CUDDLE TIME DAY CARE

Comply with CPSL/CPSL information (3280.32(a)/3280.192(4))

Staff #1's two most recent state police clearances are dated 4/16/20 and 9/22/25 which are more than 60 months apart. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: A facility person's record shall include up-to-date state police clearances report. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3280.102(a))

In the gross motor area was a duplo wagon with a cracked handle with sharp edges and pinch points. 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: I will make sure all equipment and other indoor and outdoor equipment that i used at the facility is in good condition. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent home/work address, phone (3280.124(b)(3))

The work address for the enrolling parent of child #1 only included the street name. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Had child #1 parent fill out the work address and telephone number on the emergency paper contact. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Initial and subsequent health assessments (3280.131(b)(2)/3280.182(1))

Child #2's (See LIS Code Sheet), most recent health assessment is dated 8/5/24 which is more than 12 months ago. 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 must contain initial and subsequent health reports. Correction: In the future I will make sure that parent provide a health report for each child every 12 months. ( Every year when due) Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Immunization record/Exemption documentation from parent/guardian (3280.131(d)(5)/3280.131(e)(1))

The immunization record on file for Child #3 (See LIS Code sheet), includes 1 of 2 Hepatitis B vaccines recommended by the ACIP for a child this age; 1 of 3 DTAP vaccines recommended by the ACIP for a child this age; 1 of 3 HIB vaccines recommended by the ACIP for a child this age; 1 of 3 Pneumococcal vaccines recommended by the ACIP for a child this age; and 1 of 2 Polio 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 require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. Correction: I asked the parent of child #3 to provide me an updated immunized status verification from their physician and they did on 11/07/2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Adult Hygiene (3280.152)

At approximately 1030am staff #2 used hand sanitizer after diapering a child which is not an acceptable replacement for washing with soap and water. Requirement: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child. Correction: Staff #2 shall wash hands after diaper changing at the facility and not use hand sanitizer. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health Information/Initial and subsequent health assessments (3280.131(a)/3280.182(1))

Child #3's file did not contain an initial health report within 60 days of enrolling(See LIS Code Sheet). Requirement: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record must contain initial and subsequent health reports. Correction: In the future i will make sure that parents provide me a health report for each child within 60 days of their admission Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

FIRE DETECTION/Staff responsibility (3280.95(a)/3280.95(b))

The last document fire alarm testing was dated 2/28/25 which is more than 30 days ago. 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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met. Correction: The facility operator shall conduct a fire detection device or system every 30 days. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3280.32(a))

The file for staff #1 contained a mandated reporter training dated 2/18/20 which is more than 60 months ago. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: A facility person's record shall include an up-to-date childcare training. Mandated report. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Protective Outlet Covers 5 yrs. or less (3280.65)

In the main room next to the bookshelf an electrical outlet cover was missing. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: In the future I will make sure that all electrical outlets are cover. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible - in original container (3280.66(a))

In the First/Infant room on top of the cubbies was Clorox Fabric Sanitizer, Microban Sanitizing Spray, and Lysol Disinfectant Spray, all stated keep out of reach of children, accessible to children. 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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces. Correction: In the future I will make sure that all cleaning material and toxic material are stored in a locked area at the facility. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3280.77(a))

In the front/infant room on the back green wall was peeling paint. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: The operator at the facility shall maintain all peeled paint or damage plaster indoor or outdoor. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3280.102(a))

In the main room there was a large black bin that was cracked and broken with sharp edges and pinch points. 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: I will make sure that all equipment and other indoor and outdoor equipment that is used at the facility is in good condition. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Every 60 days (3280.94(a)(1))

The last documented fire drill was dated 1/24/25 which was more than 60 days ago. Requirement: The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. Correction: The facility operator shall conduct fire drills and ensure that all drills are done at least every 60 days. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Amount of fee (3280.123(a)(1))

Child #4's financial agreement did not contain the fee amount. Requirement: An agreement shall specify the amount of the fee to be charged per day or per week. Correction: The facility person in charge of the An Agreement paperwork for enrolled child fixed the paperwork on 10/11/2024. From now on I will put the admission date on each child's agreement at enrollment Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health Information/Initial and subsequent health assessments (3280.131(a)/3280.182(1))

