MARY SMITH

Updated toddler/preschool health report: every 12 months (3290.131(b)(2))

Continued non-compliance from (SIN-00288048) - The file for child #5, DOB 5/7/22, did not contain documentation to verify that an updated health assessment report was obtained at least every 12 months. The last health assessment on file was dated 2/27/24. 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: Current health assessment for child #5 is now on file. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan (3290.24(c))

The file for Staff #1 did not contain documentation to verify that Emergency Plan Training was completed annually, as required. 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. Correction: I have trained myself for Emergency Plan Training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/CPSL information (3290.32(a)/3290.192(3))

The file for Staff #1 did not include a disclosure statement. Requirement: A facility person's record shall include a copy of the disclosure statement. Correction: I have signed and forward the disclosure statement Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3290.73(c))

The facility first-aid kit did not include nonporous gloves, as required. 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: I replaced the gloves Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated every 6 months/Emergency info/agreement updated 6 mos (3290.124(e)/3290.181(c))

The files for Children #s 1, 2, 3, 4, 5 did not contain documentation to verify that the emergency contact files were reviewed every six months, as required. The Emergency Contact form for: #1 was last reviewed 5/30/25, #2 was last reviewed 12/31/24, #3 was last reviewed 8/27/25, #4 was last reviewed 6/4/25 and #5 was last reviewed 5/30/24. The files for Children #s 1, 2, 3, 4, 5 did not contain documentation to verify that the financial agreements were reviewed every six months, as required. The Financial Agreement for: #1 was last reviewed 5/30/25, #2 was last reviewed 12/20/24, #3 was last reviewed 8/27/25, #4 was last reviewed 6/4/25 and #5 was last reviewed 5/30/25. 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: All documents were updated and signed for all children. Child #4 is no longer with me, left care on May 8, 2026. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Within 60 days (3290.131(a))

The file for child #4 did not contain documentation to verify that an initial health assessment report was obtained no later than 60 days following the first day of attendance at the facility. Child #4's date of admission was 5/1/25. Requirement: The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility. Correction: Child #4 is no longer with me, left care May 8, 2026 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated toddler/preschool health report: every 12 months (3290.131(b)(2))

The file for child #5, DOB 5/7/22, did not contain documentation to verify that an updated health assessment report was obtained at least every 12 months. The last health assessment on file was dated 2/27/24. 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: Current health assessment for child #5 is now on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building codes (3290.14(a))

The facility did not have a valid Certificate of Occupancy. Specifically, the certificate on file had house #512, crossed out and written in hand, next to it, house #736. 736 us the house number of the facility. Requirement: A certificate of compliance will not be granted by the Department until the legal entity provides a certificate of occupancy as proof of compliance with the applicable requirements in 34 Pa. Code § 403.23 (relating to child day care facilities) and under section 1016(c) of the act (62 P.S. § 1016(c)). Correction: Left messages. waiting to here back. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Evacuation routes posted (3290.94(a)(5))

The facility did not have evacuation routes posted in a conspicuous location on the first floor. Requirement: Evacuation routes are posted in a conspicuous location on each floor of the facility. Correction: I posted evacuation routes on the first floor. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

System in compliance/Operator or designated staff responsibility (3290.95(a)/3290.95(b))

Testing revealed that the Fire detective devices were not interconnected. 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 operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met. Correction: Operator will use outside assistance to get the fire detection devices re-interconnected. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3290.24(b))

The facility files did not contain verification that the facility emergency plan is reviewed at least annually, as required. Requirement: The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility. Correction: I have reviewed the emergency plan and signed it. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and training (3290.31(f))

The file for Staff #1 did not contain documentation to verify that Staff #1 completed an annual minimum of 12 clock hours of childcare training, as required. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Correction: I will provide proof of 12 hours of training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3290.18)

Staff Member 1#-- has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 7/11/20. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required training has been completed, staff person #1-- must be supervised, when interacting with children at a minimum by, a family child care home 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: Provider closed until updated training was completed. An updated mandated reporter training is now on file. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and training (3290.31(f)(4)(i))

Staff person # 1--- 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 09/2025. 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 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 #1-- must be supervised, when interacting with children at a minimum by, a family child care home 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: Provider closed until an updated first aid/CPR was completed. Updated first aid/CPR is now on file. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3290.32(a))

Staff Member 1#-- has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 7/11/20. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Until such time as the required training has been completed, staff person #1-- must be supervised, when interacting with children at a minimum by, a family child care home 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: Provider closed until updated training was completed. Current mandated reporter training is now on file. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Health assessment, TB test (3290.151(a)(2)/3290.192(2))

Documentation of an updated health assessment within the last 24 months was not on file. The health assessment on file was dated 6/25/23. Requirement: 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: An updated health assessment is now on file. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3290.18)

Documentation of the emergency evacuation plan on file did not include a continuity of care plan. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Continuity of care plan was added to the emergency evacuation plan. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible - in original container (3290.64(a))

During the time of inspection, it was observed that a bottle of lysol was on top of the toilet accessible to children. The lysol was moved out of the reach of children during the inspection. Requirement: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces. Correction: The lysol was removed out of reach during the inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Restraints prohibited (3290.113(e))

During the time of inspection, it was observed that child 2 was in a car seat for approximately one hour. Requirement: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. Correction: Child 2 was removed from the car seat and placed in a pack and play. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant sleep position (3290.118)

During the time of inspection, it was observed that child 2 was sleeping in a car seat. Requirement: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. Correction: Child 2 was removed from the car seat and placed in a pack and play to sleep. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Signed /Each child emergency contact person (3290.123(a)/3290.124(a))

Documentation of an agreement and emergency contact information was not on file for child 3. Requirement: An agreement shall be signed by the operator and the parent. Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. Correction: Documentation of the agreement and emergency contact information are on file for child 2. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Admission date/Application, admission, withdrawal dates (3290.123(a)(6)/3290.182(2))

Documentation of the agreement on file for child 1 and child 2 did not include an admission date. The was corrected during the inspection. Requirement: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child. Correction: The admission date for child 1 and child 2 were added to the agreement during the inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent receives original/Copy of initial and subsequent agreements. Parent receives original. (3290.123(b)/3290.182(8))

Documentation of the original agreement was on file for child 1. Requirement: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement. Correction: The original agreement was provided to the parent and a copy is on file for child 1. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Physician name, address, phone (3290.124(b)(2))

Documentation of the emergency contact information on file for child 1 did not include the address of the physician. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: Documentation of the address of the child's physician are now on file for child 1. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent home/work address, phone (3290.124(b)(3))

Documentation of the emergency contact information on file for child 1 and child 2, did not include the enrolling parents' home address or work address. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Emergency contact information now includes the enrolling parents home address and work address for child 1 and child 2. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).