BEAUTIFUL BEGINNINGS CHILDCARE

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

The file for Staff #2 lacked a Health Assessment. (SEE LIS CODE SHEET) 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 will not be able to work until health assessment has been completed and turned in. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written emergency plan posted (3270.124(e))

The written emergency transportation plan was missing from Rooms #1, #2, #3, #4., #5, #6 and #7. Requirement: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. Correction: A copy was placed in all classrooms 1-7. Inspection: Renewal. 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))

The file for Staff #1 lacked documentation of education making it unable to be determined if the individual qualified as a staff person. (SEE LIS CODE SHEET) 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 member was removed from the classroom and retrieved a copy of their diploma and it was added to their file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for Staff #1 lacked the FBI Clearance. (SEE LIS CODE SHEET) The file for Staff #2 contained a PA State Police Clearance labeled "Volunteer" and therefore was incorrectly provisionally hired. (SEE LIS CODE SHEET) Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and #2 -- may not work in a childcare position at the facility. Correction: Staff members were removed from the classrooms and retrieved their missing clearances. They were added to their files on 7/3. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

Staff Person #2 did not complete Mandated Reporter training within 90 days of their hire date. (SEE LIS CODE SHEET) Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #2--- will have until 08.05.2025 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #2-- 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 person(s) available to supervise staff person #2, --staff person #2-- may not work in a child-care position at the facility. Correction: Mandate reporter training was completed 1/7/25 and placed in her file, Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The Emergency Contact forms for child file #1 lacked the address of the listed release person. (SEE LIS CODE SHEET) 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: Director contacted the child's parent and she gave grandmother's address over the phone. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

Staff #3 was lacking two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. 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: Staff printed out her references and they were put in her file. Inspection: Renewal. 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))

The file for Staff #2 lacked a Health Assessment and TB Test. (See IS CODE SHEET) 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 immediately left work and went to the Dr. to get a physical and a TB Test. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent (3270.133(6))

There was medication, Epi-Pen, in Room 2 labeled for use by a specific child did not have written parental permission to administer. (SEE LIS CODE SHEET) Requirement: A parent shall provide written consent for administration of medication or a special diet. Correction: The parent was called and she came to the center immediately to fill out a new parental permission to administer medication. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The Emergency Contact Form for Child #1 lacked the Health Insurance/MA Coverage and Health Insurance/MA Policy Number. (SEE LIS CODE SHEET) 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: Director contacted the child's parents and she gave the insurance card information over the phone. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The diaper changing table, in the main room, with loose screws was causing the table to be unstable posing a toppling or fall hazard. Requirement: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. Correction: Director went and got tools and tightened all screws to the changing table immediately. Inspection: Renewal. 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))

The file for Staff #2 did not include hours/years of experience in childcare. 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: Owner contacted the parent of the child who she babysat for confirmation. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Staff File #3 lacked a Disclosure Statement. (SEE LIS CODE SHEET) Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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. Correction: Director had staff #3 sign a new disclosure statement. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan/Exp, educ., training at facility (3270.27(c)/3270.192(2)(iii))

The file for Staff #1 (See LIS for DOH) contained Emergency Plan Training dated 01.2025 which was not completed at time of initial employment or before. (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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: The director went over training for the new location during the inspection with Staff #1 due to it being her first day back. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff evaluations (3270.34(a)(6))

Staff # 1 and #2 lacked a written evaluation within a minimum of 12 months of employment. (SEE LIS CODE SHEET) Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: Wrote an evaluation and placed it in each staff file. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Glass (3270.81)

The glass, front door located in a traffic area lacked a visual strip. Requirement: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space. Correction: I put stickers on the glass doors. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

110º F or less (3270.69(b))

The water temperature in the bathroom sinks next to the diapering area, the water temperature was measured at 111.6 degrees which was accessible to children. Requirement: Hot water temperature, in areas accessible to children, may not exceed 110° F. Correction: I turned the hot water valve off under the sinks. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).