EAGLES NEST GROUP DAYCARE

Comply with CPSL/CPSL information (3280.32(a)/3280.192(4))

Staff #1's file did not contain the receipt for proof of applying for DHS FBI clearance to be a provisional hire before first date of caring for children(See LIS Code Sheet). Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility. Correction: The provider has obtained Staff #1's proof of applying for DHS FBI clearance via Identgo receipt and added it to staffer's employment binder. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3280.32(a))

Staff #2's two most recent mandated reporter trainings are dated 2/2/21 and 2/4/26 which is more than 60 months apart. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: This has been corrected. Staff #2 has current mandated reporter on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

8th grade + 2 yrs/Exp, educ., training prior to facility (3280.35(3)/3280.192(2)(ii))

Staff #1's file did not contain proof of education. Requirement: A secondary staff person shall have a minimum of an 8th grade education and 2 years of 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: Item corrected. Provider obtained staffer's high school transcript from the Catholic diocese. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3280.76)

In the outside play space the wooden shed is crumbing all along the bottom edges exposing splintered wood accessible to children. 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: Provider will completely remove the wooden shed from the outside play area. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3280.123(a)(3))

Child #2's most recent child service report was not dated, making it invalid, and the previous child service report was dated 2/2025 which is more than 6 months ago. Requirement: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3280.124(f). Correction: Child service report completed. Item corrected. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health Information/Initial and subsequent health assessments (3280.131(a)/3280.182(1))

Child #1's file, who has been enrolled for more than 60 days(See LIS Code Sheet), did not contain a health assessment. Requirement: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record must contain initial and subsequent health reports. Correction: Item corrected. Provider requested child's updated health assessment for the file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3280.192(5))

Staff #1's file only contained 1 written nonfamily reference. 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: Item corrected. Staffer had additional written nonfamily reference. It was not in the correct place (employee's binder) at time of inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Health assessment, TB test (3280.151(a)/3280.192(3))

Staff #3's file contained an after-visit summary dated 6/18/25, this is not a valid health assessment. Staff #3's previous health assessment is dated 5/6/24 which is more than 24 months previous. 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: Staff #3 recently had a doctor's visit in 2026. Provider requested staffer to submit results on the proper staff health assessment form otherwise risk suspension until received. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Initial and subsequent health assessments (3280.131(b)(2)/3280.182(1))

Child #2's, a preschool age child(See LIS Code Sheet), two most recent health assessments are dated 3/20/24 and 4/20/26, which are more than 12 months apart. 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 must contain initial and subsequent health reports. Correction: Child has a current health report. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent home/work address, phone (3280.124(b)(3))

Child #1 and 2's file did not contain the work address 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: Work address and telephone numbers obtained from parent. Item corrected. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3280.192(5))

2nd citation previously cited on 6/4/25: On 6/18/25 at approximately 11am, Staff person/volunteer #3 was observed in the outside play space supervising children. Staff person/volunteer #3's file did not contain two written nonfamily references. 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: Staff person/volunteer #3 will not work in a childcare position. Her last day of employment is 6/25/25 and if scheduled before then, she will be assigned to cleaning duties or other activities away from children. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/CPSL information (3280.32(a)/3280.192(4))

2nd citation previously cited on 6/4/25, On 6/18/25 at approximately 11am, Staff person #3 and 4 were observed in the outside play space supervising children. Staff person #4's most current NSOR certificate is dated 5/20/20 which is more than 60 months ago. Staff person/volunteer #3's file did not contain a state police clearance or a DHS FBI clearance. Requirement: TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 and 4 may not work in a child care position at the facility. (This portion of the plan shall have an immediate correction date.) (Implemented 6/26/25) 2. The legal entity must arrange for all facility persons to listen to Episode #3 -- Clarifying the Child Protective Service Law (CPSL) Requirements for Child Care - The Pennsylvania Key(View official inspection document). All facility staff will need to sign and date an attestation that they have listened to the podcast. Once all facility persons have completed this required listening, the legal entity will submit the attestations for all facility persons to the Western Regional Office within 5 business days of the last date of completion. (The operator shall provide a date for when this training will be complete.) (Implemented 7/8/25) Correction: 1. Staff person/volunteer #3 will not work in a child care position. Her last day of employment is 6/25/25 and if scheduled before then, she will be assigned to cleaning duties or other activities away from children. This is effective immediately (6/18/25). Staff #4 obtained current NSOR certificate and is now compliant. 2. All staff at the facility will listen to Episode #3 - Clarifying the Child Protective Service Law on PA Keys. Facility will have staff sign and date an attestation that will be sent to the Western Regional Office no later than 7/9/25. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3280.32(a))

2nd citation previously cited on 6/4/25: On 6/18/25 at approximately 11am, Staff person/volunteer#3 was observed in the outside play space supervising children. Staff person/volunteer #3's file did not contain mandated reporter training. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3 may not work in a child care position at the facility. Correction: Staff person/volunteer #3 will not work in a childcare position. Her last day of employment is 6/25/25 and if scheduled before then, she will be assigned to cleaning duties or other activities away from children. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mixed age levels (3280.52(c))

