HOLLY HOLLIS GROUP DAY CARE HOME

2025

1. Medium-High risk7/1/2025

   Pertinent Laws & Regulations/General Health and Safety (3280.14/3280.20)

   The facility's emergency plan lacked information regarding continuity of operations. 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. Correction: continuity of operations will be added to the emergency plan. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/8/2025
2. Medium-High risk7/1/2025

   Training regarding plan (3280.26(c))

   The two most recent emergency plan training dates documented for Staff #2 are dated 7/24/23 and 6/25/25, more than 12 months apart. 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. Correction: Staff #2 has a current emergency plan training on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/1/2025
3. Medium-High risk7/1/2025

   Plan posted (3280.26(d))

   The operator did not have the emergency plan posted in a conspicuous location. Requirement: The operator shall post the emergency plan in the facility at a conspicuous location. Correction: I will make sure to post the emergency plan on the bulletin board. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/5/2025
4. Medium risk7/1/2025

   Age and training (3280.31(e))

   The file for Staff #1 contained 2 out of 12 childcare training hours. The file for Staff #2 contained 0 out of 12 childcare training hours. Requirement: A staff person shall obtain an annual 12 clock hours of child care training. Correction: Staff #1 will complete 10 hours of training. Staff #2 will complete 12 hours of training Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/5/2025
5. Medium-High risk7/1/2025

   Comply with CPSL (3280.32(a))

   The file for Staff #1 and Staff #2 contained an NSOR clearance dated 6/26/20, more than 60 months prior. The most recent mandated reporter training on file for Staff #2 is dated 9/1/19, more than 60 months prior. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).. LACKING REQUIRED HIRING DOCUMENTS: Staff #1 and Staff #2-- may not work in a childcare position at the facility. Correction: Staff #1 and Staff #2 have obtained the NSOR clearance Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/15/2025
6. Medium risk7/1/2025

   Protective Outlet Covers 5 yrs. or less (3280.65)

   In the front room, two electrical outlets lacked outlet covers. In the back room, the electrical outlet under the thermostat lacked an outlet cover. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: I will place outlet covers on the outlet plugs. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/5/2025
7. Medium-High risk7/1/2025

   Locked or inaccessible - in original container (3280.66(a))

   In the bathroom, a d-Con insect trap, Lysol, Lysol Bathroom Foam, air freshener, and all-purpose cleaner, all labeled keep out of the reach of children, were observed behind the toilet and accessible to children. In the back-room area, a container of Clorox bleach, labeled keep out of the reach of children, was observed on a table and accessible to children. 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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces. Correction: All toxics were placed in a separate room to make it inaccessible to children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/8/2025
8. Medium-High risk7/1/2025

   Building Surfaces (3280.76)

   In the backroom area, metal heating register grates were observed to be broken and not in good repair. 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: I will have the metal heating grates repaired or replaced. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/5/2025
9. Medium-High risk7/1/2025

   Refrigerator (3280.106)

   The facility's refrigerator lacked a thermometer. Requirement: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator. Correction: Thermometer is now in the fridge. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/5/2025
10. Medium-Low risk7/1/2025

    Signed (3280.123(a))

    The file for Child #1 (present at the facility) lacked an agreement form. Requirement: An agreement shall be signed by the operator and the parent. Correction: The parent of Child #1 will fill out an agreement form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/5/2025
11. Medium-High risk7/1/2025

    Services proceeded (3280.123(a)(3))

    The file for Child #3, enrolled more than 6 months, lacked a child service report form documenting the child's growth and development. 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 #3 no longer attends Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/5/2025
12. Medium-High risk7/1/2025

    Each child emergency contact person (3280.124(a))

    The file for Child #1 (present at the facility) lacked an emergency contact form. Requirement: Emergency contact information is required for each enrolled child. Emergency contact information shall reference who shall be contacted in an emergency. Correction: The parent of Child 1 will complete an emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/5/2025
13. Medium-High risk7/1/2025

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

    The emergency contact form for Child #2 lacked the enrolling parent's home address. The emergency contact form for Child #3 lacked the enrolling parent's work address and work phone number. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Child #2 parent will add their home address to the emergency contact form. Child #3 no longer attends Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/5/2025
14. Medium-High risk7/1/2025

    Insurance coverage information (3280.124(b)(6))

    The emergency contact form for Child #2 lacked the name of the child's health insurance. 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: Parent of Child #2 will add the health insurance name Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/5/2025
15. Medium-High risk7/1/2025

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

    The emergency contact form for Child #2 lacked the release person's phone number. The emergency contact form for Child #3 lacked the release person's address. 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: Child #2 parent will add release persons phone number. Child #3 parent will add the address for the release persons. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/5/2025
16. Medium-High risk7/1/2025

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

    The most recent 6-month review of the emergency contact form for Child #2 is dated 6/25/24, more than 6 months prior. The most recent 6-month review of the emergency contact form for Child #3 is dated 7/2/24, more than 6 months prior. 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: Parents of child 2 will review and update the emergency contact form. Child # 3 no longer attends Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/5/2025
17. Medium risk7/1/2025

    Initial health report for older toddler/preschool no more than 1 year/Initial and subsequent health assessments (3280.131(a)(3)/3280.182(1))

    The initial health report form on file for Child #3, enrolled on 6/30/24, is dated 10/10/22, more than 12 months prior to the child's start date. Requirement: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. A child's record must contain initial and subsequent health reports. Correction: Child #3 will get a new health report form completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/5/2025
18. Medium-High riskStandard 127/1/2025

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

    The most recent health assessment on file for Staff #2 is dated 9/21/22, more than 24 months prior. 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 #2 will get a new health assessment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/5/2025
19. Medium risk7/1/2025

    Safe routes posted (3280.171(c))

    The operator did not have the pick-up/drop-off procedures posted at a conspicuous location in the childcare facility. Requirement: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility. Correction: I will post the pick up/drop off procedures on the bulletin board. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/5/2025
20. Medium-High risk7/1/2025

    Emergency info/agreement updated 6 mos (3280.181(c))

    The most recent 6-month review of the agreement form on file for Child #2 is dated 6/2/23, more than 6 months prior. The most recent 6-month review of the agreement form on file for Child #3 is dated 6/30/24, more than 6 months prior. 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: The parents of child 2 will review and sign the agreement form. Child #3 no longer attends Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/5/2025
21. Medium-High risk7/1/2025

    Emergency plan (3280.26(a)(6))

    The facility did not have documentation that an emergency drill was completed. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: i will complete an emergency drill. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/8/2025
22. Medium-High risk7/1/2025

    Every 60 days (3280.94(a)(1))

    The most recent fire drill documented on the facility's fire drill log is dated 4/12/25, more than 60 days prior. Requirement: The primary staff person 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: Another fire drill will be completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/8/2025
23. Medium-High risk7/1/2025

    Evacuation routes posted (3280.94(a)(5))

    The operator did not have evacuation routes posted in a conspicuous location in the facility. Requirement: The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility. Correction: Evacuation map will be posted on the bulletin board. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/8/2025
24. Medium-High risk7/1/2025

    FIRE DETECTION (3280.95(a))

    The most recent fire alarm test documented on the facility's fire detection log is dated 4/12/25, 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)). Correction: The fire alarm was tested on 7/1/25 and documented. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 7/1/2025