TOWAMENSING KIDS CHILD CARE AND LEARNING CTR LLC

Consent for administration of minor first-aid required prior to admission/Signed parental consent for transportation, walking excursions, swimming and wading (3270.182(5)/3270.182(6))

During the renewal inspection conducted on 5/7/2026 observed child #1's record did not contain signed parent consent for administration of minor first-aid procedures, transportation, and walking excursions. 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. A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading. Correction: The family completed a new emergency contact form to include signatures for first aid parental consent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exemption documentation from parent/guardian/Exemption documentation from health professional (3270.131(e)(2)(i)/3270.131(e)(2)(ii))

During the renewal inspection conducted on 5/7/2026 observed child #1's health form did not include verification of immunizations but stated exempt on the form but did not include why the child is exempt. Requirement: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record. Exemption from immunization for reasons of medical need must be documented by a written, signed and dated statement from the child's physician, physician's assistant or CRNP. The statement shall be kept in the child's record. Correction: The child's family produced documentation of refusal of vaccines for personal belief's 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))

During the renewal inspection conducted on 5/7/2026 observed child #1's emergency contact information and financial agreement were not reviewed/updated within the 6-month time frame. The last emergency contact information and financial agreement on file are dated 11/4/2025. 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: Child care staff have a set 6 month schedule for parent information review. This parent was provided new forms in May for update as that would be the 6 month review. New forms were completed upon their return to the center. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection conducted on 5/7/2026 observed child #1's emergency contact information did not include the 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 family completed a new emergency contact form to include signatures for emergency medical care. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent home/work address, phone (3270.124(b)(3))

During the renewal inspection conducted on 5/7/2026 observed child #1's emergency contact information did not include the work addresses and telephone numbers of the enrolling parent. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: The family completed a new emergency contact form to include work addresses and telephone numbers of the enrolling parent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No ridicule or threaten harm/No harsh language (3270.113(c)/3270.113(d))

During the unannounced monitoring inspection conducted on 2/12/2026, it was disclosed from staff person #2 and #3 that staff person #4 told a child to "shut-up." Staff person #5 stated that they witnessed staff person #4 telling a child jokingly that "They wanted to throw them in the trash". Requirement: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children. TIERED LIS 1. A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children. The correction date for this portion of the plan must be immediate. 2. The facility director will develop and implement a discipline policy that will ensure staff fully understand their responsibility regarding reporting abusive behaviors by staff. The policy will also include ideas for age-appropriate discipline techniques, staff stress reducers, as well as age-appropriate redirection techniques. This policy must be submitted to the DHS Northeast Regional Office prior to implementation for approval. Once this policy is accepted by the DHS Northeast Regional Office the director will ensure all staff and facility persons sign off on this policy as well as all new hires moving forward. The correction date for this should reflect a date that allows for the development and review of the plan as well as time to train staff on the policy. Correction: 1. 2/12/2026: Discipline shall be conducted in a respectful and developmentally appropriate manner and shall emphasize praise, encouragement, positive reinforcement, and skill building. Children shall be treated with fairness, dignity, and respect, and shall not be abused, mistreated, threatened, or harassed, effective immediately. Effective immediately the staff person was removed from the schedule. 3/2/2026: (policies attached- to be placed in handbooks) 1. Policy Development a. The Center Director(s) will develop a comprehensive discipline policy that includes: Age-appropriate discipline techniques Age-appropriate redirection strategies Staff stress reduction supports Clear expectations for reporting abusive behavior by staff. 2. Submission for DHS Approval The completed policy will be submitted to the Pennsylvania Department of Human Services Northeast Regional Office for review and approval prior to implementation. 3. Staff Training o Upon DHS approval, all staff will participate in mandatory training covering: Appropriate discipline practices Redirection and de-escalation strategies Mandated reporting responsibilities Procedures for reporting suspected staff misconduct. 4. Staff Policy Acknowledgment o All current staff will sign documentation confirming: They have read and understand the policy They understand their mandated reporting responsibilities. 5. New Staff Orientation o All new hires will receive the discipline policy during orientation and will be required to sign the policy acknowledgment form prior to working independently. 3/10/2026: Center Director(s) met with staff reviewing the policy and signing off on its acknowledgement. This documentation will be kept in the center's monitoring binder with additional staff training. Staff's Training requirements as part of Performance Improvement Plan: Better Kid Care: Big Emotions and Self-Regulation for Adults and Children --- Courses --- Better Kid Care Resilient Caregivers: 'Bouncing Back' from Stress --- Courses --- Better Kid Care Social-Emotional Learning and a Positive Classroom --- Courses --- Better Kid Care Supervision: What's Required? --- Courses --- Better Kid Care Move Beyond Time-Out to Responsive Caregiving --- Courses --- Better Kid Care Embracing

