INSPIRE EARLY EDUCATION EXETER

Locked or inaccessible (3270.66(a))

While at the facility unannounced on 10/09/25 the inspector observed a purse on the steps that lead to the sink that the toddlers use after diaper changes. The inspector observed two prescription bottles inside the purse that were accessible to the toddlers. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: After speaking with the inspector, the Director informed Teacher that her purse, cleaning materials, and toxic materials needed to be locked up immediately. Teacher locked her purse in a cabinet inside of her classroom. Director went to each classroom and did an inspection to make sure all cleaning materials, toxic materials, and purses/bags were locked up. Director verbally reminded all staff of the regulation that all cleaning materials and other toxic substances need to be stored away in a way that is inaccessible to children, in a locked container or area. Director also sent out an email to inform staff of the regulation. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Surfaces cleaned (3270.135(b))

While at the facility unannounced on 10/09/25 for a complaint the inspector was able to verify that staff #1 was not cleaning the diaper changing area after each diaper change. Requirement: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering. Correction: Director informed staff that she needed to clean the mat and underneath the mat at each diaper change. Director reviewed diaper changing procedure with staff and observed staff performing the diaper changing procedure. Director created a changing table checklist for staff to initial after she checks to make sure her changing table and area underneath the changing table is clean, every half hour. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

While at the facility unannounced on 10/09/25 for a complaint the inspector observed food and other detritus in between the space where the mat meets the edge of the change table as well as on the back side of the mat in the toddler room. 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: Director informed staff that she needed to clean her mat and underneath the mat immediately and told her that going forward to make sure she cleans it after each diaper change. Director went to the other rooms with changing tables and checked to make sure their mats were cleaned and that the area under their mats was cleaned as well. Director made a cleaning mat checklist for the classroom for staff to check and sign each half hour to ensure mats and underneath mats are clean. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Medication log (3270.133(7))

During the course of the unannounced renewal inspection on 7/22/25 the inspector observed an Eppi-Pen for a child currently enrolled at the facility that was missing the required medication log. Requirement: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. Correction: Provider reached out to family the same day and had family fill out new medication log that was previously misplaced. Parent signed new medication log for Epi-Pen. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the course of the unannounced renewal inspection on 7/22/25 the inspector reviewed child files and found that child #3 did not have the required address for the designated release person as is required. 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: Provider reached out to family to have them add the address of the designated release on their emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent home/work address, phone (3270.124(b)(3))

During the course of the unannounced renewal inspection on 7/22/25 the inspector reviewed child files and found that children #1, #2, #3, #4, #5, and #6 did not have the required enrolling parent's work address. The inspector also observed that children #1, #3, #4, #5, and #6 were also missing enrolling parent's work phone number as is required. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Provider will ensure emergency contact form includes the home and work addresses and telephone numbers of all families enrolled in the center. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

During the course of the unannounced renewal inspection on 7/22/25 the inspector observed some chipped paint in the rear hallway accessible to children. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: Chipped paint is being fixed and painted in the rear hallway that is accessible to children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the course of the unannounced renewal inspection on 7/22/25 the inspector reviewed staff files and found that staff #1 and observed that the staff had a previous DHS FBI on file dated 3/11/20 and did not update this again until 3/12/25. 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 had a DHS FBI clearance on file that was expiring on 03/11/25. Staff obtained a new DHS FBI clearance on 03/12/25 before beginning her shift for the day. Staff has a current DHS FBI clearance on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Fire safety - 1 yr. (3270.31(e)(4)(ii))

During the course of the unannounced renewal inspection on 7/22/25 the inspector reviewed staff files and found that staff #2 and observed that the staff had an initial annual fire safety training on file dated 3/11/24 and did not update the training until 6/25/25. Requirement: Staff persons shall participate, at least annually, in firesafety 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. Correction: Staff # 2 has an updated fire safety training on file. Provider will ensure that all staff get reminders of upcoming expiration dates of their annual fire safety training one month prior, two weeks prior, and the day before to ensure compliance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

2 feet apart (3270.106(f))

While at the facility unannounced on 3/14/25 the inspector observed six toddlers, asleep on cots in the young toddler room, that were touching, with one toddlers foot resting on the other sleeping child's cot. 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: Director spoke with staff to ensure that when cots are placed, at least two feet of space is required on three sides of a bed, cot, crib, or other rest equipment while the equipment is in use. Director is checking daily to make sure that all staff are following the regulation. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Fire safety - 1 yr. (3270.31(e)(4)(ii))

While at the facility unannounced on 11/14/24 for the renewal the inspector reviewed the staff files and found that staff #1, #2, #6 all had previous fire safety training on 3/2/23 and did not obtain this training again until 3/5/24. Staff #6 had previous fire safety training on 9/29/23 and did not obtain this training again until 10/24/24. Requirement: Staff persons shall participate, at least annually, in firesafety 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. Correction: Provider will ensure that staff complete their fire safety training annually and that no lapses in time occur. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Handwashing signs (3270.82(h))

While at the facility unannounced on 11/14/24 for the renewal inspection the inspector observed the PreK 1 bathroom to be missing a handwashing sign. 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 sign was replaced on 11/14/24. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

While at the facility unannounced on 11/14/24 for the renewal inspection the inspector observed the sink vanity in the PreK 1 classroom to be peeling down the side and accessible to children. 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: Provider contacted contractor to fix the sink in the PreK1 bathroom. Contractor replaced the sink vanity 11/16/24. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

While at the facility unannounced on 11/14/24 for the renewal inspection the inspector observed that staff #4 had not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). This training was not completed until 5/9/24. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: Staff #5 completed the mandated reporter training on 05/09/24. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

While at the facility unannounced on 11/14/24 for the renewal the inspector reviewed the staff files and found that staff #2 had a previous PA Child Abuse clearance dated 2/22/19 and did up obtain a new clearance until 5/7/24. This clearance was not updated every 60 months as required by the CPSL. This clearance needed to be updated by 2/22/2024 The file for staff#5 was also reviewed and this staff did not have a complete PA State Police clearance on file as is required, 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. Facility Person # 5 may not work in a childcare position at the facility. Correction: Staff # 2 updated child abuse clearance on 05/07/24. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Contact when ended (3270.27(a)(4))

While at the facility unannounced on 11/14/24 for the renewal the inspector reviewed the emergency plan and noted it was missing the method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. Requirement: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. Correction: Provider will add instructions to the emergency plan related to informing parents that an emergency has ended and to provide instructions on how parents can be safely reunited with their children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Pertinent Laws & Regulations/General Health and Safety (3270.14/3270.21)

While at the facility unannounced on 11/14/24 for the renewal the inspector reviewed the emergency plan and found that it did not address continuity of operations as was required to be part of the emergency plan by 7/1/22." The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster. 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: Provider will add the following information to the emergency plan: continuity of operations during and after an emergency that includes including daily operations, backing up or retrieving health and other key records/files, and managing financial issues, such as paying employees and bills during the aftermath of the disaster. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).