KIDS LAND DAYCARE

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

Observed 10/8/2025 staff # 2 medical assessment on file was dated for 10/4/2023, the medical assessments exceeded the 24-month of the signature date. 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: Staff #2 has an updated medical assessment on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months (3270.131(b)(2))

Observed 10/8/2025 child #1 file did not contain an updated health report on file. Child # 1 last physical was 9/5/2024. 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. Correction: Child #1 has an updated health report. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Each child care space (3270.124(c))

Observed 10/8/2025 emergency contact information was not located in the childcare space where children receive care. Requirement: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. Correction: The emergency contact forms are now located in every classroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name/address/phone release person (3270.124(b)(7))

Observed 10/8/2025 child # 1 file was missing the addresses of the individuals designated by the parent to whom the child may be released to on the emergency contact form. Requirement: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. Correction: Child #1 file now contains the address and phone # of the individuals designated by the parents whom the child can be released. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Insurance coverage information (3270.124(b)(6))

Observed 10/8/2025 child #1 file did not include the health insurance medical coverage information on the emergency contact form. Requirement: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Correction: Child #1 file includes the health insurance medical coverage on the emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Aides supervised all times (3270.37(c))

Observed 10/8/2025 staff #1 was observed supervising children alone without a qualified staff member qualified as an assistant group supervisor or higher. Requirement: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor. Correction: Staff #2 will not be caring after children alone until she obtains all the requirements. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Observed 10/8/2025 Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required Pediatric First Aid-CPR training prior to caring for children unsupervised. 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: Staff person #1has completed pediatric First Aid CPR training on 10/15/2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Aides supervised all times (3270.37(c))

Observed 10/23/2024 staff #1 was observed supervising children alone without a qualified staff member qualified as an assistant group supervisor or higher. Requirement: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor. Correction: We will make sure staff #1 will be supervised by qualified staff member. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(6))

Observed 10/23/2024 there was not a current emergency drill log documented on file at the facility. Current one was documented and dated for11/23/22. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: -To perform emergency drill and keep it on file at the facility. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name/address/phone release person (3270.124(b)(7))

Observed 10/23/2024 child file # 1,4, and 5 emergency contact form were missing the addresses of the individual designated by the parent to whom the child may be released. Child #1 and 2 were missing the telephone numbers of the individual designated by the parent to whom the child may be released on their emergency contact form. Requirement: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. Correction: Child's file #1,4, 5 emergency contact form was updated and now has the address of the people whom the child can be released. #1,#2 emergency contact form was updated as well and now has the phone numbers of the designated people. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Insurance coverage information (3270.124(b)(6))

Observed 10/23/2024 child #5 file did not contain their health insurance coverage policy information and number on the emergency contact form. Requirement: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Correction: Child #5 now contains health insurance information and number of the emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Physician name, address, phone (3270.124(b)(2))

Observed 10/23/2024 child #5 emergency contact information was missing the name, address and telephone number of the child's physician or source of medical care. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: Child's File #5 contains all the information for the child's physician such as name, address and telephone number as well as the source of medical care. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Designated release persons (3270.123(a)(5))

Observed 10/23/2024 child #2 and 3 agreement forms were missing the persons designated by a parent to whom the child may be released. Requirement: An agreement shall specify the persons designated by a parent to whom the child may be released. Correction: In the agreement form parents indicated to whom the child may be released. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

Observed 10/23/2024 the toys and play equipment outdoor were not clean and in good condition for children to play with. 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: We washed all the outdoor toys and made sure they are all in good repair and free from tough edges Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).