MT ARARAT COMMUNITY ACTIVITY CENTER

2025

1. High risk8/1/2025

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

   Staff person #2, 9, 11 and 15 were observed to be caring for children unsupervised. Staff person #2, 9, 11 and 15 have not completed the following pre- service training required prior to caring for children unsupervised: Staff Person #2, #9, #15: Pediatric CPR/First Aid in an approved curriculum from a licensed PQAS instructor. Staff Person #11: Health and Safety Training. 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. Until such time as the required pre- service trainings are completed, staff person #2, 9, 11 and 15 must be supervised, when interacting with children at a minimum by, an AGS or higher who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, 9, 11 and 15, staff person #2, 9, 11, and 15 may not work in a child-care position at the facility. Correction: Staff 2,11 no longer employed. Staff 9,15 have all necessary pre-service training to supervise children Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/30/2025
2. Medium-High risk8/1/2025

   Training regarding plan (3270.27(c))

   The files for Staff Person #15, 27 and 30 who have been working for more than 90 days, did not include documentation of initial emergency plan training. The file for Staff Person #17 did not include documentation of emergency plan training conducted within the past 12 months. (See LIS Code Sheet). 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: Staff 15,27,30 has emergency plan training on file. Staff 17 has annual emergency plan training on file Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/23/2025
3. High risk8/1/2025

   Age and Training (3270.31(e)(4)(i))

   The most recent Pediatric First Aid/CPR Certificate in the file for Staff Person #11 was acquired after the previous certificate had expired. Staff person #4 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 6/9/25. Documentation of updated Pediatric first aid and CPR training is not on file. Requirement: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required pre- service trainings are completed, staff person #4 must be supervised, when interacting with children at a minimum by, an AGS or higher who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility. Correction: Staff 11, no longer works here. Staff 4 has completed Ped//first aid/CPR training Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/30/2025
4. Medium-High risk8/1/2025

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

   The files for Staff Person #4, 8, 12, 13, 16, 17, 18, 19, 20 and 21 did not include documentation of annual fire safety training conducted within the past 12 months. 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: Staff 4,8,12,13,,16,17,18,19,20,21 all have fire safety training documentation Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/30/2025
5. High risk8/1/2025

   Health and Safety Training (3270.31(f))

   Staff person #15 has not completed the following required pre- service training within 90 days of their date of hire: Pediatric First Aid/CPR in an approved curriculum from a licensed PQAS instructor. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required pre- service trainings are completed, staff person #15 must be supervised, when interacting with children at a minimum by, an AGS or higher who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #15, staff person #15 may not work in a child-care position at the facility. Correction: Staff 15 has completed Ped/First-aid/CPR Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/30/2025
6. Medium risk8/1/2025

   Comply with CPSL (3270.32(a))

   The Mandated Reporter Training in the file for Facility Person #27, a volunteer, was conducted more than 90 days after the facility person's first day working in childcare. The file for Facility Person #30, a volunteer who has been working in childcare for more than 90 days, did not include documentation on Mandated Reporter Training. (See LIS Code Sheet). Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: Facility person 27, and 30 both have Mandated Reporter on file Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/30/2025
7. Medium-High risk8/1/2025

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

   The files for Staff Person #27, 28, 29 and 30 lacked disclosure statements. The FBI Clearance and NSOR Certificate in the file for Staff Person #10 were acquired after the staff person's first day working in childcare. The most recent FBI Clearances in the file for Staff Person #13 exceeded 60 months between clearances. The State Police Clearance in the file for Staff Person #14 was acquired after the staff person's first day working in childcare. The Child Abuse Clearance in the file for Staff Person #28 was after the staff person's first day working in childcare. The file for Staff Person #2 included a DOE FBI Clearance, which is not valid. The file for Staff Person #2 lacked an NSOR Certificate. The file for Staff Person #5 did not include an FBI Clearance. The file for Staff Person #6 did not include a State Police Clearance. The file for Staff Person #7 did not include a State Police or Child Abuse Clearance. The file for Staff Person #9 included a DOE FBI Clearance, which is not valid. The files for Staff Person #12 and #16 do not contain an NSOR Certificate within the past 60 months. The files for Staff Person #22 and 25 lacked disclosure statements, FBI clearances and NSOR certificates. The files for Staff Person #23, 24 and 26 lacked disclosure statements, Child Abuse, FBI clearances and NSOR certificates. (See LIS Code Sheet). 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 #2, 5, 6, 7, 9, 12, 16, 22, 23, 24, 25 and 26 may not work in a child care position at the facility. Correction: Staff 10 no longer works here. Staff 27,28,29,30 all have disclosure statements on file Staff 5,9,16,12, have completed clearance. Staff 2,6,7,22,23,24,26 No longer are employed at facility Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/30/2025
8. Medium risk8/1/2025

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

   The files for Staff Person #1, 2, 3, 5, 6, 10, 11 did not include documentation of education and experience. 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: Staff 1,2,3,6,10.11 No longer employed by facility Staff 5 have employment documentation Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/30/2025
9. Medium-High risk8/1/2025

   Mixed Age Level (3270.52)

   On 8/1/25 at 11:00 AM, Staff Person #9 was observed supervising a mixed group of 8 younger school age and 3 preschool children en route from 5 year old room to the playground. Requirement: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). Correction: The youngest child was removed from group in order to maintain ratio Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/1/2025
10. Medium risk8/1/2025

    Protective Outlet Covers 5 yrs. or less (3270.65)

