SUSAN M DUGAN

Bottles labeled (3290.166(4))

On 7/9/26, at time of unannounced inspection, a bottle was observed in the pack n play. The bottle was not labeled with the child's name. Requirement: Disposable nursers and bottles shall be labeled with the child's name. Correction: To make sure child's name is on their bottle. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Child's hands washed (3290.134(a))

On 7/9/26, at time of unannounced inspection, Staff #1 was observed changing diapers. Upon completing each diaper change, Staff #1 did not ensure children's hands were washed. Requirement: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. Correction: To make sure all childrens hands are washed after diapering. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked (3290.133(4))

On 7/9/26, at time of unannounced inspection, a prescription medication was observed accessible to children on the kitchen table. Requirement: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children. Correction: To make sure medication is put up and away from children's reach. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Maximum Number of Children/Supervised at all times (3290.51/3290.113(a))

On 7/9/26, at time of unannounced inspection, Staff #1 was caring for more than 6 unrelated children at one time. At approximately 11:00am, eight unrelated children were observed receiving care at the facility. (1 Infant, 1 YT, 1 OT, 2 PS and 3 YSA) Requirement: The number of children in care may not exceed six children at any one time who are unrelated to either the legal entity or the staff person. At any one time, the related children of either the legal entity or the staff person, but not both, may be excluded in determining compliance with this section. 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. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio). Correction: To make sure that there is the correct number of children here and not to go over my licensed allotted children. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible - in original container (3290.64(a))

On 10/17/25, at time of renewal. mouthwash instructing to "keep out of reach of children" was observed accessible to children under an unlocked sink cabinet in the bathroom. 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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces. Correction: Mouthwash was removed from cabinet at time of inspection and placed in an area inaccessible to children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3290.32(a))

On 10/17/25, at time of renewal, Staff #1 file did not contain Mandated Reporter Training dated within 60 months as required by the CPSL. The Mandated Reporter Training on file was dated 12/13/19. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: I will get letter of resignation from Staff #1. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated toddler/preschool health report: every 12 months/Initial and subsequent health assessments (3290.131(b)(2)/3290.182(1))

On 10/17/25, at time of renewal, Child #1 file did not contain a health report dated at least within 12 months. The health report on file was dated 11/21/23. 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 must contain initial and subsequent health reports. Correction: Provider requested health report from parent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated toddler/preschool health report: every 12 months/Initial and subsequent health assessments (3290.131(b)(2)/3290.182(1))

On 10/9/24, at time of renewal, Child #1 file did not contain an updated health report. The last health report was dated 11/16/22. 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 must contain initial and subsequent health reports. Correction: Provider will obtain an updated health report for Child #1 dated within 12 months, including immunizations. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Vet's certificate required (3290.117(c))

On 10/9/24, at time of renewal, rabies immunization was not current for cat at the facility. Requirement: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present. Correction: Provider will obtain updated rabies immunization for cat. In the meantime, cat will not be accessible to children when in care. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Contaminated trash in closed plastic-lined receptacle (3290.65(d))

On 10/9/24, at time of renewal, soiled diapers were observed in an open, unlidded waste receptacle. Requirement: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. Correction: Provider will order a lidded waste receptacle for diapers. Diapers will be placed in a closed, plastic lined receptacle. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).