FUTURE FOCUS CHILDCARE LLC

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

The two most recent Pediatric First Aid and Pediatric CPR Trainings for Staff Person #1 were dated more than 24 months apart (1/29/2022 - 6/8/2024). 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: THE PEDIATRIC FIRST AID AND CPR TRAININGS HAVE BEEN UPDATED IN STAFF PERSON #1 FILE AND IS CURRENT. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

At the time of inspection, Staff Person #1 had not completed the following pre-service training within 90 days of their date of hire (SEE LIS CODE SHEET): Pediatric First Aid/CPR. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)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 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: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Staff person #1 has completed the pre-service training. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

The floors in both childcare spaces in use during the unannounced monitoring visit (Room #1 and Room #2), as well as the hallway/common area, were littered with dirt and debris that appeared to have been accumulated over a period of time. In several places, the dirt buildup was such that the certification representative's shoes were sticking to the floor. 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: All floors, walls, ceilings and other surfaces are cleaned routinely and in good repair and free of visible hazards. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The facility's fire drill log included the following testing periods which were greater than 60 days: 7/1/2025 -- 9/2/2025 (63 days) and 9/2/2025 -- 11/2/2025 (61 days). Requirement: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days. Correction: Facilility's fire drill log will be in compliance moving forward Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The facility's fire detection testing log included the following testing periods which were greater than 30 days: 7/29/2025 -- 9/2/2025 (35 days) and 10/1/2025 -- 11/2/2025 (32 days). Requirement: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. 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 center will test and record all fire detection activity within the 30 day period, Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Pertinent Laws & Regulations/General Health and Safety (3270.14/3270.21)

Staff person #3 was observed to be caring for children unsupervised. Staff person #3 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 5/31/23. Requirement: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required trainings are completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child care position at the facility. Correction: Staff person #3 will have updated CPR/First Aid training as of 7/9/2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan (3270.27(c))

The files for staff persons #3 , #4, and #5 lacked emergency plan training that was completed 12 months from the previous emergency plan training. The emergency plan training in the file for staff person #3 was dated 7/24/23 and 6/25/25. The emergency plan training in the file for staff person #4 was dated 10/10/23 and 6/25/25. The emergency plan training in the file for staff person #5 was dated 1/8/24 and 6/25/25. 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 training for staff #3, #4, #5 has been updated. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The files for staff persons #3, #4, and #5 lacked firesafety training that was completed 12 months from the previous firesafety training. The firesafety training in the file for staff person #3 was dated 6/8/23. The firesafety training in the file for staff person #4 was dated 6/13/24. The firesafety training in the file for staff person #5 was dated 11/17/22 and 6/13/25. 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: Fire safety training for staff #3, #4, #5 has been updated. 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 #1 who was hired as the director on (See LIS Code Sheet) lacked an NSOR verification certificate that was completed 60 months from the previous NSOR verification certificate. The NSOR verification certificates in the file are dated 2/7/20 and 4/6/25. 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 has been updated as of 4/6/25. Inspection: Renewal. 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))

The file for staff person #8 lacked a high school diploma and 2 years experience with children. 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: File for staff person #7 has been updated with a high school diploma and 2 years experience with children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED/Exp, educ., training prior to facility (3270.37(b)(1)/3270.192(2)(ii))

The file for staff person #6 lacked a high school diploma. Requirement: An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: The file for staff person #6 has been updated with a high school diploma. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Protective Outlet Covers 5 yrs. or less (3270.65)

In the gross motor room 3 protective receptacle covers were observed to be missing from two outlets on the wall to the left and one outlet on the wall to the right. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: The protective receptacle outlet covers were replaced and corrected at the time of the visit. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

In Room #1 two toy magnetic tiles were observed to be broken causing rough edges and sharp corners. In Room #1 a rubber popper toy was observed to be torn and missing pieces. In Room #1 a plastic bin holding toy dinosaurs was observed to be broken causing rough edges and sharp corners. 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: In Room #1 the magnetic tiles, the rubber popper toy and plastic bin were discarded. 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 #2 lacked emergency contact information and a financial agreement that was updated 6 months from the previous update. The updates in the file were dated 2/2023 and 2/2025. 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: The file for child #2 has an updated emergency contact and financial agreement. 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 file for child #1 lacked a child health report that was completed 12 months from the previous child health report. The child health reports in the file were dated 5/6/24 and 6/2/25. 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: The file for child #1 has been updated with a child health report of 6/2/2025. 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 file for staff person #2 lacked an initial health assessment. The file for staff person #7 lacked a health assessment that was completed within 12 months prior to initial service in a child care setting (See LIS Code Sheet). The health assessment in the file was dated 1/19/24. 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: The files for staff #2 and #7 have been updated with an initial health assessment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The Fire Drill and Fire Detection Log was observed for the 60 day fire drill. There were 61 days between 8/1/24 and 10/1/24 and 62 days between 10/1/24 and 12/2/24. 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: The fire drill and fire detection log are up to date. 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 Fire Drill and Fire Detection Log was observed for the 30 day smoke detector checks. There were 31 days between 10/4/24 and 11/4/24, 32 days between 12/2/24 and 1/3/25, 31 days between 1/3/25 and 2/3/25, 31 days between 3/3/25 and 4/3/25, 32 days between 5/1/25 and 6/2/25. 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 drill and frie detection log have been updated. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3270.113(a))

