CAROL LEONE GYMNASTICS AND DAYCARE

Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file (3270.182(7))

The parent of Child #1 did not receive an Incident Report on 8.26.25, following a noticed bruise on Child #1. Requirement: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. Correction: Teachers have been reminded to check with co-teachers regarding the write-up of incidents and to not assume that someone else wrote the report. [Child #1 is no longer at the facility.] Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

The file for Staff #6 (see IS Code Sheet) contained an NSOR Certificate dated 8.5.25, which exceeded the start date with children. The file for Staff #8 contained NSOR Certificates dated 9.25.19 and 4.9.25, which exceeded the 60-month renewal requirement. The file for Staff #9 contained FBI Clearances dated 2.12.19 and 3.18.24, and NSOR Certificates dated 11.1.19 and 11.5.24, which exceeded the 60-month renewal requirement. The file for Staff #10 (see IS Code Sheet) contained an NSOR Certificate dated 7.30.25, which exceeded the start date with children. The file for Staff #11 (see IS Code Sheet) contained an NSOR Certificate dated 3.13.25, which exceeded the start date with children. The file for Staff #13 (see IS Code Sheet) contained an NSOR Certificate dated 3.18.25, which exceeded the start date with children. The file for Staff #14 contained Child Abuse Clearances dated 9.28.19 and 4.18.25, FBI Clearances dated 10.2.19 and 10.25.24, and NSOR Certificates dated 11.1.19 and 4.9.25, which exceeded the 60-month renewal requirement. The file for Staff #16 contained Child Abuse Clearances dated 7.8.19 and 8.1.24, and NSOR Certificates dated 11.21.19 and 4.10.25, which exceeded the 60-month renewal requirement. The file for Staff #18 (see IS Code Sheet) contained an NSOR Certificate dated 3.25.25, which exceeded the start date with children. The file for Staff #19 contained NSOR Certificates dated 11.6.19 and 4.10.25, which exceeded the 60-month renewal requirement. The file for Staff #23 contained FBI Clearances dated 12.31.18 and 2.13.24, and NSOR Certificates dated 10.9.19 and 12.9.24, which exceeded the 60-month renewal requirement. The file for Staff #24 contained NSOR Certificates dated 9.29.19 and 4.10.25, which exceeded the 60-month renewal requirement. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: Incoming employees will be required to obtain their NSOR certificate before coming to the center for training. (Everyone is currently up to date) Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Protective Outlet Covers 5 yrs. or less (3270.65)

In the Staff Lounge Room, a power strip which was located to the left of Drawer #1, was missing three (3) of the six (6) receptacle covers, which were accessible to children 5 years of age or younger. In the Indoor Gym, two (2) outlet covers were missing from the outlet to the left of the mirror wall, which were accessible to children 5 years of age or younger. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: Covers were placed on all areas that were missing covers. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

In an unlocked cupboard in the Dragonfly A Room, the following toxics were accessible to children: 2 Oxi-Clean Carpet & Rug Spray (24 oz. each), 2 Dawn Dishwashing Liquid (5.8 oz. and 90 oz.), Sani Save Cleaner Spray, Clorox Wipes (1 lb. 7oz.), Lysol Cleaner Spray (32 oz.), 2 Windex Spray (23 oz. and 32 oz.), Members Mark Hand Soap (80 oz.), Super Sorb (12 oz.), Oxy-Steam Carpet (96 oz.), Scrubbing Bubbles (25 oz.), and 70% Isopropyl Alcohol (32 oz.), all of which stated, "Keep out of reach of children." In an unlocked drawer in the Staff Lounge Room, the following toxics were accessible to children: Diluted Bleach and Sani Save, which stated, "Keep out of reach of children." Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: Locks inside of the Dragonfly cupboard have been replaced. Each door has a child proof safety lock. the cleaning supplies in the Lounge have been removed but there is a locked drawer to house items that need to be kept out of the reach of children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Original container (3270.66(b))

In the white cupboard, on the back wall in the Caterpillar Room, there was a spray bottle marked Changing Table, with unknown contents. Requirement: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces. Correction: The contents of that bottle have been placed into the correctly labeled container. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Inaccessible to children (3270.75(b))

In the Dragonfly A Room, the first-aid kit was located in a drawer with a broken latch, which made the first-aid kit accessible to children. In the Staff Lounge Room, the first-aid kit was located in unlocked drawer #4, which was accessible to children. Requirement: A first-aid kit must be inaccessible to children. Correction: The latch in the Dragonfly drawer has been replaced and the first aid kit in the staff lounge has been moved to a locked drawer Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

