PROVIDENCE FAMILY SUPPORT CTR CHILDRENS PROGRAM

Devices must be compliant/Director or designated staff person ensure compliance (3270.95(a)/3270.95(b))

The facility's fire detection log documented dates 10/2/24-11/11/24, more than 30 days apart. 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 facility's fire detection log was updated on 12/9/24, within 30 days of the previous alarm pull. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Contact when arises (3270.27(a)(3))

The facility's emergency plan and emergency plan parent letter lacked a method for facility persons to contact parents when an emergency arises. Requirement: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. Correction: The facility's emergency plan and emergency plan parent letter were revised to include a method for facility persons to contact parents when an emergency arises. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Contact when ended (3270.27(a)(4))

The facility's emergency plan and emergency plan parent letter lacked a method for facility persons to contact parents once the emergency has ended and instruction on how to safely reunite with their children. Requirement: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. Correction: The facility's emergency plan and emergency plan parent letter were revised to include a method for facility persons to contact parents once the emergency has ended and instruction on how to safely reunite with their children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The two most recent fire safety trainings on file for Staff #1 are dated 9/29/24 and 10/8/25, more than 12 months apart. Requirement: Staff persons shall participate, at least annually, in fire safety 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: Facility person #1 completed Fire Safety training on 10/8/2025 (past the due date but before the annual inspection). Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

The PA State Police clearance for Staff #1 lacked the dissemination date, making it invalid. Staff #1 may not work in a childcare position at the facility. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff #1 -- may not work in a childcare position at the facility. Correction: Facility person #1 was notified on 10/15/2025 that she needed an updated Criminal Record Check. Check was completed on 10/16/2025 before returning to Providence as a substitute teacher from Pittsburgh Public Schools. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff evaluations (3270.34(a)(6))

The file for Staff #1 and Staff #2 lacked a written evaluation. Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: Staff persons #1 and #2 had written evaluations completed by Providence staff. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

Various toxics labeled "keep out of the reach of children" were observed in an unlocked/open hallway closet and accessible to children. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: The server room door was locked and a sign placed on the door -- "Keep Door Closed at All Times" Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Contaminated trash in closed plastic-lined receptacle (3270.67(d))

A trash receptacle containing tissues with human secretions was observed without a lid in Room 212. Requirement: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. Correction: The non-lidded trash receptacle was removed from Room 212 and a lidded, plastic, lined receptacle was added to the room for trash contaminated by human secretions or excrement. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

A missing ceiling tile was observed in Room 209. A broken floor tile was observed in the upstairs girl's bathroom. A gooey substance was observed behind the toilet in the upstairs boy's bathroom. Broken playground surfacing was observed on the walkway to the toddler playground. A cracked white plastic handrail was observed along the walkway to the toddler playground. 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 missing ceiling tile in Room 209 was replaced, the broken floor tile in the upstairs girl's bathroom was repaired, the gooey substance on the wall behind the toilet in the upstairs boy's bathroom was removed, the playground surfacing on the walkway to the toddler playground was replaced and the cracked white plastic handrail bases were removed along the toddler playground walkway. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Small Toys and Objects (3270.103)

Large blue foam blocks were observed to contain peeling foam in the gym and accessible to children still placing objects in their mouths. Requirement: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths. Correction: The large blue foam blocks were removed from the gymnasium and are no longer accessible to children who are still placing objects in their mouth. We plan to replace the blocks as opposed to trying to safely salvage them. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent home/work address, phone (3270.124(b)(3))

The emergency contact form for Child #5 lacked the enrolling parent's work address. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: The receptionist retrieved the enrolling parent's work address and added it to the emergency contact form for Child #5. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact form for Child #4 contained incomplete addresses for 2 release persons. 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: The receptionist retrieved complete addresses for the two release persons and added the information to the emergency contact form for Child #4. 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))

