JUST LIKE HOME CHILD DAY CARE CENTER INC

Clean and good repair/Small Toys and Objects (3270.102(a)/3270.103)

In Room #3, a multi-colored foam circle with Velcro, located next to the glass door, had rips at the seams with exposed foam and fraying strings. These items were accessible to children who are still placing objects in their mouths, posing a choking and ingestion hazard. 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. 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 circle was repaired. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

In Room #5B, an orange plastic crate containing toy cars, located on a bookshelf next to the sink, was cracked and chipped, creating exposed sharp edges that posed a potential cutting hazard. 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 orange plastic crate was repaired. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

The first aid kit in Room #4 lacked an assortment of adhesive bandages. 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: Assorted Adhesive bandages (Band Aids) were immediately placed in the first aid kit. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

Staff #1-- has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #1--- will have until 02.04.2026 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1-- 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 #1 --, staff person #1-- may not work in a child-care position at the facility. Correction: Staff will immediately complete the Mandated Reporter Training. Staff was properly supervised and will be removed at the end of the day and will not be able to return to childcare center until completed. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file(s) for Staff Person(s) #1 and #2 had NSOR Certificates dated more than 60 months apart. (SEE LIS CODE SHEET) 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 new NSOR for Staff #1 dated: 01.23.2025 and Staff #2 dated: 01.23.2025 were in the file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

110º F or less (3270.69(b))

The water temperature in the Large Room, was measured at 114.6 degrees which was accessible to children. Requirement: Hot water temperature, in areas accessible to children, may not exceed 110° F. Correction: The hot water valve was turned off. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports (3270.131(b)(2)/3270.182(1))

The Updated Child Health Assessment for Child #1 (PS) dated: 03.2025 was more than 12 months apart. (SEE LIS CODE SHEET) 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. A child's record shall contain initial and subsequent health reports. Correction: Child #1 had a health assessment that was received late and dated: 03.2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Immunization record/ACIP recommended immunization record (3270.131(d)(5)/3270.131(e))

The files for Child #2 enrolled for at least 60 days, lacked written verification of immunizations. (SEE LIS CODE SHEET) Requirement: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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: The director will have a discussion with the child #2's parent to get the updated immunization records. 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 initial health assessment for Child File #2 had an initial health assessment dated 06.2025 which is more than 60 days from the first day of attendance at the facility. (SEE LIS CODE SHEET) 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: Child #2 had a health assessment which was received late and dated 06.2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).