BURKETTS WATCH ME GROW EARLY LRNG CTR RICHLAND LLC

Similar Age Level (3270.51)

Staff #1 left staff #2 alone in the infant/toddler room with 7 infants to open the door at the main entrance for a visitor. Requirement: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. Correction: All staff at center were trained on processes for answering the door as well as ratio compliance. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mixed Age Level (3270.52)

Staff #3 left staff #4 alone with 3 young toddlers and 5 older toddlers in the toddler space to open the door at the main entrance for a visitor. 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: All staff at center were trained on processes for answering the door as well as ratio compliance. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Based on the fire detection testing log, the system was last tested on 12-16-25. Therefore, it was 31 days since the system was last tested at the time on the inspection on 1-16-26. 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 smoke detectors will be checked and documented on the fire detection testing log. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Signed /Application, admission, withdrawal dates (3270.123(a)/3270.182(2))

The file of child #3 lacked an agreement. Requirement: An agreement shall be signed by the operator and the parent. A child's record shall contain the dates of application, admission and withdrawal of the child. Correction: The Director will be retrained on required BWMG and DHS paperwork to be completed for child enrollments to ensure compliance. The Director will obtain the required signature for the agreement for child#3. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file of child #2 lacked an emergency contact form with the address of the individual 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: The Director will be retrained on the requirements of the Emergency Contact form, including ensuring the complete addresses are listed for individuals designated by the parent to whom the child may be released prior to the child's first day of enrollment. Child #2 form is now complete. The Director will ensure the required information is added to child#2's emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Each child care space (3270.124(c))

At the time of the inspection, there were not copies of the emergency contact form for children #4, #5, and #6 who were observed in care. Requirement: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. Correction: The Director will be re-trained on BWMG processes to ensure all required paperwork is finalized prior to the child starting and also placed in the emergency contact binders at the Richland location prior to the child's first day. The missing emergency contact forms will be placed in the emergency contact binders. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written emergency plan posted (3270.124(e))

At the time of the inspection, there was not an emergency transportation plan posted in the pre school room. 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: The Director will be re-trained on DHS requirements regarding emergency transportation plan information and posting requirements. This was corrected and posted on 11/5/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Completed or signed by physician, PA, or CRNP/Initial and subsequent health reports (3270.131(c)/3270.182(1))

The file of child #1 lacked a health assessment completed and signed by a medical professional. The document in the file was completed by the parent with the child's vaccination record from the medical portal attached. Requirement: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. A child's record shall contain initial and subsequent health reports. Correction: The Director will be re-trained on required documentation needed for child files as set forth by DHS. The Director will obtain the required information from the child's parent. 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 of staff #1 lacked a health assessment. Furthermore, staff #1 was observed caring for children during the inspection. 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: The Director will be retrained on DHS requirements for new hires and the paperwork required in order for staff to work at the facility. Staff #1 will not work with children again until the health assessment is completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

The file of staff #1 lacked 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: The Director will be retrained on DHS requirements for new hires and the paperwork required in order for staff to work at the facility. Staff #1 now has 2 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

On file at facility (3270.18(a))

At the time of the inspection, the facility lacked liability insurance. Requirement: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility. Correction: Obtained liability insurance. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(2))

At the time of the inspection, the emergency plan lacked a location to evacuate away from the facility. Requirement: The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills). Correction: Updated relocation. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).