recent NSOR clearance for staff # 1 & 5 is current and in their file. Staff # 6, 11, 12 all has disclosure statement in their files. The most recent FBI clearance for staff # 3, 5, 10 are all current and in their files. Staff # 2, 5, and 7 will not work in a childcare position until proper paperwork is in. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff evaluations (3270.34(a)(6))

Staff person #5 lacked an annual written evaluation that was conducted within the past 12 months Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: Staff person #5 was given a written evaluation and put in their file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

The carpet in Room 305 was ripped the whole length of the classroom along the middle seem creating a tripping hazard to the children in care. The green canvas that was covering foam padding protective surface in the outdoor courtyard was ripped and had exposed foam and holding water posing a hazard to the children in care. In the Gym there were multiple rips in the foam padding on the walls exposing the bolts and metal underneath creating a protrusion hazard to the children in care. 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: The custodial staff was notified to repair any and all indoor and outdoor spaces that required fixed such as the carpet, the peeling and flaking paint, the rips in the foam padding , and the green canvas. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

In the Gym along the back right corner of the space there was peeling and flaking paint. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: The custodial staff was notified to repair any and all peeling and flaking paint. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Designated release persons (3270.123(a)(5))

The Agreement for Child #1 lacked the persons designated by a parent to whom the child may be released. Requirement: An agreement shall specify the persons designated by a parent to whom the child may be released. Correction: The parent for child #1 was updated their agreement form with the designated people who the child can be released to. 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 #2 lacked the telephone number of the child's physician. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: The parent for child #2 updated the child's physician phone number and the form was placed in the child #2 file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Original label (3270.133(5))

Child #5 and #6 had expired Epi-Pens in the classrooms. Child #4 had an expired Diazepam spray in the classroom. Requirement: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. Correction: The parents for child #5, 6, and 4 was notified of the expired medication and given the medication to disposed. The parents for child #5, 6, and 4 renew medication and sent new medication in, in their original label box. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent (3270.133(6))

Observed the medication at the facility for Child #3 that lacked written parental consent for administration of the medication. Requirement: A parent shall provide written consent for administration of medication or a special diet. Correction: The parent for child #3 updated written consent for administration of medication. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Medication log (3270.133(7))

Child #3 who has had prescription medication administered while at the facility lacked a medication log for the medication. Requirement: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. Correction: The parent for child #3 updated the medication log with written consent to administered prescription medication. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter (3270.151(a))

The file for Staff #5 lacked a 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. Correction: Staff #5 most recent health assessment is current and place in personnel file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mantoux TB (3270.151(c)(2))

The file for Staff #9 contained TB screening that was conducted over a year prior to date of hire and therefore not valid. 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. Correction: Staff #9 was notified about his tb shot and was placed on a temporary suspension until proper paperwork is turned in. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exam communicable disease (3270.151(c)(3))

The file for Staff #10 contained a Health Assessment that did not include an examination for communicable diseases and the results of the examination. Requirement: An adult health assessment must include an examination for communicable diseases and the results of that examination. Correction: The most recent health assessment for staff #10 is current and in staff file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Consent for administration of minor first-aid required prior to admission (3270.182(5))

The Emergency Contact form for Child #1 lacked signed parental consent for administration of minor first-aid procedures by facility staff. Requirement: 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: The parent for child #1 updated the emergency contact form and the form was placed back in child #1 file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Transcript, diploma and letters (3270.192(2)(iv))

The file for Staff #5 lacked proof of qualifications for education in the form of a diploma, transcript, or letter signed by a representative or the experiential, educational or training entity. Requirement: 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: Staff #5 file has updated proof of qualifications for education. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan (3270.27(c))

The file for Staff #10, employed more than 90 days, lacked Emergency Plan Training. Requirement: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. Correction: The most recent Emergency Plan Training for Staff #10 is current and in their 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))

Based on the Fire Detection System Annual Letters, there was a gap in the documentation exceeding 1 year where the smoke detectors were not tested, 12/11/23 and 2/7/25. 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: The Fire detection system and devices will be tested annually. Inspection: Unannounced Monitoring. 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 #4 lacked the telephone number of the individual designated by the parent to whom the child may be released. The Emergency Contact Forms for Child #6 and #10 lacked the address of the individual 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: The emergency contact forms have been updated and placed in child #4, #6, and #10's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The files for Staff #3, #4, #5, #6, #7, #8, #10, #11, #13, #14, #15, and #16 contained Fire Safety trainings that were dated more than 12 months apart. 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: Staff members 3,4,5,6,7,8,10,11,13,14,15 and 16 completed their annual fire safety training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

Staff person #2 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): (Health and Safety Basic Training). Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children at a minimum by, an (AGS) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility. Correction: Staff persian #2 has completed their required Health And Safety Training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

Staff person #2 has completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #2- must be supervised, when interacting with children at a minimum by, an (AGS) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility. Correction: Staff member #2 has registered for their Pediatric and 1st Aid & CPR training from an approved PQAS curriculum. Training is scheduled for 5/15/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).