LIFESTEPS

2025

1. Medium risk5/30/2025

   Health information (3270.131(a))

   The file for child #3 had an initial health assessment that was dated over 60 days after the child's first day of attendance at the facility. 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. Correction: On date of inspection the compliant health assessment dated for within 60 days after the first date of attendance for child #3 was provided by the parent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 5/30/2025
2. Medium risk5/30/2025

   Health and Safety Training (3270.31(f))

   Staff person #1 completed the following required pre-service training on 8-16-24 that was over 90 days after their date of hire (see LIS code sheet): Health and Safety Training in the topics of 3270.31(f)(1-9). Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Correction: Lifesteps identified Staff person #1's need to complete the Health and Safety Training in the topics of 3270.31(f)(1-9) during Internal Self-Audit and was corrected 08/16/2024. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 5/30/2025
3. Medium risk5/30/2025

   Comply with CPSL (3270.32(a))

   Staff person #3 completed mandated reporter training on 3-4-25 that was over 90 days after their date of hire. (see LIS code sheet) Staff person #4 had mandated reporter trainings dated 3-20-20 and 4-5-25 that were over 60 months between trainings. Staff person #6 had mandated reporter trainings dated 4-1-20 and 4-4-25 that were over 60 months between trainings. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: Lifesteps identified Staff person #3's need to complete Mandated Reporter Training during Internal Self-Audit and was corrected 03/04/2025. Lifesteps identified Staff Person #4's need to complete Mandated Reporter retraining during Internal Self-Audit and was corrected 04/05/2025. Lifesteps identified Staff Person #6's need to complete Mandated Reporter retraining during Internal Self-Audit and was corrected 04/04/2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 5/30/2025
4. Medium-High risk5/30/2025

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

   The file for staff person #3, functioning as the director, had an NSOR verification certificate that was dated after their start date. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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: The NSOR verification form for staff person #3 was in compliance at the date of inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 5/30/2025
5. Medium risk5/30/2025

   Bachelor's + 1 yr/Exp, educ., training prior to facility (3270.34(b)(1)/3270.192(2)(ii))

   The file for staff person #3, functioning as the director, lacked verification of 1 year of experience working with children. 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 prior to service at the facility. Correction: Verification of experience working with children was obtained from prior employer for staff person #3. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 6/18/2025
6. Medium-High risk5/30/2025

   Building Surfaces (3270.76)

   On the outdoor preschool play space, the fence had 2 sharp pieces of metal near the top of the fence in the far-right corner and 1 area in the far-left corner that were 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: On date of inspection pieces of metal near the top of the fence were repaired. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 5/30/2025
7. Medium risk5/30/2025

   No peeling paint or plaster (3270.77(a))

   In the Big Bird Room, the door leading to the toddler play space had peeling paint in multiple areas on the outside of the door and on the edge of the door. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: On date of inspection the exterior of the door leading to the toddler play space was repaired and repainted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 5/30/2025
8. Medium risk5/30/2025

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

   In the Twiddle Bugs Room, the blue fabric cushion on the bench had multiple areas with tears in the fabric. Requirement: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. Correction: On date of inspection the tears on the cushion were repaired. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 5/30/2025
9. Medium-High risk5/30/2025

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

   The file for child #3, a 4 year old enrolled more than 60 days at the facility, lacked documentation of the 4th DTAP, 2nd Pneumococcal & Hepatitis A vaccinations, and 1st MMR and Varicella vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation. 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 #3 must be dismissed from care by close of business on 5-30-25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Correction: On date of inspection the compliant immunization record dated for within 60 days after the first date of attendance for child #3 was provided by the parent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 5/30/2025
10. Medium-High riskStandard 125/30/2025

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

    The file for staff person #5 had a health assessment that exceeded 24 months between assessments. 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: Lifesteps identified the need for an updated health assessment for Staff person #5 and was corrected 01/14/2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 5/30/2025
11. Medium-Low risk5/30/2025

    Conducted by physician, PA or CRNP (3270.151(b))

    The file for staff person #2 had an initial health assessment that was signed by a health professional that was not a physician, physician's assistant or CRNP. Requirement: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title. Correction: Staff person #2 (a seasonal sub) will obtain a health assessment signed by a physician, physician's assistant, or CRNP prior to returning to work. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 5/30/2025
12. Medium risk5/30/2025

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

    The file for staff person #3 had an initial health assessment that lacked the physician's or CRNP's assessment of the 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 person #3 obtained a new health assessment on 07/10/2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 7/10/2025
13. Medium-High risk5/30/2025

    Emergency info/agreement updated 6 mos (3270.181(c))

    The file for child #1 had an emergency contact form that exceeded 6 months between updates by the parent. The file for child #2 had an agreement that exceeded 6 months between updates by the parent. Requirement: 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: Lifesteps identified that child #1 needed to review/update the emergency contact information during Internal Self-Audit and was corrected 12/10/2024. Lifesteps identified that child #2 needed to review/update the financial agreement during Internal Self-Audit and was corrected 03/03/2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 5/30/2025