ALL KIDS ARE SPECIAL CHILDCARE AND LEARNING CENTER

12 months prior to service and every 24 months thereafter (3270.151(a))

The two most recent health assessments on file for Staff Person #1 were dated more than 24 months apart (4/5/2024-5/12/2026). 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. Correction: The facility person had the health assessment as soon as it could be scheduled. The documentation was placed in the staff person's file and was there for inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

In the Older Toddlers room, the bookshelf near the carpeted area had damage/wear to the lower left corner, causing the material to flake. Requirement: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. Correction: The flaking area at the bottom of the bookshelf was taped with clear packing tape on the day of inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

In the Outdoor Classroom area, a plastic picnic table was observed to have a long crack on its surface, which created a potential pinch point. 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: The crack on the table was immediately taped with duct tape and no longer presents a safety hazard. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

In the Outdoor Classroom, a wooden windowpane was observed to be damaged, with the wood splintering in several areas. 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 windowpane was immediately taped with duct tape to prevent any chance of injury due to deterioration of the wood. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.82(g))

The toilet seat in the far stall in the boys' room was loose. Requirement: Toilet areas and fixtures shall be cleaned daily and be in good repair. Correction: The toilet seat was tightened. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Contact when arises/Contact when ended (3270.27(a)(3)/3270.27(a)(4))

The facility's emergency plan lacked a method for contacting parents when an emergency arises and has ended, and how to reunite with their children. Requirement: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. Correction: I will add to our emergency plan that our method for contacting parents when an emergency arises and has ended, and how to safely reunite with their children is through Brightwheel. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Letter to parents (3270.27(e))

The parent letter lacked information explaining the emergency procedures for lockdown situations and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Requirement: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. Correction: I will add the information explaining emergency procedures for lockdown situations and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions to our parent letter and provide this to our parents. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Staff Person #3 completed pediatric FA/CPR training on 3/26/24. The previous training taken on 11/23/21 expired 11/30/23. 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. Correction: When we realized the staff person was overdue for the training, we scheduled the staff person to complete the pediatric first aid/CPR training ASAP. The staff person completed the training on 3/26/24 and is now current with the training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for Staff Person #5 (See LIS Code Sheet) contained a PA State Criminal Clearance dated 4/1/24, obtained more than 60 months from the previous PA State Criminal Clearance dated 2/27/19; a PA Child Abuse Clearance dated 4/1/24 obtained more than 60 months from the previous PA Child Abuse Clearance dated 2/6/19; and an FBI Clearance dated 4/2/24 obtained more than 60 months from the previous FBI Clearance dated 3/23/19. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: When we realized the staff person was overdue for renewal of these clearances, we obtained them immediately. The staff person is current with all of the required clearances. . Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/Exp, educ., training at facility (3270.32(a)/3270.192(2)(iii))

The file for Staff Person #2 (See LIS Code Sheet) contained a mandated reporter training dated 3/27/23 and the file for Staff Person #4 (See LIS Code Sheet) contained mandated reporter training dated 2/11/25 both of which were obtained more than 90 days after starting in a child care position. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 obtained the mandated reporter training immediately when we realized that [their] previous mandated reporter training had expired. Staff person #4 has a current Mandated Reporter training which was obtained within 90 days of hire. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

Staff reported that the toothbrushes and sponges located in the unlocked cabinets under the sinks in the Preschool and PreK rooms were used with cleaning products to clean various item and were accessible to the children. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: The toothbrushes and sponges were immediately removed from under the sinks and put in an area inaccessible to children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Handwashing signs (3270.82(h))

The diaper changing areas in the boys' and girls' restrooms on the lower level lacked handwashing signs. Requirement: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. Correction: We posted handwashing signs near the diapering procedure signs in both the boys' and girl's restrooms by the diaper changing areas. 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))

The file for Child #1 contained emergency contact and financial agreement updated on 3/3/25 more than 6 months from the previous review dated 8/26/24. 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: The child's emergency contact form and financial agreement were signed within a week of the due date when we were able to meet with the parent of the child. 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 #1, a preschooler (See LIS Code Sheet), contained a health report with immunization record dated for 5/15/23 which was more than 60 days from initial enrollment in the child care program. 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: We received the child's health report on 5/15/2023. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(6))

The current emergency drill was dated for 4/25/25, more than 12 months from the previous emergency drill dated 10/2/23. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: We conducted an emergency drill on 4/25/2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter (3270.151(a))

The file for Staff Person #1 (See LIS Code Sheet) contained a health assessment dated 5/1/25 which was more than 24 months from the previous health assessment dated 3/16/23. 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. Correction: The staff person had her health assessment done on 5/1/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exemption documentation from parent/guardian/Dismissal policy (3270.131(e)(1)/3270.131(e)(3))

The file for Child #2 lacked an updated verification of vaccines. The immunization record on file for Child #2 lacked documentation of the HeB, rotarvirus, IPV, and HepA vaccines. There was no exemption letter or alternative immunization schedule on file. Requirement: 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. 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). Child #2 must be dismissed from care by close of business on 5/14/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Correction: The situation/regulation was discussed with the parent. The parent provided a written, signed exemption letter. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months (3270.131(b)(2))

The health report on file for Child #3, a preschooler (See LIS Code Sheet), was dated 3/21/25 more than 12 months from the previous health report dated 7/10/23. 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: An updated Child Health Report was obtained on 3/21/2025 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant: updated health report every 6 months (3270.131(b)(1))

The file for Child #4, now an older toddler (See LIS Code Sheet) contained a health report dated 4/29/25. The previous health report was dated 4/22/24 when the child was a younger toddler. The file for Child #4 lacked a 6 month health report update in October 2024. The file for Child #5, a younger toddler (See LIS Code Sheet) contained a health report dated 5/13/24 which is more than 6 months ago. 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: We obtained an updated child health report on 04/29/2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

The file for Child #1 lacked a current child service report. The most recent child service report is dated for 2/28/23 more than 6 months ago. Requirement: 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 in § 3270.124(f) (relating to emergency contact information). Correction: Upon review of the child's file, it was longer than 6 months between his assessment/child service report on 2/28/23 and the one that followed. The child's new teacher completed the child's assessment and held the parent teacher conference on 11/8/23, followed by others on 2/26/24, 6/14/24, 10/1/24, 3/5/25, and the most recent one on 5/14/25. The documents were in the child's educational file, which wasn't presented at the time of inspection. However, the recent assessments and parent conferences documents were scanned and sent to the Certification Representative. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).