AHEAD OF THE CURVE

General Health and Safety (3270.21)

A sharp knife was in a bowl in the sink at the kitchenette which was accessible to children. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Knife was immediately washed and removed from the sink Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Letter to parents (3270.27(e))

The parent letter lacked information on how parents are to be notified when an emergency arises and how parents can safely reunite with their child following an emergency, as well as accommodations for infants and toddlers. Requirement: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. Correction: Provider added needed information as to how parents are to be notified when an emergency arises and how parents can safely reunite with their child following an emergency, as well as accommodations for infants and toddlers. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Fire safety - 1 yr./Exp, educ., training at facility (3270.31(e)(4)(ii)/3270.192(2)(iii))

The files for Staff #1 and Staff #2 lacked documentation of current fire safety training. The previous fire safety training documentation is dated 1/5/25. Per staff statements, a current fire safety training was completed on 2/28/26. Requirement: Staff persons shall participate, at least annually, in fire safety 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: All trainings were completed on 2/28/26 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 #1 (See LIS Code Sheet) contained an FBI clearance dated 3/6/26 which was obtained more than 60 months from the previous FBI clearance dated 10/13/20. 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: Staff #1 obtained her FBI clearance on 3/6/2026 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/Exp, educ., training at facility (3270.32(a)/3270.192(2)(iii))

The file for Staff #3 (See LIS Code Sheet) contained a current Mandated Reporter training dated 3/29/26 which was obtained more than 60 months from the previous Mandated Reporter training dated 3/9/21. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: Staff #3 obtained her Mandated Reporter training dated 3/29/26 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Inaccessible to children (3270.75(b))

The bag containing the first aid kit in the Preschool room was hanging on the side of a shelf and accessible to children. Requirement: A first-aid kit must be inaccessible to children. Correction: "Go bag" was immediately put up. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Handwashing signs (3270.82(h))

The facility lacked handwashing signs above the toilet and urinal in the first restroom and above the toilet in the second restroom. Requirement: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. Correction: Handwashing signs were placed above the toilet and urinal in the first restroom and above the toilet in the second restroom immediately. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

2 feet apart (3270.106(f))

On 4/9/26 at approximately 10am, an infant was observed laying in a crib placed in a corner of the room that lacked 2 feet of space required on 2 sides. Requirement: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. Correction: Room was moved around to accommodate the required 2 feet of space and photos were sent to certification rep. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Admission date/Application, admission, withdrawal dates (3270.123(a)(6)/3270.182(2))

The agreement forms for Child #1 and Child #5 lacked the date of admission. Requirement: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child. Correction: Month of admission was stated on agreement. Exact day was added for Child #1 and Child #5 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent receives original/Copy of initial and subsequent agreements. Parent receives original. (3270.123(b)/3270.182(8))

The files for Child #1, Child #2, Child #3, Child #4, and Child #5 contained the original agreement forms. Requirement: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement. Correction: Original papers were given to parent Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written emergency plan posted (3270.124(e))

The Imagination Room lacked a copy of the Emergency Transportation Plan. Requirement: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. Correction: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was immediately hung. 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 emergency contact form and agreement form for Child #2 was updated on 4/7/26 which was more than 6 months from the previous review dated 7/30/25. 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: Emergency contact form and agreement form for Child #2 was updated on 4/7/26 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant: updated health report every 6 months/Initial and subsequent health reports (3270.131(b)(1)/3270.182(1))

The current health report on file for Child #2, a young toddler, was dated 2/24/26 which was obtained more than 6 months from the previous health report dated 7/29/25. Requirement: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports. Correction: Health report for child #2 was obtained on 2/24/2026 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written instructions (3270.133(2))

The medication at the facility for Child #6 lacked written instructions from the individual who prescribed the medicine. Requirement: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable. Correction: Mother brought original packaging along with prescription Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked cabinet/Confidential; stored in locked cabinet (3270.183(a)/3270.193(a))