In the Staff Lounge Room, on the blue wall, peeling wallpaper was located near the baseboard. 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: Blue tape was placed on top of the peeling wallpapper to prevent any future hazards. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

In the Roly Polies Nap Room, on the left side of the wall, white paint was flaking near the baseboard. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: Paint on the baseboard has been touched up. there is no longer paint flaking off. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training/Exp, educ., training at facility (3270.31(e)/3270.192(2)(iii))

The file for Staff #1 contained documentation of four (4) hours of child care training between 12.19.23 and 12.18.24, which did not meet the annual minimum of 12 hours. The file for Staff #2 contained documentation of two (2) hours of child care training between 11.4.23 and 11.3.24, which did not meet the annual minimum of 12 hours. The file for Staff #3 contained documentation of four (4) hours of child care training between 12.19.23 and 12.18.24, which not meet the annual minimum of 12 hours. The file for Staff #5 contained documentation of two (2) hours of child care training between 12.19.23 and 12.18.24, which did not meet the annual minimum of 12 hours. The file for Staff #7 contained documentation of two (2) hours of child care training between 12.19.23 and 12.18.24, which did not meet the annual minimum of 12 hours. The file for Staff #8 contained documentation of three (3) hours of child care training between 12.19.23 and 12.18.24, which did not meet the annual minimum of 12 hours. The file for Staff #9 contained documentation of eight (8) hours of child care training between 12.19.23 and 12.18.24, which did not meet the annual minimum of 12 hours. The file for Staff #14 contained documentation of four (4) hours of child care training between 12.19.23 and 12.18.24, which did not meet the annual minimum of 12 hours. The file for Staff #16 contained documentation of four (4) hours of child care training between 12.19.23 and 12.18.24, which did not meet the annual minimum of 12 hours. The file for Staff #17 contained documentation of eight (8) hours of child care training between 11.8.23 and 11.7.24, which did not meet the annual minimum of 12 hours. The file for Staff #19 contained documentation of seven (7) hours of child care training between 12.19.23 and 12.18.24, which did not meet the annual minimum of 12 hours. The file for Staff #20 contained documentation of one (1) hour of child care training between 8.25.24 and 8.24.25, which did not meet the annual minimum of 12 hours. The file for Staff #21 contained documentation of six (6) hours of child care training between 8.1.24 and 7.31.25, which did not meet the annual minimum of 12 hours. The file for Staff #22 contained documentation of two (2) hours of child care training between 12.19.23 and 12.18.24, which did not meet the annual minimum of 12 hours. The file for Staff #23 contained documentation of four (4) hours of child care training between 12.19.23 and 12.18.24, which did not meet the annual minimum of 12 hours. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: Credit Hours will be borrowed from the current training window. Everyone just completed a 13 credit course that will cover any missing credits. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Health assessment, TB test (3270.151(a)/3270.192(3))

The two (2) most recent Health Assessments in the file for Staff #9, Staff #12, and Staff #22 exceeded the 24-month renewal requirement. 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. 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: All employees are currently up to date with their Health Assessments Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent/Medication log (3270.133(6)/3270.133(7))

In the Dragonfly B Room, the Medication Log for Child #2 had expired, and the medication was still available for administering to the child, without valid, written parental consent. Requirement: A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. Correction: The parent has signed a new medication log with an expiration date matching the medication on file (02/2027) as dosage will not change in that time period. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for Child #1 did not include the enrolling parent's work phone number. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: A phone number was added for the parent's workplace both on paper forms and the electronic database. If a work number is not applicable, a parent's cell phone number will be listed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

In the Grasshopper Room, in the clear, plastic bin containing Barbie Dolls, which was approximately 24" x 18", the plastic was broken, which created a scraping/cutting hazard for children in care. 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 Barbie bin has been replaced. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Handwashing signs (3270.82(h))

A handwashing sign was not posted at the toilet in the Bumble Bee Annex 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: A handwashing sign has been posted above the toilet in the Bumblebee restroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Staff persons #1 and #2 were observed to be caring for children together in the Bumblebees Annex classroom unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric first aid and pediatric CPR Staff person #2 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric first aid and pediatric CPR, mandated reporter and health and safety topics 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 persons #1 and #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 and #2, staff persons #1 and #2 may not work in a child-care position at the facility. Correction: Teachers will be grouped so they are supervised by another staff that has completed preservice trainings and paperwork. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No physical punishment (3270.113(b))