The two most recent health assessments on file for Child #2, a young toddler at the time, are dated 5/8/24 and 12/16/24, more than 6 months apart. The two most recent health assessments on file for Child #6, a young toddler, are dated 3/31/25 and 10/7/25, more than 6 months apart. 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: The updated health reports for Child #2 and Child #6 were already on file, but late (more than 6 months apart). Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Immunization record/Exemption documentation from parent/guardian (3270.131(d)(5)/3270.131(e)(1))

The immunization record on file for Child #1, who is 16 months old, includes 3 of 4 pneumococcal vaccines recommended for a child this age by the ACIP. Child #1 must be dismissed from care by close of business on 10/15/25 and may only return to care when immunization record is updated or when a parent provides a written, signed exemption letter. Requirement: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. Correction: Child #1's updated immunization record was acquired from the child's doctor in 10-15-2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency info/agreement updated 6 mos (3270.181(c))

The two most recent agreement form reviews for Child #3 are dated 12/10/24 and 9/2/25, more than 6 months apart. Requirement: 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. Correction: The updated agreement forms were already on file, but more than 6 months apart. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(5))

The facility's emergency plan parent letter lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Requirement: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Correction: The facility's emergency plan and emergency plan parent letter were revised to include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

Torn vinyl was observed on a bench cushion in Room 224. 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: The vinyl bench cushion and bench were removed from the bench in Room 224. We may or may not replace this piece of equipment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Fire safety - 1 yr./Exp, educ., training at facility (3270.31(e)(4)(ii)/3270.192(2)(iii))

The file of facility person #4, who has been volunteering at the facility for more than a year (see coded LIS sheet), did not contain documentation of fire safety training. 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: Facility person #4 will complete DHS fire safety training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Small Toys and Objects (3270.103)

In Classroom 212, where older toddlers were receiving care, 4 magic eraser sponges were in a drawer under the microwave, the sand/water table contained foam blocks (a few with teeth marks) and on a shelf, crayons and markers with the caps, which were less than an inch in diameter, were all accessible to children still placing objects in their mouths. Requirement: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths. Correction: The foam blocks, the Magic Eraser sponges and the marker caps were removed and no longer accessible to children in the group who were still placing objects in their mouth. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

The Ounce Assessments to provide information to the family about the child's growth and development were dated 11/2023 and 10/2024, more than 6 months apart for child #1. Requirement: 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 in § 3270.124(f) (relating to emergency contact information). Correction: The Ounce Assessments, to provide information to the family about the child's growth and development, will be administered every 6 months in accordance with updates regarding the emergency contact information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The health assessment if child #2, identified as a preschool age child (see LIS code sheet), contained a health assessment dated 2/22/2023 and an updated health assessment dated 3/14/2024, exceeding 12 months. 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: The health assessment had been acquired, it was just late, beyond 12 months. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Physical examination (3270.151(c)(1))

The health assessment of staff #3 was not clear if a physical examination was conducted as looked as if both the "yes" and "no" boxes were marked on the health assessment form. Requirement: An adult health assessment must include a physical examination. Correction: Staff person #3 will be returning to her Dr.'s office for an appointment on 11/18/24 to have her current health assessment corrected by the doctor. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Information re: medical problems (3270.151(c)(4))

The health assessment of staff #3 did not include information that the staff person was suitable to provide childcare. Requirement: An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. Correction: Staff person #3 has an appointment on 11/18/24 to visit the doctor's office to have her form corrected showing that she is suitable to provide childcare. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Every 60 days (3270.94(a)(1))

Documentation of the last fire drill conducted was dated 8/29/2024, more than 60 days prior to the date of the inspection. Requirement: The Director 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. Correction: A fire drill will be conducted so that we will be in compliance, moving forward. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written record (3270.94(a)(9))

The evacuation time was not listed on the fire drill log for the fire drill conducted on 8/29/2024. Requirement: The Director 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. Correction: A fire drill will be conducted and the evacuation time will be recorded so that we can be in compliance, moving forward. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).