SPHS CHILD LRG CTR MONESSEN SITE

Clean and good repair (3270.102(a))

Broken magnatiles in the Pre-K 1 Room and a foam peg pad with teeth marks in the Toddler Room were observed accessible to children and not in good repair. A bike helmet with a cracked plastic coating with sharp edges was observed in the outdoor play space and could be harmful to children. 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: Magnitiles, foam peg pads, and bike helmets were removed from areas accessible to children. All items were discarded. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Physician/CRNP assessment (3270.151(c)(5))

The health assessment on file for Staff #3, dated 5/7/26, does not include the physician or health care professional's assessment of the staff person's suitability to provide child care. Requirement: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. Correction: Staff #3 was informed of the incomplete item on her health assessment form. She returned to her physician and had the item completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mantoux TB/Health assessment, TB test (3270.151(c)(2)/3270.192(3))

The file for Staff #2 contained a tuberculosis screening dated 8/29/25, which is after Staff #2's date of hire (SEE IS CODE SHEET). Requirement: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. 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 #2's TB screening is in her file. Going forward TB screenings will be completed within the correct timeframe. 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 (3270.151(a)/3270.192(3))

The initial health assessment on file for Staff #1 was dated 9/12/25, which is after Staff #1's date of hire (SEE IS CODE SHEET). The initial health assessment on file for Staff #2 was dated 8/27/25, which is after Staff #2's date of hire (SEE IS CODE SHEET). 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 #1 and staff #2 have their health assessments in their files. Going forward the health assessment forms will be completed within the correct timeframe. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Free from contagious/communicable disease (3270.131(d)(7))

The most recent health assessments on file for Child #1 (dated 8/6/25) and Child #2 (dated 9/17/25) do not indicate if the child is free from contagious disease and may participate in child care. Requirement: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. Correction: The parents of child #1 and child #2 have been informed of the need to use the form provided to them by the child care center. Child #2 corrected the form. (Child #1 has withdrawn from our program.) Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Completed or signed by physician, PA, or CRNP (3270.131(c))

The health assessment on file for Child #1, dated 8/6/25, lacked the professional title of the individual who completed the report. Requirement: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. Correction: The parent of child #1 was informed of the need for the health assessment to be fully completed. (Child #1 has withdrawn from our program.) 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))

The two most recent health assessments on file for Child #2 (Preschool Age, 8/27/24 & 9/17/25) and Child #3 (Preschool Age, 7/26/24 & 8/6/25) are dated 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 shall contain initial and subsequent health reports. Correction: Child #2 and child #3 have health assessments in their files. Going forward the health assessments will be completed within one year of the previous assessment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name/address/phone release person (3270.124(b)(7))

The emergency contact form on file for Child #6 lacked complete addresses for all listed release persons. 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: The parent of child #6 was asked to complete the address of the child's release person. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact forms on file for Child #1 and Child #4 lacked the enrolling parent's work address and work telephone number. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: The parents of child #1 and child #4 were asked to provide the work information to complete the Emergency Contact information. (Child #1 has withdrawn from our program.) Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Physician name, address, phone (3270.124(b)(2))

The emergency contact form on file for Child #5 lacked the phone number of the child's physician or source of medical care. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: The parent of child #5 was asked to add the phone number of the physician. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, age appropriate (3270.106(a))

In the Infant Room, a crib lacked a label for the use of a specific 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. Correction: The staff person immediately placed the child's name on the crib. 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 most recent documented fire alarm testing was dated 9/15/25, more than 30 days prior. 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: The fire detection system had been manually operated on 10-1-25 and 10-8-25. In both of these instances an evacuation for staff and children was practiced. The drills were both recorded on the fire drill log but not on the fire detection blocks. The dates have been added and the system was re-tested today, 10-30-25. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff evaluations (3270.34(a)(6))

The two most recent staff evaluations on file for Staff #1 are dated 10/24/23 and 11/4/24, more than 12 months apart. Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: Evaluations have been completed for staff #1. The next evaluation will be completed before 11/4/2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health information/Initial and subsequent health reports (3270.131(a)/3270.182(1))

The file for Child #4 contained an initial health assessment lacking a date, making it invalid. 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 shall contain initial and subsequent health reports. Correction: The parent was informed that the date was missing form the health assessment form. Since the physical had been recent, the parent was advised to contact the physicians office. The physicians office issued a new dated form for the child and the parent provided it to the child care center. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Potentially hazardous food refrigerated (3270.161(d))

Children's lunchboxes containing potentially hazardous foods from home were observed hanging on a hook in the hallway and were not refrigerated. Requirement: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated. Correction: Staff assured that the items in the child's lunch box could safely be eaten. the yogurt was removed as a precaution although the ice pack was still frozen. Lunch box was placed in the refrigerator. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Immunization record/Dismissal policy (3270.131(d)(5)/3270.131(e)(3))

The immunization record for Child #4 (Older Toddler) lacked the following immunizations: 1 dose of DTAP, 1 dose of Hib, 1 dose of Pneumococcal, and 1 dose of Hepatitis A without a Letter of Exemption in the file. Child #4 must be dismissed from care by close of business on 6/30/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Requirement: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Correction: Upon arrival to pick up child #4, the parent let staff know that she is exempting her child from immunizations. The parent put her exemption wishes in writing, signing and dating the letter. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant: updated health report every 6 months/Initial and subsequent health reports (3270.131(b)(1)/3270.182(1))

The most recent health assessment on file for Child #1 (Young Toddler at the time) is dated 7/24/24, more than 6 months prior. Requirement: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports. Correction: The parent was informed that a new health assessment was due. The parent returned with a completed health form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Insurance coverage information (3270.124(b)(6))

The emergency contact on file for Child #4 lacked the child's health insurance/MA coverage name for the child's health care benefits. 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: The parents were contacted and the health insurance information was added to the emergency contact forms. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Physician name, address, phone (3270.124(b)(2))

The emergency contact forms for Child #2 and Child #3 lacked the address and phone number of the child's physician or source of medical care. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: The parents were contacted and the address and phone number of the physician were added to the emergency contact forms. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

In the Pre-K 1 Room, peeling paint was observed on the bottom of the metal cabinets. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: The contact paper at the base of the cabinet was removed, the area sanded, and covered with new duct tape. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Original container (3270.66(b))

An unlabeled spray bottle containing cleaning products was observed in the Kitchen. 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 stored away from food, food preparation areas and child care spaces. Correction: Label was made for the bottle of cleaning product and attached to the bottle. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3270.21)

A loose crib sheet was observed in Room 105, which could cause suffocation. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: The sheet was removed and replaced with one that fit properly. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Trash removed once a day (3270.67(a))

A trash can in the outside play space was observed with garbage from days prior. Requirement: Trash shall be removed from the facility at least once per day. Correction: Trash can was emptied immediately. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair/Small Toys and Objects (3270.102(a)/3270.103)

In the Toddlers classroom, a couch and chair were observed to have peeling vinyl pieces less than one inch in diameter which was accessible to children who are still placing objects in their mouths. 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. 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: The couch and chair was removed from the classroom to await repair or replacement. The areas were then cover with duct tape in order to assure not further peeling of the vinyl and the couch and chair were returned to the classroom. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Hypothetical locations (3270.94(a)(4))

The facility's fire drill log contained multiple consecutive hypothetical locations of the fire for the fire drills in June 2024 and July 2024. Requirement: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. Correction: All staff have received notice that fire hypothetical locations must be in varied areas and never in the same location in two consecutive months. A fire drill was conducted in a different hypothetical location from the month before on January 30, 2025. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).