LEARNING THRU THE ARTS

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

A renewal inspection occurred at the facility. A review of staff files was conducted. The CPSL requires staff to update their clearances at least every 60 months. The following staff did not update their NSOR clearance every 60 months: Staff #1 (previous 1/10/20, current 5/19/25). 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. Facility Person #1 may not work in a child care position with direct contact with children at the facility. Correction: Staff will be removed from child care until the updated clearance is received. 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))

An unannounced inspection occurred at the facility. A review of the facility's fire system testing log was conducted. Regulation requires a facility to test the fire safety system at least every 30 days. The following tests did not occur at least every 30 days: 2/3/25, 3/4/25 and 4/7/25. 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: The director will test the fire safety system at within every 30 days. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff to have on file two letters of written reference at the time of hire. Staff #1 and #4 were working in a child care role at the facility at the time of this inspection and their files did not contain two letters of written reference. Requirement: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Correction: We will ensure that all staff will have 2 written non-family references before hire date. Will request/obtain references for Staff #1 and #4. Staff #4 no longer works at the facility. Inspection: Allocated Unannounced Monitoring. 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))

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff to have a health assessment on file prior to working in a child care role at the facility. Staff #3 did not receive a health assessment until 4/27/25 which was after the staff's date of hire and this staff worked in a child care role at the facility until obtaining this health assessment. 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: We will ensure all staff will have their health assessment and TB test conducted within 12 months prior to date of hire and every 24 months after. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Each staff person meets quals/Exp, educ., training prior to facility (3270.33(a)/3270.192(2)(ii))

An unannounced monitoring visit occurred at the facility. A review of staff files was completed. See the code sheet for the date of hire. Regulation requires proof of education on file prior to working in a child care role at the facility in order to appropriately qualify staff. Staff #1 was working at the facility during this inspection and the file did not contain proof of education to qualify them for a child care role at the facility. Requirement: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: We will comply with the education requirements, trainings, and child care experience before date of hire. Will request/obtain education documents from Staff #1. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. The following staff were not hired correctly per the CPSL: Staff #1 did not receive their child abuse clearance or NSOR clearance prior to working in a child care role at the facility. Staff #1 was observed working during this inspection and was not hired correctly per the CPSL as a provisional hire. Staff #2 did not apply for their out-of-state clearances for which they lived in the past 60 months as required by the CPSL prior to working in a child care role at the facility. Staff #2 was observed working during this inspection and was not hired correctly per the CPSL as a provisional hire. Staff #3 did not receive their NSOR clearance or apply for the FBI clearance prior to working in a child care role at the facility. Staff #3 was observed working during this inspection and was not hired correctly per the CPSL as a provisional hire. Staff #4 did not apply for their out-of-state clearances for states where they lived in the past 60 months as required by the CPSL prior to working in a child care role at the facility. Staff #4 was observed working during this inspection and was not hired correctly per the CPSL as a provisional hire. Staff #1 and #4 were working together during this inspection. Staff #2 and #3 were working together during this inspection. These four staff were not supervised by an appropriate staff person per the CPSL. 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 #1, #2, #3 and #4 may not work in a child care position with direct contact with children at the facility. Correction: We will comply with CPSL and make sure staff has all required clearances and trainings along with the signed disclosure statement before date of hire. Staff will be removed from care with children until all clearance are received. Staff #4 no longer works at the facility. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire: pediatric first aid/CPR and health and safety training. Requirement: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility. Correction: Staff will complete pediatric first aid/ cpr and health and safety trainings within 90 days of their date of hire. Staff #4 will be supervised until preservice training is completed. Staff #4 is no longer employed at the facility. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan (3270.27(c))

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff to review the facility's emergency plan at the time of initial hire. Staff #4 has not yet reviewed the facility's emergency plan and has been employed at the facility for more than 90 days. 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: We will ensure all staff will review the facilities emergency plan at the time of initial hire on an annual basis and at the time of each plan update. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. The following staff were working unsupervised and did not have pediatric first aid/CPR training: Staff #1, #2, #3 and #4. Requirement: Staff person(s) shall complete professional development in the topics of 3270.31(f)(10). Until such time as the required training has been completed, staff persons #1, #2, #3 and #4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1, #2, #3 and #4, staff persons #1, #2, #3 and #4 may not work in a child-care position at the facility. Correction: Staff persons will be supervised by AGS who has completed the required training while working with children until they have received pediatric first aid and cpr training. Inspection: Allocated Unannounced Monitoring. 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))

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #5 worked in child care prior to receiving a health assessment. Staff #5 did not receive a health assessment until 9/5/23. 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: In the future, staff will obtain health assessments prior to working in a child care role at the facility. These health assessments will remain in the staff's file at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports (3270.131(b)(2)/3270.182(1))

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of birth. Child #2 had a health report dated for 12/23/22 and did not obtain another health report until 8/29/24. Based on the child's age, a health report was not obtained every 12 months on this child. 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. A child's record shall contain initial and subsequent health reports. Correction: In the future, staff will have the parents provide a health report on the children every 12 months for an older toddler or preschool child. These health reports will remain in the children's files at all times. 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))

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of birth. Child #4 had a health report dated for 8/14/23 and did not obtain another health report until 8/16/24. Based on the child's age, a health report was not obtained every 6 months on this child. 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: In the future, staff will have the parents provide a health report on the children every 6 months for an infant or younger toddler. These health reports will remain in the children's files at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff #3 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 1/7/17. Staff #3 completed this training on 1/10/22. 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: In the future, staff will participate in mandated reporter training as appropriate to the CPSL and regulation. Documentation of this training will be maintained in the staff file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

A renewal inspection occurred at the facility and a review of staff files was conducted. Staff # 1 did not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and CPR. Staff #1 completed this training on 7/16/24. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Correction: In the future, staff will complete pediatric first aid/CPR within 90 days of their hire date and will be supervised until this training is completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #1 was observed working at the facility and the file contained a DOE FBI clearance dated 3/10/23. The CPSL indicates that after 9/24/18 a DOE FBI clearance may not be used for employment in a DHS program. 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 #1 may not work in a child care position at the facility. Correction: Staff #1 will be removed from child care and will apply for the appropriate DHS FBI clearance. A copy of this clearance will be placed in this staff's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

A renewal inspection occurred at the facility. A physical site review was conducted. The bathroom in Preschool 1 was observed to have 4 holes in the wall. In the outdoor play area, the corner to the metal roof over the covered portion of the outdoor play area was found unattached and hanging. These areas were identified and addressed with staff during this inspection. 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 holes in the bathroom will be appropriate repaired. The roof corner in the outdoor play area will either be appropriately repaired or removed so that it is no longer hanging or posing as a hazard to staff and children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

A renewal inspection occurred at the facility. A physical site review was conducted. In the outdoor play area, ride on toys were found with broken areas. These toys were identified at the time of the inspection with staff. 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: Staff immediately removed the broken items from the outdoor play area. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).