HASSAN DOCKERY FCCH

2025

1. Medium-High risk7/29/2025

   Emergency plan (3290.24(f))

   The letter given to parents regarding the emergency plan did not explain the emergency procedures to the plan as required in 3270.27 subsection a. (accommodations for infants, toddlers, children with disabilities, and chronic medical conditions and lockdown) Requirement: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. Revise the letter given to parents to ensure that it explains the emergency procedures and updates to the plan as required in 3270.27 subsection a. Submit a copy of the revised letter. Correction: We will revise the letter given to parents to ensure that it explains the emergency procedures and updates as required in 3270.27 subsection a. We will submit a copy of the revised letter. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/20/2025
2. High risk7/29/2025

   Hypothetical locations (3290.94(a)(4))

   Fire drill records contained the same hypothetical location of the fire for each fire drill for consecutive fire drills between (1/6/25 and 8/7/25). CONTIUING VIOLATION Requirement: The hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. Conduct a fire drill and ensure that it contains a hypothetical location that is different from the previous drill conducted. Submit a copy of a completed fire drill to verify compliance. Develop and submit a written policy statement indicating that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. Correction: A fire drill will be conducted, and we will ensure that it contains a hypothetical location that is different from the previous drill conducted. A copy of a completed fire drill will be submitted to verify compliance. A written policy statement will be developed and submitted indicating that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/20/2025
3. Medium risk7/29/2025

   Updated toddler/preschool health report: every 12 months (3290.131(b)(2))

   Several children's records did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#1, #3, and #4) CONTIUING VIOLATION 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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age. Correction: A current up-to-date health report will be obtained and submitted for the indicated children. We will ensure that an updated health report is obtained every 12 months for children older toddler to preschool age. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/20/2025
4. Medium-High risk7/29/2025

   Updated every 6 months/Emergency info/agreement updated 6 mos (3290.124(e)/3290.181(c))

   Emergency contact information in several children's records was not being updated every 6 months. (#1, #2, #3, #4) CONTIUING VIOLATION 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. Revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes. Correction: The children's records have current information. We will revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes. We will ensure that this information is updated every 6 months for all enrolled children as specified. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/20/2025
5. Medium-High risk7/29/2025

   Comply with CPSL/CPSL information (3290.32(a)/3290.192(3))

   The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff person's record did not contain the required CPSL hiring documents. (#1- the NOSR was more than 60 months old) (#2-the NOSR was more than 60 months old) Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 #1 and #2 may not work in a child care position at the facility until the proper clearances have been obtained. Submit a copy of the completed CPSL clearance documents for the identified facility persons as specified. Ensure that all clearances are completed and submitted in accordance with the CPSL. Correction: Facility person #1 and #2 will not care for children until the NSOR is updated. A copy of the completed CSPL clearances will be submitted. We will ensure that all clearances are completed and submitted in accordance with the CPSL. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/20/2025
6. Medium-High risk7/29/2025

   General Health and Safety (3290.18)

   The facility's written policies on shaken baby syndrome, abusive head trauma, and child maltreatment did not include the identification and prevention of child maltreatment. CONTIUING VIOLATION Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Revise and submit the facilities policies to include the identification and prevention of child maltreatment. Correction: The shaken baby syndrome, abusive head trauma, and child maltreatment policy will be amended to include the identification and prevention of child maltreatment. A written copy will be submitted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/20/2025
7. Medium risk5/15/2025

   Age and training (3290.31(f))

   Several staff person's record did not contain written verification of annual minimum 12 hours of childcare training. (#1, #2 and #3) Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Obtain and submit written verification of annual minimum 12 hours of child care training for the identified staff person. Correction: We will obtain and submit written verification of annual minimum 12 hours of child care training for the identified staff person. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 6/15/2025
8. Medium-High risk5/15/2025

   Emergency plan (3290.24(b))

   There was no written documentation indicating that the emergency plan had been reviewed and updated within the past 12 months in accordance with 55 PA CODE 3290 regulations. Requirement: The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility. Submit a written copy of the updated emergency plan. Ensure that the plan is reviewed and documented in writing annually as specified. Correction: We will review and update the emergency plan. A written copy of the updated emergency plan will be submitted. We will ensure that the plan is reviewed, updated and documented in writing annually as specified. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 6/15/2025
9. Medium-High risk5/15/2025

   Written record (3290.94(a)(9))

   Fire drill records did not include the hypothetical location of the fire and the names of facility persons. Requirement: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill. Conduct a fire drill and include this information on the DHS fire drill log form. Submit a copy of the completed fire drill record. Ensure that all future fire drill records include this information. Correction: We will conduct a fire drill and include this information on the DHS fire drill log form. A copy of the completed fire drill record will be submitted. We will use this form and ensure that all future fire drill records include this information. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 6/15/2025
10. Medium risk5/15/2025

    Updated toddler/preschool health report: every 12 months (3290.131(b)(2))

    Three children's records did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#2, #3, and #5) 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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age. Correction: We will obtain and submit a current up-to-date health report for the indicated child. We will ensure that an updated health report is obtained every 12 months for children older toddler to preschool age. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/15/2025
11. Medium-High risk5/15/2025

    Updated every 6 months/Emergency info/agreement updated 6 mos (3290.124(e)/3290.181(c))

    Emergency contact information in several children's record was not being updated every 6 months. (#1, #2, #3, #4, and #5) 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. Revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes. Correction: The children's records have current information. We will revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes. We will ensure that this information is updated every 6 months for all enrolled children as specified. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/15/2025
12. Medium-High risk5/15/2025

    Services provided (3290.123(a)(3))

