ABCS FOR CHILDREN

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

The file for staff person #8 does not include documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET); the health assessment and TB test on file for staff person #8 was dated 3.20.25. The 2 most recent health assessments on file for Staff person #9 are dated 11.2.21 & 8.13.24, more than 24 months apart. 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: Health assessments and TB testing has been completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff evaluations (3270.34(a)(6))

The file for Staff person #1, with a hire date more than 12 months ago (see LIS Code Sheet), does not include a staff 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: Director has completed evaluation for staff member 1 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

There were stained ceiling tiles from a previous leak in the School-age room, Toddler 1, and Toddler 2. There was an exposed bolt on the gate between the Toddler and & Preschool playgrounds and on the fence by the preschool playground side exit. There was splintered wood on the sandbox in the Preschool playground that was a potential hazard. There were several holes in the poured surface in the Toddler playground, causing a tripping hazard. 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: Ceiling tiles have been repaired in all areas. There are no visible water marks The bolt has been covered. The sandbox has been sanded. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

Peeling paint, which is accessible to children, was observed on the play structure in the Preschool playground. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: The feeling paint has been sanded off and repainted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Small Toys and Objects (3270.103)

There was a sensory bottle in the Infant room containing items smaller than an inch inside with an unsecured lid, making the items accessible to children who are still placing objects in their mouths. There was a sensory bottle in the Walkers room with an unsecured lid that contained items smaller than an inch in size and were accessible to children who are 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 sensory bottles have been removed from both classrooms 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 agreement on file for Child #1, #3, #4, #5, #7, and #9 does not include the child's 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: Agreement forms for the children have been fixed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact form on file for Child #1 does not include the phone number for the child's pediatrician/source for 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: The phone number for the doctors office has been added to the emergency contact Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated every 6 months/Emergency info/agreement updated 6 mos (3270.124(f)/3270.181(c))

The file for Child #1, #2, #3, #4, #5, #6, #7, #8, and #9 included 6-month review signatures for the emergency contact form and agreement dated in August 2024 and March 2025, more than 6 months apart. Requirement: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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: Review signatures on emergency contact forms have been completed Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports (3270.131(b)(2)/3270.182(1))

The two most recent health assessments on file for Child #9, who is a preschool age child, are dated 10.30.23 and 11.12.24, more than 12 months apart. 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. A child's record shall contain initial and subsequent health reports. Correction: The health assessments have been completed Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Immunization record/Dismissal policy (3270.131(d)(5)/3270.131(e)(3))

he immunization record on file for Child #6, who is 2 years old, included 1 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age. Requirement: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). ·Child #6 must be dismissed from care by close of business on 9.22.25, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Correction: The second Hepatitis A vaccine was given to the child. The medical form was not initially sent over. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent (3270.133(6))

There were 2 bottles of Tylenol in the infant room labeled for use by 2 children that did not have written parental permission to administer. Requirement: A parent shall provide written consent for administration of medication or a special diet. Correction: The bottles of Tylenol now have the correct permission to be kept in the classroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written statement (3270.166(1))

The facility did not have feeding plans submitted in writing by the parent for the infants receiving care in the infant room. Requirement: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent. Correction: The classroom has feeding schedules for all children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The fire drill log on file included fire drills conducted 1.9.25 & 3.19.25, more than 60 days apart. Requirement: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days. Correction: The firedrill was completed. 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 person #1, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children. The file for Staff person #3, #12, who is classified as an aide, does not include a high school diploma or a general educational development certificate; or a minimum of an 8th grade education and 2 years of experience with children. 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: A childcare verification sheet has been filled out for staff member 1 showing that she has 2 year experience with children. Staff members 3 and 4 have the appropriate document stating that they have a highschool diploma. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

Staff person #2 completed their current mandated reporter training on 5.16.25, more than 60 months after the previous training dated 1.30.20. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: The mandated reporter training was completed. 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 person #2 includes criminal history clearances dated 6.1.20 & 6.12.25; child abuse clearances dated 6.1.20 & 6.18.25; FBI clearances dated 6.1.20 & 6.14.25, and NSOR certificates dated 3.17.20 & 5.19.25, all more than 60 months apart. The file for Staff person #4 includes criminal history clearances dated 1.21.19 & 3.28.24, more than 60 months apart. The file for Staff person #5 includes NSOR certificates dated 6.10.20 & 6.16.25, more than 60 months apart. The file for Staff person #6 includes child abuse clearances dated 7.24.20 & 7.25.25, more than 60 months apart. The file for Staff person #7, who was rehired (See LIS Code Sheet), does not include a new disclosure statement signed upon rehire. The file for Staff person #10 includes criminal history clearances dated 1.16.19 & 4.2.24; child abuse clearances dated 1.16.19 & 4.4.24; FBI clearances dated 1.31.19 & 4.8.24, and NSOR certificates dated 1.10.20 & 1.23.25, all more than 60 months apart. The file for Staff person #11 includes an incomplete criminal history clearance indicating that it was pending, under review, (See LIS Code Sheet), making it invalid. 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 #7, #11, may not work in a childcare position at the facility. Correction: All paperwork has been competed for staff members. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3270.21)

In the Infant room infants were observed sleeping in cribs that had loose sheets, which pose a suffocation risk. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: All Crib sheets have been replaced with sheets that are tighter fitting. 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 2 most recent health assessments on file for Staff person #1 were dated 2/11/22 and 3/18/24, more than 24 months apart. The 2 most recent health assessments on file for Staff person #2 were dated 9/29/21 and 8/28/24, more than 24 months apart. The 2 most recent health assessments on file for Staff person #3 were dated 5/12/22 and 6/25/24, more than 24 months apart. 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: Health assessments for staff members 1, 2, and 3 are updated. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e))

The file for staff person #6 included documentation of only 7 of the 12 completed clock hours of childcare training Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Correction: Staff person 6 has been spoken to by the director and is aware of her time frame and the hours that are expected of her. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(f))

The facility does not have documentation verifying that the most recent emergency plan was submitted to the local municipality and to the county emergency management agency. Requirement: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. Correction: The director has since dropped off the emergency plan to the local police station. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(6))

There was no documentation of an annual Emergency drill being conducted at the facility. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: An emergency drill log has since been filled out stating that an emergency drill has been completed this year. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

In the Gobot OT room, Magnet tiles were observed to be cracked and broken which were not in good repair and can cause a hazard to the children. 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 magnet tiles have since been thrown away. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Handwashing signs (3270.82(h))

The second toilet in the restroom by the office was missing a handwashing sign. 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: A handwashing sign has since been placed in the toilet area. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

In the gross motor space, 6 gallons of hand soap labeled "keep out of reach of children was observed in a low cabinet that was unlocked 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: A lock has been placed on the cabinet where the soap is located. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Group sup qualifications/Exp, educ., training prior to facility (3270.35(b)/3270.192(2)(ii))

The file for staff person #4 was lacking proof of experience to qualify them as a Group Supervisor. Requirement: A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: A staff data form for staff member 4 has since been filled out and placed into her file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).