Health and Safety Training (3270.31(f))

During the unannounced monitoring inspection conducted on 2/12/26 the certification representative reviewed the staff files and noted that staff person #1did not have an acceptable Pediatric First Aid and CPR training from a PQAS approved trainer and a PQAS approved curriculum. Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). It was also noted that staff person #1 has not completed the following required pre- service training within 90 days of their date of hire. DOH: 9/23/2025 (see LIS code sheet). 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 #1 must be supervised, when interacting with children at a minimum by, an Assistant Group Supervisor (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 #1, staff person #1 may not work in a child-care position at the facility. Correction: This employee does have current first aid and CPR but it is not through a verified PQAS trainer. The center will be holding CPR and first aid for all staff in March, this timeline got delayed due to our PQAS trainer. Until all required training is completed: she must be supervised at a minimum by a qualified Assistant Group Supervisor (AGS) who has completed all required pre-service training and meets qualifications to work unsupervised. If qualified supervision is not available, she will not be on the schedule within the facility. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Evacuation routes posted (3270.94(a)(5))

During the renewal inspection conducted on 5/20/2025 observed the facility's evacuation routes were not posted. The route to the facility's relocation facility was posted in the childcare space. Requirement: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility. Correction: Both internal and external routes are now posted Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection conducted on 5/20/2025 observed staff person #1 and #3's fire safety training expired. The last fire safety trainings on file for staff #1 and #3 were dated 2/4/2024. 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: At the time of inspection, staff person 1 and 3 had a fire-safety dated 12/27/2024 in their files. Copies were sent to certification representative via email. Staff re-completed the course on 6/4/2025 (staff person 1 and 3) and copies were sent to Aileen Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Bachelor's + 1 yr/Exp, educ., training at facility (3270.34(b)(1)/3270.192(2)(iii))

During the renewal inspection conducted on 5/20/2025 observed staff person #2's file did not include verification that they attained their bachelor's degree. Requirement: A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of 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 #2's degree was noted on her transcripts, but a copy of the certificate is now on file. A copy was emailed to certification representative. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Associate's + 3 yrs/Exp, educ., training at facility (3270.34(b)(3)/3270.192(2)(iii))

During the renewal inspection conducted on 5/20/2025 observed staff person #3's file did not include verification that the staff person attained an associate's degree. Requirement: A director shall have attained an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 3 years of 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 #3's degree was noted on her transcripts, but a copy of the certificate is now on file. A copy was emailed to certification representative. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

On excursions (3270.75(d))

During the renewal inspection conducted on 5/20/2025 observed the first-aid kit did not include a bottle of water. Corrected on-site 5/20/2025. Requirement: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c). Correction: Each first aid kit now contains a bottle of water. Corrected on-site 5/20/2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, age appropriate (3270.106(a))

During the renewal inspection conducted on 5/20/2025 observed a pack n play was labeled with four different children's names. Staff confirmed that the pack n play is used for four children who are on different schedules. 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. Correction: Pack and Play's were reassigned and will be put up and taken down daily dependent on the child in care that day. certification representative provided with picture documentation of new labels for pack and plays. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exam communicable disease/Information re: medical problems (3270.151(c)(3)/3270.151(c)(4))

During the renewal inspection conducted on 5/20/2025 observed staff person #1's adult health assessment's question #2 was answered "yes" for the staff person having a communicable disease. The health assessment also did not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. Requirement: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. Correction: This was an oversight on the physician. This was corrected and a new form issued. Copy submitted to certification representative. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(5))

During the renewal inspection conducted on 5/20/2025 observed the facility's emergency plan parent letter did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Requirement: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Correction: The following statement is in our parent letter under evacuation: For children who require special accommodations during transportation, we will work with families to ensure all needs are safely met. This may include transporting children via stroller, walking with additional support, or using a car or bus with an approved and properly installed car seat or restraint system as required. Please speak with your child¿s teacher or director if your child has specific transportation needs so we can plan accordingly and safely. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff assigned to specific children (3270.113(a)(1))