    Several children's records did not contain a child service report that had been completed within the past 6 months. (#1, #2, #3, and #4). Requirement: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3290.124(eComplete and submit a current up-to-date child service report for the indicated child. Ensure that child service reports are completed for all children as specified in this regulation). Correction: A current up-to-date child service report will be completed ad submitted for the indicated children. We will ensure that child service reports are completed for all children as specified in this regulation. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/15/2025
13. Medium-High risk5/15/2025

    Training regarding plan (3290.24(c))

    Several facility person's records did not include written verification of annual emergency plan training. (#1, #2, and #3) 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. Provide and submit written verification of the completed training for all identified facility persons. Ensure that emergency plan training is completed and documented upon initial employment and annually. Correction: We will provide and submit written verification of the completed training for all identified facility persons. We will ensure that emergency plan training is completed and documented upon initial employment and annually. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/15/2025
14. Medium-High risk5/15/2025

    General Health and Safety (3290.18)

    The facility lacked written policies on the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Develop and submit written policies on the prevention of shaken baby, abusive head trauma, and child maltreatment. Correction: We will develop and submit written policies on the prevention of shaken baby, abusive head trauma, and child maltreatment. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/15/2025
15. Medium-High risk2/21/2025

    Emergency plan (3290.24(b))

    There was no written documentation indicating that the emergency plan had been reviewed and updated within the past 12 months in accordance with 55 PA CODE 3290 regulations. Requirement: The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility. Submit a written copy of the updated emergency plan. Ensure that the plan is reviewed and documented in writing annually as specified. Correction: We will review and update the emergency plan. A written copy of the updated emergency plan will be submitted. We will ensure that the plan is reviewed, updated and documented in writing annually as specified. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/20/2025
16. Medium risk2/21/2025

    Age and training (3290.31(f))

    Several staff person's record did not contain written verification of annual minimum 12 hours of childcare training. (#1, #2 and #3) Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Obtain and submit written verification of annual minimum 12 hours of child care training for the identified staff person. Correction: We will obtain and submit written verification of annual minimum 12 hours of child care training for the identified staff person. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/20/2025
17. Medium-High risk2/21/2025

    Every 60 days/Written record (3290.94(a)(1)/3290.94(a)(9))

    There was no written record of fire drills indicating that fire drills were being conducted every 60 days. Requirement: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill. Submit written records verifying that fire drills are being conducted every 60 days as required. Correction: Fire drills are held every 60 days as required. The written record was not available at the time of the inspection. We will submit a copy of the records to verify that fire drills are being conducted every 60 days in accordance with the regulations. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/20/2025
18. Medium riskStandard 122/21/2025

    12 months prior to service and every 24 months thereafter (3290.151(a)(2))

    Two staff person's record did not contain a health assessment completed within the past 24 months. (#2 and #3) Requirement: 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. Obtain and submit a current up-to-date health assessment for the identified staff person. Ensure that health assessments are completed within the required timeframes. Correction: We will obtain and submit a current up-to-date health assessment for the identified staff persons. We will ensure that health assessments are completed within the required timeframes. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/20/2025
19. Medium risk2/21/2025

    Updated toddler/preschool health report: every 12 months (3290.131(b)(2))

    Three children's records did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#2, #3, and #5) 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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age. Correction: We will obtain and submit a current up-to-date health report for the indicated child. We will ensure that an updated health report is obtained every 12 months for children older toddler to preschool age. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/20/2025
20. Medium-High risk2/21/2025

    Updated every 6 months/Emergency info/agreement updated 6 mos (3290.124(e)/3290.181(c))

    Emergency contact information in several children's record was not being updated every 6 months. (#1, #2, #3, #4, and #5) 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. Revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes. Correction: The children's records have current information. We will revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes. We will ensure that this information is updated every 6 months for all enrolled children as specified. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/20/2025
21. Medium-High risk2/21/2025

    Services provided (3290.123(a)(3))

    Several children's records did not contain a child service report that had been completed within the past 6 months. (#1, #2, #3, and #4). Requirement: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3290.124(e). Complete and submit a current up-to-date child service report for the indicated child. Ensure that child service reports are completed for all children as specified in this regulation. Correction: A current up-to-date child service report will be completed ad submitted for the indicated children. We will ensure that child service reports are completed for all children as specified in this regulation. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/20/2025
22. Medium-High risk2/21/2025

    Comply with CPSL/CPSL information (3290.32(a)/3290.192(3))

    The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Two staff person's record did not contain the required CPSL hiring documents. (#1 and #2- no completed mandated reporter training) Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 Persons #1 and #2 may not work in a child care position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required, completed CPSL clearance documents for the identified staff persons. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL. Correction: Facility Persons #1 and #2 may not work in a child care position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. We will submit a copy of the required, completed CPSL clearance documents (mandated reporter training) for the identified staff persons. We will ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL and maintained in their employee file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 3/20/2025
23. Medium-High risk2/21/2025

    Training regarding plan (3290.24(c))

    Several facility person's records did not include written verification of annual emergency plan training. (#1, #2, and #3) 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. Provide and submit written verification of the completed training for all identified facility persons. Ensure that emergency plan training is completed and documented upon initial employment and annually. Correction: We will provide and submit written verification of the completed training for all identified facility persons. We will ensure that emergency plan training is completed and documented upon initial employment and annually. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/20/2025
24. Medium-High risk2/21/2025

    General Health and Safety (3290.18)

    The facility lacked written policies on the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Develop and submit written policies on the prevention of shaken baby, abusive head trauma, and child maltreatment. Correction: We will develop and submit written policies on the prevention of shaken baby, abusive head trauma, and child maltreatment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/20/2025