Based on discussion with staff and video evidence, on 7/16/2025, staff #1 picked child #1 up off the floor by their arm and carried the child by the arm approximately 3 to 4 yards to another area of the classroom. This occurred after Child #1 was believed to have bitten or pinched another child in the classroom. Requirement: A facility person may not use any form of physical punishment, including spanking a child. Correction: {Staff #1} was called into the office and spoken to about her actions and was put on an immediate suspension until further notice. She resigned shortly after (never returned). Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

Staff person #1 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid/CPR training. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #1 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, staff person #1 may not work in a child-care position at the facility. Correction: Immediately following the inspection, CPR Pittsburgh was scheduled to come to our facility to complete First Aid/CPR and Fire Safety Training with staff and new employees. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

Staff person #1 has not completed 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). Until such time as the required training has been completed, staff person #1 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, staff person #1 may not work in a child-care position at the facility. Correction: Immediately following the inspection, Staff #1 was notified that their mandated reporter training had expired and that she needed to take it ASAP. She completed the training over the weekend(2 days later) Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Similar Age Level (3270.51)

During the supervision and ratio check a sleeping infant aged child was left in the Rolly Polly Left side room sleeping alone, while staff person was in Rolly Polly Right side room with 3 other infants. This made the ratio in the Rolly Polly Left side room 0:1. 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: Teachers were informed that if a teacher is alone in the Roly Polies, all children must be located on one side of the room, even when sleeping in their crib to maintain ratio. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3270.113(a))

During the supervision and ratio check a sleeping infant aged child was left in the Rolly Polly Left Side room sleeping alone, while staff person was in Rolly Polly Right Side room with 3 other infants. This left the child in the Rolly Polly Left Side Room unsupervised. 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. Correction: Teachers were informed that if a teacher is alone in the Roly Polies, all children must be located on one side of the room, even when sleeping in their crib to ensure proper supervision. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Restraints prohibited (3270.113(e))

Staff #1 put his arms and upper body over child #1 to restrict his movement on his cot. Requirement: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. Correction: Teachers were informed to call the office for back-up if needed when trying to calm a child. Teachers were also told to refrain from restraining a child in any manner and to use the emergency page system to inform all classrooms of a "runner". This will allow any available hands to assist the teachers that are unable to leave their room out of ratio. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

The file for Staff #3 (see IS Code Sheet) contained an NSOR Certificate dated 4.8.24, with no application available, which exceeded the first date of working with children. The file for Staff #7 (see IS Code Sheet) contained an NSOR application dated 7.8.24, which exceeded the first date of working with children. The files for Staff #7 (see IS Code Sheet) and Staff #9 (see IS Code Sheet) did not contain any out-of-state clearances, and the 45-day provisional hire period has been exceeded. The file for Staff #10 (see IS Code Sheet) contained an FBI Clearance dated 4.5.24, and an NSOR Certificate dated 5.20.24, with no application available, which exceeded the first date working with children. The file for Staff #13 contained Child Abuse Clearances dated 4.26.19 and 5.1.24, which exceeded the 60-month renewal requirement. The file for Staff #17 contained an invalid FBI Clearance dated 8.19.24, as it was not issued by DHS, and the previous one dated 9.3.19 has expired. The file for Staff #18 did not contain a valid FBI Clearance. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #7, Staff #9, Staff #17, and Staff #18 may not work in a child care position at the facility. Correction: All needed out-of-state clearances have been obtained. Any missing or incorrect clearances have also been obtained. In the future, all submission dates will be documented on the NSOR forms, as they need to be submitted multiple times before receiving results. The spreadsheet we currently use to track clearances, physicals, trainings, etc. will be checked routinely to ensure nothing is overlooked. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

The First-Aid kit, located in the Dance Floor room, did not contain band-aids. 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: A variety of bandages were placed in this kit immediately following inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

Sharp, loose wire, at the bottom of the fence along the road-side, in the Infant Play Area, created a scraping/cutting hazard for children in care. A hole was located on the surface of the Infant Play Area, which created a tripping hazard for children in care. 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: The fence will be repaired on/before 11/22/2024. The wires will be twisted back together and any sharp areas will be cut/filed down to ensure no possible future injuries. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

Peeling paint was located by the door frames in the Toddler Play Area. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: Peeling paint will be scraped and repainted on/before 11/22/2024 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).