THOMAS CHILD CARE AND LEARNING ACADEMY LLC

Original container (3270.66(b))

It was observed that there was toxic cleaning supplies stored on top of the refrigerator in the infant/toddler room and older toddler/young preschool rooms, which could potentially leak and contaminate the area in which food is being stored. 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 stored away from food, food preparation areas and child care spaces. Correction: All cleaning supplies have been immediately removed from the tops of refrigerators and placed in bins and relocated to designated secured storage cabinets or in bins that are inaccessible to children and located away from any food or food preparation areas. All cleaning products will be stored in a closed container, out of the reach of children, at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Trash removed once a day (3270.67(a))

In the outdoor play space, it was observed that there was a garbage can full of discarded food and drinks that wasn't removed from the play space the day before. Requirement: Trash shall be removed from the facility at least once per day. Correction: The trash was immediately removed from the outdoor play area. The area was cleaned and inspected to ensure it was free of debris and pests. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The fee agreement for Child #3 was lacking 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: The fee agreement for Child #3 has been updated to include the required fee amount. The parent/guardian has reviewed and signed the corrected agreement, and a copy has been placed in the child's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Arrival/departure times (3270.123(a)(4))

The fee agreement on file for Child #3 was lacking the child's arrival and departure times. Requirement: An agreement shall specify the child's arrival and departure times. Correction: The fee agreement for Child #3 has been updated to include the child's regular arrival and departure times. The parent/guardian has reviewed and signed the corrected agreement, and the updated document has been placed in the child's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Admission date/Application, admission, withdrawal dates (3270.123(a)(6)/3270.182(2))

The fee agreement for Child #3 and Child #5 was lacking the date of admission. Requirement: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child. Correction: The fee agreements for Child #3 and Child #5 have been updated to include each child's date of admission. Parents/guardians have reviewed and signed the corrected agreements, and the updated documents have been placed in the children's files. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact forms for Child # 1, Child #2, and Child #5 were lacking the work addresses and telephone numbers of the enrolling parent. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Emergency contact forms for Child #1, child #2 and child #5 have been reviewed to ensure that the work addresses and phone numbers of parents are on the Emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent/Consent for emergency medical care required prior to admission (3270.124(b)(4)/3270.182(3))

The emergency contact form on file for Child #2 was lacking written consent signed by a parent for emergency medical care. Requirement: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. Correction: The emergency contact form for Child #2 has been updated to include written consent for emergency medical care, signed by the parent/guardian. The completed form has been placed in the child's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact forms for Child #1, Child #2 and Child #5 were lacking 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: All current emergency contact forms for Child #1, Child #2, and Child #5 have been reviewed and updated to include each child's special needs information as provided by the parent or healthcare provider. 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, Child #3, and Child #4 was lacking health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. 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: The Emergency contact forms for Child #1, Child #3, and Child #4 have been reviewed and updated to include the child's health insurance coverage and policy number. 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 on file for Child #1, Child #2 and Child #5 was lacking the addresses of the individuals designated by the parent to whom the child may be released. 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: Emergency contact forms for Child #1, Child #2, and Child #5 have been reviewed and updated to include the full name, address, and telephone number of each individual authorized by the parent to pick up the child. 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 #1, who is a young toddler, are dated 8/8/24 and 6/30/25, which are 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: Child #1's parent has been contacted to provide an updated health assessment to ensure the child's record is current and complies with the 6-month requirement. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Child's hands washed (3270.134(a))

It was observed that Staff Person #3 did not wash the hands of the child after having their diaper changed. Requirement: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. Correction: Staff was reminded to make sure a child's hands are washed, before meals, snacks and after toileting and after being diapered Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Disposable diapers (3270.135(a)(3))

During observation of a diaper change Staff # 3 put a soiled diaper on the changing table until they completed the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can. Requirement: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. Correction: Staff was reminded that a soiled diaper must be immediately discarded by placing it into a plastic-lined, hands-free covered can to prevent contamination and maintain proper hygiene. 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 most current health assessment on file for Staff Person #4 is dated 4/18/23 which is more than 24 months ago. 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: We have updated Staff Person #4's health assessment so it is current and meets the 24-month requirement. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exam communicable disease (3270.151(c)(3))

The current health assessment on file for Staff Person #1 indicated that the staff person has a communicable/contagious disease, with no additional information given. Requirement: An adult health assessment must include an examination for communicable diseases and the results of that examination. Correction: We will obtain a complete, updated health assessment for Staff Person #1 from a licensed healthcare provider to ensure the assessment explicitly addresses communicable diseases and includes test results, diagnoses, and any required follow-up or restrictions . We did file the updated assessment in the staff member's record. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Potentially hazardous food refrigerated (3270.161(d))

It was observed that there was lunch box on the counter next to the refrigerator in the downstairs preschool room that contained a cheese pizza Lunchables that needs refrigerated, and in the toddler classroom here was a lunchbox that contained yogurt that wasn't in the refrigerator. Requirement: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated. Correction: We immediately put the lunch in the fridge to maintain safe temperatures and prevent foodborne illness. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Consent for administration of minor first-aid required prior to admission (3270.182(5))

The emergency contact form on file for Child #2 was lacking signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Requirement: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Correction: Emergency contact forms for Child #2 have been reviewed and updated to include parental consent for admin of minor first aid procedures by facility staff. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training - Pediatric First Aid and CPR (3270.31(f)(10))

Staff Person #2 completed Pediatric First Aid/CPR pre-service training after 90 days of their day of hire (see LIS code sheet). Their Pediatric First Aid/CPR certificate is dated 5/22/25. Requirement: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Correction: Staff Person #2 has now successfully completed the Pediatric First Aid/CPR training and holds a valid certificate. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

On 11/20/24, the operator self-reported a non-functioning furnace in the downstairs preschool classroom. 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: Furnace was replaced on 12/5/24 and children were moved back into their normal facility Inspection: Self-Reported Non Compliance. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3270.21)

There was a piece of wood with two exposed screws on the floor by the sink steps in the toddler room accessible to children. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: We removed the piece of wood from the classroom. and from child access. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for staff #1 lacked documentation of current pediatric first-aid and pediatric CPR certification. The previous certification for staff #1 was dated 9/22/22 to 9/22/24. 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. Correction: Staff #1 will enroll in a CPR/First-Aid course prior to returning from suspension, 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 #2 contained a current NSOR clearance dated 12/7/23. Staff #2 date of hire was 12/5/23. The file lacked documentation of the NSOR clearance application prior working with children. 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. Correction: Staff #2 has obtained her NSOR clearance Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Protective Outlet Covers 5 yrs. or less (3270.65)

There was an uncovered electrical outlet on the circle time wall in the preschool room accessible to children 5 years of age or younger. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: A cover was placed over the electrical outlet Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

There was a hand sanitizer labeled " keep out of reach of children". accessible to children on the floor in the in the preschool room. 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 hand sanitizer was removed from the floor and placed out of reach out the children Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

There was an open garbage can with contaminated by human secretions trash in pre-k room and one in the infant/toddler room. Requirement: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. Correction: The open garbage can was replaced with a covered trash bin in the pre-k and toddler room Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).