2nd citation previously cited on 6/4/25: On 6/18/25 at approximately 11am, Staff person #3 and 4 were observed in the outside play space supervising children. There was 1 infant, 1 young toddler, 1 preschooler, and 2 young school age children. Staff person #3 is a volunteer and cannot be counted in ratio. Requirement: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements at §3280.52(b). TIERED LIS: 1. The required staff:child ratios must be maintained at all times. (This portion of the plan shall have an immediate correction date.) 2. The legal entity will ensure that all facility persons complete the 2- 1 hour trainings entitled: Supervision: Staff:Child Ratios and Supervision: Teamwork found on Penn State Better Kid Care website. Once all facility persons have completed the required training, the legal entity will submit the training certificates for all facility persons to the Western Regional Office within 5 business days of the last date of completion. (The operator shall provide a date for when this training will be complete.) Correction: 1. Staff person/volunteer #3 will no longer have direct contact with children. This will avoid any confusion in staff:child ratio because volunteers do not count. This will take effect immediately (6/18/25). Also, Staff/volunteer #3's last day of employment is 6/25/25. (Implemented 6/18/25) 2. All staff will complete both trainings (Supervision: Staff:Child Ratios and Supervision: Teamwork) from the Better Kid Care website. All certificates of completion will be sent to the Western Regional Office no later than 7/9/25. (Implemented 7/8/25) Inspection: 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 (3280.151(a)/3280.192(3))

2nd citation previously cited on 6/4/25: On 6/18/25 at approximately 11am, Staff person #3 was observed in the outside play space supervising children. Staff person/volunteer #3's file did not contain an initial 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. 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: Staff person/volunteer #3 will not work in a childcare position. Her last day of employment is 6/25/25 and if scheduled before then, she will be assigned to cleaning duties or other activities away from children. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name, address, and phone (3280.192(1))

Staff person/volunteer #3's file did not contain the address of the facility person. Requirement: A facility person's record shall include the name, address and telephone number of the facility person. Correction: Staff person/volunteer #3 provided a copy of driver's license and telephone number to add to her file during inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/CPSL information (3280.32(a)/3280.192(4))

Staff person #1's two most recent child abuse clearances are dated 2/28/20 and 5/13/25 which are more than 60 months apart. The file for staff person #2 included an DHS FBI clearance dated more than 45 days after hire (See LIS Code Sheet) required for provisional hiring under the CPSL. Staff person/volunteer #3's file did not contain a state police clearance or a DHS FBI clearance. Staff person #4's two most recent child abuse clearances are dated 2/10/20 and 4/10/25 which is more than 60 months apart. Staff #4's most current NSOR certificate is dated 5/20/20 which is more than 60 months ago. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 4 may not work in a child care position at the facility. 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 #4 may not work in a child care position at the facility. Correction: Staff person #4 applied for an update NSOR certificate. Staff person #4 will not work until certificate is received. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3280.32(a))

Staff person/volunteer #3's file did not contain mandated reporter training. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3 may not work in a child care position at the facility. Correction: Staff person/volunteer #3 resigned her position effective 6/26/25. Until such time, staff person/volunteer #3 will not have direct contact with children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mixed age levels (3280.52(c))

At approximately 1013am Staff #4 left Staff #5 in the main room alone with 3 preschool age children and 2 infant age children. Requirement: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements at §3280.52(b). Correction: Staff/Volunteer #3 was present in the main room; however at the time of review operator was unaware person could not be counted toward ratio compliance. Staff/volunteer #3 will not engage in direct childcare activities so remaining qualified staff can maintain ratio with children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3280.76)

In the outside play space the particular shed door is crumbing in the bottom right corner exposing splintered wood accessible to children. In the main room the carpet is separating from the floor and away from the heating duct in the floor causing a trapping 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. Correction: The area in the main room where the carpet is separating from the floor will be secured with tape to avoid any trapping hazards. The facility will also apply for a mini grant to purchase a new shed and discard the old one. The shed will not be accessible to the children. It will be blocked off when they are outside. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent home/work address, phone (3280.124(b)(3))

The file for child #4 did not contain the home phone number, work phone number, and work address for the enrolling parent. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Corrected immediately during inspection. Child has siblings who also attend facility so after verifying information was the same, the Child #4's file was updated. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name/address/phone release person (3280.124(b)(7))

Child 3's file was missing the address of one 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: Corrected. Parent updated child #3's file when she picked up child at the end-of-the-day. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated every 6 months/Emergency info/agreement updated 6 mos (3280.124(f)/3280.181(c))

The most recent 6-month review signature for the emergency contact form on file for Child #4 is dated 8/5/24 which is more than 6 months ago. 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 #4 received a 6-month review; however parent did not sign an updated form. Operator conducted another review to reflect the new signed document date in Child #4's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant: updated health report every 6 months (3280.131(b)(1))

Child #2's two most recent health reports are dated 5/20/24 and 4/11/25 which is more than 6 months apart. Requirement: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. Correction: Operator alerted parent of required health report timeliness for compliance of child. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months (3280.131(b)(2))

Child #1's two most recent health report are dated 3/20/24 and 4/10/25 which are more than 12 months apart. 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: Corrected. Parent informed us child's doctor could not see the child during the required 12-month period due to limited schedule availability. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).