Child and staff records were stored in an unlocked drawer in the office. Requirement: Child records are confidential and shall be stored in a locked cabinet. Facility persons' records are confidential and shall be stored in a locked cabinet. Correction: A new file cabinet with lock was purchased. Video and Photos were emailed to certification rep. 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))

Documentation of the fire alarm system test showed more than 30 days between testing: (1/16/26 and 2/27/26) 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: Test was completed on 2/27/2026 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Director or designated staff person responsibility/Every 60 days (3270.94(a)/3270.94(a)(1))

Documentation of fire drills showed more than 60 days between drills: 11/5/25 and 1/5/26. Requirement: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the critera specified in §3270.95Ia)(1)- (a)(9) are met 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: Fire drill was conducted on 1/5/2026. Due to holiday closure, it was a few days past 60. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

SECOND CITATION: Staff person #1 & #2 have not completed Pediatric first aid and CPR training on or before expiration of their most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring June 2025 for Staff #1 and October 2024 for Staff #2. Documentation of updated Pediatric first aid and CPR training is not on file. PREVIOUSLY CITED 12/12/25 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: All First Aid/CPR and Fire Safety classes were originally scheduled for 1/24/26. Our trainer was in an accident. They are rescheduled for 2/27/26 at 6:00. Owner will send new cards for all employees immediately following. Staff #1 and #2 will not work alone in rooms until classes are completed. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Information re: medical problems/Physician/CRNP assessment (3270.151(c)(4)/3270.151(c)(5))

The health assessment on file for Staff Person #3 lacked information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. Requirement: An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. Correction: Staff #3 provided new health assessment. Owner emailed it on 2/9/26. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Confidential; stored in locked cabinet (3270.193(a))

SECOND CITATION: The staff files were located in an unlocked drawer in the child care office where the door was unlocked and opened. PREVIOUSLY CITED 12/12/25 Requirement: Facility persons' records are confidential and shall be stored in a locked cabinet. Correction: Office door will remain closed and locked. Owner will be purchasing new file cabinet with lock. 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 #2 was observed to be caring for children unsupervised. Staff person #2 does not have current pediatric first-aid/CPR training on file. This is evidenced by the previously documented pediatric first- aid/CPR training expiration date of October 2024. 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 pre- service trainings are completed, staff person #2 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 #2, staff person #2 may not work in a child-care position at the facility. Correction: All CPR and Fire Safety classes have been scheduled for January 24th after the center closes. Owner will send new cards/proof of attendance to CR immediately The whole staff will be in attendance Staff #2 will not work alone until then. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Staff person #1 & #2 have not completed Pediatric first aid and CPR training on or before expiration of their most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring June 2025 for Staff #1 and October 2024 for Staff #2. Documentation of updated Pediatric first aid and CPR training is not on file. 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. Until such time as the required training has been completed, staff person #1 & #2 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 & #2, staff person #1 & #2 may not work in a child-care position at the facility. Correction: All CPR and Fire Safety classes are being scheduled for January 24th after the center closes. Owner will send new cards as proof of attendance. All staff will attend the training. Staff#1 and #2 will not work unsupervised until the training is completed. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

The file for Staff Person #4 lacked documentation of professional development training within 90 days of hire as listed in subsections (f)1-10. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #4 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 #4, staff person #4 may not work in a child-care position at the facility. Correction: Owner/director will find and provide documentation of required training which was completed within 90 days of hire. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Employed and present 30 hrs/wk (3270.34(c))

Based on staff statements and observation, the director is not present at the facility for a minimum of 30 hours per week. Requirement: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week. Correction: Director will be on site on Mondays from 3-6 and Tuesdays thru Fridays 7:30-5. Inspection: Allocated Unannounced Monitoring. 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 #3, identified as an assistant group supervisor, lacked documentation of a high school diploma or a general educational development certificate. 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: Owner will provide proof of High School diploma for Staff #3. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).