    Observed four electric outlets on a surge strip and one behind the butterflies in Room #109 that lacked protective receptacle covers. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: Outlet covers were place in all outlets in room 109 that lacked them Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/30/2025
11. Medium-High risk8/1/2025

    Locked or inaccessible (3270.66(a))

    Observed toxics, which were accessible to children, in the following areas: a bottle of weedkiller in the outdoor grassy field. Cleaning products in the staff lounge and laundry room, which were not locked, and it was confirmed that children walk by these rooms during transitions to bathrooms and playgrounds. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: Weedkiller and other toxins were made inaccessible to children. Cleaning materials and other toxins are placed in an inaccessible place, locked and stored out of the reach of children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/30/2025
12. Medium-High risk8/1/2025

    Toxic use- no contamination (3270.66(c))

    Observed cleaning products stored next to Capris Suns in the cupboard in Room #222. Requirement: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children. Correction: Cleaning products were removed from room Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/30/2025
13. Medium-High risk8/1/2025

    Has all items (3270.75(c))

    The first aid kits in Room #308 and 309 lacked scissors, tweezers and soap. The first aid kit in Room #224 lacked tweezers and soap. Requirement: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. Correction: First aid kits contain all the necessary items for childcare Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/30/2025
14. Medium-High risk8/1/2025

    Building Surfaces (3270.76)

    Observed stakes protruding from the framework, which create a potential trip hazard, in the preschool playground. Observed ceiling tiles, discolored from water damage, near the second light from the entrance in Room #109 and in the middle of Room #108. The baseboard was separating from the wall on the left side of the room in Room #109. Observed cracked outlet plates, which creates sharp edges, near the entrances to Room #108 and #109. Observed holes in the ceiling tile between two toilets in the downstairs girls restroom. Observed flaking rust, which creates a sharp edge, on the partitions between the toilets in the main floor men's restroom. 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: Maintenace issues were addressed by the maintenance team. The maintenance team fixed and replaced items such as stakes protruding from the framework, the ceiling tiles, cracked outlet plates, flaking rust, and baseboards. Creating and maintaining a regular facilities check list to assure issues are addressed and attended to in an expeditious manner. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 10/20/2025
15. Medium risk8/1/2025

    Handwashing signs (3270.82(h))

    A handwashing sign was not posted at one of the toilets in the downstairs boys restroom. Requirement: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. Correction: Handwashing sign was posted at boys restroom Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/30/2025
16. Medium risk8/1/2025

    Lidded waste receptacles (3270.82(i))

    The waste receptacle in the main floor men's restroom was not lidded. Requirement: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle. Correction: The lid was placed on the garbage in boys bathroom Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/30/2025
17. Medium-High risk8/1/2025

    Clean, good repair, proper size (3270.104(a))

    Observed two wobbly toy shelves, which create a potential toppling hazard, near the entrance of Room #108. Requirement: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. Correction: rearranged furniture to create a safer play space Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/30/2025
18. Medium-Low risk8/1/2025

    Posted in group space (3270.111(b))

    Daily activity schedules were not posted in the computer lab or School Age Room #1. Requirement: The written plan of daily activities shall be posted in the group space. Correction: Written plans of daily schedules posted are every classroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/30/2025
19. Medium-Low risk8/1/2025

    Signed (3270.123(a))

    The fee agreements in the files for Child #3, 7, 8 and 9 were not signed by the operator. Requirement: An agreement shall be signed by the operator and the parent. Correction: Fee agreement was signed by provider and families Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/27/2025
20. Medium risk8/1/2025

    Amount of fee (3270.123(a)(1))

    The fee agreements in the files for Child #3 and 9 did not specify the amount of the fee to be charged per day or per week. Requirement: An agreement shall specify the amount of the fee to be charged per day or per week. Correction: Files for children 3 and 9 specify the amount of the fee to be charged per day or per week. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/26/2025
21. Medium risk8/1/2025

    Date fee to be paid (3270.123(a)(2))

    The fee agreements in the files for Child #3, 7, 8 and 9 did not specify the date on which the fee is to be paid. Requirement: An agreement shall specify the date on which the fee is to be paid. Correction: child 3,7,8, and 9 have specified dated that fee is to be paid in file Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/26/2025
22. Medium-Low risk8/1/2025

    Admission date (3270.123(a)(6))

    The fee agreements in the files for Child #3, 7 and 9 did not specify the date of the child's admission. Requirement: An agreement shall specify the date of the child's admission. Correction: Provider's plan of correction includes making sure the agreement form specifies the date of the child's admission. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/26/2025
23. Medium-High risk8/1/2025

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

    The emergency contact forms in the files for Child #7 and 8 did not include the name, address and telephone number of the child's physician or source of medical care. It was observed that only a digital version (ProCare App) of emergency contact information was present in the school age classrooms. This app does not include a field for physician's information. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: Child 7,8 include phone number address, name of child's physician or medical source. To maintain compliance, the provider will make sure there are physical copies of the emergency contact forms. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/26/2025
24. Medium-High risk8/1/2025

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

    The emergency contact forms in the files for Child #4, 6 and 9 did not include the enrolling parents work address and telephone number. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Child 4,6,9 include the parents work address phone number. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/24/2025
25. Medium-High risk8/1/2025

    Information re: special needs (3270.124(b)(5))

    The emergency contact form in the file for Child #9 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation. Requirement: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation. Correction: Child 9 has updated information on child's special needs. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/19/2025