During the unannounced monitoring conducted on 1/24/2025 observed staff person #1 could not name two children that were in the assigned group. Requirement: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. Correction: The supervision policy below has been in the staff handbook since August 2020 and was developed in coordination with the STARS ELRC Quality Coach. The policy, as written, was reviewed at a staff meeting on 2/5/2025 and each staff member signed off on the policy review. A copy of that sign off was placed in the staff file. The center is one large open room where all age groups are divided by bookshelves or furniture, therefore there are not specific rooms designated. While all groups have a lead staff member, due to our small size and open building, at times staff will push in for another staff member from a different group, covering as needed. On this given day, the new staff member had a school age group, as there was no school for school age students, which is not typically the group she oversees. The staff member is new to the facility and will be placed on an improvement plan focused on supervision, that will be reviewed weekly with her mentor. Current policies in place: Staff Expectations The safety of the children placed in our care is of primary importance and, therefore, is listed first in Staff Expectations. Towamensing Kids Child Care and Learning Center LLC. staff shall, always: 1. Know the whereabouts of children. 2. Actively supervise all children. 3. Assure that all equipment is free from hazards. 4. Be aware of potentially hazardous areas and take measures to ensure the safety of children. 5. Know the location of the first aid kit and emergency information and take such items when the group leaves the center. 6. Conduct monthly fire drills. 7. Complete accident reports as needed. 8. Report all suspected child abuse to the supervisor. 9. Display poise in emergencies. Professionalism is defined as ¿the skills, competence, or character expected of a member of a highly trained professional and reflects one¿s knowledge and pride in his or her chosen field.¿ Towamensing Kids Child Care and Learning Center LLC. staff members are expected to maintain a high level of professionalism in the way they conduct themselves and to demonstrate the following behaviors: 1. Maintain a professional and productive work relationship with staff and supervisors- the workplace should be positive and maintain a gossip free environment. 2. Maintain confidentiality. 3. Be cooperative and flexible, and work with others effectively. 4. Encourage team members to strive to increase their job performance. 5. Share ideas and concerns with team members in an appropriate manner. 6. Be familiar with and follow all TOWAMENSING KIDS policies and procedures. 7. Seek to improve personal job performance by attending all mandated training and meetings, as well as other professional development opportunities. 8. Attendance and punctuality are essential; you must report to work as scheduled and on time. 9. Serve as a positive role model for parents, children, and team members. Supervision of Children Children must be always supervised. DHS regulation 3270.4 defines ¿supervision¿ as critical oversight in which the staff person can see, hear, direct, and assess the activity of the child. Staff will adjust their supervision of children according to the risk level of activity. DHS regulation 3270.113a, defines ¿supervised at all times¿ as each staff person shall be assigned the responsibility of specific children. The staff person shall know the names and whereabouts of the children in his/her assigned group. The staff person shall be physically present with the

Training regarding plan (3270.27(c))

During the unannounced monitoring inspection conducted on 9/12/2024 observed staff person #1's file did not include verification of completion of emergency plan training at the time of initial employment. 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: Emergency plan acknowledgement was sent to inspector via e-mail attachment on 9/13/2024. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the unannounced monitoring inspection conducted on 9/12/2024 observed staff person #1's file did not include verification of mandated reporter training. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a child care position at the facility. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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: Employees training certificate sent to inspector via e-mail; attachment on 9/13/2024. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED + 2 yrs/Exp, educ., training prior to facility (3270.36(b)(5)/3270.192(2)(ii))

During the unannounced monitoring inspection conducted on 9/12/2024 observed staff person #1's file did not include verification of child care experience, education and training prior to service at the facility. 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 prior to service at the facility. Correction: Provider sent documentation via e-mail to inspector. Employee was still waiting on verification forms. Employee's first training day was 9/9/24. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

During the unannounced monitoring inspection conducted on 9/12/2024 observed staff person #1's file did not include 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: Provider will ensure letters of recommendation are provided prior to end of training. Probationary period 10/18/24. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Every 60 days (3270.94(a)(1))

During the unannounced monitoring inspection conducted on 9/12/2024 observed the facility's fire drill log showed a fire drill conducted on 5/1/2024 and then the next drill conducted was on 9/6/2024. Requirement: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. Correction: Provider e-mailed updated drill sheet including school year and summer drills on 9/13/2024. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Director or designated staff person ensure compliance (3270.95(b))

During the unannounced monitoring inspection conducted on 9/12/2024 observed the facility's manual testing log was out of compliance with the last date on the log being 5/1/2024. Requirement: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. Correction: Provider e-mailed comprehensive sheet including drills and testing log to inspector on 9/13/2024. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).