Child #1 initial health assessment is dated 1/17/24 which is more than 60 days after date of admission (See LIS Code Sheet). Child #3 initial health assessment is dated 12/5/22 which is more than 60 days after date of admission (See LIS Code Sheet). Child #5 initial health assessment is dated 10/25/22 which is more than 60 days after date of admission (See LIS Code Sheet). Requirement: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record must contain initial and subsequent health reports. Correction: In the future I will make sure that the parents give a health report for each child within 60 days of their admission. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Immunization record/Exemption documentation from parent/guardian (3280.131(d)(5)/3280.131(e)(1))

The immunization record on file for Child #3, an older toddler age child(See LIS Code Sheet), includes 0 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age. The immunization record on file for Child #4, an young toddler age child(See LIS Code Sheet), includes 3 of 4 DTAP vaccines recommended by the ACIP for a child this age. The immunization record on file for Child #5, an older toddler age child(See LIS Code Sheet), includes 3 of 4 DTAP vaccines recommended by the ACIP for a child this age; 3 of 4 HIB vaccines recommended by the ACIP for a child this age; and 0 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 require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. Correction: I asked the parent of Child #3 to provide me an update immunized status verification from their physician and they did on 10/18/2024. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Initial and subsequent health assessments (3280.131(b)(2)/3280.182(1))

Child #3, an older toddler age child(See LIS Code Sheet), two most recent health assessments are dated 6/14/23 and 7/22/24 which is more than 12 months apart. Child #5, an older toddler age child(See LIS Code Sheet), two most recent health assessments are dated 10/25/22 and 1/23/24 which is 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 must contain initial and subsequent health reports. Correction: I asked each parent to see if their child's doctors to provide them an updated on their health report shots. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name/address/phone release person (3280.124(b)(7))

Child #1's file was missing the address of one individual designated by the parent to whom the child may be released. Child #2's file did not contain the last names of individuals designated by the parent to whom the child may be released. Child #5's file was missing the address of one 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: Child #1 parent filled out address to one of the individual designated by the parent to whom the may be released on 10/11/2024 and child # 2 parent filled out last names of the individuals designated by the parent to be released om 10/11/2024 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Insurance coverage information (3280.124(b)(6))

Child #2's file did not contain health insurance coverage and policy number for the child under a family policy or Medical Assistance benefits. 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: Had child #2 parent filled out their health insurance coverage and policy number on 10/11/2024. I will make when every child health insurance is on their paperwork due to an emergency. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent home/work address, phone (3280.124(b)(3))

Child #3's file did not contain the enrolling parents work address or work phone number. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Child #3 had parent fill out their work address and work phone on 10/11/2024. I will make sure that parents work information is filled out on each child paperwork. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Physician name, address, phone (3280.124(b)(2))

Child #3's file did not contain the address and telephone number of the child's physician or source of 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: Had child #3 parent fill out their child physician name, address, and telephone number, and source of medical care on 10/11/2024. I will make sure that emergency paperwork is filled out completely of the time enrolled. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Each child emergency contact person (3280.124(a))

The emergency contact in child #2's file did not contain a last name. Requirement: Emergency contact information is required for each enrolled child. Emergency contact information shall reference who shall be contacted in an emergency. Correction: The facility person had child #2 parents filled out the last name containing on the emergency contact paperwork 10/11/2024 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Admission date/Application, admission, withdrawal dates (3280.123(a)(6)/3280.182(2))

The financial agreements for child #1, 2, 3, and 4 did not contain a date of admission. Requirement: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child. Correction: The facility put the admission date of child #1,2,3, and 4 on 10/11/2024, on the financial agreement paperwork. From now on I will put the date and the admission and withdrawal of the child. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and training (3280.31(e)(4)(i))

Staff #1's previous CPR/First Aide training dated 9/14/23 is not an approved curriculum. Staff #1's new approved Pediatric First Aid/CPR training is dated 9/30/24. Requirement: Competence is the completion of training by a professional in the field of first-aid and 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: A facility person's records shall include the approved curriculum for childcare trainings. CPR/First Aide. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).