RETIKIS OPEN ARMS CHILDCARE 2

General Health and Safety (3270.21)

Staff person #1 had child #1 open the front door of the center for a therapist while staff person #1 supervised child #1 from the classroom side of the gate. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Spoke to all staff even if you are close no Child should open the door with or without permission. At any time. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health information/ACIP recommended immunization record (3270.131(a)/3270.131(e))

A copy of an initial health assessment was not on file for Child #1 within 60-days following the first day of attendance at the facility. 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. 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: I currently recieved the childs shot record and physical signed by the Doctor with date of 1/27/2026. I will ensure that physicals for older toddler child at the facility are on file more than 60 days following the first day of attendance at the facility Inspection: Unannounced Monitoring. 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))

Upon review of facility records, Facility person # 1 tested the smoke detectors on 12/5/25 and did not complete a subsequent test within 30 days. Facility person #1 did not document the January smoke detector testing on the log. (CORRECTED ON SITE) 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: I initialed and dated dates on logs to be compliant with ACT 62. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Children with Symptoms of Disease (3270.137)

It was noted by facility person #1 that child #2 was excluded from attending the childcare due to a persistent cough with upper respiratory issue per the facility's sick policy despite a doctor's notes dated 1/12/2026 permitting the child to return to school. Requirement: An operator who observes an enrolled child with symptoms of a communicable disease or infection that can be transmitted directly or indirectly and which may threaten the health of children in care shall exclude the child from attendance until the operator receives notification from a physician or a CRNP that the child is no longer considered a threat to the health of others. The notification shall be retained in the child's file. Diseases and conditions which require exclusion are specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases). Correction: If the child has a doctors note and still have symptoms they will be allowed in day care. We will have notification from a physician or a CRNP that the child is no longer considered a threat to the health of others and allow children in care. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two facility persons present in facility (3270.54(a))

It was observed that there was 1 facility person present in the facility providing care for 4 preschool children. Other staff were away from the facility providing transportation for a mid-day child pick-up. Requirement: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person. Correction: 2 people in the center at all time no matter the ratio of children at all times. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Accommodate a child with special needs (3270.17(a))

The facility did not make reasonable accommodations for child to receive specialized services as facility person #1 stated that in December 2025, a child's therapist was not initially allowed access to the facility by on-site facility staff. Facility person #1 stated that facility staff called them on the phone and facility person #1 returned to the center to allow access to the therapist. The therapist had to wait in the parking lot. Requirement: The operator shall make reasonable accommodation to include a child with special needs in accordance with applicable Federal and State laws. Correction: Therapist are allowed in the building without schedule and adheres to reasonable accommodation to include a child with special needs in accordance with applicable Federal and State laws. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan (3270.27(c))

Staff emergency plan training was not updated annually. The file for facility person # 2 and facility person #4 included documentation of emergency plan training on 5/01/24 with an update on 7/01/25. Requirement: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. Correction: The operator will assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update as training will be taking yearly on time. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Staff fire safety training was not conducted annually. The file for facility person #1 included documentation of fire safety training on 5.6.24 with an update on 7.22.25. The file for facility person #2 included documentation of fire safety training on 5.17.24 with an update on 7.23.25. 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: Training was taken not on time. Staff persons will participate, at least annually, in fire safety training conducted by a fire protection professional. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

It was observed that the first aid did not include tweezers in the small room across form the kitchen, (toddler Room) . 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: Put tweezers in the first aide bag. All first-aid kits will all items including tweezers. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written plan (3270.111(a))

In the small room across from kitchen ( Toddler rm), the written plan of activities did not include times for various activities and routines. Requirement: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. Correction: I added time to the toddler activity sheet. We will have a written plan of daily activities and routines, including a time for free play shall be established for each group. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Pick-up and drop-off points (3270.171(a))

At the time of inspection, the facility's operator did not have documentation on file notifying local traffic safety (PennBrook) authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. Requirement: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. Correction: Created a traffic safety letter and submitted it to Pennbrook Police regarding the location of our facility and the program's use of pedestrian and vehicular routes around the child care facility. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

Cert rep observed a visible hole about 2 inches in diameter on the left wall in the front room childcare space. There was also peeling paint by a green table on walls just below the window. There was also a broken floor tile observed to the right of entrance of the facility. 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: We temporarily placed tape and a poster over the hole by the table. We will have a more permanent fix through your facility landlord. There are not visible hazards. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Wholesome (3270.161(a))

It was observed that food stored in the refrigerator was outdated. Jars of Peanut butter had best buy dates of 3/12/24 & 7/6/2022 and cottage cheese with a best by date of 6/21/23. There was also a BBQ sauce that had spilled all over the outside of the container. It was also observed that baked mac and cheese that was left out on the kitchen counter and left uncovered for more than 45 minutes. Requirement: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption. Correction: I immediately removed all old and outdated food from the refrigerator. I will ensure that all food items are within the best used dates and not outdated. I also cleaned the refrigerator when the inspector was on site. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3270.21)

It was also observed that a toaster oven and oil in an original container located on a table which was accessible to children. (CORRECTED ON-SITE) Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: I ensured that all conditions my facility is safety for all children. I removed the toaster oven and oil from the table and placed into the kitchen. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

At the time of complaint investigation, cert rep observed 3 young toddlers and 3 older toddlers in the first childcare space. Facility persons #1 and #2 did not correctly identify the children in their primary care groups. 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: Each morning , staff are informed of children in their care groups. I went over this with facility staff and use a dry erase board to be in compliance at all times with supervision as to knowing the names of children in their group. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).