TUTOR TIME CHILD CARE/LEARNING CENTER

2025

1. High risk10/16/2025

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

   Based on the facility's self-report and staff statements, on 10/16/25 at approximately 9:30 am, child #1 was unsupervised in the classroom bathroom for a few minutes while the other children and staff exited the classroom during a fire drill. Staff #1, #2 & #3 were responsible for supervising the group of preschool aged children, including child #1 in the room prior to the fire drill. The staff had not been assigned supervision of specific children. None of the staff observed child #1 go inside the bathroom while the other children were lining up to leave the room. Child #1 was discovered to be in the bathroom by another staff who was assigned to check and clear all of the rooms during the fire drill. 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: primary care groups will be displayed and will be reviewed with the area manager to ensure proper policies and procedures are followed. Staff will be aware of the whereabouts of the assigned children in their groups at all times. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 10/16/2025
2. High risk10/16/2025

   Supervised at all times (3270.113(a))

   Based on the facility's self-report and staff statements, on 10/16/25 at approximately 9:30 am, child #1 was unsupervised in the classroom bathroom for a few minutes while the other children and staff exited the classroom during a fire drill. Staff #1, #2 & #3 were responsible for supervising the group of preschool aged children, including child #1 in the room prior to the fire drill. The staff had not been assigned supervision of specific children. None of the staff observed child #1 go inside the bathroom while the other children were lining up to leave the room. Child #1 was discovered to be in the bathroom by another staff who was assigned to check and clear all of the rooms during the fire drill. 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. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity will require all staff persons at the facility to complete a training regarding supervision that focuses on room transitions. The training must be offered by ELRC 5. The training may be virtual or in-person and must be a minimum of 2 hours in length. The training must be completed within 3 months of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Upon completion of the training, staff training documentation will be provided to the OCDEL-DHS representative by email. The training may count towards the mandatory 12 training hours required by the Department. The operator shall provide a date for when this training will be complete. Correction: 1. 10/16/25 supervsion will be maintained at all times. 2. 2/27/26 required ELRC training with all staff will be completed. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 2/27/2026
3. High risk10/16/2025

   Similar Age Level (3270.51)

   Based on the facility's self-report and staff statements, on 10/16/25 at approximately 9:30 am, child #1 was unsupervised in the classroom bathroom for a few minutes while the other children and staff exited the classroom during a fire drill. Staff #1, #2 & #3 were responsible for supervising the group of preschool aged children, including child #1 in the room prior to the fire drill. The staff had not been assigned supervision of specific children. None of the staff observed child #1 go inside the bathroom while the other children were lining up to leave the room. Child #1 was discovered to be in the bathroom by another staff who was assigned to check and clear all of the rooms during the fire drill. 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: individual conversations will be had with all staff and ratios will be maintained at all times. staff will sign off on a document saying that they have received training on maintaining state ratios and state ratios will be reviewed. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 10/16/2025
4. Medium-High risk7/9/2025

   Comply with CPSL (3270.32(a))

   Staff person #5 had not completed mandated reporter training within the 60 month window. This is evidenced by the previously documented mandated reporter training on file being dated 8/2019 and the updated one dated 2/2025. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: to ensure staff have trainings completed before deadline, a spreadsheet was created to keep track of all employee's trainings, clearances, and physical statuses. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/4/2025
5. Medium-High risk7/9/2025

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

   The file for staff #4 contains a NSOR clearance that was renewed late. It was due 1/2025 and obtained 3/2025. 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: to ensure staff have trainings completed before deadline, a spreadsheet was created to keep track of all employee's trainings, clearances, and physical statuses. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/4/2025
6. Medium risk7/9/2025

   Aides supervised all times (3270.37(c))

   Staff #1 and Staff #2 were observed to be caregivers in the YSA room at 10:45am without the direct supervision of a staff person qualified at minimum as an assistant group supervisor. Requirement: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor. Correction: will ensure that aides are supervised at all times by an assistant group supervisor or group supervisor. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/4/2025
7. Medium-High risk7/9/2025

   Building Surfaces (3270.76)

   Observed a hole in the wall in the Village classroom from the door hinge hitting into the wall. Observed the handle on the bathroom door in the YSA room to be broken. Observed the front door to the facility to not be closing properly. Observed 2 exposed toilet bolts on the toilets in the Early PS and YSA classrooms. 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: work orders have been put in for both items. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

   Physician/CRNP assessment/Health assessment, TB test (3270.151(c)(5)/3270.192(3))

   The health assessment on file for staff #3 indicated that she was NOT suitable to provide child care duties. Requirement: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. 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 has been put on leave until she provides the correct documentation allowing her to work with children. She is allowed by her neurologist to work with children but didn't have it on file. She is obtaining her current health assessment and will return after everything is complete. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/4/2025
9. Medium risk7/9/2025

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

   The files for children #3, #5, and #6 contain health assessments that were updated late. #3 due 7/2024 and obtained 12/2024; #5 due 11/2024 and obtained 12/2024; # 6 due 1/2025 and obtained 6/2025. 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: management will send home paperwork for updating bi-annually. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/4/2025
10. Medium-High risk7/9/2025

    Updated every 6 months/Emergency info/agreement updated 6 mos (3270.124(f)/3270.181(c))

    The files for children #1 - #4 and #6 contain emergency contact forms that were updated late. The forms were being updated every 9 to 12 months. 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: Managment will send home paperwork to be updated bi-annually. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/4/2025
11. Medium-Low risk7/9/2025

    Clean, age appropriate (3270.106(a))

    Observed cots in the PS room that were not properly labeled for the use of a specific child. Observed a child in a crib in the infant room that was not labeled for the use of that child. another child's name was on the crib. Requirement: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child. Correction: Preschool created a cot list for their cots. Infant room labels all cribs with child using it. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/4/2025
12. Medium risk7/9/2025

    Clean and good repair (3270.102(a))

    Observed a torn seat cushion on a children's bench in the outside large muscle space. Observed a torn cushion in the village classroom. 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: torn seat cushions that were outside were discarded. torn cushion in village was discarded. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/4/2025
13. Medium risk7/9/2025

    Lidded waste receptacles (3270.82(i))

    The waste can in the bathroom in the PS room lacked a lid. Requirement: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle. Correction: waste can was replaced with one with a lid. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/4/2025
14. Medium risk4/10/2025

    Grain (3270.163(a)(4))

    The lunch that was observed being served to children on 4/10/25 consisted of BBQ beef potato skins with cheese, carrots, blueberries and milk. The lunch did not contain a grain product. Requirement: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one grain. Correction: Leadership is involved with creating the menu to ensure we have all of the components necessary for breakfast and lunch. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/10/2025