TODDLERS PATCH CHILDCARE CTR

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 #1 are dated 9/30/22 and 11/1/24, 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: A current health assessment for Staff #1 is in the file. Staff #1 is a seasonal employee (attends college in the fall and spring). Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

In the Preschool/School Age room, peeling brown paint was observed at the base of the painted tree on the wall. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: The base of the tree was repaired and free of any damaged board. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

Bingo dabbers, labeled keep out of the reach of children, were observed in an unlocked cabinet in the Preschool/School Age room and accessible to children. Various cleaning supplies, labeled keep out of the reach of children, were observed in an unlocked cabinet under the sink in the Toddler room and accessible 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: The locks on the cabinet were replaced with new locks and locked securely on the cabinets. Bingo dabbers were disposed of. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Plan reviewed/updated annually (3270.27(b))

The two most recent emergency plan reviews on file were dated 4/17/25 and 5/1/26, more than 12 months apart. Requirement: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility. Correction: A current emergency plan review was documented in the emergency response manual with its date of 5/1/26. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

In the Pre-K/SA Room, a clear plastic bin containing engineer toys was observed to be cracked and could cause injury. Requirement: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Correction: The cracked bin was disposed of and the engineer toys were placed in a new bin. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

In the Pre-K/SA Room, peeling paint was observed on the heat register under the tree mural. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: The peeling paint on the heat register in Pre-K/SA Room was repaired and there is no sign of peeling paint. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Small Toys and Objects (3270.103)

In the bathroom (left), a loose garbage bag was observed covering a urinal and accessible to children still placing objects in their mouths. Requirement: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths. Correction: To correct this violation the garbage bag was removed from the urinal and a sign for adults only was placed at the urinals. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Contact when arises (3270.27(a)(3))

The facility's emergency plan lacked a method to contact parents when an emergency situation arises. Requirement: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. Correction: To correct this violation, I added our method to contact parents regarding an emergency situation to our emergency plan and parent letter. Our method of contact is phone call or message by the director/management to parents as soon as reasonably possible when an emergency arises. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Contact when ended (3270.27(a)(4))

The facility's emergency plan lacked a method to inform parents that the emergency has ended and how they can safely reunite with their children. Requirement: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. Correction: To correct this violation, I added our method to contact parents, which is a phone call or message from the director/management including the ending of an emergency situation and the instructions on how to safely reunite with their children to our emergency plan and parent letter. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

In the PreK/School-Age Room, a magnet tile was observed to be cracked along the edge and not in good repair. In the PreK/School-Age Room, a black plastic drawer was observed to contain sharp plastic edges which could cause injury. Requirement: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Correction: While the inspector was at the center, I disposed the broken magnet tile and the black plastic drawer set. 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 child's health insurance coverage. 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: To correct this violation, the child 1's parent updated the name of the child's health insurance to the emergency contact form. 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's two most recent annual fire alarm inspection reports are dated 5/2/24 and 5/8/25, more than 12 months 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: I explained to the state inspector regarding this violation on the day of the inspection. We called the company to set up an appointment for our annual fire system test and the first appointment they had available before our yearly expiration date was 5/1/25 to which we would have remained in compliance. However, the city was hit by a bad storm on 4/30/25 that took out the center's and neighborhood's power until later in the day on 5/1/25. We weren't able to open the center back up until 5/2/25. When I called for a new appointment date on the May 1st, the soonest appointment they had was 5/8/25. I was even on the cancellation list for any available sooner appointments. This violation is due to natural weather causes or it would have been within compliance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).