GUIDING HANDS LEARNING CENTER LLC II

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

During the renewal inspection on 6/4/2026, the file for staff #2 was viewed and a health assessment was not completed within 24 months as required. The health assessment for staff #2 was dated 5/31/24. 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: Will have staff #2 obtain a new health assessment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Immunization record/Exemption documentation from parent/guardian (3270.131(d)(5)/3270.131(e)(1))

During the renewal inspection on 6/4/2026, the file for child #1 was viewed and the file did not include an immunization record. Requirement: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. Correction: Will have to parent contact their physician and obtain a copy of the child's immunization record and keep it in their file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports (3270.131(b)(2)/3270.182(1))

During the renewal inspection on 6/4/2026, the file for child #2 was viewed and did not include an updated health assessment. The most recent health assessment is dated 3/27/2025. 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. A child's record shall contain initial and subsequent health reports. Correction: Will have the parent obtain an updated health assessment from a medical provider and update the child's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, good repair, proper size (3270.104(a))

During the renewal inspection on 6/4/2026, it was observed that a bookcase in the first-floor middle room and the cubbies in the upstairs room on the right, were not attached to the wall and are a tipping hazard. Requirement: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. Correction: Will attach the bookcase and the cubbies to the wall so they are safe for the children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

During the renewal inspection on 6/4/2026, it was observed that there was a shelf in the first-floor middle room that the shelf top was detaching from the particle board. A red block toy cover in both the front room on the first floor and the upstairs room on the right, was peeling. 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: Will throw away the toys and order new ones. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

During the renewal inspection on 6/4/2026, it was observed that paint is chipping on the radiator cover in the middle room, and on the left wall of the front room. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: Will repaint where needed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

During the renewal inspection on 6/4/2026, it was observed in the front room bathroom that the laminant of the sink cabinet doors was peeling off and the particle board was showing. 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: Will replace the sink. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection on 6/4/2026, staff #1 has not completed Pediatric first Aid and CPR training on or before expiration of the most current certification. This is evidenced by previously documented Pediatric first aid and CPR training on file expiring 11/30/25. Documentation of updated Pediatric first aid and CPR training is not on file. 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 is completed, staff #1 must be supervised when interacting with children at the facility, by an AGS, or a primary staff person 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 #1, staff person #1 may not work in a child-care position at the facility. Correction: Will have staff #1 take the CPR course on 6/10/2026. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Original container/Name on bottle (3270.133(1)/3270.133(3))

One child's albuterol inhaler was not in its original container and was not labeled with the child's name. (#1) Requirement: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. Obtain the original labeled container for the child's medication and ensure that all medication is received in the original labeled container with the child's name. Revise facility's policies and procedures regarding the acceptance of medication in accordance with these regulations Correction: We will obtain the original labeled container for the child's medication and ensure that all medication is received in the original labeled container with the child's name. Director will revise facility's policies and procedures regarding the acceptance of medication in accordance with these regulations and will review all medication to make sure it is received in the originally labeled container. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

The carpet in the middle room was stained and the ends rolled up creating a tripping hazard. 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. Clean, repair, replace or remove the carpet and ensure that surfaces in the facility are kept clean and free of hazards. Submit written documentation to verify compliance. Correction: The carpet will be removed and replaced. We will ensure that surfaces in the facility are kept clean and free of hazards. We will submit written documentation to verify compliance. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

Surfaces in the facility were in need of cleaning and presented a visible hazard: The carpet in the infant/toddler room was in need of cleaning and the vents in the first-floor bathroom used by children were full of dust and in need of cleaning. In addition, the water meter apparatus in the bathroom used by children was exposed and presented a hazard. 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. Complete necessary cleaning and remove all hazards. Ensure that facility surfaces are kept clean and free from visible hazards. Correction: The carpet and vents will be cleaned. A cover will be installed around the water meter. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Availability of certificate of compliance and applicable regulations (3270.25(a))

The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. Requirement: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. Provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional childcare office. Correction: We will provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. This information will be posted in a conspicuous location for parents to see. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(6))

There was no written record of an emergency drill completed annually as specified in these regulations. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Conduct and submit written verification that an emergency drill had been completed annually. Correction: We will conduct an emergency drill and submit a copy of the written record using the DHS emergency drill form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission (3270.182(3)/3270.182(5))

One child's record did not contain the parent's signature indicating written consent for emergency medical care and for administration of minor first-aid procedures by facility staff. (#1) Requirement: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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. Obtain and submit written verification of signed parental consents that includes the parent's signatures. Ensure that all children's records contain the required parental consents prior to admission. Correction: We will obtain and submit written verification of signed parental consents that includes the parent's signatures. We will ensure that all children's records contain the required signed parental consents prior to admission as specified in this regulation. 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))

Emergency contact information in several child's/children's record was not being updated every 6 months. (#2, #3 and #4) 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. Revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes. Correction: The children's record has current information. We will revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes. We will ensure that this information is updated every 6 months for all enrolled children as specified. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, age appropriate (3270.106(a))

Children in the preschool classroom were observed napping on rest equipment that was not labeled for the use of a specific child and used only by the specified 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. Develop a labeling system to ensure that rest equipment is labeled for the use of a specific child and used only by the specified child. Correction: All rest equipment will be labeled for use of a specific child. We will develop a number labeling system that associates each child with a specific numbered cots to ensure that rest equipment is labeled for the use of a specific child and used only by the specified child. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff/facility person's record did not contain the required CPSL hiring documents. (#1-observed working for children on 5/9/25 and NSOR-more than 60 months old) (#2- observed working for children on 5/9/25 and FBI more than 60 months old) (#3- hired 5/5/25 -observed caring for children on 5/9/25 and NSOR not completed prior to working with children-corrected on 5/22/25) Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 #1, #2 and 3 may not work in a child care position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required, completed CPSL clearance documents for the identified staff person/s. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL. Correction: Facility Person #1, #2 and #3 will not work in a child care position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. Staff person #3 completed NSOR on 5/22/25. We will submit a copy of the required, completed CPSL clearance documents for the identified staff persons. We will ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).