At Approximately 8:00AM, staff #1 came to the lobby entrance of the facility to open the door for the certification representative leaving 17 children alone in room 1; 8 school age children, 6 preschoolers, and 3 older toddlers. Requirement: TIERED LIS: 1. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all staff to participate in 2 hours of online or in-person training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training which may be counted toward the required 12 hours of annual training. The operator shall provide a date for when the training will be completed. Correction: Children on the facility premises and on facility excursions off the premises are supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. This portion of the plan has an immediate correction date. (Implemented 9/18/25) 2.The legal entity has arranged for all staff to participate in 2 hours of online or in-person training regarding supervision of children by 8/21/25 (Implemented 8/21/25) Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

At Approximately 8:00AM, staff #1 came to the door of the facility to open the door for the certification representative leaving 17 children alone in room 1; 8 school age children, 6 preschoolers, and 3 older toddlers. 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: Additional staff were assigned the responsibility for supervision of specific children. The staff know the names and whereabouts of the children in his/her assigned group. The staff are physically present with the children in his group on the facility premises and on facility excursions off the facility premises. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mixed Age Level (3270.52)

At Approximately 8:00AM, staff #1 came to the door of the facility to open the door for the certification rep representative leaving 17 children alone in room 1; 8 school age children, 6 preschoolers, and 3 older toddlers. At 8:10AM an additional preschooler arrived and entered room 1. From 8:00 to 8:15, staff #1 was the only staff person present at the facility. At 8:15, staff #2 and an additional older toddler arrived and entered room 1. At 8:20 AM, staff #1 exited the building with 8 school age children to go to the bus stop. Staff #2 remained in room 1 supervising 11 children; 7 preschoolers and 4 older toddlers. 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 in § 3270.51 (relating to similar age level). Correction: Additional staff has been added to accommodate the staff-child ratio. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two facility persons present in facility (3270.54(a))

At Approximately 8:00AM, staff #1 was observed caring for 17 children alone in room 1; 8 school age children, 6 preschoolers, and 3 older toddlers. At 8:10AM an additional preschooler arrived and entered room 1. From 8:00 to 8:15, staff #1 was observed to be the only facility person present at the facility. Requirement: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person. Correction: Additional staff were added so that 2 persons are present in the facility when two or more children are in care. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Similar Age Level (3270.51)

Staff person #1 was observed to have left the room when 7 preschool aged children were left on their cots leaving the room at a 0:7 staff child ratio. According to interviews and statements by staff person #1, they left the room to use the restroom while the children were on their cots because it was an emergency. Requirement: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. Correction: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30, moving forward, all staff will adhere to staff ratios. Staff were required to complete trainings and attend a meeting reiterating the importance of supervision and ratios. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3270.113(a))

Staff person #1 was observed to have left the room when 7 preschool aged children were left on their cots leaving 7 children unsupervised. According to interviews staff person #1 left the room due to a bathroom emergency when the children were resting on their cots. Requirement: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Correction: Staff person #1 was observed to have left the room when 7 preschool aged children were left on their cots leaving 7 children unsupervised. According to interviews staff person #1 left the room due to a bathroom emergency when the children were resting on their cots, moving forward, a staff person would utilize the walkie talkies to contact available staff to assure that ratio and supervision are being followed. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Staff person #1 was observed to have left the room when 7 preschool aged children were left on their cots leaving 7 children unsupervised. According to interviews staff person #1 left the room due to a bathroom emergency when the children were resting on their cots. 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: Staff person #1 was observed to have left the room when 7 preschool aged children were left on their cots leaving 7 children unsupervised. According to interviews staff person #1 left the room due to a bathroom emergency when the children were resting on their cots, moving forward, staff persons will utilize the walkie talkies that are available to contact available staff when it is necessary to leave the room, in order to maintain supervison and ratio. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).