TENDER CARE LEARNING CENTER/NEW CASTLE

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

The files for Staff #1 and #2 both contain 2 health assessments that are more than 24 months apart. 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: Staff #1and 2 have current health assessments on file. 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 #2, who is an older toddler age child, contained two child health reports that are 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. Correction: Child #2 has a current health report on file. 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 # 3, an infant aged child, contained two child health reports that were more than 6 months apart. 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: Child #3 has a current health report on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for Child #3 contained an emergency contact form that was lacking the child's medical insurance policy number. 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: Child #3 has an emergency contact form with a medical insurance policy number. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Designated release persons (3270.123(a)(5))

The file for Child #1 contained an agreement form that was lacking the persons to whom the child may be released. Requirement: An agreement shall specify the persons designated by a parent to whom the child may be released. Correction: Child #1 has a current enrollment agreement with persons that the child maybe released to. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Signed (3270.123(a))

The file for Child #4 was lacking an agreement form. Requirement: An agreement shall be signed by the operator and the parent. Correction: Child #1 has a current enrollment agreement on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

The file for Staff #1 contained two mandated reporter trainings that were more than 60 months between them. The file for Staff #2 contained two state police, two FBI and two NSOR clearances that were all more than 60 months apart. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: Staff #1 has a current mandated reporter training on file. Staff #2 has current state police, FBI, and NSOR clearances on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for Child #1 contained an emergency contact form that was lacking the address of one of the persons to whom the child may be released. 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 was called and gave the address of Child#1's emergency contact person. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

The file for Staff #3 contains two child abuse, two FBI and two NSOR clearances that are all more than 60 months apart. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: Staff person #3 renewed her child abuse, FBI and NSOR clearances as soon as it was discovered that the clearances were more than 60 months apart. The child abuse clearance was 37 days late, the FBI clearance was 25 days late, and the NSOR clearance was 14 days late. All clearances for Staff person #3 are currently up to date. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED, 15 credits + 1 yr/Exp, educ., training prior to facility (3270.36(b)(3)/3270.192(2)(ii))

The file for Staff #2, who was serving as an AGS at the facility was lacking 1 year documented child care experience. Requirement: An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours 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: Staff person #2, did have Child Employment Verification Forms documenting her experience, but these were not in her file. They were printed immediately from an email obtained when the staff person #2 was originally hired and placed in her file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

Both first aid kits in the Pre-K Room were lacking soap. Requirement: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. Correction: Soap was put into both first aid kits in the preschool room. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

Peeling paint was observed on the bottom of the wall in the first stall of the Rainbow Restroom in the Preschool Room and on the bottom of the wall in the first and second stall of the Sunshine Restroom in the Preschool Room. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: Areas were sanded and re-painted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Small Toys and Objects (3270.103)

The foam blocks in the toddler room have bite marks in them. The Little Pigs Stem Kit foam pieces in the Preschool Room have bite marks in them. Requirement: 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 foam blocks with bite marks in the toddler and preschool rooms were thrown in the trash. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Designated release persons (3270.123(a)(5))

The file for Child #2 contained an agreement form that was lacking the persons to whom the child may be released. Requirement: An agreement shall specify the persons designated by a parent to whom the child may be released. Correction: The parent was called and designated the person whom Child#2 may be released to on the agreement form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for Child #1 contained an emergency contact form that was lacking the child's medical insurance policy number. 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 parent was called and gave Child#1's medical insurance policy number. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

ACIP recommended immunization record (3270.131(e))

The file for Child #3 contains a child health report that was obtained more than 60 days after the child's enrollment date. Requirement: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Correction: Child #3 has a current up-to-date health report. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exemption documentation from parent/guardian (3270.131(e)(1))

The file for Child #1 contained an immunization record that was lacking 1 dose of rotavirus, 1 dose of DTAP, 1 dose of HIB, 1 dose of Pneumococcal and 1 dose of Polio. 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. Correction: Child #1 had gone to the doctor and received the doses listed but had not obtained a current vaccine record. Child #1's parent was notified, and we were provided with a current record that stated that the child had received the appropriate vaccines at the time of the inspection. 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 #1 contained two health assessments that were more than 24 months apart. 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: Staff #1 has a current up-to-date health assessment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exam communicable disease (3270.151(c)(3))

The file for Staff #2 contained a health assessment that had communicable diseases checked yes with no explaination. Requirement: An adult health assessment must include an examination for communicable diseases and the results of that examination. Correction: The doctor who conducted the staff health assessment, mistakenly checked that Staff person #2 had a communicable disease, but she does not. Staff person #2 went back to Med Express and obtained a corrected staff health assessment form, stating that she does not have a communicable disease. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Two fire drills were conducted 11.13.24-1.15.25 which is more than 60 days between the two drills. 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: Fire drills were conducted but were a few days past the 60-day regulation. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).